WQ0041722_Sewer Extension_20200601

REGLIFLU State of North Carolina
DEO/DWR Department of Environmental Quality
DWRJ 01 2020 Division of Water Resources
15A NCAC 02T .6300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dlvislon of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
WORn.;
y Evi«E� l I
Application Numbe%C k OF I (to be completed by DWR)
All items must be comaleted or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Southern Pines (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ® Municipal
3. Signature authority's name: James Michel P.E. per 15A NCAC 02T .0106(b)
Title: Town En ig neer
4. Applicant's mailing address: 140 Memorial Park Ct.
City: Southern Pines State: NC Zip: 28387-
5. Applicant's contact information:
Phone number: 910) 692-1983 Email Address: imichel(&southernpines.net
II. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
1. Project name: Townhomes on Iowa Ave. and Wisconsin Ave.
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: Moore
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.1023' Longitude:-79.2409'
5. Parcel ID (if applicable): 857108986159
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: David T. Upchurch, PE License Number: 9570
Firm: Double D Engineering PLLC
Mailing address: 150 S. Page Street
City: Southern Pines State: NC Zip: 28387-
Phone number: [phone] Email Address:
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Moore County Water Pollution Control Plant Permit Number: NCO037508
Owner Name: Moore County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): Town of Southern Pines
FORM: FTA 04-16 Page 1 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
❑ 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. Has a 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 021.0114n
Daily Design Flow''b
No. of Units
Flow
Single Family Residence
360 gal/day
8
2880 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
2880 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.01141 shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 2880 GPD (per 15A NCAC 02T .0l 14)
➢ 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 be permitted:
Size (inches)
Length (feet)
Material
8
55
DIP
➢ 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: 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 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 - 15A NCAC 02T .0305(h)(1)(B).
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations'
storage capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be
provided in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(t)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & W
➢ 15A NCAC 02T.0305 contains minimum separations that shall be provided for sewers stems:
® Yes ❑ No
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(a) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpaQe
➢ If noncompliance with 02T.0305(]f or U1 see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No ® N/A
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes ❑ No ® N/A
➢ This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ® No ❑ N/A
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with the
and the as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents
for review. Approval of the request is required prior to submi-ttal of the Fast Track Application and supportinE
documents.
2. Professional Engineer's Certification:
Engineer's name from Application Item llI.l.)
attest that this application for
has been reviewed by me and is accurate. complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best
of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain
portions of this submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this
material and have judged it to be consistent with the proposed design.
NOTE -- In accordance with General Statutes 143-215.6A and 143-215.6B, 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 $l0,000, as well as civil penalties up to $25.000 per violation.
i..... ._. ... ....
., ... _........ _
North Carolina Professional Engineer's seal, signature, and date:
Ile-
.... .......... ...:.. ��' �'� 4 ...
3. Applicant's Certification per 15A NCAC 02T .0106(b).
1 �1 �/f '�� ,^ e
- l ! �l �oW4 i /� _ attest that this application for
(Signature A hority's name & title from Xpplication
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a
condition of this permit be violated. I also understand that if all required parts of this application package are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to
me as incomplete.
NOTE In accordance with General Statutes and , 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: aZ .� ca t?
-----_---- -�� — ------ .__ __ __. Date: - —
FORM: FTA 04-16
Page 5 of 5

hul
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Town of Southern Pines
Project Name for which flow is being requested: Townhomes on Iowa & Wisconsin Ave.
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: Moore County Water Pollution Control Plant
b. WWTP Facility Permit #: NCO037508
C. WWTP facility's permitted flow 10 All flofvs are in MGD
d. Estimated obligated flow not yet tributary to the WWTP .69410
e. WWTP facility's actual avg. flow 4.5735
f. Total flow for this specific request 0.00288
g. Total actual and obligated flows to the facility 5.270
h. Percent of permitted flow used 52.70
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
Obligated,
Pump
Average Daily
Approx.
Not Yet
Total Current
Station
Firm
Flow**
Current Avg.
Tributary
Flow Plus
(Name or
Capacity, *
(Firm / pf),
Daily Flow,
Daily Flow,
Obligated
Available
Munber)
MGD
MGD
MGD
MGD
Flow
Capacity* * *
SP 4
5
2
1.048
.02988
1.077
.923
* 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 (pt) 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.
Downstream Facility Name (Sewer): Moore Co. Water Pollution Control Plant
Downstream Permit Number: _ WQCS00034
Page 1 of 6
FTSE 04-16

Pq , �
III. Certification Statement:
I Randy G. Gould 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 indipqes acceptance of this wastewater flow.
Page 2 of 6
Date
FTSE 04-16

Downstream Sewer Evaluation
Iowa Ave and Wisconsin Ave. Townhomes
8" Diameter PVC Pipe at 1.00% Grade
8 Single Family Townhomes at 360/GPD = 2880 GPD
2880 gpd times 2.5 Peak Factor = 7200
MODEL:
Input Parameters
Data
Manning n for material
0.012
Slope (ft/ft)
0.005
Pipe diameter (in)
8
Slope min. (8"-18" pipe)
0.004
Slope min. (21"-36" pipe)
FALSE
Output
Pipe Diameter (ft)
0.667
X-sex area (1/2-full)
0.174
Hydraulic Radius
0.167
Hydraulic Radius ^ 2/3
6.303
Slope ^ 1/2
0.071
Velocity (ft/s)
2.659
Flow (cfs)
0.464
Flow (gps)
3.470
Flow (gpd) 1/2 Pipe
299,815
Flow (gpd) 3/4 Pipe
449,722
Flow (gpd) Full Pipe
599,630
Existing Gravity Sewer has sufficent capacity to handle current and future flow.
For the Downstream Sewer Pump Stations and Outfalls, Moore County Public Utilities
has built a hydrualic model of their sewer system and inserts all proposed flow into their Hydrualic System
prior to issueing the flow acceptance letter.

