WQ0041616_Application (FTSE)_20200403

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I ,\pphe}tn1'5 lulrnc I tlu a of FUL111.1% % X 111.1 i%:011111.1nt r1hrrt1.11+.,111t fit I \. 011111t rtt I
Apphc.int t}pe. ❑ lnd1%Idrwl ❑ t t.Ih,lt.auuo ❑ t.Icntr.L! i'a1111cr,h,11 ❑ E'litatcl} -1 ntned I'tiitillc E ult1�
❑ I edtrit 0 51.1#. I oklIM ❑ ,Nlrliu. 111.11 [] 1 Wier
t Sigriature:Llltlltkrlt%"I11.tn1t 1:11 %1e%LI - P I 1+u I t til At u: 1 1111r,ihl
RIC 1'111+1i-- t ILIIItWkk I lrrttl1+' NC. ❑epl of F-n>rirl+n#rtt`ttt31 Q :alttr
-1 r111phtant'a ul:lillor a,ldlc,ti J�+ 1 Jv \1,�ni �'.rctt
i 11t i uttu,It-1'.rr1n., NI.ILL Ni J 11 2';'I, APR 22C
5 Applit.am', tuutat.l in1t+mIA110T1
u ��1
1'iu+nc nunlF,cr 1111y1 lh7-:'Il E 1 in.ol %L-JILS, jnht tr,y, tutlu.tt %.trill.1 Llrt is+uel Re lonal Office
11, PRIME(-IINI'(1RNIA I ill`:
1 1'rnlctt name: I.lerkrt \F.-rtk Ro;itt \tiddIc School -00A rL,
2 Applit.rtrun'1'r,tico ,tdtll, ❑ l'ru;aaatd i'm." Pcrmot ❑ l \t,tllig !'CIIIIII 1'rtyrtt
11•.I mode icalual lout I& the "minis permit nurntwr \\ (100 and l,tiucti dale
il'nctt %AIII. IUL1I II Iwl valt of a nls,ttr plan prutltlt: the ewting perma ittrnilm %%Q01I
3 Cola Ilt t%lit! U III ult.►I I, lui:n�d M IkI.
.t A171 RIM111.1tr Coordisialo, i0it ilmil I lcvfj;v}1 I.i111104 f{ 1., 1 .,1{l t IIII-'.ItLILI_ - ,Vt yFlH
� 1'arcelllj�11.g1pht.dtlel. ui�5titil?!ti;
