WQ0041382_Application (FTSE)_20191220

Id State of North Carolina
DWR
l� Department of Environmental Quality
Division of Water Resources
Dhrlsion of Water Resources 15A NCAC 02T .0300 - FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number. t! U t
(m be rmop1CMd by DWR)
All Items trust be coot leted b
r � !
or t e 2P Xication will be returned
I. APPLICANT INFORMATION:
w,c
!. Applicant's name: $ l� tih>tiAirn_otiAuthorilY (company, municipality. HOA. utility, etc.)
,-
2. Applicant type: ❑ Individual ❑ Corporation rP El General Partnership
❑Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal
® Other
f
3. Signature authority's name: Micj ae LandetEth per 15A
siticl7��
Title:
4. Applicant's mailing address: 1000 Tradc rare P BO 00
City: &M—Aimoa State: CC Zip: ?7623-0 01
5. Applicant's contact information:
y�
Phone number. (914) R4077747 Email Address: jim.no-akLwrdu cam
11. PROJECT INFORMATION:
a
1. Project name: 1ZIM
O
E
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
N
O
?DO
If a modification, provide the existing pertnit number WQ00 and issued date.
.a
C%J
If now construction but part of a master plan, provide the existing permit number. WQ(10
a..
a
W
C7 ^4
3. County where project is located: Wake
y
C.)
4. Approximate Coordinates (Decimal Degrees): Latitude: 7 8 3 ' Longitude: -�`
❑
U
5. Parcel ID (if applicable): NC -PIN Q756597431
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(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. ProfessionaI Engineer: kr1mv Rivenbark License Number: 030 Ol
Firm: CISAC2flycyance,PLL
Mailing address: 320 S. ACADEMY T
City: Cary Stare: NC Zip: 2751 I --
Phone number. (9L9) B9 -IL72 Email Address: ' iven rk(cy •j.KQnv0,1ncc.Mm
IV. WASTEWATER TREATMENT FACILITY (m,-"-CF) INFORMATION: r G) 4
1. Facility Name: b h Water R Permit Number. lamation Facilit'. b 3 rJ !` 1
�--•� _
Owner Name: awn of Can
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ Downstream (Receiving) Sewer Size: 36 inch
Stem W41, Collection S��x1rm Permit tiumbeefa) ftfapnitcable): WQCS I�Qa j 3
Owner Name(s): Jowl, f Cam
FORM: FTA 04- I6
Page I of 5

VI. GENERAL REQUMEMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No CON/A
2. If the Applicant is a Developer of lots to be sold, has a Deve u e 's Operational Agrcement t F(-Rht; tit ", been attached?
❑ Yes [—]No ®N/A
3. If the Applicant is a ljoEge P ellt�wncrs' Association has an O errtio a] , reem— I M12 RI- 1 f01� 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 Poot/Filter Backwash
® Businesses / offices / factories ❑ Nursing Home ® Other (Explain in Attachment)
5. Nature of wastewater : °16 Domestic/Commercial Ida/o Commercial
°/° Industrial ( 5A NCAC 02T.0 0120 )
1 , Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 156 NCAC 0AT .01 L4W? ❑ Yes ❑ No
1- If ves, Provide a cony of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 211.01140
Daily Design Flow 0,4 Ih{o, of [mils' Fla►r
gat/
gall
gal/
gat/
gall
gall
Total
GPD
GPD
GPD
GPD
GPD
GPD
GPD
a See 15A NCAC 02T .01 14(b1. (d) rrl(I) and (e)(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 use areas;
and residential property located south or avast of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in fi.S,42A-4).
b Per 15A NCAC 02T .0I 14(c), design flow rates for establishments not identiCcd [in table jj&jLC..AC Q2T.0114] shall be
detertnincd using available flow data, water using ftxrures. occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per 15A NC_ACD T tQ 114)
Do not include future flows or prcviously 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), -
FORM. F l'A 04-16
Page 2 of 5

YII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & X111C Gravity Sewers) -
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
N/A
> Section 11 & III of the MDC for Permitting of Gravity Sc A'crs contains information related to design criteria
% Section III contains information related to minimum slopes for gravity sewer(s)
Over•sizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIM PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC IPrimp Stations/Force itainst:
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Puml! statign m c' stin g and ut ide of projecti i •c
2. Approximate Coutdinates (Decimal Degrees)- Latitude: 85 z Longitude:-78.80418°
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 Ifeet) Material
8" 313 DIP
6_ Power reliability in accordance with 15A NCAC 02T .0305(h)t i )-
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T 0305(h)(1)(i3)
D Required fur 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):
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 timehames, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-I6 Page 3 of 5

