WQ0042063_Application (FTSE)_20201020

Pwwam *h'�" is 7a62/493-00204CFD4lB*4D03E4X Wt4
State of Wrtlt Carolina
ID
Department of Environ ental Quality aWR.Division of Wa I Retwurrea
"Msof H'+ttr»r Resources ISA NCAC 02T.03o0 ..PAST TRACK SEWER SVS"1'EM EXTENSION PPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
i
AppIicalixtn Number y pa 6o pMnP V .Y tswn'
L APPLICANT INFORMATION,
L Applicant's name: giVoiSnn[QW (company. municipality. HOA, Willy, etc-)
2. Applicant type: ❑Individual ❑Corporation
❑ General Parnnenhip ❑
❑ Federal ❑ Statelcounry ® Municipal ❑
3. Signature authority`s name:I'mtti 1 ecks. PG per 13A-1�1CAC 01 ,0lMbl
Title: Ciri >=nBill�t
4. Applicant's mailing address,
City: Sn RW State: iC Zip. 2733Q32T2
5. Applicants contact information_
Phone number: (2W aZ 1!22 Email Address.
U. PROJECT INFORMATION:
I. Project name:
2. ApplicadonlPmject status, ® Proposed (New Permit) ❑ Existing PermWProjcct
If a modification, provide the existing permit number: WQoO_ _-.TM 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: 33-504§ Longitude:-79.180r
S. Parcel ID (if applicable),
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
L Professional Engineer: Samjr_Bnhiw Licertse Number. jfiW
Firm: u
Mi'rling address: 012 Kaplan Drive.
City: m4ah State. NQ zip:
Phone number (20 851 j 642 Email Address:
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I _ Fwility Name Big Buffhlo MMM Permit Number CO024147
Owner Name: City of Sanford
v. RECEIVING DOWNSTREAM SEWER INFORMATION (if dlll'erent than WWTF):
L Permit Number(s)_ WQN C00Rl8S3 Downstream srr(R�e,,edviin`g) Sewer Size: I inch
Stiskm WHkioilu�r Svsrcm Pnmir NumbcdSitif FR6 �J; WQCSNQC500047
OwwName(s). Coy orlimilord
Public Utility
e
c
a
s�
;J
15
FORM: rrA 04-16 ' .i
Page I ofS

DaggWo t iraiopa tD' 7 q,�y Ot]2�+{GFD 8�9�00361387oB9
YD. GENERAL REQUIREMEMS
1. If the Applicant is a Prrvntely-Owned Public Utility, his a Certificate of Public Convenience and Necessity been attached?
[:]Yes ®No []N/A
2, If the Applicant is a Developerof lots to be sold, has a n t, pUvj been attached?
❑ Yes ®No ❑NIA
3. If the Applicant is a nme a ' iom HA 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 pmparation/service ❑ Hotel and/or Motels
❑ School I preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming PooWilter Backwash
❑ Businesses / offices / factories ❑ Nursing }come ❑ Other (Explain in Attachment)
5. Non, of►rxstewmer : , MV, DomestidCommercial % Commercial
1 % Industrial (Sze I SA Nt"AC 03T .0103128)1
E! "Is there a Pmreatmcnt Program In effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC Q,J .OT 1 I4-W? ❑ Yes [—]No
D ifya. nraylft a -cqm-9f 11" t eduGtigil nIM gr vrj letter
7- Summarize wastewater generated by project:
Establishment Type (see !)�TD114iN
Daily Design glow `}
No. of units
Flow
Town Homes, 3 bedrooms
360 gal/Day
12
4,320 GAD
Pit
GPD
gaU
GPD
gal/
GPD
gall
GPD
g2l/
GPD
atal
4,320 GPD Lo
a See I SA i1CAC it:L.U1 141hL td]td]. (fH I t �md ?i for cavents to wastewater design ow r.e., tttistimum 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 ofthe Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in -4.
b Per 15A NCAC 02T .al 14(c). design flow rates for establishments not Identified (in table shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
S. Wastewatergenemed by project:_GPD (per 15A NCAC=.01 L41
➢ Duo nat Wude future flows or previously permitted allocations
If permitted now is era, indicate why:
❑ Pump Station or (Gravity Sewer where tow will be permitted in subsequent permits that coma to this line
❑ Flow etas already been allocated in Permit Number,
❑ Rehabilitaton or replacement of existing sewer with no new flow expected
❑ Other (Explain)
FORM: FCA 04-16
Pogs 2 of S
in