for 11111cel 11) It+dowse tltrit I15lrt.t111 sn%to I
III. C0N*, 1LTAN V It`I'0I0I,\ I MN
1 I'rutcsslunal Eiuglnccr. f,cn l�L+ring I iLensc hunll+cr '-wS i
1•irm: C L.I I f)e;ljLn PA
Alailing ,address: -100 Reven-cy hirest Dr. H 120
Can State: NC Zip: 751 -_
Phone uurnhcr. 1Ij1'IF +17-a71b Emad Address Ithank,,1 tlhdt tiiMr,,a.cun,
W. \\'AS'1'EWA1 L•'11'I RI A'1'sNIFN-' 1'ACILIT! (\\'\\'-rF) INU-011\l,v110N.
I Facilit) Natnc: lcrrlhle f rrc4k \\ \i I E Permit Nurttbcr. N010640 16
t;Mtier Name. :l'ot�r1 of I uquttt_Varina
V. RVCI WING 1:1U\\'NY111EAA1 SEWER INFORMATION (if differeul than \\'" I' ):
11errnii Nuanber(s)- \%'(10032032 DOMILtWant (1leceitltlglSet►erSiic 8 111cIL
Svsteni Wide Callet.tion S,^,Lear 1'ennil tti'un16e� s il`:i l,licahlC . Y►QCS-00193
Owner Name(s). loon �11:F11�uIn-Varirta
I r ORM. I I A 04-16 Page 1 0f 3

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[:I-.ti[•_It.�1. ltl:(1ltlltl:�11�,1-1 ti
I . Il Iht Applicant 1s a 1'ri+',uely •th,ucd I't►hht l'itlity. h:ts a Cen►lic:uc ofl'tlhlie C,1tt�enitntc onto tiete>,ity been ;ntachcd'
❑ }'es ❑No SN A
2 !f the Apphtatil is a Dk:vcloper of lots to be scolt!. IMS a De-YClimicr's (11'y1.ltiomiI A]4 riLe!! t►t I_I,t lot\f. h1.1�1 been alrtcl►ed"
❑ ❑No ONv'e1
I I(tr1� hCcn
If the Applicant i; a I_Ioftir )'ru�5rtti} Nmeri' Ati,t,i 1;fti,lE1. JOS .ln ( Iprr nintt.11 r�LrlL'lllclli 11 l.11t'�l atlachcd"
- ❑Yes ❑�,i, Qti A
a. origin of ++aste..vater: (elitek all th.►t appli,)
❑ Residential Om ❑ Kettil (storo. cottersCar Wash. malls) � 1 {,uel andtnr Motels
❑ Residential Leased ❑ Ketail with 1i+od preparattowscr+lcc ❑ 5+vunnung ['tool (:ItEhhl+use
Q School preschn
ool! day care ❑ MedWal I dental %eten;try facilities ❑ Swin►ming i'n+d'I.liter fixkl %aslt
❑ [ood and drink littilitics ❑ Church ❑ t:}toter f i ',plain in %IlatluncnI)
❑ Businesses o1l ices i factories ❑ Nursing I home
5 Nature of wastewater : I (111 ° Domestic Commercial ___ °. Comtrimi d
°0 lnduwlrial (tics IIA 1t'r�t:u' f u1t131?rl�I
�!s likere a I'relrcalntent I'roi!mm in effect? ❑ ti'cs ❑ No
(r t las a flow reduction hccn approved under I f�,\ tiC,1C n { Ell oaf l_1'! ❑ Yes ❑x No
i Irvc+, provide a co v of fittyl reduclit+n a trm:►I letter
7. Summarize wastewater generated by project- _
Establishment Type (sec 02T.0111 ) Daily Msign Flol%'t' No. or Units Flow
Middle School ) 5 gal"mudent 110o 165000 GPD
call Gill)
gall Gf'D
gall (+PD
gall I C11'D
gall GI'll
7u1af 1 10.5000 GI'D
a ice 15A NCAC 02 I )1 14ib}._(d�. icll f } rl1iti_{r}(?} for c.ncats to +vawtc►�atcr design Ito++ roes (i c., ntiniutunl flo++ per
dwelling; proposed urtknot+n nun -residential development uses. public access facilities located near Itigh public u5c areas.
and residential properly located south or cast of the Atlantic Intracoastal Watenvay it) he used as vacation rcnlal5 as defined
in G S 42A-4).
b f'er 15A NCAC 021 0114(c), design flow rates 1'or establishments not identified lin table l5A_tiC_1C 02101 141 shall be
determined using availablt: flo%v data. water using futures, occupancy or operation patterns, and other measured data
S Wastewater generated by project 16.500- OPD (per 15,1 NCAC` 02"r._01 fa)
Do nnl include future flows or previously pertuined allocations
If permitted flow is zero, indicate why.
