WQ0041449_Application (FTSE)_20200128

State of North Carolina
Department of Environmental Quality -WRDivision of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division aF Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: �C4U .1 { po be completed by DWR) I 1
j Q(
All items must be completed or the application will he returned
I. APPLICANT INFORMATION: a Ge l ° /
I. Applicant's name: City of Sanford (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: Paul Weeks. PE per 15A NCAC 02T .0I 06rbi &A
Title: City Engineer C"t"i aT"Z2
4. Applicant's mailing address: 225 E Weatherspoon Street, P.O. Box 3729 �eCe;uWe a,� 12IZ3� [G
City: Sanford State: NC Zip: 27331-3729
5. Applicant's contact information: d ,=
Phone number: (919 777-1122 Email Address: [e-mail] 1 O
e n,
H. PROJECT INFORMATION: o -o
I. Project name: Prniect Fore Sewer Extension W �
2. AppIication/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project 4
If a modification, provide: the existing permit number: WQOOz and issued date: A ,�
If new construction but part of a master plan, provide the existing permit number: WQ00—
3. County where project is located: Lee
4. Approximate Coordinates (Decimal Degrees): Latitude: 3 . 497' Longitude:-79.1586
5. Parcel ID (if applicable): 9655-47-3463-00 ID of the closest parcel to the downstream manhole
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Scott P. Haberstroh License Number: 36505
Firm: Freese and Nichols. Inc.
Mailing address: 1017 Main Campus Drive Suite 1200
City: Raleigh Stale: NC Zip: 27606-: ,
Phone number: (919, 582-5867 Email Address. Scott aberstroh(afreese,com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Big Buffalo Wastewater Treatment Plant Permit Number: NCO024147
Owner Name: Citv of Sanford
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ, Downstream (Receiving) Sewer Size: 12 inch
System Wide Collection S" stem. �tem.Pernit Numherfs .(ifaWlicahlc); WQCS00047
Owner Name(s): City of Sanford
FORM: FTA 04-16 Page I of 5

V1. GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
[:]Yes []No ®N/A
2. If the Applicant is a Developer of lots to be sold, has a been attached?
❑ Yes []No ®NIA
3. If the Applicant is a llgrn `Prp rt wngrs' Assnciat14n, his an QperatiQna] =rc ernm {FORM; E ip.q} 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 / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church
® Businesses / offices /factories El Swimming Pool/Filter Backwash
❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: % Domestic/Commercial % Commercial
M % Industrial (See 15A NCAC 2T .0103(20))
1>Is there a Pretreatment Program in effect? ® Yes ❑ No
6. Hasa flow reduction been approved under ISA NQAC 0 T 0114 ? ❑ Yes ® No
If yesProvide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establisbment Type (see 02T Daily Design Flow *,b No. of Units Flow
Factory or businesses with showers 35 gaI/employee/shift 460 16,100 GPD
L/
gat/
GPD
gal/
GPD
gal/
GPD
gat/
GPD
gal/
GPD
Total
ldl; GPD
/
�' ✓
a Sec 15A NCAC 02T .0114(b). (d)(001 and (c)(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 cast of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in fLS, 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02 fj. I I shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data_
8. Wastewater generated by project: 16, 100 GPD (per 15A NCAC 02T 01 14)
D 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):
FORM: FTA 04-16 Pagc 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
12
6,660
PVC
12
683
DI
�3
➢ Section H & 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 Iines to meet minimum slope requirement is not allowed and a violation of the MDC
V1I1. PUMP STATION DESIGN CRITERIA (If Applicable) — Q2T .0305 & MDC (PumR 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 - I5A NCAC 02T .0305(h)(1)(B)-
D 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):
➢ 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 timeframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02I1.0200 & 15A NCAC 02T .0305(f));
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (g)
® Yes ❑ No
➢ 15A NCAC 02T.0305(e) contains alternatives where separations in 02T.0305(f) cannot be achieved.
D "Stream classifications can be identified using the Division's NC Surface Water Classifications weh a e
➢ If noncompliance with 02T.0305 or see Section X of this application
2. Does the 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
D This would include Trout Buffered Streams per 15A NCAC 2B.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 40l & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0I05(c)(6) (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 permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater 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 permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 021r, the Minimum Dcsi n Criteria for the Permitting of Puml2 Stations
and Force Mains (latest version)and the Gravi 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 re uest is ne aired yrior to submittal of the Fast Track Application and supnorting documents.
2. ProfessionaI Engineer's Certification:
I,
attest that this application for
(Professional Engineer's name from Application Item 11I.1.)
3.
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 143-2I5.613, 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:
Certification per 15A NCAC 02T .0106(b):
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. 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 certificat' ' any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as ell civil penalties up to $25,000 per violation.
Signature: ' �\\ i ,
Date:
FORM: ETA 04-16 Page 5 of 5

