WQ0041803_Application (FTSE)_20200706

DWR
Division 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: L ✓11) oy [60 � (to be completed by owR) `
All items must be completed or the annlication will be returned ✓v c/
I. APPLICANT INFORMATION:
I. Applicant's name: City of Sanford (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Paul M. Weeks. PE per 15A NCAC 02T .010f b
Title: Ci1y En ineer
4. Applicant's mailing address: 225 E. Weathers oon Street NC Dept oF13n V r0n nenda] Qttalrt
City: Sanford State: NC Zip: 27331- 3
Z�
5. Applicant's contact information: JUL
Phone number: 919 777-1119 Email Address: paul.weeksesanfordnc.net p
11. PROJECT INFORMATION: i't1 a I^y, I] Peg'011aj Ql eC
1. Project name: Westwood Drive Sewer Extension
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ0034106 and issued date: 06? 10l2009
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: 35.4975:' Longitude:-79.2189
5. Parcel ID (if applicable): 963346-927 1 -00
(or Parcel ID to closest downstream sewer)
I11. CONSULTANT INFORMATION:
1. Professional Engineer: Jarrod E. Hilliard License Number: 035670
Firm: Hilliard EngineeringALLC
Mailing address: PO Box 249
City: Sanford State: NC Zip: 27331-
Phone number: 9( 19) 352-2834 Email Address: jhilliard &hilliardengineering.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Big Buffalo Waste Water Treatment Plant Permit Number: NCO024147
Owner Name: City of Sanford
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQJ4106 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable); WQCS00047
Owner Name(s): City_of Sanford
F:AD%4. r-rA A.1 14 i, r

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 ®NIA
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORhI: DEV) been attached?
❑ Yes []No ®N/A
3. If the Applicant is a 1-1ome'Pro ert% O«ners' .-1ssociation. has an O erationaI Agreement t FORM: 1-IOA 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 preparatioNservice ❑ Hotel and/or Motels
❑ School / preschool I day care ❑ Medical I 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 021-.0103 20 )
bIs there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02,r .01 1 1(t)? ❑ Yes ® No
D If yes, provide a cony of flow reduction aDvroval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow a.b
No. of Units
Flow
Residential
120 gal/day
4
480 GPD
gal:`
GPD
gal;
GPD
gall
GPD
gal.,
GPD
gal!
GAD
Total
480 GPD
a See 15A NCAC 02T .01 14(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.01 14] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 480 GPD (per I5A NCAC 021 .0114)
> Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
0 Other (Explain):

V11. GRAVITY SEWER DESIGN CRITERIA (if Applicable) - 021'.0305 & MI)C Grm itN Setif ers
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 60 PVC
Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
Section Ill contains information related to minimum slopes for gravity sewer(s)
i- Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VII1. 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)
A. 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 I5A_NCAC 021 .0'305 h)(l ):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(l)(B)_
i 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):
r It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage.

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in _15A NCAC 02 f .0305(f) & fg,►
➢ 15A NCAC 02T.0305(f) 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)
l8 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-1 waters of Class I or
Class II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-1 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 buildin 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.030561 contains alternatives where separations in 02T.0305 cannot be achieved.
➢ *"Stream classifications can be identified using the Division's NC Surface Water Classifications web ag,e
➢ If noncompliance with 02T.0305(f) oi- L1_ see Section X of this application
Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No
i- Seethe 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 all setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ No
➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
Information can be obtained from the 401 & Buffer Permitting, Branch
5. Does project comply with I3A NCAC_02T.O105(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 I5A 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
➢ 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- PTA Ad- I A

X. CERTIFICATIONS:
I. Does the submitted system comply with 15A NCAC 02T, the ,Minimum Design Criteria t'or the Permilfing ol' Pump Stations
and force, Mains (latest version). and the Gravity Se: %er iVlininwni Design Criteria (latest version 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 submittal or the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
,11
1, Lin V i 41 attest that this application for
(Professional Engineer's name from Application Item III. I.)
W e,54w oocl D/, 1 VP 5� &,jer uC X 7vtS16 n
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 die 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 sea] 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):
A
(Signature Authority's name & title
1, iJ v �.v —
Oni AppN 'pn Item 1.3.)
attest that this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this 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 143-21 S.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as wSILassivil penalties up to $25,000 per violation.
Date:
FORM- FTA 04-IF 1 a.,,.a c Fc

NC Dept of Environnlent',11 ity
_ JUL - 2021) State of North Carolina
Department of Environmental Quality
Division of Water Resources
is A 1 yr I ryh
Ruleipli Regional Office
N%Islon of %%%ter Resources Flow TrackmWAcceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: City of Sanford
Project Name for which flow is being requested: Westwood Drive Sewer Extension
More than one FTSE roar be required fora single project if the ou uer of the IVII'TP is not reapousible for ctlf pump
Stations along the route oj'the proposed waste+rater flow,
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Big Buffalo Waste Water Treatment Facility
b. WWTP Facility Permit #: NC0024147
All flows are in MGD
c. WWTP facility's permitted flow 12.00000
d. Estimated obligated flow not yet tributary to the WWTP .94802
e. INVWTP facility's actual avg. flow 5.7330
f. Total flow for this specific request .00048
g. Total actual and obligated flows to the facility 6.6862
h. Percent of permitted flow used 55.68%
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)
Desi4_n Obligated,
Pump Averaoe Daily Approx. Not Yet Total Current
Station Firm Flow"'-* Current A%o Tributary Flow Plus
(Name or Capacity, " (Firm / pl), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD NIGD Flow Capacity***
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved ►vith 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.
Downstream Facility Name (Sewer): City of Sanford
Downstream Permit Number: 34106
Page I o f 6

