WQ0041358_Application (FTSE)_20191209

State of North Carolina
Department of Environmental Quality
DWR
Division of
Water Resources
15ANCAC 02T.0300 — FAST TRACK SEWER SYSTEM EXTENSION
APPLICATION
Division of Water Resources FTA 04-16& SUPPORTING
DOCUMENTATION
Application Number. u OO L11 3 S l? (tobe completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: Town of "oily Springs (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Kendra D. Parrish. P.E. per ISA NCAC 02T .0106(b)
Title: Director ofEnaineerina
4. Applicant's mailing address: 128 South Main Street
City: Holly Springs State: NC Zip: 27540-
5. Applicant's contact information:
Phone number: (9I9) 557-393 Email Address: kendra.arrish bolls rip snc.us 01AIJ
Sara . erY,.�� hpll+�spri �Snc-• LcS
II. PROJECT INFORMATION:
1. Project name: The Townes on Main
2. Application/Project status: 9Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
If new construction but part of master plan, provide the existing permit number: WQ00
3. County where project is located: Wake '
d
4. Approximate Coordinates (Decimal Degrees): Latitude: _3564613Longitude: ;�
o�
5. Parcel ID (if applicable): 0649903163 n
(or Parcel ID to closest downstream sewer) � t
tfQto
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III. CONSULTANT INFORMATION: �
cc
Afars M. Maness, PE
1. Professional Engineer. License Number: 222092 O co
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Firm: VHB Engineering NC, P.C.
A
940 Main Cam
Campus Dr, Suite 500
Mailing address: P
City: Raleigh State: NC Zip: 27606-
Phone number: (Rig) Z_4j -� Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Utley Creek Wastewater Treatmen t Plan Permit Number: NCO06 096
Owner Name: Town of Holl 5 rip s
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ D4154 28 Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS-9 a gZ
Owner Name(s):
FORM: ITA 04-16 Page 1 of 5

VI.
GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public l;tiiity, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No 9Nr A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑No E N+'A
3. If the Applicant is a H meMro ert
Owners' Association, has an Onerational Agreement
FORM: HOA been attached?
❑ Yes ❑No Q�N.!A
4. Origin of wastewater. (check all that apply):
(Residential Owned
❑ Retail (stores, centers, malls)
❑ Car Wash
❑ Residential Leased
❑ Retail with food prep amtionrservice
❑ Hotel and ?or Motels
El School I preschooll day care
El Medical l dental,' veterinary facilities
❑ Swimming Pool +'Clubhouse
❑ Food and drink facilities
❑ Church
❑ Swimming Pool/Filter Backwash
❑ Businesses/offices i factories
❑ Nursing Home
❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 %DomesticlCommercial
% Commercial
Industrial Sec 15A . . 0
4 Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T 01 I ? WrYes No
If yes, Provide a co _ of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.&114
Daily Design Flow
No. of Units
Ilow
Townhouse
255 gal/unit
8
2,040 GPD
gaL`
GPD
gall
GPD
gaV
GPD
gaV
GPD
gaV
GPD
Total
2,040 GPD
a See 15A NCAC 02T 0114 e I 2 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 useareas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A4).
Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01 I shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other meas ured data.
S. Wastewatergenerated by project: 2.040GPD (per 15A NCAC 02T AI 14)
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):
1±ORM : FTA 04-16 Page 2 of 5

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T.0305 & MDC (Gravity„ Se"rrs):
I. Summarize gravity sewer to be permitted:
Size(inches) Length (feet) Nbiterial
8" 177 LF DIP
:- Section lI & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
t Section III contains information related to minimum slopes forgravity sewer(s)
Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
V III. PUMP STATION DESIGN CRITERIA (If Applicable) --QTT ,0305 & INDC (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 (TDi )
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 A 0 h 1 :
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(13):
➢ 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 15,000 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)(1)(C):
z 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.
D Iftheportable power sourceor pump is dedicated to multiple pump stations,an evaluation of all the pump s tat ions'sto rage
capacities and therotation schedule of the portable power source or pump, including travel tin-eframes, shall be provided
in the case of multiple station power outage.
rORM : FTA 04-16 Page 3 of 5