❑ Pump Station or Gra%ity Scwer where Efts v will he pertnitted in subscquent pcmiits that connect to this line
❑ Flow leas already been allocated in 1'erntit Number- __ . _
❑ Rehabilitation or ruplaccmetlt ofc'.xisung sewer with no new floc+• cvpectcd
❑ Other (Explain): 'in' fill a rivate mlit concuEnrttl} ti►a1 liaa the fl+t++ all�tcL_ - for -h ;chnnl
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VI I. CRANAI)tiI-%%IIt1lCtil["\(I(ITI1t1AIIfApphrahlel-11,I.11}II,lIII)(
I . 4urnnidrve �,ra+m .ewer 10 1V pLmimcd
Sile (inehe%) I 1.em�lh Ifect) I ulster ial
I�1 (
• Secrrun II & 111 ul the I IIX for Pcrniiuinc of ( ua+u+ SL+acrt tuns-ml+ kntorinalkun rd-lrcd 10 cte51911 crlterkl
r Section III cont;611% Intonlidlion rcldted to i111rI11111111i -41011e. IJuL_'ra%It+ tiewellti)
t O) ersizing lines to meet ntinintum aapc requirement i% nut :dluwcd and a ►iulatinu of Ilic MDC,
III. PIA1P ti-I ATIOh DUSK [ ItH t HIA (I(Applicsble) II_' 1 .1005 & All)( t Puur) tlatiun%ifforre 3lains :
C(1111'l.F:l't. FOR VAC'II PI IMP1% V %I ION I\CI-I'l)I-A) IN 'I IUS 11110.11,-C1
11unip station number or name
_' Approximate C:oordijiaie+lUcunlal lh'rerst, Lilinl,ie
3 Design Iluw of isle pump stallun . mkllunis r allun� per day (firm aupacit- .
-1 Operational puini(s) of the puinp(+y _ gallons per mmmte at - .. _ tcet total (IN nanlic head ( i I ) I I1
5 Summariec the forcc nr:nn Iu lie penumed (tier this I'unip SlationI
Siie (inches)
i.c IgIll (feet)
,Material
fi Pawcr relkabihtt in acet10a11cc with 15A N('AC (1z 1 .0305j1jjL1J
❑ Standby po++er source or pump wuh alltumatic aLikillism and telemetry - I M NCA( 02 1 03115(111(1 )(13);
Required forall pump stations with an average daily 110++ greater than or equal to 15-000 gallons per day
i Must be permancrtl 10 facility
Or if Elie pump stallon has an average daily flow less than 15.000 gallons per day
❑ Portable puwcr source ++ith manual actkation, quick -connection reLcplacic wid iclemetry - I5A NCAC 02T
.0305(liA 1)(C)
or
El Portable pumping unit ++ith plu cd cnlcrgencp purnp cajlnectirlu ar,d telemetry - 15A N AC 02 f .0305(h)(1 K):
It shall bL dcmonstraled to the DivLsion that the portable ,auri.c I4 a+tined or Lontracted hy the applicant (draft agreement)
and is compatible with the station.
If the portable po+wr source or pump i3 dedicated to multiple pump statlon5, an e+ alu,utinn ul all the pump stations' sturaee
Capacities and the rotation schedule of the portable power source or punip, including tr ivel tinefr mes, shall be pro%idcd
in the case of a multiple suction pui+er outage
IY)RNI- VIA 04-16
Page a" of 5

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111 tact _
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- -t I t: t•t
Ktt:imnI-d aatcr Intc,11itIII onIal ' ICLlaIIII 't1 of cr kcuc'rI _ I
• • Ant pri%alr orpul.hc tt-itcr.Itpirl, ,kiln-, inc'Itltiut_. ,It'% "Cil 11'� I LL ttcic ut I,'la., ! of lU11 Jtci
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•':1n� r,thcl ,trcam. I.ske. impotindnlcnl OF _'n,un,1 tt.ticl Imtc'rin :nl.f url,lic ilrairr.hc' to tact
-
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kitL haildl1w tililndalRNl -
lec't
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G I p >Iop< � of oni-wis moit Ur LUIY Of 2 lk:CJ t+r 11IL4I: t t'I'IICJI tlt'I_111 y _ -._ .. - .. ..._ r -
- v _ _ ._ I Ices _
I)rslna�i �L,lClll,arlti II1LCFtt'plur th'.lI11S
I seta
Anti at
,tL inuninz
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1 1 •t_ tic . ll' lh 1 u :slit L_'� t U11111tl, allt'rf1;UiL c, tt hcrc ccparalioll, in (12,1 .II t'dnnt�l Ile A loci ed
'•titre:rrn il,l,,ilitaliults can Itr nlcruilirtl u,in_ tlla [�nnion'S 1(.:5ilrlat_�_11' 1t�r.t`l,l„ilit,lunir� LLcl,pa c
II noncrtnlphancr tt ith 10 I,li_;li�i I j nr i�1, act 5cil lun y oftlli� applieatitm
f ? Uuc*the hr,rjctt comp!} Lt uh ,cparation requircmems tier %%ctlatids? (50 feet ol',cparilion) 0 Yvs ❑ ti'4i ❑ \ A
i )cc t1le Idrall ?cparatiott rcquiremerit% Ior sittim ions %%here >eparaltoo cannot be lileet
ti(t %andnce i, tccluircd it the allt matiLc Jc,iLn iri[eria ,periticJ i; utlliicd in dc,lµn anti cinutraUiun
As huilt tiiiruulcnl, should rc lI FCluc the 10c30011 of area-, clfccled
i)ov:, the I+rulcct ct1lllpl} %trill scthads found in the mcr ha,m rule, leer I M ,ti1 AC (I2I_3-.(21ltr,' 0 1'e!, ❑ No ❑ ti'A
r!ski,tlhtllJinkAtide'Irout Bufl�rcd',trealnwlie, lM`(AC-?Ii(1?(1'?
