WQ0042412_Application (FTSE)_20210323

DocuSkin Envelope ID:117CE795•F8A4-4876.AO99-BFA75Fl74ED1
DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: (to becomploed by Uwttl
All items must be completed or the ayptication will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Glenaire. Inc (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership
❑ Federal ❑ State/County ❑ Municipal
3. Signature authority's name: Hank Lovvorn per.15A NCAC 02T .QI06fb)
Tille: Vice President/Director of Operations
4. Applicant's mailing address: 4000 Glenaire Circle
City: Cary State: NC Zip: 2751 I- _
5. Applicant's contact informalion:
Phone number. (9A 4N-80�5 Email Address: hlovvpm&resbyhomesinc.or
❑ Privately -Owned Public Utility
❑ Other
11. PROJECT INFORMATION:
I. Project name: Glenaire Ex ansion
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00_. and issued date:
If now construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Wake County
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.773°Longitude:-78.782'
5. Parcel ID (if applicable): 076346692: 0763463282; 0763462595
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Tucker McKenzie, PE License Number: 44527
Firm: WithcrsRavencl, Inc.
Mailing address: 115 MacKenan Dr.
City: Car - State: NC Zip: 27511-
Phone number; 9 i 9 469-3340 Email Address: tmckenzic withersra enel.co
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: South Cagy„WWTP Petlnit Number' NC0065102
Owner Name: Town of Cate
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: inch
Sygem Wide Collection System Permit -Number{sj_(if applicable): WQCS.__
Owner Namc(s):
FORM: FTA 04-16 Page I of

DocuSlgn Envelope ID; 117CE795-F8A4-4876•Ao91-BFA75F174EB1
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 ®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 ®NIA
3. If the Applicant is a Home/Pr•o er1 Own rs' A_ssociation has an Operational A reement FORM: HOA been attached?
❑ Yes ONO ®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 I 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: IWIo Domestic/Commercial _ _% Commercial
% Industrial (See 15A NCAC 02T .0103 20 )
7ls there a Pretreatment Program in effect? ❑ Yes ❑ No
6. fins a flow reduction been approved under 15A NCAC 02T .0114(0? ❑ Yes ® No
D If yes, Provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(o)
Daily Design Flow ",r'
No. of Units
Flow
Assisted Living Facility Expansion
gall
0 GPD
Flow is Penniited by Cary
gal/
GPD
gav
GPD
gall
GPD
gal/
GPD
gall
GPD
7alal
GPD
a See 15A NCAC 02T .0114(b). (d). (c)(1) and (c)(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-0).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: _ GPD (per 15A NCAC 02T .0114)
Y Do not include future flows or previously permitted a[local ions
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Scorer where Flow will be permitted in subsequent permits that connect to this line
❑ FIow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
® Other (Explain): Flow is permitted through thcTawnofCM.,SP200I1 a co of which is attache
FORM: FTA 04-16 Page 2 of

DocuSlgn Envelope ID: 117CE795-F8A4.4878 AD9i-BFA75Fi74EBi
VI1. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T.0305 & MDC(Gravity Sewers):
1. Summarize gravity sewer to be pennitted:
Size (inches) Length (feet) Material
NIA
D Section lI & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
Y Section III contains information related to minimum slopes for gravity sewer(s)
D Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
Vil 1. PUNIP STATION DESIGN CRITERIA (iPApplicable) — 02T .0305 & MDC(Pump Slationslrorce Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN TIUS PROJECT
t . Pump station number or name: Liberty Pum2Qmnivare Grinder
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.773° Longitude:-78.7820
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the puntp(s): 40 gallons per minute at 1108 feet total dynamic head (TDII)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
2 215 PVC
6. Power reliability in accordance with 15A NCAC 02T .0305 I(_i).(I�:
® Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B)_
A 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):
D 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.
D 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 oF5

