WQ0041987_Application (FTSE)_20210830

State of North Carolina
DWR
Department of Environmental Quality
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: MJa 6 0411 U 7 (to be completed by DW R)
/V1 d b
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: Town of Goldston (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: Timothy J Cunnup per 15A NCAC 021.01Q6(bl
Title: Mayor NC Dept of Environmental QU41tV
4. Applicant's mailing address: PO Box 527
City: Goldston State: NC Zip: 27252- 201
5. Applicant's contact information:
Phone number: [phone] Email Address: timeunnupAembarnmail.com weigh Regional Office
11. PROJECT INFORMATION:
I. Project name: Phase II Sewer System Improvements
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: WQ0041987 and issued date: November 10, 2020
If new construction but part of a master plan, provide the existing permit number: WQ00 _
3. County where project is located: Chatham
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.608901 Longitude:-79.313913
5. Parcel ID (if applicable): _
(or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
I. Professional Engineer: Michael Wicker License Number: 11325
Firm: WithersRavenel
Mailing address: 115 MacKenan Drive
City: Caa State: NC Zip: 2751 1-
Phone number: [phone] Email Address: mwickcrnwithersravenel.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Big Buffalo W WTP Permit Number: NCO024147
Owner Name: City of Sanford
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQQ036067 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS..
Owner Name(s): Town of Goldston
FORM: FTA 04-16 Page 1 of 5

VI. GENERAL REQUIREMENTS
I. 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 O rAional Agreement t FORM: DEV) been attached?
❑ Yes [-]No [RN. -'A
3. If the Applicant is a Home/Property Owners' Assoi;J0*n, has an Operational. reement fFC}Rk : HOA 1 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 preparationlservice ❑ Hotel and/or Motels
❑ School I preschool / day care ❑ Medical 1 dental / veterinary facilities ❑ Swimming Pool ;'Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming PooUFilter Backwash
® Businesses / offices I factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
% Industrial (See 15A NCAC 02T -0 103L201)
4Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under I SA NCAC 02T .01 14�0? ❑ Yes ®No
➢ ](Yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114ff11
Daily Design Flow'•e
No. of Units
Flow
Dwelling Units
360 gal/house
38
13,680 GPD
General Business (Marsh Auto Repair)
25 gaifemployee*4 employees
1
100 GPD
gal?
GPD
BID ALTERNATE
gal!
GPD
Dwelling Units
360 gal/house
26
9,360 GPD
General Business (Marsh Auto Repair)
25 gallemployee*4 employees
1
100 GPD
Total
13,780 (alternate
- 9,460) GPD
a See 15A NCAC 02T .0114fbk (dk.(elf 1) and feW2) 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 ] 4A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per .15A NCAC 02T .01 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: WQ0041987
❑ 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
8
2259
PVC
8
91
DIP
➢ Section II & 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
Vill. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & M DC (Pump StationslForce Mains}:
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Pinecrest Road PS
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.604234' Longitude:-79.3142651
3. Design flow of the pump station: 0.06 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 42 (alternate = 30) gallons per minute at 133 alternate = 83 feet total dynamic head
(TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
2
2850
PVC
6. Power reliability in accordance with I A NCAC 02T .
40,00
Pt Of b
.4yll0h1neoto
0 fc
® Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)( I )(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)(1)(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.
➢ 1 f 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

