WQ0041340_Application_20191206

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number:�I 1✓'1_1-/ (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: City of Albemarle (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ® Municipal
3. Signature authority's name: Michael J Ferris per 15A NCAC 02T .0106(b)
Title: City Manager
4. Applicant's mailing address: PO Box 190
City: Albemarle State: NC Zip: 28002-0190
5. Applicant's contact information:
Phone number: 704) 984-9410 Email Address: mferris(&albemarlenc.gov
tdECEIVr 0INCDENRII)Wk.
DEC --6 2PuN
WQROS
MOORESVILLE REC31ONAL OFFICE
❑ Privately -Owned Public Utility
❑ Other
II. PROJECT INFORMATION:
I . Project name: Uwharrie Trail Apartments
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit(Project
If a modification, provide the existing permit number: WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit number: W000_
3. County where project is located: Sta&
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.3514' Longitude:-80.1614'
5. Parcel ID (if applicable): 29493
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Homer S. Wade License Number: 10771
Firm: Borum, Wade & Associates. P.A.
Mailing address: 621 Eugene Ct. - Suite 100
City: Greensboro State: NC Zip: 27401-
Phone number: 336) 275-0471 Email Address: jwadcAborum-wade.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Long Creel W WTP Permit Number: NCO024244
Owner Name: City of Albemarle
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00016
Owner Name(s): City of Albemarle
FORM: FTA 04-16 Page I of 5

RECEIVED/NCDENRIDWR
DEC 10 2019
VI. GENERAL REQUIREMENTS WC)ROS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public ConveniehWW N iV--5dhiititttak (WE
❑ Yes Elmo ®N/A
2. If the Applicant is a Developer of lots to be sold, has a Dgvs!Wgr s O er tional Agrecippit FOgM�DEV) been attached?
❑ Yes []No NN/A
3. If the Applicant is a F{P. e[PrQp�rSy Qwngrs Association has an Oker4lipnal Agreement (FORM: H0_Aj been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
® Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental I veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: ]00 % Domestic/Commercial % Commercial
_ % Industrial (See 15A NCAC 02T 0103(20))
"Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under I SA NCAC 02T 01 14(t)? ❑ Yes ® No
r If yes, provide a cony of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see tl2T.0114(f))
Daily Design Flow
No, of Units
Flow
gal/day
GPD
gau
GPD
gaU
GPD
gal/
GPD
gal/
GPD
gat/
GPD
a See 15A NCAC Q2'f .0114_(b)_(d)_(eJW A_nd_0e j2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east ofthe Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in CQ,$_12A4)
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified (in table I SA NCAC 02T.QLLQ] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per I SA NCAC 02'r .0114)
Y Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
® Other (Explain): Flow of 19.200 GPD to be permitted in Private FTA application submitted seoerately
FORM: FTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 318 D.I.P.
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet mininntm slope requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B):
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility
Or if the pump station has an average daily flow less than I5,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(I)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel tinneframes, shall be provided
in the case of a multiple station power outage.
FORM: FLA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(t)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(t) & (e)
➢ 15A NCAC 02T.0305(I) contains minimum separations that shall be provided for sewer systems:
® Yes ❑ No
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
24 inches
Water mains (vertical -water over sewer including in benched trenches)
18 inches
Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications weboaae
➢ If noncompliance with 02T.0305(f) or (¢) see Section X of this application
2. Does tine project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No ❑ N/A
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes ❑ No ® N/A
➢ This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Peinuttine Branch
5. Does project comply with 15A NCAC 02T.0105(c)L6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this pernnit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stonnwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ❑ No ® N/A
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the pernritee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
❑ Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is required prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineers
'A X— attest that this application for
name from Application Item III.1.)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best
of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE - In accordance with General Statutes 143-215.6A and 143-215.613, any person who l�nowingly makes any false
statement, representation, or certification in any application package shall be guilty of a,(3 s¢ r i derpeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. P\ CCU
North Carolina Professional Engineer's seal, signature, and date: e ' 4r SEAL-
10771
/� ww�l
3. Applicant's Certification per 15A NCAC 02T .0106(b):
r
(�(�(�p/ attest that this application for
(Signature Authority's name & title om Application Item 1.3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition
of this permit be violated. I also understand that if all required parts of this application package are not completed and that if
all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
NOTE - In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: �t/�l / /� Date: DG �C�/ zr kll
FORM: FTA 04-16 Page 5 of 5

