WQ0043112_Application (FTSE)_20221210

State of North Carolina
Department of Environmental Quality
DWR 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: (to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: Buckingham Companies, LLC (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: Stephen Franks per I SA NCAC 02T .0I 06(b)
Title: Development Manager
4. Applicant's mailing address: 941 N Meridian Street
City: Indianapolis State: IN Zip:46204-1012
S. Applicant's contact information: c Dept of Lnvironmental QfaUty
Phone number: [phone] Email Address: Stephen.Franks(ii)buckingham.com DEC 10 2021
IL PROJECT INFORMATION:
I. Project name: Bethpage Apartments k0*19h Regional Office
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: Durham
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.8958 Longitude:-78.8257
5. Parcel ID (if applicable): 223341, 226726
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Kelsey Westwood Hall
Finn: Kimley Horn
License Number: 047013
Mailing address: 300 Morris Street, Suite 200
City: Durham State: NC Zip: 27701-
Phone number: [phone] Email Address: kelsey.westwood(a)kimley-horn.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Naine: Triangle Wastewater Treament Plant Permit Number: NCO026051
Owner Name: Durham County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ0040268 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection_ System Permit Number(s) (ifapplig_ablL�1: WQCS00038
Owner Name(s): Durham County
FORM: FTA 04-16 Page 14af 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ON. -:A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM, DEVJ been attached?
[:]Yes ❑No ®NiA
3. If the Applicant is a Home/Proyerty Owners' Association, has an Operational Agreement _(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 preschool; day care ❑ Medical i dental iveterinary facilities
❑ Food and drink facilities ❑ Church
❑ Businesses..' offices!' factories ❑ Nursing Horne
5. Nature of wastewater. 100 % Domestic. Commercial % Commercial
% industrial (See 15A NCAC 02T .0103(20))
,Is there a Pretreatment Program in effect?
® Car Wash
❑ Hotel and/or Motels
® Swimming Pool :'Clubhouse
® Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
NC beAf of En giro
ar?enra
❑ 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
7. Summarize wastewater generated by project:
°EC 10
l?,71L, .
gh Regiol7al
0MC
Establishment Type (see 02T.0114(fl)
Daily Design Flow a,b
No. of Units
Flow
1 and 2 Bedroom Units
240 gal/unit
231
55,440 GPD
3 Bedroom Units
360 gal/unit
9
3,240 GPD
Clubhouse/Leasing Building
25 gal)employee.rshift
22
550 GPD
Swimming Pool
10 galiperson
32
320 GPD
Maintenance Garage - Car Wash
1200 gal/bay
1
1200 GPD
Maintenance Garage - Restroom
325 gal/plumbing fixture
1
325 GPD
Total
61,075 GPD
a See 15A NCAC 02T _0114 b d e 1 and c 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 .0114(c), design flow rates for establishments 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: 61.0?5 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 pennitted in subsequent pen -nits 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
585
PVC
8
323
DI
➢ Section I1 & 11I 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
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: 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):
Size (inches) Length (feet) Material
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or pump with 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
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 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)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & [T
➢ 15A NCAC 02T.0305 contains minimum separations that shall be provided for sewers stems:
® 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 I or
Class II impounded 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 nonnal
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 02T.03051 c) contains alternatives where separations in 02T_0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications weboage
➢ If noncompliance with 02T.0305i n or (y, 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 15A NCAC 02B .0200? ® Yes ❑ No ❑ N..`A
➢ This would include Trout Buffered Streams per 15A NCAC 213,0202
4. Does the project require coverage.:authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
