WQ0041774_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
FTA 04-16 & SUPPORTING DOCUMENTATION
RE:CEN:Di,1Ci:TWITr6\NR
Application Number:
tf
77
(to be completed by DWR)
All items must be completed or the application will be eturned
I. APPLICANT INFORMATION:
L Applicant's name: City of Mount Holly (company, municipality, HOA, utility, etc.)
Applicant type: ID Individual
Federal
E Corporation
State/County
LJ General Partnership
Municipal
3. Signature authority's name: Danny Jackson per I5A NCAC 02T .0106(6)
Title: City Manager
4. Applicant's mailing address: 400 East Central Avenue
City: Mount Holly State: NC Zip: 28120-
5. Applicant's contact information:
Phone number: [phone] Email Address: dannyjack,[e-mail]
IL PROJECT INFORMATION:
1. Project name: South Gateway Area Pump Station and Force Main
2. ApplicationIProject status:
M 0 R S L. 07 R. CI G N A t.L OF VC, E:
LIJ Privately -Owned Public titili
Ej Other
Proposed (New Permit) [1] Existing Permit/Project
lf 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: Gaston
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.263958') Longitude: -81.018422"
5. Parcel ID (if applicable): 212801
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Charles A. Willis, Jr.
Firm: Willis Engineers
Mailing address: 10700 Sikes Place, Suite 115
City: Charlotte State: NC Zip: 28277-
Phone number: [phone] Email Address: chuck@willisenginee
License Number: 17710
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Mount Holly WWTP Permit Number: NC0021156
Owner Name: City of Mount Holly
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF);
1, Permit Number(s): WQ Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
FORM: FTA 04-16 Page 1 of .5

VI. GENERAL REQUIREMENTS
• If the Applicant is a Privately -Owned Public Utility. has a Certificate of Public Convenience and Necessity been attached?
El Yes 0No N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEY) been attached?
El Yes 0No N/A
3, Utile Applicant is a Home/Property OwnersAssociation, has an Operationat A e FOR : 110A) been attached?
El Yes 0No N/A
4. Origin of wastewater (check all that apply):
Residential Owned
0 Residential Leased
0 School/preschool / day care
El Food and drink facilities
Businesses.1 offices / factories
LI Retail (stores, centers, malls)
0 Retail with food preparationtservice
El Medical / dental 1.veterinary facilities
0 Church
fl Nursing Horne
5. Nature of wastewater ; :1.00 % Domestic/Commercial % Commercial
% Industrial (See 15A NCAC 02T .01.03(20))
0 Car Wash
Hotel and or Motels
El Swimming Pool /Clubhouse
Swimming Pool/Filter Backwash
El Other (Explain in Attachment)
Is (here a Pretreatment Program in effect? El Yes
6. Has a flow reduction been approved under 15A NCAC 02T .0114(f)'
If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Yes El No
El No
Establishment Type (see 02T.0114(f))
Daily Design F o
a,b
No. of Units
Flow
gall
GPD
gal
gal
GPI)
GPD
gall
GPD
gal/
al/
GPD
Total
0 GPD
a See 15A NCAC 02T .0.1.14(b), (d), (e)(I.) and (e)(2) 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
in G.S. 42A-4).
b Per 1.5A NCAC 02T .0114(c), design flow rates for establishments not identified [in table I5A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per 1.5A NCAC 02T .01.14)
Do not include future flows or previouslypermitted allocations
If permitted flow is zero, indicate why:
Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
El Flow has already been allocated in Permit Number:
0 Rehabilitation or replacement of existing sewer with no new flow expected
0 Other (Expla
FORM: ETA 04-16
Page 2 of 5

V . GRAVITY SEWER ESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewersl:
1. Summarize gravity sewer to be permitted:
Size (inches)
16
Length (feet)
210
115
Material
DIP
DIP
• Section II & III of the MDC for Permitting of Gravity 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 MDC
VIII. PUMP STATION DESIGN CRITERIA Of Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains:
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: South Gatew Area Pum Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 35,263958* Longitude: -81.018422'
3. Design flow of the pump station: 149 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 735 / 560 gallons per minute at 94 / 102 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B):
• Required for all putnp stations with an average daily flow greater than or equal to 15,000 gallons per day
• Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
Li P• ortable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
El P• ortable 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 tirneframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16
Page 3 of 5

