WQ0042644_Application (FTSE)_20210610

State of North Carolina
Department of Environmental Quality
i)WR Division of Water Resources
15A NCAC 02T d1300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
D ision of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: _Wgoo ` 76 K 1 (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: City of Mebane (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ IndividuaI ❑ Corporation ❑ General Partnership
❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal
❑ Other
3. Signature authority's name: Chris Rollins per 15A NCAC 02T ,0106(bi
Title: City Manager
NC Department of
4. Applicant's mailing address: 106 E. Washington Street
Environmental Quality
City: Mebane State: NC Zip: 27302-
Received
5. Applicant's contact information:
JUN 0 4 2021
Phone number: [phone] Email Address: crollins -.cityofinebane.com
Winston-Salem
II. PROJECT INFORMATION:
Regional Office
1. Project name: Tupelo Junction - Phase I & II
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project a
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 located: Orange
v
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.112' Longitude:-79.255
0 0
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5. Parcel ID (if applicable): 982641-6095
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(or Parcel ID to closest downstream sewer)
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III. CONSULTANT INFORMATION:
Q
1. Professional Engineer: Timothy Smith, PE License Number: 030517 Z
Firm: Summit Deso ng & Engineering
Mailing address: 320 Executive Court
City: Hillsborough State: NC Zip: 27278-
Phone number: 919)132-3883 Email Address: tim.smith summitde.net
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: WRRF Permit Number: NCO021474
Owner Name: Ci1y of Mebane
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Numbers): WQOOZ`/`l13 Downstream (Receiving) Sewer Size: 10 inch
S stem Wide Collection System Permit Number(s) (if applicable: WQCS00081
Owner Name(s): City of Mebane
FORM: FTA 04-16 Pagel of 5

VI. GENERAL REQUIREMENTS
L If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes []No ®N.'A
2. If the Applicant is a Developer of lots to be sold, has a Deveio er's Uperational Agreement (FORM. DEVj been attached?
[:]Yes ❑No ON. -'A
3. If the Applicant is a Hame-'Property Owners' Assoc iatiop, h���n O>xerationaI A5�reement (FORM: HOA) been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
® Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School 1 preschool i day care ❑ Medical 1 dental I veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses i offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % DomesticlCommercial _ % Commercial
_ % Industrial (See 15A NCAC 02T .0103(20))
4,Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .011.4 t)? El Yes ❑ No
➢ If yes, provide a cony of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.0114M)
Dally Design Flow a,n
No. of Units
Flow
4 BR Single Familyr'80 gpd/BR
320 gal/day
54
17,280 GPD
gal.-'
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
17,280 GPD
a See 15A NCAC 02T .0t 14tb1_ (4 {s;}l1) 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. 42A4).
b Per I5A NCAC 02T .0114(c), design flow rates for establishments not identified (in table 15A NCAC 02T_01 14] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
Wastewater generated by project. 17,280 GPD (per 15A NCAC 02T .0114)
➢ Do not include future flows or previously permitted 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
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04- l6 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted -
Size (inches) I Length (feet) I Material
8 1 2226 1 PVC
8 1 1148 1 DIP
➢ Section lI & 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 (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 (low 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 02T ,0305rhir 1 f:
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(13)_
➢ 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 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)(t)(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 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(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & {
➢ 15A NCAC 02T.0305(f) contains minimum setarations that shall be provided for sewer systems:
® Yes ❑ 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-I 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 vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ 15A NCAC 02T.0305 contains alternatives where separations in 02T.03'Q (W cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water c: Wsifications webaa , :
➢ If noncompliance with 02T.030S.M oral see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No ❑ 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 15A NCAC 02B .0200? ❑ Yes ❑ No ® N.--A
➢ This would include Trout Buffered Streams per I5A NCAC 2B.0202
4. Does the project require coveragelauthorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permittint* Branch
5. Does project comply with 15A NCAC 02T.0105(c) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 2T. 1 5 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, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A 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.
❑ Yes ® No ❑ NIA
➢ 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 15A NCAC 02T, the Minimum Desi n Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria latest version 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 re uest is required prior to submittal of the Fast Track Application and supvortine documents.
2. Professional Engineer's Certification:
1'. -attest that this application for
(Professional Engineer's name from Application Item III.1-)
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 143-215.613, 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.
North Carolina Professional Engineer's seal, signature, and date:
Applicant's Certification per 15A NCAC 02T .0106(b):
1, 6 A/, 5 411,.4 -.> , C
(Signature Authority's name & t(de from
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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. I 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 143-215-613, 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:
_ �L-
Date: 5/12PI
FORM: FTA 04-16 Page 5 of 5

