wq0042143_Application (FTSE)_20201130

Department of Environmental Quality
DWRDivision of Water Resources
ISA NCAC 02T .0300— FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number. 4�60 l i (to be completed by DWR) / f 30
All items must be coma leled or the application will be returned 1 \\
I. APPLICANT INFORMATION:
I . Applicant's name: City of Durham (company, municipality, HOA, utility, eta)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ StatelCounty ® Municipal ❑ Other
3. Signature authority's name: Robert N. JM Mer per 15 N'CAC 02'r .0 LM Cfj
Title: Development Review Groun Manager
4. Applicant's mailing address: Department of Public Works - 101 CiJ Hall Plaza
City: Durham State: NC Zip: 27701-
5. Applicant's contact information; Dept of EnviNnTnentel C�u:illlx
13CD P A
Phone number. 919 560-4326 Email Address: Robert.Jovnerfa?durhamnc.eo_v MOV 3 0 2020
II. PROJECT INFORMATION:
1. Project name: NOVA RTP Raleigh Ragional Offlto-
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: Durham
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.938520° Longitude:-78.888755'
5. Parcel ID (if applicable): 0739-01-26-9264
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer. Preston B. Rooster License Number: 35003
Firm: Coulter Jewell Thames, P.A.
Mailing address: I I I West Main Street
City. Durham State: NC Zip: 27701
Phone number: [phone] Email Address: t)royste.r(@,citya.com
IV. WASTEWATER TREATMENT FA CIL*IT]'v(W�WT ORMATION:
1. Facility Name: South am v PerCmC it Number: ]QC 0
Owner Name: Durham County � f t btl,� ;,I*
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: 8 inch
Svstem Wide Collection Sv,3em Permtrit NurFmberfs) (if R lj! sR a}: WQCS Y
Owner Name(s): ��— 0 y

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 ®NIA
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DE)) been attached?
❑ Yes []No ®NIA
3. If the Applicant is a I lomeiProperty Owners' Association. has an Operational 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 ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: % DomesticlCommercial % Commercial
% Industrial See 15A NCAC 02T .0103(20))
bIs there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(fl? ❑ Yes ❑ No
)-- If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.01140
Daily Design Flow °-b
No. of Units
Flow
gal/
GPD
gall
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gay
GPD
Total
GPD
a See 15A NCAC 02T .01 I4 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. 42A4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0_1141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: GPD (per 15A NCAC 02T .0114)
),, Do not include future flows or previousIy 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):

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
202
PVC
8
112
DI
➢ Section 11 & Ili 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
VIM PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pumn Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: . 9 Longitude: - w
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):
➢ 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):
D 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 time6 ames, shall be provided
in the case of a multiple station power outage.

. IX. - SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(t)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305 & ® Yes ❑ No
D 15A NCAC 02T.0305(f) contains minimum separations that shnU he nrnv;rtPrl Fnr CPUIPr cvcfPmc-
Setback Parameter*
Separation Re utred
Storm sewers and other utilities not listed below vertical
24 inches
Water mains(vertical-water over sewer including in benched trenches
IS 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-I 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
An 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 d____36
inches
D 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications web aae
);-- 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 ❑ NIA
➢ See the Division's draft separation requirements for situations where separation cannot be meet
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 ®N. A
Y 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 40I Water Quality Certifications?
A Information can be obtained from the 40I & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0 I 05(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.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
D 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.

X.
CERTIFICATIONS:
I. Does the submitted system comply with 15.E Nt; AC 021 the NfinigUirr.Desigp Criteria for rheP iginLgLpttrrrp Stations
an.r Farce I #�_s latest tersinn and the Gravity Scuer Kinimum D�gnC�teria1laLs 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 r2guest is required prior to submittal of the Fast Track Application and suRRortina documents.
2. Professional Engincers Certification:
attest that this application for
(Professional Engineer's name from Application Item 111.1.)
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 143-2I5.613, 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:
I= SEAL t_
602
zazar�. Z
B.
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I Robert N. Joyner, Jr., PE attest that this application for
(Signature Authority's name & title from Application Item 1.3.)
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 143-2i5.6A and [ ti.ta8. 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: 11M, Date: Lb Z t 1zr+Zo
�J U i
FORM: FTA 04-16
Page 5 of 5

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PUBLIC WORKS
CITY OF DURHAM
November 10, 2020
N.C. Department of Environmental Quality
Division of Water Resources
Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699-1628
Dear Sirs:
Subject: Sewer Permit Application [Public & Private]
NOVA RTP
N ]Dept of Environmental Quality
NOV 3 0 2020
Ralcibh Reo ional (')i-i ice
ZP
Please find enclosed the subject application package, which includes two FTA 04-16's (one public,
one private), three forms FTSE 10-18, one from the City of Durham and two from Durham County,
(one public and one private), the appropriate topographic maps, and a check for the $960.00
application fee for the two applications.
Should you have questions or comments, please do not hesitate to contact me at [phone], ext.
30229.
Sing ely,
Robert N. j er, jr., P.E.,
Development Review Group Manager
City of Durham
Dept. of Public Works
101 City Nall Plaza, Third Floor, Durham, NC 27701 919.560.4326 1 DurhamNC.gov Follow Us @CityofDurhamNC
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