t7oay Wn to ?OWAAM.gp2O4
VIL GRAVITY SEWER DESIGN CRrrERIA pr Applierrble) - 02T .n305 & M DC (Gravky§rr„rervls
1, Summarize gravity sewer to be permitted:
I Size (inches) I Lengib (feet) I Material I
I 8' # 195 1 PVC
y Secxioa 11 dt. III of the MDC for Permitting of Gravity Sewers contains informtuion reputed to design criteria
Suction III contains information related to minimum slopes for gravity sewer(s)
Y Over ring lines to meet minimum slope requirement 1s not allowed and a violation or the MDC
VIII. PUMP STA13ONDESIGN CRITERIA (it Applicable) —SIT.113051 M purgt)Sim 1„n peer ,l�fnsl;
F,9 IN TJIIS
I . Pump Station number or name.
2. Approximate Coordinates (DocinW Degrees)• Laptude• Longitude.
3. Design flow of the pump station: millions &Shores per day (firm capacity)
4. Operational point($) of the pnmp(s)c gallorra per minute at reef total dynamic head frl)f )
5. Summarize the force maim to be permitted (for this Pump Station):
Sire (inches) Length (reet) Material
6_ Power reliability in aceordattce with 156 NCAC 02T .03051h)f1 ]:
❑ Standby power source or pump with automatic activation and telemetry - I SA NCAC 02T .0305(h)(1)($)=
Y Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
1a Must be permanent to fnctlity
Or if the pump station has an average daily flow less than 15,000 gallons per day.
❑ Portable power sow cc with manual activation, quick-comxction receptacle and telemetry -1 SA NCAC 02T
.0305(bXIXCi
or
❑ Portable pumping rant with plugged emergency pump connection and telemetry-15A NCAC 02T.0305(hxl)(C):
9 It shall be demonstraW to the Divtsm dud the portable source Is owned or contracted by the applicant (dmft agreement)
and is compatible with the station.
D If the portable power source or pump is dedicated to multiple primp stations, an evaluation of all the pump stsfinne garage
eapaddes and the rotation schedule orthe portable power source or pusap, Including travel timeframes.4shaIl be provided
in the case ors multiple station power outage.
pOi K FrA 04-16
Page 3 of 5

tm�etope to- Tosut txitE�a>�ea
rX- SE'i't1AMS & SEPARATIONS - (028.0200 & 1SA NCAC 02T ,0305(()):
I - Does the project comply with all separations found in LULWAC NJ &Mh&14
to SA NCAC.02T.03051 f) c mtains minimum smwxioad that "I be aaVidcd for acVMr
Setback petan►etc.
r utilities ncn listed below Ivenical)
v� over Seaver includiM in benched,
U'atcr mains hotiaantal�
Reclaimed water lines vertical - rr etarmed ever sewe71
Reclaimed water lines horizontal - recial"imi ovrr sewer
"Any private or public water supply soumrw tncludmg any +sells, WS-i waters oram i or
Class ll _ttnpmm6cd reservoirs used as a source of drmlunAwatcr
• Warm chLs&%(ai WS (accept W S.I or WSA i. U. SA. ORW, HQW, or SO From nnnnal
II! waterior yde cler akml and wetlands_Lsee item 1?C,2�
• • Any other um m, lake, impoundment or ground water lowering and surface drainage
�--
r of embaakment or cuts cM feet or more vcniva;l heizbt
.sue+ Items. aced iruasxpcwdruin
Pinal earth
0 Yes [:)No
l a inches
I fed
5 red
36 inches
Y � coa>actta alternatives where separations in 0 Lfij . fz cannot be achieved.
n ••Stream ciasaritecimns can be idemitied using the Division's NC 54*0 Wade
> 1 f nonaomplmnee with -, see Section X ofthis application
2. Does the project comply with scparatrnn requbrrnertis for wctbn;W (50 fees ofseparatron) ❑ Yes ❑ No ® N/A
Y Sea the Division's dmat scts=don requirements ror situations where separation cannot be meet
le No -.ww ce is mgwmd rfthe altcrtratrve design criteria specified is utilized in design and construction
Y As Furth documents should retlerrnce the location of areas effected
I Does the project comply with srsbscics found in the nver basin rules per 15A NCAC 02B L02M1? ❑ Ycs [ No ®N/A
A This would include Trout Buffcmd Scrams per I t � xr� AIC
4. Dues the project require eoveragdautlmzatton under a 404 Nationwide or ❑ Yes ®No
Individual permits or 401 Water Quality Certifications?
)► Information can be obtained from the $Wlier P=LftiaatOirr�
S. Dees pmject comply wish 1 cA bCAC 021.010290l (additional permitslcertifications)? ® Yes D No
per j 5 1+1C_A_C ll?7 fl 10S( 11b7, directly related environmental permits or certification applications are beipl prepared, have
been applied for. car have ba= obtained. isstrrutoe of this permit is contingent on issuance of dependent permits (erosion and
sedtmentWon control phns, stormwasrr atanagemcul plans, etc ).
�, Daos this project istcltsdn ratty sewer collection litter that are deemed "high�riority?"
pr;r 15A NCAC 02M01 "high.priority tewet:' mes— "any atrial sewer. sewer contacting surface waxers? siphon, or sewer
post omA p u aildl to marks than Is subject to erosion that undertnines or deterianatm the sewer.
❑ Yes ❑ No ® NIA
D li'yas. bx & an anschmcnt with details for each Una, ineitu tg typo (aerial line, size, material. trial lo=on).
Hlglb prior* lima dma be htapeett d by the permittee crib represesiladvo at least once every sets -moats and btspeetions
doeatnensed prt 1SA NCAC 02TA4iriisj(3) or the permiteefs bsdiviul:sal item -WIC Collection peTmit.
poRM; PTA W16
Pegs 4 of S

