WQ0042685_Application (FTSE)_20210715

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: W dOD q Z ( 2 < (to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: Town of Youngsville (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Phillit) D. Cordeiro per 1.5A NCAC 02T .0I06ib)
Title: Town Administrator NC Dept of EnviTOn
mental Quality
4. Applicant's mailing address: P.O. Box 190
City: Youngsville State. NC Zip: 27596-� `-- J �?
5. Applicant's contact information:
U _ p o r_.towno , oungsville.org Ra�et�h Rc91onal d f�,,
Phone number: 919 925-3399 Email Address: cordeir
IL PROJECT INFORMATION:
1. Project name: Youngsville Town Hall Pump Station and Force Main
2. Application/Project status: ® Proposed (New Permit) ❑ Existing PermittProject
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: Franklin
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.0236` Longitude:-78.4825'
5. Parcel ID (if applicable):
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: John F. Phillips, P.E. License Number: 10130
Firm: Diehl & Phillips, P.A.
Mailing address: 1500 Piney Plains Road, Suite 200
City: Cam'. State: NC Zip: 27518-
Phone number: 919 467-9972 Email Address: ifphillips(a)bellsouth.net
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Franklin Coun1y Wastewater Treatment Plant Permit Number: NCO06931 I
Owner Name: Franklin County
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 gTlicablel: WQCS __
Owner Name(s):
FORM: FTA 04-16 Page 1 of 5

V1. GENERAL REQ(-IRE-NIENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
[:)Yes ❑No ON!A
2. If the Applicant is a Developer of lots to be sold, has a Devj Ijper's Okerational Agreement F RM: DEVJ been attached?
❑ Yes ❑No ®tv%A
3. I f the Applicant is a HqM ProM Owners'_ Association, has an Operational Agreement i FORM: U_QAJ been attached?
❑ Yes ❑No ZN.-A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, mallsl ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation.'service ❑ Hotel and'or Motels
❑ School :' preschool day care ❑ Medical.-' dental 'veterinary facilities ❑ Swimming Pool :'Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool Filter Backwash
® Businesses offices : factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic,'Commercial % Commercial
% Industrial (See 15A NCAC 02T .0103120))
bls there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NQkQ 02T .01 14[l)? ❑ Yes ❑ No
Y 1f yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow 1,1
No. of Units
Flow
General Business/Office Facilities
25 gallemploy ee/shift
20
500 GPD
Meeting Room
5 gal/seat
54
270 GPD
gall
GPD
gal/
GPD
gal/
GPD
gall
GPD
Tolal
770 GPD
a See I SA NCAC 02T ,0114ft idl, fe)J.I j and (el(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 15A NCAC 02T .01 14(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.
8. Wastewater generated by project: 770 GPD (per i.5A 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 04-16 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) Length (feet) Material
➢ Section ❑ & 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
V1I1. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC_(Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
l . Pump station number or name: Youngsville Town Hall Pump Station
2, Approximate Coordinates (Decimal Degrees): Latitude: 36.0236` Longitude:-78.4825"
3. Design flow of the pump station: 0.0648 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 40 gallons per minute at 45 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
2
247
PVC
4
892 (existing)
PVC
Power reliability in accordance with 15A NCAC 02T .0305..(h)t 1j:
® Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B)_
➢ 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)(I XQ:
➢ 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 & t 5A ,NCAC 021" .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .03050) & r � ® Yes ❑ No
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 (vertical)
Separation Required !
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)
IS 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 II impounded reservoirs used as a source of drinking water
100 feet
"Waters classified WS (except WS-1 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
Toe slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
Final earthurade (vertical)
10 feet
36 inches
;e 15A NCAC 02T.0305ta,) contains alternatives where separations in 02T.0305(f) cannot be achieved.
r **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
D If noncompliance with 02T.0305i 0 or W. see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No ❑ MA
r See the Division's draft separation requirements for situations where separation cannot be meet
r No variance is required if the alternative design criteria specified is utilized in design and construction
"r 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 15A NCAC 213.0202
4. Does the project require coverage: authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
01 Information can be obtained from the 4Q_l & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105{c1(6) (additional permitslcertifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6j, 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 ❑ N.-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 i A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latestt 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 request is reauired prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
G►{�• r. ��ai �4, rj attest that this application for
(Professional Engineer's name from Application Item 1II.l.)
YOkNC SVt" 6 TOWN 44,XL-` Pki%t% i FGtiCt= 1"AVN,N
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:
SEAL `
10130
3. Applicant's Certification per 15A NCAC 02T A 106(b):
"rrrrr�ti�I�'' %11 `Z f tLIL1
I, Pt+t.-L-tl/' C ,ZpE,(U - TOwn4 C�O�`+� �,1Tr 7kA __attest that this application for
V (Signature Authority's name & title from Application Item 1.3.)
iDI1r WVILLt: 14AA-L Puhn POACu 1%14,m
has been reviewed by me and is accurate and complete to le 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: Date.
06/09/2021
FORM: FTA 04-16 Page 5 of 5