IX, " SETBACKS & SEPARATIONS — (02B .0200 & I5A NCAC 02T .0305(0):
Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (g)
• 15A NCAC 02T,0305(f) contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Storm sewers and other utilities not listed below (vertica1)
Water mains (vertical -water overseer including in benched trenches)
Water mains (horizontal)
Reclaimed water lines (vertical - reclaimed over sewer)
Reclaimed water lines (horizontal - reclaimed over sewer)
Yes 1 1 No
Separation Required
24 inches
18 inches
10 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of (kinking water
18 inches
2 feet
100 feet
**Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from nomial
high water (or tide elevation) and wetlands (see item IX,2)
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
Any building foundation
Any basement
50 feet
10 feet
5 feet
Top slope of embankment or cuts of 2 feet or rnorevcrtical
Drainage systemsd interceptor drai -
Any swimming .pools
Final earth grade (vertical)
10 feet
10 feet
5 feet
10 fe
36 inches
15A NCAC 02T.0305 contains alternatives where separations in 02T,030.5(f) cannot be achieved,
**Stream classifications can be identified using the Division's NC Surface Water Classificationswdwage
If noncompliance with 02T.0305(f) or g). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (5.0 feet of separation)
• 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 all setbacks found in the river basin rules per 15A NCAC 02B .0200?
, This would include Trout Buffered Streams per I 5A NCAC 20202
Yes El No
Yes 1 INo
4, Does the project comply with an individual 404 Permit or any 401 Certifications? Yes LJ No
• Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or .surface waters
Information can be obtained from the 401 & .Buffer Permitting Branch
5. Does project comply with I5A NCAC 02T.0105 c)(6,) (additional permits/certifications)? Yes No
Per I5A NCAC 02T.0105(c)(6), 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, stomivvater management plans, etc,),
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per I5.A NCAC 02T,0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface \vaters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
[2] Yes 4 No
if yes, include an attachment with details for each line, including type (aerial inc. siie. material,and location).
High priority lines shall he 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 perm itee's individual System -Wide Collection permit,
FORM: PTA 04-16 Page 4 of 5

CERTIFICATIONS:
1. Does the submitted system comply with I5A NCAC 02T. the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minirnurn Design Criteria latest version as applicable?
Yes EINo
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review, Approval of the request is required prior to submittal of the Fast Track Application and supporting documents.
Professional Engineer's Certification.
cthzci it-rA Jj jet.
(Professional Engineer's name from Applica
attest that ths 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. 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 (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 I have reviewed this material and
have judged it to be consistent with the proposed design,
NOTE — In accordance with General Statutes I43-215,.6A and 143-215.6B, 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,
North Carolina Professional Engineer's seal, signature, and date:
Applic 's Certification per A NC "C 02T ,0106(b):
"gnature Authority's name & title from Appication Rem 1.
mm.
%rho
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. I 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,. 'will makell0 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 143-215,6B, an.y person who knowingly makes tiny false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine n t 10 exceed $1.0,0.00 as well as civil penalties up to $25,000 per violation.
Signature: , 444
Date:
FORM: FTA 041-16
Page 5 of 5

'Tuvia, Ori A
From: Chuck Willis <[e-mail]>
Sent: Thursday, July 30, 2020 2:49 PM
To: Tuvia, Ori A
Cc: Dave Johnson (david.johnson@ mtholly,us); Jonathan Wilson; Jonathan Taylor
Subject: [External] City of Mount Holly - South Gateway Pump Station Sewer Extension Permit
Follow Up Flag:
Fla ca Status:
Mr, Tuvia —
Follow up
Completed
On July 13' we discussed the Sewer Fast Track Permit Application for the City of Mount Holly's project entitted 'South
Gateway Area Pump Station and Force Main', In our discussion, we concluded that the project could be permitted as a
modification to the existing permit and you requested the City attempt to locate the original permit documents,
Unfortunately the City has been unsuccessful in locating the permit in their files.. If the State does not have record of the
permit, we respectfully request our application be considered for a new permit as submitted.
Should you have any questions or need additional information, please advise. Thank you and we look forward to your
favorable review.
Charles A. Willis, Jr., PE, BCEE
Willis Engineers
'
, North
704,377,9844 office
704.338.4668 direct
704.641.1621 cell
lilis
EN Ca INEERS

State of North Carolina
Department of Environmental Quality
Division of Water Resources
dot, „ Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: City of Mount
Project Name for 'which flow is being requested: South Gateway Area PS & FM
Afore than One FTSE niciv be required fiir a „single project the owner of the IVWTP is not responsibkfor all pump
stations along the route of the proposed Wosiewater flow
1. Complete this section only ifyou are the onef the maste
a. 'QVWTP Facility Name: .Mount llolly WW
b. WWTP Facility Permit 4: NC0021 156
ate
t7-,at
t plant..
All flaws are in MGD
c. WWTP facility's permitted flow 4.0
d. Estimated obligated flow not yet tributary to the WWTP 0.741
e. WWTP facility's actual avg. flow 2.798
f. Total flow for this specific request 0.00
g. Total actual and obligated flows to the facility 3.093
h. Percent of permitted flow used
75.9%
11.. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater .flow.
List pump stations located between the projectpoint and
he
TT p
(A) () (C) (D)=(B+C) (E)—(A-D)
Design Obligated,
Pump Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
tixlarne or Capacity, * (Firm / pf), Daily Flow, Dail„, Flow, Obligated Available
Number) MGD MGD MG[) MGD Flow Capacity***
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pi) not less than 2.5.
*** A Nanning Assessment Addendum shall he attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < O.
Downstream Facility Name (Sewer): N/A
Downstream Permit Number: N/A
Page 1 of 6
FISF 04-16

