WQ0042844_Application (FTSE)_20210830

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 MAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-I6 & SUPPORTING DOCUMENTATION
Application Number: I/VM41 (to be completed by DWR)
All item~ must be emonleted or the ahplic_ lion will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: FoWn al' FULIMM varina, N( (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
El Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Matt Poling, PE per i , .A % t \C 0' 1 0li 6tk)
"Title: 1_ngipiNring Direcioi
4. Applicant's mailing address: 134 N Main Street
City: Fuguay-Varina State: NC Zip: 27526-
5. Applicant's contact information:
Phone number: [phone] Email Address: itipaling:h fucluay-a.ui�ti.i�
II. PROJECT INFORMATION:
I. Project name: ItuthcrfordSIJhdl13s:ssii 11-111%c.'44)
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 located: Wake
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.647'° Longitude:-78.721,
5. Parcel ID (if applicable): {�h><{),i I t=12K, 06893I11653. 06882998C15. 0688294874
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: ,dike f,tc*,Mr 1c{ �, I'! License Number: 022321
Firm: 'Timmons Group
Mailing address: 5410 Trinity Road, Suite 102
City: Raleigh State: NC Zip: 27604-_
Phone number: [phone] Email Address: ntike.r,tc,ard)'ctitluttutirtti cottf
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Briig!►ton kirot WW'111 Permit Number: NC 66150
Owner Name: I own of 1-uyuay-Varina
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ0036028 Downstream (Receiving) Sewer Size: 8 inch
tiNstrlit.Wide C(illeclumn System Permil Vombvv%}(it applic-tht4): WQCS00193
Owner Name(s). I overt of Ftguay_Vanna
FORM: FTA04-16 Page I of

V1, GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ®NIA
2. If the Applicant is a Developer of lots to be sold, has a l)eveloper's (llacrstiunal A rc�mcnt_(I OIt�1 M \. ] been attached?
❑ Yes ❑ N o ®NIA
3. If the Applicant is a I louw Proper(} (A%ncr�* A';ti oLi.uron, hasall Upetationa] Agrcemcnt L1-_QRL _. I ION been attached?
❑ Yes ❑No ®NIA
4. Origin of wastewater: (check all that apply):
® Residential Owned ❑ Retail (stores, centers, ma)ls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School I preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Poo] ?Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool .`Filter Backwash
❑ Businesses / offices / factories ❑ Nursing ]tome ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
% Industrial (See I5A ;v(-'AC; 02T .t1103(20j)
1Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under I ?A NC'AC 011- .01 1.1(t)? ® Yes ❑ No
D If eti lwoy'idea Copy'_ of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01 14(f)1
Daily Design Flow'.b
No. of Units
Flow
Residential • 4 Bedroom
300 gailday
81
24,300 GPD
gall
gal/
gall
GPD
GPD
GPD
GPD
gall
gal/
Total
GPD
24,300 GPD
a See I5t1, ti(_AC 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 .0I 14(c), design flow rates for establishments not identified [in table I ,• \( ;\L o' 1.t., t I -i] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 24,300 GPD (per 15A NC AC 0.1. 1 .;s I I.I)
D 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 (lixplain).
FORM: FTA 04-16 Page 2 of 5

