HomeMy WebLinkAboutWQ0038331_Regional Office Historical File 2016ENVIRONMENTAL QUALITY
March 8, 2016
Summer Woodard, Town Manager
Town of Franklin
P.O. Box 1479
Franklin; NC, 28744
Subject: Permit No. WQ0038331
Town of Franklin
Indigo Apartments
Wastewater Collection System Extension Permit
Macon County
Dear Mr. Woodard:
PAT MCCRORY
Govemor
DONALD R. VAN DER VAART
Secre,ary
S. JAY ZIMME.RMAN
Uirec[ur
In accordance with your application received February 22, 2016, we are forwarding herewith Permit No.
WQ0038331 dated March 8, 2016, to the, Town of Franklin (Permittee) for the construction and
operation upon certification of the subject wastewater collection system extension. This permit shall be
effective from the date of issuance until rescinded, and shall be subject to the conditions and limitations
as specified therein. This cover letter shall be considered a part of this permit and is therefore
incorporated therein by reference.
Please paV-particular attention to the following conditions contained within this permit:
Condition 11.1: This permit shall not be automatically transferable; a request -must be made and
approved.
Condition IIA: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T .0403 or any individual system -wide collection system
permit issued to the Permittee.
It shall be responsibility of the Permittee to ensure that the as -constructed project meets the
appropriate design criteria and rules: Failure to comply may result in penalties in accordance with North
Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to
the licensing board..
If any parts, requirements, or limitations contained in this permit,are unacceptable, you have the right
to request an adjudicatory hearing upon written request within 30 days following receipt of this permit.
This request must'be in the form of a written petition, conforming to Chapter 150B of North Carolina
General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh,
NC 27699-6714. Unless such demands are made, this permit shall be final and binding.
State of North Carolina / Environmental Quality / Water Resources
2090 U.S. Hwy. 70, Swannanoa, N.C. 28778
828-296A500
Town of Franklin
Permit No. WQ0038331
If you need additional information concerning this matter, please contact Tim Heim at (828) 29
via e-mail at tim.heim@ncdenr.gov.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor .
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
cc: Todd J. Poteet, P.E. — West Consultants (electron ic,copy)
Water Resources Central Files
PERCS (electronic copy)
G:\WR\WQ\Macon\Collection Systems\Franklin Collection System\WQ0038331 Indigo Apartments.docx
Page 2 of 9
Environmental_
Quality
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
Town of Franklin
Macon County
for the construction and operation of approximately 834 linear feet of 8-inch gravity sewer to serve 12
one -bedroom, 30 two -bedroom, and 18 three -bedroom apartments as part of the Indigo Apartments
project, and the discharge of 15,120 gallons per day of collected domestic wastewater into the Town of
Franklin's existing sewerage system, pursuant to the application received February'22, 2016 and in
conformity with 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February
12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump
Stations and Force Mains adopted June 1,, 2000 as applicable; and other supporting data subsequently
filed and approved by the Department of Environmental Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
specified conditions and limitations contained therein.
G. Landon Davidson, P.G., Regional Supervisor
Water Quality'Regional Operation_ s Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Permit Number: WQ0038331
Permit Issued: March 8, 2016
Page 3 of 9
SUPPLEMENT TO PERMIT COVER SHEET
Town of Franklin is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension.
The sewage and wastewater collected by this system shall be treated in the Town of Franklin
Wastewater Treatment Facility in accordance with Permit Number NC0021547.
Permitting of this project does not constitute an acceptance of any part of the project that does not
meet 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division
approval is based on acceptance of the certification provided by a North Carolina -licensed Professional
Engineer in the application. It shall be the Permittee's responsibility to ensure that the as -constructed
project meets the appropriate design criteria and rules.
Construction and operation is contingent upon compliance -with the Standard Conditions and any Special
Conditions identified below.
SPECIAL CONDITIONS
1. No flow in excess of the quantity permitted herein, 15,120 gallons per day, shall be made tributary
to the subject sewer system until an application for permit modification for an increase in flow has
been submitted to and approved by the Division. [15A NCAC 02T.0304(b)]
II. STANDARD CONDITIONS
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied .by documentation. from the parties involved, and
other supporting materials as may be appropriate. The approval of this request shall be considered
on its merits and may or may not be approved. [15A NCAC 02T.0104; G.S 143-215.1(d3)] .
