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HomeMy WebLinkAboutWQ0029322_Application (FTSE)_20050915T-TRACK APPLICATION for GRAVITY SEWLI'lca, ruivir a ir►liviw, rm. A. = v.... . • USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number: (to be completed by DWQ) V/ 1. Owner: la. Harnett County Department of Public Utilities Full Legal Name (company, municipality, HOA, utility, etc.) O lb. Rodney M. Tart, Director F- Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!) lc. The legal entity who will own this system is: 0 Individual 0 Federal ® Municipality ❑ State/County 0 Private Partnership 0 Corporation 0 Other (specify): O 1 d. 308 W. Duncan Street ▪ Mailing Address If. NC Z State • lh. 910-893-7575 1 i. 910-893-6643 Telephone Facsimile U 2. Project (Facility) Information: J 2a. Wolf Creek Town Homes CL- Brief Project Name (permit will refer to this name) a Q 3. Contact Person: Q 3a. Joe E. Godwin, Jr., PE Name and Affiliation of Someone Who Can Answer Questions About this Application 3b. 919-894-7765 3c. Phone Number E-mail 1 e. Lillington City lg. 27546 Zip Code 1j. E-mail 2b. Harnett County Where Project is Located B. PERMIT INFORMATION 1. Project is ® New 0 Modification (of an existing permit) If Modification, Permit No.: For m phase duplic 2. O+n 2a. If 0 0 0 3. Ha On 4a. But Nai 5a. Hai OA BYRON N JOHNSON 04-05 1857 OLD STAGE RD N 910-892-7410 COATS, NC 27521 Pay to the , ! Order of /V FIRST CITIZENS 254 D Au ' i' DFirst-CitinC. 25m Bank334 & Trust Company �unn. N firs itizens.com For' ':053 L003001: o .„A. rr, ❑ Residential Subdivision ® Apartments/Condominiums ❑ Mobile Home Park ❑ School ❑ Restaurant ❑ Office ❑ Car Wash ❑ Institution ❑ Hospital ❑ Church ❑ Nursing Home ❑ Other (specify): 66-30/531 GUARDIAN® SAFETY BLUE DINS/ other ) not •e one) fiction IV) r (if known) 100 % Domestic/Commercial 0 % Industrial 0 % Other (specify): 7. Volume of wastewater to be allocated for this particular project: 5040 gallons per day *Do not include previously permitted allocations 8. If the permitted flow is zero, indicate why: ❑ Interceptor Line - Flow will be permitted in subsequent permits that connect to this line ❑ Flow has already been allocated in Permit No. O Rehabilitation or replacement of existing sewer with no new flow expected FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 1 nF wArFA DENR—FRO State of North Carolina Department of Environment and Natural Resources SEP 15 2005 Division of Water Quality �]titir FAST -TRACK APPLICATION for�GRAWI'Y SEWERS, PUMP STATIONS, AND FORCE MAINS (Pressure sewers systems are not to be included as part of this application package) INSTRUCTIONS: Indicate that you have included/addressed the following list of required application package items by checking the space provided next to each applicable item. Failure to submit all required items will lead to your application being returned as incomplete. This form may be photocopied for use as an original. ® I. Application Form - Submit one original and one copy of the completed and appropriately executed application form. Any changes to this form will result in the application being retumed. The Division of Water Quality (Division) will only accept application packages that have been fully completed with all applicable items addressed. You do not need to submit detailed plans and specifications unless you respond NO to Item B(12). ® II. Application Fee - Submit a check in the amount of $400 made payable to: North Carolina Department of Environment and Natural Resources (NCDENR). Checks shall be dated within 90 days of application submittal. ❑ III. Certificates of Public Convenience and Necessi y — If the application is being submitted in the name of a AA // privately -owned public utility, submit two copies of e Certificate of Public Convenience and Necessity (CPCN) I ff which demonstrates that the public utility is author¢ J to hold the utility franchise for the area to be served by the sewer extension. If a CPCN has not been issued, 1rovide two copies of