WQ0041761_Application (FTSE)_20200617

Dbftlon of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number:' U 0 t f f (to be completed by I)WR)
All items must be comufeted or the aonlication will be rggµrned
1. APPLICANT INFORMATION:
I. Applicant's name: CITY OF SANFORD (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ® Municipal
3. Signature authority's name: PAUL WEEKS PE per 15A NCAC 02T .0I0fi Ub
Title: CITY ENGINEER
4. Applicant's mailing address: PO Box 3729
City: SANFORD State: NC Zip: 27331-3729
5. Applicant's contact information:
Phone number: (UD 777-1119 Email Address: Paul.weeksnsanfordnc.net
11. PROJECT INFORMATION:
1. Project name: WEST P INTE AT AUTUMNWOOD PHASE 1
2. Application/Project status: ® Proposed (New Permit)
,(�., �✓N1N 1
❑ Privately -Owned Public Utility _
❑ Other
NC Dept of Environment 1 Quality
J0U�l�AO G�
^
4 /
Raleigh Regional Office
1
❑ Existing PennitTroject
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: LEE
4. Approximate Coordinates (Decimal Degrees): Latitude: 35,5070 Longitude: -7 .2 577
5. Parcel ID (if applicable): Lee Coungy Pin # : 9643- -7fi 2-0
(or Parcel 1D to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: KEN W BRIGHT License Number: 17177585
Firm: KEN BRIGHT ASSOCIATES PLLC
Mailing address: PO BOX 553
City: SANFORD State: NC Zip: 2 31-0553
Phone number: (2M 776- 3444 Email Address: kwbfight(akenbriahtenaineering,com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: BIG BLWFALO WASTEWATER TREATMENT PLANT Permit Number. 0024147
Owner Name: CITY OF SANFORD
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ0931457 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Numbeds) (if applicable): WQCSja0 4 ?-
Owner Name(s): City of Sanford
FORM: FTA 04-16 Pagel of5

VI. GENERAL REQUIREMENTS
I. 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: D V been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a I lome/PrDpe9y Owners' Association has an Operational Agreement (FORM: H A been attached?
❑ Yes [--]No ®NIA
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: J QQ% Domestic/Commercial % Commercial
% Industrial See 15A NCAC 02T .0 103(20 )
a -Is there a Pretreatment Program in effect? ❑ Yes [:]No
6. Has a flow reduction been approved under 15A NCAC 02T .0I 14(f)? ❑ Yes ® No
D If Y%, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.91140
Daily Design Flow "b
No. of Units
Flow
RESIDENTIAL
480 gal/UNIT
33
15,840 GPD
gal/
GPD
gall
GPD
gal/
GPD
Sal/
GAD
gal/
GAD
Total
15,840 GPD
L"/
a See 15A NCAC 02T .0I 141b1. (d). (e)(I) 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-41.
b Per 15A NCAC 02T .01 14(c), design flow rates for establishments not identified [in table I SA NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
S. Wastewater generated by project:11840 GPD (per 15A NCA 2T .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):
I. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
1835
PVC
8
245
DIP
➢ Section 11 & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section HI 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):
PLETE 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 .03051h )(1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(hxl)(H).-
➢ 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

IX. SETBACKS & SEPARATIONS — (0213.0200 & 15A NCAC 02T .0305(i)):
1. Does the project comply with all separations found in 13A NCAC 02T .0305(f) & (g) ® Yes ❑ No
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall he nrnvided fnr sewer systemv
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 Cyertical - 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 1 or
Class 11 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 S13 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.
D "Stream classifications can be identified using the Division's NC Surface Water Classifications webaase
➢ If noncompliance with 02T.0305(t) or (g). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No ® NIA
➢ 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 ® NIA
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6l (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02'r.O1 OS(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 ❑ NIA
➢ 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-I6 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with I SA NQAC 02T. the N&!mum Pgsien Criteria for the Permitting of Pume cr tions
and Foro Mains (latest version), and the Gravily SlWer.Minimu m Dosiga't a t v rsi n as applicable?
® Yes ❑ No
IfNo, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. &.RMal of the request is required prior to L M=Lof the Fast Track AppfiMft and IuRportlaa documents
2. Professional Engineer's Certifica#ion:
1, _pen vv. t5rigni attest that this application for
(Professional Engineer's name f vm Application Item III.I.)
West Pointe at Autumnwood Phase 1
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):
i. Pntil Wewk� `��, \ Z.
that this application for
(Signature Authority's name &i title from t i'on Item 1.3.)
West Pointe at Autumnwood Phase 1 \
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of
Us application are not complated 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 foray 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
statement representation, or certification in aq
include a fine not to exceed $ 10,000 as well itc
Signature:
143-215.6A and - 1 13 any person who knowingly makes any false
�lkatkm package shall be guilty of a Class 2 misdemeanor, which may
A penalties W,000 per violation.
late.
-
FORM FTA 04-16 Page 5 of 5