DocuSidn Envelope ID:117CE795-F6A4-4876-AD91d3FA75F174EDI
IX. SETBACKS & SEPARATIONS -- (02B .0200 & 15A NCAC 02T .0305(t)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (n) ® Yes ❑ No
D 15A NCAC 02T.0305 contains minimum separations. that shall be provided for sewers stems:
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 feel
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 Chiss I or
Class II impounded reservoirs used as a source of drinking water
100 feel
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
hiph 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 buildin foundation
5 feet
_LiAi basement
10 feet
Top slope of embankment or cuts of 2 feel or more vertical height
10 feet
Draina e systems and interceptor drains
5 feel
Any swimming pools
10 feet
Final earth grade vertical
36 inches
➢ 15A-NCAC 02T.0305(s) contains alternatives where separations in 02T.0305(B cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Cla5sifiea,liops webnaee
D If noncompliance with 02T.0305 or 60, see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet ofseparation) ❑ Yes ❑ No ® NIA
➢ 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 construclion
➢ 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? ❑ Ycs ❑ No ®NIA
Y 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, Branckt
5. Does project comply with 15A NCAC 02T.0I05(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0I05(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 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siplion, 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).
lllgh 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: FfA 04- I6 Page 4 of 5

DocuSirgn Envelope ID: 117CE79S-FOA4-4876-AD91-BFA75F174EB1
X. CERTJIFI<CATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of PumpsSlatinns
an Force Main latest version and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Altemative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request Is re ulred Prior to submittal of (lie Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
1, attest that this application for
(Professional Engineer's name from Application Item Ill. 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 tinder 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 snakes 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: 1 01�\� CARO��°°a
`o°°Ze .55S/0
b SEAL l a
8 A
44527 i
eocuSlpned r.
I a b°
t( t,l� ft itleb� 4�t
EE �btltlb
z°eoGc°s�e�h�ea_ °O0o R uiC��°°°°
3, Applicant's Certification per 15A NCAC 02T .0106(b):
I, ,llao -f lynrn_ Viac ixrrsidCnt/_ilimncter of (lneratkens .... _ _ _attest that this application for
(Signature Authority's name & title from 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. 1 also understand that if all required parts of this application package are not completed and that if
sit 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 143-215.613, 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.
Signature: Date
FORM: FTA 04-16 Page 5 of 5

r■ WithersRavenet
■ V Our People. Your Success,
March 22, 2021
INC DEQ
Attn: Mr. Ted Cashion & Jason Robinson
1628 Mail Service Center
Raleigh, NC 27699-1628
RE: Glenaire Expansion, Cary, NC
Fast Track Application
Dear Mr. Cashion & Mr. Robinson:
NO Dept of Environmental Quality
MAR 2 3 2021
Raleigh Regional Office
The Glenaire Expansion project, located at the southeast quadrant of Kildaire Farm Rd. and W. Cornwall Rd.,
requires a pump station to support a portion of one wing of the proposed development. This pump station
will support 40 independent living units and a 162-seat restaurant. Based on our calculations, attached, we
anticipate a flow of 15,480 gpd to be generated by this portion of the development. This permit will include
215 LF of 2" forcemain along with the private grinder pump. This flow was permitted through the Town of
Cary, per the attached TOC Sanitary Sewer Permit.
• Pump Station Sewer Flow Calcs
• An original and a copy FTA 04-16 application with $480 fee
• Town of Cary Approved Sanitary Sewer Permit, SP20011
• USGS topo map, street map
• Grinder Pump Specifications
If you have any questions or need any additional information, please feel free to contact me at 919-469-
3340 or via email at [e-mail].
Sincerely
W'thersRavenet
Amy McDonald
Project Coordinator
115 MacKenan Drive I Cary, NC 27511
t: 919.469.3340 I F: 919,467.6008 I www.withersravenel.com I License No. C-0832
Cary I Greensboro I Pittsboro I Raleigh I Wilmington

