WQ0043196_Application (FTSE)_20220210

DocuSlgn Envelope ID: F6AA2FF5-Of=09-46FB-89C2-972b868990FF
State of North Carolina
nWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SVSTEM EXTENSION APPLICATION
Division of Water Resources NTA 04.16 & SUPPORTING DOCUMENTATION
Application Number: w4ao0*,A%Nq w (to be. completed by MR)
All items be the be
must completed or annlicatlon will returned
1. APPLICANT INFORMATION:
I.
Applicant's name: City of Sanford (company, municipality, FIOA, utility, etc.)
2.
Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned
Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3.
Signature authority's name: Paul M. Weeks. PE per I SA NCAC 02T _0106(b)
'title: City Engineer
4.
Applicant's mailing address: 225 E. Wcatherspoon Street
City: Sanford State: NC Zip: 27331
5.
Applicant's contact information:
Z
Phone number: (2a)777-1119 Email Address: paul,weeksy sunfordne,net
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d
H. PROJECT INFORMATION:
I.
Project namc: The Provisions at Courtland
P'
M
2.
Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
CD ©
a
o
If a modification, provide the existing permit number: WQ00 and issued date:
3
If new construction but part of a master plan, provide the existing permit number: WQ00
p'..
O
3.
County where project is located: j"
,p
4.
Approximate Coordinates (Decimal Degrees): Latitude: 35,45448 Longitude:-79.16989':
a
5.
Parcel 11) (if applicable): 9642-80-0627-00
(or Parcel ID to closest downstream sewer)
Ill. CONSULTAN'r INFORMATION:
I , Professional Engineer: ,larrod E. Hilliard License Number: 035670
Firm: Hilliard Engineering. PLLC
Mailing address: 11O Box 249
City: Sanford State: hK Zip: 27331-
Phone number: (2U)=-2LIA Email Address: jjt lit iar�n(Ijjlillr5(Sttllilillr4illlli��«m
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATIiON-
I , Pacility Name: 13ia BufTalo Waste Water Treatment Plant Permit Number: NCO024147
Owner Name: City o[ Sanford
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1, Permit Number(s): WQ341U Downstream (Receiving) Sewer Size: $ inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00047
Owner Name(s): City of Sanford
FORM: F'rA 04.16 Page 1 of 5

DoouSign Envelope ID F8AA2FFE-OF09.48FB-89C2-972088B99OFF
VI, GENERAL, REQUIREMENTS
I. 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 0evelooer's.. Operational AgreementJFORM:, DEV) been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a home/Property Owners' Association. has an Operational Agreement (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 preparationiservice ❑ Flotol and/or Motels
❑ School I preschool r day care ❑ Medical !dental ' veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/filter Backwash
❑ Businesses r offices I faclories ❑ Nursing I tome ❑ Other (Explain in Attachment)
5. Nature of wastewater: JW16 DomesticlCommercial % Commercial
_ % Industrial (See 15A NCAC 02T .0103(20)1
bIs there a Pretreatment Program in effect? ❑ Yes [:]No
6. Has a flow reduction been approved under 15A NCAC 02T .01 14(1)? ❑ Yes ® No
If yes, provide a cony of flow redttetionapproyal letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow'''
No. of Units
Flow
Residential
120 gal/day
159
19,080 GPI)
gal)
GPI)
gal/
GPD
gals
GPD
gal;
GPD
gall
GPD
Total
19,080 GPD
a See l A NCAC 02T z01 14fb (dl. felL1j and (ej(2) for caveats to wastewater design flow rates (i.c., 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 02'i' .0I 14(c), design flow rates for establishments not identified [in table I SA NCAC 02T.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: 19,080 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 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: I''1'A 04.1 G Page 2 of 5

V11, GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (Inches)
Length (feet)
Material
8
5,361
SDR 26 PVC
8
35
Cl. 50 DIP
> Section If & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
3► 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 of the MIX
Vin. PUMP STA'riON DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC(Pump Stations/Force Mains):
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 (TDI1)
5. Summarize the force main to be permitted (for this Pump Station):
Sire (inches) Length (feet) Material
6. Power reliability in accordance with .I..5 N:CAC UT _0,30501(I 1:
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02'T .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 an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02'r
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02'1' .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.
r 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- I--I'A 04-16 Page 3 of

DocuSipn Envelope 10; F6AA2FFE-OF0948FB-89C2-972088B990FF
IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 021' .0305(o):
1. Does the project comply with all separations found in 15A NCAC 02 r .0305(f) & (g
)- 15A NCAC 02T.0305M 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 trenchesl
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 I I impounded reservoirs used as a source of drinking water
100 fact
"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
AnX building foundation
5 feet
Any basement
10 feet
Top slo a 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 earl grade vertical
36 inches
t 5A NCAC 02T.0305( contains alternatives where separations in 02T.0305(fl cannot be achieved,
m > **Streaclassifications can be identified using the Division's NC Surface Water Classifications webnage
i If noncompliance with 02T.0305iB or (el_ see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No
i See the Division's draft separation requirements for situations where separation cannot be meet
Y No variance is required if the alternative design criteria specified is utilized in design and construction
i 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 NCAC 02B .0200? ® Yes (--]No
i 'i'his would include'1'rout Buffered Streams per I5A NCAC 213.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ No
9 Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
�w Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with i SA NCAC 02T.01005tc)(6) (additional permiWcertifications)?
® 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 02TA402, "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
i 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 representativc at least once every six -months and Inspections
documented per 15A NCAC 02'C.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