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
I. Does the project comply with all separations found in iSA_NCAC 02T._Q!QJ.0" ® Yes ❑ No
➢ 15A NCAC 02T.0305 contains minimum separations that shall be provided for sewers stems:
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 I or
Class 11 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
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 2T_ 05 contains alternatives where separations in 02T_030 cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
➢ If noncompliance with 02T.0305(i) oor4&), 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 IA NCAC 02B _0200? ®Yes ❑ No ❑ N;`A
➢ This would include Trout Buffered Streams per 15A 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 Ptrm ittine Branch
5. Does project comply with 15A NCAC U2T.0105(cX6) (additional permits!certifications)? ® Yes ❑ No
Per ISA NCAC 02T.01051ck6}, 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 ❑ NSA
➢ Ifyes, 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: NC Dept of Environmental Qualit;
I. Does the submitted system comply with , the
and the AUGas p"�IIMIV
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VAL> ��I �n Q ff is for
review. Approval of the re uest is required rior to submittal of the w ast Trru A '} cation andsuppardng documents.
2. Professional Engineer's Certification:
1, Michael C. Wicker, P.E. attest that this application for
(Professional Engineer's name from Application Item Ill. I.)
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 $10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date: ••°N CaRp *•°°°
DocuSigned by: SS/p�% r
I SEAL
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11325 s p
CF2CEAE2882C404C.
8/26/2021 ••, y °•••PP..•• °
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3. Applicant's Certification per 15A NCAC 02T .0106(b):
Timothy J. Cunnup, Mayor, Town of Goldston 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 and , 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 S10,000 as well as civil penalties up to S25,000 per violation.
Signature _ _ _ —� - Date: . p l p a .;
FORM: PTA 04-16 Page 5 of 5

DocuSign Envelope ID: 1640EA81-1758-4DE1-93D2-951DB9Er=9B75
NC Dept of Environmental Quality State of North Carolina
Department of Environmental Quality
AUIG IS 0 2021 Division of Water Resources
R Flow Tracking for Sewer Extension Applications
' Division of Water Resources g Pp
Raleigh Regional Office (FTSE 10-18)
Entity Requesting Allocation: Town of Goldston
Project Name for which flow is being requested: Phase 11 Sewer System Improvements
More than one FTSE maybe 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: Big Buffalo Treatment Plant _
b. WWTP Facility Permit #: NCO024147
A11 flows are in MGD
c. WWTP facility's permitted flow 12.0
d. Estimated obligated flow not yet tributary to the WWTP 1.0608
e. WWTP facility's actual avg. flow 5.733
f. Total flow for this specific request 0.01378
g. Total actual and obligated flows to the facility 6.8076
h. Percent of permitted flow used 56.7%
1I. 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,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity,(Firm 1 pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD 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): Sanford Collection System
Downstream Permit Number: W CS00047
Page 1 of 6
FTSE 10-18

Docu5ign Envelope ID: 1640EA81-1758-4DE1-93D2-951DB9EE9B75
III. Certification Statement:
I Paul Weeks, Jr. PE 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 11 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.
EDoe Signed by:
At, Wuls 11/4/2020
BBC39EM678"B9 f
Signing Official Signature
City Engineer
Title of Signing Official
Date
Page 2 of 6
F-rSE 10-18

