WQ0036919_Application (FTSE)_20130108

tiV V R 44•• OENR-FRO State of North Carolina
Department of Environment and Natural Resources
JAIL 0 8 2013 Division of Water Resources
FAST -TRACK APPLICATION (FTA 08-13)
Division of Water Resources DWQfor GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
General — When submitting this application, please use the following instructions as a checklist in order to
ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will
help produce a quicker review time and reduce the amount of requested additional information.
For more information, visit the Surface Water Section's Collection Systems website or;
contact the Regional Office serving your county
Unless otherwise noted, the Applicant shall submit one original and one copy of the application and supporting
documentation to the appropriate Regional Office (see page 6).
A. Cover Letter:
• Include a brief project narrative describing the final design (i.e system and/or pump station to ultimately
serve 500 homes, but flow for only 100 homes being requested now). For modifications, clearly explain
the reason for the modification (i.e. adding another phase, changing line size, length, etc).
B. Application Form (FTA 08-13):
® Submit the completed and appropriately executed Fast -Track (FTA 08-13) Application. Any
unauthorized content changes to this form shall result in the application being returned. If necessary
for clarity or due to space restrictions, attachment to the application may be made, as long as the
attachments are numbered to correspond to the section and item to which they refer. You do not need
to submit detailed plans and specifications unless you respond NO to item B(13).
® The Professional Engineer's Certification of the application shall be signed, sealed and dated by a
North Carolina licensed Professional Engineer.
® The Applicant's Certification of the application shall be signed in accordance with 15A NCAC 02T
.0106(b). Per 15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if
a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T .0106(b).
C. Application Fee:
® Submit a check in the amount of $480 to: North Carolina Department of Environment and Natural
Resources (NCDENR).
y Checks shall be dated within 90 days of application submittal.
D. Certificate of Public Convenience and Necessity (For Privately -Owned Public Utilities Only):
❑ Per 15A NCAC 02T .0115(a)(1), provide two copies of the Certificate of Public Convenience and
Necessity from the North Carolina Utilities Commission demonstrating the Applicant is authorized to
hold the utility franchise for the area to be served by the sewer extension, or
O Provide two copies of a letter from the North Carolina Utilities Commission's Water and Sewer Division
Public Staff stating an application for a franchise has been received and that the service area is
contiguous to an existing franchised area or that franchise approval is expected.
❑ The project name in the CPCN or letter must match that provided in Item A(2)a of this application.
E. Operational Agreements (For Home/Property Owners' Associations and Developers of lots to be sold):
• Home/Property Owners' Associations
O Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (HOA 08-13).
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (DEV 08-13).
Even if the project may be turned over to a municipality upon completion, Form DEV 01-12 is required.
INSTRUCTIONS FOR APPLICATION FTA 08-13 & SUPPORTING DOCUMENTATION Page 1 of 6

F. Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance Form (FTSE 08-13)
0 Submit the completed and appropriately executed Flow Tracking/Acceptance for Sewer Extension
Permit (FTSE 08-13) Form for all applications.
➢ The applicant (and owners of downstream sewers, pump stations and/or treatment facilities submitting
form FTSE 08-13 certifies that the addition of the volume of wastewater to be permitted in this project
has been evaluated along the route to the receiving treatment plant, and that 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.
➢ Where the applicant is not the owner of the downstream sewer, submit two copies of form FTSE 08-13
from the owner of the downstream sewer and owner of the WWTF, if different.
➢ The flow acceptance indicated in form FTSE 08-13 must not expire prior to permit issuance and must
be dated less than one year prior to the application date.
fr Submittal of this application and form FTSE 08-13 indicates that owner has adequate capacity
and will not violate G.S. 143-215.67(a).
fr Intergovernmental agreements or other contracts will not be accepted in lieu of a project -
specific FTSE 08-13.
G. Site Map (All Application Packages):
O Submit an 8.5-inch x 11-inch color copy of a USGS Topographic Map of sufficient scale to identify the
entire project area and closest surface waters. Each map must include at a minimum:
➢ The location of the sewer line and pump stations and be of reproducible quality.
Downstream connection points and the permit number for the receiving sewer (if known)
Pump Station Locations and the longitude and latitude for each pump station (if applicable)
O Include a street level map showing all relevant project areas.
H. Stream Classification (WSCAS 08-13)
O Submit the completed and appropriately executed Watershed Classification Attachment form
(WSCAS 08-13) if any portion of the sewer system project is within 100 feet of any surface water or
wetlands.
• A variance must be requested for encroachment within required setbacks or buffers pursuant to 15A
NCAC 02T .0305(f)
I. Environmental Assessments (Projects subject to an Environmental Assessment (EA)):
Projects involving an Environmental Assessment per 15A NCAC 01 C .0408, must be submitted for a
full technical review and must be submitted to the PERCS Unit on application forms provided by the
Division.
J. Alternative Sewer Systems
➢ Projects involving low pressure sewer systems, vacuum sewer systems and other alternative sewer
systems must be submitted for a full technical review and must be submitted to the PERCS Unit on
application forms provided by the Division.
K. Flow Direction
➢ Many wastewater treatment systems are entering into agreements for regionalization efforts and
emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be
directed to more than one treatment facility. If this is the case with the project, please indicate in B(12)
and give the permit number of the second facility.
L. Certifications — Section C
➢ The application must be certified by both the applicant and the design engineer who is 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 Chapter
2T, The Gravity Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria
for the Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project.
INSTRUCTIONS FOR APPLICATION FTA 08-13 & SUPPORTING DOCUMENTATION Page 2 of 6

