WQ0041039_Regional Office Historical File Pre 2018

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 DOCUMENTAT'I©N
Application Number:
3 [ (to be completed by DWR)
All items must be completed or the application will be returned
APPLICANT INFORMATION:
1. Applicant's name: Town of Troutman (company, municipality, HOA, utility, etc.)
2. Applicant type: 0 Individual 0 Corporation 0 General Partnership 0 Privately -Owned Public Utility
0 Federal 0 State/County ►1! Municipal U Other
3. Signature authority's name: Justin Longino per 15A NCAC 02T 0106(b)
Title: Town Manager
4. Applicant's mailing address: 400 North. Eastway Drive, PO Box 26
City: Troutman State: NC Zip: 28166-
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
H. PROJECT INFORMATION:
1. Project name: Brookside Subdivision
2. Application/Project status: Proposed (New Permit) 0 Existing PertrritlPr©ject
If a modification, provide the existing permit number: WQOO and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Iredell
4. Approximate Coordinates (Decimal Degrees): La
5. Parcel ID (if applicable): 4731627666
(or Parcel ID to closest downstream sewer)
HI. CONSULTANT INFORMATION:
1. Professional Engineer: Robert M. Reddick Jr., PE
Firm: McAdams
Mailing address: 3430 Toringdon. Way, Suite 110
City: Charlotte State: NC Zip: 28277-
Phone number: [phone] Email Address: [e-mail]
Longitude: -
License Number; 035747
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Third Creek WWTP Permit Number: NC0020591
Owner Name: City of Statesville
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ
Downstream (Receiving) Sewer Size: inch
System Wide Co 'on System Permit Number s if applicable): WQCS
Owner Name(s):
FORM. F'TA 04-16
Page 1 of5

VI. GENERAL, REQUIREMENTS
1. ifthe Applicant is a Privately -Owned Public utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes No ®NlA
If the Applicant is a Developer of lots to be sold, has a I) ' elope
© Yes ON
If the Applicant is a Home l
4. Origin of wastewater: (check all that apply):
Residential Owned
❑ Residential Leased
School / preschool / day care
❑ Food and drink facilities
❑ Businesses / offices / factories
A
()pc
❑ Yes ❑No i:N/A
❑ Retail (stores, centers, malls)
❑ Retail with food preparation/service
❑ Medical / dental. / veterinary facilities
❑ Church
❑ Nursing Home
Nature of wastewater . 100 % Domestic/Commercial
% Comrnerci
% Industrial (See 15A NCAC 02[ 0103(20)
>Is there a Pretreatment Program in effect?
6, Nas a flow reduction been approved under 15A NCAC 02`f .01 I4(I)?
1✓ Yves, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.t11 14
Daily Design Flow ^b
been attached?
been attached?
Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool /Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
Yes
No
No. of Units
Flo
SiNGLI° FAMILY HOME
360 gal/UNIT
137
49,320 GPD
GPD
gal/
GPD
gal/
gal/
GPD
GPI)
Total
GPD
GPD
a Sce 15 "e NC ( 4�;?' � (i 1 140C?l__Id)» (eif I ) and (I2 P 1 )r 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 cast ofthe Atlantic Intracoastal Waterway to he used as vacation rentals as defined
in (i.ti. 42A-4).
b Per 15A NCAC 02T .01 14(c), design flow rates for establishments not identified [in table I5.A. NC"A).° t7`2T.i71 141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 49,320 GPD (per 15A NCAC 02T A111 14)
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):
FOR FTA 04-16
Page 2 of 5