tW&Ve+�4Pa ID 58709'i
�C. M71FICATIONsr
l- Does thet submitted ><ystent comply with Jam, the
L'A F MILIU ii IUM and the Urlim §e = Aj imr sy-M heir ern Crbt I 18mA LMien1 as applicable?
® Yes ❑ No
IINo, complete and submit the VarianodAltemative Design Request application (VADC 10-14) and supporting documents for
Mview. Arwrm I O(Jhy cmeo fa miPIr&Dkj ipr I ip pu kV2#tm I pf thitTnrk AdIsOcal n ro t
2. Professional crtginean's Certification.
attest that this application for
(Professional Erngincies name ftom Atmlicatron Item 111. I J
has been reviewed by me and is accurate, complete and consistent with the information supplied in the putts, spedlicstions,
engineering calculations, and all other supporting doesnaterrtauone to the hest of my kwwkdge. I further anent that to the beat
of my knowledge the proposed design has been prepared in socordance with the applicable regulatiows Gravity Sawa
Minimum Design Criteria for Gravity Sewers (latca version). and the Minimum Design Criteria for the Fast -Tiede Permitting
of rump Stations and F=c Mains (bust version). Aldouo other professimaals may have developed certain poruom of this
submsttal package, inclusion of these ma vials under my signature and seal signifies that 1 have reviewed this material and
have judged it to W oansistem. wilt the lroixwd d=VL
NOTE - In accordance with Gmcnd Statsrses 14 IS 6A sad 143.215.68, any person who knowingly makes any false
statement, repe'awatation, or t ertit%atma m any application package dull be gullty of a Class 2 misdemc ww. which my
Wude a tine not to exceed S t0AK as well as cnh) penalties up to S"'.5,000 per violation.
North Carolina Professional Eagiaeer'a w24 signature, and date:
3. Applicant's Ccrtiftcadon pen• iSA NCA{' 02T A106(b):
Paul N. Weeks 3r, P.E. City Engineer
1, unttat start this application 1br
(Signature: Awlority's name do trek Gum Application Item IJ )
has been, reviewed by me and is acetaatc and complete to the bat of my knowledge. l understand that if all requi ed parts of
this application arc not completed and that if nil required sir q ting documrntudon and attachments are not lnckxkd, this
appliendon package is subject to bciog nziumed 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 enfmroeme faction that may include civil penalties,
inju=ive relieG nndlar criminal prosecution. I will make no claim against the Diviim of Water R murces should a condition
cf this permit be violated. 1 also understand that if all mquircd parts of this application package are not completed and that if
all required supporting information and nuachmeats are not included, this appl-rcatiort pacintese vm'IL be returned to me as
incomplete
NOTE - In accordance with General Statutes L 23- 154A and ii3 ?15.6t3. any person who kaawbgly mated any false
ststemrml, n*rescaWon, or certification in any applica4w package sisal[ be guilty of a Class 2 m%demelam, which may
ircltde a fine not to a aw , $10JW as well as civil pcwhks up to S25,G00 per violation.
o.da+s.w er
xaRlzrizi)
--
F13RM: it 1'A 04-16 Page S