Ill. Certification Statement:
I Paul M. Weeks Jr. 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 ie%ver 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 indicates acceptance of this wastgvater-flow.
Signing Official Signature
x k
-A` ^ 5_
Date
Page 2 of 6

wzs�L„�
,� 0'�Ic Sewer Extension Stream Classification
Stream Index -
Stream Name -
Description:
Classification-
Date of Class.
17-40
Big Buffalo Creek
From source to Deep River
C
August 31 1974
What does this Class. mean? More info
River Basin- Cape Fear

IINITlTmzjH7#ll lh ft
!kAigrURD OUAVhCLC f
t** rIhW oF mumIChL m
��y+w �►RR'r6Y ~jw IRf'IFiy~i9RA' . `
,[-ram ,e! �T�:���J �'�h"- _�+ ' r �♦ .ram � -�Y .�'. �''�,t `�I"'S'- '1 �.
40
�. rfT -- �� _ M1 r IJ 4f.'i �. '�,�� �� '�: �' � �'' �'r T _ ✓1
_
r 4
r rtiJ� ; GC �-- '' � - �r;�_ - i'; � 2. ,r:. �v'Y. �y'��� -'.y .�„ k -•r .5 . .._ ._2 F���14 *:-v� +�-
++ -� 1 .:} L+ , Y '• 1�:1-'1 .F . •+ ry — it i Y�. :t # I •+k ,. + ` k4
l�f,Y�!' : • �' 'y. {+ �'' I J a '� 'y-. �' . '�.: �{}'r: ' I' 3 I , k-./.Cf }�L�' .. .,y. � w
_ y' y •. _ %'I v. i-'� 1'.,. 1 d._ !.' t"+L41 _'yam- �+l '. •# Y •'VI
y; .;'I
I r r y `'x
JL
k.
_ _ .�_+.i'},� �'Ke'�I - :• } � 5 � Y '4 + 3 - 1 may+
YLI/Ni.M ,ir$ i,411W IY+•F {
�,..,.+w[e'--rw+wFr....«[ti i ; � .� .. �.: "'a •ram
[i'1 .f�yl[r� Tu•' _ , .. •lx4r � wwr
i'...[....•—
i,��w,Ywi
.-Y,lIs4MWw: �...: �... ,. .,: .:: ,. s, Fx:aw ,... Nhrr •4t:4 Jwiri.
SEF p m
ryY aFr/+i+'• It r'Wrr .:r Mxr WYrr•-..r n w'[Y,: .,r .'-.,.r Y..:+ri ,, ::: •YlIJ [:.i a i ri
wpryra["�iOLRartaiA

N
O�
n
Q
eel
O�
C�
Q
ri
Oi
O
o,
o.
�-i
ng
�1
E
C3
# 00
O
u
N
O
v
�
o
N
Q
O
CO
m
D
9
n
cc
a
®t
PEP
W
Q
O
D
�D
N 2'
� W
�4
.F
1 y
!W
VON
Ide
z
O F
2 =
00
a-
c
�z
u
^
ofO
U] Q
❑
W
W
o
CL
mm
{L
W
LL
x
<
� W
J
F 1
F
H
{.
L
111 F-
N C
W
CF)
W
-
wo
O
t1
CA
a.
a
cn
0
o
0
^

June 25, 2020
NCDEQ, DWR, Raleigh Regional Office
Water Quality Section
1628 Mail Service Center
Raleigh, NC 27699-1628
Re: Westwood Drive Sewer Extension
HE#: SF2004.300
Please find enclosed the following:
HILLIARD ENG NEERN.:;
NC Dept of Fn4ironmental Quality
1,►� -- 6 21121)
Ralcip-li Regional Office
1. One (I) -Original and One (1)-Copy of Fast -Track Application and Supporting Documents
2. Check #: a 4 6 o in the amount of $480.00 for application fee
This project is being submitted for gravity sewer extension approval. The project required an
approximate 60 If extension of the existing gravity sewer system in order for the existing gravity system
to reach the project property. The project is a proposed residential lot with 4 bedrooms @ 120
gallons/day/bedroom for a total of 480 gal/day design sewer flow allocation.
If you have any questions, or require additional information related to the aforementioned
project, please do not hesitate to contact me at this office.
Sincerely,
Jarrod E. Hilliard, PE, CFM
Hilliard Engineering, PLLC
Copy to; File- SF2004
Page 1
P 0 Box 249, Sanford NC 27331 NC License No P•0836
phone [phone] jhilliard@hiIlia rdengineering com