WQ0041379_Application (FTSE)_20220225

State of North Carolina
DWR Department of Environmental Quality
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
I. APPLICANT INFORMATION:
I. Applicant's name: Wineandbeerarewe, 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: Gregory W. Stafford per 15A NCAC 02T.0106(b2
Title: Member Manager
4. Applicant's mailing address: 901 Jordan Hills Drive NC Dept of Environmental Quality
City:Chapel Hill State: NC Zip: 27517- FEBy+y�r�
5. Applicant's contact information: C 5 LtlLL
Phone number: [phone] Email Address: [e-mail]
Raleigh Region Office
II. PROJECT INFORMATION:
1. Project name: Relocation of Private Utilities for 56 Sanford Road
2. Application/Project status: ❑ Proposed(New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: WQ0041379 and issued date: Jan 16,2020
If new construction but part of a master plan,provide the existing permit number: WQ00
3. County where project is located:Chatham
4. Approximate Coordinates(Decimal Degrees): Latitude: 35.71666 Longitude:-79..16666
5. Parcel ID(if applicable): 07888
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Jeff Foster, PE License Number: 28291
Firm: CE Group, Inc.
Mailing address: 301 Glenwood Avenue, Suite 220
City: Raleigh State:NC Zip: 27603-
Phone number: [phone] Email Address: mark@u,CEGroupinc,com
IV. WASTEWATER TREATMENT FACILITY(WWTF) INFORMATION:
I. Facility Name: Town of Pittsboro Wastewater Treatment Facility Permit Number: NC0020354
Owner Name: Town of Pittsboro
V. RECEIVING DOWNSTREAM SEWER INFORMATION(if different than WWTF):
1. Permit Number(s): WQ 41378 Downstream(Receiving)Sewer Size: 8 inch
5Sstem Wide c:ollection System Permit Numberis)(if applicable): WQCSN_A
Owner Name(s): Town of Pittsboro
FORM: FTA 04-16 Page 1 of 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 ®N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer'.s Operational Agreement(FORM: DEV 1 been attached?
D Yes ❑No ®N/A
3. If the Applicant is a Home/Property Owners'Association,has an Operational Aereement(FORM: HOAR been attached?
❑Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
El Residential Owned [' Retail(stores,centers,malls) ❑Car Wash
❑ Residential Leased ❑ Retail with food preparationfservice ❑ Hotel and/or Motels
❑ School preschool;'day care El Medical/dental/veterinary facilities ❑ Swimming Pool:'Clubhouse
® Food and drink facilities El Church ❑ Swimming Pool/Filter Backwash
❑ Businesses?offices I factories El Nursing Home El Other(Explain in Attachment)
5. Nature of wastewater: 100%Domestic•Commercial %Commercial
0%Industrial(See I5A NCAC 02T.0103(201)
)Is there a Pretreatment Program in effect? ❑ Yes ®No
6. Has a flow reduction been approved under 15A NCAC Q2T_01 14(1)? ❑ Yes ®No
If yes,provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type(see 02T.0114(f)) Daily Design Flow Lb No.of Units Flow
Restaurant,full Service 40 gal/seat 578 23,120 GPD
Former use-Roadhouse Restaurant 40 gal/seat 382 (15,280)GPD
Former use-Thrift Shop Demo gal/ (137)GPD
Former use-Republican HQ Demo gal/ (525)GPD
gaff GPD
See attached letter by Harry Mitchell gal.. GPD
Total 7178 GPD
a See I5A NCAC 02T.01 l4(b),(d), (e0(I) and te)(_2_1 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 NC:AC 02T.0]_14] shall be
determined using available flow data,water using fixtures,occupancy or operation patterns,and other measured data.
8. Wastewater generated by project: 7178 GPD(per I5A_NCAC 02T.0114)
Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
El 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): See Letter, Some Existing Sewer Capacity coupled with New Allocation and Replacement of Old Lines
FORM: FTA 04-16 Page 2 of 5

Vil. GRAVITY SEWER DESIGN CRITERIA(If Applicable)-02T.0305& MDC(Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size(inches) Length(feet) Material
8 220 DIP
➢ Section II& 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 Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. 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
b. Power reliability in accordance with I5A NCAC 02T.03051h}t 1
❑ Standby power source or pump with automatic activation and telemetry- 15A NCAC 02T.0305(h)(I)(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- I5A NCAC 02T
.0305(h)(I)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry- 15A NCAC 02T.0305(h)(I)(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 & I5A NCAC 02T.0305(f)):
1. Does the project comply with all separations found in 116 NCAC 0T.030511'&(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) 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 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
➢ I5A NCAC 02T_0305 )contains alternatives where separations in 02T.0305(f)cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classification.;+s ebpage
➢ If noncompliance with 02T,0305t f) or{ ,see Section X of this application
2. Does the project comply with separation requirements for wetlands?(50 feet of separation) ®Yes El No El 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 .02009 ❑ Yes ❑No ®N A
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0702
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 I5A NCAC 02T.01051cIj )(additional permits?certifications)? ®Yes ❑No
Per 15A NCAC 02T,OI05(cX6), 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 NC.AC 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

