WQ0042429_Application (FTSE)_20210405

Date: March 30, 2021
To:
Summey Engineering Associates, PLLC
Engineering • Land Planning • Consulting
PO Box 968 — Asheboro, NC 27204
[phone] / Fax: [phone] / [e-mail]
TRANSMITTAL
Justin Henderson
NCDEQ-DWR
450 West Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
Smokey Meadows Subdiv
Davidson County, NC
Sanitary Sewer Extension
Sea Job No. E-6409
We are sending you attached the following items:
❑ Shop Drawings ❑ Samples ❑ Copy of Letter
❑ Prints ❑ Specifications ❑ Other
® Plans ❑ Disk
# Cc ies
Drawing #
Description N
Depois ositioh
un iid 4�
Received
1
$480.00 Application Fee
1
Cover Letter
APR 0 5 2KI
2
Fast Track Sewer ApplicationWinston-Salem
(1 original & 1 copy)
Regional Office
2
Flow Tracking Acceptance Form
(1 original & 1 copy)
1
USGS Topo Map
1
Aerial Photo
Remarks:
Justin,
We have enclosed the information for your review. Please let us know if you have any
questions, concerns or need any additional information from us.
Thank you,
Christian Vestal
Christian(d,)summevengineerino.com
336-328-0902

Project Narrative
For
The City of Thomasville
8" Sewer Line Extension
For the
Smokey Meadows Subdivision
The purpose of this sewer line extension is to provide a new 13 house subdivision with an
adequate sewage disposal source and to meet the future needs of these residents. The new
subdivision is located on Harmon Drive south of Old Hwy 29 in Thomasville NC.
There will be one 8" sewer lines connected to an existing 8" Sanitary Sewer outfall line
running along the existing R/W for this project. There will be a total of 672 LF of 8"
sewer main extension with this project. The City of Thomasville waste water treatment
System has the capacity to serve this new development and many other residences. The
only other alternative for this development would be individual septic systems on each lot
which would not be feasible due to unfavorable site conditions when compared to the
advantages provided by this proposed extension.
Prepared By: H. Mack Summey, Jr., P.E.
Address: P.O. Box 968 Asheboro, NC 27204
Phone: [phone]
Project: Smokey Meadows Subdivision

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 - FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources p� {q ^ FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number:�9V V. (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Citv of Thomasville (company, municipality, HOA, utility, etc.)
2, Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Michael M. Brandt per 15A NCAC 02T_ _0,1.96 b
Title: City Manager NC Department of
Environmental Quality
4. Applicant's mailing address: PO box 368 Received
City: Thomasville State: NC Zip: 27361-- APR 0 J 2021
5. Applicant's contact information:
Phone number: (336) 4754222 Email Address: tnichael.brand ii tomasville-ne.eom Winston-Salem
Regional Office
D- PROJECT INFORMATION:
I. Project name: Smokev Meadows.
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: Davidson
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.880401' Longitude:-80.126334'
5. Parcel ID (if applicable): 6767-02-67-8209
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: H. Mack Summey Jr. PE License Number: 26447
Firm: Summev Engineering Associates. PLLC
Mailing address: PO Box 969
City: Asheboro State: NC Zip: 27204-1106
Phone number: (336) M-0902 Email Address: mackvisummevengineering.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION-
1. Facility Name: Hamby Creek WWTPPermit Number: NCO024112
Owner Name: City of Thomasville
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): W00021600 Downstream (Receiving) Sewer Size: 8 inch
System Vide Collection Svstem Permit No of a licable : WQCS00057
OwnerName(s): City of Thomasville
FORM: FTA 04-16 Page 1 of 5

