WQ0042068_Application (FTSE)_20201020

4
DocOIOEnvelope ID: F469CCAB-DB2C-4B48-BFFE-48C68DB9AE2C
State of North Carolina
DW
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
DWWon of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: "/d 00 10 r (to becompletcd by DWR)
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All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
I.
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 Weeks per 15A NCAC 02T .0106(b}
Title: City Engineer
4.
Applicant's mailing address: 225 E Weatherspoon Street
City: Sanford State: NC Zip: 27330-
5.
Applicant's contact information:
i
Phone number: (919) 777-I 1 19 Email Address: paul.weels[r anfordnc.net'
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t
IL PROJECT INFORMATION:
M
1.
Project name: Galvin's Ridge Subdivision - Phase 1
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2.
A Iication.:Pro'ect status:
pp � ®Proposed (New Permit) El Permit/Project
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If a modification, provide the existing permit number: WQ00 and issued date:
If new construction but part of master plan, provide the existing permit number: WQ00
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3.
County where project is located: Lee
4.
Approximate Coordinates (Decimal Degrees): Latitude: 35.5676 Longitude:-79.1578
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5.
Parcel ID (if applicable): See Attached Excel File with all oarcels listed
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(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Paul Devlin License Number: 049219
Firm: WithersRavenel
Mailing address: 137 S. Wilmington St Ste 200
City: Raleigh State: NC Zip: 27601-
Phone number: [phone] Email Address: pdevlin a withersravenel.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Big Buffalo Wastewater Reclamation Facility Permit Number: NCO024147
Owner Name: City of Sanford
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ0000543 Downstream (Receiving) Sewer Size: 12 inch
Systern Wide Collection System Permit Rumher(sl [iraDnlic,iblw): WQCS00047
Owner Name(s): City of Sanford
FORM: FTA 04-16 Page) of5

�.
DocuSigin4Envelope ID- F469CCAB-DB2C-4B48-BFFE-4BC68DB9AE2C
VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes []No ®N.:A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement FORM: DEV been attached?
❑ Yes [—]No ®N:'A
3. If the Applicant is a Home: Property Owners' AsiDCiat]Dn has an Operational agreement (FC)RM: I10A) 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 I 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. Nature of wastewater: 1I00 °-o Domestic?Commercial % Commercial
"o Industrial (See 15A NCAC 02T .0103(20))
1,Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .01 1416 ❑ Yes ® No
i If yes, nrovide a cony of now reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f)1
Daily Design Flow °-e
No. of Units
Flow
3 Bedroom Townhomes
360 gal/day
87
31,320 GPD
3 Bedroom Single Family Homes
360 gal/day
172
61,920 GPD
gal/
GPD
gal/
GPD
gall
GPD
gall
GPD
Tolal
93,240 GPD
a See 15A NCAC 02T .0I 14(b).,(d). (e)(1) 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 D2T.41 J shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 93,240 GPD (per i5A NCAC 02T .01 14)
J, 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

Docusig'Envelope ID; F469CCAB-D82C-4B48-BFFE-48CBBDB4AE2C
V1I. GRAVITY SEWER DESIGN CRITERIA (if Applicable) - 02T.0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
12"
70 R
PVC
8"
13,445 R
PVC
Section it & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
i 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 or the MDC
Vill. PUMP STATION DESIGN CRITERIA (If Applicable)—02T.0305 & NIDC (Pump Stations/Force Mainsl:
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 - 15A NCAC 02T .0305(h)(1)(B)i
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.
I f 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 04-16 Page 3 of 5

DacuSig'Envelope U F469CCAB-DB2C-4B48-BFFE48C68DB9AE2C
IX. SETBACKS & SEPARATIONS — (02B.0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations found in I JA NC t} I' 3t), ® Yes ❑ No
0 15A NCAC 02T.0305(f) contains minimum separations that shall be movided for sewers stems:
Setback Parameter*
Se aration 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-I waters of Class I or
Class 11 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
hijah 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 building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainap,e systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
15A NCAC 02T.0305(e) contains alternatives where separations in 02T.0305(f) cannot be achieved. 0/VJO
i "Stream classifications can be identified using the Division's NC Surface Water Classifications web a e pX
If noncompliance with 02T.03054 Q or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) YesN."A
i See the Division's draft separation requirements for situations where separation cannot be m
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 eFfecled
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No ❑ N.-'A
i This would include Trout Buffered Streams per 15A NCAC 213.0203
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
Information can be obtained from the 401 & Buffer Permittine Branch
5. Does project comply with 15A NCAC 02T.01051e)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.01051c)(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 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

DocuSign"Envelope ID- F469CCAB-DB2C4B48-BFFE-48C68DB9AE2C
X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria fnr the Pemiitting of Pump SlatiE3ns
and Force Mains (latest version), and the Gravi1y Sewer Minimum Design Criteria latest version as applicable?
® Yes ❑ No
IfNo, complete and submit the Variance. Alternative Design Request application (VADC 10-14) and supporting documents for
review. Aonroval of the renuest is renuired prior to submittal of the Fast Track Application and sunportine documents.
2. Professional Engineer's Certification:
Paul Devlin, PE _ attest that this application for
(Professional Engineer's name from Application Item I11.1.)
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
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 143-215.6B, 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 S25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date: 91 %k C A R O`
2 �OFESS/p� i9
SEAL
049219
S4 @d by: '04 UZ D E'J �'�t,
Dr�
�10/16f2020
3. Applicant's Certification per 15A NCAC 02T.0I06(b): FCDE618W94
Paul Weeks, City Engineer attest that this application for
(Signature Authority's name & title from Application Item I.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 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 S10,000 as well as civil penalties up to 525,000 per violation.
Doeu fined by,
to/16/zozo
Signature: B8C79E5BB7BUB9 Date:
FORM: FTA 04-16 Page 5 of 5

