WQ0042605_Application (FTSE)_20210622

Division of Water Resources
FAYE
KEUkIV L)
DEQIDWR State of North Carolina
Department of Environmental Quality
JUN 1 5 2021 Division of Water Resources
IS NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION DOCUMENTATION
WQROS FTA 04-16 & SUPPORTING
Application (to be completed by DWR)
pp Number:�uac��y���''
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town o�. f Southern. HOA, municipality, utility, etc.)
2. Public Utility
2. Applicant type: El Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: James Michel per 15A NCAC 021 .Q I0(tb)
Title: Town Engineer
4. Applicant's mailing address: 140 Memorial Park Ct..,
City: Southern Pines State: N Zip: 2838 7-
5. Applicant's contact information:
Phone number: [phone] Email Address: jmichelfasouthempines.rtet
II. PROJECT INFORMATION:
1. Project name: MidSouth East End
2. Application/Project status:
® Proposed (New Permit) ❑ Existing Permit/Project
If 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 locate& Moore
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.1104 Longitude: -79 2442
5. Parcel ID (if applicable): 8 i200614867
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION: License Number 9570
1. Professional Engineer: David T. U church PE
Firm: Doub e D ntineerin, LL
Mailing address: 150 S. Page Street
City: Southern Pines State: NC Zip: 28387-
Phone number: [phone] Email Address:
IV, WASTEWATER THE Ti�fiENT RA
ITY (WWTF) INFORMATION:
1. Facility Name: oun • Water_.Pollution Control Plant Permit Number: NC0037508
Owner Name:
S
V. RECEIVING DOWNSTREAM SEW INFORMATION (if different than WWTF):
1. Permit Number(s): WQ — Downstream (Receiving) Sewer Size: 8 inch
‘,,tem V4 ide Collection S\stein Permit Nurnbei(s)_t it WQCS
Owner Name(s): Town of Southern Pines
Page 1 of 5
FORM: FTA 04-16

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
0 Yes EINo ZN/A
If the Applicant is a Developer of lots to be sold, has a Develo 0 erational Aareement (FORI\v1: DEV) been attached?
Yes 0No r4N/A
3. If the Applicant is a Horne Property 0‘\ nersAs Axiation. ha, an Operational A ureernent (FORM: HOA) been attached?
Yes 0No riN/A
4. Origin of wastewater: (check all that apply):
Z Residential Owned
0 Residential Leased
0 School / preschool / day care
El Food and drink facilities
El Businesses / offices / factories
0 Retail (stores, centers, malls)
0 Retail with food preparation/service
Medical / dental / veterinary facilities
El Church
El Nursing Home
5. Nature of wastewater : 100 % Domestic/Commercial
% Commercial
% Industrial (See 15A NCAC 02 I- .0103(20))
Is there a Pretreatment Program in effect?
0 Car Wash
El Hotel and/or Motels
0 Swimming Pool /Clubhouse
Swimming Pool/Filter Backwash
O Other (Explain in Attachment)
0 Yes CI No
6. Has a flow reduction been approved under I 5A NCAC 021 .01 I 4Lt)? 0 Yes No
If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow 83'
No. of Units
Flow
Single Family Residence
360 gal/day
48
17280 GPD
gal/
GPD
gall
GPD
gal/
GPD
gal/
GPD
gal
GPD
Total
17280 GPD
a See 15A NCAC 02 f .0114 b "d 1 and 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 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table I5A NCAC 021-.0 I 14-1 shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 17280 GPD (per I N A I- .0 1 14)
Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
Ell Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
0 Flow has already been allocated in Permit Number:
E Rehabilitation or replacement of existing sewer with no new flow expected
0 Other (Explain):
FORM: FTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gray its Sev ers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
2018
PVC
8
31 I
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
VII1. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC {Pump Stations, Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. 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 (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
6. Power reliability in accordance with 15A NCAC 02 I .0305(h)(Ij:
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(l)(B)
Required for all pump stations with an average daily flow greater than or equal to I5,000 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:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)( 1 )(C)
or
❑ Portable 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.
Y 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 timeframes, 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 & 15A NCAC 02T .0305(0):
1. Does the project comply with all separations found in I 5A NCAC 02 I- .0305(t) & (I.;)
15A NCAC 02T.0305 contains minimum se arations that shall be �rovided for sewer systems:
Yes E] No
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
24 inches
Water mains (vertical -water over sewer including in benched trenches)
18 inches
Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-1 waters of Class I or
Class 11 impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more verticalheight
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
15A NCAC 02T.0305(g) contains alternatives where separations in 021..0305( f) cannot be achieved.
A **Stream classifications can be identified using the Division's C Surface Water Classifications \‘eb' ,e
'3., If noncompliance with 021'.0305(0 or (12j. see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) Yes El No []N/A
A See the Division's draft separation requirements for situations where separation cannot be meet
A No variance is required if the alternative design criteria specified is utilized in design arid construction
A As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? El Yes D No NIA
A This would include Trout Buffered Streams per I5A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or
individual permits or 401 Water Quality Certifications?
Information can be obtained from the 401 & Buffer Permittinu Branch
LIJYes No
5. Does project comply with 15A NCAC 02 1 .0105(0(6) (additional permits/certifications)? IZ) 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 perrnits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per I 5A NCAC 02T.0402, "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.
D Yes I4No N/A
A If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with I5A NCAC 02T, the Minimum Design Criteria tot the Permittint of Pump Stations
and l orce Mains (latest version) and the Gravitti Sewer Minimum De,,i nCriteria ilate,t \ee ion) as applicable?
®Yes No
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.
2. Professional Engineer's Certification:
I,
£jd_Jhw'ci,
(Profe sional Engineer's name from Application Item 11I.1.)
attest that this 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 143-215.6A 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:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1, Zmes is c,%G I Totvrr C,n ;nee r-
(Signature Authority's na & title from Application Item 1.3.)
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, and/or criminal prosecution. I 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 I4 3-215.6A and 143 215.613, 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.
Signature:
Date:
FORM: FTA 04-16
Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Town of Southern Pines
Project Name for which flow is being requested: MidSouth East End
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Moore County Water Pollution Control Plant
b. WWTP Facility Permit #: NC0037508
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
.01728
II. 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 project connection point and the WWTP:
(A) (B) (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
(Name or Capacity, * (Firm / pf), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD 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 (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Hoke County W.W Treatment Plant
Downstream Permit Number: unknown
Page 1 of 6