Project Cover Letter
Townhomes on Iowa Avenue and Wisconsin Avenue
The new 8" gravity sewer main to serve the Townhomes on Iowa Avenue and Wisconsin Avenue
Project will connect to an existing Town of Southern Pines 8" Gravity Sewer Outfall located along Iowa
Avenue about half way between Kensington Ave and the SE Service Road. The new 8" gravity sewer
main will extend 55 If with 1 new 4' dia. manholes to serve the development. The Townhomes on Iowa
Avenue and Wisconsin Avenue Project will serve approximately 8 single family townhomes @ 360
gpd/home for a total proposed flow of 2,880 gpd.
Downstream Sewer Evaluation
As shown with the attached calculations, the proposed gravity sewer inside the development and the
existing gravity sewer outside the development have the capacity to serve the proposed development.
Once the sewer reaches Southern Pines Pump Station #4, Moore County built a hydraulic model of the
existing sewer system from the pump station all the way back to the Moore County WWTP. Prior to
issuing the Flow Acceptance Letter, Moore County did their own evaluation of the capacity of their
downstream sewer and found they had adequate capacity to handle the additional flow.

Double D Engineering, PLLC
May 28, 2020
NCDEQ
Division of Water Resources
225 Green Street
Fayetteville, N.C. 28301
Attn: Trent Allen
Ref: Townhomes on Iowa Ave and Wisconsin Ave.
Permit Application
Transmittal
R���1VF.0
DEQIDWR
JuIv 01 Z020
WQROS
Please find attached two copies of the permit application, flow tracking letter, Cover
Letter, Site Map, downstream sewer evaluation and fee check for your review.
If you have any questions or need any additional information, please feel free to
contact this office.
DOUBLE D ENGINEERING, PLLC
Lee Humphrey, Project Manager
150 S. Page Street Southern Pines, NC 28387 PH: [phone]
Firm No. P-1275

RECEIVED
DEQIDWR
JUN 0 2 2020
J,.3SP
WQROS
"EffEVIR F WGIONALOFF►CE
No
DOUBLE D ENGINEERING, PLLC
150 S Page 5t
Southem Pines, NC 28381
PAY .
TO THE
ORDER OF

State of North Carolina
nWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Divislon of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: (to be completed by DwR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Southern Pines (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately�vi e,4Mfte 0ility
❑ Federal ❑ State/County ® Municipal ❑ Other DEQ/DWR
3. Signature authority's name: James Michel P.E. per 15A NCAC 02T .0106(b)
Title: Town Eng_meer J U N 0 2 Z nL ,1
.2; .
4. Applicant's mailing address: 140 Memorial Park Ct. WQR IS-P
?
City: Southern Pines State: NC Zip: 28387- FA�'1ttE-REGIOWOFFICE
5. Applicant's contact information:
Phone number: 910) 692-1983 Email Address: jmichelgsouthernpines.net
IL PROJECT INFORMATION:
1. Project name: Townhomes on Iowa Ave. and Wisconsin Ave.
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: Moore
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.1023' Longitude:-79.2409'
5. Parcel ID (if applicable): 857108986159
(or Parcel ID to closest downstream sewer)
PAY
TO THE
ORDER OF
DOUBLE D ENGINEERING, PLLC
150 S Page St
Southern Pines, NC 28387
0 e
BRANCH g0N,t PANY
2 OM
4W81&w
FOR
• � �� �,y .7 � r`+ � Imo' `'
Owner Name(s): Town of Southern Pines
1816
n 66-1121531
DATE .0
$ LA$O.`4
In RPE
DeW.an Eit
FORM: FTA 04-16 Page 1 of 5 1

Central Files: APS _ SWP
6/3/2020
Permit Number W00041722
Permit Tracking Slip
Program Category
Status Project Type
Non -discharge
Active New Project
Permit Type
Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
1.00 Individual
Primary Reviewer
Permit Contact Affiliation
stephanie.zorio
Coastal SWRule
Permitted Flow
2,880
Facility
Facility Name
Major/Minor Region
Townhomes on Iowa Ave. and Wisconsin Ave.
Minor Fayetteville
Location Address
County
Moore
Facility Contact Affiliation
Owner
Owner Name
Owner Type
Town of Southern Pines
Government - Municipal
Owner Affiliation
James Michel
PE
140 Memorial Park Ct
Dates/Events
Southern Pries NC 28387
Scheduled
Orig Issue App Received Draft Initiated
Issuance Public Notice Issue Effective Expiration
6/3/2020 6/1/2020
6/3/2020 6/3/2020
Regulated Activities
Requested /Received Events
Wastewater collection
Additional information requested
Additional information received
O utfa l l
Waterbody Name
Streamindex Number Current Class Subbasin