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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