V11. GRAVITY SEWER DESIGN CRITERIA (If Applicable)- 02T.0305 & aY1!)C {(;rarity Sc�+cr�l:
I. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
705
DIP
8
1,625
PVC
8
761
C-900
1
A Section 11 & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
A Section III contains information related to minimum slopes for gravity sewer(s)
A Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
V1II. PUMP STATION DESIGN CRITERIA (If Applicable) —02T .0305 & -NlDC (Pttmj) StatiamiForce jiaiml:
COMPLF•I L FOR LAC:II M MPSTATION INCLUDED IN THIS PROJECT
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):
F
Size (inches) I Length (feet) Material
6. Power reliability in accordance with I +A NCAC _02T . 1,305t1)){! y
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B).,
A Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
D 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):
A 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.
A 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)):
Does the project comply with all separations found in 15A NCA(` 0-2 1 1; O'r I n.) ❑Yes [-]No
D 15A NCAC 02T.03031contams minimum se orations that shall be pro% uled for sewer wsienis:
Setback Parameter* Separation Required
Storm sewers and other utilities not listed below (vertical) 24 inches
Water mains ( vertical -water over sewer including in benched trenchcsl 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 _
"Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal
ligmh water (or tide elevation) and wetlands (titre item IX.2) _
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
foundation
basement
100 feet
50 feet
10 feet
5 feet
In rant
Top slt,pe of embankment or cuts of 2 feet or more vertical he ..hi 10 feet _
Drainage systems and intercepim drains _ 5 Feet _
Any swimming pools _ _ _ 10 feet
Final earth grade (vertical _ 36 inches
D 15A NCAC 02T.o30.)(_) contains alternatives where separations in 02T.0305(f) cannot be achieved.
y "Stream classifications can be identified using the Division's NC: S.i -tact 4\ titer Cla• �Itictltlljn, �,clsp<�gc
D If noncompliance with 02T.0305 f or , see Section X of this application
2 Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No ❑ NIA
➢ See the Division's draft separation requirements for situations where separation cannot be meet
D 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 I3A NCAC N10202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Perna itting Branch
5 Does project comply with 15.A NC V.' 02 1.01 U1[e1C(r) (additional perntits/certifications)? ® Yes ❑ No
Per I. <1. NCAC 0" 1 01 tt5U(o, 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 02V.0-Vi2, "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:
Does the submitted system comply with 15A NCAC 02T, the 1-lini imm llcsign C rilCl i.i-I��r.thc l'eritritUu� of Purn11 tit:1t11n1*
.Ind I urcc 1t:�iils.;fattis[ %crauc}, and the t Fravit% 'w%Yvi- Minimum Dcsig11 Crricri;l (latest vor_tiion as applicable?
® Yes ❑ No
If No, complete and submit the Variance�Alternative Design Request application (VADC 10-14) and supporting documents for
_ ' I� ast (rack Apmlication and„supporting documents
review. Approval of [tic request is rcgurrcit_trrior to submitlal of the .,...
Professional I ngincer's Certification:
r
I. iG4v
(Professional I nonw:C
d attest that this application for
me Iron Applic;itlon Item III .I.I
has been ro iewec ) me and i; accur tc, eut1111 etr :inc L011Slstcnt wl] 1 1110 information supplied in 01e 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:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
Matthew B. Poling Engineering Director attest that this application for
(Signature Authority's name & title from Application Item 1.3.)
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 143-215.6B, 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 tine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
772a�tR.e.cv d_ I���,rt.�
Signature. Date: 09/08/2021
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: Town of Fuquay-Varina
Project Name for which flow is being requested: Rutherford Ph 4-6
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.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Brighton Forest WWTP
b. WWTP Facility Permit #: NC0066150
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
It. Percent of permitted flow used
All flows are in MGD
.117
.0243
.042
.0243
.0906
77.4
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:
(A)
(B)
Design
Pump
Pump
Average
Approx.
Station
Station
Firm Daily Flow**
Current
(Name or
Permit
Capacity, * (Firm I pf),
Avg. Daily
Number)
No_
MGD MGD
Flow, MGD
(C)
(D)=(B+C) (E)=(A-D)
Obligated,
Not Yet
Total Current
Tributary
Flow Plus
Daily Flow,
Obligated Available
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):
Downstream Permit Number:
Page I of 6
USE 10-18

Ill. Certification Statement:
Matthew B. Poling 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.
08127/2021
,Signing Official Srgnaltrre Date
Engineering Director
Title of Signing Dflicial
Page 2 of d
FTSE 10-18

PROJECT NARRATIVE
Project Name: Rutherford Subdivision - Phases 4-6
Location: Fuquay Varina, Wake County, NC
Owner: Pulte Home Company, LLC
1225 Crescent Green Drive, Suite 250
Raleigh, NC 27607
Developer: Pulte Home Company, LLC
1225 Crescent Green Drive, Suite 250
Raleigh, NC 27607
Consultant: Timmons Group
Jim Chandler, PE
5410 Trinity Road, Suite 102
Raleigh, NC 27607
Phone: [phone]
PROJECT DESCRIPTION AND NARRATIVE:
The proposed project is inside Fuquay Varina jurisdictional limits and is located along Lake Wheeler
Road, north of the intersection of Lake Wheeler Road and US 401. The scope of this project (Phases
4-6) will include the construction of 81 residential lot and associated roads at total build -out.
The proposed public sewer extension will provide domestic service to Rutherford Subdivision on a
63.10-acre tract of land in Fuquay Varina, NC.
Development Flow Rate: 24,300 gpd
(81) 4 bedroom houses @ 300 gpolunit