III. Certification Statement:
I James Michel, PE Town Engineer certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the
receiving wastewater treatment facility and that the flow from this project is not anticipated to
cause any capacity related sanitary sewer overflows or overburden any downstream pump station
en route to the receiving treatment plant under normal circumstances, given the implementation
of the planned improvements identified in the planning assessment where applicable. This
analysis has been performed in accordance with local established policies and procedures using
the best available data. This certification applies to those items listed above in Sections I and II
plus all attached planning assessment addendums for which I am the responsible party.
Signature of this form indicates acceptance of this wastewater flow.
gning Official Signature
ate
Page 2 of 6
FTSE 04-16

Downstream Sewer Evaluation
Midsouth East End
Line S-2
8" Diameter PVC Pipe at 0.40°o grade
14 Single Family Townhomes at 360/GPD = 5,040 GPD (Midsouth East End)
129 Single Family Townhomes at 360/GPD = 46,4400 GPD (Existing MidSouth East End)
51,480 gpd times 2.5 Peak Factor = 128,700 GPD
MODEL:
Input Parameters Data
Manning n for material 0.012
Slope (ft/ft) 0.005
Pipe diameter (in) 8
Slope min. (8"-18" pipe) 0.004
Slope min. (21 "-36" pipe) FALSE
Output
Pipe Diameter (ft) 0.667
X-sex area (1/2-full) 0.174
Hydraulic Radius 0.167
Hydraulic Radius A 2/3 0.303
Slope ^ 1/2 0.071
Velocity (ft/s) 2.659
Flow (cfs) 0.464
Flow (gps) 3.470
Flow (gpd) 1/2 Pipe 299,815
Flow (gpd) 3/4 Pipe 449,722
Flow (gpd) Full Pipe 599,630
Existing Gravity Sewer has sufficent capacity to handle current and future flow.