RECEIVEWNCDENRIDwR State of North Carolina
Department of Environmental Quality
LFC — B 'Ii1J Division of Water Resources
tvgRos Flow Tracking for Sewer Extension Applications
- _•MOORESVILLERErdIONALOFFICE (FTSE10-18)
Entity Requesting Allocation: City of Albemarle
Project Name for which flow is being requested: Uwharrie Trail Apartments
More than one FTSE maybe required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: City of Albemarle Long Creek Waste Water Treatmnet Plant
b. WWTP Facility Permit #: NCO024244
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
12
0
6.45
0.0192
6.45
54 %
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A)
(B)
(C)
(D)=(B+C) (E)=(A-D)
Design
Obligated,
Pump
Pump
Average
Approx.
Not Yet
Total Current
Station
Station
Firm Daily Flow**
Current
Tributary
Flow Plus
(Name or
Permit
Capacity, * (Firm / pt),
Avg. Daily
Daily Flow,
Obligated Available
Number)
No.
MGD MGD
Flow, MGD
MGD
Flow Capacity***
Vickers 1.96 0.78 0.27 0 .27 .51
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer):
Downstream Permit Number:
Page 1 of 6
FTSE 10-18

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)T) Iingincers
ICES j Planners
Surveyors
-I
Boruln, Wade and Associates, 1'.A.
December 5, 2019
N.C.D.E.Q.
Division of Water Resources
Mooresville Regional Office
610 E. Center Avenue
Mooresville, NC 28115
RECEIVED/NCDENR/DWR
C'FC-6 e019
WORDS
MOORESVILLE REGIONAL OFFICE
Regarding: Uwharrie Trail Apartments
Hilco Street: Address T.B.D. by City of Albemarle
Albemarle, NC
FTA 04-16 for Gravity Sewer (Public)
Dear Sir or Madam:
Uwharrie Trail, LLC proposes to develop the above noted 80 unit (age restricted)
apartments. In conjunction with this development, a new public gravity sanitary sewer
line owned by the City of Albemarle will be installed. The entrance to this project is
located off the proposed Hilco Street extension in Albemarle, North Carolina. The
proposed public sanitary sewer line will tie in to the City of Albemarle's existing gravity
sanitary sewer line running west to east down the existing Hilco Street.
Please find the following attached information for review for processing a Gravity Sewer
Permit for the above mentioned project. Included in this package are the following.
1. One original and one copy of the Fast Track Application.
2. One check for $480 (check# 439)
3. One original and one copy of the Downstream Sewer Flow Tracking/Acceptance.
4. One original and on color copy USGS Topographic Map and one street level map.
Please call if you have any other questions.
Best Regards,
VV
J athan Wade
621 Eugene Court, Suite 100, Greensboro, NC 2740 1-27 11 • PO Box 2 18 82, Greensboro, NC 27420-1882
Phone [phone] • Fax [phone]
Website: www.bortnn-wade.com

Central Files: APS _ SWP _
12/12/2019
Permit Number WQ0041341
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
ori.tuvia
Coastal SWRuIe
Permitted Flow
19,200
Facility
Facility Name
Uwharrie Trail Apartments
Location Address
Owner
Owner Name
Uwharrie Trail LLC
Dates/Events
Permit Tracking Slip
Status
Project Type
Active
New Project
Version
Permit Classification
1.00
Individual
Permit Contact Affiliation
Major/Minor Region
Minor Mooresville
County
Stanly
Facility Contact Affiliation
Owner Type
Non -Government
Owner Affiliation
Mark C. Morgan
PO Box 16038
High Point NC 27261
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
12/12/2019 12/6/2019 12/12/2019 12/12/2019
Regulated Activities Requested /Received Events
Apartment complex Additional information requested 12/10/19
Wastewater collection Additional information received 12/10/19
Outfall
Waterbody Name Streamindex Number Current Class Subbasin

Central Files: APS _ SWP _
12/12/2019
Permit Number WQ0041340
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
ori.tuvia
Coastal SWRuIe
Permitted Flow
0
Facility
Facility Name
Uwharrie Trail Apartments
Location Address
Owner
Permit Tracking Slip
Status
Project Type
Active
New Project
Version
Permit Classification
1.00
Individual
Permit Contact Affiliation
Major/Minor Region
Minor Mooresville
County
Stanly
Facility Contact Affiliation
Owner Name Owner Type
City of Albemarle Government - Municipal
Owner Affiliation
Michael J. Ferris
City Manager
PO Box 190
Dates/Events Albemarle NC 28002019
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
12/12/2019 12/6/2019 12/12/2019 12/12/2019
Regulated Activities Requested /Received Events
Apartment complex Additional information requested 12/9/19
Wastewater collection Additional information received 12/10/19
Outfall
Waterbody Name Streamindex Number Current Class Subbasin