CERTIFICATIONS:
I. Does the submitted system comply with I SA NCAC 02T. the Minimum Design Criteria fur the Permrttrn +I l'tuttfa t,,iic�,r,
,tad h tC1 fait lutes �cr>iunl and the l nd'Itv Sewer Minimum,DesignCriteria OI:ncs_t v_•rsion l as applicable?
®O Yes ❑❑No
If No, complete and submit the Variance.Alternative 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 supporting
documents.
2. Professional En 'neer's Certification:
1, �•t— ', Illelt` .Al_..... attest that this application for(Professional Fngineer's name frnm Application Item I11.1.)
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 143-215.68. 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 S25,000 per violation,
#SCAR '
North Carolina Professional Engineer's seal,signature,and date: . -.�• '1 ,!) !/,
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3. Applicant's Certification per I SA NC . .�T.0106(b):
I. u attest that this application for
(Signatu 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 surfirce waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. I wilt 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 arc not included, this application package will be returned to
me as incomplete.
NOTE In accordance with General Statutes 1-13-215.6A 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 S25,000 perviolation.
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Signature
r . -t ("---XLy_. .' v.._
— Date /
FORM: FTA 04-16
Page 9ofi

State of North Carolina
Department of Environmental Quality
Division of Water Resources
OW R
Division of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Wineandbeerarewe, LLC
Project Name for which flow is being requested: Relo of Private Util for 56 Sanford Road n
d
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all per,np w
stations along the route of the proposed wastewater flow. oo "r1
0
I. Complete this section only if you are the owner of the wastewater treatment plant. 0 :
ay. o
a. WWTP Facility Name: Town of Pittsboro Wastewater Treatment Facility p 8 a
b. WWTP Facility Permit #: NC0020354 tv
All flows are in MGD c
c. WWTP facility's permitted flow 0.750 0 0:d. Estimated obligated flow not yet tributary to the WWTP 0.176
e. WWTP facility's actual avg. flow 0.446
f. Total flow for this specific request 0.007178
g. Total actual and obligated flows to the facility 0.629
h. Percent of permitted flow used 84
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) (B) (C) (D) .(B+C) (E)—(A-1
Design Obligated, d
Pump Average Daily Approx. Not Yet Total Curren pVi .
Station Firm Flow** Current Avg. Tributary Flow Plus o -,- o
(Name or Capacity, * (Firm pf), Daily Flow, Daily Flow, Obligated V.
tta Alable n
Number) MGD MGD MGD MGD Flow Capar4y**41,
z
A 1
* The Firm Capacity 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.
*** 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): Relo of Public Util for 56 Sanford Road
Downstream Permit Number: WQ 0041378
Page 1 of 6
FTSE 04-16

III. Certification Statement:
I Kent Jackson 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 indicates acceptance of this wastewater flow.
.jz.,. 4 (s._,
01/24/2022
Signing Official Signature Date
Page 2 of 6
FTSE 04-16

Private Sewer Relocation 56 Sanford Road, Pittsboro
WQ0041379 Modification
PROJECT NARRATIVE
The existing permit accommodates the extension of 220 LF of Private 8" Gravity Sewer with a zero flow
(GPD).There is no change to any of the approved infrastructure in the permit other than to add a net
gain of 7,178 GPD to the permit.
Various uses have been modified within the project and the sewer has been redirected to the back of
the building(s) in order to avoid the new NCDOT improvements along the street front.
A letter attached from Harry Mitchell summarized the changes along with the Town approval of the uses
with modified sewer allocation.
In summary the project now has a total of 578 seats generating 23.120 GPD.The existing uses prior to
modification included food service and some office component totaling 15,942 GPD. Leaving a new
allocation of 7,178 GPD
An FTA form from the Town is also included.

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TOWN OF PITTSBORO
PLANNING DEPARTMENT _ �0
TOWN OF pm 5110R0
January 19, 2021
Greg Stafford
901 Jordan Hills Dr
Chapel Hill, NC 27517
SP-2020-08
56 Sanford Rd
Dear Greg Stafford:
This is to inform you that the site plan for the above-referenced development received Board of
Commissioners approval on 01/11/2021 and is ready for signature sets. The SoCo Development,
including 56 Sanford, was allocated 7,178 GPD of sewer on 01/11/2021 as well.
Prior to construction, please note the following:
1. Plan approval is subject to obtaining any other local and state permits as needed.
2. After approval and signature of the Construction Drawings, contact this office to arrange a
Pre-Construction meeting to discuss the construction and field development of this
project.
3.. A Zoning Compliance Certificate must be obtained after the Pre-Construction meeting
before construction is able to begin.
4. System Development Fees & Water Meter Fees must be paid before a Zoning Compliance
Certificate can be obtained.
• System Development Fee Total: $83,767.26
c Water: $5.51 * 7,178 GPD= $39,550.78
o Sewer: $6.16 * 7,178 GPD- $44,216.48
5. Before the project can obtain a C/O from Chatham County, you will need to contact the
Town to set up a Final Inspection. As-Builts are required before we will release the
approved Final Inspection Report.
6. All site work must be in accordance with this approved plan, unless adjustments are
approved by the Planning Office,the Town of Pittsboro Board of Commissioners, and/or
Town of Pittsboro Planning Board (as applicable).
7. Failure to construct improvements in accordance with the approved plans is a violation of
the Zoning Ordinance.
8. A Town approved set of project plans and any associated permits shall be maintained on
the construction site for the duration of construction and shall be available for review
upon request.

