WQ0023076_Application (FTSE)_20030910

FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 3
Q1 c. The legal entity who will own this system is:
0 Individual 0 Federal ® Municipality 0 State/County 0 Private Partnership 0 Corporation ❑ Other (specify):
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
1. Owner:
la. TOWN OF SPRING LAKE
Application Number. 460 0o1 )�
(to be completed bV DWQ) 'f' (P
Full Legal Name (company, municipality, HOA, utility, etc.)
z 1b. JOEL A. DAVIS, TOWN MANAGER
0 Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!)
2
Id. 300 RUTH ST. PO BOX 617 le. SPRING LAKE
0 Street Address
Z If. NC
A. APPLICATION
State
City
1 g. 28390
Zip Code
1h. 910-436-0241 1i. 910-436-2667 Ij. WWW.SPRING-LAKE.ORG
Telephone Facsimile E-mail
2. Project (Facility) Information:
2a. VILLAGE ON THE LAKE
Brief Project Name (permit will refer to this name)
3. Contact Person:
3a. CARL J. CROFT, P.E., SUMTER, SC
2b. CUMBERLAND
County Where Project is Located
DESIGN ENGINEER
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 803-773-1831
3c. CROFTENGRGC AOL. COM
Phone Number
CROFT ENGINEERING CO., INC.
410 W LIBERTY ST SUITE 216
SUMTER, SC 29150
PAY TO THE �(.! G N �/
ORDER H
DATE
THE NATIONAL BANK OF SOUTH CAROLINA
SUMTER, SOUTH CAROLINA 29150
FOR V l(G Q G z2 Te Z d kG 1 111 f Sal--B,/ee

W ElApartments/Condominiums J Institution
CI. 0 Mobile Home Park 0 Hospital
0 School 0 Church
Cd 0 Restaurant 0 Nursing Home
0 Office 0 Other (specify):
7. Volume of wastewater to be permitted in this project: 53.947 gallons per day
CARL J. CROFT
8. If the permitted flow is zero, indicate why:
❑ Interceptor Line - Flow will be permitted is subsequent permits that connect to this line
❑ Flow has already been allocated in Permit No.
0 Rehabilitation or replacement of existing sewer with no new flow expected
DOLLARS 8
% Domestic/ 'ommercia
% Industrial
% Other (specify):
AP

FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 1
OFWATFR
/�'o� ;;SEP I 0 2003
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
FAST -TRACK APPLICATION
for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
(Pressure sewers systems are not to be included as part of this application package)
INSTRUCTIONS: Indicate that you have included the following list of required application package items by checking the
space provided next to each item. Failure to submit all required items will lead to your application being returned as
incomplete or additional processing and review time. This form may be photocopied for use as an original.
❑ I. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. Any changes to this form will result in the application being returned. The Division of Water Quality
(Division) will only accept application packages that have been fully completed with all applicable items
addressed. You do not need to submit detailed plans and specifications unless you respond NO to Item B(12).
❑ II. Application Fee - Submit a check in the amount of $400 made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR).
❑ III. Certificates of Public Convenience and Necessity — If the application is being submitted in the name of a
privately -owned public utility, submit two copies of the Certificate of Public Convenience and Necessity (CPCN)
which demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the
sewer extension. If a CPCN has not been issued, provide two copies of a letter from the North Carolina Utilities
Commission's Public Staff that states that an application for a franchise has been received, that the service area
is contiguous to an existing franchised area, and/or that franchise approval is expected. The project name in the
CPCN or letter must match that provided in Item A(2a) of this application.
❑ IV. Operational Agreements — Submit one original and two copies of a properly executed operational agreement if
the sewer extension is permitted by a private applicant and will be serving residential or commercial lots (e.g.,
houses, condominiums, townhomes, outparcels, etc.) that will be sold to another entity. If the applicant is a
homeowners' association, use Form HOA 02/03. If the applicant is a developer, use Form DEV 02/03. EVEN IF
THE PROJECT WILL BE TURNED OVER TO A MUNICIPALITY, FORM DEV 02/03 IS REQUIRED.
❑ V. Flow Acceptance Letters — If the owner of the downstream sewers and/or WWTF is different from the applicant,
submit two copies of a flow acceptance letter from the owner of the downstream sewers and WWTF, if different.
Flow acceptance letters must contain the following minimum information: applicant and project name, amount of
flow accepted, and name and permit number of the receiving sewers/WWTF. The flow acceptance must not
expire prior to permit issuance and must be dated less than a year prior to the application date.
Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific flow acceptance
letter.
❑ VI. Map — Submit an 8.5-inch by 11-inch COLOR copy of the portion of a 7.5-minute USGS Topographic Map along
with this form. The map should identify the entire project area location as well as the closest downslope surface
waters as clearly as possible. Each map portion must be labeled with the map name and number, the identified
location of the sewer line and pump stations, and be of clear and reproducible quality. For instance, if the project
involves 4 miles of interceptor sewer that traverses over or near several different waterbodies (or counties,
basins, etc.), the map should have location ID's shown for each different waterbody (where the sewer line is within
100 feet of such waterbody - see Instruction VII). This location ID is self chosen and used to cross reference the
location in Section C of the permit application.
❑ VII. Stream Classifications — Section C
• If any portion of the project is within 100 feet of any down slope surface water, Section C must be completed
for the pertinent sections.
• If the entire project area is a minimum of 100 feet away from any down slope surface waters BUT there is a
pump station involved where a history of power outage is to be used to provide adequate design storage
instead of dual feed or permanent or portable generator, Section C must be completed to demonstrate that
the closest down slope surface water is Class C (see 15A NCAC 2H .0219(h)(3)(D)).
• Use the guidance document entitled, "Determining Watershed Classifications for Form FTA 02/03 (Fast -Track
Sewer Systems)" available from http://h2o.enr.state.nc.us/ndpu or by contacting the appropriate regional
office.

FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 2
❑ VIII. Environmental Assessments — If this project is subject to an Environmental Assessment (EA) [15A NCAC
01C .0500], this application can not be used. Send the project application on Form PSFMGSA 10/99 to the
Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. Applications can not be
processed until a Finding of No Significant Impact (FONSI) or Environmental Impact Statement (EIS) has been
issued. A copy is to be submitted with that permit application.
❑ IX. Certifications — Section D
The application must be certified by both the applicant and a North Carolina Registered Professional Engineer
(PE). The applicant signature must match the signing official listed in Item A(1b). The PE should NOT certify the
application if he/she is unfamiliar with 15A NCAC 2H .0200, the Gravity Sewer Minimum Design Criteria (most
recent version) and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
(most recent version), as applicable to the project. Certification by a PE who is unfamiliar with these documents
is subject to NC Board referral.
THE COMPLETED FTA 02/03 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING DOCUMENTS AND $400
HOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
59 Woodfin Place
Asheville, North Carolina 28801
[phone]
[phone] Fax
Avery, Buncombe, Burke, Caldwell,
Cherokee, Clay, Graham, Haywood,
Henderson, Jackson, Macon,
Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania,
Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Fayetteville, North Carolina 28301
[phone]
[phone] Fax
Anson, Bladen, _Qumberland, Harnett,
Hoke, Montgomery, Moore, Robeson,
Richmond, Sampson, Scotland
Mooresville Regional Office
919 N Main Street
Mooresville, North Carolina 28115
(704) 66lleN
(704) 663-60401Fax
Alexander, Cabarrus, Catawba,
Cleveland, Gaston, Iredell, Lincoln,
Mecklenburg, Rowan, Stanly, Union
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
[phone]
[phone] Fax
Chatham, Durham, Edgecombe,
Franklin, Granville, Halifax, Johnston,
Lee, Nash, Northampton, Orange,
Person, Vance, Wake, Warren,
Wilson
Washington Regional Office
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
Beaufort, Bertie, Camden, Chowan,
Craven, Currituck, Dare, Gates,
Greene, Hertford, Hyde, Jones,
Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington,
Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
Brunswick, Carteret, Columbus,
Duplin, New Hanover, Onslow,
Pender
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, North Carolina 27107
[phone]
[phone] Fax
Alamance, Alleghany, Ashe, Caswell,
Davidson, Davie, Forsyth, Guilford,
Rockingham, Randolph, Stokes,
Surry, Watauga, cgs, Yadkin
For more information, visit our web site at: http://h2o.enr.state.nc.us/ndpu/