1X. SEMACKS & SEPARATIONS - (0213.0200 & 15A NCAC 02T.0305(t)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(fa & (a)
➢ 15A NCAC 02T.0305(f) contains minimum separations thatshall be rovided for sewers stems:
9 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 oversewer)
18 inches
Reclaimed water lines (horizontal -reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-1 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, orSB from normal
high water (or tide elevation) and wetlands (see item IX.2)
50 feet
"Any otherstrearn, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
An basement
10 feet
Top slopeof 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(e) contains alternatives when: separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpaee
➢ If noncompliance with 02T.0305(f) or (a), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) 9Yes ❑ No
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
D As built documents should reference the location of areas effected
3. Does theproject comply with all setbacks found in the river basin rules per 15A NCAC 02B .0200? 9Yes ❑ No
> This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project comply with an individual 404 Permit orany 401 Certifications? 9Yes ❑ No
Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
D Information can be obtained from the 401 & Buffer Permittine Branch
5. Does project comply with 15A NCAC_02T.0105(cc)(6) (additional permitsicertifications)?
9Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications arc being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuanceof dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewercollection 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 [r No
i If yes, include an attachment with details for each line, including type (aerial line, s izr, material, and location).
High priority lines shall be inspected by the permittee or its representative at leastonce every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the permitee'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 Des ign-Criteria _(latest version) as applicable?
[YYcs ❑ No
If No, complete and submit the Variance.:Altemative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is renuired prior to sutxnitta[ of roast Track Application and surniortine documents,
2. Professional Engineer's Certification:M
d Iatn M - f `C'I Y]feSS r p
.E attest that this application for
(Professional Engineer's name from Application Item 1II.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 bestof 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 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.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's c rtifiE(SignaturEeAuthority's
N�C/Aj C 02T .0106(b):
1, W
name & title from Application Item 1.3.)
attest that this application for
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. 1 understand thatany discharge of wastewater from this non -
discharge systemto surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, andlorcriminal prosecution. I will make no claim against the Division of Water Resources should acondition
of this permit be violated. I also understand that if all required parts of this application package are not completed and t hat 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 142-215.6A and 143-215.613any 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:
FORM :1TA 04-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Crown Builders, LLC
Project Name for which flow is being requested: The Townes on Main
More than one FTSE ntay he required for a single project if the owner of the WWTP is not responsihle for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Utley Creek Wastewater Treatment Plant
b. WWTP Facility Permit #: NC 0063096
All flows are it: MGD
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
M
Min
.r
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 Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity, * (Firm pf), Daily Flow, Daily Flow, Obligated Available
Nu ber) MGD MGD MGD MGD Flow Capacity***
* The Firm Capacity 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.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the �� where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Wa&a.4rx' 'Ft'eduA "
Downstream Permit Number: NYC a ab 3 d 9L
Page 1 of 6
FTSE 04-16

III. Certification Statement:
I ., certify to the best of my knowledge that the addition of
the volume of wa tewater to be permitted in this project has been evaluated along the route to the
receiving wastewater treatment facility and that the flow from this project is not anticipated to
cause any capacity related sanitary sewer overflows or overburden any downstream pump station
en route to the receiving treatment plant under normal circumstances, given the implementation of
the planned improvements identified in the planning assessment where applicable. This analysis
has been performed in accordance with local established policies and procedures using the best
available data. This certification applies to those items listed above in Sections I and II plus all
attached planning assessment addendums for which I am the responsible party. Signature of this
form indicates acceptance of this wastewater flow.
OJJIc
1'2 5 -
Date
Page 2 of 6
FTRF 04-16

September 27, 2019
Ref: The Townes on Main
NCDEQ — Division of Water Resources
1628 Mail Service Center
Raleigh, NC 27699
[phone]
Re: Fast Track Sewer System Extension Application
To Whom It May Concern:
NC Dept ofEnviranmental Quality
DEC - 9 2019
Ueigh Regional Office
On behalf of the Town of Holly Springs, we are pleased to submit the following documentation for your
review and approval of the Sewer System Extension Permit for The Townes on Main project. This project
will extend gravity sanitary sewer from Elm Ave into the adjacent residential site and provide a potential
future connection to the upstream neighboring parcel.
The Townes on Main project will add 8 townhouses to be served by the sewer extension. This will require
installation of two manholes and approximate 177' of 8" DIP sanitary sewer. With a daily design flow of
255 gal/unit, the total new flow for this development is 2,040 GPD.
The following items are included in this submittal package:
• One (1) original and one (1) copy of the Fast Track Sewer System Extension Application with
Checklist, FTA 04-16
• One (1) original and one (1) copy of the Flow Tracking/Acceptance Form, FTSE 04-16
• Application fee in the amount of $480.00.
• Two (2) copies of USGS Topographic Map & Street Level Vicinity Map
We trust that these items are sufficient for your review. Please call [phone] or email
jboggessPvhb.com with any questions or if any additional information is required to complete your
review.
Sincerely,
Jordan Boggess, PE
Site/Civil Engineer
[e-mail]
Venture I
940 Main Campus Drive, Suite 500
Engineers I Scientists I Planners I Designers Raleigh, North Carolina 27606
P 919.829.0328
F 919.833.0034

plu=
�
,�` THE TOWN OF 0G`
November 25, 2019
Director, Division of Water Resources
Raleigh Regional Office
Water Quality Operation Section
1628 Mail Service Center
Raleigh, NC 27699-1628
Re: Application for Sewer Extension Permit
Project: Townes on Main
Dear Sir or Madam:
gprin
NC Dept "Environmental Qum
DEC ` 9 2019
Raleigh Regiana! OX
ea
Please find enclosed the following items in application for a sewer extension permit to the Town
of Holly Springs existing sewer distribution system:
0 One original and one copy cover letter including a project narrative
o A check in the amount of $480.00
0 One original and one copy of the State of North Carolina Fast Track Sewer System
Extension Application (FTA 04-16)
0 Two copies of FTSE 04-16 Flow Tracking/Acceptance Form
0 Two color copies of a 8.5-inch by I 1-inch portion of a 7.5 minute USGS Topographic
Map showing project area
Two copies of a street level map showing all relevant project areas
One copy of the locally -required Design and Application Certification
Feel free to contact me at 919-557-3938 should you have any questions or need additional
information in order to process this application.
i
cerely,
ndra D. I rrish, I CFM
Director of Engineering
KP/sc
ec: Project Engineer, Jordan Boggess, PE, Vl-IB
Project Engineer, Alan M. Maness, PE, VHB
Administrative Manager (for addition to sewer permit log)
Rodney Campbell, Development Administrator
Project file/Correspondence #41784
3002
04 172018 �
Engineering Deparhizent
P.O. Box 8 - 128 S. Main Street - Holly Springs, NC 27540 - www.hollyspringsnc.us

