wq0042332_Application (FTSE)_20210215

DocuSign Envelope ID: 8142C196-C8D3-44BD-ACCF-D4D256BB676C x t \1 "44 5 _ 1 1/ State of North Carolina
I Department of Environmental Quality
Division of Water Resources
R
Division of Water Resources
7,,4-/rn-)
I5A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: 11.(10 to, 3 3);
(to be completed by DWR)
All items must be completed or the application will be returned
a rr
I. APPLICANT INFORMATION:
1. Applicant's name: City of Durham (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership 0 Privately -Owned Public Utility
0 Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Donald F. Greeley. PE, per ISA NCAC 02T .0106(bj
Title: Director of the Department of Water Management
4. Applicant's mailing address: 101 City Hall Plaza
City: Durham State: NC Zip: 27701-
5. Applicant's contact information: 0
d
Phone number: (9 E9) 560-4381 Email Address: Don.Greelev(durhamnc.eov73 ,a
o
II. PROJECT INFORMATION: �6. '0 7.1.1
rn
I. Project name: Githens School Lift Station and Force Main �� 03 G•
73 a
2. Application/Project status: ® Proposed (New Permit) 0 Existing Permit/Project �. S �
t
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 0 p
co
3. County where project is located: Durham +fit
o
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.94366 Longitude: -78.98260
5. Parcel ID (if applicable): 140074 and 140073
(or Parcel [D to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Scott Haberstroh License Number: 036505
Firm: Freese and Nichols, Inc.
Mailing address: 1017 Main Campus Drive. Suite 1200
City: Raleigh State: NC Zip: 27606-
Phone number: [phone] Email Address: [e-mail]
freese.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: South Durham Water Reclamation Facility Permit Number: NC0047597
Owner Name: City of Durham
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQCS00005 Downstream (Receiving) Sewer Size: 42 inch
system Wide Collection System Permit mber(s) (ifapplicable): WQCS
Owner Name(s): City of Durham
FORM: FTA 04-16 Page 1 of 5

DocuSign Envelope ID: 8142C196-C8D3-44BD-ACCF-D4D256BB676C
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 ON.A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
0 Residential Owned ❑ Retail (stores, centers, malls)
❑ Residential Leased ❑ RetaiI with food preparation/service
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities
❑ Food and drink facilities ❑ Church
0 Businesses / offices / factories ❑ Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool /Clubhouse
0 Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : % Domestic/Commercial % Commercial
Industrial (See I5A NCAC 02T .0103120))
)Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under I5A NCAC 02T .01 14(f)? ❑ Yes 0 No
)✓ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(fy
Daily Design Flow LI'
No. of Units
Flow
gal/
GPD
gal/
GPD
gal/
GPD
gall
GPD
gal/
GPD
gall
GPD
Total
GPD
a See 15A NCAC 02T .0114(b), (d). (e)(1) and (e)(2) for caveats to wastewater design flow rates (Le., 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 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: 0 GPD (per 15A NCAC 02T _0114)
D 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

DocuSign Envelope ID: 6142C196-C8D3-44BD-ACCF-D4D256BB676C
VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & AMC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
12
136
DI
24
284
DI
D Section II & [lI of the MDC for Permitting of Gravity Sewers contains information related to design criteria
D 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
VIII. 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: Githens School Lift Station
2. Approximate Coordinates (Decimal Degrees)t Latitude: 35,94366' Longitude:-78.98260D'
3. Design flow of the pump station: 3.54 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 2460 gallons per minute at 60 feet total dynamic head (TDH)
5, Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
14
1454
DI
16
1000
HDPE
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
® Standby power source or pump with automatic activation and telemetry - ISA 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
D Must be permanent to facility
Or if the pump station has an average daily flow Tess 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.
• 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 04-16 Page 3 of 5

DocuSign Envelope ID: 8142C196-C8D3-44BD-ACCF-D4D256BB676C
IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(0):
I . Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (a)
> I5A NCAC 02T.0305(f) contains minimum 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 wells, WS-I waters of Class I or
CIass II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, I-IQW, 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
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
9 15A NCAC 02T_0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
9 **Stream classifications can be identified using the Division's NC Surface Water Classifications webpaae
9 If noncompliance with 02T.0305(fl or (a) see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No ❑ N?A
> See the Division's draft separation requirements for situations where separation cannot be meet
9 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 ❑ NIA
9 This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or
individual permits or 401 Water Quality Certifications?
> Information can be obtained from the 401 & Buffer Permittina Branch
®Yes El No
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A 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 Iines 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 ❑ NIA
9 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 1SA 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: 8142C196-C8D3-449D-ACCF-D4D256BB676C
X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
rind 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 required prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
Scott Haberstroh
(Professional Engineer's name from Application Item III.1.)
attest that this application for
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. 1 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 $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date: \•‘� j.► CAR° ii,� 1
1 ... : V:.
q,
— • .a.SEAL {' —
— 036505
EocuSigned by: '
�a d�, da,‘2/9/2021
3. Applicant's Certification per 15A NCAC 02T .0106(b):
(Signature Authority's na
1,
tea. attest that this application for
title front 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 143-2!5.6A and I43-21 ,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:
Date: 4/57; e
FORM: FTA 04-16 Page 5 of 5