DocuSign Envelope ID: AB675B45-89234288-BEB7-EB176096A4C7
:Pl' Withel­sRavenei
f
May 4, 2021
Jason Robinson, PE
NCDWR, DEQ
3600 Barrett Dr.
Raleigh, NC 27609
RE: Glenaire Expansion - Sewer Flow Rates
Dear Jason:
The Glenaire Expansion project located at the southwest quadrant of Kildaire Farm Road and W
Cornwall Road necessitates a pump station due to the development nature of the project. This
pump station serves one half of one wing of the project, including 40 independent living units
and a 162 maximum seating capacity full -service restaurant. This letter is provided for the
purpose of establishing the flow rates as well as the pumping rates for this portion of the project.
Please see flow rate calculations below for the grinder pump station proposed at Glenaire:
These flow rates are based on NC 2T Rules section .0114. The contributing sewer flow areas are
based on the architectural and plumbing plans as well as narrative provided by the architect for
the project.
°°°
CARP °°°
Sincerely, oQ. °°,°°°°°°
WithersRavenel e° ESS�041 �9
OocuSlgnad by: o Q C A I l°
0.
SEAL
L °e o
1-kLw M.t�i 0 44527
Tuc er2ME ;;iq PE
Director - Site/Civil �° GC.°° 5/4/2021
°000p0ao°aoo°p4°°°o
115 MacKenan Drive I Cary, NC 27511
t: 919,469.33401 f: 919.467,6008 1 www.withersravenel.com I License No. C-0832
Asheville I Cary I Greensboro I Pittsboro I Raleigh I Southern Pines I Wilmington

Robinson, Jason
From: Shuyan Tian <[e-mail]>
Sent: Wednesday, May 5, 2021 2:05 PM
To: Robinson, Jason; McDonald, Amy; McKenzie, Tucker; [e-mail]
Cc: Cashion, Ted
Subject: [External] RE: RE: Glenaire Expansion
CAUTION: External email. Do not click links or open attachments unless you verify. send all suspicious email as an attachment to
R9119 Spam.
We will amend the permit with additional flow.
Shuyan Tian, P.E.
Public Utilities Department
Town of Cary
PO Box 8005
Cary, NC 27512
919-469-4381
MASK UP
V CARY
In keeping with the NC Public Records Act, a -marls and all attachments may be released to others upon request for
inspection and copying without prior notification.
From: Robinson, Jason <[e-mail]>
Sent: Wednesday, May 5, 20211,56 PM
To: McDonald, Amy <[e-mail]>; McKenzie, Tucker <[e-mail]>;
[e-mail]
Cc: Shuyan Tian <[e-mail]>; Cashion, Ted <[e-mail]>
Subject: RE: RE: Glenaire Expansion
Thanks Amy,
I think at this point we just need to hear from Cary that the permit they issue will include the flow, and therefore it
should not be included in the permit that we (NCDWR) issue. If that's the case, then the fast -track application would not
need to be amended (since it contains zero flow). But the permit that Cary issues should include the corrected flow
(using the 240 GPD for both the 1 and 2 bedroom homes.)
------------
Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
NC Division of Water Resources, DEQ
919-791-4200
"Subscribe to Collection System & Sewer Permitting Updates"

