WQ0041534_Application (FTSE)_20200306

State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 - FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Lf. aL
Application Number: �; (fie) J (to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: Town of Apex (company, municipality, HOA, utility, etc.)
?. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® iVlunicipat ❑ Other
3. Signature authority's name: Andrew L. Havens per I5A NCAC 02T .0106(b)
Title: Town Nlanaeer
4. Applicant's mailing address: P.O. Box 250
City: Apex State: NC Zip: 27502-
5. Applicant's contact information:
Phone number: [phone] Email Address: drew. havens(a-apexnc.org
It. PROJECT INFORtMATION:
1. Project name: Pleasant Park
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: WQ00
3. County where project is located: Wake
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.70 Longitude: -78.88
5. Parcel ID (if applicable): 0731407544
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Christopher N. Huff. PE License Number: 024420
Firm: WithersRavenel, Inc.
Mailing address: 115 Mackenan Drive
City: Cary State: NC Zip: 27511-_
Phone number: [phone] Email Address: chuffrwithersravenel.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Western Wake Water Reclamation Facility Permit Number: NC0088846
Owner Name: Town of Cary
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than W1N'TF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection Svstem Pen -nit Numbers) (if applicable): WQCS00064
Owner Name(s): Town of Apex
FORM: FTA 04-16 Page I of 5

VI. GENERAL REQUIRENIENTS
1. 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 Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a Home Property Owners' Association has an Operational Agreement (FORM: HOA) 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 PUoI :'Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swiiruning Pool Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ® Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic Commercial 0 % Commercial
0 % Industrial (See 15A NCAC 02T .0103(20))
I — ' Is there a Pretreatment Program in effect'? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(1)? ❑ Yes ❑ No
i If ves provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow
No. of Units
Flow
Parks with restroom facilities
250 gal/ gal/plumbing fixture
117
29,250 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/ •
GPD
gal/
GPD
Total
29,250 GPD
See 15A NCAC 02T .0114(b). (d), (e)(1) 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 east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
S. Wastewater generated by project: 29,250 GPD (per 15A NCAC 02T .0114)
i Do not include future flows or previously permitted allocations
If pennitted 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 Pen -nit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
Pa
FORM: FTA 04-16 ge 2 of 5

VII. GRAVITN' SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & iVIDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
Section II & III of the MDC for Pennitting of Gravity Sewers contains information related to design criteria
i Section III contains information related to minimum slopes for gravity sewer(s)
Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
Vill. PUMP STATION DESIGN CRITERIA (If Applicable) —_02T .0305 & [IDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUINIP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Pleasant Park PS
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.70- Longitude: -78.88
3. Design flow of the pump station: 0.1170 millions gallons per day (Firm capacity)
4. Operational point(s) of the pump(s): 110 gallons per minute at 117 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
ivlaterial
4
3,100
PVC
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 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 — (02B .0200 & 15A NCAC 02T .0305(t)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (e) ® Yes ❑ No
15A NCAC 01T 0105(t) contains minimum separations that shall be orovided for sewer systems:
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)
IS inches
Water mains (horizontal)
10 feet
Reclaimed water lines vertical - reclaimed over sewer)
IS 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 It impounded reservoirs used as a source of chinking water
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, EIQW, 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
Drainages stems 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(t) cannot be achieved.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
If noncompliance with 02T.0305(f) or (g). 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
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 Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(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 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 Gravitv Sever Minimum DesiLyn 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 Engineer's Certification:
I,
attest that this application for
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 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 Certification per 15A NCAC 02T .0106(b):
(Signature Authority's name & title
y
Application Item I.3.)
J.........,
y Py0
024420 a
:ta r¢ .....................
_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. 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: Date:
FORM: FTA 04-16 n..__ r _rc

