WQ0042875_Application (FTSE)_20210930

DocuSign Envelope ID 8308181C-FF5F-40D9-9375-8892B8373C3D
DWR
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
FTA 04 16 & SUPPORTING DOCUMENTATION
Application Number: JQI'O 4f2J3 5 {to be completed by DIVR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: City of Sanford {company. municipality. HOA. utility. etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership D Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Paul M. Weeks PE per 15A NCAC 02L9
Title: City Engineer
4. Applicant's mailing address: 225 E. Weatherspoon Street
City: Sanford State: NC' Zip: 2733I-
5. Applicant's contact information:
Phone number: [phone] Email Address; paul.weeksgsanfordnc.net
II. PROJECT INFORMATION:
I. Project name; Sweet Gum Meadows
2. Application/Project status: ® Proposed {New Permit)
If a modification. provide the existing permit number: WQ00_-
0 Existing Permit/Project
and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00__
3. County where project is located: Lee
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.44555' Longitude:-79.16360'
5. Parcel ID (if applicable): 9651-07-9IO2-00
(or Parcel ID to closest downstream sewer)
I11. CONSULTANT INFORMATION:
1. Professional Engineer: Jarrod E. Hilliard License Number: 035670
Firm: Hilliard Engineering, PLLC
Mailing address: PO Box 249
City; Sanford State: NC Zip: 27331--___
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Big Buffalo Waste Water Treaunent Plant Permit Number: N00024147
Owner Name: Ci13 oflanfor¢
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ42514 (Pending Certification) Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable); WQCS00047
OwnerName(s): City of Sanford
FORM: FTA 04-16 Page 1 of S
Raleigh Regional Office

DocuSion Envelope ID 8308iB1C-FF5F-40D8-9375-869288373C30
VI. GENERA[. REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes DNo ®NPA
2. If the Applicant is a Developer of lots to be sold. has a Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑No ®:‘PA
3. lithe Applicant is a Horne Property Owners' Association,_ has an Operational Agr ernent (FORM: HOA) been attached?
❑ Yes ❑No ®NiA
4. Origin of wastewater: (check all that apply):
® Residential Owned ❑ Retail (stores. centers. malls)
❑ Residential Leased ❑ Retail with food preparation/service
❑ School r preschool! day care ❑ Medical i dental ? veterinary facilities
❑ Food and drink facilities 0 Church
❑ Businesses; offices 1 factories ❑ Nursing Home
El Car Wash
❑ Hotel and/or Motels
❑ Switnn ing Pool ?Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic/Commercial ?'o Commercial
% Industrial (See ISA NCAC 02T .0103(20))
there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .01 f4(f ? ❑ Yes ® No
i If yes, provide a cope of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(tl)
Daily Design Flow Lb
No. of Units
Flow
Residential
120 gal/day
69
8,280 GPD
gal/
GPI)
gall
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
8.280 GPD
a See ISA NCAC 02T .0114(b). (d). {c){ t} and (eH2) 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 Q , 42&.4)-
b Per I5A NCAC 02T .01 I4(c), design flow rates for establishtuents 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: 8 280 GPD (per 15A NCAC 02T .01 f4)
Do not include future flows or previously permitted allocations
If permitter' flow is zero. indicate why
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent pernuts 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: Fr 04-16
Page 2 of 5

DocuSign Envelope ID 8308181C-FF5F-40D8-9375-6892613373C30
Vil. GRAVI'I-V SEWER DESIGN GRIT F RIA (If Applicable) 02T .0305 & MDC (Gravity Sewers);
1. Sunuuarize gravity sewer to be permitted:
Size (Inches)
Length (feet)
Material
' 8
876
SDR-26 PVC
8
J
123
Cl. 50 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)
i Oversizing lines to meet minimum slope requirement is not allowed and a violation (gibe 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 (Decimal Degrees): Latitude: . Longitude? -
3, Design flow of the pump station: mullions gallons per day (firm capacity)
4. Operational point(s) of the pump(s)2 gallons per minute at feet total dynamic head (TDH)
5- Summarize the force main to be permitted (for this Punip Station);
Size (inches)
Length (feet)
Material
6. Power reliability in accordance with 15A NCAC 02T .03050(11:
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)( I )(13);
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 au average daily flow less than 15.000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 1 SA NCAC 02T
.0305(h)( I )(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 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 timefrarnes, shall be provided
in the case of a multiple station power outage,
FORM: FTA 04-16 Page 3 of 5

Docusign Envelope ID- 8308181C-FF5F-40D8.9375.8092BB373C30
1X SETBACKS & SEPARATIONS (028.0200 & 1SA NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15 r IT. 02T .0391(0.8, (g)
ISA NCAC 02T.0305(f) 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-I waters of Class 1 or
Class II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I or WS-V), 13, SA. ORW. FIQW, or SB from normal
high water (or tide elevation) and wetlands (sec 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 swirm►ung_pools
10 feet
Final earth grade (vertical)
36 inches
i 15A NCAC 02LQ305(2) contains alternatives where separations in 02T.030510 cannot be achieved.
i **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
If noncompliance with U2I'.4303(f1,g, 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 I':C AC. O 13 ,02_00? ® Yes ❑ No
i This would include Trout Buffered Streams per I5A NCAC 2B.0i0
4. Does the project comply with an individua1404 Pemut or any 401 Certifications? ® Yes ❑ No
✓ Wetland -related pernuts shall be requested, obtained. and adhered to for projects that impact wetlands or surface waters
▪ Information can be obtained from the 401. &Buffer Permitting Brypch
5. Does project comply with I SA NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per ISA NCAC 02T.0t05(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
• If yes. include an attachment with details for each line. including type (aerial line. size, material. and location).
Hlgb priority lines shall be inspected by the permittee or its representathve 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

