WQ0041836_Application (FTSE)_20200714

State of North Carolina
nWR
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: OQ (to be completed b% DWR) —
1
All items must be completed or the application will be returned
I. APPLICANT INFORMATION: Veil1, Applicant's name: Orange Water & Se►ver Authority (company, municipality, HOA, utility, ttc.) yr��KC
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ ately-Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ® Other
3. Signature authority's name: Todd Taylor PE per 15A NCAC_02'r .0106(b)
Title: Executive Director
4. Applicant's mailing address: 400 Jones Ferry Road
City: Carrhoro State: NC Zip: 27510-
5. Applicant's contact information:
Phone number. (919) 5374201 Email Address: marker a o%%asa.org
11. PROJECT INFORMATION: Z
C)
I . Project name: Habitat Ibr Humanitv Sanitary Sewer Extension 9 b
ro
.1
2, ApplicationlProject status: ® Proposed (New Permit) ❑ Existing Permit/Project - 4
If a modification, provide the existing permit number: WQOOand issued date: IC —
If new construction but part of a master plan, provide the existing permit number: WQOO —`
or. -r o-
3. County %there project is located: Orange zi
4. Approximate Coordinates (Decimal Degrees): Latitude:35.96508V Longitude:-79.028125 ' a
5. Parcel I D (if applicable)- O
(or Parcel ID to closest downstream sewer) NC Dept of En Quality - A
c
III. CONSULTANT INFORMATION:
JUL 2-1 2020
1. Professional Engineer. William Akin. PE License Number: 45959
Firm: Civil Consultants, Inc
Mailing address: 3708 Lvckan Parkway Suite 201 G�
City: Durham State. NC Zip: 27707-_
Phone number: [phone] Email Address: rand%,akin 4 civil-consultants.com
1V. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Mason Farm Wastewater Treatment Plant Permit Number: NC 0025241
Owner Name: OWASA
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ NA-'87 installation Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): 41'QCS00031
Owner Name(s): Orange Water &_Sewer Authorit%
FORM: FTA 04-16 Page I of

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,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] 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,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Chatham, Durham, Edgecombe, Franklin,
Raleigh Regional Office
1628 Mail Service Center
Water Quality Section
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] 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
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Alamance, Alleghany, Ashe, Caswell, Davidson,
Quality Section
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
_Water
Winston-Salem, North Carolina 27105
Stakes, Surry, Watauga, Wilkes, Yadkin
[phone]
INSTRUCTIONS FOR FORM: f:TA 04-16 K SUPPORTING DOCUMENTATION Page 3 of 3

VT. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate ot'Public Cnn%enience and Necessity been attached''
❑ Yes ❑No ®N/A
2. If the Applicant is a Developer of lots to be sold. has a De%cloner's Operational Agreement t QRNI: Df:V I been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a I-look/Pro erty Owners' Association. has an Operational Agreement (FORNI: I1OA) been attached?
❑ Yes ❑No ®NIA
4. Origin of wastewater: (check all that apply): Not Applicable - Flow to be allocated for future upstream development
❑Residential Owned ❑Retail (stores, centers, malls) ❑Car Wash
❑Residential Leased ❑Retail with rood preparation.'ser,ice ❑Hotel and/or Motels
❑ School / preschool / day care ❑Medical � dental I veterinary facilities ❑Swimming Pool Clubhouse
❑food and drink facilities ❑Church ❑Swimming Pool. -Filter Backwash
❑ Businesses / offices / factories ❑Nursing Home []Other (Explain in Attachment)
S. Nature of wastewater: °b Domestic/Commercial % Commercial
% Industrial (See I SA NCAC 02-l' .010,(20))
-Is there a Pretreatment Program in effect? ❑ Yes ® No
6. Has a flow reduction been approved under I SA NCAC 02T .0114f 11? ❑ Yes ® No
11'ves._nrovide_a copv of now reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0I 14(f)
Daily Design Flow "b
No. of Units
Flow
gal
GPD
gale
GPD
gale
GPD
gal,
GPD
gal}
GPD
gall
GPD
To---t
rat
GPD
a See I5A NCAC 02T .01 14h _ d e l and c 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 cast of the Atlantic Intracoastal Waterway to be used as vacation rentals
as defined in G.S. 42A4).
b Per I5A NCAC 02T .0114(c), design flow rates for establishments not identified [in table I5A NCAC 02T.01 141 shall
be determined using available flow data, water using fixtures, occupancy or operation patterns. and other measured data,
S. Wastewater generated by project: O GPD (per 15A NCAC 021- .0114)
i- Do not include future floes 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):Rcsidential (low will he covered under future fast track permit application.
FORM: FTA 04-16 Page 2 of

