WQ0041390_Regional Office Historical File Pre 2018

ton 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:
All items must be completed or the a
tion
to be completed byUWR)
will be returned
APPLICANT INFORMATION:
I. Applicant's name: Hall Builders, Inc (company, municipality, HO.A, utility, etc.)
2, Applicant type: El Individual Corporation [] General Partnership El Privately -Owned Public Utility
Federal E.) State/County LI Municipal Ei Other
3, Signature authority's name: Tommy Hall per 15A ( 0 I 0602)
Title: Owner
Applicant's mailing address: 315 Tommy James Court
City: Kings Mountain State: NC Zip: 28086-
5, Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
II. PROJECT INFORMATION:
I. Project name: Hall Crossing Phase 5
2. Application/Project. status:
Proposed (New Permit) El 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: Cleveland
4, Approximate Coordinates (Decimal Degrees): Latitude: 35 2327 Longitude: -81.3618'
5. Parcel ID (if applicable): 61868
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Johnny Denton PE, PLS
Finn: Diamond Engineering, PLLC
Mailing address: 440 Old NC 277 Loop Road
City: Dallas State: NC Zip: 28034-
Phone number: [phone] Email Address: johnnydiamond @hormail.com
License Number: 23530
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
Facility Name: City ofKings Mountain Permit Number: NC0020737
Owner Name: City of Kings Mountain
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s). WQ, Downstream (Receiving) Sewer Size: inch
System Wide Colk.rtiorl System Permit NtimtNE6Ifif qujicable),: WQCS
Owner Name(s):
FORM: FTA 04-16 Page 1 of 5

Yi.
GENERAL REQUIREMENTS
if th.e Applicant i.s a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached.?
0 Yes 0No N/A
2, Ifthe Applicant is a Developer of lots to be sold, has a 11.?sysivq:a5..,,clacatittiqrtill1),aartilt,..:Jlt been attached?
0 Yes 4No 0N/A
3. Ifthe Applicant is a flpnglPriipertyOwaicrs' Association; has an Qpjaraticaltat A QyaktrnentIFOR M: II0A) been attached?
Ej Yes EDNo N/A
4 Origin of wastewater: (check all that apply):
Residential Owned
R.esidential Leased
0 School / preschool / day care
0 Food and drink facilities
0 Businesses / offices / factories
0 Retail (stores, centers, malls)
Retail with food preparationiservice
0 Medical / dental veterinary facilities
0 Church
Nursing Home
Ej Car Wash
0 Hotel and/or Motels
0 Swimming Pool /Clubhouse
0 Swimming Pool/Filter Backwash
0 Other (Explain in Attachment)
5, Nature of wastewater 100 % .Domestic/Commercial % Commercial
% Industrial (SeS...,15A„.,KAC,._.01E,„0.i
s there a Pretreatment Program in effect? 0 Yes
6, Has a flow reduction been approved under 1.5,At - CAC 02T .0 t 1,110? 0 Yes I4 No
Ifyes, provide a copyof flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see (QT.(
4 bedroom residential units
1-1.0
0 No
Daily Design Flow Lb
480 gallday
gal/
gal/
gall
gal/
gall
No. of Units Flow
7 3360 GPD
Total
GPD
GPD
GPD
GPD
GPD '
GPD
a See .5A NCAC 0.2 MI (OW and (02) 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
int.". 42A-4),
b Per 15A NCAC 02T ,01 14(c), design flow rates for establis.hinents, not identified [in :0211011:11 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data,
8,, Wastewater generated by project: 3360 GPD (per 15A. NC AC 021 .()1. 14)
Do not include. future flows or previously permitted allocations
If permitted flow is zero, indicate why:
Ej Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
0 Flow has already been allocated in Permit Number
0 Rehabilitation or replacement of existing sewer with no new flow expected
Other (Explain):
FORM: FTA 04-16
e 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA Applicable) - 02T .0305& ewerii:
1, Summarize gravity sewer to be permitted:
Size (inches) Length (feet)
Material
8" 80'
8" 277,08'
DIP
PVC
6" 120'
DIP
6" 99645'
PVC
Section 11 & III of the MDC for Permitting ofGravity 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 NIDC
VIII. PUMP STATION DESIGN CRITERIA (if Applicable) — 02T ,0305 & MDC (Pump Stations/Force Mains:I:
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I, Pump station number or name:
-)..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):
6. Power reliability in accordance with 1 ,NC,AC 02.1- ,O;i05(1)1 ):
0 Standby power source or pump with automatic activation and telemetry. - I.5A 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
..-00 Must be permanent to facility
Or if the pump station has an average daily .flow less than 15,000 gallons per day:
0 Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
fl 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

