WQ0041804_Application (FTSE)_20200706

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: w/ �}Oi FO (to K, compicied by DWR)
?-
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. 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 I5A NCAC 02T .0106 b
Title: City Enaineer
4. Applicant's mailing address: 225 E. Weathers oon Street NC Uepr of Environrttental Quality
City: Sanford State: NC Zip: 27331-
5. Applicant's contact information: JUL6 2020
Phone number: (919) 777-1 119 Email Address: [e-mail]
01- wtc)-17 Ral�i�3 Regional Office
II. PROJECT INFORMATION:
1. Project name: Cox Maddox Raad Sewer Extension
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: Lee
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.4435: Longitude: -79.I 153
5. Parcel ID (if applicable): 9661-56-7416-00
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
i. Professional Engineer: Jarrod E. Hilliard License Number: 035670
Firm: Hilliard Engineering. PLLC
Mailing address: PO Box 249
City. Sanford State: NC Zip: 27331-
Phone number: 919 352-2834 Email Address: 'hilliard@hilliardenE!incerinp-.com
hilliardeneincerine.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Bilg Buffalo Waste Water Treatment Plant Permit Number: N00024147
Owner Name: City of Sanford
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS_'J)J l 7—
Owner Name(s): C i1y of Sanford CL__
FW1DhA• CTA Ai 14

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 De%eluner's Operational r12recment I101I kl_ DFV) been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a l lome'Pro em O%%ners' Association. has an O erational AL,.reement FORh1: I IOA 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 l dental ! veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church
El Businesses /offices /factories Swimming Pool/Filter Backwash
❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
_ % Industrial See 15A NCAC 02 1- 0103 20 )
2Is there a Pretreatment Program in effect? ❑ Yes [:]No
6. Has a flow reduction been approved under 15A NI CAC 02 I' ; )1 14(f)? ❑ Yes ® No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01 14(r)]
Residential
Daily Design Flow °-e
120 gaVday
aali
gal/
gala
gall
gall
No. of Units Flow
42 5040 GPD
GPD
GPD
GPD
GPD
GPD
Total 5040 GPD
a See 15A NCe\C 02T .01 14(b),„(d). (e)(I )and (e)(21 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 .01 14(c), design flow rates for establishments not identified [in table i SA 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: 5040 GPD (per 15A NC,%C gf .01 14)
Do not include future flows or previously permitted allocations v
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

VI1. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305, & NIDC Gray its Severs
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 640 PVC
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)
Y Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .03t); & ,M1IDC (Pumn Stations/Force plains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
Pump station number or name:
2. Approximate Coordinates (Decimal Degrees); Latitude:. _t - Longitude: -___s�
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(1 ):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B)_
9 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 na_ 1 ti

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
I. Does the project comply with all separations found in 15A NCAC 02T .0305( f) & e)
15A NCAC 02T.0305() contains minimum senarations that chn11 tiP nrnvirtPri rnr cwtvar �.
® 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)
IS 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 l 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 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 ools
10 feet
Final earth grade (vertical)
36 inches
➢ 15A NCAC 02T.030.5f_) contains alternatives where separations in 02T.0305(cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
➢ If noncompliance with 02T.0305(f) or (��). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No
➢ 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 all setbacks found in the river basin rules per 15A NCAC 02B ,0200? ® Yes [:]No
➢ This would include Trout Buffered Streams per I5A NCAC 2B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ No
r 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 _15A NCAC 02T.0105(c)( ) (additional permits/certifications)?
® Yes ❑ No
Per I M 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 021'.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 permilee's individual System -Wide Collection permit.
FORM- PTA 04-I0;

X. CERTIFICATIONS:
1. Does the submitted system comply with I5A NCAC 02T, the I'vlininn1111 Design Criteria for the Permitting of PumpStations
and Force Nlains (latest version). and the Gravity Se%%er 4linimum Desi�sn 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 of the Fast Track Application and suiwortinE documents.
2. Professional Engineer's Certification:
1,
---'Jr0 r alto
Hrl.11-e-lr,
(Professional Engineer's name from Application Item 111.I.)
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 143-215.613, 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):
attest that this application for
(Signature Authority's name & title frApplic 'on Item 1.3.)
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
statement, representation, or certification in an
include a fine not to exceed $10,000 as well as
Signature:
y
143-21 i.6A and 143-215.6B, any person who knowingly makes any false
application package shall be guilty of a Class 2 misdemeanor, which may
vt pena tt to $25,000 per violation.
Date:
tinDAR. rTA n-1 IC

State of North Carolina
Department of Environmental Quality
J ` Division of Water Resources
DINIslon of %�atvr Resource.. Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: City of Sanford
Project Name for which flow is being requested: Cox Maddox Road Sewer Extension
More than one FTSE real' be required for a single project if the owner- of the fiJUP is trot 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 #: NC0024147
Al! flotvs are in tYIGD
c. WWTP facility's permitted flow 12.0
d. Estimated obligated flow not yet tributary to the WWTP 9.63980 I
e. WWTP facility's actual avg. flow 5.733
f. Total flow for this specific request 0.00504
g. Total actual and obligated flows to the facility 5.73804
h. Percent of permitted flow used 47.82%
It. Complete this section for each pump station you are responsible for along the route 0 t-iis
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(ti+C) (E)=(A-D)
Desi-n Obligated,
Pump Avera-e Daily Approx. Not Yet Total Current
Station Firm Floe ax Current Al,,. Tributary Flow Plus
(Name or Capacity,:, (Firm / po. Daily Floe, Daily Flow, Oblicated Available
Number) NIGD NIGD NIGD NIGD Flow Capacit)'s""
Carr
0.99648 0.398592 0.36576 .00504 0,3708 .027792
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.
Downstream Facility Name (Sewery City of Sanford C011ection System
Downstream Permit Number: WQCS00047
Page 1 of 6

111. Certification Statement:
I Paul M. Weeks, JR, PE 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
(lie 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 Iisted above in Sections I and II plus all
attached planning assessment adden
form indicates acceptance of this wq
Signing Off i'cial Signature
which I am the responsible party. Signature of this
flo
Page 2 of 6

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2020
NCDEQ, DWR, Raleigh Regional Office
Water Quality Section
1628 Mail Service Center
Raleigh, NC 27699-1628
Re: Cox Maddox Road Sewer Extension
HE#: SF2005.300
Please find enclosed the following:
HILLIARD
ENGINEERIPIG
1. One (1)-Original and One (1)-Copy of Fast -Track Application and Supporting Documents
2. Check #: 2 6 in the amount of $480.00 for application fee
This project is being submitted for gravity sewer extension approval. The project required an
approximate 600 If extension of the existing gravity sewer system on Cox Maddow Road in order for the
existing gravity system to reach the project property.
The project provides sewer access to fourteen (14)-existing three (3)-bedroom homes. The daily
design flow for the project is 120 gallons/day/bedroom for a total of 5,040 gal/day design sewer flow.
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
P.0 Box 249, Sanford, NC 27331
Page 1
NC License No P-
0836
phone [phone]
jhilliardit Ifiardenglneering corn