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305&',%IDC (Gravity Sewers):
1. Summarize gravity sc% er to be permitted:
Size (inches) Length (feet) Material
305 8 DIP
Section I I & 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
VII1. PUNIP STATION DESIGN CRITERIA (If Applicable) —02T .0305&,NIDC (Puma StationslForce Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. 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)
1. Operational paint{s} of the pump(s): gallons per minute at feet total dynamic head (TDI-1)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliabilityin accordance with 15A NCACO2T 030500( !:
❑ Standby power source or pump with automatic acti-.ation and tcicmctn- - 15A NCAC 02T .0305(h)(1)(13)_
Required for all pump stations with an aN crags 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 13,000 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):
i It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (drag agreement)
and is compatible �%ith thestation.
i If the portable power source or pump is dedicated to multiple pump stations, ane%aluation 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&1 5A NCAC 02T.0305(f)):
I. Does the project comply with all separations found in I5A NCAC 021' .0305(t) & (g)
i 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
® 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-1 +paters 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. 1IQW, 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
Anv buildine foundation
5 feet
Anv basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainages stems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
i I SA NCAC 02T.0305U contains alternatives where separations in 021'.0305(t) cannot be achieved.
i **Stream classifications can be identified using the Division's NC Suriace Water Classifications webpaae
> If noncompliance with 02T.0305(f) or (Wee Section X of this application
2. Does the project comply with separation requirements fur wetlands? (50 feet of separation) ® Yes [:]No
> See the Division's draft separation requirements for situations where separation cannot be meet
i 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 0213 .0200? ® Yes [:]No
�- This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes [:]No
Wetland -related permits shall he requested, obtained, and adhered to for projects that impact wetlands or surface %�atcrs
> Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105 c 6) (additional permiWeertifications)? ®Yes ❑ No
Per ISA 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.04021"high-priority sewer" means "any aerial sewer, sever 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: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting orPuml2,qtations
and force Mains (latest version). and the Lira%in Sewer Minimum Design Criteria (latest %ersion) as applicable!
❑ Yes ❑ No
I(No, complete and submit the Variance.'Alternative Design Request application (VADC 10-14) and supporting documents
f'or review.Approval of the request is rr uired Prior to submittal of the Fast Track Avolication and su ortin
documents.
2. Protcssional Engineer's Certification:
I William Akin, PE
(Professional Engineer's name from Application Item 111.1.)
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 far 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 ofthis submittal package. inclusion ofthese 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 $23.000 per violation.
North Carolina Professional Engineer's seal, signature, and date: wr. G A R r�l�•,���
re. F4.SSr S. /
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3. Applicant's Certification perl5A NCAC 02T .0106(b):
I, Todd Taylor, P.E., Executive Director attest that this application for
(SignatureAuthority's name& title from Application 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 443-215.6A and 14.1-215_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.
Sig to e: �-�-` Date: 7/10/2020
FORM: FTA 04-16 Page 5 of