IX. SETBACKS & SEPARATIONS -- (02B .0200 & 15A NCAC 02T .0305(t)):
I Does the project comply with all separations found in 15A N ' .0103 l ® Yes ❑ No
15A NCAC 02T.0305 f► contains minimum separations that shall be rovided for sewer sN,stems:
not listed below
Water mains
"*Any private or public water supply source, including any wells. WS-1 waters of Class 1 or
r11___ .. . . _
"Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water for tide elevation and wetlands Isee item IX21
"Any other stream. lake, impoundment, or ground water lowering and surface drainage
rtitfth.
An
Fi
Separation Re uired
24 inches
18 inches
10 feet
18 inches
2 feet
100 feet
50 feet
10 feet
rE5 feet
5
0 feet
0 feet
feet
10 feet
36 inches
15A NCAL92T.01()5W contains alternatives where separations in 02T Ll) cannot be achieved.
""Stream classifications can be identified using the Division's NC �urfacc Water C iassificat aU web a c
If noncompliance with 02'f {1305 or see Section x of this application
of embankment or cuts
2. Does the projcct comply with separation requirements for wetlands? (50 feet of separation) ❑ Ye5
Y Seethe Division's draft separation requirements for situations where separation cannot be meet ❑ NO ®NrA
Y No variance is required if the alternative design criteria specified is utilized in design and construction
Y As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per I �A NG'AC 02B 020U? El Yes ❑ No
Y This would include Trout Buffered Streams per 5 ? �2 ®NrA
4. Does the project require coverage/authonzatron under a 404 Nationwide or
individual permits or 401 Water Quality Certifications? El Yes No
lr Information can be obtained from the 3ufftr P itt R n I
5. Does project comply with 15A NCAC 2T.0 5(yjt6) (additional permits/ccrtifications)? ® Yes ❑ No
Per 15A NC -AC 21.[►1 ?� 61, directly related environmental permits °r certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent oo issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
Does this project include any sewer collection lines that are deemed "high -priority?"
Per I SA N -AC 02LO402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is sub' that undermines or deteriorates the sewer.
�'J
- "e,1 ❑ Yes No ® N/A
D If yes, include an attar ment with details for each line, including type (aerial line, size, material, and location').
High priority lines shall be inspected by the perrnittee or its representative at least once every six -months and inspections
documented per I5A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
NORM: FTA 04-16
Page 4 of 5

X, CERTIFICATIONS:
I. Does the submitted system comply with 15A LN_CAC 021T, the Mm murn fkslgn—C,'rited'ifur e Venliating of_Pump _Si _Inns
allLl Poru_Nlacns (latest vmion►. and the QMvltySewer 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. Apgrovgl of the request is required 12rior to submittal of the Fast Track Aptillcation and sunporting documents.
2. Professional Engineer's Certification:
I'P. attest that this application for
(Professional Engineer's name from Application Item III. I.)
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 dial 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 S 10.000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date: ����ZN CAR
INC
A r11E�1v� �� la�t`t j M
3. Applicant's Certification per 15A NCAC 02T ,0106(b):
I, MiQ laalndg uff Presid " "_ attest that this application for
(Signature Authority's name & title from 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 ate 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 1 d -215 ,A and 143-215_0 , 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 S I0,000 as well as civil penalties up to $25,000 per violation.
Signature:
FORM: FTA 04-16
Dale; V�� m
Alaarnv d 8S to form.
Le t-1 Coons
Page 5 of 5

ConveyanceYLLC
October 23, 2019
Raleigh Regional Office
Water Quality Section
Division of Water Resources
NC Department of Environmental Quality
1628 Mail Service Center
Raleigh, NC 27699
Re: 1-5700 — RDU Airport force main relocation
320 S. Academy St
Cary, NC 27511
919-890-3876
www,cisconve ance.com
NC Dept of Environmental Quality
DEC 2 n 2019
Raleigh Regional Office
We respectfully submit an application package for a Fast Track Sewer System Extension Permit on behalf
of Raleigh Durham International.
NCDOT has designed a roadway project (1-5700) at 1-40 and Airport Blvd that will rework the interchange
itself as well as some nearby roads. Pleasant Grove Church Road is being realigned at Airport Blvd to
accommodate the new interchange. The Airport has an existing force main that is conflict with the new
alignment of Please Grove Church Road. We plan to parallel a short section the existing force main with
a new force main.
We have not been able to locate original permits for the existing force main. As such, we understand
that a new permit will be required for the relocation. Since this is a relocation, there is no new flow
associated with the proposal. Hot taps, with tapping sleeve and valves, are proposed to accomplish this
work to avoid a shutdown of the upstream pump station and force main. No changes are proposed at
the pump station itself.
Our design of the sewer force main relocation is being included in the overall NCDOT construction
project contract. Any permits required of the overall project, excluding the utility permits, are being
handled by NCDOT. All work will be performed within right of way obtained by NCDOT.
Please do not hesitate to contact me should you have any questions or concerns. We appreciate your
time and consideration regarding this matter.
Sincerely,
PV"
Jeremy Rivenbark, PE
Project Manager