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer Minimum
Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for
the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and
other supporting materials unless specifically mentioned herein. [15A NCAC 02T.0110]
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
- application and other supporting data. [15A NCAC 02T .0110]
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system -wide collection system permit for -the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required, the following performance criteria shall be met: [15A NCAC 02T .0108(b)]:
Page 4 of 9
sewer system shall be effectively maintained and operated at all times to prevent discharge
land or surface waters, and to prevent any contravention of groundwater standards or
face water standards.
U. „ I I Iap of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be inspected
at least once per week.
e. High -priority sewer lines shall be inspected at least once per every six -months and inspections
are documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 26.0506(a), and public notice shall be provided as required by North
Carolina General Statute §143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.'
2. For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to.prevent grease -related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the map, which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Asheville Regional
Office, telephone number (828) 296-4500, as soon as possible, but in no case more than 24 hours,.
following the occurrence or first knowledge of the occurrence of either of the following:
Page 5 of 9
a
b.
C.
Any process unit failure, due to known or unknown reasons, that renders th
incapable of adequate wastewater transport, such as mechanical or electrical fi
pumps, line blockage or breakage, etc., or
Any SSO and/or spill over 1,000 gallons; or
Any SSO and/or spill, regardless of volume, that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the
initial verbal report. Overflows 'and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number (800) 858-0368 or (919)
733-3300. Persons reporting any of the above occurrences shall file a spill report by completing and
submitting Part I of Form CS-SSO (or the most current Division approved form) within five days
following first knowledge of the occurrence. This report must outline the actions taken or proposed
to be taken to ensure that the problem does not recur.. Part II of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-
215.1C(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification form attached to this permit shall be submitted with the required
supporting documents to the address provided on the form. A complete certification is one where
the form is fully executed and the supporting documents are provided as applicable. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Engineer's Certification shall be considered a violation of the permit and shall subject the
Permittee to appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted with
the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
Page 6 of 9
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of .5% or greater, and increases in the
number/type of connections); regulations, or. the Minimum Design Criteria. Requested
modifications or variances to the Minimum Design Criteria will be reviewed on a case -by -case basis
and each on its own merit. Please note that variances to the Minimum Design Criteria should be
requested and approved during the permitting process prior to construction. After -construction
requests are discouraged by the Division and may not be approved, thus requiring replacement or
repair prior to certification & activation. [15A NCAC 02T .0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified
until corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case -by -case basis. Resolution of such request shall be evident prior to completing and
submitting the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities. [15A NCAC 02T .0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes §143-215.6A
through §143-215.6C, construction of additional .or replacement wastewater collection facilities,
and/or referral of the North Carolina -licensed Professional Engineer to the licensing board. [15A
NCAC 02T .0104; 15A NCAC 02T .0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities. [15A NCAC 02T .0110; 15A NCAC 02T .0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
.rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 9
FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE:
TOWN OF FRANKLIN
PERMIT-#:
WQ0038331
PROJECT:
INDIGO APARTMENTS
ISSUE DATE:
March 8, 2016
This project shall not be considered complete nor allowed to operate in accordance with. Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation.
It should be submitted in a manner that documents the Division's receipt. Send the required
documentation to the Regional Supervisor, Water Quality Regional Operations Section at the address at
the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name, Title Signature Date
ENGINEERS CERTIFICATION
I, . as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the
Indigo Apartments and location as referenced above for the above Permittee hereby state that, to the
best.of my abilities, due care and diligence was used in the observation of the construction such that the
construction was observed to be built within substantial compliance of this permit; 15A NCAC 02T; the
Division of Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12,
1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump
Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
❑ Final ❑ Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
NC DWR —Water Quality Regional Operations Section 2090 US Hwy 70 Swannanoa, NC 28778
Asheville Regional Office Phone: (828)-296-4500 FAX: (828)-299-7043
%-,bLDivision of Water Quality M,;
.
