WQ0042873_Application (FTSE)_20210927

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: LNOoT1 '3Ito be completed b} DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: Orange Water & Sewer Authority, (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: Ed winp er 15A NCAC 02T .om b} Todd Taylor, P.E.
Title: Executive Director NC Dept of Environmental Quality
4. Applicant's mailing address: 400 Jones Ferry Road City: Carrboro State: NC Zip: 27510- SEP 2 .f g
2021
5. Applicant's contact information:
Phone number: [phone] Email Address: nparkerciowasa.ore, Raleigh Regional Office
11. PROJECT INFORMATION:
1. Project name: Bridgenoint
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit.Troject
If a modification, provide the existing permit number: WQ00 and issued date: ,
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of a master plan, provide the existing permit number: WQ00
3. County where project is locattd:-066ee _..
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.953' Longitude:-79.069'
5. Parcel ID (if applicable): 9870915696 & 9870918588 (or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
I . Professional Engineer: Cameron M. Rice, P.E. License Number: 28924
Firm: Advanced Civil Design, Inc.
Mailing address: 51 Kilmayne Drive, Suite 102
City: C.a1y State: NC Zip: 27511-
Phone number: [phone] Email Address: criceRmadvancedeivildesign.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Mason Farm Wastewater Treatment Plant Permit Number: NC 0025241
Owner Name: Orange Water And Sewer Authority
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ 038263
2. Downstream (Receiving) Sewer Information: 8 inch ® Gravity D Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00031
Owner Name(s): Orange Water And Sewer Authority
FORM: FTA 06-21 Pagel of 5

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778-8211
Clay, Graham, Haywood, Henderson, Jackson,
-
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Reaional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke
Water Quality Section
Fayetteville, North Carolina 28301-5095
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
610 E. Center Avenue
Mooresville Reaional Office- - ,
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
3800 Barrett Drive
Raleigh Re-gional Office
Chatham, Durham, Edgecombe, Franklin,
Water Qualily Section
Raleigh, North Carolina 27609
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
' t
[phone] Fax
Warren, Wilson
Beaufort, Bertie, Camden, Chowan, Craven,
Washington Regional Office
943 Washington Square Mall
Water Quality Section
Washington, North Carolina 27889
Curntuck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Alamance, Alleghany, Ashe, Caswell, Davidson,
Water Quality Section
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
[phone] Fax
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 3 of

NIL GENERAL REQUIREMENTS
l . 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
3. If the Applicant is a Home/Property Owners' Association, has an HOATOA_Operational Aereement (FORM: HOA} and
supplementary documentation as required by 15A NCAC 02T.01 15(c) been attached?
❑ Yes ❑ No ®N1A
4. Origin of wastewater: (check all that apply):
® Residential (Individually Owned) ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential (Leased) ❑ Retail with food p reparationisery ice ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming PoollClubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool.Tilter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic % Commercial % Industrial (See 15A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes❑ No
6. Has a Flow reduction been approved under 15A NCAC 02T .01 14(f)? ❑ Yes ® No
If yes, provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow','
No. of Units
Flow
3-Bedroom Unit
360 gal/day
48
17.280 GPD
4-Bedroom Unit
480 gal/day
6
2,880 GPD
gal;'
GPD
gal;'
GPD
gal;'
GPD
gal?
GPD
Total
20,160 GPD
a See 15A NCAC 02T .01 14(b), (d), (e)(l) and (e)(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: 20,160 GPD (per 15A NCAC 02T .0114)
�- Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why.-
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent pen -nits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flog expected
❑ Other (Explain):
FORM: FTA 06-21 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
8 648 DIP
➢ Section 11 & 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 requirements is not allowed and a violation of the MDC
Vill. PUMP STATION DESIGN CRITERIA (If Applicable)-02T.0305 & MDC (Pump Stations[Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
3. Total number of pumps at the pump station:
3. Design flow of the pump station: millions gallons per day (firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): gallons per minute (GPM) at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
if any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01 C. I.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(h)t 1):
❑ Standby power source or ❑ Standby pump
➢ Must have 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 and may not be portable
Or if the pump station has an average daily Flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant 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
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 06-21 Page 3 of 5