VIi. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T ,030E
Summarize gravity sewer to be permitted:
Size (inches) Length (feet)
(4°
Material
t LLv ewe1'
8
8
4958
390
PVC
Section Il & iRI of the MDC, for Permitting of`Ciravity Sewers contains information related, to design criteria
r� 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. Pi.aMP STATION DESIGN CRITERIA (If Applicable) ® 02T.0305 & MDC Pump StationstForce Mains);.
COMPLETE FOR EACH PUMP STATION INCLUDED iN THIS PROJECT
9. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude:
Longitude: -
3. Design 'flow o'fthe pump station: millions gallons per day (firm capacity)
4., Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (II FI)
5. Summarize the force main to be permitted (for this Pump Station):
6, Power reliability in accordance with 15,A NCr\tom(
D Stan.dby power source or pump with automata
d telemetry - 15A NCAC 02`IT .0305(h)(1)(B)_
• Required for all pump stations with an average daily Clow greater than or equal to 15,000 gallons per day
Y Must be permanent to facility
Or if the pump station has an average daily now less than 15,000 gallons per day:
0 Portable power source with manual activation, quick -connection receptacle and telemetry - l5A NCAC 02T
.0305(h)(1)(C)
or
Q 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 multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(0):
T. T)ocs the project comply with all separations found in l5,1
5A NCAC 02T.0305(f) contains minimum separations that shall be provided for se
Setback Parameter*
of listed below (vertl
ater mains {vertical water over sescr including in benched
ater mains (horizon
Reclaimed water tin
:d over sewe
v
Separation Required
inches
10 to
8 inc
Re€ aimed water lines (horizontal. - reclaimed over sewer)
.ny private or puhl.ic water supply source, including any we
is TI impounded reservoirs used as a source of drinking water
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, I-IQW, or SI3 from normal
high water (or tide elevaand wetlands (see item TX.'2)
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
Any building fieundat'on
Any' bas
p slope of embankment or cuts of 2 feet or more vct'tical heigh
Any swimming pools
arth grade (vertical)
10 feet
e
ee
36 inches
• 15 \ \('A(:' 021 ,0305(.0) contains alternatives where separations in 021 03u51_E_) cannot be achieved.
▪ **Stream classifications can be identified using the T')ivision's NC Sup i Lce_ 1\',uki t"las�:i:
If noncompliance with 1)2T.1 J5Section X of this application
Does the project comply with separation requirements for 'wetlands? (50 feet of separation) ® Yes El No Ell 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
Does the project comply with setbacks found in the river basin rules per 15.A V'CA
Y This would include Trout Buffered Streams per 15A NCM.AC 211.0202
4. Does the project require +taoveragelauthoriiation under a 404 Nationwide or
individual permits or 401 Water Quality Certifications?
• Information can he obtained from the 40I &, Buffer Peri•
aittir� I3rtmm ;h
® Yes ❑ No Q N/A
5. Does project comply with 15,\ tit : t t,? i .{I I05(iL(±,) (additional. per ions)? Yes LJ No
Pcr 15 \ 'Nt's\(` 02"I.;0I O5( 6), directly related environmental permits or certification applications arc 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, stormwatcr management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per NC:\(' (21m.(1402, `high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel'io streambanks that is subject to erosion that underrrmines or deteriorates the sewer.
El Yes (4No E N/A
r� If yes, include an attachment with details fi)r each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the perrnittee or its representative at (east once every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: 1' FA 04-16
Page 4 of 5

CERTIFICATIONS:
1. Does the submitted system comply with J
ind Force i41 tinsAlite,t 've sion), and the (tit_t it
Yes
the 1 1ittiniutr
t ltt9tRti}'.. I)c„
t t 'turn) Static
applicable?
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 supportin ' documents,
2. Professional Engineer's Certification:
(Professional Engineer's name from Application
attest that this applica
I on to
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 SI0,000, as well as civil penalties up to S25,000 per violation. �rrttes
North Carolina Professional Engineer's seal, signature, and date:
Applicant's Certification per 15A NCAC 02T .0106(b):
n �.... oir].._. k O
(Signature Authority's nie & title from Application. Item 13.)
atte
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 14 2 15.6A and 143 21 S.6E), 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 ex 510,000 as well as civil penalties up to $25,000 per violation.
Signature:
FORM: FTA 04-16
Date:
Page 5 of 5

C A DA S
Date: September 1 ., 2019
To: Barry Love
NCDEQ— Mooresville Regional Office
610 East. Center Avenue
Mooresville, North Carolina 28115
I am sending you the following items:
Drawings
© Specifications
© Plans
QUANTITY
© Letter
Submittal — Public Sewer
© Prints
LETTER OF TRANSMITTAL
ELECTRONIC SUBMITTAL to:
debbie.luckman@ncdenr gov
Re: Brookside
Job #: RYN-17010
Statemen
El Other
UNIT
DESCRIPTION'
FTA 04-16 Application — Revised, Original, Signed
FTSE — Revised, Town of Troutman
FTSE — Revised, City of Statesville
Cover Letter (received)
USGS Map (received
Site Map (received)
Transmitted as checked below:
For approval
Li For your use
© As requested
Application Fee o 480 (received
© For review + comment
ED Other
© Other
Remarks: Please note the public sewer submittal for Brookside should now have all required documents,
Copy to:
included updated FTA and FTSEs from the Town of Troutman and the City of Statesville such
that it can undergo review. Please let us know if you need anything further, Thank you.
Signature:
Robert Redd
Director, Charlotte Region
creating experiences through experience 3430 T©ringdon Way, Suite 110, Charlotte, NC 2
77
704. 527, 0800

of 'tfiinter 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: Town of Troutman
Project Name for which flow is being requested: Brookside Subdivision
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.
Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Third Creek WWTP (City of Statesville)
b. WWTP Facility Permit #: NC0020591
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 inMGD
.049
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:
Pump
Station
(Name or
Number)
Massey
Crk.
Pump
Station
Permit
No.
Firm
Capacity, *
MGD
.38
(A)
Design
Average
Daily Flow**
(Firm / pf),
MGD
.152
.971 .388
(B) (C) (D)=(B+C) (E)=(A-D)
Obligated,
Approx. Not Yet
Current Tributary
Avg. Daily Daily Flow,
Flow, MGD MGD
.103 .049
.206 .049
Total Current
Flow Plus
Obligated
Flow
.152
.255 .133
Available
Capacity***
.000
* The Firm Capacity (design flow) of any pump station is defined as the maxim utn 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.
*** 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 < O.
Downstream Facility Name (Sewer): Town of Troutman Collection System
Downstream Permit Number:
Page 1 of 6
FTS 10-18