Mt 1 FOUR Application (FTA U-U) for tjeWff blla
2laz
3l3
Project Name: r rV 131 C-% o Ap A2� to enL4
Project Number:
�UVQp:038331- . 3�331
Reviewer b
Preliminary Review Dates
Final Review Date:
Application Pre Review
Project is located in a County currently covered by the regional office
Application and suppoafing documentation submitted in duplicate?
One Original and One Copy
Correct application fee submitted? 6.S.143-215 nD
Ensure that check for $480 is submitted and made out
s
Application package is complete
Current application version (PTA 12-12) . Cl
Briefproject narrative (per Section A ofFTA
Certification of Public Convenience. and Neves rovided
(if applicable) :.
Operational Agreements, signed an dated
(if applicable)
Flow Tracking / Acceptance Form; 3), signed
Flow Tracking / Acceptance Plannin s . Addendum
(ifappIicable)' - -:
LIMA
Stii
PE
Apl
Per nit Info
w
Does the
See
Is the project
Project not pe
isprodded)
L []No
NYO�DNo
:. es LNo
lYes
❑No
Yes
0No. '
es
ONO
[]Yes
[]No, .
.esoo"
[]No .
[]Yes-
[lNo
es
[[No
.
0146 .
D2T.030 forprojectsdeemedperinitted
Is an alterna ive's o sure'sewers;-STEP systems, vacuum systems, etc.)
Is finded.through'* cture Finance Section
If -the applicant ss a private entity (private utility) ' J� []Yes
Applicant has been designated asa public utility by the NC Utilities Commission U r
Hn submitteda, Certificate of Public Convenience and Necessity (CPM
or Letter -from the Public Staff of the NC Utilities Commission (contact Central Office)
Ifthe applicant is a'private entity (Developer) [[Yes.
Has submitted an executed Operational Agreement (DEV 06-13)
If the applicant a Homeowner's or property Owner's Association '. \ I ElYes
Has submitted an executed Operational Agreement (HOA 06-13) v
and, 4*'of the Articles of Incorporation, Declarations and By-laws
Elko .
1
Wastewater Flow Information
Has the.wastewater flow volume been calculated correctlysection B.9 of FTA 12-12
( ? )
L�71Y eS E]No
Flow is calculated per 15A NCAC 02T.0114
or
If daily design flow is not based on regulations ensure that the applicant has an approved
flow reduction of
daily design flow rate on file with the Division.
or
If other. than 2T.0114, values must be a supported with flow data per 15A NCAC 02T.0114(fl
(Contact Central Office)
Has submitted Flow Tracking/Acceptance Form (FTSE 06-13)
[14s FINo
Proper certification per 15A NCAC .0106 (b)
s ]—]No
Form is dated within one year of receipt of application package
Addendum
es �Nq
Is FTSE Planning Assessment Required? ��
Dyes o
Required only for projects where available pump station capacity is < 0.
Contact .Central Office if needed
�
Additional forms (FTSE 06-13) required?
[]Yes. 1=JNo
Required only if the owner of downstream sewer different then owner of W WTF
Resign Information
Has a Stream Classification form been submitted.(WSCAS 03-12)
❑Y.es
Required if any portion of project is within 100`feet of any surface water or wetlands
If no, verify separation on submitted USGS. Topographic Map
Note, 15ANCAC 02T .0305 (D contains minunum separations required for sewer
A variance is required if minimum separation's carin&' be avoided '
Has been signed, sealed, and dated by anN:C: PE :. -
Dyes E]No
Is Project design is in accordance with (see section B.13 of FTA 12-12) Lt(Yes E]No
15A NCAC 02T ,
Gravity Sewer Minimum Design Criteria (latest version) "
Minimum Design Criteria for Permittingof f Pump Stations and Force Mains. (latest version)
If no, a variance approval is required per the requirements of 15A NCAC 02T.0105(bl
Applicant must submit TWO copies of the plans, specifications; and calculations.
Contact the Central Office to discuss the variance request to determine:a course of action. Variance approvals
are issued from the central office. If approved, the variance should be incorporated into the final permit
Project contains high priority lines (,15A NCAC 02T .0402(2)} []Yes Dno
Contact the Central- Office
Application Certification
Has a N.C. PE stamped, signed, and dated the application? Y s E]No
PE with active license in North Carolina? es ONo
Check the NCBELS to ensure Engineer is currently registered to practice
NCBELS License Lookup
Applicant (Owner/Permittee) signature meets requirement of 15A. NCAC .0106(b)? [Wes E]No
If not, is a delegation letter provided, delegating authority? j Yes --[]No
If the owner is a corporation, is the corporation registered in N.C.? ►1t QNo
N.C. Secretary of State (Corporation Search .