a letter from the North Carolina Utilities Commission's Public Staff that states that an appli ration for a franchise has been received, that the service area is contiguous to an existing franchised area, and/c r that franchise approval is expected. The project name in the CPCN or letter must match that provided in Item A(2a) of this application. Operational Agreements — Submit one original and two copies of a properly executed operational agreement if the sewer extension is permitted by a private applicant and will be serving residential or commercial lots (e.g., houses, condominiums, townhomes, outparcels, etc.) that will be sold to another entity. if the applicant is a homeowners' association, use Form HOA 02/03. If the applicant is a developer, use Form DEV 02/03. EVEN IF THE PROJECT WILL BE TURNED OVER TO A MUNICIPALITY, FORM DEV 02/03 IS REQUIRED. Flow Acceptance Letters — If the owner of the downstream sewers and/or WWTF is different from the applicant, submit two copies of a flow acceptance letter from the owner of the downstream sewers and WWTF, if different. Flow acceptance letters must contain the following minimum information: applicant and project name, amount of flow accepted, and name and permit number of the receiving sewers/WW TF. The flow acceptance must not expire prior to permit issuance and must be dated less than a year prior to the application date. Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific flow acceptance letter. ® VI. Map — Submit an 8.5-inch by 11-inch COLOR copy of the portion of a 7.5-minute USGS Topographic Map along with this form. The map should identify the entire project area location as well as the closest downslope surface waters as clearly as possible. Each map portion must be labeled with the map name and number, the identified location of the sewer line and pump stations, and be of clear and reproducible quality. For instance, if the project involves 4 miles of interceptor sewer that traverses over or near several different waterbodies (or counties, basins, etc.), the map should have location ID's shown for each different waterbody (where the sewer line is within 100 feet of such waterbody - see Instruction VII). This location ID is self chosen and used to cross reference the location in Section C of the permit application. ® VII. Stream Classifications — Section C • If any portion of the project is within 100 feet of any down slope surface water, Section C must be completed for the pertinent sections. • If the entire project area is a minimum of 100 feet away from any down slope surface waters BUT there is a pump station involved where a history of power outage is to be used to provide adequate design storage instead of dual feed or permanent or portable generator, Section C must be completed to demonstrate that the closest down slope surface water is Class C (see 15A NCAC 2H .0219(h)(3)(D)). • Use the guidance document entitled, "Determining Watershed Classifications for Form FTA 02/03 (Fast -Track Sewer Systems)" available from http://h2o.enr.state.nc.us/peres or by contacting the appropriate regional nffir.p • FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 2 ❑ VIII. Environmental Assessments — If this project is subject to an Environmental Assessment (EA) [15A NCAC //A 01C], this application can not be used. Send the project application on Form PSFMGSA 10/99 to the PERCS I� Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. Applications can not be accepted until a Finding of No Significant Impact (FONSI) or Environmental Impact Statement (EIS) has been issued. A copy is to be submitted with that permit application. ® IX. Certifications — Section D The application must be certified by both the applicant and a North Carolina Registered Professional Engineer (PE). The applicant signature must match the signing official listed in Item A(1b). The PE should NOT certify the application if he/she is unfamiliar with 15A NCAC 2H .0200, the Gravity Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project. Certification