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USE THE TAB KEY TO MOVE FROM FIELD TO FIELD
1. Owner/Permittee:
la. Town of Lillington
Full Legal Name (company, municipality, HOA, utility, etc.)
1 b. Bill Summers, Town Manager
Application Number: r
(to be completed by DWR) 003 (P t i 9
Signing Official Name and Title (Please review 15A NCAC 2T .0106 () for authorized signing officials)
1 c. The legal entity who will own this system is:
❑ Individual ❑ Federal ® Municipality 0 State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify):
ld. P.O. Box 296
Mailing Address
lf. NC
State
lh. 910-893-2654
li. 910-893-3693
Telephone Facsimile
2. Proiect (Facility) Information:
2a. Vandercroft Farms S/D - Phase 2
Brief Project Name (permit will refer to this name)
3. Contact Person:
3a. Peter E. Norfleet Temple, PE
1e. Lillington
City
lg. 27546
Zip Code
1j. [e-mail]
E-mail
2b. Harnett
County Where Project is Located
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 919-894-7765
3c. [e-mail]
Phone Number 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:
❑ Retaining Ownership (i.e. store, church, single office, etc.) or
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3))
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
3. Town of Lillington
2b. If sold, facilities owned by a (must choose one)
❑ Public Utility (Instruction D)
❑ Homeowner Assoc./Developer (Instruction E)
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a. Lillington Wastewater Collection System
Name of WWTF
5a. Town of Lillington
Owner of Downstream Sewer
4b. NC 0021636
WWTF Permit No.
5b. 8" ® Gravity 15c. WQ0031651M
Receiving Sewer Size ❑ Force Main
6. The origin of this wastewater is (check all that apply):
® Residential Subdivision
❑ Apartments/Condominiums
❑ Mobile Home Park
❑ School
❑ Restaurant
❑ Office
Permit # of Downstream Sewer (Instruction F)
❑ Retail (Stores, shopping centers)
❑ Institution
❑ Hospital
❑ Church
❑ Nursing Home
❑ Other (specify):
7. Volume of wastewater to be allocated or permitted for this particular project: 0
*Do not include future flows or previously permitted allocations
8. If the permitted flow is zero, indicate why:
100% Domestic/Commercial
% Industrial
% Other
(Attach Description)
(Attach Description)
gallons per day
❑ Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
® Flow has already been allocated in Permit No. WQ0031651M
❑ Rehabilitation or replacement of existing sewer with no new flow expected
(see 15A NCAC 02T .0303 to determine if a permit is required)
FTA 08-13 APPLICATION Page 3 of 6

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Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item B(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f).
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet)
8" PVC SDR 35
New Gravity or Additional
Force Main
Approx. 3,210 LF Gravity
H 11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
Z
0 Pump Station Location ID: (self chosen - as shown on plans/map for reference)
U
`-� Longitude: Latitude:
Z
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Design Flow Operational Point Power Reliability Option
(MGD) GPM @TDH 1 - permanent generator w/ATS; Force Main Size
2 2 - portable generator w/MTS
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Pump Station Location ID: (self chosen - as shown on plans/map for reference)
H
2 Longitude: Latitude:
Lll Design Flow Power Reliability Option
(MGD) Operational Point 1 - permanent generator w/ATS;
GPM @TDH 2 - portable generator w/MTS
Force Main Length
Force Main Size
Force Main Length
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
❑ Yes Z No If Yes, permit number of 2nd treatment facility :
(RO — if "yes" to 6,12 please contact the Central Office PERCS Unit)
13. Does the sewer system comply with the Minimum Design Criteria for the Permitting of Pump Stations and Force Mains
(latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T 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
FTA 08-13 APPLICATION Page 4 of 6