til P b � 4138d
Cashion, Ted
From:
Jewett, Ron <[e-mail]>
Sent:
Friday, January 24, 2020 7:25 AM
To:
'Ben Baker'
Cc:
Cashion, Ted; Jeremy Rivenbark; Cayton, Ellis
Subject:
[External] RE: RDU 1-5700 sewer force main relocation application revision
real erft% Do not elidofink5 or -open atta+. h ents unless,you verify. Send..'a11 suspicious email as an atWe-fimerit4to
s a.
Ben, I've been authorized to give the okay for this slight revision.
Please proceed.
Thank you.
Ron
VP Facilities Asset Management
RDUAA
919-840-7736
From: Ben Baker <[e-mail]>
Sent: Thursday, January 23, 202012:50 PM
To: Jewett, Ron <[e-mail]>; Cayton, Ellis <[e-mail]>
Cc: Cashion, Ted <[e-mail]>; Jeremy Rivenbark <jriven bark @cjsconveyance.com>
Subject: RDU 1-5700 sewer force main relocation application revision
Ron and Cayton,
Ted Cashion (CC'ed) with the State is reviewing the permit application for the sewer force main relocation that CJS
Conveyance designed for the airport. There was one question on the application where we should have selected "No"
instead of "N/A". We need to revise that answer on the previously signed form.
The section in question is shown below. We interpreted that question incorrectly. We considered a sewer collection
line to be distinct from a sewer conveyance line (gravity versus force main), so we marked "N/A". However, that was
not the intent of the question. Since our sewer lines are not "high priority", we believe selecting "No" is appropriate.
It IJ,hc 111111. Ofctm Ills lull..111% S-ll 4'1 1 0110. Il,trl lilt.~ lltill, dt,JV%:IJJL-d"111:;11 I+I I:..
1'U I ' i \t i1 1l, I' uIII' ' Illr ll I'l ltl[111 .Lt\Lr IIIL,IIIS ­ 311% .It'f7111 +t '.LII Sokvr ko.,t,l,ltll'' rufl t.l I►,1[�r., +l I61NW. of +L'11l
I+llltll in,: d par IIle I ;t1 c,rc Lmh IIA,< III -II I'SI11tj C11 11 1 Ch.siPtl III II IIndeml tfii G .1,' �fk Iirl.lr It I) +. tSCr
01'r. ❑`,I 1iti 1
n, I cfC ,111 JT;.1. f,nwn1 %i;h l'A 1-11111$T C.1Lh 1141_, In, II Id I II'y; V,hC I I,-rt.1I -In,:. ti 7C n1.11CT1.1� anti 10,:XtOn)
Ili;,0h PI 10fil l lincL ,,Ilali bV IMI)CLlcd In [lit Ilrl111iltrr III it% f rhl r►rlllati%C at lratt UIILr r\cr% ti11-111ut1111% ind ir1t11CC1iU1I%
d.Iculrlrnrul llrl I,; ,% M 1C II] 1.041111a11;1III, [hv 104-111nicr'% Inllilidurl N%%IcuIAII illr C1011ccliuu prrlint
; I IRAI I r l I.: ;,.
1

Jeremy has authorized the change on the application as the engineer. In order for Ted to make this change to "No" on
the application for us, he is requesting that the Mr. Landguth email him authorization to revise the application. Would it
be possible to have him respond to this email allowing the change?
Thanks!
Benjamin Baker, El
320 S. Academy Street
Cary, NC 27511
919.890.3876 (main)
919.890.3882 (direct)
bbaker@c*sconveyance.com i cisconve ance.roi77

