WQ0042276_Application (FTSE)_20220215

oi i.Sign Envelope 1D. 2197F8F1 9DF5-4686-A216-3F95D08742F0
DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number:ti O Map by pp �,'l�y (to �: sa-ipletcd DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: City of Sanford (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: Paul Weeks per 15A NC AC 02T .0106(bl
Title: City Engineer
NC Dept of Environmental Quality
4. Applicant's mailing address: 225 E weatherspoon Street
City: Sanford State: NC Zip: 27330-_ FEB 5 2022
5. Applicant's contact information:
Phone number: (919) 777-11 19 Email Address: paul.weeks a,sanfordnc.net Raleigh Regional Office
11. PROJECT INFORMATION:
I. Project name: Laurel Oaks Ph 1
2. Application/Project status:
❑ Proposed (New Permit)
® Existing Permit/Project
Ifa modification, provide the existing permit number: WQ0042276 and issued date: 02`22:2021,
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 located: Lee County
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.4207 Longitude: -43.7111
Parcel ID (if applicable): 9660-15-0255-00, 9650-97-7167-00, 9660-07-7558-00, 9660-18-6263-00, 9660-17-4596-00, 9650-96-
8137-00, 9660-18-5664-00, 9660-16-4708-00, 9660-26-2753-00 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Micah Jones License Number: 051284
Firm: Criteria Engineering, LLC
Mailing address: 11 118 US Hwy 31
City: Spanish Fort State: AL Zip: 36527-
Phone number: [phone] Email Address: mjones(acriteriadevelopment.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Big Buffalo Wastewater Reclamation Facility Permit Number: NC0024147
Owner Name: City of Sanford
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
I. Permit Number(s): WQ0042276
2. Downstream (Receiving) Sewer Information: 12 inch ® Gravity ,� Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00047
Owner Name(s): City of Sanford
FORM: FTA 06-21 Page 1 of 5

DocuSign Envelope ID: 2197FBF 1 9DF5-4686-A216-3F05D08742E0
VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public L:lility, has a Certificate of Public Convenience and Necessity been attached?
❑Yes No ®N.A
If the Applicant is a Developer of lots to be sold, has a 1)K+.lar•'s Opt iwrral .Ar ement I FORM: DEV I been attached?
❑ Yes [l No ®N/A
3. If the Applicant is a Home. Property Owners' Association, has an HOA?POA Operational Ament LFORVI: HQL and
supplementary documentation as required by I5A NCAC 02T.0115(c) been attached?
❑Yes El No ®N..A
2.
4. Origin of wastewater: (check all that apply):
® Residential (Individually Owned) ❑ Retail (stores, centers, malls)
❑ Residential (Leased) ❑ Retail with food preparation service
❑ School / preschool / day care ❑ Medical ' dental/ veterinary facilities
❑ Food and drink facilities ['Church
❑ Businessesoffices/ factories ❑ Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool/Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic % Commercial . % Industrial (See i SA NCAC 02T .0 IO3120t)
If Industrial, is there a Pretreatment Program in effect? ❑ Yes❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .01 14i I? ❑ 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.O114(0)
Daily Design Flow °•b
No. of Units
Flow
SFR
360 gallday
79
28,440 GPD
gal!
GPD
gall
GPD
gal!
GPD
gal/
GPD
gall
GPD
Total
28,440 GPD
a See 15A, NCAA 02T .0.1.14611. id). (e1111 attt(e1(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facili ies 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 C.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table ] 5A NC=AC._O2T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 33,840 GPD (per 15A NCAC VT .0114)
r 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 permits 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 flow expected
❑ Other (Explain):
FORM: FTA 06-21
Page 2 of 5

DocuSign Envelope ID. 2197F8F1-9DF5-4586-A216-3F95008742E0
Vll. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MD( IGravit+ Sewer):
I. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
1744
PVC
10
1086
PVC
12
1109
DIP
10
614
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
V11I. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump StationsiForce Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PL MP 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 2.01C.1.b. ❑ Grinder Pump ❑ Mechanical Bar Screen Li Other (please specify)
6. Power reliability in accordance with I5A NCAC 02T .0305(h)f l ):
❑ Standby power source or ❑ Standby pump
i- Must have automatic activation and telemetry - I5A NCAC 021-.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

