WQ0043114_Application (FTSE)_20220111

State of North Carolina
Department of Environmental Quarity
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:\,V_'0,O6y3Wy (to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1.
Applicant's name: Town of Fuquay-Varina (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: Michael Wagner per-,15 1JCAC O .0 ] Obtb)
Title: Public Utilities Director
4.
Applicant's mailing address: 134 N. Main Street
City: Fuquay-Varina State: NC, Zip: 27526-
5.
Applicant's contact information:
7.
Phone number: (gam 753-1028 Email Address: mwaaner(@fuQuay-varina.org
C
II. PROJECT INFORMATION:
:+•
�,,,. o
1.
Project name: Maelvn Ridge Subdivision
Application/Project ® Proposed Permit) ❑ Existing Permit/Project
id
2.
status: (New
QQ.a�s�
If a modification, provide the existing permit number: WQ00 and issued date:
p
9
If new construction but part of a master plan, provide the existing permit number: WQ00
0
3.
County where project is located: Wake
0
4.
Approximate Coordinates (Decimal Degrees): Latitude: 35.594896 Longitude:-78.825451
5.
Parcel ID (if applicable): 0657117499
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1, Professional Engineer: NC License Number: 36908
Firm: Bass. Nixon and Kennedy. Inc.
Mailing address: 6310 Chapel Hill Rd., Ste. 250
City: Raleigh State: NC Zip: 27607-
Phone number: [phone] Email Address: marty.bizzellObnkinc.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: 1.
Facility Name: North Hamett Regional WWTP Permit Number: NCO021636
Owner Name: Harnett County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQCS00193 Downstream (Receiving) Sewer Size: " inch
ysicin Wide CoIl"bon �ystvni Ptt'trt#t.twu ?w-Upppiicablei: WQCS 00193
Owner Name(s): Town of Fuquay-Varina
FORM: FTA 04-16 Page l 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
Swannanos, North Carolina 28778
Gay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Hamett, Hoke,
Water Quality Section
Fayetteville, North Carolina 28301-5094
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
1t r uali ction
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
+,# „¢ nw
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
till
4
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
r'
ilmin tan R - tonal 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]
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 3 of

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 ®N/A
2. If the Applicant is a Developer of lots to be sold, has a Dcvelot>er's Operational Arent (FORM: been attached?
❑ Yes ❑No ®N.`A
3. If the Applicant is a HomclProigerty. Owners' Association, has an Operational Ap_rccmcnt (FORM: HOA} 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 preparation/service ❑ Hotel and/or Motels
❑ School preschool I day care ❑ Medical ! dental I veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses a offices ! factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic?Commercial °o Commercial
% Industrial (lice 15AN('A('02'1'_Q_It"20))
1bIs there a Pretreatment Program in effect? ❑ Yes [!]No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ®No
D If yes, provide a cORY of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(11)
Daily Design Flow'°
No. of Units
Flow
4-bedroom single family
300 gal;'day
27
8100 GPD
gal!
GPD
gal!
GPD
gal
GPD
gal,
GPD
gal!
GPD
Total
8,100 GPD
a See 15AyNCAC 02T .01 14(b), fdl, lc )(1) and [e)f 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 0T,9IJ.4] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 8100 GPD (per 15A NCAC 02T .0114)
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:
❑ 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 1311 C-900 PVC
➢ 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 requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Pump StationslForce 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 NC_:'kC 02T .03051h1i l t:
❑ 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 NC: AC' 2 _0 c gj
➢ 15A NCAC 02T.0305(fl 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-1 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 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 02T.0305(g) contains alternatives where separations in 02T.0305 cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
➢ If noncompliance with 02T.0305(f) or (g), 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 ❑ NIA
➢ This would include Trout Buffered Streams per 15A NCA!2 211,0202
4. Does the project require coverage/authorization under a 404 Nationwide or [:]Yes ® No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401.& Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0I05(c 0) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC_02T_0105(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 ❑ NSA
➢ 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. CERTIFICATIONS:
1. Does the submitted system comply with 15A- NCAC 122T, the Minimuffl_Desiiun Criteria 1-or dir Permitting of Punic Statu0161
and 1_orce Mani: (latest %-ctsion i- and the Gravity Setiyer Minimum De%h, Criteria_QyJc ( vemioa) as applicable?
If No, complete and submit the Variance?Alternative Design Request application (VADC 10-14) and supporting documents for
review. Ap4roval of the request is reaulred prior to submittal of the Fast Track Application, and supporting documents.
2. Professional Engineer's Certification:
__attest that this application for
(Professional Engineer's name from Application Item II1.1.)
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, 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 143-215.613, 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. a�nttmnii,„._
North Carolina Professional Engineer's seal, signature, and date:
Applicant's Certification per I SA NCAC 02T .0106(b):
1, Michael Wagner, Public Utilities 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. 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. 1 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 143-215.6 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.
/ve//4
Signature: Date: 12/16/2021
FORM: FTA 04-16 Page 5 of 5

