WQ0041657_Regional Office Historical File Pre 2018

Division 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
ETA 04-16 & SUPPORTING DOCUMENTATN-N
RECEIVEDINC6E
Application Number:
—1111C
(to be completed by Mk12)
All itenis must be completed or the application vvill be returned
APR 2 9 ZUG
WOOS
MOOR.E.SVILLE REGIONAL OFFICE
t. APPLICANT INFORMATION:
I. Applicant's name: City ofrBelmont NC (company, municipality, HOA, utility, etc,)
2„Applicant type: El Individual El Corporation Ej General Partnership Privately -Owned Public utility
El Federal Ei State/County Municipal Ei Other
1. Signature authority's name: Adrian T, „Miller per 1 5 A N C (CT „
Title: City Manger
4. Applicant's mailing address: 115 N Main Street
City: Belmont State: NC, Zip:
5, Applicant's contact information:
Phone number: [phone] Email Address: amillercityofbeiniontorg
II. PROJECT INFORMATION:
I. Project name: Towercrest Subdivision
2. Application/Project status: F1 Proposed (New .Permit) LI Existing Permit/Project
If a modification, provide the existing permit number: WON:: and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00-7
3„. County where project is located: Gaston County_
4.. Approximate Coordinates (Decimal Degrees): Latitude: 35,2.3932- Longitude: -81,04339'"'
5, Parcel ID (if applicable): 125823
(or Parcel ID to closest downstream sewer)
IIL CONSULTANT INFORMATION:
Professional Engineer: Franklin_ S„Craio
Firm: 'Franklin S Craig, PConsutting Civil Engineer
Mailing address: 2543 Gleneagles Drive
City: Gastonia State: NC Zip: 28056-
Phone number: [phone]
License Number: NC1.7596
Email Address: fra.nkcraig12W,gmail,com.
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: City of Behnont WWTP Permit Number NC00211.81
Owner Name: City of Belmomnt .N(
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I.. Permit. Num.ber(s): WO-- Downstream (Receiving) Sewer Size: 8 inch
\L 4Nlontin3jtifiu.vic:4t?, (0: WQCS7_
Owner Name(s): City of Belmont NC
1'ORM: VIA 04-16 Page 1 of 5

VI GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
Yes ZNo N/A
2. If the Applicant is a Developer of lots to be sold, has a I)eveloper's Operational Agreernepuj-1(,)AN1-P,ILy) been attached?
Eli Yes Li o ON/A
3, If the Applicant s a liornelPrwerty Owners" Assoceltioll, has an (t,csatj,,(.n,11,AEaNtqaoLLtiglAt11Q,A) been attached?
Ell Yes No NIA
4, Origin of wastewater: (check all that apply):
Z Residential Owned
LI Residential Leased
El] School / preschool f day care
O Food and drink facilities
D Businesses / offices / factories
El Retail (stores, centers, malls)
Ei Retail with food preparationlservice
Ej Medical dental veterinary facilities
LI Church
Nursing Horne
LI Car Wash
11 Hotel and or Motels
Ei Swimming Pool /Clubhouse
El swimming Pool/Filter Backwash
O Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic/Commercial % Commercial
% Industrial (Sec I 5,A K,AC: 0 1 ,0 1 03G2Q))
> Is there a Pretreatment Program in effect? 111 Yes
6. Has a flow reduction been approved under DA Nc,:m1Q2:1:01 Yes E No
If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
shment Type (see 0211,011 4(1))
1 Residental Single Family Lots
6 Homes - 3 Bedrooms = 18 Bedrooms
5 Homes - 4 Bedrooms 20 Bedrooms
Daily Design Flow
4,14,54 gal/day
gal!
gal/
38 Bedrooms Total (k120 g!d — 4560 gld gal/
No
No. of Unisl Flow
Total
4560 GPD
OPD
4560 GPD
a See 5,A NC.AC 021 0 14(fijadliejaLaudijej(1) 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 ofthe Atlantic Intracoastal Waterway to he used as vacation rentals as defined
in GS,
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 0210114,1 shall he
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 4560 CIPD (per 5 A. NC.A.C. 021 ,(11 14)
Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
fl Pump Station or Gravity Sewer where flos . will he permitted in subsequent permits that connect to this line
LI Flow has already been 'allocated in Permit:Number:
El Rehabilitation or replacement of existing sewer NV ith no new flow expected
LI Other (Explain):
FORM: ETA 04-.16
Page 2 of 5