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 SN/A
2. If the Applicant is a Developer of lots to be sold, has a Develo erer's Operational Agreement lR)Ritii_ DE_V) been attached?
❑ Yes ❑No ®N/A
1 If the Applicant is a Home/Pronenv Owners' Assoctation, has an (Werational,Aar ement (PQKM: 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 : _% Domestic/Commercial _% Commercial
_ % Industrial (See 15A NCAC 02T .0103t2 J)
i r Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under ISA NCAC 02T _01 l4(tt? ❑Yes ❑ No
➢ If Yes, provide a copyof flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f)1
Daily Design Flow °•s
No, of Units
Flow
Single Family Residentail
360 gal/day
13
4680 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gaU
GPD
Total
4680 GPD
a See 15A NCAC 02T .0114(b). (d). (eh l i and te)(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 .0114(c), design flow rates for establishments not identified [in table 15A NCAC_ 02'T 01 t4] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 4680 GPD (per 15A NCAC 02T_ 01141
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

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 672 DIP
➢ Section 11 & 111 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
VUL 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) Length (feet) Material
6. Power reliability in accordance with 15A NCAC 02T 0305 ),tl):
❑ 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
D 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)(I)(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

IX. SETBACKS & SEPARATIONS - (02B .0200 & 15A NCAC 02T .0305(f))t
1. Does the project comply with all separations found in [5 NCAC 0T .0205t1-'1_&_(
® Yes ® No
➢ 15A NCAC 02T.0305(t) contains minimum senarations that shall he nrovided fnr sewer sysfemc-
__ . 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 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 fide 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
T slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainap systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ 15A NCAC 02T.0305t el contains alternatives where separations in 02T.0305110 cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC Surface ;Water Classif
ca[ions webna¢e
➢ If noncompliance with 0210305(f) or (e), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) 0 Yes ® No ® N/A
➢ 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 l5A NCAC.02B_. 0200" Yes ❑ No ®NIA
➢ This would include Trout Buffered Streams per 15A NCAC 2-13.0202
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 Permittine Branch
5. Does project comply with 15_NCAC 02T,,005(c)t6) (additional permits/certifications)? ® Yes []No
Per 15A NCAC 02T.0105Lcly6), 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_ 021-0402, "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
➢ 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.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A WAC02T, the Mmunum Design Criteria for the Pcrmittingg of Pump_ Stations
and Force Mains (latest versigni, and the G avi}5 Sewer Minimum DesnCriteiaateersingLll as applicable?
►�IMENUM
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:
that this application for
(Professional Engineer's naive from
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 143-215AA 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 $23,000 per violation.
Flbbbi'yp°j0p
North Carolina Professional Engineer's seal, signature, and date: a^' r 4sa 4�JCCµµiiR� %.,
3. Appli✓caa/7afs Certification per
15A NCAC 02T .01066((bb):
(Signature Authority's name & title t;
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:G'��{ -_:�� ---- Date:
FORM: FTA 04-16 Page 5 of 5

Division of Water
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 Thomasville
Project Name for which flow is being requested: Smokey Meadows
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. Ent'ironrcr,E ; j calif
1�- l:ecc.ived y
a. WWTP Facinty m e: _1`
b. WWTP Facility Permit #:
Creek WWTP
NCO024112 sti'K U 1
AlI lows are in MG Winston_v
c. WWTP facility's permitted flow 6.0 Rp ,lem
d. Estimated obligated flow not yet tributary to the WWTP 0.9236 Tonal office
e. WWTP facility's actual avg. flow 2.98
£ Total flow for this specific request 0.00468
g. Total actual and obligated flows to the facility 3.90828
h. Percent of permitted flow used 65.138%
II. 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:
Pump
Pump
Station
Station
Firm
(Name or
Permit
Capacity,
Number)
No.
MGD
Pilot
D.
WQ0021600
0.8928
(A)
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Design
Average
Approx.
Obligated,
Daily
Current
Not Yet
Total Current
Flow**
Avg. Daily
Tributary
Flow Plus
(Firm / pt),
Flow,
Daily Flow,
Obligated
Available
MGD
MGD
MGD
Flow
Capacity***
0.3571
0.1890
0.038
0.227
0.1301
* 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)(e) of the Minimum Design Criteria.
*** A Panning 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 Thomasville
Downstream Permit Number: WQCS00057
Page I of 6

III. Certification Statement:
I Morgan Huffman 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.
r
Official
3✓-202
Page 2 of 6
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