Division of Water Resources
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 Durham
Project Name for which flow is being requested: Githens School LS & Force Main
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: South Durham Water Reclamation Facility
b. WWTP Facility Permit #: NC0047597
Allflows are in MGD
c. WWTP facility's permitted flow 20
d. Estimated obligated flow not yet tributary to the WWTP 3.74
e. WWTP facility's actual avg. flow 8.8
f. Total flow for this specific request 0.81
g. Total actual and obligated flows to the facility 13.35
h. Percent of permitted flow used 66.8
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) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
* 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
(pt) 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): South Durham Water Reclamation Fac.
Downstream Permit Number NC0047597
Page 1 of 6
FTSE 10-18

III. Certification Statement:
[ :aisle:fat, /f-4G 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 I1 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.
Signing Official Signature
Cz r-rjz
Title of Signing Official
Date
Page2of6
FTSE 10-18

GITHENS SCHOOL LIFT
STATION AND FORCE
MAIN TOPO MAP
0 750 1,500
Feet
e
1017 Main Campus Drive
Suite 1200
Raleigh, North Carolina 27606
919-582-5850
FREESE

PROPOSED LIFT STATION
EXISTING LIFT STATION
PROPOSED FORCE MAIN
•
0
GITHENS SCHOOL LIFT
STATION AND FORCE
MAIN AERIAL MAP
375
750
1" = 750'
1,500
e
1017 Main Campus Drive
Suite 1200
Raleigh, North Carolina 27606
919-582-5850
r� NICNOLS

Ii NICHOLS
Innovative approaches
Practical results
Outstanding service
1017 Main Campus Dr, Suite 1200 • Raleigh, North Carolina 27606 • 919-582-5859 • fax [phone] www.freese.com
February 10, 2021
North Carolina Department of Environmental Quality
Raleigh Regional Office
Water Quality Section
3800 Barrett Drive
Raleigh, NC 27609
Re: City of Durham
Githens School Lift Station and Force Main
Fast Track Sewer System Extension Application (FTA 04-16)
To Whom it May Concern:
ArC
bCA10
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pea ,5 �r Pua//t�.
filg�e • ?Q91
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nat
Ofaee
On behalf of the City of Durham and in accordance with 15A NCAC subchapter 02T and the Division of
Water Quality Minimum Design Criteria, please find enclosed the following documents associated with
the proposed Githens School Lift Station and Force Main project:
• Fast Track Sewer System Extension Application (FTA 04-16)
• Flow Tracking for Sewer Extension (FTSE 10-18)
• USGS Topographic Map of Project Area
• Aerial Map of Project Area
• Check of four hundred eighty dollars ($480.00) issued to North Carolina Department of
Environmental Quality)
The proposed project involves the construction of a new 3.54 MGD submersible lift station and
approximately 2454-ft of force main to replace the existing 2.16 MGD Old Chapel Hill Road lift station
and 12-inch force main that was constructed in 1988. The discharge location to the downstream gravity
sewer interceptor remains unchanged with flow ultimately being discharged to the South Durham Water
Reclamation Facility, permit number NC0047596.
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].
Sincerely,
Scott P. Haberstroh, PE
Senior Project Manager

LETTER OF
TRANSMITTAL FN.I•IV1CHOLS
FREESE
1017 Main Campus Dr, Suite 1200 • Raleigh, North Carolina 27606 • 919-582-5859 • fax [phone]
PROJECT:
TO:
ADDRESS:
PHONE NO.:
FROM:
Innovative approaches
Practical results
Outstanding service
www.freese,com
DRM19746 DATE: February 10, 2021
Githens School Lift Station and Force Main
North Carolina Department of Environmental Quality
Raleigh Regional Office
Water Quality Section
3800 Barrett Dr.
Raleigh, NC 27609
919-791-4200
Scott Haberstroh, PE
WE ARE SENDING YOU THE FOLLOWING ITEMS:
.4,-C
beAfot'
0
�€B ',,elite f
2,
al
Off
cb
• Two copies of the Fast Track Sewer System Extension Application and supporting documents for
the Githens School Lift Station and Force Main project.
Attached under separate cover via:
Delivery Service and Tracking No.
" Hand Delivery f . Email r Other
THESE ITEMS ARE TRANSMITTED FOR YOUR:
r Use r Review and Comment r Information
P Approval r Distribution to Parties r Response
Records r Other:
REMARKS:
Please call me at 919-582-5867 or email me at scott.haberstroh(a}freese.com if you have any questions.