DocuSign Envelope ID: 2197F8F1-9DF5-4686-A21S-3F95D08742E0
IX. SETBACKS & SEPARATIONS — (02B .0200 & I5A NCAC 02T .0305(f)):
I. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(1) & (g)? ® Yes ❑ No
I5A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
2Water mains (vertical - water over sewer preferred, 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, 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 feet
Final earth grade (vertical)
36 inches
• If noncompliance with 02T.03051 t) orlgl, see Section X.I of this application
*I 5A NCAC 02T.0305(g) contains alternatives where separations in 021-_0305(f) 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 4urlau:e Wafter Classifications webpage
2. Does this project comply with the minimum separation requirements for water mains? ® Yes 0 No 0 N.'A
#- If no, please refer to 15A NCAC I8C.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 0 No ❑ N'A
> Please provide supplementary information identifying the areas of non-conformance.
> See the Division's drat 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? ® Yes Basin name: Cape Fear River ❑ No
If yes, does the project comply with setbacks found in the river basin rules per I5A NCAC 02B _0200? ® Yes 0 No
> This includes Trout Buffered Streams per 15A NCAC 2B.0202
5. Does the project require coverage.authorization under a 404 Nationwide:'individual permits ❑ Yes ® No
or 401 Water Quality Certifications?
> Please provide the permit number..permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0I05(c (6) (additional permits:'certifications)? ® Yes 0 No
Per I5A NCAC 02T.0I05(cW6l, 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 I5A 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.
> 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 I5A NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

DocuSign Envelope ID 2197F8F 1-! DF5-4585-A216-3F95D08742E0
X. CERTIFICATIONS:
1. Does the submitted system comply with ] 5A NCAC 02T, the Minh-nun-1 Design Criteria for the Permitting of Pump Stations{
and force Mains {latest version), and the Gravity Sewer Minimum Design Criteria I latest version) as applicable?
® Yes 0 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. Approval of the request will be issued
concurrently with the approval of the permit, and protects requiring a variance approval may be subiect to longer
review times. For nroiects requiring two or more variances or where the variance is determined by the Division to be a
significant portion of the protect, the full technical review is required.
2. Professional Engineer's Certification:
I, Micah Jones , attest that this application for Laurel Oaks Ph 1
(Professional Engineer's name from Application Item 11/.1.). (Project Name from Application Item II I
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 41inirnurn 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 I43-2I5.6A 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 56.07 )
North Carolina Professional Engineer's seal, signature, and date: `,N`O,r1tr'r
3. Applicant's Certification per
I, Paul Weeks
(Signature Authority Name from
Application Item 1.3 )
•
I5A NCAC 02T .0106(b):
tio'L"
girt ii t tti��4v
, attest that this application for _ Laurel Oaks Ph I
(Project Name from Application Item 11 I )
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 I43-215.6A and 143-2 I5,6B, 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:
oocuSigned by:
pattL sit. edukS ,9V'. P.f.
BAC I9F65570.44R9
Date:
2/3/2022
FORM: FTA 06-21 Page 5 of 5

