HomeMy WebLinkAboutWQ0028843_Application (FTSE)_20050516FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 1
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
1. Owner:
la. Town of Lillington
Full Legal Name (company, municipality, HOA, utility, etc.)
Z 1 b. Tom Hogg, Manager
O Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!)
F- • 1 c. The legal entity who will own this system is:
0 Individual 0 Federal ® Municipality ❑ State/County 0 Private Partnership 0 Corporation ❑ Other (specify):
• ld. 106 West Front Street le. Lillington
Application Number:
(to be completed by DWQ)
41o1:)a SPe/3
O Street Address City
LL
1f. North Carolina lg. 27546
Z State Zip Code
• 1 h. (910) 893-2654 li. (910) 893-3693 1j. t. ho... charter.net
H Telephone Facsimile E-mail
(aj 2. Project (Facility) Information:
J n. 2a. Duncan Street Sewer Outfall Relocation 2b. Hamett
a Brief Project Name (permit will refer to this name) County Where Project is Located
Q 3. Contact Person:
.r _ . _ . .... . .
101
HOBBS, UPCHURCH & ASSOCIATES, P.A. BB&T
CONSULTING ENGINEERS
PO. BOX 1737, 300 S.W. BROAD STREET
SOUTHERN PINES, NC 28388
(910)692-5616
Exactly Four hundred and no / 100 Dollars
PAY
TO THE
ORDER N. C. DENR
OF:
B. PERM'
Branch Banking and Trust Company
66-112531
g 27
DATE AMOUNT
4/26/2005 $400.00
,
® Residential Subdivision
® Apartments/Condominiums
0 Mobile Home Park
® School
• Restaurant
® Office
® Car Wash
❑ Institution
❑ Hospital
® Church
® Nursing Home
❑ Other (specify):
7. Volume of wastewater to be permitted in this project: zero gallons per day
VO FTER 90 DAYS
AUTHORIZED SIGNATURE
100 % Domestic/Commercial
% Industrial
% Other (specify):
8. If the permitted flow is zero, indicate why:
❑ Interceptor Line - Flow will be permitted is subsequent permits that connect to this line
❑ Flow has already been allocated in Permit No.
® Rehabilitation or replacement of existing sewer with no new flow expected
ETA rn in/
FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 1
NFORMATION
B. PERMIT
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
1. Owner:
la. Town of Lillington
Application Number: /. , n0 v.D phi
(to be completed by DWQ) [•v Y
Full Legal Name (company, municipality, HOA, utility, etc.)
1b. Tom Hogg, Manager F!JR -r,
Signing Official Name and Title (Please review 15A NCAC 2H .0206( :ibr-authorized signing officials!)
lc. The legal entity who will own this system is:
❑ Individual ❑ Federal ® Municipality ❑ State/County ❑ Private Partnership 0 Corporation ❑ Other (specify):
1d. 106 West Front Street
Street Address
lf. North Carolina
State
1 e. Lillington
City
lg. 27546
Zip Code
lh. (910) 893-2654 li. (910) 893-3693 1j. tghogg@charter.net
Telephone Facsimile E-mail
2. Project (Facility) Information:
2a. Duncan Street Sewer Outfall Relocation
Brief Project Name (permit will refer to this name)
3. Contact Person:
3a. Brian Sexton, E.I., Hobbs, Upchurch, & Associates, P.A.
2b. Harnett
3
County Where Project is Located
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. (910) 692-5616
Phone Number
3c. bsexton@hobbsupchurch.com
E-mail
1. Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.:
2. Owner is ® Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
2a. If private, applicant will be: 2b. If sold, facilities owned by a (must choose one)
0 Retaining Ownership (i.e. store, church, single office, etc.)
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3))
El Selling units (lots, townhomes, etc. - go to Item B(2b))
3. Harnett County Public Utilities
❑ Public Utility (Instruction III)
❑ Homeowner Assoc./Developer (Instruction IV)
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a. North Harnett Regional Wastewater Treatment Facility 4b. NC 0021636
Name of WWTF WWTF Permit No.