by a PE who is unfamiliar with these documents is subject to NC Board referral. ® X. Downstream Sewer & Wastewater Treatment Plant Capacity The applicant has assured downstream pipe, pump station and treatment plant capacity. The addition of new sources of wastewater from this project has been evaluated along the route to the receiving treatment plant. The flow from this project will not cause capacity related sanitary sewer overflows or overburden any downstream pump station en route to the receiving wastewater treatment plant. If the applicant is not the owner of the downstream sewer or receiving treatment plant, submittal of flow acceptance letter(s) indicates that owner has adequate capacity and will not violate G.S. 143-215.67(a). THE COMPLETED FTA 02/03 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING DOCUMENTS AND $400 FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE REGIONAL OFFICE ADDRESS COUNTIES SERVED Asheville Regional Office 2090 US Highway 70 Swannanoa, North Carolina 28778 (828) 296-4500 (828) 299-7043 Fax Avery, Buncombe, Burke, Caldwell, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Yancey Fayetteville Regional Office 225 Green Street Suite 714 Fayetteville, North Carolina 28301 (910) 486-1541 (910) 486-0707 Fax Anson, Bladen, Cumberland, Hamett, Hoke, Montgomery, Moore, Robeson, Richmond, Sampson, Scotland Mooresville Regional Office 610 E. Center Avenue, Suite 301 Mooresville, North Carolina 28115 (704) 663-1699 (704) 663-6040 Fax Alexander, Cabarrus, Catawba, Cleveland, Gaston, Iredell, Lincoln, Mecklenburg, Rowan, Stanly, Union Raleigh Regional Office 1628 Mail Service Center Raleigh, North Carolina 27699-1628 (919) 571-4700 (919) 571-4718 Fax Chatham, Durham, Edgecombe, Franklin, Granville, Halifax, Johnston, Lee, Nash, Northampton, Orange, Person, Vance, Wake, Warren, Wilson Washington Regional Office 943 Washington Square Mall Washington, North Carolina 27889 (252) 946-6481 (252) 975-3716 Fax Beaufort, Bertie, Camden, Chowan, Craven, Cunituck, Dare, Gates, Greene, Hertford, Hyde, Jones, Lenoir, Martin, Pamlico, Pasquotank, Perquimans, Pitt, Tyrrell, Washington, Wayne Wilmington Regional Office 127 Cardinal Drive Extension Wilmington, North Carolina 28405 (910) 395-3900 (910) 350-2004 Fax Brunswick, Carteret, Columbus, Duplin, New Hanover, Onslow, Pender Winston-Salem Regional Office 585 Waughtown Street Winston-Salem, North Carolina 27107 (336) 771-4600 (336) 771-4631 Fax Alamance, Alleghany, Ashe, Caswell, Davidson, Davie, Forsyth, Guilford, Rockingham, Randolph, Stokes, Surry, Watauga, Wilkes, Yadkin For more information, visit our web site at: http://h2o.enr.state.nc.us/peres/ FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 3 USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number: A Uv n3p (to be completed by DWQ) � 1. Owner: la. Harnett County Department of Public Utilities Full Legal Name (company, municipality, HOA, utility, etc.) 0 1 b. Rodney M. Tart, Director Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!) m 1 c. The legal entity who will own this system is: • Individual ■ Federal ►5 Municipality IN State/County ■ Private Partnership • Corporation IN Other (specify): Ce 0 1 d. 308 W. Duncan Street le. Lillington LL Mailing Address City Z — 1 f. NC lg. 27546 Z State Zip Code O 1 h. 910-893-7575 li. 910-893-6643 1j. QTelephone Facsimile E-mail () 2. Project (Facility) Information: 2a. Wolf Creek Town Homes 2b. Harnett aBrief Project Name (permit will refer to this name) County Where Project is Located Q 3. Contact Person: Q3a. Joe E. Godwin, Jr., PE Name and Affiliation of Someone Who Can Answer Questions About this Application 3b. 919-894-7765 3c. Phone Number E-mail If Modification, Permit No.: 1. Project is 0 New ■ Modification (of an existing permit) For modifications, attach a separate sheet clearly explaining the reason for the modification (i.e. adding another phase, changing line size/length, etc.). Only include the modified information in this permit application - do not