III. Certification Statement:
I Justin Longino 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.
Tuiv\Pty.] -
Title of Signing Official
Page 2 of 6
FTSE 10-18

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section II where Available Capacity is <
0.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
100 % and 0.049 MGD of the Available Capacity (E) in Pump Station
Massey Street ; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
0.016 MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
Overhaul the pumps is in design or under construction with
planned completion in by March 1, 2020 ; and/or
d. The following applies:
The Massey Street pump station has a design capacity of 1.152 MGD.
A recent drawdown test and observation of run hours reveal underperfomance.
Pumps are scheduled to be overhauled in order to restore design capacity.
The proposed Brookside development has not yet started construction. Houses are not
expected to be built until Iate 2020 or Iater.
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow
this flow to be permitted, without a significant likelihood of over -allocating capacity in the system
infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste disposal
system.
Page 3 of 6
FTSE 10-18

Division of Water Resources
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: City of Statesville
Project Name for which flow is being requested: Brookside
More than one FTSE may be requiredfor a single project if the owner of the WWTP is notresponsible for all pump
station 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: Third Creek Sewage Treatment Plant
b. WWTP Facility Permit#: NC0020591
All flows are in MGD
c. WWTP facility's permitted flow 6.0
d. Estimated obligated flow not yet tributary to the WWTP 0.4838
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
0.8
0.049
1.3289
22:15%
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations Iocated between the project connection point and the WWTP:
Pump
Station
(Name or
Number)
Massey St
IL Creek
Firrn
Capacity,
MGD
.38
(A)
Design
Average Daily
Flow**
(Firm 1 pf),
MGD
.152
.971 .388
(B) (C) (D)=(B+C) (E)-(A-D)
Approx.
Current Avg.
Daily Flow,
MGD
.103
.206
Obligated,
Not Yet
Tributary
Daily Flow,
MGD
Total Current
Flow Plus
Obligated Available
Flow Capacity***
.045 .148 .004
.045 .251
.137
* 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): Town of Troutman Collection System
Downstream Permit Number:
Page 1 of 6
FTSE 04-I6

11I. Certification Statement:
4 .. S' if 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 l and i1 plus all
attached planning assessment addendums for which 1,am the responsible party. Signature of this
form indicates acceptance of this wastewater flow.
going ©cidi Sign
(1111,-41
Cif
Page 2 of 6
FTS E 04-16

1-1_ Creek PS.ROLT
,1714Creek Pumping Rate Average = 674 GPM
tigreljtAimpie Daily flow tif-2!16,91*Was.Obtaineti FrOt.the 2018tkical Watet*IpptyPlart
Masseii St PS Hove
Date Pumpltotal'HoursP :Pum 1-Houri Piimp,iliital,lidiiii! iPoniP21-kjiirs
. .
3/4/.2919 1.021143467036 --
e3/1312019, 10236:18 24.75 T469454
3/20/2019 10249.24 13.0. 479674
3/27.12049 4268A5' 1.,..111: ;4723:8
-413t2019 1029031 2198 'c.47414
4/8/1010 ionilw 20-9.3' 4762.,,22 17.08
,
.4A8POI9 19335.96 :25.7 A789.51 27.29
4/25/2019, 10355:87 38.91 ,4809;88 74.17
41! pay Total
. _Avg firs/Day_=
1A4A4
3.28
P4iri0-1:Capacity GPAitr,i, 312,
,Ounwlitkpaity delIff,F, 116,
Pump 64453
41,08s
rotaI Flow,F., 161,548
,44-Day Totai
Avg. Hrstpay
24.18
' 12:18
17.013
13,34
.1.39.52?
3.17
Noteilltimp Stations capacityli based on recent draw 4Own' test. Actuadesign capacity of each;
station Is i.152 MGD., Pumps are to, be ove!liaolgitinthe,imay, future in order -fp restore ciesign,
k.,a0eitY=.

C
. a 4
f
ti a • t, �y
a
r
•
444
[ao g-mmoasER 0 apeneeMap tC
gut 6 ob
t
$
375 750
BROOKSIDE SUBDIVISION
SITE AERIAL MAP
1,500 PROJECT #: RYN-17010
Feet
1 inch = 750 feet TROUTMAN, NORTH CAROLINA
1.111
MCADAMS

C�
1,000 2,000
1 inch = 2,000 feet
BROOKSIDE SUBDIVISION
USGS TOPO MAP
4,000 PROJECT #: RYN-17010
Feet
TROUTMAN, NORTH CAROLINA
gij
MCADAMS