k�

WithersRavenet
Our People. Your Succes
March 31, 2020
Jason Robinson, PE
North Carolina Department of Environmental Quality
Division of Water Resources - Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
RE: Pleasant Park - REVISE Fast -Track Application for Pump Station and Force Main
WR Project No. 02140542.00
Dear Mr. Robinson:
On behalf of the Town of Apex, please find the revised Fast -Track Application (FTA 04-16) for the
above referenced project.
Here are answers to your questions/requested modifications.
Item IV.1, there was an extra "0" in the permit number (it should be NC0088846).
Corrected, removed the extra 0.
2. Item V.1 - Does this project flow directly to the WWWRF through Apex's system, or does it
enter Cary's CS? Flow will enter Apex's collection system to the WWWRF.
3. Item V.1 - Can the permit number of the sewer extension directly downstream of this
proposed project be determined (WQOOXXXXX)? The flow will discharge into the West
Village South collection system. This collection system was permitted by the Town of
Apex, permit number WWS-19-0407.
4. Item V1.6 - "Yes" was checked for having a flow reduction approved. The flow reduction
letter was not included with the application as required. However, it is unnecessary since
this application is not utilizing a flow reduction for the park. Corrected, the box is
unchecked.
5. Item Either V111.3 & 4 appears to be inaccurate (.00011 MGD for firm capacity; 110 GPM
for Operational Point). Please review this and revise accordingly. The flow for VI11.3
should be 0.1170 MGD, the average daily flow from VI1.7 was multiplied by a peaking
factor of 4 and divided by 1,000,000. (29,250gpd * 4.0 / 1,000,000 = 0.1170MGD)
115 MacKenan Drive I Cary, NC 27511
t: 919.469.33401 f: 919.467.60081 www.withersravenel.com I License No. C-0832
Asheville I Cary I Greensboro I Pittsboro I Raleigh I Wilmington

Please advise if you require additional information or have any questions concerning this submittal.
Sincerely
Christo er Huff, PE
Cc: Town of Apex
Page 2 of 2

110 WithersRavenel
March 5, 2020
Jason Robinson
North Carolina Department of Environmental Quality
Division of Water Resources - Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
NC Dept. of Environmental Quality
MAR - 6 2020
Raleigh Regional Office
RE: Pleasant Park - Fast -Track Application for Pump Station and Force Main
WR Project No. 02140542.00
Dear Mr. Robinson:
On behalf of the Town of Apex, please find attached documentation in support of a Fast -Track
Application (FTA 04-16) for the above referenced project. This project will consist of a 110 gpm
submersible pump station and approximately 3,100 If 4-inch PVC force main. The proposed
project meets all NCDENR-DWR minimum design criteria for pump stations and force mains.
Included with this submittal are one original and one copy of the items listed below:
• Application Fee - Check in the Amount of $480.00
• Application Form (FTA 04-16)
• Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance Form (FTSE 04-16)
• Site Map (USGS Quad)
• Street View Map of Site
Please advise if you require additional information or have any questions concerning our submittal.
Sincerely
Withel-sRavenel
fly
Christo er Huf PE Y j
Cc: Town of Apex
115 MacKenan Drive I Cary, NC 27511
t: 919.469.33401 f: 919.467.6008 1 www.withersravenel.com I License No. C-0832
Asheville I Cary I Greensboro I Pittsboro I Raleigh I Wilmington

State of North Carolina
_ 1 Department of Environmental Quality
Division of Water Resources
DIvlsion of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Apex
Project Name for which flow is being requested: Pleasant Park
More than one FTSE inay be required for a single project if the owner of ilia JVWTP is not responsible for ali 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: Western Wake WRF
b. WWTP Facility Permit #: NCO088846
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
18.0
2.10
5.83
1 .
• 1'
45%
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)
Design
Pump
Pump
Average
Station
Station
Firm
Daily Flow**
(Name or
Permit
Capacity, *
(Firm / po,
Number)
No.
MGD
MGD
BeaverCr
39.4
12.71
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Obligated,
Approx.
Not Yet
Total Current
Current
Tributary
Flow Plus
Avg. Daily
Daily Flow,
Obligated
Available
Flow, MGD
MGD
Flow
Capacity***
4.90
1.89
6.79
5.92
* 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

III. Certification Statement:
I �a6eA. A It � 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.
The Obligated Flow Not Yet Tributaiy reported in items 1 d and II c include the Town of Apex
flows certified by the Town of Apex below. Signature of this form indicates acceptance of this
wastewater flow.
Signing' Offlcidtgig'ftatl,�e Town
Crary, Lead Agency
3N/Jaao
I Michael Deaton certify to the best of my knowledge that the total Estimated Obligated flow from
within the Town of Apex Jurisdiction not yet tributary to the WWRWMF (Item Ld) is 1.45 MGD,
and that the total Estimated Obligated flow from within the Town of Apex Jurisdiction not yet
tributary to the BCPS - Item (II.c) is 1.24 MGD.
FM
3/y/a0.-%0
Page 2 of 6
FTSE 08-13

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