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
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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
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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.