WQ0041887_Application (FTSE)_20200807

State of North Carolina
Department of Environmental Quality
DWR
Division of Water Resources
15A NCAC 02T .0300 - FAST TRACK SEWER SYSTEM EXTENSION
Division of Water Resources
APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: �� L (to be completed by DWR)
V
All items must be completed or the no0ication will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Town of Fuquay Varina (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: Jay Meyers, P.E. per 15A NCAC 02T .0I06 b
Title: Public Utilities Director
4. Applicant's mailing address: 134 N. Main Street
City: Fuquay-Varina State: NC Zip: 27526-.
5. Applicant's contact information:
Phone number: (919) 567-391 I Email Address: 'me ers fu ua-varina.or
Il. PROJECT INFORMATION:
1. Project name: Fu ua -Varina Mavis Tire
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: Wake
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.594316 , Longitude:-78.778081
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5. Parcel ID (if applicable): 0667-51-9239
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(or Parcel ID to closest downstream sewer)
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III. CONSULTANT INFORMATION:
I. Professional Engineer: Wyatt Bone License Number: 040241
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Firm: Bohler En_eineering, NC PLLC
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Mailing address: 4130 Parklake Ave
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City: Raleigh State: NC Zip: 27612-
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Phone number: (9� 578-9000 Email Address: wbone(@bohlereng.com
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IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Terrible Creek WWTP Permit Number: NCO066516
Owner Name: Town of Fu ua -Varina
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ0036911 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Numbers) (if applicable): WQCS00193
Owner Name(s): Town of Fu ua -Varina
FORM: FTA 04-16 Page I of 5

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 ON.A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Onerational Agreement (FORM: DEV) been attached?
❑ Yes [-]No ®N;'A
3. If the Applicant is a Home/Property Owners' Association has an O erational Agreement FORM: HOA 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 dental veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities
El Businesses.' offices/ factories El Church ❑Swimming PoolfFilter Backwash
❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: % Domestic. -Commercial 100 °}o Commercial
% Industrial (See 15A NCAC 02T .0I03 20
�' Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .011 ? ❑ Yes ® No
If provide a cony or flow reduction anaroval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.01140
Daily Design Flow ",e
No. or Units
Flow
Service Stations, gas stations
250 ga[/Pumbing Fixture
9
2250 GPD
Stores and shopping centers without food
service
100 gal/l000 sq ft
3.50
350 GPD
V
Service Stations, gas stations
250 gal/Plumbing Fixture
2
500 GPD
l%
gall
GPD
gal/
GPD
Sal/
GPD
I
Total
3100 GPD
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a See 15A NCAC 02T .01 14(b). (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-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01 141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 3100 GPD (per 15A NCAC 02T .0I 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):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
481.7
PVC
1
➢ 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)
➢ 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):
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)
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):
❑ Standby power source or pump with automatic activation and telemetry - I5A NCAC 02T .0305(h)(1)(13):
➢ 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 multiple station power outage,
FORM: FTA 04-16 Page 3 of

IX. SETBACKS & SEPARATIONS -- (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (a) ® Yes ❑ No
15A NCAC 02T.0305(t) contains minimum separations that shall be provided for sewer systems:
Setback Parameter'"
Storm sewers and other utilities not listed below (vertical)
Separation Required
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 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 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
AnX swimming pools
Final earth grade (vertical)
10 feet
36 inches
➢ I5A NCAC 02T.0305 contains altemalives where separations in 02T,0305(t) cannot be achieved.
Z "Stream classifications can be identified using the Division's NC Surface Water Classifications webriage
If noncompliance with 02T.0305(f) or (g). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ®Yes ❑ No ❑ N`A
t See the Division's draft separation requirements for situations where separation cannot be meet
D 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 0213.0200? ® Yes ❑ No []NA
D This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project require coverage. -authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
D Information can be obtained from the 40I & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0 I 05(c)(6) (additional permits'certifications)? ® Yes []No
Per 15A NCAC 02T.0I05(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 ❑ N.--A
If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall he 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:
I. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
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 prior to submittal of the Fast Track Application and sunnorting documents.
2. Professional Engineer's Certification:
Wyatt Bone, P.E.
(Professional Engineer's name from Application Item III.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 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 $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
..4 pFESS ►0,�;�
SEAL r
�..... ••$per ;
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6-29
3. Applicant's Certification per 15A NCAC 02T .0I06(b):
W! J r^ G D attest that this application for
iority's name & title from Application Item I.3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 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 143-215.6B, 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 well as civil penalties up to $25,000 per violation.
Date: 197Auav6 ZQZQ
FORM: FTA 04-16 Page 5 of 5