Division of %Water Rcesources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Southern Pines
Project Name for which flow is being requested: MidSouth East End Ph3
Akre than one FTSE may be required for a single project if the owner of the {rli'TP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Moore County. Water Pollution Control Plant
b. WWTP Facility Permit #: NC 0037508
All flows are in 1VIGD
c. WWTP facility's permitted flow 10.0000
d. Estimated obligated flow not yet tributary to the WWTP 0.80391
e. WWTP facility's actual avg. flow 5.45000
f. Total flow for this specific request 0.01728
g. Total actual and obligated flows to the facility 6.27119
h. Percent of permitted flow used 62.7119
II. Complete this section for each pump station you are responsible for aloe the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Floe** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm / pt), . Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
* The Firm Capacity (design flow) 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
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
YMx A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity' is < 0.
Downstream Facility Name (Sewer): Moore County Public Utilities
Downstream Permit Number: WQCS00034
Page 1 of 6
FTSE 10-18

III, Certification Statement:
I Randy G. Gould, PE certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and II plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has ade late capacity t ansport and treat the proposed new wastewater.
Official S
64)o E
-ID we
Title ofSigning Official t'vtoorCoo iv4-y Pu8 Cc L.) r- 6%rec+o�-
Date
Page 2 of 6
FTSE 10-18

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Double D Engineering, PLLC
June 9, 2021
NCDEQ
Division of Water Resources
225 Green Street
Fayetteville, N.C. 28301
Attn: Trent Allen
Ref: MidSouth East End
Town of Southern Pines, NC
Sewer Permit Application
TransmitaI R
ciWR
JUN 15 7 71
WQROS
FAYETTF 1IL L F PFGp0NAI. OFFER E
Please find attached:
Cover letter, sewer permit application, downstream sewer evaluation, flow tracking
form, USGS map, street view map and the fee check.
If you have any questions or need any additional information, please feel free to
contact this office.
DOUBLE D ENGINEERING, PLLC
Lee Humphrey, Project Manager
150 S. Page Street
Southern Pines, NC 28387
Firm No. P-1275
PH: [phone]

Project Cover Letter
Midsouth East End
The new 8" gravity sewer mains to serve the MidSouth East End Project will connect to an existing 8"
gravity sewer main at the end of the existing Plantation Drive and to and existing 8" gravity main
crossing the existing Windsong Drive. The new 8" gravity sewer main will extend 2,329 If with 17 new 4'
dia. manholes into the subdivision. The Sewer Improvements to serve MidSouth East End will serve 48
single family homes @ 360 gpd/home for a total proposed flow of 17,280 gpd.
Downstream Sewer Evaluation
As shown with the attached calculations, the proposed gravity sewer inside the development and the
existing gravity sewer outside the development have the capacity to serve the proposed development.
Once the sewer reaches Southern Pines Outfall, it is gravity feed to the Moore County Outfall which is
gravity all the way to the Moore County WWTP. Prior to issuing the Flow Acceptance Letter, Moore
County did their own evaluation of the capacity of their downstream sewer and found they had
adequate capacity to handle the additional flow.

From:
To:
Subject:
Date:
Attachments:
Lee Humphrey
Simpson, Danielle
[External] RE: FTSE Application - MidSouth East End
Friday, June 18, 2021 3:13:00 PM
image001.pnq
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Yes, it should be Moore County WWTP.
From: Simpson, Danielle[mailto:danielle.simpson©ncdenr.gov]
Sent: Friday, June 18, 2021 2:11 PM
To: lee©doubledeng.com
Subject: FTSE Application - MidSouth East End
Good afternoon,
I am in the process of reviewing a FTSE application I received for MidSouth East End and wanted to
clarify some information with you. On the first page of the application the facility name was listed as
Hoke County Water Pollution Control Plant while the permit number matches that of Moore County.
Throughout the rest of the application it has the location as being Moore County Water Pollution
Control Plant. I wanted to verify that the correct location is indeed Moore County?
Thank you,
Danielle Simpson
Danielle Simpson
Environmental Specialist
Department of Environmental Quality
910 433 3334 office
danieile.simpson{cr�ncdenr.gov
225 Green Street
Suite 714
Fayetteville, NC 28301
Email correspondence to and from t L/S address is subject to ttn
North Caro/ii a Public Records Lay./ and may be disclosed to third parties.