2
WEST CONSULTANTS, PLLC
Consulting Engineers and Surveyors
405 South Sterling Street
Morganton, NC 28655
www.west-consultants.com
Phone (828) 433-5661 Fax (828) 433-5662
To: NCDENR - Water Quality Section
Asheville Regional Office
2090 US Highway 70
Swannanoa, NC 28778
828-296-4500
Letter of Transmittal
February 16, 2016
W WEST
CONSULTANTS PL[C
Attention: Water Quality Section
Re: Indigo Apartment - Franklin, NC
Job Number: 15117
We are sending you
Q Attached
❑ Under Separate Cover via: [Type text here] the following:
❑ Shop Drawings
❑ Copy of Letter
❑ Total Quantity
❑ Prints
❑ Change Order
❑ Reproducible
❑ Plans
❑ Samples
❑ Specifications
Q Other: Fast Track
Application
Copies
Date
Number
Description
'A" 2-
Fast -Track Sewer Application Form
1
Project Narrative
1
Plan Review Fee Check (#1120)
1
WWTF Capacity and Flow Tracking Form
1
USGS Topographic Map
1
Street Level Map
These are transmitted as checked below
❑ For Approval
❑ For Your Use
❑ As Requested
❑ Approved as Submitted ❑ Resubmit copies for approval
❑ Approved as Noted ❑ Submit [#] copies for distribution
❑ Returned for Corrections ❑ Return [#] corrected prints
RT For Review and Comment ❑ Revise and Resubmit/Work May Not Proceed
❑ FOR BIDS DUE: [Type text here] ❑ PRINTS RETURNED AFTER LOAN
Comments:
Copy to:,
RECEIVED
Division of Wafer Resource&
Signatu e
f FB 2 2 2416-
Water Quality Regional Operations
Asheville Regional Office
ow
'D7W_
____ - .
Division of Water Resources
RECEIVED
Division of Water ResourceS
Dep
FEB 2 2 2016
FAST-TIL
%BQIona; M;,-e.
State of North Carolina
nt of Environmental Quality
Division of Water Resources
APPLICATION (FTA 10-14)
STATIONS, AND FORCE MAINS
General — When submitting this application, please use the following instructions as a checklist in order to
ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will
help produce a quicker review time and reduce the amount of requested additional information.
For more information, visit the Water Quality Permitting Section's website or;
contact the Regional Office serving your county
Unless otherwise noted. the Applicant shall submit one original and one copy of the application and supporting
documentation to the appropriate Regional Office (see page 3).
A. Cover Letter:
E l
For modifications, clearly explain
the reason for the modification (i.e. adding another phase, changing line size, length, etc).
B. Application Form (FTA 10-14):
E Submit the completed and appropriately executed Fast -Track (FTA 10-14) Application. Any
unauthorized content changes to this form shall result in the application being returned. If necessary
for clarity or due to space restrictions, attachment to the application may be made, as long as the
attachments are numbered to correspond to the section and item to which they refer. You do not need
to submit detailed plans and specifications unless you respond NO to item B(13).
E The Professional Engineer's Certification of the application shall be signed, sealed and dated by a
North Carolina licensed Professional Engineer.
E The Applicant's Certification of the application shall be signed in accordance with 15A NCAC 02T
.0106(b). Per 15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if
a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T .0106(b).
C. Application Fee:
E Submit a check in the amount of $480 to: North Carolina Department of Environmental Quality
(NCDEQ).
➢ . Checks shall be dated within 90 days of application submittal.
D. Certificate of Public Convenience and Necessity (For Privately -Owned Public Utilities Only):
❑ Per 15A NCAC 02T .0115(a)(1), provide two copies of the Certificate of Public Convenience and
Necessity from the North Carolina Utilities Commission demonstrating the Applicant is authorized to
hold the utility franchise for the area to be served by the sewer extension, or
❑ Provide two copies of a letter from the North Carolina Utilities Commission's Water and Sewer Division
Public Staff stating an application for a franchise has been received and that the service area is
contiguous to an existing franchised area or that franchise approval is expected.