4 DoLn ILc project rcquirc u1t-rage aulhuriiauon under a-I(I.1 N,mon"%ids: of Q ti't'> ❑tits
nidicidual penis, or-tl)l !later Qualit% 1 elliflutroll,'.'
Inlunmluon can he uhlaincd frnnl the _I()I .l.Iiliftcr I'erJnrttin! lirancll
i. [ktry pro)ct.1 c'ompl.' %6111 15A N''CA[ U�.I_.�1I(f5(t l�F,l ladchlional permit, certifications)". ❑ Yes ❑ ti'o
ice'=Im-105LOi(oj. direl't11 rciale(i cmironmental permils or ccrtificaliun :lpplicaliolt, Lire hei[ig riepdred. ll-,iLe
liCell .IpphLJ lur, or have hcen ohlaillvd. Is,uanie ol'this pernli[ i% colllingen1 on issuance ul'dcpcildent pc1'rtlit, 1cr+5.4011 ,111,1
sedurlerltatiun contr,ll phirl,. siornmatcr managwrilcnl plans. CIL-1.
tl. I)uc, this PMJVI:I ![!elude :Ill\' sewcr L0IIel. Ii(I Ul Ime, IIt; 11 arr dvotped 11 :"
!'tr !?.A NCAC_Il'-I.(00', "Iriph•prioltty,t:ucr`• lltedils ",nl) ilel'Wl soI,vi. wL%cr eontdclirllu ;ult',lic LLatcrs. �illlkon. or sowr
pU%IIi011Cd f)(Milicl ttl St-rillnhanits Illat IS WhiCCI to CFWJ4lit Ihat I1ndL,nnln', of &M litr;llcs dic w%' r.
❑Yc; ❑No 0IA
es, include an allachrncul +L'ith drlall, hlr each litic. MILIUding iNpe iacrc.d line. SlrC, ulatCrl,tl. and luc,ni+llt),
f igh priurill !isles %hail III: inspcetcil b► the permit tve 4or its represcntalice at le:}tt once eI ery sit -mouths and ia.pections
dueumcnicd per 15A INCAC I)2'f.04031a115) ilr Ilit! permitrc'% imlisidslal hti:stein-Wide Cnllectinn permit.