DocuSign Envelope ID: 8308181C-FF5P-4008-0375-6892BB373C30
X. CERTIFICATIONS:
1. Does the submitted system comply with ISA NCAC 02T. the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains fiz t,u..rsi.&j}}, and the vity Sewer Minimum Doha). Criteria (lacy t. version) as applicable?
® Yes ❑ No
If No, complete and submit the Variance)Aiternative 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 supportIna documents.
2. Professional Engineer's Certification: arroz/ %ql-
-
(Professional Engineer's name from Application Item 1II.1.)
I,
attest that this application for
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 Mauls (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 S 10.000. as well as civil penalties up to S25,000 per violation. , fflh li4,
RS1i..�q �i��i ..
Notch Carolina Professional Engineers seal, signature, and date: • E3t+, 0
3. Applicant's Certification per 15A NCAC 02T .0106(b):
Paul M. Weeks 3r. P.E. City Engineer
(Signature Authority's name & title from Application Item 1.3.)
attest that this application for
has been reviewed by me and is accurate and complete to the hest 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. 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 1S4A and l 8, 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 S 10,000 as well as civil penalties up to S25.000 per violation.
Signature:
oxuagn.n by:
Paw, M,. Atics Jr. P.f.
BBC39E8887B44B9.
Dole:
9/21/2021
FORM: FTA 04-16 Page 5 of 5

Division of \UAtcr Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSi. 10-18)
Application Number:
Entity Requesting Allocation:
FT-327
City of Sanford
Project Name for which flow is being requested: Sweet Gum Meadows
More Than one FTSE may be required for a single project ( '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: Big Buffalo Wastewater Treatment Plant
b. WWTP Facility Permit #: NC0024147
All flows are in MGD
c. WWTP facility permitted flow: 12,0000
d. Estitnated obligated flow not yet tributary to the WWCP: 1.0894
e. WWTP facility's actual average flow: 6.09'/0
f. Total flow for this specific request: 0.0083
g. Total actual and obligated flows to the facility: 7.1947
h. Percent of permitted flow used: 60%
Il. Complete this section for each pump station you are responsible for along the route of this proposed
List pump stations located between the project connection point and the WWTP.
(A) B) (C) (D) = (B+C) (E)=(A-D)
Pump Pump Finn Design Approx. obligated, Total Current Available
Station Station wit;' Average Cumin Not Yet Flow Plus Capacity'
(Name or Permit Daily Flow: Avg Daily Tributary Obligated
Number) Number MFirns'nfl Flow. Daily Flow. Flow
MGD .IIGD MGD MOD MGD RIGD
Little Buffalo i+\Q0040285 0.0083 2.5459 1 3046 0.1102 1.4148 1,1311
zBrgBuffalo
x
x
x
*NA ON A ON A #N.A *NA ?EN A
#N A ON. A 9N A *NA *NA rrN A
#N A ON. A 9\ A #NiA ON A • #N'A
i*N A ION A *N A *N.A #N. A ON A
ON 'RCA ITN *VA #NA roNA
1. 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.
2. Design Average Flow Is the firm capacity of the pump station divided by the peaking factor (pf) not
less than 2.5, per Section 2.02(A)(4)(c) of the Minimnm Design Criteria.
3. A Planning Assessment Addendum shall be attached for each pump station located between the
project connection point and the WAVTP where the Available Capacity is • 0.
Downstream Facility Name (Sewer): Hwy. 78 South Subdivision
Downstream Permit Number: WQ0042514 (Pending Certification)
Page 1 of 6 FTSE 10-1 B

Downstream Facility Name (Sewer): Hwy. 78 South Subdivision
Downstream Permit Number: WQ0042514 (Pending Certification)
Page 1 of 6 1
DocuSign Envelope ID 4C629737-2EB9-40E4-836D-05265CDB931A
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 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.
Oeculbprod by
pact At. UJuks ,yr. P.t.
BBC19E8667811B9
Signing Official Signature
City Engineer
Title of Signing Official
09/21/21
Date

September 27, 2021
NCDEQ DWR, Raleigh Regional Office
Water Quality Section
1628 Mail Service Center
Raleigh, NC 27699-1628
Re: Sweet Gum Meadows
HE#: SF2010.300
Please find enclosed the following:
HILLIARD
ENGINEERING
NC Dept of Envilronmente Qualitt
SEP302
Raleigh Regional Office
1. One (1)-Original and One (1)-Copy of Fast -Track Application and Supporting Documents
2. Check #: 2706 in the amount of $480.00 for application fee
This project is being submitted for gravity sewer extension approval. The project will serve a
proposed 23-lot single family residential subdivision. Design flows will consist of residential Tots with 3
bedrooms @ 120 gallons/day/bedroom for a total of 8,280 gal/day design sewer flow allocation.
Per our email to Jason Robinson on September 14th, 2021, the connection point for the
proposed sewer system is a recently permitted gravity sewer system for a project referred to as
`Highway 78 South' in Sanford, NC. This gravity sewer system has been installed past the proposed
Sweet Gum Meadows project but has not been completed or received final approval as of the date of
this submission. We request approval to begin construction of the Sweet Gum Meadows project
conditioned upon downstream certification and approval of the aforementioned gravity sewer system
and prior to final approval for operation of the Sweet Gum Meadows project.
If you have any questions, or require additional information related to the aforementioned
project, please do not hesitate to contact me at this office.
Sincerely,
Jarrod E. Hilliard, PE, CFM
Hilliard Engineering, PLLC
Copy to: File: SF2004
Page 1
P.O. Box 249, Sanford, NC 27331
phone: [phone] [e-mail]
NC License No.: P-0836

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