5a. Harnett County Public Utilities 5b. 24" 5c. (see attachment letter)
Owner of Downstream Sewer
Receiving Sewer Size Permit Number of Downstream Sewer
6. The origin of this wastewater is (check all that apply):
Z Residential Subdivision
® Apartments/Condominiums
❑ Mobile Home Park
® School
® Restaurant
® Office
® Car Wash
O Institution
❑ Hospital
Church
® Nursing Home
❑ Other (specify):
7. Volume of wastewater to be permitted in this project: zero gallons per day
100 % Domestic/Commercial
% Industrial
% Other (specify):
8. If the permitted flow is zero, indicate why:
['Interceptor Line - Flow will be permitted is subsequent permits that connect to this line
❑ Flow has already been allocated in Permit No.
® Rehabilitation or replacement of existing sewer with no new flow expected
FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 2
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
.0219(1) for Item B(7) or the design flow for line or pump station sizing if zero flow in the space below. Values other than
that in 15A NCAC 2H .0219(1)(1-2) must be approved prior to submittal of this application. Submit a separate request to
the Division of Water Quality, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 in
accordance with 15A NCAC 2H .0219(I)(3).
N/A
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
24
ENTER TOTAL LINE LENGTH IN MILES
O
H
Length (feet)
3300
0.625
11. Summary of Pump Stations to be Permitted (attach additional sheets as necessary)
2
cc Location ID Design Flow
0 (as shown on plans) (MGD)
LL
Z
F-
LLJ
In.
Operational Point
GPM @ TDH
Gravity or Force Main
(pull down menu)
Gravity
Gravity
Gravity
Gravity
Gravity
Gravity
Gravity
Power Reliability Option
(dual line feed, permanent generator,
portable generator, wet well storage)
12. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC 2H .0200 as applicable?
® Yes ❑ No If no, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested:
SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS PERTINENT TO THE VARIANCE WITH YOUR APPLICATION',
13. Have the following permits/certifications been submitted for approval?
Wetland/Stream Crossings - General Permit or 401 Certification? ® Yes ❑ No ❑ N/A
Sedimentation and Erosion Control Plan? ® Yes ❑ No ❑ N/A
Stormwater? ❑ Yes ❑ No ® N/A
crA n)/A/
FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 3
D. CERTIFICATIONS
1. Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02/03
(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as
necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality
regional office (see instructions for addresses) OR indicate the following:
❑ A Watershed Classification is not needed because all parts of the project are at least 100 feet away from any down
slope waterbody; AND
❑ A Watershed Classification is not needed because the design does not depend on wet well storage as a power
reliability option for any pump station near a Class C down slope waterbody.
Location ID
on Map
1
2
Name of
Waterbody
UT to Cape Fear
UT to Cape Fear
County
Harnett
Harnett
River Basin
Cape Fear
Cape Fear
Waterbody Stream Waterbody
Classification
WS-IV
Index
WS-IV
Submit the 8.5" x 11" topographic map as required in Instruction VI regardless of whether a classification is provided!
1. Applicant's Certification:
1 a.
I attest that this application for Duncan Street Sewer Outfall Relocation
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. Note: In accordance with North Carolina
General Statutes 143-215.6A and 143-215.68, any person who knowingly makes any false statement, representation, or
certification in any application 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.
Signing Official Signature
2. Professional Engineer's Certification:
-MVO.) Mf044602. 11 MAv O
Date
1 attest that this application for Duncan Street Sewer Outfall Relocation
has been reviewed by me and is accurate, complete and consistent with the information in the engineering plans,
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 adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with
Division guidance. Although certain portions of this submittal package may have been developed by other professionals,
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 NC General Statutes 143-215.6A and 143-215.68, any
person who knowingly makes any false statement, representation, or certification in any application 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.
2a. Joseph W. McGougan
Professional Engineer Name
2b. Hobbs, Upchurch, & Associates, P.A.
Engineering Firm
2c. P.O. Box 1737, 300 S. W. Broad Street
Address
2d. Southern Pines
City
2e. NC
State
2f. 28387
Zip
2g. (910) 692-5616 2h. (910) 692-4795 2i. jmcgougan@hobbsupchurch.c
Telephone Facsimile
E-mail Seal, Signature & Date
cmA n'1m1
Harnett
COUNTY
NORTH CAROLINA
Brian Sexton, EI
Hobbs, Upchurch & Associates, P.A.