:14. Have the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401Certification?
Sedimentation and Erosion Control Plan?
Trout Buffer Waiver?
Stormwater?
❑ Yes ❑ No
Z Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Z N/A
❑ N/A
Z N/A
® N/A
15. Does this project include any high priority lines (15A NCAC 02T .0402 (2)) involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes: ❑ and provide details:
1 a.
Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1, Bill Summers , attest that this application for Vandercroft Farms - Phase 2 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-
215.68any 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 Off ial Signature
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
cn TO OTHER UTILITIES, DESIGN CALCULATIONS, ETC. REFER TO 15A NCAC 02T .0305
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Q2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
1, Peter E. Norfleet Temple, PE ,attest that this application for Vandercroft Farms - Phase 2
has been reviewed by me and is accurate, complete and consistent with the information in the engineering plans,
H 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
W 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 other professionals may have developed certain portions of this submittal package,
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
2a. Peter E. Norfleet Temple, PE
Professional Engineer Name
2b. Enoch Engineers, PA
Engineering Firm
2c. 1403 NC 50 South
Mailing Address
2d. Benson
City
2e. NC 2f. 27504
State Zip
2g. 919-894-4815 2h. 919-894-8190 2i. fleet@enochengineers. com
Telephone Facsimile E-mail
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NC PE Seal, Signature & Date
FTA 08-13 APPLICATION Page 5 of 6

THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION (ORIGINAL AND COPY) SHALL BE
SUBMITTED TO THE APPROPRIATE REGIONAL OFFCE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Swannanoa, North Carolina 28778
[phone]
[phone] 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 28301-5094
[phone]
[phone] 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
[phone]
[phone] Fax
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
Stanly, Union
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
[phone]
[phone] 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
[phone]
[phone] Fax
Beaufort, Bertie, Camden, Chowan, Craven,
Currituck, 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
[phone]
[phone] Fax
Brunswick, Carteret, Columbus, Duplin, New
Hanover, Onslow, Pender
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, North Carolina 27107
[phone]
[phone] Fax
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
FTA 08-13 APPLICATION Page 6 of 6

Joe E. Godwin Sr., P.E., P.L.S.
Email: [e-mail]
December 31, 2013
noch
ngineers,P.A.
Consulting Engineers & Surveyors
1403 N.C. 50 South
Benson, NC 27504
Mr. Trent Allen
Environmental Engineer
NC DENR-Division of Water Quality
225 Green Street, Suite 714
Fayetteville, NC 28301-5043
Re: Vandercroft Farms - Phase 2
Mr. Allen:
Phone: [phone]
[phone]
Fax: [phone]
Enoch Engineers, PA is submitting the enclosed Fast -Track Application and a check in the
amount of $480.00 for review and approval.
After receipt of this information, if you have any questions or discussion, please call.
Respectfully,
Fleet Temple
Enoch Engineers, PA

Botanical Court - Google Maps Page 1 of 1
Address Botanical Court
Address is approximate
https://maps.google. com/maps?q=lillington+nc&ie=UTF8&hq=&hnear=Lillington,+Har... 12/31/2013

Battery Way / Botanical Court - Google Maps
Page 1 of 1
Go glc
Address Battery Way / Botanical Court
Address is approximate
https://maps.google. com/maps?q=lillington+nc&i e=UTF8&hq=&hnear=Lillington,+Har... 12/31/2013

Botanical Court - Google Maps
Page 1 of 1
Address Botanical Court
https://maps.google. com/maps?q=lillington+nc&i e=UTF8&hq=&hnear=Lillington,+Har... 12/31/2013

FORM •WSCAS 08-13
WATERSHED CLASSIFICATION ATTACHMENT
FOR SEWER SYSTEMS
Applicant Name
Project Name
Town of Lillington
Vandercroft Farms - Phase 2
Professional Engineer Name
Engineering Firm Name
Peter E. Norfleet Temple
Enoch Engineers, PA
Location
ID
Name of Waterbody'
County
River
Basin
Waterbody
Stream Index No.
Waterbody
Classification
UT to Upper Little River
Harnett
Cape Fear
18-20-(24.5)
WS-IV
' If unnamed, indicate "unnamed tributary to X•', where X is the named waterbody to which the unnamed tributary joins.
I certify that as a Registered Professional Engineer in the State of
North Carolina that I have diligently followed the Division's
instructions for classifying waterbodies and that the above
classifications are inclusive of the stated project, complete and
correct to the best of my knowledge and belief.
PE Seal, Signature and Date
*** END OF FORM WSCAS 08-13 ***
FORM: WSCAS 08-13
Page 1 of 1