Cashion, Ted
From: Cashion, Ted
Sent: Wednesday, January 22, 2020 3:35 PM
To: Jeremy Rivenbark;[e-mail]
Cc: Robinson, Jason; Shuyan Tian ([e-mail]); Deck, Erin M
Subject: RE: [External) RE: RDU 1-5700 fast track sewer extension application
We'll also need approval from the applicant's signature authority, Michael I_andguth, to revise the application. Please
have him send an email authorizing the revision to the application.
ted
Ted Cashion
Water Quality Regional Operations
Division of Water Resources
NC Department of Environmental Quality
Raleigh Regional Office
919-791-4254
[e-mail]
1628 Mail Service Center
Raleigh, NC 27699-1628
3800 Barrett Drive
Raleigh, NC 27609
Osp►r.�wRta�[mrorwraW pui'I
Subscribe to Collection System & Sewer Permitting Updates
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.
From: Cashion, Ted
Sent: Wednesday, January 22, 2020 3:29 PM
To: Jeremy Rivenbark <[e-mail]>; [e-mail]
Cc: Robinson, Jason <[e-mail]>; Shuyan Tian ([e-mail])
<[e-mail]>; Deck, Erin M <[e-mail]>
Subject: RE: [External) RE: RDU 1-5700 fast track sewer extension application
Per your email, I'll make the change to the app. We'll issue the permit asap.
ted
Ted Cashion

Water Quality Regional Operations
Division of Water Resources
NC Department of Environmental Quality
Raleigh Regional Office
919-791-4254
ted.cash ion P ncdenr. ov
1628 Mail Service Center
Raleigh, NC 27699-1628
3800 Barrett Drive
Raleigh, NC 27609
Subscribe to Collection System & Sewer Permitting Updates
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.
From: Jeremy Rivenbark mailto:'[e-mail]]
Sent: Wednesday, January 22, 2020 3:09 PM
To: Cashion, Ted<[e-mail]>;[e-mail]
Cc: Robinson, Jason <'ason.t.robinson ncdenr. ov>; Shuyan Tian (ShuYan.Tian(@townofcary.ore)
<Shu an.Tian townofca .or >; Deck, Erin M <erin.deckPncdenr.8ov>
Subject: (External] RE: RDl1 1-5700 fast track sewer extension application
ernail as an atiacOment io
Ted,
Thanks for the feedback and responses to help move this along.
Item IX.6 can be marked "no" rather than N/A. Do we need to resubmit the form with this change or does this email
suffice?
Thank you,
Jeremy A. Rivenbark, PE
320 S. Academy Street
Cary, NC 27511
919.890.3878 (direct)
919.812.4116 (mobile)

Cashion, Ted
From: Jeremy Rivenbark <[e-mail]>
Sent: Wednesday, January 22, 2020 3:09 PM
To: Cashion, Ted; [e-mail]
Cc: Robinson, Jason; Shuyan Tian ([e-mail]); Deck, Erin M
Subject: (External] RE: RDU 1-5700 fast track sewer extension application
• External email. Do not dick links or open attachments unless you verify. Send all suspicious email as are attachment, to
pQrt.spamprFc.gov
Ted,
Thanks for the feedback and responses to help move this along.
Item IX.6 can be marked "no" rather than N/A. Do we need to resubmit the form with this change or does this email
suffice?
Thank you,
Jeremy A. Rivenbark, PE
�4 Lk
320 S. Academy Street
Cary, NC 27511
919.890.3878 (direct)
919.812.4116 (mobile)
[e-mail] I cisconveyance.com
Click here to upload large files.
From: Cashion, Ted <[e-mail]>
Sent: Wednesday, January 22, 2020 7:47 AM
To: Jeremy Rivenbark <[e-mail]>; [e-mail]
Cc: Robinson, Jason <jason.t.robin [e-mail]>; Shuyan Tian ([e-mail])
<S h uya n.Tian @town ofca ry.o rg>; Deck, Erin M <[e-mail]>
Subject: RDU 1-5700 fast track sewer extension application
Jeremy,
We are reviewing the subject application.
Item IX.6 was marked "NA' for high priority lines. Please confirm (by either'yes or no') if this project contains high
priority lines as defined in 15A NCAC 02T .0402.

Items IV and V of the application were not completed as required. In the future, please contact the owner of the
treatment plant to obtain this information; please do not leave items on the application blank. We will complete this
section for you this time (IV - WWTP permit no. is NC0048879; V. collection system permit no. is WQC500013).
Incomplete applications increase review time, require that we send requests for additional information, and delay the
issuance of permits. Please ensure all applications are fully completed prior to submittal to expedite issuance of
permits.
We will continue drafting the permit upon submittal of the above.
ted
Ted Cashion
Water Quality Regional Operations
Division of Water Resources
NC Department of Environmental Quality
Raleigh Regional Office
919-791-4254
[e-mail]
1628 Mail Service Center
Raleigh, NC 27699-1628
3800 Barrett Drive
Raleigh, NC 27609
Crj'A.S-Z',; �f {r.rrr-c-.�nLt.Cu
Subscribe to Collection System & Sewer Permitting Updates
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.