❑ The project name in the CPCN or letter must match that provided in Item A(2)a of this application.
E. Operational Agreements (For Home/Property Owners' Associations and Developers of lots to be sold):
➢ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (HOA 08-13).
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
➢ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (DEV 08-13).
Even if the project may be turned over to a municipality upon completion, Form DEV 08-13 is required.
INSTRUCTIONS FOR APPLICATION FTA 10-14 & SUPPORTING DOCUMENTATION Page 1 of 6
ML -
F. Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance Form (FTSE 08-13)
® Submit the completed and appropriately executed Flow Tracking/Acceptance for Sewer Extension
Permit (FTSE 08-13) Form for all applications.
➢ The applicant (and owners of downstream sewers, pump stations and/or treatment facilities submitting
form FTSE 08-13 certifies that the addition of the volume of wastewater to be permitted in this project
has been evaluated along the route to the receiving treatment plant, and that the flow from this project
will not cause capacity related sanitary sewer overflows or overburden any downstream pump station
en route to the receiving wastewater treatment plant.
➢ Where the applicant is not the owner of the downstream sewer, submit two copies of form FTSE 08-13
from the owner of the downstream sewer and owner of the WWTF, if different.
➢ The flow acceptance indicated in form FTSE .08-13 must not expire prior to permit issuance and must
be dated less than one year prior to the application date.
➢ Submittal of this application and form FTSE 08-13 indicates that owner has adequate capacity
and will not violate G.S. 143-215.67(a).
➢ Intergovernmental agreements or other contracts will not be accepted in lieu of a project -
specific FTSE 08-13.
G. Sit(
The location of the sewer line and pump stations and be of reproducible quality.
Downstream connection points and the permit number for the receiving sewer (if known)
Pump Station Locations and the longitude and latitude for each pump station (if applicable)
H. Stream Classification (WSCAS 01-15)
❑ Submit the completed and appropriately executed Watershed Classification Attachment form
(WSCAS 01-15) if any portion of the sewer system project is within 100 feet of any surface water or
wetlands.
➢ A variance must be requested for encroachment within required setbacks or buffers pursuant to 15A
NCAC 02T .0305(f)
Environmental Assessments (Projects subject to an Environmental Assessment (EA)):
➢ Projects involving an Environmental Assessment per 15A NCAC 01 C .0408, must be submitted for a
full technical review and must be submitted to the PERCS Unit on application forms provided by the
Division.
J. Alternative Sewer Systems
➢ Projects involving low pressure sewer systems, vacuum sewer systems and other alternative sewer
systems must be submitted for a full technical review and must be submitted to the PERCS Unit on
application forms provided by the Division.
K. Flow Direction
➢ Many wastewater treatment systems are entering into agreements for regionalization efforts and
emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be
directed to more than one treatment facility. If this is the case with the project, please indicate in B(12)
and give the permit number of the second facility.
L. Certifications — Section C
➢ The application must be certified by both the applicant and the design engineer who is a North Carolina
Registered Professional Engineer (PE). The applicant signature must match the signing official listed in
Item A(1 b). The PE should NOT certify the application if he/she is unfamiliar with 15A NCAC Chapter
2T, The Gravity Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria
for the Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project.
INSTRUCTIONS FOR APPLICATION FTA 10-14 & SUPPORTING DOCUMENTATION Page 2 of 6
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THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
(828) 296-4500
Macon, Madison, McDowell, Mitchell, Polk,
(828) 299-7043 Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Section
Fayetteville, North Carolina 28301-5094
Montgomery, Moore, Robeson, Richmond,
(910) 433-3300
Sampson, Scotland
(910) 486-0707 Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
(704) 663-1699
Stanly, Union
(704) 663-6040 Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
(919) 791-4200
Northampton, Orange, Person, Vance, Wake,
(919) 788-7159 Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section
Washington, North Carolina 27889
C.urrituck, Dare, Gates, Greene, Hertford, Hyde,
(252) 946-6481
Jones, Lenoir, Martin, Pamlico, Pasquotank,
(252) 975-3716 Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
(910) 796-7215
(910) 350-2004 Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road -
Alamance, Alleghany, Ashe, Caswell, Davidson,
Water Quality Section
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
(336) 776-9800
INSTRUCTIONS FOR APPLICATION FTA 10-14 & SUPPORTING DOCUMENTATION Page 3 of 6
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B
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USE THE TAB KEY TO MOVE FROM FIELD TO FIELD Application Number:
(to be completed by DWR)
1. Owner/Permittee:
......... .._.— _ __ .....-- - . -... ......... ........ --- -- -- - - - - --- - - -- -
1 a. Town of Franklin
Full Legal Name (company, municipality, HOA, utility, etc.)
