WQ0041673_Application (FTSE)_20200424

State of North Carolina
Department of Environmental Quality
D1I 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: (to be completed by DWR)
All items must be completed or the aoolication will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: City of Mebane (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: Mr. David Cheek per 15A NCAC 02T .0106(b)
Title: City Manager
4. Applicant's mailing address: 106 E. Washington Street
City: Mebane State: NC Zip: 27302-
5. Applicant's contact information:
Phone number: 919 563-5901 Email Address: [e-mail]
II. PROJECT INFORMATION:
1. Project name: Villas on 51^ Street Phase 2
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000_ and issued date:
If new construction but part of a master plan, provide the existing permit number: W00039516
3. County where project is located: Alamance
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.0723' Longitude:-79.2850'
5. Parcel ID (if applicable): 163985 & 164156
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Aden R, Stoltzfus License Number: 026461 Firm: Stoltzfus Engineering Inc.
Mailing address: 747 Park Lawn Court
City: Kemersville State: NC Zip: 27284-
Phone number: (a6) 904-0207 Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: City of Mebane WRRF Permit Number: NCO021474 Owner Name: City of Mebane
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than W WTF):
1. Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): City of Mebane
FORM: FTA 04-16 Page I of 5

VI. 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
ElFood
and drink facilities
ElChurch
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(fl? ®Yes ❑ No
➢ If yes, provide a couv of flow reduction approval letter
Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow a,"
No. of Units
Flow
2-Bedroom Residential Dwelling
160 gal/day
39
6,240 GPD
gal/
GPD
gal/
GPD
gaV
GPD
gall
GPD
gall
GPD
Total
6,240 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 I5A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 6 240 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:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to bepermitted:
Size (inches)
Length (feet)
Material
8"
309
SDR-35 PVC
8"
211
DI
1_0
0� `fv "'
➢ 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: y° 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 t
6. Power reliability in accordan
o
❑ 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.
IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
FORM: FTA 04-16 Page 3 of 5

1: Does the project comply with all separations found in 15A NCAC 02T.0305(f) & (e) ® 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.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved. ➢ **Stream
classifications can be identified using the Division's NC Surface Water Classifications webnace ➢ If noncompliance with
02T.0305(0 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 0280200? ®Yes ❑ No El 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 El No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer PermittingBranch
ranch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ®Yes ❑No
Per ISA 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 A No ❑ N/A
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
FORM: FTA 04-16 Page 4 of 5

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.
X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T the Minimum Design Criteria for the Permittingof f Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
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 supnortine documents.
2. Professional Engineer's Certification:
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 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):
David S. Cheek, Cit
(Signature Authority's name & title from Application Item
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
nondischarge 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:
D.S.Cheek Date: 4/8/2020
_ _
FORM: FTA 04-16 Page 5 of 5

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: City of Mebane
Project Name for which flow is being requested: Villas on 5`h Phase 2
More than one FTSE may be required for 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 Mebane
b. WWTP Facility Permit #: NC0021474
All flows are in 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
0.688
1.597
0.00624
2.291
91.6
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
Average
Approx.
Obligated,
Pump Pump Daily
Current
Not Yet Total Current
Station Station Firm Flow**
Avg. Daily
Tributary Flow Plus
(Name or Permit Capacity, * (Firm / pt),
Flow,
Daily Flow, Obligated Available
Number) No. MGD MGD
MGD
MGD Flow Capacity***
Farrar Ln WQ0012938 0.720 0.288 0.072 0.05103 0.123 0.165
* 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
(pt) 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 Mebane
Downstream Permit Number: WQ0032351
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I David Cheek 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 and treat the proposed new wastewater.
D.S.Cheek 4/21/20
Signing Official Signature Date
City Manac
Title of Signing
Page 2 of 6
FTSE 10-18

A i
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Robert L. Wilson
City Manager
City of Mebane
106 East Washington Street
Mebane, NC 27302
Subject: Mebane WWTP (NC0021474)
Flow Reduction Request
Alamance County
Dear Mr. Wilson:
Division of Water Quality
Coleen H. Sullins
Director
March 15.2011
Dee Freeman
Secretary
On February 14, 2011, the Pretreatment, Emergency Response and Collection System (PERCS) Unit of
the Division of Water Quality received a flow reduction request for connections to the City of Mebane WWTP.
The letter requests an allowable flow rate of 80 gallons per day (gpd) per bedroom based on the evaluated data.
As daily WWTP data is not representative of the project area, the DMR data from the City of Mebane
WWTP (NC0021474) from January 2009 through December 2009 was evaluated to determine the peak sewage
month. The highest flow month was December 2009. Daily wastewater flows were recorded downstream of
the Holly Ridge Subdivision during December 2010. This data was reviewed by PERCS and Regional Office
staff.
Based on the data, the Division hereby grants a reduction in flow to 80 gpd/bedroom (minimum of 160
gpd for i and 2 bedroom residences) for sewer extension permits issued tributary to the City of Mebane
WWTP.
Regardless of the adjusted design daily wastewater flow rate at no time shall the wastewater flows
exceed the effluent limits defined in the NPDES-permit for the treatment facility or exceed the capacity of the
sewers downstream of M new sewer extension or service connection(s).
If you have any questions or comments regarding this matter, please contact Sarah Morrison at (919)
807-6310, or email [[e-mail]] or Deborah Gore, Unit Supervisor at [phone], or
email [[e-mail]].
Sincerely,
Coleen H. Sullins
cc: Darrell L. Russell, P.E., Alley, Williams, Carmen & King, Inc. (via email: [e-mail])
Steve Mauney, Walston -Salem Regional Office (via email)
NPDES Unit, Permit Filc NCO021474
PERCS Flow Reduction File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St Raleigh, North Carolina 27604 ne /'+
Phone: 919-807a300 1 FAX: 919A07-64921 PERCS Unit FAX: 91M07-64891 Customer Service: 1A77-623-6748 O �Marolttic
Internet: http1/porta1ncdenr.orghvebhva/ PERCS Unit: hftolll)ortal.nodenf.org/Webtwqfswpipslpret
An Equal opportunity l Affirmative Action Employer

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Stoltzfus EngineeringI Inc.
NC Ueoartrr,a,
TRANSMITTAL MEMO
To: NCDEQ Winston-Salem Regional Office
Water Quality Section
450 West Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
From: Aden Stoltzfus, PE
APR 14 2020
Date: 04 /2 2/2 0 2 QWin stop -Salem
eglonal Office
Subject: Villas on 51h Street, Phase 2
Gravity Sewer Extension -Public
Alamance County
Attached is one (1) original and one (1) copy of the completed Fast -Track Application including the Fast
Track Form, Flow Tracking Acceptance Form, and the Site Maps along with Check #2489 in the amount
of $480.00 for the permit fee for The Villas on 5'h Street, Phase 2.
The public gravity sewer extension consists of 520 linear feet of gravity sanitary sewer to serve the
thirty-nine single-family units. The gravity portion of the development is permitted at a
flow of 6,240 GPD. Please note the flow reduction letter attached. The flow runs into a downstream
pump station owned and operated by the City of Mebane.
Please call me at [phone] with any questions.
747 Park Lawn Court ♦ Kernersville, NC 27284 ♦ [phone]