DWR
State of North. Carolina
Department of Environmental Quality
Division of Water Resources
Dlvislon of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: City of Sanford
Project Name for winch flow is being requested: Project Forge Sewer Extension
More than one FTSE may be required far a single project if the owner of the WWTP is not responsible 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: City of Sanford Big Buffalo WWTF
b. WWTP Facility Permit #: NCO024147
All flows are in MGD
p
C. WWTP facility's permitted flow
12.00000
�
p
d. Estimated obligated flow not yet tributary to the WWTP
1.27621
o
e. WWTP facility's actual avg. flow
3.9020
f. Total flow for this specific request
0.0161
�,
c•,
g. Total actual and obligated flows to the facility
Z
5.19431
0
h. Percent of permitted flow used
43 29%
v
1I. Complete this section for each pump station you are responsible for along the route of thiproposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B)
(C) (D)=(B}C)
(E)=(A-1D)
Design
Average Approx.
Pump Pump Daily Current
Obligated,
Not Yet Total Current
Station Station Firm Flow** Avg. Daily Tributary Flow Plus
(Name or Permit Capacity, * (Firm / pf), Flow,
Daily Flow, Obligated
Available
Number) No. MGD MGD MGD
MGD Flow
Capacity***
GFCLS W 0022348 1.008 0.4032 0
0.0161 0.0161
0.3871
_LBLS WQ0031466 6.36 2.544 1.041
0.302875 1.343875
1.200125
* 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): -City of Sanford collections stem
Downstream Permit Number: W CS00047
Page 1 of 6
rTSE 10-18

M. Certification Statement:
I Paul M. Weeks, Jr. RE certify to the best of my knowledge that the addition of
the volume of wastewater 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 certifies that the receiving collection system or treatment
works has adequate capacity to transport treat the proposed new wastewater.
Signing Official Signature
'Z c
Title of Si ing O •'-al�
'--"� "
Date
Page 2 of d
FTSF 10-18

I
14�
Noo—
J
I
bng
Gal.
A A-
LL-

PROJECT FORGE SEWER
EXTENSION
TOPOGRAPHIC MAP
375 750 1,500
Feet
FIGURE 1
ICHOL5
1017 Main Campus Dr
Raleigh, NC 27603
919-582-5850

1017 Main Campus Dr, Suite 1200 • Raleigh, North Carolina 27606 • 919-582-5859 - fax [phone] www.freese.com
December 23, 2019
North Carolina Department of Environmental Quality
Water Quality Section
1628 Mail Service Center
Raleigh, NC 27699
Re: City of Sanford
Project Forge Sewer Extension
Fast Track Sewer System Extension Application (FTA 04-16)
To Whom it May Concern:
�UD0-
1 3 2p19
L�ti �, S�Ll�pn
Pa ��tan9
On behalf of the City of Sanford, please find enclosed the following documents associated with the
proposed Project Forge Sewer Extension:
• Fast Track Sewer System Extension Application (FTA 04-16)
• Flow Tracking/Acceptance Form (Form: USE 10-18)
• "High -priority" Aerial Segment Description including Drawings as required by FTA 04-16 Section
IX.6.
• Figure 1— USGS Topographic Map of Project Area
• Figure 2 —Aerial Map of Project Area
• Check of four hundred eighty dollars ($480.00) issued to North Carolina Department of
Environmental Quality)
In anticipation of the recently announced Project Forge development, a forged metal facility, adjacent to
Colon Road near US1, in Lee County, the City of Sanford is planning to provide sanitary sewer service to
this area. We are submitting this permit application for a daily flow of 16,100 GPD determined per the
rules listed under 15A NCAC 02T .0114 that will be generated by the facility. The flow will be conveyed
by approximately 7,337 feet of 12-inch gravity sewer that will tie into a manhole of the existing gravity
sewer conveying flow to the Gum Fork Creek Lift Station (GFCLS). The GFCLS discharges to the Little
Buffalo Lift Station and ultimately to the Big Buffalo Wastewater Treatment Plant (System Wide
Collection System Permit Number: WQCS00047).
Please feel free to contact me at [phone] if you have any questions or require additional
information. I can also be reached at [e-mail].
Sincerely,
7��
Scott P. Haberstroh, P.E.
Senior Project Manager
13CDePt oti
JAN 2 9 2920
Ralc►1-'h RC Tonal O1fiCL