E-mail correspondence to and from this address may be subject to the North Corolrna Public Records Law and may be disclosed to
third parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted operations to protect the health and safety of the staff and public. Many employees are working remotely or
are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are limiting public access to
appointments only. Please check with the appropriate staff before visiting our offices, as we may be able to handle your
requests by phone or email. We appreciate your patience as we continue to serve the public during this challenging
time.
From: McDonald, Amy[mailto:AMcDonald(Mwithersravenel.com]
Sent: Tuesday, May 4, 20214:57 PM
To: Robinson, Jason <iason.t.robinson(Mncdenr.eov>; McKenzie, Tucker <TMcKenzie_@withersrav_enel.com>;
[e-mail]
Cc: Vinson, Scott <scott.vinson(a ncdenr.sov>; Tian, Shuyan <[e-mail]>; Manuel, Vanessa
<[e-mail]>; Cashion, Ted <ted.cashion(a)ncdenr.sov>
Subject: [External] RE: Glenaire Expansion
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Jason —
Good afternoon. The attached letter reflects the daily flow rate for the pump station. The proposed grinder pump
station has a 40 gpm rate and a calculated pumping rate of 28.9 gpm. There should be no need to redesign the pump
station. The approved TOC sewer permit, submitted with the initial application package, included the flow that will now
be handled by the pump station. How would NCDWR and the Town of Cary like to revise these flows in order to have
accurate reporting? We are happy to amend the Fast Track Application but want to make sure the numbers are
properly reflected in the Fast Track permit as well as the TOC approved permit. I look forward to hearing from you.
Kind Regards,
Amy
Amy McDonald
9
l l i \lacKcn,m Dn%c C.rn. NC 27311
Ofllcc: 919.4h9.340 DirCCt: 919 i15.31i5
Mvbilc; 919 427 4122
amcdcinald cr withcrsr-avcnrl.com
CONFIDENTIALITY AND NONDISCLOSURE~
From: Robinson, Jason <[e-mail]>
Sent: Wednesday, April 28, 2021 11:48 AM
To: McKenzie, Tucker <[e-mail]>; [e-mail]�
Cc: McDonald, Amy<AMcDonald(@withersravenel.com>; Vinson, Scott <[e-mail]>; Tian, Shuyan
<shu an.tian townofca .or >; Manuel, Vanessa <[e-mail]>; Cashion, Ted

<ted.cash ion ncdenr. ov>
Subject: Glenaire Expansion
Mr. McKenzie and Mr. Lovvorn,
We are reviewing the subject applicant and have some initial questions/comments that involve the flow associated with
the project.
1. This project is somewhat unusual in that Cary is permitting the gravity line and we (NCDWR) will be permitting
the pump station and forcemain. Typically when we (NCDWR) issue a permit, we include the flow in the
permit. But again, this is an unusual situation. The narrative states that the flow will be included in the permit
Cary issues (for the gravity line, I assume). We'll need confirmation from Cary that the flow is included in the
permit for the gravity line, and that it should not be included in the state -issued permit.
2. The flow calculations that were provided with the application appears to have an error. It states that 120 GPD
was used for ten 1-bedrom units. However, the 2T Rules state that the minimum design flow for residences is
240 GPD (1 and 2 Bedroom homes), and 120 for each additional bedroom beyond two. So 240 GPD should have
been used for both the 1 and 2 bedroom homes. This may require the pump station to be redesigned.
fhl lit Llercrnlrntnu, the +plume ul';eik°agc f'rum d%vllin� unit,. the flou rate shall tic 120 .Ilan. per d.i) per
liCL11o0,m. The mininlunl volumc ofsewuge from etch dwelling mul shall be _240 gallons per da,, and each additional
bedroom abu%a lx%o bedrooms sliall increase the Volume by 120 gallons per dap. I avii bedroom or ans other roam or
Jildr[uan that C;111 ItnlLtiorl .is a hedroorn shall he con;rdcrcd a bedroom liar detirJ!rt rurpo;c;. 11 licit [he oceupanc,. of
a dwellulg Will e\LceJ, lWo I,crsons per bedrourn. the %ohu is of scn:tLe ;hall lit dclernuncd h% the inaxanlunt
occun,nieV al it tit it: of fill P.rl€,anti Der nerson ncr day.
Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
NC Division of Water Resources, DEQ
919-791-4200
**Subscribe to Collection System & Sewer Permitting U dates**
rrioil correspondence to and from this address may be subject to the North Carohno Public Records tow and may be disclosed to
' ,ird parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted operations to protect the health and safety of the staff and public. Many employees are working remotely or
are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are limiting public access to
appointments only. Please check with the appropriate staff before visiting our offices, as we may be able to handle your
requests by phone or email. We appreciate your patience as we continue to serve the public during this challenging
time.