.d FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 3
USE THE TAB KEY TO MOVE FR.tCtd
1. Owner:
la. TOWN OF SPRING LAKE
LE) TO FIELD!
Application Number: 9ETb 30.7
(to be completed by DWQ) J �7� /
Full Legal Name (company, municipality, HOA, utility, etc.)
z 1b. JOEL A. DAVIS, TOWN MANAGER
O Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!)
1 c. The legal entity who will own this system is:
▪ ❑ Individual ❑ Federal ® Municipality 0 State/County ❑ Private Partnership 0 Corporation ❑ Other (specify):
Ce 1 d. 300 RUTH ST. PO BOX 617 le. SPRING LAKE
O Street Address City
• 1 f. NC 1 g. 28390
Z State Zip Code
O 1h. 910-436-0241 1i. 910-436-2667 1j. WWW.SPRING-LAKE.ORG
Q Telephone Facsimile E-mail
0 2. Project (Facility) Information:
2a. VILLAGE ON THE LAKE 2b. CUMBERLAND
aBrief Project Name (permit will refer to this name) County Where Project is Located
Q 3. Contact Person:
Q 3a. CARL J. CROFT, P.E., SUMTER, SC DESIGN ENGINEER
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 803-773-1831
3c. [e-mail]
Phone Number E-mail
1. Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.:
2. Owner is 0 Public (skip to Item 8(3)) ® Private (go to Item 2(a))
2a. If private, applicant will be: 2b. If sold, facilities owned by a (must choose one)
❑ Retaining Ownership (i.e. store, church, single office, etc.) or
Leasing units (lots, townhomes, etc. - skip to Item B(3))
0 Selling units (lots, townhomes, etc. - go to Item B(2b))
O 3. TOWN OF SPRING LAKE
❑ Public Utility (Instruction III)
❑ Homeowner Assoc./Developer (Instruction IV)
H Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
Q - 4a. TOWN OF SPRING LAKE REGIONAL WWTP 4b. N000030970
it Name of VWV F WWTF Permit No.
O 5a. TOWN OF SPRING LAKE 5b. 12' GRAVITY FEEDSc. TEMP WQCS00105
Owner of Downstream Sewer Receiving Sewer Size Permit Number of Downstream Sewer (if known)
LL
Z
6. The origin of this wastewater is (check all that apply):
2 ❑ Residential Subdivision
LLI ® Apartments/Condominiums
0. 0 Mobile Home Park
0 School
m0 Restaurant
❑ Office
❑ Car Wash
0 Institution
❑ Hospital
❑ Church
❑ Nursing Home
❑ Other (specify):
100 % Domestic/Commercial
% Industrial
% Other (specify):
7. Volume of wastewater to be permitted in this project: 53.947 gallons per day
. If the permitted flow is zero, indicate why:
❑ Interceptor Line - Flow will be permitted is subsequent permits that connect to this line
❑ Flow has already been allocated in Permit No.
0 Rehabilitation or replacement of existing sewer with no new flow expected

FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 4
Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
.0219(1) for Item B(7) or the design flow for line or pump station sizing if zero flow in the space below. Values other than
that in 15A NCAC 2H .0219(1)(1-2) must be approved prior to submittal of this application. Submit a separate request to
the Division of Water Quality, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 in
accordance with 15A NCAC 2H .0219(I)(3).
SEE ATTACHED SHEET
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet)
8
Gravity or Force Main
(use the pull down menu)
544 GRAVITY
ID iser.1%
Z ENTER TOTAL LINE LENGTH IN MILES
O
Q11. Summary of Pump Stations to be Permitted (attach additional sheets as necessary)
Location ID Power Reliability Option
re (self chosen - as shown on Design Flow Operational Point (1- dual line feed; 2- permanent generator w/ATS; 3-
0 plans for cross-reference) (MGD) GPM re TDH portable generator w/telemetry; 4-wet well storage)
LL
NONE
N
LU
12. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
CO Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC 2H .0200 as applicable?
® Yes ❑ No If no, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested:
SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
13. Have the following permits/certifications been submitted for approval?
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes ❑ No ® N/A
Sedimentation and Erosion Control Plan? ® Yes 0 No 0 N/A
Stormwater? ® Yes 0 No 0 N/A