NC pept of rtivirnt�tncntal Quat:tY State of North Carolina
Department of Environmental Quality
OCTDWR 2 D 2020 Division of Water Resources
Dislslon of Water Resources Flow Tracking for Sewer Extension Applications
P.alcibli i�Ctijo al Office (FTSE 10-18)
Entity Requesting Allocation: Galvin's Ridge Landco, LLC
Project Name for which flow is being requested: Galvin's Ridge Subdivision - Phase 1
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 wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Sanford (Big Buffalo) WWTP
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 MGD
12.00
1.061295
5.733
0.09324
6.89
57%
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)
Design
Pump
Pump
Average
Station
Station
Firm
Daily Flow*
(Name or
Permit
Capacity, *
(Firm 1 pf),
Number)
No.
MGD
MGD
GFLS
1.008
0.4032
LBLS
6.36
2.544
(B)
(C)
(D)=(B+C)
(E)=(A-D)
obligated,
Approx.
Not Yet
Total Current
Current
Tributary
Flow Plus
Avg. Daily
Daily Flow,
Obligated
Available
Flow, MGD
MGD
Flow
Capacity*** MG
l
0
0.15324
0.15324
0. 6
�!
1.041
0.25124
1.29224
1.25176
e
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the Iargest 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, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** 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 C011ection System
Downstream Permit Number: WQCS00047
Page 1 of 6
FTS E l 0- 18

III. Certification Statement:
I Paul Weeks 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 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 certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat thp-propoked new wastewater.
Signing Official
1 �1
Title of SigniA
Date
Page 2 of 6
FTSE 1 D-18

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%� WithersRavenet
,. Our People. Your Success
October 19, 2020
Department of Environmental Quality
Division of Water Resources
Attn: Jason Robinson
3800 Barrett Drive
Raleigh, NC 27609
RE: Galvin's Ridge Subdivision- Phase 1
Sewer System Extension Permit
Dear Mr. Robinson,
"TCDept of Fox irc}nriit ntulOF;dity
OCT ? fi Zfl?fj
Raleigh RC1110tt�ti
On behalf of Galvin's Ridge Landco, LLC, please find the attached documentation in support of a Fast Track
Application (FTA 04-16) for the referenced project. As noted in the application, this project will consist of
70 LF 12" PVC sewer pipe and 13,345 LF 8" PVC sewer pipe that will serve the Galvin's Ridge Subdivision
- Phase 1.
The proposed project will meet all of DWR's minimum design criteria for sanitary sewer extensions. The
design flow rate for this project is calculated at 93,240 GPD based on NCAC 2T Rules for wastewater flow
rates and the anticipated flow from the 172 three -bedroom single family and 87 three -bedroom townhomes.
The proposed sanitary sewer line sizes are more than adequate to convey the design flow rates.
Please find attached the following information in support of the application:
• Fast Track Sewer System Extension Application (FTA 04-16)
• Flow Tracking/Acceptance Form for Sewer Extension Applications (FTSE 04-16)
• USGS Map
• Street Level Map
• $480 Check for payment of Application Fee
If you have any questions regarding this request or if you require any additional information, please feel free
to contact me at 919-238-0432 or [e-mail].
Sincerely
WithersRavene[
/0�4/ A�-
Paul Devlin, P.E.
115 MacKenan Drive I Cary, NC 27511
t: 919,469.3340 1 f: 919.467.6008 1 www.withersravenel.com I License No. C-0832
Cary I Greensboro I Pittsboro I Raleigh I Wilmington

::WithersRavene[
Our People Your Success
137 South Wilmington Street, Suite 200
Raleigh, NC 27601
919-469.3340 1 f: 919.467.6008
TO: NCDEQ
3800 Barrett Drive
Raleigh, NC 27609
2WE ARE SENDING YOU ® Attached
THE FOLLOWING ITEMS ❑ Shop Drawings
❑ Copy of Letter
Letter of Transmittal
PS,w,,
10/19/2020 •= • 02190170.00
• Jason Robinson
Galvin's Ridge Subdivision - Phase 1
Extension Permit
❑ Under Separate Cover via
❑ Prints ❑ Plans
❑ Change Order ❑ Diskette
❑ Samples ❑ Specifications
❑ Other
COPIES
2
DATE
NO.
DESCRIPTION -
Cover Letter
2
Fast Track Sewer System Extension Application (FTA 04-16) Docusigned
2
Flow Tracking/Acceptance Form for Sewer Extension Applications (FTSE 04-16)
2
USGS Map NU Dept of EnvironmentalQuality'
2
Street Level Map n
1
Check #1353 for $480.
Raleigh Regional (-fhce
THESE ARE TRANSMITTED as checked below.,-
9 For approval ❑ Approved as submitted
❑ For your use ❑ Approved as noted
❑ As requested ❑ Returned for corrections
❑ For review and comment ❑ Other
❑ Resubmit
copies for approval
❑ Submit
copies for distribution
❑ Return
corrected prints
❑ FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS-.
COPY TO: Alissa Pelham SIGNED: Paul Devlin, PE
If enclosures are not as noted, kindly notify us at once.