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OF W ATFR State of North Carolina
2 4�G Department of Environment and Natural Resources
co r Division of Water Quality
> =i
4 Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE 06-13)
Project Applicant Name: Town of Fuquay-Varina
Project Name for which flow is being requested: Mavis Tire
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wasteivater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Terrible Creek WWTP
b. WWTP Facility Permit #: NC0066516
.-
-
All flows are in MGD
a,
c. WWTP facility's permitted flow
3.000
d. Estimated obligated flow not yet tributary to the WWTP
0.906
e. WWTP facility's actual avg. flow
1.353
0'
f Total flow for this specific request
0.003
g. TotaI actual and obligated flows to the facility
2.262
O
h. Percent of permitted flow used
75.4%
h
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
Average Daily
Approx.
Not Yet
Total Current
Station
Firm Flow**
Current Avg.
Tributary
Flow Plus
(Name or
Capacity,* (Firm ?' pf),
Daily Flow,
Daily Flow,
Obligated Available
Number)
MGD MGD
MGD
MGD
Flow Capacity***
* 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 (pi) 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.
z
:-I
Page 1 of 6
FTSE 06-13

Certification Statement:
Jay T. Meyers, P.E., Public Utilities certify to the best of my knowledge that the addition of
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.
Page 2 of 6
CTSE 06-13

BOHLER//
BOHLER ENGINEERING NC, PLLC
NCDEQ — Water Quality
1628 Mail Service Center
Raleigh, NC 27699
NCDEQ Water Quality:
4130 ParkLake Avenue, Suite 130
Raleigh, NC 27612
PHONE [phone]
Date: 8/6/2020
2VC Depi of En viron
A mental Quality.
Re: Mavis Discount Tire ` 7 2420
1259 E. Broad St.
Fuquay-Varina, NC 27526 alc,�h al p .
Wake County t 1c,
BE # NCR192004
The included package is a submittal for the Mavis Discount Tire for review and approval. The subject site
is located at 1259 E. Broad St. in Fuquay-Varina, NC. Currently the site is vacant and the project is a
proposed Mavis Discount Tire with accompanied parking, utilities, and stormwater system. Specifically,
the project has a proposed 481.7' run of 8" PVC sewer line running west to east across the site connecting
two existing manholes. The existing line running between these two manholes is being abandoned
because landscaping can't be within the easement per Fuquay code. The total calculated wastewater
amount flowing through the system will be 3100 GPD which includes the proposed Mavis, existing
Murphy USA gas station located on the corner of N Judge Pkwy and E Broad St., and future development
located in the parcel to the west of the Mavis. There are no downstream pump stations and the system
flows directly to the WWI? via gravity line.
Included in this package is the following:
• Fast track Sewer System Extension Application
• Flow Tracking for Sewer Extension Application
• Aerial Map of Site
• USGS Topo Map
• Utility Plans
• Check in the amount of $480.00
Should you have any questions regarding this project or require additional information, please do not
hesitate to contact me at [phone].
Sincerely,
Wyatt Bone, P.E.
Bohler Engineering NC PLLC
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• LANDSCAPE ARCHITECTS