WQ0041934_Application (FTSE)_20200827

JAMESTOWN ENGINEERING GROUP, INC.
L CIVIL ENGINEERS &SURVEYORS
LAND PLANNING •MUNICIPAL CONSULTING
inc. 117 East Main Street • P.O. Box 365 • Jamestown, N.C. 27282
Telephone [phone] Fax [phone]
August 19, 2020
www.jamestownengincering.com
Re: Sewer Line Extensions
Servicing The Landing at Sycamore Creek Subdivision
City of High Point
Guilford County
JEG File No. 2019-084
Mr. Justin Henderson
Division of Water Quality
NC Department of Environment and Natural Resources
450 W. Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
Dear Mr. Henderson:
NC Department of
Environmental Quality
Received
AUG 2 7 2020
Winston-Salem
Regional office
With regards to the referenced project, and on behalf of the City of High Point, we have
enclosed one original and one copy of the following for your review:
- Fast Track Sewer Application
- $480.00 Application Fee
- flow Acceptance Letter
- Form FTSE 04-16 completed by the City of High Point
- 8.5" X 11" color USGS topographic map
- Street level map
Sewer service to the The Landing at Sycamore Creek Subdivision includes 36 residential
homes (12,960 gpd) located along Corvair Drive and Willowcrest Street. Flow allocations
are included in the attached FTSE 04-16 form for the additional 36 residential lots. Upon
completion of the sewer line installation and testing, the system will be maintained by the
City of High Point. The downstream sewer system and treatment facility are owned by
the City of High Point.
If there are any questions or additional information required, please call.
Sincerely,
JAMESTOWN ENGINEERING GROUP, INC.
Thomas R. (Rich) Glover, Jr., PE
Enclosures

State of'Nortb Carolina
Department ofEnvironmental Quality
DWR Division of Water Resources
15A NCAC 02T .0300 —FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources hI'A 04.16 Rc SUPPORTING DOCUMENTATION
Application Number:
(to be completed by MR)
All items must be completed or the implication will be returned
1, APPLICANT INFORMATION:
1. Applicant's name: City of It gh
Point (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual
❑ Corporation ❑ General Partnership
❑ Federal
❑ Sttne/County, ® Municipal.
3. Signature authority's name:'1'crr Flotik per ISA NC AC 02T,(i_I06,((i)
Title: Public Services Director
4. Applicant's mailing address: PO
Taos 230
City: High Point State: NG
Zip: 27261-____
5. Applicant's contact information:
Phone number: (336).883-3215
Entail Address: tenv.houWhigjhpointnc.gov
❑ Privately -Owned Public Utility
❑ Other
II, PROJECT INFORMATION:
1. Project mote: The Landing at Sycamore Creek Subdivision
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Pleject
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: Guilford County
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.01.3114' Longitude:-80,030856'
5. Parcel ID (if applicable): 198449
(or Parcel 11) to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer:'Iltotnas R. Glover, Jr, PE License Number: 27465
Firm: Jancstowi)Engit eei.tng Group, htc.
Mailing address: 117 E _Main_Street P_O. T3ox 365
City: Jamestown State: NC Zip: 27282-.._.__
Phone number: 336) fl86-5523 Email Address: r lovertljamestownenpineering.cotn,
IV. WASTEWATER TREATMENT FACILITY (WWTI) INFORMATION;
I. Facility None: Eliah point Eastside_Treatment Plant .Permit Nmnberc fit; 0024210
Owner Name: City of High Poin
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. PennitNmnber(s): WQ___.....
System Wide Collection System Permit Number(s) (if applicable): WQCS__,
Owner Name(s): _
FORM: FTA 04-16 Page 1 of