- -
1b. Summer Woodard Town Manager
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials)
1 c. The legal entity who will own this system is:
n Individual n Federal D;l Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other
d. PO Box 1479
i e. rranKiin
Mailing Address
City
..._.......... __ .........._
f. NC
1 g. 28744
State
Zip Code
h. 828-524-2516 1 i. 828-524-4540
11j. swoodardC
Telephone Facsimile
E-mail
?. Protect (Facility) Information:
......... ......... ...-_......... ............ .... _._.. ...... _.....
a. Indigo Apartments
...... ........ ..... _ ....... ...............................
2b Macon
Brief Proiect Name (permit will refer to this name)
County Wh
in
Za
Division of Water Resources
re Project 's L ca d
Todd J. Poteet, PE
Name and Affiliation of Someone Who Can Answer Questions About this Application Water Quality Regional Operations__ _
828-433-5661 3c. tpoteet@w �t�eU;,�u Lnr� 1On I Office
Phone Number E-mail
Project is N New ❑ Modification (of an existing permit) If Modification, Permit No.:
Owner is N Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
If private, applicant will be: 2b. If sold, facilities owned by a (must choose one)
❑ Retaining Ownership (i.e. store, church, single office, etc.) or El Public Utility (Instruction D)
❑ Leasing units (lots, townhomes, etc. skip to Item B(3)) ❑ Homeowner Assoc./Developer (instruction E)
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
Town of Franklin
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
Franklin WWTP 4b. NCO021547
Name of WWTF WWTF Permit No.
Town of Franklin 15b. 8" 1Z Gravity 5c. unknown
Owner of Downstream Sewer Receiving Sewer Size 1E1 Force Main Permit # of Downstream Sewer (Instruction F)
The origin of this wastewater is (check all that apply)_
❑ Residential Subdivision ❑ Retail (Stores, shopping centers) 100 % Domestic/Commercial
N Apartments/Condominiums ❑ Institution % Industrial
❑ Mobile Home Park ❑ Hospital
❑ School ❑ Church (Attach Description)
❑ Restaurant ❑ Nursing Home % Other
❑ Office ❑ Other (specify):
_..__________tAttach..Descciotion.l.
Volume of wastewater to be allocated or permitted for this particular project: 15,120 gallons per day
*Do not include future flows or previously permitted allocations
If the permitted flow is zero, indicate wily:
❑ Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit No.
❑ Rehabilitation or replacement of existing sewer with no new flow expected
(see 15A NCAC 02T .0303 to determine if a permit is required)
FTA 08-13 APPLICATION Page 4 of 6
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Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item 13(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f).
12 units at 1 bedroom each at 120 GPC/bedroom = 1,44010,
30 units at 2 bedrooms each at 120 GPD/bedroom = 7,200""
18 units at 3 bedrooms ea h at 120 GPD/bedroom = 6,480
Total = 15,120 GPD / 0\�
0. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
inches Length (feet) New Gravity or Additional
Size
(inches) Force Main
a 833.5 Gravity
1. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
Station Location ID: N/A (self chosen - as shown on plans/map for reference)
itude:
Design Flow
(MGD)
Latitude:
Operational Point; Power Reliability Option
GPM @TDH 1 - permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
Station Location ID: N/A (self chosen - as shown on plans/map for reference)
de:
Design Flow
(MGD)
Latitude:
Operational Point, Power Reliability Option
GPM @TDH , 1 - permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
2. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
Yes ® No If Yes, permit number of 2"d treatment facility :
RO — if "yes" to 13,12 please contact the Central Office PERCS Unit)
3. Does the sewer system comply with the Minimum Design Criteria for the Permitting of Pump Stations and Force Mains
(latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as applicable?