k
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: City of Mebane
Project Name for which flow is being requested. Tupelo Junction
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 wastewaterflow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: City of Mebane WWTP
b. WWTP Facility Permit #: NC 0021474
A11 flows are in MGD
c. WWTP facility's permitted flow 2.5
d. Estimated obligated flow not yet tributary to the WWTP 0,4456
e. WWTP facility's actual avg. flow 1,705
f. Total flow for this specific request _01128
g. Total actual and obligated flows to the facility 2.161
h. Percent of permitted flow used U%
Il. 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
Average
Approx.
Obligated,
Total
Pump
Daily
Current
Not Yet
Current
Pump Station
Station
Firm
Flow**
Avg. Daily
Tributary
Flow Pius
(Name or
Permit
Capacity, *
(Firm / pt),
Flow,
Daily Flow,
Obligated
Available
Number)
No.
MGD
MGD
MGD
MGD
Flow
Capacity***
N. Regional
W0,0035831
2.5
1.0
0.442
0.038
0.480
0.520
* 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
(pi) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** 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):. Lebanon Road „OutfalI
Downstream Permit Number: W00024913
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Chris Rollins 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 adequate capacity to transport and treat the proposed new wastewater.
Signing
City Manager
Title of Signing Official
Page 2 of 6
112121
Date
FTSE 10-18