DO NOT SUBMIT SEWER EXTENSION APPLICATIONS UNTIL
CONSTRUCTION DRAWINGS HAVE BEEN APPROVED BY STAFF!
Sewer Design and Application Certification
Note: This form must be submitted with the Fast -Tract Apl2lication for Gravity Sewers Pum
Stations, and Force Mains for extension to the Town of Holly Springs Sewer System
Project: The Townes on Main
Design Engineer: Alan M. Maness, PE
Address: 940 Main Campus Dr, Suite 500, Raleigh, NC 27606
Phone Number: 919-741-5533 Email: [e-mail]
Date Complete Application Package Received by Town:
Date Approved: _�'7 L9 _ (by RLC) _ _ _ (by KDP)
As design engineer for this project, I certify the following (please check (x) each applicable box):
iiiiii That the design of the project is in complete conformance with Town of Holly Springs
Engineering Design and Construction Standards and NCDENR Sanitary Sewer Design
Regulations;
That each of the following items are completed and enclosed for submittal to the State for
a sewer extension permit:
il One original and one copy cover letter including a project narrative
o A check in the amount of $480.00 to DENR Q
/ o A check in the amount of $200.00 Town processing fee n
I One original and one copy of the State of North Carolina Fast Track
/ Application for Gravity Sewers, Pump Stations, and Force Mains ow
�f Two copies of FTSE 08-13 FIow Tracking/Acceptance Form
0
t� Two color copies of a 8.5-inch by I 1-inch portion of a 7.5 minute USO
/ Topographic Map showing project area
if/ Two copies of a street level map showing all relevant project areas CD
9� One copy of the locally -required Design and Application Certification
Design Engineer's Signature
In addition, once your construction drawings are approved and this application is complete, you
will receive a copy of the Town's Ietter of transmittal to the State as your confirmation that the
application is complete and has been forwarded to the State for permitting. PIease contact Sara
Emig at [phone] if you do not receive this confirmation or if you have any questions.
Engineering Department - P.O. Box 8, Holly Springs, NC 27540
919-557-3938 - 919-552-9881 (far)
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2003 Sciver Design Application Certification
04.11.2018

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4cT
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hdrit, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
March 31,1995
Stepanie L. Sudano, P.E., Town Engineer
Town of Holly Springs
Post Office Box 8
Holly Springs, North Carolina 27540
RE: Town of Holly Springs
Request for Adjusted Daily Wastewater Flow
Wake County
Dear Ms. Sudano:
AT.RMAI
Am, 0A
, 0
AM
E:>EHNF�
On March 15,1995, the Division received your wastewater flow reduction request and supporting
documentation concerning wastewater flows associated with present residences within the Town of Holly
Springs. Your letter requested the Division allow the reduction of wastewater flows from 120 GPD per
bedroom as required in required by North Carolina Administrative Code to 255 GPD per household for
single family residential units. In support of your request, water consumption data and wastewater
information was supplied from households located in Holly Springs.
An evaluation was completed by the Division in accordance with 15A NCAC .02190)(3) using the
water consumption data submitted, twelve (12) months of data starting from January 1994. The peak
month was determined to be January 1994 based on average wastewater generated per customer. Using
the upper 10% of the water consumption data for the month of January, eliminating industries, commercial
properties and several inaccurate residential readings, Division staff verified the flow rate of 255 GPD per
household.
In view of the information submitted, the Division of Environmental Management hereby approves
the use of 255 GPD per single family residence in all applicable non -discharge permit applications for
future wastewater collection extensions which will be made tributary to the Town of Holly Springs
Wastewater Treatment Plant (Permit No. NC0053096). This consideration applies to any applicable future
projects submitted to this Division as well as any projects which are presently under review. Wastewater
flows presently tributary to the wastewater treatment facilities can be adjusted upon negotiations between
the Town of Holly Springs and the Raleigh Regional Office.
If you have any questions or comments regarding this matter, please contact Mr. Michael D. Allen
at [phone] ext. 547.
cc: Raleigh Regionai Offiice, Water Quality Section
State Engineering Review Group
P.Q. Box 29535. Raleigh, North Carolina 27626-0535
An Equal Opportunity Affirmative Action Employer
Since y,
V e:
A. Preston Howard, Jr., P.E.
Telephone [phone] FAX [phone]
50% recycled/ 10% post -consumer paper