WQ0042851_Application (FTSE)_20210910

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division aF Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: (to be completed by DWR)
All items must be completed or the allRlication will be returned
1. APPLICANT INFORMATION:
L Applicant's name: Orange Water & Sewer Author& (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- Todd Taylor. P.E. per 15A NCAC 02T .01 b
Title: Executive Director
4. Applicant's mailing address: 400 Jones Fgrry Road NC Dept ofEnvirommentaI Quality
City: Carrboro State: NC Zip- 275 -
5. Applicant's contact information: SEP 10 202,
Phone number: (2t2) 531-420 Email Address: nparkerAowasa.org
IL PROJECT INFORMATION:
Raleigh Regional Office
1. Project name: Glen Lennox -Block 9A . Link Apartments Calvx
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: Orangg
4. Approximate Coordinates (Decimal Degrees): Latitude: 35� 1,� 0368' Longitude:-79.0252730
5. Parcel ID (if applicable): 9798-26-5134
(or Parcel ID to closest downstream sewer)
Ili. CONSULTANT INFORMATION:
I, Professional Engineer: Dillon W. Smith License Number: 042542
Firm: Rallentine Associates, PA
Mailing address: 221 Providence Road
City: Chapel Hill State: NC Zip: 27514-
Phone number: (912) _- Email Address:
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Mason Farm W&stewatcr Treatment Plant Permit Dumber: NC 0025241
Owner Name: OWASA
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ -NA Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00031
Owner Name(s): Orawc Water & Sewer Authority 'downstream main installed 'm no permit # available
FORM: FTA 04-16 Pagel of5

V1. GENERAL REQUIREMENTS
I. If (he 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 Deti cloper's Operational Agreement (FORM: DI V) been attached'?
❑ Yes ❑No ®NIA
3. If the Applicant is a l Iomc+Property 0%�ners' Association, has an Operational Agreement (DORM: 1 [OA) 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 preparationrservice ❑ Hotel and;'or Motels
❑ School ? preschool / day care ❑ Medical I dental i veterinary facilities ❑ Swimming Pool ;'Clubhouse
❑ Food and drink facilities ❑ Church ® Swimming Pool. -hiller Backwash
❑ Businesses.' offices .' factories ❑ Nursing Home ❑ Other ( Explain in Attachment)
5. Naturc of wastewater : 100 % Domestic/Commercial °1° Commercial
% Industrial (Sue 15A NCAC 02T .0103 20i)
�Is there a Pretreatment Program in effect? [-]Yes ® No
6. Has a flow reduction been approved under 15A NCAC 02T .01 14(I ? ❑ Yes ® No
Y if yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow',b
No. of Units
Flow
Multi -Family Residential
240 galyday
304
72,960 GPD
Pool
10 gal bedroom (multi -family)
355
3,550 GPD
gall
GPD
gal?
GPD
gal.'
GPD
gal?
GPD
Total
76.510 GPD
r
ev
a See 13A NCAC 02T .01 14(b). (d). (c)(1) and (c)(2) for caveats to wastewater design now 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 7 `
in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02 1'.01 141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: _ GPD (per 15A NCAC 021' .0114)
➢ Do not include future flows or previously permitted allocations
f 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
8 1!5 DI
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to min -mum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
Vlll. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC(Pump tatlons/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. 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 (TD[1)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliability in accordance with 15A NCAC 02T .0305 h k :
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(t)(ft.
), Required for all pump stations with an average dai'y 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.
➢ If the portable power source or pump is dedicated to mu:tiple 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 & i5A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (¢)
➢ 15A NCAC 02T.0305 contains minimum separations that shall be provided for sewers stems:
® Yes 7 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
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 im ounded 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
NO 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(M contains alternatives where separations in 02T.0305 cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpaue
➢ If noncompliance with 0 TT.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
➢ 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 all setbacks found in the river basin rules per 15A NCAQ 0213.0200? ® Yes ❑ No
➢ This would include Trout Buffered Streams per 1 SA NCAC 213.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ❑ Yes ® No
➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
➢ Information can be obtained from the 401 & Buffer Permitting_ Branch
5. Does project comply with I5A NQAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0I05(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, stonnwater 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
➢ If yes, include an attachment with details for each tine, including We (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:
I. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of PumR Stations
and Force Mains (latest version). and the Gravijy Sewer Minimum Design Criteria latest version as applicable?
® Yes ❑ No
If No, complete and submit the Variance?Altemative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the re west is re uired prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
I, Dillon W. Smith _ attest that this application for
(Professional Engineer's name from Application Item 111.1.) �n✓Lo� Maw��{ c
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 -Wrack 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: \N. CAROB
42542
JUL V
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G1NE�-
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:............... /.11ljll1.1�1,...........-....°
Applicant's Certification per 15A NCAC 02T A106(b):
1, Todd Taylor, P.E. Executive 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, l 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 fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Date: 91812021
FORM: FTA 04-16 page 5 of 5

NC Dept of Environmental Quality
3F State of North Carolina
Department of Environmental Quality
Division of Water Resources
Raleigh Regional Office
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Orange Water and Sewer Authority
Project Name for which flow is being requested: Glen Lennox Phase 9A - Calyx Apts
More than one FTSE maybe required for a single project if the owner of the WHIP is not responsible for all pump
stations along the route of the proposed wasteivater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Mason Farm Wastewater Treatment Plant
b. WWTP Facility Permit #: NCO025241
All.flows are in MGD
c. WWTP facility's permitted flow 14.5
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
0.349
7.600
0.073 72,960 GPD
8.022
55.3
11. Complete this section for each pomp 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)
Design
Pump
Average Daily
Station
Firm Flow**
(Name or
Capacity, " (Firm / pO,
Number)
MGD MGD
(B)
(C)
(D)=(8+C) (E)—(A-D)
Obligated,
Approx.
Not Yet
Total Current
Current Avg.
Tributary
Flow Plus
Daily Flow,
Daily Flow,
Obligated Available
MGD
MGD
Flow Capacity***
K 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.
x** 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): OWASA
Downstream Permit Number: WQCS00031
Page l of 6
FTSE 04-16

III. Certification Statement:
I Todd Taylor, 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 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 Il plus all
attached planning assessment addendums for which I am the responsible party. Signature of this
form indicates acceptance of this wastewater flow.
Signin Official
91$12021
Date
Page 2 of 6
FTSE 04-16

08 November 2021
Mr. Danny Smith
Director
NCDEQ Division of Water Resources
Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699-1628
Subject: Glen Lennox Block 9A — Link Apartments Calyx
Fast Track Sewer System Extension Cover Letter
Dear Mr. Smith,
BALLENTINE
ASSOCIATES, PA
Glen Lennox is a redevelopment project located north of NC HWY 54 in Chapel Hill.
Block 9A improvements includes construction of a multi -family residential building with 304
units (355 bedrooms), a pool, plus parking and other amenities. Existing gravity sewer mains are
located beneath existing roadways to the north (Lanark Road), and east (Maxwell Road). The
sewer main on the east side of the site will be realigned with new Maxwell Road improvements,
while a portion of the existing sewer on Lanark Road will be improved.
Please don't hesitate to call me should you have any questions or if you require additional
information.
Yours very truly,
BALLENTINE ASSOCIATES, PA
[)%, 'i ��
Dillon W. Smith, P.E.
Engineering Team Leader