VIL GRAVITY SEWER DESIGN CRITERIA fif.Applicab ) - 021 .0305 & HWraj =
I, Summarize gravity sewer to he permitted:
Size (inches) Length (feet)
• Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
• Section RI contains information related to minimum slopes for gravity sewegs)
• Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
PUMP STATION DESIGN CRITERIA (if Applicable) -- 021 .0305 & ,VIDC (Pump Stationstfone
COMPLETE FOR EA.C1-.1 PUMP STATION INCLUDED IN THIS PROJECT
1. Purnp 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
5: Summarize the force main to be permitted for this Pump Station):
Size (inches) Length (feet) Material
6. Povver reliability in accordance with f 5A NC:AC 02T ,0305(00):
Standby power source or pump with automatic activation and telemetry - I5A NCAC 021 ,0305(h)( XB).:,
,•' Required for all pump stations with an average daily. flow greater than or equal to 15,000 gallons per day
Must be permanent to facility
Or it pump station has an average daily 'flow less than 15,000 gallons per day:
Ej Portable power source with manual activation„ quick -connection receptacle and t - ISA NCAC 02T
.0305(h)( 1 )(C)
or
El Portable pumping unit with plugged emergency pump connection and telemetry - 1 5A NCAC 02T .0305(h)(1)(C):
It shall be demonstrated to the Divisionthat 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 stationsstorage
capacities and the rotation schedule of the portable power source or pump, including .travel tinicfrarnes, shall be provided
in the case of a multiple station power outage.
FORM: FT,A 04-16
Page 3 of 5

,IX. SETBACKS & SEPARATIONS (02B .0.200 & 15A NCAC 02T .0305(1)}:
I, Does the project comply with all separations found in 15A„NCAC 021' ,0305(t) &(LIT
7?- I5A NCAC 02T,0305(1) c,ontains minimum separations that shall berovided for sew -
Setback Parameter*
Storm sewers and other atilities not listed below(vertical)
Water mains (vertical -water over sewer includiag in benched trenches)
Water mains (horizontal)
j Reclaimed water lines (yertical reclaimed over sewer)
LReclaimed water lines (horizontal - reclaimed over sewer)
**Any private or public water supply source, including any wells, 'WS-I waters of Class 1 o
Class 11 impounded reservoirs used as a source of d.j. .1( water
24 inches
18 inches
10 feet
18 niches
2 feet
00 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HOW, or SB from normal
gh wa er (or tide elevation) and wetlands (Lee item IX,2)
Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
Anvbuilding foundation
Anv basement
50 feet
10 feet
5 feet
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height 10 feet
Drainage systems and interceptor drains
Any swimming pools
Final earth grade (vertica0
5 feet
10 feet
36 inches
▪ ,L5 A Nc:,:.,,±:1)2I,Q3p5ig) contains alternatives where separations in F)2 fj)54.1„Sit) cannot be achieved.
**Stream classifications can be identified using the Division's NC _Stirtacy. \kim:r
linoncorripliance with 021,03111st-TJoi_jr,J„.), see Section X of this application
Yes El No
2. Does t.he project comply'. with separation requirements for wetlands? (50 feet of separation) Yes CI No .E1 N/A
▪ 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 1,5A NCAC 02B 0200 j Yes LJ No LJ N/A
I?. This would include Trout Buffered Streams per 1 5„A NCAC 2B4O20.2
3. Does the project require coverage/authorization under a 404 Nationwide or
individual permits or 4,01 Water Quality Certifications'?
Information can be obtained from the 401. Buffer Permitting i'irane.'
El Yes D No
5, Does project comply with 1,5,A 115(1.A: 1 f1105(0,0 (additional permits/certifications)? El Yes LJ No
Per 1,sA 0210 I 05(citO), 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-priorityr
Per _LA jjN14:'jvi(ji?,;Thcij4(Iz, "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,
El Yes Ej No El NIA
:. If yes, include an attachment with details for each line, including .type (aerial line, size, material, and neanon)
High priority lines shall be inspected by the permittee or its representative at least once every six -months and inspections
documented per l5A. NCAC 02T.0403(a)(S) or the perm ayes individual System -Wide Collection permit.
FORM: VIA 04-16
Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15,ANc,!„.(10;1111", the Minimum Desigta Criteria for th,,tt PeriTtittimtotPkiftip ItRfl
111(1 ,Force Mains (latest versi)n't, and the Gravity Sevv.cr Minimum Desio CriteriaItarest versio6 as applicable?
[23 Yes El No
If No, complete. and submit the VarianeelAiternative Design Request application (VADC 10-14) and supporting documents for
review. Approyal of the request is required prior to submittal of the Fast Track Appication and supportin2 documents.
Professional Engineer's Certification:
I
1. ra,i4-144 14 P6 attest that ths aapplication for
(Professional Eng irs name front Application
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 hest 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-Tra.ck Perrnitting
of Pump Stations and Force Mains (latest version), Although other professionals may have developed certain portions of this
suhrnirtal package, inclusion of these materials under my signature and seal signifies that 1 have reviewed this material and
have judged itto be consistent with the proposed design,
NOTE — It accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any fake
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor., Which may
include a fine not to exceed SI.0,000., 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):
1. Atis VA% lt-Cr M attest that this application for
Signature Authority's namb & title fro Application Item 1.3.)
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. 1 will make no claim against the Division of Water Resources should a condition
of this permit be violated. 1 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 143-215,6A and 143-21.5„613, any person who knowingly makes any false
statement, representation, or certification in an application package shall he guilty of a Class 2 misdemeanor., which may
include a fine not to e;iceed $10,000 as well as civil penalties up to $25,000 per violation.
Signatu.
Date:
FORM: PTA 04-16
Page 5 of 5