X. SETBACKS & SEPARATIONS (02,B .02,00 & 15A NCAC 02T .0305(1));
Does the project comply with all separations found in 15,A NCAC 02T „OAT)
> 15A NCAC 02T.0305(f) contains minimumseparations that shall be provided for sewer
Setback Parameter*
system
Separation Required
Storm sewers and other utilities not listed below (vertical) 24 inches
Water mains vertical -water over sewer includingin benched trenches) 18 inches
Water mains horizontal
Reclaimed water lines vertical - reclaimed over sewer)
Reclaimed water lines horizontal - reclaimed over sewer)
10 feet
8 inches
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class 1 or
Class 11 im ounded reservoirs used as a source of drinking water
"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 1X.2)._
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
An buildingfoundation
An basement
00 feet
50 feet
10 feet
feet:
To slo e of embankment or cuts of 2 feet or more vertical hei ht
Drai s and interceptor drains
An swimm in u
ools
Final earth ade (vertica
10 fee
zi ee
10 feet
36 inches
• NC,AC 02:E0305(A), contains alternatives where separations in 021 ,0305(1) cannot be achieved.
)0' **Stream classifications can be identified using the Division's 'NC Surface WiAter COassilications welyita,c,
iv if noncompliance with 0-,,j,p391(11,00:2,1„, see Section X of this application
No
Does the project comply with separation requirements for wetlands? (50 feet of separation) Yes LI No EI 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 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 02B ,O200? Yes
• This would include Trout Buffered Streams per 15A NCAC 211,0202
4. Does the project require coverage'authorization wider a 404 Nationwide or
individual permits or 401 Water Quality Certifications?
• Information can be obtained from the 401 & BUffer Pertnittiag,pranch
No El N/ A
Yes EJNo
5.. Does project comply with 15.J.\NCAL011:01.0.5AcAti) (additional pertnitslcertifications)? Yes Ej No
Per 1.5A NC,AC 021,0 1,05(00), 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 NCArif 021-.040;2,, "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.
E] Yes No NtA.
• 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 perm ittee 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 writh 15.A. NCACO2,r, the Minitnunt Desten Cfitenitt for the Permitting of Pow Stations
and Force MainsAlatest version), and the Gravity Sewer Nlittim tun Design Criteria (latest versioo) as applicable?
Yes El No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review, Approval of the request is requiredprior to submittal of the Fast Track Application and supporting documents.
Professional Engineer's Certification:
Jo A D
(Professional Engineer's
1,
0
ame from Application11.1.)
attest that this application for
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. 1 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 1 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 shalt 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:
3. Applicant's Certification per 15A NCAC 02T ,0106(b):
(Signatuif Authorityname & title from Application Item 1.3.)
attest 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. 1 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, andlor 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 I 4,;.215. A and 14.;-21,5,61i, 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.
Date: /C)
FORM: FTA 04-16
Page 5 of 5

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-81.3750'
35.25W" 466°°°R'E
67
68
69
70
71

75
KINGS MOUNTAIN QUADRANGLE
NORTH CAROLINA - SOUTH CAROLINA
7.5-MINUTE SERIES
76
-a7.z5a©
77
The Na[ional Map
USTopo
77 73 74

,E 1:24 000
KILOMETERS
4.
METERS 1000
0
MILF-S
000 5000
FEET
JR INTERVAL 20 FEET
AN VERTICAL DATUM OF 1988
vdtrced to conform with the
-arrt U5 Topo Product Standard, 2011.
with this product is draft version 0.6,18
2000
1
10000
74
QUADRANGLE LOCATVON
ADA:00HG QUADRANOL
1 Waco
2 Bessemer City
3 Gastonia North
4 Grover
5 Gastonia South
6 Kings Creek
7 Filbert
8 Clover
Henry Knob
75 76
ROAD CLASSIFICATION
477 000ME
Expressway zww, Local Connector ---
Secondary live/ Local Road
Ramp •4WD
ip Interstate Route
) US Route 0 State Route
KINGS MOUNTAIN, NC, SC
2019
-81,2500"
35.1250'

September 30, 2019
DEQ
Division of Water Resources
Mooresville Regional Office
610 E. Center Avenue
Mooresville, NC 28115
SUBJECT. Hall Crossing Subdivision Phase 5
o Wh,orn It May Concern:
We are proposing to install approximately 350 linear feet of 8' sanitary sewer line and
1120 linear feet of 6" sanitary sewer to serve 7 residential lots. These lots are located in
Kings Mountain, NC. and the sewer line will belong to the City of K.nigs Mountain once
completed.
If you have any questions, you may contact me at 7f14-92240.024.
Sincerely,
nDenton, PE, PLS
and Engineering, PLLC.