DoauSign Envelope ID: FOAA2FFE-OF0946FB-69C2-972089899OFF
X. CERTIEICA'rIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains Llatest version), and the Gravity Sewer_!wi}nimum Design Criteria (latest version) ns applicable?
® Yes ❑ No
if No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Annroval of the request Is reauirg,d„grig[ to submittal of the Fast 'TrackiAnplientioa_and s u►oortine documents.
2. Professional Engineer's Certification:
attest that this application for
(Professional Engineer's name from Application Item TILT.)
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 143.2t5.6A 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
includes 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: •```�,'SH �=jrrr��,
• �OFl=ss�0�2
0 Mro r $
7 r
� lots$
. ..................
Applicant's Certification per I SA NCAC 02T .0106(b):
1, &Ll(n, �J eels J r. 7l� ( r' I�� r Syee.- attest that this application for
(Signature Authority's n me & title fr=pplication Item 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. 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 14;1-215 _GA and 14�-21, AB, 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.
lDoeu9lgned by:
eMAS Y. 2/3/2022
BBC39E868794498...
Signature: _ _ _ ._ _ _ Date:
I-ORM: F'f A 04-16 Page 5 of 5

Docu$ign Envelope ID: 912DB28C-8F42.45F7-8488-E7CF1F388117
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(F'fSE 10-18)
Application Number: I FT-335
Entity Requesting Allocation: City of Sanford
Project Name for which flow is being requested: The Provisions at Courtland
More than one ME 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: Big Buffalo Wastewater' Treatment Plant
b. WWTP Facility Permit #: NCO024147
Al! flews are In MGD
c. WWTP facility permitted flow: 12.0000
d, Estimated obligated flow not yet tributary to the WWTP: 1.2603
e, WWTP facility's actual average flow: 4.1390
f, 'Total flow for this specific request: 0.01908
g. Total actual and obligated flows to the facility: 5.4184
h. Percent of permitted flow used: 45%
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)
(n)+(B+C)
(F)-(A-D)
Pump
Pump
Firm design
Approx
Obligated,
'Total Current
Available
Station
station
Capacity' Avcmge
Current
Not Yet
Flow Plug
Cupucrty'
(Nume or
Permit
Daily flow=
Avg, Daily
'tributary
Obligated
Number)
Number
(Firminf)
Flow,
Daily Flow,
Flow
MGD MGD
MGD
MGD
MCI)
MGD
Gmter Creek 0002
4.0291
1.6114
10195
0.1750
1.1945
0,4169
zliig� nuil'alo
#NIA
#NIA
#NIA
#NIA
#N/A
#NIA
x
#NIA
#NIA
#NIA
#NIA
#N/A
#NIA
x
#NIA
#NIA
#N/A
#NIA
#NIA
#NIA
x
#NIA
#NIA
#N/A
#N/A
#N/A
#NIA
x
#N1A
#NIA
#N/A
#N/A
#NIA
#NIA
I. The Firm Capacity (design flow) of any pump station is defined as the maximum pumped Plow 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 (pl) not
less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
J. A Planning Assessment Addendum shall be attached for each pump station located between the
project connection point and the WW'1'l where the Available Capacity is S 0.
Downstream Facility Name (Sewer):
Downstream Permit Number:
City of Sanford Collection System
W QC S00047
Page 1 of 6 FTSE 10-18

DocuSipn Envelop8 ID: 012DB28C•BF42-45F7-84BB-E7CF1F388117
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.
oncuslpnod iry:
BBC3BE888784489,..
Signing C)fcial Signature
City Engineer
Title gI'Signing Offrclal
02/07/22
Dale
Pape 2 of FTSE 10-18

February 5, 2022
NCDEQ, DWR, Raleigh Regional Office
Water Quality Section
1628 Mail Service Center
Raleigh, NC 27699-1628
Re: The Provisions at Courtland Sewer Extension
HEM SF2103.300
Please find enclosed the following:
HILLIARD
ENGINEERING
c Dept of finvrrr>rrrrrenta!
Quality
rkH 10 0a
Raleigh Regionol of
fics
1. One (1)-Original and One (I) -Copy of Fast -Track Application and Supporting Documents
2. Check #: 2722 in the amount of $480.00 for application fee
This project is being submitted for gravity sewer extension approval. The project required an
approximate 5,359 If extension of the existing gravity sewer system in order for the existing gravity
system to reach the project property. The project is a proposed residential subdivision with fifty three
(53)-lots, with a three (3)-bedroom home on each lot, @ 120 gallons/day/bedroom for a total of 19,080
gal/day design sewer flow allocation.
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. SF2103
Page 1
P.O. Box 249, Sanford, NC 27331 NC License No.: P-0836
phone: [phone] [e-mail]

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