WQ0040520_Application (FTSE)_20201120

State of North Carolina
Department of Environmental Quality
DWR 100 Division of Water Resources
I5A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: � 001 0S Q MC (to becomplctedhyDWR)
All items must he completed or the application will be returned
1. APPLICANT INFORMATION:
. Applicant's name: City of Sanford (company, municipality, 110A, utility, etc)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately-owncd Public Utility
❑ Federal ❑ Stalc/County ® Municipal ❑ Other
3. Signature authority's name: Paul We *ks, PF: per I SA NCAC' 021' .01061b1
Title; C'it I;n zinc r
4. Applicant's mailing address: 225 F. Weatherspoon ,�lrcgt. P.O Box 3729
City: Sanford State: N_C Zip: 27331-3729
5. Applicant's contact information:
Phone number. (21D=,-I122 Email Address: paul.wecks(a>.sant'ordnc net G
a
11, PROJECT INFORMATION: O
h
1. Project name: Raleigh Executive Jetport Sewer Extension
2. A lication/Project status: c
Application/Project ) El (New Permit) ®Existing Permit/Project �
Q .t.
If a modification, provide the existing permit number: WQ0040520 and issued date: 12/12/18 N
If new construction but part of a master plan, provide the existing permit number: WQ00
o c�
3. County where project is located: Lees a
d
4. Approximate Coordinates (Decimal Degrees): Latitude: 535. 82665 Longitude: - 1 56 Gl
U
5. Parcel ID (if applicable):
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Scott P. Haberstroh License Number: 36505
Firm: Freese and Nichols. Inc.
Mailing address: 1017 Main Campus Drive. Suite 1200
City: Raleigh State: NC Zip: 27606
Phone number: (2W M-jl6Z Email Address: scott.haberstroh(a)freese.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Big Buffalo Wastewater Trcafmcnt Plant Permit Number: NC'0024147
Owner Name: City of Sanford
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ003W Downstream (Receiving) Sewer Size: 12 inch
Syitcm Wide Collection System Permit Number(s) tifilonlicable): WQCS00047
Owner Name(s): Cityof Sanford
FORM: FTA 04-16 Page I ol'5

V1. 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: DEVI been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a H me/Pro a Owners' AssociaCion, has an Operational A reement (FORM : H A 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 ❑ Church ❑ Swimming Pool/Filter Backwash
® Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
S. Nature of wastewater: 100 % Domestic/Commercial % Commercial
% Industrial (see I SA NCAC 02T .0103(20))
'Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .01 141ti? ❑ Yes ❑ No
If yes, provide a cogy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114ff11
Daily Design Flow' °
No. of Units
Flow
Raleigh Executive Jetport Sewer
gal/
500 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
GPD
a See 1SA NCAC 02T 01 14(b),,(d) (e)i 1) and ie)(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 .01 14(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: 500 GPD (per 15A NCAC 02T AI 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

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
12 3,030 PVC
g 283 PVC
Section Il & Ill of the MDC for Permitting of Gravity Sewers contains information related to design criteria
A Section Ill 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
Vill. 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) I Length (feet) I 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
i 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):
i 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.
r 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 a multiple station power outage.
FORM: FTA 04-I6 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 2T .0305 &
D 1 SA m AC' n?T nin5tn Conlainc minimnm 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 welts, 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, HQW, or SB from normal
water or tide elevation and wetlands see item 1X.2
50 feet
..high
**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
Any swimming pools
10 feet
Final earth grade vertical
36 inches
15A NCAC 02T.0305(e) contains alternatives where separations in 02T.0305if) cannot be achieved.
**Stream classifications can be identified using the Division's NC Surface Water Classifications weboaee
`r If noncompliance with 02T.0305(f) or (el. see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes [:]No ® NIA
9 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 02B .0200? ❑ Yes ❑ No ® N!A
➢ This would include Trout Buffered Streams per 15A NCAC 2B.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 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(61(additional permits/certifications)? ® Yes ❑ No
Per I SA 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 I SA NCAC _02T.040 , "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
Y 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 permitce's individual System -Wide Collection permit.
PORM: PTA 04-16 Page 4 of 5

DocuSign Envelope ID: 9BA87DA9-781E-4AF4-BEEF-2885000EF85E
X. CERTIFICATIONS:
Does the submitted system comply with I A NCAC Q2T, the Minimum Desittn 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 re uired Prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
Scott Haberstroh attest that this application for
(Professional Engineer's name from Application Item II1.1.)
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 143-215.613, 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.
�I
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
Paul M. weeks Jr. P.E. city Engineer
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036505
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I1/5/2020
4B9F899CaF1E44B
(Signature Authority's name & title from Application Item 1.3.)
attest that this application for
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 143-215.6B, 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.
Signature:
oowsgow by:
BbC99Efi60J644a9
Date:
ii/5/202a
FORM: FTA 04-16 Page 5 of 5