Vt. GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience turd Necessity been attached?
❑ Yes ONO ©N/A
2. if the Applicant is a Developer of loll to be sold, has a JJevelopet s OlaurlttionaE A reentcnt {FOILM DV) been attarhed7
❑ Yes ONO ®N/A
3. If the Applicant is a Home/f tope,t Py,-Otvncrs` Asseo,i born, has al? Op4t atio„nal Aeentant I"ORM: 7iC fI been attached?
❑ Yes [:]No ®N/A
4. Origin of wastewater: (check all that apply):
® Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential [..eased ❑ 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. Natrue of wastewater : ]00 % Domestic/Cotnntercial % Commercial
__. % Industrial (Seq 1$S. NC,MI-92-1 0103t20))
"Is there a Preheatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under .LS NC A-Q 02 F .t I I4 t ? ® Yes ❑ No
> If yes, provide a cony of flow redaction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.OI14tt))
Daily Design Flow n.n
No. of Units
Flow
Single family homes with 4 bedrootns/unit
90 gal/day/bedroom
36
12,960 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
To7a1
12,960 GPD
a See] 5A NCAC. 02T .q,l ] 4(3)),_(d� (e)(1Jagq (c)(3) 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 is vacation rentals
as defined in G.S. 42A-4).
b Per 15A NCAC 02T XI 14(c), design flow rates for establishments not identified [in table J5A NC AC 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: 12 960 GPD (per .15A (CAC 02'r ,o 1,1 })
y Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Punnp 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 flaw expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (if Applicable) -tt7T.i)JUS&MDC(GravitySewer :
I. Summarize gravity sewer to be peruitted:
Size (inches) Length (feet) Material
8" 1898' -r/- SDR-26
DI
> Section II & III of the IvIDC 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 tweet ntinlntum slope requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) —02T.0305&rvIDCtPurinStations/ForceMains ':
COMPLETE FOR EACH POMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: NA
2, Approximate Coordinates (Decimal Degrees): Latitude: ......... Longitude: - °
3. Design flow of the pump station: —, millions gallons per day (firm capacity)
4. Operatioiial point(s) of the pump(s): —gallons per minute at- feet total dynamic head (rDII)
5. Suuunarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliabilityin accordance vvitli t_S,A WAC 02T .03051111(1):
❑ Standby power source or' pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(I3).
}' Required for all point) stations with au 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 02'r
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.
Y If the portable power source or puutp 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 tinieftanles, shall be
provided in the case of a multiple station power outage.
FORM: FTA 04-I6 page of'5

IX. SETBACKS & SEPARATIONS - (02B .0200 & 15A NCAC 02T .0305(o):
1. Does the project comply with all separations fount( in 1 SA.. CA-C 02 f 0;f,0,5(fl(P-)
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
M Yes ❑ No
Setback Parameter*
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 oversever) _ y ____
Is inches
Reclaimed water lilies (horizontal - reclauned over sewers
2 feet
_
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class it impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-1 or WS-V), B, SA, ORW, I IQW, or SB from no]nnal
hi h water or tide clevation) and wetlands (see itern IX.Z
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
_----------
lope of embanknment ar cuts of 2 feet of more vertical height _
Tops—
- —
10 feet
Drains>es stems and interceptor drains
5 feet
Any swirmning-pools
10 feet
Finalearth ratle(veitical)
36inches
)> },SA, .tyrry_A<, 02'1.030,5,(g), contains alternatives where separations in 0,2T.0305 t cannot be achieved.
**Stream classifications can be identified using the Division's NC Surface Water Classr6catran£ m4ebpa�tc
➢ If noncompliance with 02T:0=05f�'Z�r',(Pj, see Section X of this application
2, Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No
D See the Division's draft separation requirements forsituations where separation cannot bemeet
D No variance is required if time 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 NC.A{ -026 020cr? ® Yes ❑ No
D This would include Trout Buffered Streams per 15A NCAC 213.02Q2
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ No
D Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
D Information can be obtained finny the 401 &-Buffer Permi,),(, t;g„13R1tc }
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 1 A NCA( 021'.0 [05(c)�i), directly related environmental permits of certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent pennits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are doomed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to sh'eambanks 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 W least Once every six-nionths and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection pernilt.
FORM: F TA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Pennittimt of PunrRStations
and Force Mains (latest version), and the Gravity Sewer Minimum 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 m•lor to submittal of the Fast Track Application and supporting
documents.
2. Professional Engineers Certification:
U[-over, j l� • attest that this application for
Engineer's name from Application Item III.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
Minirmun 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 fuze not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, a
3. Applicant's Certification per 15A NCAC 02T .0106(b):
that this application for
name
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 143-215.6A 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.
Qa Zis,
Signature:/:g� Date:
FORM: FTA 04-16 Page 5 of 5

