WQ0041645_Application_20200422

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
Application Number: w600 y I �Y-5 (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Harnett County Department of Public Utilities -
South West Water & Sewer District (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: Steve Ward per 15A NCAC 02T .0106(b)
KtLotiu tD
Title: Director of Public Utilities
cc r
DEUL V R
4. Applicant's mailing address: PO Box 1119
City: Lillington State: NC Zip: 27546-
APR 2 2 2020
5. Applicant's contact information:
WQRQS
Phone number: [phone] Email Address: [e-mail]
: AYETTEV1L1_FPFri(1NAL0FFICE
H. PROJECT INFORMATION:
1. Project name: Forest Ridge Section 6 Part 3A
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: Harnett
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.24840 Longitude:-79.0386'
5. Parcel ID (if applicable): 9594-05-2263.000
(or Parcel ID to closest downstream sewer)
M. CONSULTANT INFORMATION:
l . Professional Engineer: C. Scott Brown, PE License Number: 027452
Firm: 4D Site Solutions, Inc.
Nialnur, audiess: 409 Chicago Di-iye, Suite112
City: Fayetteville State: NC Zip: 28306-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: South Harnett Regional WWTF Permit Number: NCO089366
Owner Name: Harnett Regional Water
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ0031338 Downstream (Receiving) Sewer Size: 8" inch
System Wide Collection System Permit. Number(s) (if applicable): WQCS
Owner Name(s): Harnett Regional Water
FORM: FTA 04-16 Page 1 of 5

LW
GENERAL REQUIREMENTS
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 Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
% Industrial (See 15A NCAC 02T .0103(20))
�Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ® No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow a,b
No. of Units
Flow
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
GPD
a 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).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114] 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 15A NCAC 02T .0114)
➢ 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: WQ0031338
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