➢ Infonnation can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A N('AC' 02T.0105(c,(6) (additional permits'certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(ch6), 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 ❑ N.:A
➢ 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 CERTIFICATION$:
1. Does the snbmftted *Vmn ew*�y with 15A NCAC QZT, dw Qf�timo te#i rs
nncli?aroe. aigs (latest versian)- and the g t r_ carer "rtimcrm Design Crlte* (Afoot X101 ) as appU nue?
®y" El No
If Nq, complew i nd subm, the Varlancc/Ahiir tive Dedp Request application {VADC 10-14) and iapporft dents for
review.
Z gal
3.
offset that this applicadm, fnr
name fi�am Applicatton team 111.1.)
has bees: reviewed by me and is Umnitk complete W coudgent with die flcfbi�awflad In the plane, spedf carom,
epgfaeering calcine =4 sad all other supporting dammugftdon to de belt of my knowledge. I f3uther wed that to the best
of my knowledge flu proposed dmgp has been prepared is accMISRae wfd► $0 applicable x+pl Wis, travjW sawar
Mkhnma Deep Crioe& fbr Gravity Sewe:'s (Feat vasi4 and *a Mialmum Deli Qftbrle for the PesttTm* Pmnitting
md000fft
submittal paokc9A oan o materials � adps that I� fi s mded and
hava judged it to be ao nsh b ut wfdLtba proposed dam.
NOTE — in acca+dmW wldk Gaul 143 215.6A and 143.215.6B, mW person who lmowfngllr m*u my ban
stales 4A repruentadon, or cardfication to any application package shall be gnfkty of a Class 2 misdemeanor, which may
include a 11no not to Wmeed $10,000, as well a" penalties up to V5.000 par viala0 m. ---
North Carolina Professional Engineer's seal, :feature, and date:
Via
d
a
Appliewses Certification per 15A NC,AC 02T
hap beam reviewed by me and is accurate and complete to to bast of fey knowledge. I widMaand that if an required parts of
this applicedon are not comrpl�tecl and that if all required mppwft &amenuflon, and autibm are not #bduded, this
appl�ti,o� package is mbject to being re umed as hw mpldL I udderstaml that any disoharp of WWIWWKW fta this aom-
disc:hmge system to m ft w waters or the Ind will remit in an fmnadiabe enfffixemdnt action that xnq include dvU panaltles,
injmwtive ielK pndtor wftrdael promm tton. I wlq mice no ckefm against the Divltdam of Water Rasmeam should it condition
of th& permit be violated. I also mldersmnd that if all required pift of thin applicatiD page are sot completed and fW9 if
all mpireid supporting iaf hatioe and Mchm a an not included, this applicati= peckagb will be murbed to me as
ROM — In sPCOPdence with peo¢ral statufta j Vk 13, p, and J42- 5-6.% any person who burro ngiy makes any fhhe
statement - room, or cartif cation is erg► dppNaatiam padapge shah be Soft of a Class 2 m4dameat m, whfah may
fnc',mda a fine not to exceed $10,000 a8 wall as afvil penaldee up to $25,000 per violation.
gISMIft . ��— d DaWq W11�
FORM: PTA 04-16 Pan 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: Buckingham Companies, LLC
Project Name for which flow is being requested: Bethpage Apartments
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: Triangle Wastewater Treatment Plant
b. WWTP Facility Permit #: NCO026051
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
h. Percent of permitted flow used
All flows are in MGD
12
1.770
4.227
0.06108
6.058
50.5
II. 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)
Design
Average
Pump
Pump
Daily
Station
Station
Firm
Flow**
(Name or
Permit
Capacity, *
(Firm / pf),
Number)
No.
MGD
MGD
Stirrupiron
6.50
2.60
(B)
Approx.
Current
Avg. Daily
Flow,
MGD
2.416
(C)
(D)=(S+C)
(E)=(A-D)
Obligated,
Total
Not Yet
Current Flow
Tributary
Plus
Daily Flow,
Obligated
Available
MGD
Flow
Capacity***
0.158
2.574
0.026
* 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): Durham County Sewer
Downstream Permit Number: WQCS00038
Page 1 of 6
TSF 10-IR

Ill. Certification Statement:
I 5hm-%L —:I)f 11, 2A1 certify to the best of my knowledge that the addition of
the volume of wastewater to bV 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.
Signing OjJiWal Signature
Title of
Page 2 of 6

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' r : SOUTHEAST DURHAM, HL

BETHPAGE
APARTMENTS
5621 CHIN PAGE ROAD AND 5530 PRIMARY DRIVE
DURHAM, NORTH CAROLINA
PIN NUMBER: 0758-10-39-0222, 0758-21-10-0461
DURHAM CASE NUMBER: D2000226
_ 1IRGINIA _
NORTH CAROLINA
OXFORD
GREENSBORO BS
LOUSOURG
40 1
PROJECT 70P ouRxw
LOOA7IO WAKE FOREST
FI LLIEL 40 44
ASrEBORO RALE]
e 15 CARY,
P
64 GARNER
CLAYTON
40
SwFORD FUOIIAY—MARINA
95
PROJECT LOCATION
N TS
VICINITY MAP
' .':100
NORTH