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�/ WithersRavenet
0..e People Yoi.- Su!.: e,s
August 26, 2021
North Carolina Department of Environmental Quality
Division of Water Resources
3800 Barrett Drive
Raleigh, NC 27609
Attn: Jason Robinson, Engineer
RE: WR Project #08180741.00
Fast Track Sewer System Extension (WQ0041987) Modification
Town of Goldston
Phase II Sewer System improvements
Dear Mr. Robinson:
VC Dept of Environmental Quality
Ails 4 0 2021
41 II@igh Regional Off oo
MZ_
Please find enclosed a Fast Track Modification Package for the Town of Goldston Phase II Sewer System
Improvements Project (previously issued WQ0041987). The previously approved project went out to bid
but bids did not come in within the Town's construction budget, so the project has been redesigned, in an
effort, to bring it into budget by decreasing the length of gravity sewer, increasing the length of force main,
and decreasing the size of the pump station. The new design consists of the installation of approximately
2,350 LF of 8-inch gravity sewer, 2,850 LF of 2-inch force main, and 10 manholes to extend sewer service
to a currently unsewered area along Pinecrest Road and Pittsboro Goldston Road. The previously issued
permit allowed for the construction of approximately 2,980 LF of 8" gravity sewer, 1,733 LF of 4" force
main, and a 120-gpm pump station. The new design serves all the same properties as the previous design,
but cost savings are expected due to the smaller size of the force main and pump station, and a smaller
length of gravity sewer to be installed.
The new design will also include the installation of a new duplex submersible grinder pump station. There
are two alternates included in the new design. The base bid is a 42-gpm grinder pump station, which is
designed to handle flow from all parcels along the alignment, including 27 developed parcels and 12
undeveloped parcels. The bid alternate is a 30-gpm grinder pump station, which is designed to handle flow
from the 27 developed parcels. The project will connect to an existing gravity sewer located along Pittsboro
Goldston Road. Additional flow from this project is expected to be approximately 9,460 gpd from the 27
parcels to be served. The 42-gpm pump station is sized for a slightly larger flow (13,780 gpd) due to the
presence of several undeveloped properties along the alignment. Ideally, the larger 42-gpm pumps will be
installed in this project to prevent replacement of the pumps if any further development occurs along the
alignment; however, due to budget constraints, the smaller 30-gpm pumps may be installed after bids are
opened. The flow of 13,780 gpd was previously permitted in WQ0041987.
Items included in this submittal:
• Two copies of Fast Track Sewer System Extension Application
• Two copies of an FTSE 10-18 for the Town of Goldston (from original permit since flow allocation
has not changed)
• Two copies of an FTSE 10-18 for the City of Sanford (from original permit since flow allocation has
notchanged)
115 MacKenan Drive I Cary, NC 27511
t: 919.469,33401 f: 919A67.6008 1 www.withersr-avenel.com I License No, C-0832
Asheville I Cary I Greensboro I Pittsboro I Raleigh I Wilmington

1� WithersRavenel
Our People. Your Svcccss.
• Two copies of USGS and aerial site maps
• Application fee
If you have any questions about this submittal, please do not hesitate to call me at 919-535-5185 or
[e-mail].
Sincerely,
WithersRavenel
Mom,CA WUk"
Michael Wicker, PE
Project Manager - Utilities
WithersRavenel
cc; Timothy J. Cunnup Mayor, Town of Goldston
Town of Goldston - Phase II Sewer System Improvements
August 26, 2021
��D�Pt opEnyira
�menfal Quality
A, U 0!
8h Reglo�al O f'ri
Co
WR Project No. 08180741
Page 1

%0 WithersRavenet
40 Our People. Your Success
115 MacKenan Drive
Cary, NC 27511
t: 919.469.3340 1 f: 919.467.6008
TO: Raleigh Regional Office - Water Quality
Regional Operations
3800 Barret Drive
Raleigh, NC 27609
®Attached
WE ARE SENDING
YOU THE ❑Shop Drawings
FOLLOWING
ITEMS: ❑Copy of Letter
Letter of Transmittal
❑Under Separate Cover Via
[]Prints ❑Plans ❑Samples
❑Change Order ❑Disk ❑Other
': 9�
❑Specifications
COPIES
1
DESCRIPTION
Cover Letter
2
FTSE 10-18 for Town of Goldston
2
FTSE 10-18 for City of Sanford
2
Topographic Maps
2
Aerial Site Maps
2
Previously Approved Permit with Requested Modifications
1
Permit Application Fee Check
THESE ARE TRANSMITTED as checked below:
®For approval ❑Approved as submitted ❑ Resubmit copies for approval
❑For your use ©Approved as noted nSubmit copies for distribution
❑As requested ❑Returned for corrections ❑Return corrected prints
❑For review and comment ❑Other
❑FOR BIDS DUE UPRINTS RETURNED AFTER LOAN TO US
REMARKS:
COPY TO:
SIGNED: -Emily Murawski
If enclosures are not as noted, kindly notify us at once.
Ott