KEN BRIGHT ASSOCIATES, PLLC
Consultina Enaineers
June 16, 2020
Mr. Ted Cashion
North Carolina Division of Environmental Management
Division of Water Quality
1628 Mail Service Center
Raleigh, NC 27699-1628
Re: West Pointe at Autumnwood Phase 1 Sewer Extension
Lee County
Dear Ted:
Enclosed please find the following documents:
1. The fast track sewer application.
2. Form FTSE 04-16
3. A check for the amount of $ 480.00.
4. A Color copy of a USGS Topographic map.
5. A Street level map.
6. A Vicinity Map
NC Dept of Environmental Quality
JUN 17 2020
Raleigh Regional Office
The project consists of the extension of approximately 2,080 LF of 8" PVC & DIP pipe
to serve new 33 residential lots.
If you have any questions please feel free to contact me.
I would appreciate your reviewing these as soon as possible. If you have any questions
please feel free to contact me.
Sincerely,
Ken W. Bright, PE
File: project20201HH West Pointel5ewer : Letter Sewer App West Pointe Phase 11 doc
P.O Box 553 Phone: [phone]
2305 Carthage Street
Sanford, NC 27330 e-mail, [e-mail]

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WEST POINTE ATAUTUMNWOOD PHASE 1 - USGS MAP

I

State of North Carolina
Department of Environmental Quality
Division of Water Resources
nl+lslon of «ater Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: CITY OF SANFORD
Project Name for which flow is being requested: West Pointe at Autumnwood Phase I
Alore than one FTSE may be required for a single project if the owner of the IVWTP 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: Big Buffalo WWTP
b. WWTP Facility Permit #: NCO024147
All flows are in MGD
c. WWTP facility's permitted flow 12.0
d. Estimated obligated flow not yet tributary to the WWTP 9.63980
e. WWTP facility's actual avg. flow 5.733
f. Total flow for this specific request .01584
g. Total actual and obligated flows to the facility 5.74884
h. Percent of permitted flow used 47.91 %
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 Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm / pl), Avg. Daily Daily Flow, Obligated Available
Number) No, MGD MGD Flow, MGD MGD Flow Capacity*"
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped now
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, 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):
Downstream Permit Number:
Page I of 6
FTSE 10-18

III. Certification Statement:
I Paul M Weeks JR, P.E. 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 ll plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form cert' ies that the receiving collection system or treatment
works has adequate capacity to transport and treat ie prc sed new wastewater,
Signing DffIcial Signature
Title of Sigr 'rig O�frcin
Date
Page 2 of 6

Cashion, Ted
From: Martha Bright <[e-mail]>
Sent: Monday, June 22, 2020 12:48 PM
To: Cashion, Ted
Cc: 'Paul Weeks; [e-mail]
Subject: RE: [External) RE: West Pointe at Autumnwood Phase 1 fast track sewer extension
application
Attachments: FTSE_West Pointe Ph I.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to [e-mail]<mailto:[e-mail]>
Ted,
Attached is the FTSE form.
Sincerely,
Martha Bright, PE
Ken Bright Associates PLLC
P.Q. Box 553
2305 Carthage St.
Sanford, NC 27331
[phone]
[e-mail]
https:Hurldefense.com/v3/_,,,_http://www.kenbrightengineering.com_;!! HYmSToo!PAginkhTgYz-
oytnM62hTHxWmG72EVFmTkxi7EY6J9sQ81xjaVB7xAQZjtinT8Dbm4Gk$
-----Original Message -----
From: Cashion, Ted <[e-mail]>
Sent: Friday, June 19, 2020 2:28 PM
To: Martha Bright <mabright@ kenbrightengineering.com>
Cc: Paul Weeks <[e-mail]>; [e-mail]
Subject: RE: [External) RE: West Pointe at Autumnwood Phase 1 fast track sewer extension application
I'm sorry Martha, this is what we need. See link below:
https:Hfiles.nc.gov/ncdeq/Water+Quality/Surface+Water+Protection/PERCS/WCS+
%28Sewer+Extension%29/FTSE-10-18.docx
thx
ted

Cashion, Ted
From: Cashion, Ted
Sent: Friday, June 19, 2020 1:08 PM
To: PAUL WEEKS; Ken Bright
Cc: Robinson, Jason
Subject: West Pointe at Autumnwood Phase 1 fast track sewer extension application
Hi Paul and Ken,
We received the subject application 6-17-20. A cursory review showed that there was not a FTSE form submitted with
the application.
You may email us a completed form and we'll include it with the application.
Thanks and have a good and safe weekend.
ted
Ted Cashion
Water Quality Regional Operations
Division of Water Resources
NC Department of Environmental Quality
Raleigh Regional Office
919-791-4254
[e-mail]
1628 Mail Service Center
Raleigh, NC 27699-1628
3800 Barrett Drive
Raleigh, NC 27609
ihpu:nert cs Imrcrnxr.W [3cah�
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