duplicate project information in B(7) and B(10-11) that has already been included in the original permit. (go to Item 2(a)) 2. Owner is 0 Public (skip to Item B(3)) ■ Private 2a. If private, applicant will be: 2b. If sold, facilities owned by a (must choose one) ■ Retaining Ownership (i.e. store, church, single office, etc.) or ■ Public Utility (Instruction I11) Z ■ Leasing units (lots, townhomes, etc. - skip to Item B(3)) ■ Homeowner Assoc./Developer (Instruction IV) 0 ■ Selling units (lots, townhomes, etc. - go to Item B(2b)) 1— 3. Harnett County < Owner of Wastewater Treatment Facility (WVVfF) Treating Wastewater From This Project 4a. Buies Creek Waste Water Treatment Facility 4b. NC 0030091 re 0 Name of WWTF WWTF Permit No. LL 5a. Harnett County public Utilities 15b. 6" 0 Gravity 15c. Z Owner of Downstream Sewer Receiving Sewer Size ■ Force Main Permit Number of Downstream Sewer (if known) I— 6. The origin of this wastewater is (check all that apply): 100 % Domestic/Commercial 5 ■ Residential Subdivision IN Car Wash Apartments/Condominiums ■ Institution W ■ Mobile Home Park ■ Hospital 0 % Industrial Horne 0 % Other (specify): (specify): a ■ School ■ Church m ■ Restaurant ■ Nursing ■ Office ■ Other 7. Volume of wastewater to be allocated for this particular project: 5040 gallons per day *Do not include previously permitted allocations 8. If the permitted flow is zero, indicate why: permits that connect to this line • Interceptor Line - Flow will be permitted in subsequent ■ 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 4 9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H .0219(I) 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(I)(1-2) must be supported with actual water or wastewater use data in accordance with 15A NCAC 2H .0219(I)(3). 20 two bedroom units x 240 gpd + 2 one bedroom units x 120 gpd = 5040 gpd 10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary) Size (inches) Length (feet) 8" 0 W Z Gravity or Force Main (use the pull down menu) 804 gravity H Z ENTER TOTAL LINE LENGTH IN MILES 0.152 0 V11. Summary of Pump Stations to be Permitted (attach additional sheets as necessary) Location ID Power Reliability Option (self chosen - as shown on Design Flow Operational Point (1- dual line feed; 2- permanent generator w/ATS; 3- plans for cross-reference) (MGD) GPM @ TDH portable generator w/telemetry; 4-wet well storage) n/a n/a n/a n/a 0 LL Z i- 2 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? W ® Yes D No If no, please reference the pertinent minimum design criteria or regulation and indicate why a 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 ® NIA Sedimentation and Erosion Control Plan? ❑ Yes ❑ No ® N/A Stormwater? ❑ Yes ❑ No ® N/A 14. Does this project involve aerial lines or siphons? Check if yes: ❑ These lines will be considered hiah priority and must be checked once every six months 15. Does this project have gravity sewer lines designed at minimum slopes? El Be aware that the Division will not accept installed lines more than 10% flatter than the minimum slope. Lines installed outside this tolerance should be corrected prior to submitting the final engineering certification.. FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 5 C. STREAM CLASSIFICATION 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 Stream Classification is not needed because all parts of the project are at least 100 feet away from any down slope waterbody; AND ® A Stream 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 (self chosen - as shown on map for cross-reference) n/a Name of Waterbody n/a County n/a River Basin n/a Waterbody Stream Waterbody Index Classification n/a n/a Submit the 8.5" x 11" COLOR topographic map as required in Instruction VI regardless of whether a classification is provided! D. CERTIFICATIONS 1. Applicant's Certification: 1, RODNEY M. TART, attest that this application for WOLF CREEK TOWNHOMES as 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 volation. 