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consultants
40� LAND DEVELOPMENT CONSULTANTS
July 14, 2020
State of North Carolina
Dept. of Environmental Quality
Division of Water Resources
I628 Mail Service Center
Raleigh, NC 27699-1628
RE: Fast Track Sewer System Extension Permit
Chapel Hill, NC (Orange County)
Habitat for Humanity Sanitary Sewer Extension
COVER LETTER
19022
Please find attached a Fast Track Sewer Extension Permit application for the subject
project.
The new public sewer will serve a residential project that is anticipated to be built in the
future by Habitat for Humanity. The estimated flow from this project at full buildout will
be 0 GPD. Flows associated with the proposed residential project will be accounted for
under separate application to ensure double allocation for the same anticipated flows are
not made.
The sewer extension covered by this Fast Track Sewer System Extension Permit will be
applied for by Orange Water and Sewer Authority and developed.+constructed by Habitat
for Humanity Orange County.
Please let me know if additional information is needed for review and approval.
Attachments
Regards,
William R. Akin, PE
LAND PLANNERS + CIVIL ENGINEERS
3708 LYCKAN PARKWAY, SUITE 201 DURHAM, NC 27707, PHONE: [phone]
WWW.CIVIL-CONSULTANTS.COM LIC.C-1030

Cashion, Ted
From: Randy Akin <[e-mail]>
Sent: Monday, August 10, 2020 9:06 AM
To: Nick Parker; Cashion, Ted
Cc: Robinson, Jason
Subject: [External] RE: Habitat for Humanity Sanitary sewer extension application, WQ0041836
Attachments: 19022 Cover Letter.pdf; 19022 - AERIAL MAP.pdf, 19022 USGS MAP.pdf
■ External- email. Do nottaII&links or open attaahmehts unless you ve7 ►. Send all suspCclous email as an atti.dfimentato
Good Morning Ted,
Please find attached information as requested. Let me know if you need anything else to process the application.
Thank you for your time,
Randy
Sent from Mail for Windows 10
From: Nick Parker
Sent: Monday, August 10, 2020 8:04 AM
To: Cashion, Ted; Randy Akin
Cc: Robinson. Jason
Subject: RE: Habitat for Humanity Sanitary sewer extension application, WQ0041836
Thanks again Ted.
Randy — Please provide these 3 items via email to everyone on this chain of email.
Nick Parker
Sent from Mail for Windows 10
From: Cashion, Ted
Sent: Saturday, August 8, 2020 8:46 AM
To: Nick Parker; randy.akinCc.Dcivil-consultants.com
Cc: Robinson, Jason
Subject: Habitat for Humanity Sanitary sewer extension application, WQ0041836
[EXTERNAL)
Hi Nick and Randy,
We are reviewing the subject application. Please submit a USGS topo map, street level aerial map showing the project
area, and a narrative of the project as required in the application instructions.
We'll continue drafting the permit upon submittal and review of this info.
Thx
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
Subscribe to Collection System & Sewer Permitting Updates
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.
Based on the current guidance to minimize the spread of COV1D-19, DEQ has adjusted operations to protect the health
and safety of the staff and public. Many employees are working remotely or are on staggered shifts. To accomodate
these staffing changes, all DEQ office locations are limiting public access to appointments only. Please check with the
appropriate staff before visiting our offices, as we may be able to handle your requests by phone or email. We
appreciate your patience as we continue to serve the public during this challenging time.
NOTICE: In accordance with the North Carolina general statutes, chapter 132, this email address is subject to North
Carolina public records law. As such, please note that all inbound and outbound messages are subject to requests for
review and may be disclosed to third parties.

Cashion, Ted
From: Cashion, Ted
Sent: Saturday, August 8, 2020 8:47 AM
To: Nick Parker ([e-mail]); [e-mail]
Cc: Robinson, Jason
Subject: Habitat for Humanity Sanitary sewer extension application, WQ0041836
Hi Nick and Randy,
We are reviewing the subject application. Please submit a USGS topo map, street level aerial map showing the project
area, and a narrative of the project as required in the application instructions.
We'll continue drafting the permit upon submittal and review of this info.
Thx
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
D- E
Cspar_�ecllm.orr.�ncal f]:.1:\ !—
Subscribe to Collection System & Sewer Permitting Updates
Email correspondence to and from this address may be subject to the !North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.
Based on the current guidance to minimize the spread of COV1D-19, DEQ has adjusted operations to protect the health
and safety of the staff and public. Many employees are working remotely or are on staggered shifts. To accomodate
these staffing changes, all DEQ office locations are limiting public access to appointments only. Please check with the
appropriate staff before visiting our offices, as we may be able to handle your requests by phone or email. We
appreciate your patience as we continue to serve the public during this challenging time.