WQ0041851_Application (FTSE)_20210324

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number k o 0 0 q f 85'( (to be compleW by DWR)
All Items must be completed or the aanlication will be returned
L APPLICANT INFORMATION.
1. Applicant's name: TM of pittsboro (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: hhn poteat per 15A N�'Ac,'.02'1' ,pIg6jbi
Title: Uliliig 9 Director
4. Applicant's mailing address- 635 Ett Street NC Dept of Environmental Quality
City: Pittsboro State: Nc Zip: 22M
5. Applicant's contact information: MAR 2 4 2021
Phone number 919 542-2U0 Email Address: inotea—[e-mail]
1I. PROJECT INFORMATION: Raleigh Regional Office
1. Project name: Northwood 1yICTpD - Phase 1
2. Application/Project status: ❑ proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: WQ0041851 and issued date: Q2N312Q2D
If new construction but part of a master plan, provide the existing permit number. WQ00
3. County where project is located: Chatham
4. Approximate Coordinates (Decimal Degrees): Latitude 85° Longitude: - 9 168053°
5. Parcel ID (if applicable): 6723
(or ParccI ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Joseph M. Craig License Number. 0343332
Firm: CE Qmuo, Inc.
Mailing address: 10 1 Glmwood Avenge, Suite 220
City: Raleigh State: NC Zip: 27603-
Phone number. 9( 0 367-8790 Email Address: M' c a CEGMppIVc,com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Town of Pitlabm Wastewater Treetement Facilfty Permit Number. NC0020354
Owner Name: T wn pf Pittsb ro
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): W 0010602 Downstream (Receiving) Sewer Size: 8 inch
S step Wide ectinn.atern Penn (.Nu be sx jIf lic�triei: WQCS_--
Owner Name(s): Tomm of PipLsboro
FORM: FTA 04-16
Pagel of 5

Vl. 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 oper.1tional Avreement FORM: DEV been attached?
❑ Yes ❑No ®NIA
3. If the Applicant is a Hone/Property Owners' Association has an OperitiQnal Agreement IFORK HOA 9 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
® offices I factories ❑ Swimming P°ol/Filter Backwash
Businesses I °
❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: l00 % Domestic/Commercial % Commercial
! %Industrial (Sec 15A_1CAC 02T,,0103(20)
L- �Is there a Pretreatment Program in effect? ❑ Yes ® No
6. Has a flow reduction been approved under l�A NCAC 021„¢I 14(n? ❑ Yes ® No
D If es Provides co v of flow redaction RRProval letter
7. Summarize wastewater generated by project:
Establishment Type (see 01T.0114f fl)
Daily Design Flow '�b
No. of Units
Flow
Gas Station (with Restrooms)
250 gal/Fixture
2
500 GPD
Shopping Centers with Food Service
(Grocery)
130 gal/I,000 SF
50,800
6,610 GPD
Stores with Food Service (Retail)
130 gal/1,000 SF
8,400
1,100 GPD
gall
GPD
gay
GPD
gall
GPD
7olal
8,210 GPD
a See 15A NCAC 02T A 114(b). (d). (elf 11 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. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 1 NCA 2T.0l 141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 8_.210 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

VII.
Vlll.
GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & -mix, iGravhv Sewersl:
1. Summarize gravity sewer to be permitted:
FSize (inches) Length (feet) Material
8 2,928 DIP
➢ Section II & III 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 NBC
PUMP STATION DESIGN CRITERIA (If Applicable)—02T.0305 & N1rDC Pamjj 5tatl Il$?y0j-;:4' Linins :
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Northwgpd Lift Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.7566&5° Longitude:-79.1680539
3. Design flow of the pump station: O.b ll millions gallons per day (fum capacity)
4. Operational point(s) of the pump(s): 427 gallons per minute at 0 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6 994 PVC
6. Powerreliability in accordance with I5A.N('AC 02T ;Q.Q?d jkLL:
® Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(13);
➢ 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 - I SA NCAC 02T
.0305(h)(I)(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