1 a. Sig g • ici- S enature 2. Profes onal Engineer's Certification: Date I attest that this application for WOLF CREEK TOWNHOMES 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. Joe E. Godwin, Jr., PE Professional Engineer Name 2b. Enoch Engineers, P.A. Engineering Firm 2c. 1403 NC Highway 50 South Mailing Address 2d. Benson City 2e. NC State 2f. 27504 2g. 919-894-7765 2h. 919-894-8190 2i. joejr@enochengineers.co Telephone Facsimile E-mail ' r / ) i+ / /r `�g' ' 'r �_��i i.a JJ - 11 i / �r' R / / ',��� r! 3 �1 __ ., -iss, r- _= _ � ,r- , �� s, 4,,,,, • - zoo k A c. ��� .... / = (, 272 '' / .%� :)"/ ( ,-;2t. t - I .-72/' .. r.. air .: ., ......A. � '-' • � 4 t Aso ,. ., ,, / ! I :HH ( . ,_. -- ate' /1.c `` ''-h• - ..' \ate II \I t?.) ' 11 ! Al 'ram -• 6 ,��. Y / ! • k\..- # it • �•.: `st,i / 11ir '- fr in O NI ,lip- _. • AM \1 ,'1/' ���y r �q Y • a:,'' i . li J ; �,' r/ w-p ial - 'i f r y• _ - - ' f 1 ems, will ./., ,, !; /" , •�•.:. . '`.. \ (� r it ` � ` ‘,519).., Yr ... • r . . , , 9 c_-) ..1- v, Q -- _......, \ _ ...› .. ____ • III . /// NW �-. " �1 / 'j .ava 1 OS•eMf3 `*1� -.--t �...` /.\\ ., PtithC�dA�1 a. 1 ! i N! li �.- v i 004.139 3-D TopoQuads Copyright ®1999 DeLorrr a Yarmouth, ME 04096 Soiree Data: USGS---1950 R Seale: 1: 24,000 Detail:14-0 Datum: WGSS4 Phone (919) 894-7765 DENR-FRO Enoch Engineers, P.A. SEP 15 2005 1403 Hwy 50 South DWQ Benson, NC 27504 Fax (919) 894-8190 ***************************************************************** Lf1 IER OF TRANSMITTAL ***************************************************************** DATE: August 14, 2005 FROM: Joe Godwin, Jr. TO:NCDENR - Fayetteville Regional Office Division of Water Quality 225 Green Street, Suite 714 Fayetteville, NC 28301 Attn: Mr. Steve Cook RE: Wolf Creek Townhomes Notes: Enclosed, please find 2 originals of the Fast Track Application with a check in the amount of $400.00. 28919 Fast Track Engineering Certification Permit No. WQ0029322 October 25, 2005 Complete and submit this form to the permit issuing regional office with the following: • One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection system extension • supporting design calculations (selected pumps, system curve, operating point, available storage if portable generator(s) or storage greater than longest past three year outage reliability option selected) for any pump stations permitted as part of this project • Changes to the project should be clearly identified on the record drawings or in written summary form. Permit modifications are required for anv changes resulting in non-compliance with this permit, regulations or minimum design criteria. This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all required supporting documentation have been received by the Division. Therefore, it is highly recommended that this certification be sent in a manner that provides proof of receipt by the Division. ENGINEER'S CERTIFICATION JoL� L'• &o w/, - ❑ Partial Final 1, , as a duly registered Professional Engineer in the State of North Carolina, having been authorized to observe ( periodically, ❑ weekly, ❑ full time) the construction of the Wolf Creek Town Homes project., Harnett County project for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the construction such that the construction was observed to be built within substantial compliance of this permit; 15A NCAC 2H .0200; the Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials. North Carolina Professional Engineer's seal, signature, and date: •o.O�SS�O,y;L�i .a SEAL • //F OOD1�\\ SEND THIS FORM & SUPPORTING DOCUMENTATION WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS FAYETTEVILLE REGIONAL OFFICE 225 GREEN STREET, SUITE 714 FAYETTEVILLE NC 28301 The ermittee is responsible for tracking all partial certifications up until a final certification is received. Any wastewater flow made tributary to the wastewater collection system extension prior to completion of this Engineer's Certification shall be considered a violation of the permit and shall subject the Permittee to appropriate enforcement actions.