SUMMIT
DESIGN AND ENGINEERING SERVICES
320 Executive Court, Hillsborough, NC 27278
Phone // 919.732.3883 Web // www.summitde.net
Cover Letter
Project: Tupelo Junction June 1, 2021
SDE Project #: 19-0185.010 �.
Information Provided by: Timothy A. Smith, P.E. 0
Contents:
Cover Letter, wastewater flow calculations and project narrative, Division of Water Resourcgs
Fast Track Sewer System Extension application and attachments.
Project Narrative:
Tupelo Junction Subdivision, Phases 1 and 2 consists of 54 single family lots and associated
public roads, utilities, open space and sidewalks on 34.7 acres of land. The homes will be one
and two story four -bedroom units. The site is located on Lebanon Road in Mebane, North
Carolina and identified with Orange County Parcel PIN #9825498941. The development of this
site will require a public sewer extension to connect to the City of Mebane sewer system. The
gravity sewer extension will consist of 20 new manholes and 2,778 If of 8" SDR-35 PVC pipe and
563 If of 8" DIP pipe. The new sewer mains will connect to two existing City of Mebane sewer
manholes located on the north side of Lebanon Road along Mill Creek. These existing manholes
and sewer line are permitted under WQ0039748.
Wastewater Flows:
4-bedroom residential homes @ 80gpd/bedroom with a 160* gpd min.
(Exact mix unknown; flow is calculated at the highest possible volume)
* See Attached Flow Reduction for the City of Mebane
54 homes x 4 bedrooms x 80 gal/bdrm = 17,280 gpd
Total Wastewater Flow = 17,280 gpd
Items included with this submittal: (one original and one cony
• Cover Letter
• Fast Track Form and $480 fee check
• Flow Tracking Form
• Site Maps (LISGS and Google Street Map)
• Flow Reduction Letter
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
March 15, 2011
Robert L. WiIson
City Manager
City of Mebane
106 East Washington Street
Mebane, NC 27302
Subject: Mebane WWTP (NC0021474)
Flow Reduction Request
Alamance County
Dear Mr. Wilson:
Dee Freeman
Secretary
On February 14, 2011, the Pretreatment, Emergency Response and Collection System (PERCS) Unit of
the Division of Water Quality received a flow reduction request for connections to the City of Mebane WWTP.
The letter requests an allowable flow rate of 80 gallons per day (gpd) per bedroom based on the evaluated data.
As daily WWTP data is not representative of the project area, the DMR data from the City of Mebane
WWTP (NC0021474) from January 2009 through December 2009 was evaluated to determine the peak sewage
month. The highest flow month was December 2009. Daily wastewater flows were recorded downstream of
the Holly Ridge Subdivision during December 2010. This data was reviewed by PERCS and Regional Office
staff.
Based on the data, the Division hereby grants a reduction in flow to 80 gpd/bedroom (minimum of 160
gpd for 1 and 2 bedroom residences) for sewer extension permits issued tributary to the City of Mebane
WWTP.
Regardless of the adjusted design daily wastewater flow rate, at no time shall the wastewater flows
exceed the effluent limits defined in the NPDES permit for the treatment facility or exceed the capacity of the
sewers downstream of any new sewer extension or service connection(s].
If you have any questions or comments regarding this matter, please contact Sarah Morrison at (919)
807-6310, or email [[e-mail]] or Deborah Gore, Unit Supervisor at [phone], or
email [[e-mail]].
Sincerely,
i
Coleen H. Sullins
cc: Darrell L. Russell, P.E., Alley, Williams, Carmen & King, Inc. (via email: [e-mail])
Steve Mauney, Winston-Salem Regional Office (via email)
NPDES Unit, Permit File NCO021474
PERCS Flow Reduction File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. SatWXjry SL Raleigh, North Carolina 27604 �Jne
Phone: 919$07.6=1 FAX: 91M7-64921 PERCS Unit FAX: 919.807-"891 Cuslo"r Service: 1.877.623V46 NocortthCarof ina
Internet httnlbortal.nodenr.omn�san ar PERCS Unit tttWJ/Danal.ncdenr,or4lweD/walswo/pVpmt A In l • i y n��•
An Equai Opportunity h AfirriM a Action Employer (/ yf�i`u l YLl

L
e
USUMMIT
DESIGN AND ENGINEERING SERVICES
LETTER OF TRANSMITTAL
TO: NCDEQ - Division of Water Resources
1450 W. Hanes Mill Road
Winston-Salem, NC 27105
ATTN: '
3�h_71 7h_9fifl[1
WE ARE SENDING YOU.
se Prints ❑ Reproducible
V Copy of letter ❑ Change Order
V Attached ❑ Under Separate Cover
320 Executive Court, Hillsborough, NC 27278
Phone // 919.732.3883 Web // www.summitde.net
DAME; 6/2/2021 PR01. ND.= 18-0185
RE. Tupelo Junction -Fast Track Application
❑ Specifications
❑ Transmitted Via
❑ Shop Drawings
NC Department of
Environmental Quality
., . Received
JUN 0 4 2021
ti Winston-Salem
Regional Office
COPIES
DRAWING DATE
N/A 6/ 1 /2021
DESCRIPTION
L
Cover Letter
l
N/A
5/21 /2021
Fast Track Form & Fee Check
1
i
L
N/A
5/12/2021
Flow Tracking Form (FTSE)
Site Maps (USGS & Google Street Level)
Flow Reduction Request Letter
N/A
--
N/A
3/15/2011
TRANSMITTED
+/ For Approval
COMMENTS:
COPY TO:
As Requested
For Your Use
For Review and Camment
SIGNATURE: Timothy A. Smith
1"7
01