Itllt\1 I'IA 04-I6

X. CERTIFICA1TfONS:
iaues the submitted sysicin cornph with 15.1 tit -AC, 021, the 'ttintrnurn f)rysn 1% rt!VO tier tile „Perot ittmg of I'trmf+ 5(atitm,
and I orcc \lain; t ;i[etit }_ertiinn�, and the t �r.a% rt1._S�%%er jin morn nr,iur� + ilea n.r t I rt .ct erciun 1 as applicable"
QYe'. ❑do
If No, complete anal submit the Vari:rrii i Ikcm:rtne Design Itetluest applic;rtitin f ,�i1( I0-!d} ;md supporting docunienls tier
rci iew. A %rout of the rct icst i% rvi uired irinr to strhill 411 rl a►f the F:r%t Tract. A v I ►ficaIinn and su i ortin = docunienis
Professional E ngincer's Certification
L 0/'' ^ ¢ attesl that this application for
I1'rurczottal E.ncmeer'. matt: fro i Applirnior. lean Ill I I
has hcen rc%te%%cd b% rile and is aceur,aie, complete and comsi*rent %%till [he urforrriation supplied in die plans, specifications.
engineering cilculatrun5, and all other suppurtmg dueuruznt:lit In to the befit of my knots lcdfw I further attest that to the best
of my knm%Icdee the prupoied design has been prepared in accurd.rnce +tinh the applicable regulations, Grjr its Sewer
,Minrrnum Design Criteria tar Cora► ii% Se+%ers (latest version), and the Atmunam Design Criteria for the Fasl-'Frack Permitting
of Pump Stations and Fora Mains (latest version i Although uthcr professionals may have dc%ckiped certain portions of this
submittal package, inclusion tit' Ifiew materials under nt} signature and seal signifies that I have revicwcd this material and
h.i%c Judged n to be consistent with the proposed design.
-NOTE_ - In accordance %%ith General Statutes 143-215,6A and 1-13-215.6H. anv person aho hnouinuly makes an% false
.;W mcnt, represenialion, or certification in rain application package shall be guiliv of a Class ? misderneanor, which ma%•
rrachrdt: a fine not to c%eved S10.000, as %%01 as cn i1 penalties up lu 525,000 per %tolation.
�.•P-jH CARE",,;
North Carolina Professional Fit aineer's seal. signature, and date: .`
20 'essio' ,
OF
SEAT.
239
A.'''•1
3 Applicant's Cenrficatian per 15A NCAC 02 1 0106(b).
I{ ey&> ff L ') Til b ic- (%bl {jam -1,-) — - attest drat this application for
-/ (SIL ature Authority's name & title tram Application Item 13 }
ha_; been re%inicd bn me and is accurate and complete to die best of my kno%%ledge i understand that if all required p; n5 of
drr5 application are not completed and that if all required supposing documentation and attachments arc not included, [his
;applic_uon package is subject to being returned ns incomplete. I understand that an,. discharge of i%asiettater from this rion-
discharge System to surface haters or the land %silt result in an immediate enforcement action that ma% mou"I cis it penahtes,
rnJ:rnctnc rchcf. and'or criminal prosecution. I will make no claim against the Di%tsron of %%alcr i eWUrces should a cundition
of this permit be %uilatcd i alw understand that if all required parts of this application package arc not compacted and that if
all required supporting information and attachments are not included, this npplicauon pact lze %\ell be rcturn d to the as
incomplete
NOT 1n accvrtiance i%t[h (acncrri Statutes I•13-2I5.6A and I3 'ISf,1t, any person aho kno%%tngh males an% false
statement, repre5enialion, or cenificalion in ;in) application package shall be guilt,. of a Class ? misdemeaniir_ which ma%
tneludr a fine rent to exceed S 10,000 a% %sell as cii it penalties up In 529100 per % iolation
T7;11c &Mdrd4 lid ZO
Hr1KRl VIA W-16 page 5 of 5

I
CLH design, p.a.