DocuSign Envelope ID; DDAOE45D-lCa4-4505-B7F2-6A7E22BEDE54
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: City of Sanford
Project Name for which flow is being requested: Raleigh Executive Jetport Sewer Ext
More than one FTSE may be required fur a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flan:
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
Al1.Jlows are in MGD
12.0
0.9610
5.7330
0.0005
6.7945
56.6%
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)
(B)
(C)
(D)=(B+C)
(E)r(A-D)
Design
Average
Approx.
Obligated,
Pump Pump
Daily
Current
Not Yet
Total Current
Station Station Firm
Flow*"
Avg. Daily
Tributary
Flow Plus
(Name or Permit Capacity,
(Firm / p0,
Flow,
Daily Flow,
Obligated
Available
Number) No. MGD
MGD
MGD
MGD
Flow
Capacity***
ILS _ WQ0039650 2.7000
1.0800
0.1005
0
0.1005
0.9795
GFCLS WQ0022348 1.0080
0.4032
0.1005
0.0161
0.1161
0.2871
LBLS WQ0031466 6.3600
2.5440
1.1415
0.4191
1.5606
0.9834
* The Firm Capacity (design flow) 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, 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 Collection System
Downstream Permit Number: W CS00047
Page I of 6
FTSE 10-18

Dow&gn Envelope ID: DDAOE45D-1CB44505-B7F2-6A7E22BEDE54
III. Certification Statement:
I Paul Weeks Jr. PE 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 the proposed new wastewater.
�DO -SW d by
Pau h, uk.tks Y. P.1e. 11/10/2020
Signing Official Signature
City Engineer
Title of Signing Official
Date
Page ? of 6
F'I"SE 10.18

C
L\
Project Limits
of Disturbance
I �� I V\I l f t`
RALEIGH EXECUTIVE JETPORT
SEWER EXTENSION
TOPOGRAPHIC MAP
0 250 500 1, 000
FEET 19_
lipsVeam section removed
Nd
1
i
� r
t
Copynght _ 2 3 Naltio�ial Geographic Soaety i-cubed
FIGURE 1
FREESE 1017 Main Campus Dr
romINKHOLS Raleigh, NC 27603
919-582-5850

A'
'r.
Upstream section removed from
;. protect If
4*'
f
• ` � / � Project Limits
of Disturbance
Jw
-
d
� N
r
r
�r O(JI Ir :e f n, lam If�a ohU l c ,I .
MAL—D .l "FS r•F; IAm
'i
RALEIGH EXECUTIVE JETPORT FIGURE 2
SEWER EXTENSION
AERIAL MAP 1017 Main Campus Dr
0 250 500 FREESE Raleigh, NC 27603
FEET49 r AICHOLS
919-582-5850

1017 Main Campus Dr, Suite 1200 • Raleigh, North Carolina 27606 • 919-582.5859 • fax [phone] vWW freese com
PROJECT:
Raleigh Executive Jetport Sewer Extension DATE: 1112012020
(Permit No. W00040520)
TO:
NCDEQ— Water Quality Regional Operations Section
ADDRESS:
3800 Barrett Drive
Raleigh, NC 27609
PHONE NO.:
919-791-4200
FROM:
Scott Haberstroh, PE
CC:
WE ARE SENDING YOU THE FOLLOWING ITEMS:
• Fast Track Sewer System Extension Application Modification for WQ0040520
® Attached ❑ under separate cover via:
❑ Delivery Service and Tracking No.
® Hand Delivery ❑ Email ❑ Other
THESE ITEMS ARE TRANSMITTED FOR YOUR:
❑ Use ❑ Review and Comment ❑ Information
® Approval ❑ Distribution to Parties ❑ Response
❑ Records ❑ Other:
REMARKS:
Please feel free to contact me at [phone] if you have any questions or require additional
information. I can also be reached at [e-mail].
-k
U
NOV 2 0 2020
NC DENR Raleigh R*91on2! 0f€ce

1017 Main Campus Dr, Suite 1200 • Raleigh, North Carolina 27606 • 919-582-5859 • fax [phone] www.freese.com
November 10, 2020
North Carolina Department of Environmental Quality
Raleigh Regional Office
Water Quality Section
1628 Mail Service Center
Raleigh, NC 27699-1628
-•-
`+
Re: City of Sanford
Raleigh Executive Jetport Sewer Extension NOV 2 Q 2020
Fast Track Sewer System Extension Application (FTA 04-16) Modification
To Whom it May Concern:
sr� �5a!(H►f�l �+��
The City of Sanford (City) requests to modify the existing permit (Permit Number: WQ0040520) issued
December 12, 2018 for the referenced Raleigh Executive Jetport Sewer Extension project. On behalf of
the City, and in accordance with 15A NCAC subchapter 02T and the Division of Water Resources
Minimum Design Criteria, please find enclosed the following documents:
• Fast Track Sewer System Extension Application (FTA 04-16)
• Flow Tracking for Sewer Extension (FTSE 10-18)
• Figure 1— USGS Topographic Map of Project Area
• Figure 2 —Aerial Map of Project Area
• Existing Permit WQ0040520
• Check of four hundred eighty dollars ($480.00) issued to North Carolina Department of
Environmental Quality
After the initial permit submittal, the City elected to eliminate a section of gravity sewer that was
designed for future growth, resulting in a decrease of 1,476 feet of 12-inch and 20 feet of 8-inch gravity
sewer.
Pipe Diameter Original Length (ft)
8-inch 303 Revised
283
12-inch 4,506
3,030
In addition, with the impending certification of the downstream sewer, Permit # WQ0039650
(Modification), the City would like to revise the flow generated from this project from zero to 500 gpd
from the Jetport. This will allow the Jetport to abandon their aging septic system.
Please feel free to contact me at [phone] if you have any questions or require additional
information. I can also be reached at scott.haberstrohC�freese.com.
Sincerely,
Scott P. Haberstroh, P.E.
Senior Project Manager