IIL Certification Statement:
1 David E. Johnson certify to the best of Illy knowledge that the addition of
the volume of Wastewater to be permitted in this project has been evaluated along the route to the
receiving ‘vasteiwater treatment facility and that the flow from this project is not 'finticipated to
cause an capacity related sanitarysewer overfloviiis or overburden an downstream pump station
en route to the receiving treatment plant under normal circutnstances, given the implementation of
the planned improvements identified in the planning assessment Where applicable. lfhis analysis
has been performed in accordance with local established policies and procedures using the hest
available data. This certification applies to those items listed above in Sections 1 and II plus all
attached planning assessment addendums for NN'hiCh 1 am the responsible party. Signature of this
form in antes acre ta e. of this wastewater flow.
Signing )111 1(11 St nal ire
•.:Page: 2 of 6

Existing 8-inch Force Mann
to be Abandoned
{NTERSTATE 85
HIis
ENGINEER 5
June 2020
INTERSTATE 85
Proposed 12 inch Force Main
Existing and Proposed
Pump Stations
Legend
1 Proposed Pump Station
• Existing Pump Station
"MUM Proposed Force Main
---- Existing Force Main
Existing Gravity Sewer
• VVVVT P
City of Mount Holly
h Gateway Area Pump Station & Force Main
Street Level Site Map
Scale: 1" = 1,250'
MOUNT
HOLLY

Existing 8-inch Force Main
to be Abandoned
NTEN
TATE 85
011
ENGINEE
June 2020
INTERSTATE 85
MI --
Proposed 12-inch Force Main
Existing and Proposed
Pump Stations
Legend
A, Proposed Pump Station
• Existing Pump Station
Proposed Force Main
Existing Force Main
Existing Gravity Sewer
City of Mount Holly
South Gateway Area Pump Station & Force Main
Street Level Site Map
Scale: 1" =1,25©'
WWfP
MOUNT
HOLLY

Existing 8-inch Force Main
to be Abandoned
IIliS
ENGINEERS
June 2020
Existing and Proposed
Pump Stations
City of Mount Holly
South Gateway Area Pump Station & Force Main
USGS Site Map
Scale: 1" = 1,250'
Proposed Pump Station
Existing Pump Station
Proposed Force Main
MOUNT
HOLLY
4.0 N'te,"4

U1 Is
sNGImE, EnS,
June Z6,Z02O
NCDepartment ofEnvironmental Quality
Water Quality Section
Mooresville Regional Office
6I0East Center Avenue
Mooresville, North Carolina 281l5
j�
w � �� �15 "J0
M () 0 LLF' RB3K3NALOFF|CE
Subject: City ofMount Holly
Contract 15.0— South Gateway Area Pump Station and Force Main
Gert|ernen�
976,[32(34)
The City of Mount Holly plans to construct a new pump station and approximately 9,100 linear feet
offorce main toserve current and anticipated growth inthe South Gateway area, The new pump
station will replace an existing, smaller pump station located adjacent to the project site, The force
main will be constructed from the new pump station site behind the 5tVm/e Family YMCA to the
Mount Holly Wastewater Treatment Plant. There will be no additional flow as a result of this project,
Qnbehalf ofthe City, enclosed please find two sets ofthe following documents for your review
andapprovu|:
The executed Rast-TYock Applicotion(FTAO4'16).
The executed Flow TrackinglArceptonmForm (FTSEO4'l6i
A letter from DVVN for Adjusted Daily Sewage Flow Rate Approval dated FebruaryZ3, 2016.
AU5GSSite Map illustrating the proposed location,
Street Level Site Map showing the general project area.
Acheck inthe amount of$48Qfor the Application Fee.
Should you have any questions or need addtiona| information, please feel free to call me at
7O4.3]8.4668uremail meatchuck@wiUiscnginearszorn.
Yours very truly,
WILLIS ENGINEERS
Charles A.Willis, ]r,P.E,8[EE
Enclosures
cc w/Enclosures: Mr. Jonathan Wilson, MPM, BS, CZO, City of Mount HolIy
2O7OOSikes Place, Suite 115
Charlotte, North Carolina l8277
7O437T9844/WCLicense F'0Il4