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qF 17 2021
I\. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separatiowdalternatives found in 15A NCAC 02T .0305(0 C181 * Reg Ye�t �� ' Q#
15A NCAC 02T.0305(f) container minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
'-Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
'-Water mains (horizontal)
l0 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-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water, and associated wetlands.
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 associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
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 feel
Final earth grade (vertical)
36 inches
If noncompliance with 02T.0305(f) or (g). see Section X.l of this application
* 15A NCAC 02T.0305(Q) contains alternatives where separations in 02T,0305(fl cannot be achieved. Please check "yes"
above if these alternatives are used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Water Classifications,weboaee
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ N.-'A
r If no, please refer to 15A NCAC 18C.0906(f) for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ®Yes []No ❑ N A
➢ Please provide supplementary information identifying the areas of note -conformance.
See the Division's draft separation requirements for situations where separation cannot be met.
No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? 2 Yes Basin name: Cape Fear ❑ No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No
y This includes Trout Buffered Streams per 15A NCAC 213.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑ Yes ® No
or 401 Water Quality Certifications?
Y Please provide the permit number/permitting status in the cover letter if coveragelauthori zat ion is required.
6. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits;'certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0 I 05(c)(6), directly related environmental permits or Certification applications must be 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.).
7. Does this project include any sewer collection lines that are deemed "high priority?" [:]Yes ® No
Per 15A NCAC 02T.0402, "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
s 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 021'.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

X. CERTIFICATIONS:
a. Does the su¢mitted_system comply with ISA NCAC 02T, the Minimum Desi n Criteria for the Permitting of Pump Stations
and Force Main (latest version and the Gravity Sewer Minimum Dcsign Criteria (latest _version) as applicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Apgroval of the reguest will be Issued
concurrently with the approval 2f the permit, and projects requiring a variance approval may be subject to longer
review times For projects requiring two or more variances or where the variance is determined by the Division to be_a
significant portion of the oroiect, the full technical review is required.
2. Professional Engineer's Certification: ,
I, /►pp# r !i , attest that this application for
(Professional Engineer's name from Application Item Ill. l.) (Project Name ffout Application Item II.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. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track P rmittin
of Pump Stations and Force Mains (latest ve n). 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 143-2I5.6A 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. Misrepresentation of the application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board. (21 NCAC 5 .0701)
North Carolina Professional Engineers seal, signature, and date:
rm
SDI
•026924• _�
Win a
................................!..... .,.
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1, Todd Taylor, P.E. _ _, attest that this application for Brid a oint
(Signature Authority Name from Application Item 1.3.) (Project Name from Application Item 11.1)
attest that this application 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 fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature. L_ _ _ Date: 9/20/2021
1
FORM: FTA 06-21 Page 5 of S

,
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Orange Water & Sewer Authority
Project Name for which flow is being requested: Bridgepoint
Afore than one FTSE may be required for a single proj&ll if the owner of the WtVTP is not responsible jar all pu►np
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: Mason FarmWastewater Treatment Plant
b. WWTP Facility Permit #: W CS00031
All flows are in MGD
c. WWTP facility's permitted flow 14.5
d. Estimated obligated flow not yet tributary to the WWTP 0.374
e. WWTP facility's actual avg. flow 7.6
f. Total flow for this specific request 0.02 20,160 d
g. Total actual and obligated flows to the facility 7.994
h. Percent of permitted flow used 55.1
11. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pomp 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! pi7,
Avg. Daily
Daily Flow,
Obligated
Available
Number)
No.
MGD
MGD
Flow, MGD
MGD
Flow
Capacity***
Lake
1.152
0.461
0,251
0.004
0.255
0.206
Rogerson
18.5
7.4
4.7
0.25
4.95
2.45
* 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): OWASA
Downstream Permit Number; WQCS00031
Page I of 6
FTSI-: to- 18

III. Certification Statement:
[ 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 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.
Signing
Executive Director _
Title of Signing Official
Page 2 of 6
9/20/2021
Date
F`I`SE I0-18

Orange Water and Sewer Authority
OWASA is Carrboro-Chapel Hill's not -for -profit public service agency
delivering high quality water, wastewater, and reclaimed water services_
September 22, 2021
Jason Robinson, PE
NCDEQ Division of Water Resources
3800 Barrett Drive
Raleigh, NC 27609
Subject: Bridgepoint Subdivision
Mr. Robinson,
NC Dept of Environmental Quality
SEP 2 7 2U
y4eiigh Rogional, office
Enclosed are the following items, as our submittal for a proposed gravity sewer main
extension, for your review and approval.
• Fast Track Sewer System Extension Application form
• Flow Tracking and Acceptance form
• Check for the review fee
Subject project includes 648-ft of new ductile iron sanitary sewer mains to serve a 54 unit
townhome development with an estimated discharge rate of 20,160 gallons per day. Flow
will go into an 8-inch sewer main previously approved by Permit Number WQ038263 for
Courtyards of Homestead, and to downstream pump stations at Lake Ellen and Rogerson
Drive.
Please contact me by phone at 919 537-4201 or email to nparkerlccD-owasa.org if you
have any questions or need additional information.
Respectfully,
Nicholas L. Parker
Engineering Associate
cc: Jessica Godreau, PE — OWASA
Cameron Rice, PE —Advanced Civil Design
400 Jones Ferry Road. Carrboro, NC 27510 ' 919-968-4421 [e-mail] 0 @0WASA1 www.owasa.org

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