J
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Franklin County
Project Name for which flow is being requested: Youngsville Town Hall Pump Station
More than one FTSE ►uoy be rerluiretl for a single project if the owner of the WWTP is trot responsible for riff pump
stations along the route of the proposed wastewaterffow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Franklin County WWTP
b. WWTP Facility Permit #: NCO069311
All JPo►vs are in MGD
c. WWTP facility's permitted flow 3.00
d. Estimated obligated flow not yet tributary to the WWTP 0.642
e. WWTP facility's actual avg. flow 1.264
f. Total flow for this specific request 0.00077
g. Total actual and obligated flows to the facility 1.90677
h. Percent of permitted flow used 63%
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 project connection point and the WWTP:
Pump
Pump Station Station
Firm
(Name or Permit
Capacity,
Number) No.
MGD
YoungsvilIe
39765
0.360
(A)
Design
Average
Daily
Flow**
(Firm / pfl,
MGD
0.144
(B)
Approx.
Current
Avg. Daily
Flow,
MGD
0.060
(C)
(D)=(B*C)
(E)=(A-D)
Obligated,
Total
Not Yet
Current Flow
Tributary
Plus
Daily Flow,
Obligated
Available
MGD
Flow
Capacity***
0
0.060
0.084
* 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
(pfl 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): Franklin County WWTP
Downstream Permit Number: NC0069311
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Christopher Doherty 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.
c:> 1 U'--7 o ��
rcra Sign ur aDam
Title of Signing Official
Page 2 of 6
FTSE 10-19

DIEHL & PHILLIPS.) P.A.
CONSULTING ENGINEERS
1500 Piney Plains Rd., Suite 200
Cary, North Carolina 27518
Telephone [phone] Fax [phone]
July 12, 2021
Mr. Jason Robinson, P.E.
Water Quality Regional Operations
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
RE: Sewer System Extension Application
Youngsville Town Hall Grinder Pump Station and Force Main
Town of Youngsville
Dear Mr. Robinson:
WILLIAM C. DIEHL, P.E.
JOHN F. PHILLIPS, P.E.
ALAN R. KEITH, P.E.
The referenced sewer system extension application is submitted for the permitting of a
wastewater grinder pump station and force main to serve the Youngsville Town Hall. The
Town Hall is being renovated, and as a part of the renovation they wish to abandon the
existing onsite septic system and install a grinder pump station and 2-inch force main.
The force main will extend from the pump station to an existing 4-inch force main that is
installed along the road frontage of Town Hall. The existing force main is owned and
maintained by Franklin County Public Utilities Department. The existing force main serves
a pump station for the National Guard Armory located adjacent to Town Hall and a pump
station for the restrooms at a Town Park adjacent to the Armory.
The projected flow for the Town Hall Pump Station is 770 gallons per day, based on 20
employees at 25 gpd/employee per shift and the 54 person capacity of the meeting room
(at 5 gpd/seat). The pump station will have automatically activated standby power, as
the Town Hall renovations include a standby power generator and automatic transfer
switch sized to carry the entire building load, including the pump station. The pump
station control panel will also have a (cellular) telemetry alarm system.
Thank you for your assistance with this project.
Yours very truly,
Diehl & Phillips, P.A.
Cc: Mr. Samuel Nye, PE 7 -
The Site Group, PLLC Dept of nv,ran
mental L�udrrJohn F. Phillips, P.E.
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DIEHL & PHILLIPS, P.A.
CONSULTING ENGINEERS
1500 Piney Plains Road, Suite 200
Cary, North Carolina 27518
Telephone [phone] -- Fax [phone]
TRANSMITTAL
July 12, 2021
TO: Mr. Jason Robinson, P.E.
Raleigh Regional Office
Water Quality Section
1628 Mail Service Center
Raleigh, NC 27699-1628
FROM: John F. Phillips, REP?
RE: Sewer System Extension Application
Buckhorn Branch Park Subdivision
Town of Clayton
WILLIAM C. DIEHL, P.E.
JOHN F. PHILLIPS, P.E.
ALAN R. KEITH, P.E.
NC Dept of Environmental Quality
JUL 15 21
Raleigh Regional Office
Diehl & Phillips, P.A. is submitting the enclosed items for the referenced sewer system
extension application:
No. Of
Description
Remarks
Copies
1 original & 1
Cover Letter
co
1 original & 1
Form FTA 04-16
COPY
1 original & 1
Form FTSE 04-16
COPY
1 original & 1
Site Maps
copy
1
Check No. 15181 in the amount of
480
Cc: Mr. Samuel Nye, PE — The Site Group, PLLC