400 Regency Forest Drive, Suite f �0
Cary North Carolina 27518
P.919.319,6716
www clhdesignpa,com
Letter of Transmittal
CLH Project Number: 19-164
NC ncty
pt of Environmental Quall
APR - 3 2020
Rn tt i g II lzeg i o nal O ffIC0
tr
April 3, 2020
To:
I Jason Robinson
Company:
NCOEQ - Raleigh Regional Office
Address:
1628 Mail Service Center
City/State/Zip:
Raleigh, NC 27699
Phone:
919-791-4200
Method:
UPS
Subject:
Herbert -Akins Middle School
Copies
Date
Description
2
4/3/2020
Copies of Fast Track Application (1 original + 1 copy) - Public Sewer
1
4/3/2020
Cover Letter - Public Sewer
1
4/3/2020
Application Fee - Public Sewer
1
4/3/2020
Flow Tracking/Acceptance Form - Public Sewer
1
4/3/2020
USGS Ta o Map - Public Sewer
1
4/3/2020
Goa le Aerial Ma - Public Sewer
2
4/3/2020
Copies of Fast Track Application 11 original + 1 copy) - Private Sewer
1
4/3/2020
Cover Letter - Private Sewer
1
4/3/2020
Application Fee - Private Sewer
1
4/3/2020
Flow Trackin/Acceptance Form - Private Sewer
1
4/3/2020
USGS Topo Map - Private Sewer
1
4/3/2020
Goa le Aerial Map - Private Sewer
2
I 4/3/2020 1
Copies of Overall Utility plan for reference
Additional Remarks:
Hi,
Please find enclosed a package for a fast track sewer application for a public and private sewer system
for this same project- Let me know if you have any questions or concerns.
Thanks!
Hannah Banks
CLH design, p a.

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`p G Deparinicnt of I,n� ironment and `Natural Resources
� r Division or Water Quality
Flo%% Track ing/Acceplalice for Se%% er I{%tension Permit Application-;
(I']S1'-06-13)
Project Applicant attic: Town ofl'ur uay-Varina
Project Name for which flow is being requested: Ilerka Akins Nliddle School
t lure than one 1.7:51; may be regn red for a crn,alt,/+ro))L Ct if the miner ofthe A It'7P is rwt r�.spuruthle fur all panrp
ska,ons along the ra.ute c t the prup. ose4l it actewater fl-ne
I . Complete this section only if you are the owner of the wastewater treatment plant.
a. \VWTP facility Name' 'Terrible Creel; WWI P
b. WWRI i'acilit,, Permit #: NCO060516
111 f]oovs are in 111GD
c. WXVI'P facility's permitted flow 3-000
d. Estimated obligated flow not yet tribular% to the WWTP 0.81�
e. \1'\l'l'P facility's actual a%g. llo« 1.353
f. Total now, for this specific request 0.017
g. "l'otat actual and obligated tlo%vs to the facility 7,225
h. Percent of permitted flou used 7.1.2%'
H. Complete this section for each pump station ynu are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WW -1 f':
(A)
(it)
(C)
(D)=(B+C)
(E)-(A-D)
Design
Obligated.
Pump
Average Daily
Approx.
Not Yet
Total Current
Station
Finn
Flom**
furrentAvg.
Tributan
Howl'lus
(Name or
Capacity,'
(( inn.., pl),
Daily Flow,
Daily Fluss,
Obligated
Assailable
Numbcr)
h1GD
WID
1Ico
WID
HUH
Capacity0o"
Basal
1.200
0.480
0,127
0_136
0263
0.217
* The Firm Capacity orany pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out orservice.
Design Average Daily Floe' h the firm capacity or the pump station divided by a peaking
factor (pf) not less than 2.5.
*',A A Planning Assessment Addendum shall he atlsiched for each pump station located
between file project connection point and the WWII' it here the Available Capacity is <0.
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GO gle Maps Herbert Akins Elementary
Imager}C:G.'0600gte in-42 ltc? : %4.3' "t.t sr e� ..y.a �'X'rp LISL'#f6AjAd*tdCa0::I] IUCh
Herbert Akins Elementary
School for the deaf
Temporarily closed
0 @ Ca: 00- 0
Directions Sava Nearby Send to your Shale
phone
V 2255 Herbert Akins Rd, FuquayNarina, NC 27526
• • • JSCW+RX Fuquay-Varina, Middle Creek Township. NC
https WWW google cornlmapa/placeIHerben*Akit-5•Elementary,@35 6211512.78 8036845 576mldata=13-nII Ie3?am5t3nwU IsOxO Oxbe5!Pe86c4IGo IR

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