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Drawn By: JEG
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Enoch
ngineers,P.A.
Date: November 2013 Consulting Engineers & Surveyors
Enoch Engineers Project No. 3074

Joe E. Godwin Sr., P.E., P.L.S.
En°c'l
ngineers, P. A.
Consulting Engineers & Surveyors
1403 NC Hwy 50 South
Benson, NC 27504
NCDENR
Division of Water Resources
225 Green Street, Suite 714
Fayetteville, NC 28301-5094
Re: Vandercroft Farms Subdivision - Phase 2
Project Narrative
Phone: [phone]
[phone]
Fax: [phone]
Email: [e-mail]
Vandercroft Farms Subdivision is a 308 lot single family residential development located on
NC Highway 210 in Lillington, North Carolina. An existing lift station with a design flow of
0.468 MGD is located within the subdivision to serve the residential lots. Phase One of the
subdivision has been constructed with a total of 187 lots previously permitted. Phase Two of the
subdivision will add a total of 87 lots to the subdivision.
Fleet Temple, PE
Enoch Engineers, P.A.

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UBE THE TAB KEY TO MOVE FROM FIELD TO FIELD
Application Number:
(to be completed by DWR)
1. Owner/Permittee:
1 a. Town of Lillington
Full Legal Name (company, municipality, HOA, utility, etc.)
1 b. Bill Summers, Town Manager
OWO
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials)
lc. The legal entity who will own this system is:
❑ Individual ['Federal ® Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify):
1 d. P.O. Box 296
le. Lillington
Mailing Address City
1f. NC 1g. 27546
State
1 h. 910-893-2654
1 i. 910-893-3693
Zip Code
1j. [e-mail]
Telephone Facsimile E-mail
2. Project (Facility) Information:
2a. Vandercroft Farms S/D - Phase 2
Brief Project Name (permit will refer to this name)
3. Contact Person:
3a. Peter E. Norfleet Temple, PE
2b. Harnett
County Where Project is Located
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 919-894-7765
Phone Number
1. Project is ® New
3c. [e-mail]
E-mail
0 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:
❑ Retaining Ownership (i.e. store, church, single office, etc.) or
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3))
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
2b. If sold, facilities owned by a (must choose one)
❑ Public Utility (Instruction D)
❑ Homeowner Assoc./Developer (Instruction E)
Z 3. Town of Lillington
� Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
Q4a. Lillington Wastewater Collection System
2 Name of WWTF
Et 5a. Town of Lillington
4b. NC 0021636
WWTF Permit No.
b 8" ® Gravity 15c. W00031651M
----- ^ -• C:+., r-i Cnrnn Min Dornlif II of linwnstraam Sewer (Instruction F)
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SHP ACQUISITIONS, LLC
7 THOMAS DR.
CUMBERLAND FORESIDE, ME 04110
[phone]
ORDER OF NC-DENR
BankofAmerica.
52-36-112
6417
12/18/2013
**480.00
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Central Files: APS SWP
01/14/14
Permit Number -- Permit Tracking Slip
Program Category Status Project Type
Non -discharge Active New Project
Permit Type Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer 1.00 Individual
Extensions
Primary Reviewer Permit Contact Affiliation
trent.allen
Coastal SW Rule
Permitted Flow
0
Facility
Facility Name
Vandercroft Farms S/D - Phase 2
Location Address
Owner
Major/Minor Region
Minor Fayetteville
County
Harnett
Facility Contact Affiliation
Owner Name Owner Type
Town of Lillington Government - Municipal
Dates/Events
Owner Affiliation
William Summers
Manager Town
106 W Front St
Lillington NC 27546
Orig Issue
01/14/14
App Received
01/08/14
Draft Initiated
Scheduled
Issuance
Public Notice Issue Effective Expiration
'"1/14/14 01/14/14
Regulated Activities Requested/Received Events
Wastewater collection Additional information requested
Additional information received
Outfall NULL
Waterbody Name Stream Index Number Current Class Subbasin