Public Services Department
Terry L. Houk
DIRECTOR
NORTH CAROLINNS INTERNATIONAL CITY'
June 4, 2020
NCDENR
Winston-Salem Regional Office
450 W. Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
Project: Landing at Sycamore Creels
Public Sewer
Applicant: City of High Point, NC
Dear Sir or Madam:
This is to acknowledge that the City of High Point will accept for treatment in the Eastside
Wastewater Treatment Plant (Permit #NC0024210), wastewater flow from the above referenced
project in the amount of 12,960 GPD, which will be discharged to facilities operated and
maintained by the City of High Point.
If further information is needed, please let me know.
Very truly yours,
Terry L. uk
Director of Public Services
TLH/tab
City of High Point, P.O. Box 230, 211 South Hamilton Street, High Point, NC 27261 USA
Fax:[phone] Phone:336.883,3215 TDD:336.883.8517

1)10"loll n1 1•tfalcr ttr•;uurr rv,
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Teaching for Sewer Extension Applications
(FTSE 10-18)
Application Number: 2020-152
Entity Requesting Allocation: City of High Point
Project Name for which flow is being requested: The Landing at Sycamore Creek Subdivision
More IlmO one IITSC rued be regairedfor a single projecUfthe former of 11te ►PIYTP Is trol responsiblefo• all proap
staflons along the Tonle ofllre proposed I98stelvaterflola.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility name: Eastside WWTP
b. WWTP Facility Permit#: NC-0024210
c, WWTP facility permitted flow:
d. Estimated obligated flow not yet tributary to the WWTP:
e. WWTP facility's actual average flow:
f. Total flow for this specific request:
g. Total actual and obligated flows to the facility:
If. Percent of permitted flow used:
Alffloiss are In MGD
26.0000
0.7767
16.3917
0.0130
17.1813
66.08%
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)
(a)
(C)
(D)-(11+0
(a)-(A-D)
Pump
Pump
Finn
Design
Approx.
Obligated,
'total Current
Available
Station
Station
Capacity,
Average
Current.
Not Yet
Flow Pim
Capacity,
(Namoor
Permit
Doily Flow'
Avg. Daily
Tributary
Obligated
Number)
Number
(Fimdpq,
Flow,
Daily Flow,
Plow
h1GD
MGD
MGD
MGD
MGD
MGD
shrdybra^h
0
IJ392
0.5169
0.1193
0.0101
0.1101
0.2016
ain,aale
W00003572
3ame1
IIA842
8.1996
0.75"
9.15e2
2.1255
-- aWA NWA AMA neA AMA MIA EWA
MA OVA NWA MA NWA RNA AWA NWA
MA AWA MA NWA AWA NWA NWA NWA
^ The Flrm Cnpnefty (design nor;) of any pmnp sial[oo Is dcaned ns Iha maslmum pumped Holy flint
can be achieved with the largest pump taken out of service.
"Design Average Flov Is the arm capacity orthe pump alaflon divided by the pealing factor (pi) not
less Ibnn 2.5, perSectiou 2.02(A)(4)(c) of the Minimum Design Crlterin.
""" A Planning Assessment Addendum shot] be attached for each pump station located behveen the
project connection paint and the WWTP where.the Available Capacity Is 60.
Downstream Facility Name (Sewer):
Downstream Permit Number:
Page 1 of 8 FTSE 10.18

III. Certification Statement:
I Terry Houk, City of High Point certify to the best of my knowledge that the addition of
Public Services Director
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 indicates acceptance of this wastewater flow.
Signing
-el A!"k 6 ^Y^ildza
Date
Page 2 of 6
FTSE 04-16

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