WQ0042880_Application (FTSE)_20210928

Green Mountain Engineering, PLLC Civil Engineering Consultants
Tranlal
To: NCDEQ — Water Quality Section Jenny Graznak
Address: 450 W. Hanes Mill Rd — Suite 300., Winston-Salem, NC 27105
From: Vincent C. Townsend, PE, Green Mountain Engineering, PLLC
Date: 2021-September 37
Re: Rogers Spring — Phase 2
Messages
Attached please find hpplication packages for sewer extension off Rogers Rd. near Lacy
Holt Rd. to serve the .residential housing proposed by Rogers Spring Subdivision.
Included are one(1) original and one (1) copy of the Application Package, and one (1)
check for $480.00.
Please let us know if you have any questions or require additional information. I can be
reached via email vinceena,greenmountainengineers.com or by cell phone [phone])
at your convenience.
Best Regards,
9,44
Vincent C Townsend, P.E.
NC Department of
Environmental Quality
Received
SEP 2 8 2021
Winston-Salem
Regional Office
7A Wendy Court - Greensboro, NC 27409 - [phone]

Green Mountain Engineering, PLLC
Civil Engineering Consultants
Project Narrative
For
Rogers Spring — Phase 2
Located in Graham, NC
September 27, 2020
To Whom It May Concern:
Rogers Spring is a proposed 166 unit +/- single family subdivision. The Project is being
phased into multiple parts. The sewer outfall serving Phase 2 of this subdivision will tie
into an existing 8" sewer main constructed during Phase 1B. Approximately 3,122 linear
feet of new 8 inch sewer mains with 59 new services will connect to the existing 8" main
for Phase 1B. For Phase 2, a total of 59 new residences are planned for this subdivision.
The design and plan review was done in accordance with NCDEQ's Gravity Sewer
Minimum Design Criteria and the City of Graham's standards and specifications. Work
on the sewer installation is planned to begin once the permit has been obtained.
Please contact me if you require additional information. You can reach me via email
[e-mail] or by telephone [phone] at your convenience.
Respectfully submitted,
Vincent C. Townsend, P.E.
Green Mountain Engineering, PLLC
NC Department of
Environmental Quality
Received
SEP 2 8 2021
Winston-Salem
Regional Office
7A Wendy Court - Greensboro, NC 27409 - [phone]
Page 1 of 1

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
ETA 04-16 & SUPPORTING DOCUMENTATION
Application Number: (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 Graham (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual 0 Corporation 0 General Partnership 0 Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Aaron Holland per I5A NCAC 02T .0106(b)
Title: Interim City Manager
4. Applicant's mailing address: P.O. Box 357 201 South Main Street
City: Graham State: NC Zip: 27253-
5. Applicant's contact information:
Phone number: [phone] Email Address: aholland(idcityofgraham.com
1I. PROJECT INFORMATION:
t. Project name: Rogers Spring -Phase 2
2. Application/Project status: ®Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000 and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Alamance
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.029014' Longitude:-79.4115W°
5. Parcel ID (if applicable): 8872986536 & 8872999956
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Vince C. Townsend License Number: 23951
Firm: Green Mountain Engineering, PLLC
Mailing address: 7A Wendy Ct.
City: Greensboro State: NC Zip: 27409-
Phone number: [phone] Email Address: Vincet2 greenmountainengineers.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: South Burlington WWTP Permit Number: NC0023876
Owner Name: City of Burlington
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): W00041821 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00065
Owner Name(s): City Of Graham
FORM: FTA 04-16 Page 1 of 5

