WQ0042378_Application (FTSE)_20210305

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
15A NCAC 02T.0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: � 01) l� tw be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Fuquay-Varina (company, municipality, 1 iOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State -County ® Municipal
3. Signature authority's name: Jay Meyers. PE per 15A NCAC 02T .0I06(b�
Title: Public Utilites Director
4. Applicant's mailing address: 134 North Main Street
City: Fuquay-Varina State: NC Zip: 27526-
5. Applicant's contact information:
Phone number: [phone] Email Address: jmeyersnfuquay-varina.org
11. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
I. Project name: Fuquay-Varina/Holly Springs Building
2. ApplicationlProject 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: Wake
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.62425 Longitude:-78.81902
5. Parcel ID (if applicable): 0359558
(or Parcel ID to closest downstream sewer)
I11. CONSULTANT INFORMATION:
1. Professional Engineer: Charles P. Koch License Number: 022634
Firm: EarthCentric Engineering Inc.
Mailing address: 204 West Clay Street
City: Mebane State: NC Zip: 27302-
Phone number: (R19) 563-9041 Email Address: Phil.KochCa�EarthCentric.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Terrible Creek Wastewater Treament Facility Permit Number: NCO066516
Owner Name: Fuquay-Varina Public Utilities
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Pennit Number(s): WQ003562 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00193
Owner Name(s): Town of Fuquay-Varina
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FORM: FTA 04-16 Page 1 of

V1. GENERAL REQUIREMENTS
I, 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 AUreement (FORM: DEV) been attached?
❑ Yes ❑No ®NIA
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):
❑ Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparatioWservice ❑ Hotel and/or Motels
❑ School ? preschool f day care ❑ Medical / dental i veterinary facilities ❑ Swimming Pool +Clubhouse
❑ Food and drink facilities ® Church ❑ Swimming Pool.. -Filter Backwash
❑ Businesses r offices r" factories ❑ Nursing Horne ❑ Other (Explain in Attachment)
5. Nature of wastewater: % Domestic/Commercial 100 % 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 _0114fl? ❑ Yes ® No
Y If yes, provide a cony of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow ".n
No. of Units
Flow
Church with kitchen
5 gal'seat
263 seats
1,315 GPD
gall
GPD
gall
GPD
gall
GPD
gal!
GPD
gall
GPD
Total
1,315 GPD
a See 15A NCAC 02T .011401 fd)_(e)(I) and IeX2) 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.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: 1,315 GPD (per 15A NCAC 02T .0114)
;i- 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

VI1. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC „(Gravi , Sewers);
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
S" 377.92 SDR-35
Section 11 & 111 of the MDC for Permitting of Gravity Sewers contains information related to design criteria
i Section HI contains information related to minimum slopes for gravity sewer(s)
i- 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
I - 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)(I ):
❑ 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.
Ifthe 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

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(1)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (
15A 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-1 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
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
15A NCAC 02T.0305(e) contains alternatives where separations in 02T.0305(f) cannot be achieved.
"Stream classifications can be identified using; the Division's EEC Surface Water C'lassilications webpa e
i if noncompliance with W1,03050) oCIUL see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No ❑ NIA
Y 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 02B .0200? ® Yes ❑ No ❑ N A
�- 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 401 Water Quality Certifications?
Information can be obtained from the 401_& Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(61(additional permitsicertifications)? ® Yes [:]No
Per 1 SA NCAC 02T_0 ] I}5(c 61, 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 ❑ NIA
If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall he inspected by the permittee or its representative at least once every six -months and inspections
documented per 15A NCAC 02Tr0403(a)(5) or the permilee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Pen-nitting of Pumij Stations
and Force Mains latest version and the Gravity Sewer Minimum Design Criteria !latest version) as applicable?
2.
® 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 sunnortinQ documents.
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. 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.
North Carolina Professional Engineer's seal, signature, and di
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1, C:::SC[y 7 *WWW 51 Tr , yb 11 G L)4111^
(SIgnature Authori(y's name & title from Application Item 1.3.)
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. 1 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.
FORM: FTA 04-16 Page 5 of 5

OF WArF19 State of North Carolina
AQG Department of Environment and Natural Resources
cry 7. Division of Water Quality
O -r Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE 06-13)
Project Applicant Name: Town of Fuquay-Varina
Project Name for which flow is being requested: LDS FV/HS Building
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,Jlow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Terrible Creek WWTP
b. WWTP Facility Permit #: NCO066516
All flows are in MGD
c. WWTP facility's permitted flow 3.000
d. Estimated obligated flow not yet tributary to the WWTP 0.893
e. WWTP facility's actual avg. flow 1.152
f Total flow for this specific request 0.001
g. Total actual and obligated flows to the facility 2.046
h. Percent of permitted flow used 68.20%
U. 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) (D) (C) (D)—(B*C) (E)=(A-D)
Design Obligated,
Pump Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity,* (Firm ? pf), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
Basal 1.20 0.480 0.143 0.172 0.315 0.165
* The Firm Capacity 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 pealing
factor (pt) not less than 2.5.
*** 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.
Page 1 of 6
FTSE 06-13

in.
Certification Statement:
I Jay T. Meyers, P.E., Public Utilities certify to the best of my knowledge that the addition of
Director
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 indicates acceptance of this wastewater flow.
Fe-6
Date
Page 2 of 6
PTSfl 06-13

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Project:
ECE Project #
Information provided by:
Fuquay-Varina/Holly Springs Building
18-006
Shawn C. Sidener
204 West Clay Street
Mebane, NC 27302
Phone: [phone]
Fax. [phone]
Page I of I
Cover Letter, wastewater flow calculations and project narrative for NCDEQ, Division of water
quality Fast -Track Sewer System extension application.
Project Narrative:
The Fuquay-Varina/Holly Springs Building project consists of a new 17,191 sf church building
with 263 seats in the sanctuary. The church is located at 2540 North Broad Street, Fuquay-Varina
and can -be identified with PIN# 0658-32-9298. The development of this project will require a
public sewer extension to tie into the Town of Fuquay-Varina sanitary sewer system. The
exten6on will consist of new manholes, 377.92 IfoF8" SDR-35 PVC pipe. The new sewer
main vwiil tie inw-a Town of Fuquay-Varina 8" ductile iron sewer main at an existing manhole.
Wastewater Blows:
Church withJdtch=
5 gal Ions/seat x263' seats = 1,315 gallons/day
Total Wastewater Flow = 1,315 gallons / day
Items included with this package:
(two copies provided, original not available due to Covid-19 restrictions. Application was
emailed to the applicant (City) and then emailed hack to the engineering firm for submittal)
- Cover letter
- Application fee of $480.00
- Fast -track Application
- Flow Tracking / Acceptance Form
USGS Map
- Street level Map
NC Dept Of Environmental Quality
MAR - 5102,
Raleigh Rcgiona! Office
0 0 . . . . . . . . . . . . . . . . . . . . . . . . .