Consulting Engineers
300 S.W. Broad Street
Southern Pines, NC 28388
\\—�,oTapv
AWWA
May 12, 2005
WR
e
Re: Town of Lillington — Duncan Street Sewer Outfall Relocation
Request for Flow Acceptance Letter
HUA No. LI 0501.300
Dear Mr. Sexton:
Public Utilities Department
Harnett County North Regional WWTP will accept the 250,000 gallons per day flow
from the Duncan Street Outfall Relocation project HUA No. LI 0501.300.
If you need any more information please contact me at 910-814-4003.
cerely,
R ney dart,
Director
www.harnett.org
PO Box 1119
308 West Duncan Street
Lillington, NC 27546-1119
ph. 910-893-7575
fax: 910-893-6643
strong roots • new growth
HjHobbs, Upchurch & Associates, P.A.
Consulting Engineers
300 S.W. Broad Street • Southern Pines, NC 28388
May 13, 2005
Mike Lawyer
North Carolina Department of Environment and Natural Resources
Division of Water Quality
225 Green Street Suite 714
Fayetteville, North Carolina 28301
Re: Duncan Street Sewer Outfall Relocation
Attachment (Item 5c in FTA 02/03)
HUA No: LI 0501.300 Permits
Dear Sir:
In item 5c of the updated Fast -Track application (FTA 02/03), the owner of the downstream
sewer (the influent pump station near the WWTP) is Harnett County Public Utilities. Harnett
County recently purchased the Town of Lillington's influent pump station and WWTP and has
since renamed the facility the North Harnett Regional WWTP. Lillington did not have a permit
number of their former influent pump station or other portions of the collection system. The
Lillington collection system was constructed approximately 80 to 90 years ago. Harnett County
is unable to provide us with the permit number of the downstream sewer acquired from
Lillington, and we cannot provide this information to you concerning its application to this
proj ect.
Please feel free to contact this office should you have any questions or require additional
information for review of this application.
Sincerely,
S, UP
Brian Sex
CIATES, P.A.
Southern Pines, NC • Telephone 910-692-5616 • Fax 910-692-7342 • email: bsexton@hobbsupchurch.com
Myrtle Beach • Nags Head • Charlotte • Beaufort
111 1 1 1 1 1J 1) 1 1 1 L1 1 1 1 1 1 11 111 1 Q�81 1' ' iN U 1 1 1 1 1 1 Q81° i~ q 4i"%� 111 1 L 1 1 1 1 10((!°1
11 1 1 1'1 1 1 T I 1 1 1 1 `-1 11 1 1 1 1 1 1 1 I I I b48b' 4d
Name: LILLINGTON
Date: 4/12005
Scale: 1 inch equals 1000 feet
111-11111107fi°I4'
d.dg4v1 11 I ell I III 1
Location: 035° 23' 53.7" N 078° 48' 29.5" W
Caption: Town of Lillington-Duncan Street Outfall Replacement
Copyright (C) 1997, Maptech, Inc.
•
•
HU Hobbs, Upchurch & Associates, P.A.
Consulting Engineers
300 S.W. Broad Street • Southern Pines, NC 28388
May 13, 2005
Mike Lawyer
North Carolina Department of Environment and Natural Resources
Division of Water Quality
225 Green Street Suite 714
Fayetteville, North Carolina 28301
Re: Duncan Street Sewer Outfall Relocation
Fast -Track Application for Gravity Sewer
Town of Lillington, North Carolina
HUA No: LI 0501.300 Permits
Dear Sir:
RECFNui
,CJ
DENR -FAYETTEViLLE REGIONAL OFFICE
Please find the following materials submitted in support of the referenced application for the
Duncan Street Sewer Outfall Relocation project.
1. One original and one copy of completed application form.
2. 8.5-inch by 11-inch portion of project area as indicated on 7.5 minute USGS map
3. Check for permit processing fee ($400.00)
Please feel free to contact this office should you have any questions or require additional
information for review of this application.
Sincerely,
OCIATES, P.A.
Cc: Mr. Tom Hogg, Manager, Town of Lillington
Attachments
Southern Pines, NC • Telephone 910-692-5616 • Fax 910-692-4795 • email: bsexton@hobbsupchurch.com
Myrtle Beach • Nags Head • Charlotte • Beaufort