R.est3urce,!,
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Server Extension Applications
(FTSE 10-18)
Entity Requestini Allocation: City of Belmont
Project Name for which flow is being requested.:
afore than one FEST may be required Or a single project if the owner of the J1117/' is not responsible for allpunp
,stations along the route of the proposed wastewater w.
Complete this section only if you a„re the owner of the wastewater treatment plant.
a. WWTP Facility- Name: City of Belmont \VW -FP
b. WWTP .Facility Permit #: .NC0()21.1
c. WWII' facility's permitted flow
"Inflows are in ITIGD
5.0000
d. Estimated obligated -flow not yet tributary to the WWTP 12839
e. WWITP facility's actual fivu flow 1.7910 (2018 Average)
f, Total flow for this specific request 0.0046
g. Total actual and obligated flows to the facility 3.0795
h. Percent of permitted flow used
11. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow,
List pump stations locate( between the project connection point and the W \YIP:
(A) (13) (C) ( D)=( 11+ C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx, Not Yet Total Current
Station Station Firm Daily Flow*" Current. .1-ributary Flow Plus
(Name or Permit Capacity, * (1 / pi), A V 2 . Daily 'Daily Flow, Obligated Available
Number) No. MtiiD MGD Flow, MGD MGD Flow Capt. ity**"
(None)
The Firm Capacity (design flow) of any pump stat. is defined as the maximum pumped now
that can be achieved with the largest pump taken out of SerdeC.
** Design Average Daily How is the firm capacity of the pump station divided by a peaking factor
(p1) not less. than 2.5, per Section 2.02(A.)(4)(e) of the Minimum Design Criteria.
*** A Planning; Assessment Addendum shall be attached for each pump station located
between the project connection point and the WAVTP Where the Available Capacity is <
Downstream Facility Name (Sewer
1)ownstream Permit. Number.
Page 1 of 6
FrsE 10-18

Statc,tlietitt
1 Adrian T. Nlitier, Citiit. Manager gerbil\ ha the best of my knowledge that the addition of
the it ol ame ofv astewater to he permitted in this project has been evaluated along the route to the receiving
INastem, ater truant -lent facility and that tliie flow from this proiect is not anticipated to cause an capacity
related sanitarij sewer ot, erflo or (ix erburden any downstream pump station en route to the reeeitt in jg
treatment plant under normal circurnstances, given the inipleinentation of the planned improvements
identified in the planning 'assessment where applicable. rhis analysis has been performed in accordance
'with local established policies and procedures using the hest a ailable data, This certification applies hit
those items listed aboiie in Sections 1 and II plus all attached planning assessment addendunis for kk hiCII
at the responsible party. Signature of tins finial certifies that tile rceeis ing collection stem or treatment
‘Norks has a equate capagint to transport and treat the proposed new wastewater,
et,
S14,11,114.cz Offic 1441 Signciture
C
itri)4114i
Pape of
1ISI, 10-18

BELMONT
FN I"P AL
HELD
Printed On: 4/19/2020
Disclaimer: The information provided is not to be considered as a Legal Document or Description.
The Map Et Parcel Dicta is believed to be accurate, but Gaston County does not guarantee its accuracy, Values h ,w zn are r J s a as y

The National flap Advanced Viewer
April 18, 2018
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rowercrest Subdivision

Franklin S Craig PE, Consultinsi Civil Engineer
April 28, 2020
Mr. Barry Love
NCDEQ
610 East Center Ave., Suite 301
Mooresville, NC 28115
OF,CEIvELYNC,DENRowR
APR 2 9 'el02i1
WQROS
MOORESVILLE REGIONAL OFVICE
RE: Sewer Permit - 8" sewer extension to serve Towercrest Subdivision, Belmont, NC.
Dear Mr, Love:
Enclosed you will find applications for the 8" sewer extension to serve the Towercrest
Subdivision, in Belmont, North Carolina. The project will consist of approximately 695'
of 8" DIP gravity sewer line, and the flow is calculated at 4560 gallons/day for 11 lots,
Enclosed are 2 applications, $480 fee, USGS and maps showing the site location, street
views from Google Maps and flow tracking (FTSE 04-16) acceptance form for the City
of Belmont, NC,
Please contact our office with any questions regarding this application,
Thank you,
Franklin S. Craig, PE
Consulting Civil Engineer
NCPE License No.: 17596
2543 Gleneagles Drive
Gastonia, NC 28056
[phone]