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02 17,0305(f) & la]
➢ 15A NCAC 02T_0305(fl cnntairtc minimum crnoratirnnc Aot .1-11 1%..,.,..:ae : c.
® Yes [:]No
---" -- �� V..MVN iVl JV 9Y Vl
Setback Parameter'"
JYJllilylJ.
Separation Required
Storm sewers and other utilities not Iisted 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
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 DC2)
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
An • building foundation
Any basement
_Lop slope of embankment or cuts of 2 feet or more vertical height
50 feet
10 feet
5 feet
10 feet
10 feet
5 feet
Drainaee systems and interceptor drains
Anyswimming pools
10 feet
Final earth grade vertical
36 inches
D 15A NCAC OZT.0305(e) contains alternatives where separations in 02T.0305(� cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC Surface Water Classifications web age
➢ If noncompliance with 02'f.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
➢ Seethe 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 ® NIA
➢ 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„ Brdr►ch
5. Does project comply with I JA NCAC 02T.010 c b (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 lines that are deemed "high -priority?"
Per I5A 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 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-I6 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with ILA NCAC 02T, the Minimum L) ;cam Criteria. fc r the Penuitii�y Pum Stations
and Force l7ains latest version), and the Gravim .S_cwer Minimum J)esjspCriteria&is cs# ver1iau 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 reguest is re uired prior to submittal of the Fast Track Applicatl2n and supporting documents,
2. Professional Engineer's Certification:
I, s _ M • G12 A ! 4 PC attest that this application for
(Professional Engineer's name from Application Item 1II.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 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a CIass 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:
= SE
3
�% •• � Ab2�t9 zl
,'fpH'M.'
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, * of r! *Tr- � — i� ii t�t'1 "i rS � l ►�-� C_ra,C� attest that this application for
(Signature Authority's name & title from Application Item I.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 l ? .5-:_ l > ,, and 1 4 ; . , 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: /,
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-I8)
Entity Requesting Allocation: Town of Pittsboro
Project Name for which flow is being requested: Northwood MUPD
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for al! 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: Town of Pittsboro WWTP
b. WWTP Facility Permit #: NCO020354
C. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
. 1 S
. t r
D , 49 (Pg z S'
0.00521
0 , lr 4 a-g
Wtp
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:
(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
(pf) 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 Iocated
between the project connection point and the WWTP where the Available Capacity is ¢ 0.
Downstream Facility Name (Sewer): Town of Pittsboro WWTP
Downstream Permit Number: NCO020354
Page 1 of b
FTSE 10-18

III. Certification Statement:
I John Poteat 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.
Signin fcial Signature Date
Title of Signing Official
Page 2 of b
FTSE 10-18

CE GROUP
March 23, 2021
NCDEQ/DWR
Water Quality Section
Fast Track Unit
512 North Salisbury Street
Raleigh, NC 27604
Re: Northwood MUPD—Phase 1
Sanitary Sewer Extension Modification #1
NC T)cpt of F"rOnmental Quality
"A' 2 4 2021
Raleigh Regional Off
cs
Please find attached the following information for the requested extension permit:
- Application Fee: $480
- Fast Track Sewer System Extension Application (FTA 04-16)
- Flow Tracking/Acceptance Form (Form: FTSE 04-16)
- USGS Topographic Map
- Vicinity Map
- Final Permit for Northwood
- Existing Downstream Permit
- Technical Specifications (Remains unchanged from original permit — hard copies not included)
- Lift Station Calculations (Remains unchanged from original permit — hard copies not included)
- Electronic CD (Above Info)
The above information is provided as required for processing of the requested permit application for Northwood
MUPD — Phase 1 Infrastructure plans, consisting of eight (8) proposed commercial lots. This submittal is for a
portion of Phase 1 of the Individual Site Plans to include buildings on lots #6, 7, and 8 which includes a Daily
Design Flow of 8,210 GPD. The estimated Daily Design Flow is listed in the calculations as 120,000 GPD. The site
will require a lift station to connect to the existing forcemain on the east side of 15-501, the calculations for
which have already been approved.
Respectfully Submitted,
CE Group, Inc.
Mitch Craig, PE
Principal/Project Monager
301 Glenwood Avenue j Raleigh. NC 27G03 1 (919) 3G7-8790 I www.cec3roupmc.com

t,
19C DOW of Environmental Quality
MAID 2 4 2021
Raleigh Regional Office
TO: NCDENR -- DWQ I
Raleigh Regional Office
1 3800 Barrett Drive I
Raleigh, NC 27609 1
ATTENTION: Permitting
DATE: 03/23/2021
PROJECT NO: 200-1 11
CE CROUP
301 GLENWOOD AVENUE, SUITE 220
RALEIGH, NC 27603
Phone: [phone]
E MaY.loeftearauninc.com
Transmittal
I Northwood MUPD — Phase 1 1
I Pittsboro, NC
Quantity
Drawing No.
Description
2
1 Originalll Copy
Fast Track Sewer System Extension Application (FTA 04-16)
2
1 Original/1 Copy
Flow Tracking/Acceptance for Sewer Extension Application (FTSE 04-16)
1
Check
Check # jLf for $480 for Application Fee
1
Copy
Cover Letter
1
Copy
USGS Topographic Map
1
Copy
Vicinity Map
1
Copy
Final Permit for Mosaic (WQ0041851)
Copy
Existing Downstream Permit (WQ0010602)
1
CD
Electronic Information (Including Previous Technical Specifications and LS Calcs)
REMARKS Please let us know if you require any additional information.

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