DWR
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: Town of Fuquay-Varina
Project Name for which flow is being requested: Maelyn Ridge Subdivision
More than one FTSE may be 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
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: North Harnett Regional WWTP
b. WWTP Facility Permit #: NCO021636
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
2.600
0.710
1.389
0.008
2.107
81%
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
Broadwel
T_ WQCS00193 .260-mgd .104-mgd
Southern
WQCS00193 1.263mgd .505-mgd
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Approx.
Obligated,
Total
Current
Not Yet
Current
Avg. Daily
Tributary
Flow Plus
Flow,
Daily Flow,
Obligated
Available
MGD
MGD
Flow
Capacity***
.005
.022
.027
.077
.249-mgd
.064-mgd
.321
.184
* 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 :5 0.
Downstream Facility Name (Sewer): North Harnett Regional WWTP
Page 1 of 6
FTSE 10-18

Downstream Permit Number: NCO021636
II1. Certification Statement:
I Michael Wagner 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.
W-44� 12/16/2021
Signing Official
Public Utilities Director
Title of Signing Official
Date
Page 2 of 6
FTSE 10-18

MBASS, NIXON & KENNEDY, INC.
CONSULTING ENGINEERS
6310 Chapel Hill Road, Suite 250, Raleigh, NC 27607
in Telephone: [phone], Facsimile: [phone]
13
TO: DENR -- Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
WE ARE SENDING YOU:
❑ SHOP DRAWINGS
❑ COPY OF LETTER
® ATTACHED
❑ PRINTS
❑ CHANGE ORDER
DATE;
1110/22
JOb
N 03-20125
ATTN.
RE
Maelyn Ridge Subdivision
Sanitary Sewer Permit
NC Dept of Environmental Q"Uty
,BAN 1 1 2322
ALM-
❑ UNDER SEPARATE COVER VIA
----47-- - __ ar- _ ---- _ ---
THE FOLLOWING ITEMS:
❑ PLANS ❑ SAMPLES ❑ SPECIFICATIONS
El
COPIES
DATE
No.
DESCRIPTION
1
FAST -TRACK APPLICATION
1
APPLICATION FEE - $480.00 CHECK NO. 3 J
1
USGS TOPOGRAPHIC MAP
THESE ARE TRANSMITTED AS CHECKED BELOW:
® FOR APPROVAL
❑ APPROVED AS SUBMITTED
❑ RESUBMIT COPIES FOR APPROVAL
❑ FOR YOUR USE
❑ APPROVED AS NOTED
❑ SUBMIT COPIES FOR DISTRIBUTION
❑ AS REQUESTED
❑ RETURNED FOR CORRECTIONS
❑ RETURN CORRECTED PRINTS
❑ FOR REVIEW AND COMMENT
❑
❑ FORBIDS DUE
.20 ❑
PRINTS RETURNED AFTER LOAN To US
REMARKS:
PLEASE SEE ATTACHED FTA FOR MAELYN RIDGE SUBDIVISION IN FUQUAY-VARINA. SUBDIVISION IS FOR 27
SINGLE FAMILY LOTS LOCATED OFF OF COLEY FARM ROAD.
PLEASE CONTACT ME WITH ANY QUESTIONS OR COMMENTSAT 919-851-4422 OR
[e-mail]
THANK YOU,
COPY TO: SIGNED: MARTY D. BIZZELL, PE, CPESC

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