VH. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 210 SDR 26 PVC
➢ 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 minimum 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: 0Longitude: - "
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 - 15ANCAC 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(o):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(fl & S) ® Yes ❑ No
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided 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)
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.0305W contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
➢ If noncompliance with 02T.0305(fl 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 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 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. 11; 1 CA'l I ON S:
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If No. Complete and S11,011,61 t lie Varlimcc A Iternat IN e Desi�'n Reque`t app I It: at Ion (%.ADC lei- 14) and supporl I ng documents
for reviet�, Akpiwo%al of the rep Crest is i-equired Vtjol- to submittal of (fie Fast 'frack Appligation and suppoi-ting
documents
Profiesslorial fllm,)Ineer*s ( 'erilficatf011
1. �-,',z f o attest that this application for
PFoiessit.,knal kigincer , name from Application hem Ill I I
has been irevlexked bv me and IS aLl,:Llrale, complete arid consistent with the Information supplied in the plans, specifications,
CngitlCerIintl C, ions, and aoc fill othier suppoiling dumentation to Ific best of"my knoMedge I further attest that to the best
_, 11CLliali
of niN knowledge the proposed design has been piepared in accordance mth the applicable regulations. Gtavityr Sewer
Mimmum Design Criteria for Grmit\ Ser%ers (latest version). and the Minimum Design Criteria for the mast -Track
Pernifflina of, PLIMp SM0011S and ).Of -CC Main-S lialest Nersion.) \Ithotwh other professional-, nia\ haee developed certain
I I -ed Ill'
portions ofthis submittal package, inclusion of these materials under im S112111all-IrC and seal signifies that I havvievim is
material and have judged it to be consistent cNmh the proposed desh-111
No I I- In accordance with General Statutes 143--' 1 � OA and 14.3-2 15 613. arly person vdio knowingIN makes an\, false
I 'Ity of a C lass 2 flitsdemeanor, which II)a\4
statement, representation. of cerifficallori fit am application packay shall be util
Civil penallie 7�25,000 pet \,'o'
a fille to exceed S 10,000, as Nvell as s up to I WWII
Nomh Carolittia Professional Fnginevr's seal. si nattire. and date:
SEAL
a
X
I I I I wi 15A NC 0.21' 01060))
3 ?\pp I c,,j tit's Cei tifi c. a tion 1,
--sle-ut Qor _ _w._ ""attest that this application t")r
w (Slutiare Nuthoilt� '�, name & title 1-1-0111 A-PPlicatioll heril 131
has becti revlewd liv file and is accurate and complete to the hest ot'niv knowledge I Understand that if all required parts of
this applicaijon are n0I CoMpleted and that 11'all required supponing, do�c,unientatlon and attachments are not Included, this
application package It, sub * tect to being returned as Incomplete I understand that avN ,',I I �,L . [large of wastekk,tter from this n0n-
I of -cement action that mav include civil penalties.
discharge m stem to smNtce %%aters or the land NN Ill result ill art iflitilediate erif
i
injunctive relief' dlld�01 0-11111nal prosecution I wil make no) clalm against the s(.)Ii of Waiet Re.skmirces Should a DIN' I
C0l1d)tjo)jj pernm he violated I also understand that 11'all I-e(JUIred parts ol'this, application pac.kargeare not con A ted
and fliat 11'all required SLIJ)POT1111141 Ifilmniallon and attachnients are noi Included, this application package will he return to
me as Incomplete
N 01 E ill '-ic(:)VdW4T Will -A and Xk1w
appl*Calioll packaLe s hj J! be Ii�ilhN of a Class 2 misdemeanor, vdilch ilm
!�Aatelllent, lepresentation. of certificillMll Ill all I -
me Bade a fine not it) e\(cec I)A
I S I , ) r)-1111 as CIN 11 penalties tip to 1,25,000 per lolation
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\N A 7-& State of North Carolina
Department of Environnient and Natural Resources
Division of Water Quality
Flow'Tracking/Acceptance for Sewer Extension Permit Applications
13)
(FTSE 06
Project Applicant Name. Harnett Rcgional Water
Project Name f'or which flow is being requested: Forest Ridge Section 6 Part 3A
A101V 11tan one FTSEmav /?(, reqvircd fin. (I '61"le pro cc.l iftlic ollwcr ol"IlIc W1171, is 17(11 msihle fi)), fill pump,
.Slafiulls aloi,14a I/Ic rowe ofthe pl-oposed "voslovalcr floil%
1. Complete this section only if'vou are the owner- of the wastewater treatment plant.
a. \N,'WTP Facility Nan-ie: South Harnett Regional WWTII
b. WWTP Facility Pern-iit#: NC'0088366
AlIflows (ire in YIIGD
c. WW'FP facility's permitted floxv 15
d. Estimated obligated flow not yet tributary to the WWTP 5.266
c, WW'FP 1,3cility*s actual M.14). fl,ONN-' 6.111
f Total flo\v for this, specific request 0,000
g. Total actual and obligated flows to the f-acility 11.378
h. Percent of permitted flow used 75.85'1/i
11. Complete this section for cach pump station you are responsible for along the route of this
proposed wastevvater flow.
List PLII-,np Stations located between the project connection point and the WW'I P:
(A) (B) (C) (D)=(B4-C) (E)=(A-D)
Desi��Ijl Otfli"atecL
Z7
PtIIIIII Average Daily Approx. Not Yet 'Total ('111-relit
stati011 Firm Current A.v,,. Trlbutary How PhIs
(Name or Caj)acItv.;I', (1-" Irm / P 0, Daily Flow, Dally HOV,?. 1) 11' go, � i I e d Available
Number) 'fir GD NII G 1) M G) 1) NIGI) Flow Capacity"*
SLS 57 2) , 6 6 1.064 0.850 0.161 1.011 0.0531
S L S 14.02 5.61 1.200 0.511 1,711 3.899
The Firinj Capacity of any pump station is defined as the njaximuni pumped flow that
can be achieved with the largest pump taken out of service.
Design Average Daily Flovv is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
-," ` A Planning Akssessnient Addenduni sliall be attached for each punip station located
between the project connection point and the NNAN"IT vOiere the Available Capacity is < 0.
Page I of 0
IJ

Certification Statement:
I Steve Ward 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 perfonned 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 I1 plus all
attached planning assessment addendums for which I am the responsible party. Signature of this
form indicates acceptance of this wastewater flow.
Signing Official Signature
Date
Page ? of b
I.-TSE

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