7CIVI7
STRUCTURAL
CIVIL AND STRUCTURAL ENGINEERING SERVICES, PLLC
SAMIR W. BAWFI0, P.E.
Date: October 12, 2020
INC Department of Environment
Quality, Division of Water Resources
1628 Mail Service Center,
Raleigh, NC 27699-1628
Reference: FT Sewer System Extension Application &Supporting Documents
N Wept of cnsho"Pusitat ()ualrty
Attached are the followings:
1 One Original and one Copy of Application and Supporting Documents Incuding
• Filled and signed FTS Application OCT 2 0 2020
• 8.Sx11 USGS map and GIS map
• Water and Sewer design �lc�gtt Rcior►al Off'"2. Check for $480 addressed to NCDEQ
The project comprises of subdividing 15 acres to build 12 units, 3 bedroom townhomes in Sanford City.
ThLs application is requesting approval for extending 8" sewer line to serve 12 Townhome units.
For any further questions please call me or email me. My telephone number is (919) 621-D628. My email
address is ba.casesplicLIPgmail,cam
S4ncerely,
Samir W. Behho, PE (License It 16941) Business License P-0537 `
Cr- Red Rock Builders, LLC
Crw.: and Structural Engmee}+ng Services 14612 Kaplan Dnve Raleigh NC 17("
Telephone Number I9191853 -1642 Email address ba sasespllc@&ma &corn

State of North Carolina
DW
Department of Environmental Quality
Division of Water Resources
Dlvtslr n of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: City of Sanford
Project Name for which flow is being requested: North Point Townes, Phase 11
Afore than one FTSE Hate be required ji�r a single project if they owner of the 11'11'TP iv not respatsibleJor all Proxp
stations along the route of the proposed wastel valerjlow,
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Big Buffalo WAter Treatment Plant
b. WWTP Facility Permit #: NCO024147
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in AIGD
12.0
0.818315
5.733
0.00432
6.56
54.6°
IL 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)
(13) (C) (D)=(B+C) (E)=(A-D)
Design
Obligated,
Pump Average Daily
Approx. Not Yet Total Current
Station Firm Flow**
Currew Avg. Tributary Flow Plus
(Name or Capacity, * (Firm / PO,
Mily Flow, Daily Flow, Obligated Available
Number) NIGD MGD
NIGD 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 (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 Collection System
Downstream Permit Number: WQCS00047
Page I of 6
FTSE 04-16

IIL Certification Statement:
1 Paul M. Weeks, Jr., P.E. 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 (lie 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 11 plus all
attached planning assessment addendums for which I am the responsible party. Signature of this
form indicates acceptance of this wastewater flow.
Er�ocuSigned by
cutii. h. wuts ,�. �.�. 12/2/2020
E666784-IR9
Signing Official Signature
Date
Page 2 of 6
)'TSE 04-16

MamaLAndtnl
- .,■
� \
tc_*_■
f
�
_
� a
ir
qp
�a
,
f_ -N �49 w� e
3 w
,`
Korthviuw �
� �� ■
» �
§
IL
a
~
o
I no"
.
+
�
I
BUS
r ` %
A
MOLE■
%
■��
§
�
SANFORD
��
�
�■
. .
��\�
e$
&� �
� * a
[

Cu�c+c�L�
5eagxh Map Results Layers Help
1jDfA &n le-1 9 jr
vje c ¢ Se.jcr
hil ps.'/lcc?. conncc IL.is.comlM obIlcMap.mp%
5 � �
*
.
{
�
+JjSY
1
r
L }
,�
f
1.
S`
121r=, 4A8 PM

F•F�&i�J'J'�'f amPlfF�l: R. D.INNO, P.t;
r j .per. .y a RA4� C7iT1 ATkZ'I7S:iLlt �.YC.pfS_CIL7�'C'StRYS[a. put
PUML _ A

I
iry�"_ �j
•r w�.
f
{
till
0
t}11`
i
i Rill
►I`
� � P.4 _:
r
r
�iif11 a;Li
f t 11(1I
1 �
M I = NORTH P0lNt TOWNES, PHASE I1 &IMIe x RANxo PE
—.fin•. qY'd i ,ltRLCrL'PAL- G'yLLNUMING J M-M. pU
���csarr�oRn WA AND SCR of carts