' DocuSign Envelope ID 5CD4BB22.009B-0F94.8877-6C8251=D4ALE9
DWR
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
Division of Water Resources (FTSE 10-18)
Application Number: ,FRT33'G7
Entity Requesting Allocation: City of Sanford
Project Name for which flow is being requested: Laurel Oaks Ph 1
More than one FTSE ntrtp 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.
1. 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. Estimated obligated flow not yet tributary to the WWTP: 1.2603
e. WWTP facility's actual average flow: 6.0970
f. Total flow for this specific request: 0.02844
g. Total actual and obligated flows to the facility: 7.3858
h. Percent of permitted flow used: 62%
II. 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 Firm Design Approx Obligated, Total Current Available
Station Station Capacity' Average Current Not Yet Elo % Plus Capacity
(Name or Permit Daily Flow' Avg Daily Tributary Obligated
Number) Number lFirm:nll Flow. Dads Flow, Flow
NIGD MGD MGD MGD MGD NIGD
Gaster Creek #002 4 0291 1 6114 1 0195 0.1750 1 1945 0.4169
zBig_BufTalo #N+A #NSA #NIA #N!A #NiA #N!A
x #N.A #NfA #NIA #NfA NIA #N!A
s #N+A #N+A #NIA #NfA #NIA #NfA
x #N.A #NfA #NiA #NfA #NIA #NiA
s #N'A #NiA MIA #NfA #N?A #N!A
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 (pl) not
less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
3. 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): City of Sanford Collection System
Downstream Permit Number: WQCS00047
Page 1 of 6 FTSE 10-18

Docusign Envebpe ID 5CD4BB22-0C98-4F94.8877-6C825E04AEE9
II1. Certification Statement
1, 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.
Coxusgn.a by
Pa AL. lit.. (k tks jr. P. f.
aeC39c3367344Ba
Signing Official Signature
City Engineer
Title ofSigning Official
02/03122
Date
Page 2 of 6 FTSE 10-18

Aspt Af R0vlNO is;►"a• ilk._►
fa 15 2022 CRITERIA
DEVELOPMENT%
Raleigh Regional Office
Laurel Oaks Phi Project Narrative
This development proposes 79 three BR single family lots on 21.82 acres. The development
is part of an approved master plan that includes 622 total units. The modified gravity
sewer system consists of 18 manholes and totals 4,553 LF in pipe length. The material used
will be 8" PVC pipe (1,744 LE), 10" PVC/DIP pipe (1,700 LF), and 12" DIP (1,109 LF). This
design modifies permit number WQ0042276 per the attached map to include a new
gravity sanitary sewer route and exclude a previously permitted portion of the project
which included a lift station. The Tots not included with this submittal but were part of the
referenced permit number will be re -permitted at a later date. The proposed project will
meet all of DWR' s minimum design criteria for sanitary sewer extensions. The design flow
rate for this project is calculated at 28,840 GPD based on NCAC 2T Rules for wastewater
flow rates and the anticipated flow from the 79 single family residential lots. The proposed
sanitary sewer line sizes are more than adequate to convey the design flow rates.
Additional future sewer services are proposed to be installed along the route but will not
be placed into service until Tots are permitted by the City of Sanford and NCDEQ.
Please find attached the following information in support of the application:
• Fast Track Sewer System Extension Application (ETA 04- 16)
• Flow Tracking/ Acceptance Form for Sewer Extension Applications ( FTSE 04- 16)
• Existing permit for Laurel oaks phase 1
• USGS Map
• Aerial Map
• Boundary Map
• $480 Check for payment of Application Fee
If you have any questions regarding this request or if you require any additional
information, please feel free to contact me at

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Aerial Map

NC Dept of Environmental Quality
FEB 15 2022
Raleigh Regional Office
CRITERIA
DEVELOPMENT
TRANSMITTAL LETTER
NC DEQ- Raleigh Regional Office PROJECT
TO: 3800 Barrett Drive, Raleigh, NC 27609 NO:
Laurel Oaks Phase 1 Sewer Permit
SUBJ: Mod
We are transmitting the following items to you:
DATE: 02/09/2022
COPIES
DATE
DESCRIPTION
1
02/09/2022
One (1) Set of Signed/Sealed Plans (11x17)
1
02/09/2022
One (1) Copy of Permit Application & Attachments
1
02/09/2022
Check in amount of $480
These are transmitted for:
❑ Review & Return ❑ Your Use n Comment ❑ Review Complete
❑ Furnish as Corrected n Rejected ❑ Revise & Resubmit ❑ Approved
Engineer Contact: Micah Jones, PE, 251.263.3513. mlonesnicritenadevelopment com
11118 US HWY 31, SPANISH FORT AL 36527