GENERAL REQUIREMENTS
1. 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 Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑No ®N/A
If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No N/A
4. Origin of wastewater: (check all that apply):
® Residential Owned
❑ Residential Leased
❑ School / preschool / day care
❑ Food and drink facilities
❑ Businesses / offices / factories
❑ Retail (stores, centers, malls)
❑ Retail with food preparation/service
❑ Medical / dental / veterinary facilities
❑ Church
❑ Nursing Home
5. Nature of wastewater : 100 % Domestic/Commercial % Commercial
% Industrial (See 15A NCAC 02T .0103(20))
>Is there a Pretreatment Program in effect?
6. Has a flow reduction been approved under 15A NCAC 02T .0114(f l? ❑ Yes
> If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool /Clubhouse
❑ Swimming Pool/Filter Backwash
0 Other (Explain in Attachment)
❑ Yes ❑ No
❑ No
Establishment Type (see 02T,0114(f))
Daily Design Flow °'b
No. of Units
Flow
Dwelling unit-3 bedrooms
360 gal/day
59
21,240 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
21,240 GPD
a See 15A NCAC 02T .01 I4(b), (d), (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facili ies 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 15A NCAC 02T,0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 21,240 GPD (per 15A NCAC 02T .0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
0 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:
❑ 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:
➢ Section TT & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
Sr Section HI 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 (Ddcimal 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 d is Pump Station):
Size (inches)
Length (feet)
Material
6. Power reliability in accordance with I5A NCAC 02T .0305(11)(1):
❑ 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 putnp connection and telemetry - 1 SA NCAC 02T .0305(h)(1)(C):
S. 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 & 1SA NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305 (fl & (t;)
> 15A NCAC 02T.0305ff) contains minimum separations 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-1 waters of Class Tor
Class fI 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(gFeontains alternatives where separations in 02T.0305(f) cannot be achieved.
> **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
> If noncompliance with 02T.0305(t) or (g). 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 15A NCAC 20.0202
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 Permitting Branch
® Yes ❑ No
5. Does project comply with 15A 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, 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)(S) 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 021', the Minimpnr Design 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 request is required prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
Vincent C. Townsend, P.E.
(Professional Engineer's name from Application item 111.1.)
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. 1 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 Mininuun 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 1 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 gay 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 v olation.
North Carolina Professional Engineer's seal, signature, and date:
3. Applican's Certification per 15A N AC 02T .0106(b):
titre) ei Ma
( ignature Authority's name & title from Application item .3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 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. 1 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. 1 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 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.
attest that this application for
011111111100
wP1111 A UUpOigi
Signature:
Date:
attest that this application for
FORM: FTA 04-16
Page 5 of 5

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 Graham
Project Name for which flow is being requested: Rogers Springs. Phase 2
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: City of Graham Collection System
b. WWTP Facility Permit #: WQCS 00065
Allflows are in MGD
c. WWTP facility's permitted flow 0.500 Allocation to COB
d. Estimated obligated flow not yet tributary to the WWTP .0929 to COB
e. WWTP facility's actual avg. flow 0.180 to COB
f. Total flow for this specific request .0212 to COB
g. Total actual and obligated flows to the facility 0.294 to COB
h. Percent of permitted flow used 54.6%
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 Obligated,
Ptunp Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm / pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MOD 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.
*** 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): Rogers Spring Phase 1B - Siphon
Downstream Permit Number: WQ 0041821
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Aaron T. Holland 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.
/Wt./
Sighing Official Signature Date
t ttr;it City 64,2101
Title of Signing Official
Page 2 of 6
FTSE 10-18

Diviiion of \Vater Re 4,015 r-t=
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE 10-18)
Entity Requesting Allocation City of Burlington
Project Name for which flow is being requested: Rogers Springs - Phase 2
Morethan one FTSE may be required for a single p alect tithe 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 treahnent plant.
a. WWTP Facility Name: South Burlington WWTP
b. WWTP Facility Permit #: NC0023876
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
Al/flows are in MGD
12.00
1.838109
8.752000
(0.0212) Graham
10.590109
88.25%
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,
Average Daily Approx. Not Yet Total Current
Pump Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity, * (Firm/pf), Daily Flow, Daily Flow, Obligated Available
Number) GPD GPD GPD GPD Flow Capacity***
NONE
* 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 pumpstation 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 s 0.
Downstream Facility Name (Sewer): Little Alamance Creek OF.
Downstream Permit Number: N/A
1 of 6
FTSF 1n-1R

111. Certification Statement:
1, W. Todd Lambert, P.E. 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 asssessment 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 Official Signature Date
City Engineer
Title of Signing Official
2 of 6
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