USGS Map
Lake Wheeler Quadrangle
North Carolina —Wake County
7.5-Minute Series
w
hoduc*d by tht U fled Rates Goolo¢cei iurroy * SCALE 1:24 000
Math rmtnM DMW 41 lofl O:Wi11

VICINITY MAP

Mate of .North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Gregory J. Thorpe, Ph.D., Acting Director
November 7, 2001
Mr. Michael A. Allway, Assistant Town Manager
Town of Fuqu ay-Vari n a
401 Old Honeycutt Road
Fuquay-Varina, North Carolina 27526
Subject:
Dear Mr. Allway:
� r •
NORTH CAROLINA DEPARTMENT OP
ENVIRONMENT AND NATURAL RESOURCES
t4l)v 0 8 '4001
Um at pqXPEV-Va r"A
Town of Fuquay-Varina
Flow Reduction Approval
Wake County
On September 10, 2001, the Division of Water Quality Non Discharge Permitting Unit received your
flow reduction request for future and present, but not yet tributary, single-family dwellings in the Town of
Fuquay-Varina. The letter requests approval of a residential flow value of 220 GPD/residence for these
dwellings.
The information provided water use information for 2000 and actual daily waste water flow recordings
for their peak month of May. Other supporting data was provided. The evaluation covered 90 homes that are
representative of the subdivisions in Fuquay-Varina in accordance with 15A NCAC 2H .0219(1)(3).
Based on the information submitted, the Division hereby approves the use of 75 GPD per bedroom
per dwelling for residential units (225 GPD per three bedroom home.) in all applicable non -discharge permit
applications for future sewer line extensions and present, but not yet tributary projects for the Town of Fuquay-
Varina. The Division did note that the average flow per residence in February 2000 was 271 GPD. Re at s
of the ad'usted desim dailv wastewater flow rate. at no time shal I the wastewater flows exceed the effluent
limits defined in the Town's NPDES permit for the treatment facility or exceed the cagacity of the sewers
downstream of any new sewer extension.
Please submit a separate letter to the Raleigh Regional Office mat requests flow reductions for
specific previously pernutted projects (indicate permit number, erect name. pet-rnittgd flo`y, new flow
trnder reduction and t1e difference between them). if you have any questions or comments regarding this
matter, please contact Marie Doklovic at [phone] ext. 371.
Since-,
C'
Gregory J. Thorpe, Ph.D.
cc; Raleigh Regional Office
Flow Reduction File
t617 Mail Service Center. Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Fqual Opportunity Affirmative Action Employer 5051a recycled/10% post -consumer paper

•�0*0��
TIMMONS GROUP
YOUR VISION ACHIEVED THROUGH OURS.
TRANSMITTAL
TO: NCDEQ DWR - Raleigh h Regional Office Date: 08/30/2021 Job #: 40501
3800 Barrett Drive Project: Rutherford Phases 4-6
Raleigh, NC 27609
❑ ENCLOSED PLEASE FIND:
❑ WE ARE SENDING UNDER SEPARATE COVER:
Reference:
Copies Sent To: 'd
61
`2� °1.,
COPIES
DATE
NUMBER
DESCRIPTION p
1
1
Fast Track Sewer Application (Incl. Flow Acceptance For
Certification Statement
1
2
Check for $480 r�
1
3
Project Narrative
1
4
USGS ma
1
5
Vicinity Ma
1
6
NCDENR Letter Dated Nov. 8 2001 — Flow Reduction
THESE ITEMS ARE TRANSMITTED:
!f enclosures are not as noted, please notify us at once.
COMMENTS:
Feel free to contact me with any questions at 919-866-4944 or dexter.howelltimmons.com
Thank you,
Dexter Howell
Project Manager
SIGNED: —9m
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