® Yes ❑ No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
FTA 08-13 APPLICATION Page 5 of 6
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4. Have the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401 Certification?
❑ Yes
❑ No
N N/A
Sedimentation and Erosion Control Plan?
N Yes
❑ No
❑ N/A
Trout Buffer Waiver?
❑ Yes
❑ No
N N/A
Stormwater?
N Yes
❑ No
❑ N/A
5. Does this project include any high priority lines (15A NCAC 02T .0402 (2)) involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
a.
if Yes: ❑ and provide details:
Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1, Summer Woodard Town Manager attest that this application for Indiqo Apartments has been reviewed
by me and is accurate and complete to the best of my knowledge. 1 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. Note: In accordance with North Carolina General Statutes 143-
215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any
application shall be guilty of a Class 2 misde nor, which may include a fine not to exceed $10,000 as well as civil
genak�es up to $25,000 per viol tion. _
Official Signature Date
v ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
TO OTHER UTILITIES, DESIGN CALCULATIONS, ETC. REFER TO 15A NCAC 02T .0305
Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
11 Todd Poteet. PE attest that this application for Indigo Apartments has been reviewed by me
and is accurate, complete and consistent with the information in the engineering plans, calculations, and all other
supporting documentation to the best of my knowledge. 1 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 adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump
Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with Division guidance.
Although other professionals may have developed certain portions of this submittal package, inclusion of these materials
under my signature and seal signifies that 1 have reviewed this material and have judged it to be consistent with the
proposed design. Note: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who
knowingly makes any false statement, representation, or certification in any application 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 $25,000 per violation.
Todd Poteet wa.
Professional Engineer Name .......... ......_._ ....West Consultants, PLLC
.E.ngineering Firm ........ ............. .. ...... o o _
SM
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405 South Sterling Street I o
Mailing Address
® o o
Morganton 2e NC 2f. 28655
City State Zip_ _ _................. `®0®®J
_ .__ Og�p 9 ZI®®
828-433 5661 €2h. 828-433-5662 12i tpoteet@west-consultants.com
Telephone I Facsimile I E-mail _ _ _ _ NC PE Seal,§�iqnature &_Date
FTA 08-13 APPLICATION Page 6 of 6
Franklin
Indigo Apartments Project Narrative:
A new sewer main is being installed for the construction of new single family apartment units. The new
apartments are a mix of 1, 2 and 3 bedroom units. The system is going to serve 60 units and could be used
to serve additional units in the future. The line being proposed is an 8" PVC main line connected'to an
e isting outfall line located along Cartoogechaye Creek, which is owned and maintained by the Town of
Franklin.
Q
State of North Carolina
w Y-
4 Department of Environment and Natural Resources
- -43 Division of Water Resources
MA,,,nk)n of wate> r . , c r.; r e sa Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 08-13)
Project Applicant Name: Town of Franklin
Project Name for which flow is being requested: Indigo Apartments
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Town of Franklin WWTP
b. WWTP Facility Permit #: NC0021547
All flows are in MGD
c. WWTP facility's permitted flow 1.650
d. Estimated obligated flow not yet tributary to the WWTP U
e. WWTP facility's actual avg. flow . ?$-Od
f. Total flow for this specific request .017
g. Total actual and obligated flows to the facility , ^l,j—by
h. Percent of permitted flow used 5-5- al?d
11. 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 Obligated,
Pump Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity,* (Firm / pfl, Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
eiUefU V(J 66 ►026 %-1) i026
bivision of 4yaler Resourrvs
Water Quality M gion,=! Opr•-atir -_
* The Firm Capacity 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.
*** 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.
Page 1 of 6
FTSE 08-13
,
III. Certification Statement:
I Summer Woodard 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 H plus all
attached planning assessment addendums for which I am the responsible party. Signature of this
form indicates acceptance of this wastewater�ow.
SigninV Official Signature
Date
Page 2 of 6
FTSE 08-13
tr.,._ : b i.._ .
Division of Water Resources
FEB 2 2 2016
Water Quality Regional Operations
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