•
FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 5
C. STREAM
cn
Z
0
i—
Q
U_
LL
l—
W
V
d
1. Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02J03
(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as
necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality
regional office (see instructions for addresses) OR indicate the following:
❑ A Stream Classification is not needed because all parts of the project are at least 100 feet away from any down slope
waterbody; AND
❑ A Stream Classification is not needed because the design does not depend on wet well storage as a power reliability
option for any pump station near a Class C down slope waterbody.
Location ID on Map
(self chosen - as shown on
map for cross-reference)
Name of Waterbody Stream
Waterbody County River Basin Index
SITE McDUFFIE CREEK CUMBERLAND LITTLE RIVER
Waterbody
Classification
C
Submit the 8.5" x 11" topographic map as required in Instruction VI regardless of whether a classification is provided!
1. Applicant's Certification:
1, , attest that this application for VILLAGE O1N THE LAKE Apartment Complex
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. Note: In accordance with North Carolina
General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or
certification in any application 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 $2C,000 per violation.
la
Signing O i ial Signature JACK T. VAN
2. Profession I Engineer's Certification:
AUG 2 7 2003
Y, W&WRD Date
I attest that this application forgravity sewer extension has been reviewed by me and is accurate, complete and
consistent with the information in the engineering plans, 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 adopted February 12, 1996,
and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000
and the watershed classification in accordance with Division guidance. Although certain portions of this submittal package
may have been developed by other professionals, 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 NC
General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or
certification in any application 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.
2a. Carl J. Croft
2b.
Professional Engineer Name
Engineering Firm
2c. 410 West Liberty Street, Suite 216
Address
2d. Sumter
City
2g. 803 - 773 -18 31 2h. 80 3 - 436 - 5965
Telephone Facsimile
2e. SC 2f. 29150-4865
State Zip
2i. [e-mail]
E-mail
Seal, Sign
g-i/6 a3

CROFT
y Engineering Company
110 West Liberty Street — Suite 218 Sumter, S.C. 29150 Phone [phone]
JULY 25, 2003
VILLAGE ON THE LAKE
APARTMENT COMPLEX
Spring Lake, N C
SANITARY SEWER DISCHARGE CALCULATIONS
I. Discharge will be into the Town of Spring Lake system.
II. Flow Calculations (Ref. 15A NCAC 2H .o219(1)(1-2)
Apartments: 48 - 1 Bdrm Units = 48 x 240 gpd = 11,520 gpd
56 - 2 Bdrm Units = 56 x 240 = 13,440
52 - 3 Bdrm Units = 52 x 360 = 18,720
Clubhouse: (Residents only)
country club (one member per unit) includes cabana
156 members x 60gpd
6 washing machines used by residents only, therefore
flows should be accounted for In flows from apartments.
Apartments have connections but machines are not
furnished in units.
9,360 gpd
Office: (With small kitchen & meeting room)
Max 4 employees x 25 gpd = 100 gpd
Car Wash / Maintenance Bldg:
Car Wash: 80 gal/car wash x 10 cars/day = 800 gpd
Maintenance Restroom: 1.4 gal/use x 5 = 7
TOTAL = 53,947 gpd

CARL J. CROFT, P.E.
TO:
410 West Liberty Street — Suite 216 Sumter, S.C. 29150 Phone [phone]
LS LS U4 E Lri1 Lr U LrU!r l M LJGI.I LI Ln1 E
NCDENR, Regional Office
225 Green Street Suite 714
Fayetteville, North Carolina 28301
DATE: 9-8-03
JOB NO E200308
ATTENTION:
Sewer Line Ext. Permitting
RE:
"Village on the Lake"
Apartment Complex
GENTLEMEN:
WE ARE SENDING YOU ® Attached 0 Under separate cover via
❑ Shop drawings ❑ Prints 0 Plans
❑ Copy of letter 0 Change order
the following items:
0 Samples ❑ Specifications
Applications + Calculations
ITEM
NO.
DATE
NO. OF
COPIES
DESCRIPTION
2
Original & 1 copy application for wastewater permit FTA-02/03
1
Wastewater flow calculations
1
Color USGS map
1
Check for $400
':-1 0 :1
THESE ARE TRANSMITTED as checked below:
For approval ❑ Approved as submitted
❑ For your use ❑ Approved as noted
❑ As requested 0 Returned for corrections
0 Resubmit copies for approval
0 Submit copies for distribution
❑ Return corrected prints
❑ For review and comment El
❑ FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO SIGNED
ff enclosures are not as noted, kindly notify us at once.
Carl

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