TOWN OF PITTSB OR O
PLANNING DEPARTMENT 4111101N TOWN OF Pirr )RO
Please submit eight (8) paper copies of the approved plans for Signature. Six (6) of the sets
should be folded 24" x 36" and two (2)sets should be 12" x 18".
With this submission, also include:
• Transmittal form
• One (1) copy of the Certification of Plan Revisions Form
• One (1) copy of this Approval Letter
• Digital Copy of all documentation
Sincerely,
-7635ivi7
Kayleigh Mielenz
Planner I
CC: Jeff Jones, Planning Director
John Poteat, Town Utilities Director
Kent Jackson, Town Engineer
Theresa Thompson, Senior Planner
Jennifer Davis, Office Manager

�IITCIIELI DESIGN
ti
GROUP
December 1, 2020
Mr. Jeff Jones, AICP
Planning Director
Town of Pittsboro
PO Box 759
Pittsboro, N.C. 27312
Ref: SOCO Development - Stafford Properties
Summary of Wastewater Allocation Demands/Credits
Dear Jeff:
The following is a summary of the Wastewater Allocation Demands and Credits for the
above referenced Project on West Street and Sanford Road. Existing Sewer Flows to
be removed from the Project have been noted as a Credit (-) and proposed Sewer
Requests have been noted as a Demand or Allocation (+):
39 West Street—Former Roadhouse Restaurant: -15,280 GPD
39A and 39B West Street—Roadhouse Renovations and Upfit. +15,200 GPD
10 Sanford Road - Second Bloom Thrift Shop Demorition. -137 GPD
20 Sanford Road -Chatham Bus. Services- No Change in Use or Existing Sewer Flow: 0 GPD
22 Sanford Road -The Other Side- No Change in Use or Existing Sewer Flow: 0 GPD
22 Sanford Road -The Other Side Dining Patio Addition: +720 GPD
46 Sanford Road -The Modern Life- No Change in Use or Existing Sewer Flow 0 GPD
56 Sanford Road - Republican HQ Demolition -525 GPD
56 Sanford Road — New Restaurant. +7.200 GPD
TOTAL WASTEWATER ALLOCATION REQUESTED FOR THE SOCO DEVELOPMENT: 7,178 GPD
I trust this summary helps your office track the wastewater allocation requirements for
the SOCO Development Proposal. Do not hesitate to contact me if you have any
questions regarding the information presented. 041444
Sincerely, �s�C• Ol , 1 1�
Mitchell Design Grou PLLC:+ ` ,
iter, &:!5 '
'
fr
Wm. Harry Mitche I, Jr., PG `( \\
�
ti
Cc: Mr. Taylor Hobbs, AIA - Hobbs Architects, PA
Mr. Rob Emerson, RLA - Emerson Land Planning, PLLC
Mr. Greg Stafford
PO Box 200/ Woke Forest NC 2/588 1 harrynrnitchelldesgroup.com I 9 9.280.0354

z CE GROUP
Quality 301 GLENWOOD AVENUE, SUITE 220
NC De(<7 _•
pt of Environmental Q RALEIGH, NC 27603
Phone:[phone]
E-Mail:feffc ceoroupinc.com
iEB 5
Region
Office Transmittal
Raleigh
TO: NCDENR— DWQ DATE: 2/24/22
Raleigh Regional Office PROJECT NO: 127-194
3800 Barrett Drive Sewer Relo for 56 Sanford Road NCDOT Project
Raleigh, NC 27609 Pittsboro, NC
ATTENTION: Permitting Permit Modification
Quantity Drawing No. Description
2 1 copy/1 original Fast Track Sewer System Extension Application (Modification)
2 Copy Project Narrative
1 Checks $480 Application Fee(s)—Check#11554
2 Originals FTSE
2 Copy USGS Overall Area Map
2 Copy Vicinity Location Map
2 Copy Site Plan Approval Letter from Pittsboro (SP-2020-08)w/Allocations
2 Copy Letter from Harry Mitchell w/Allocation Determination
REMARKS Please let us know if you require any additional information.
cc: CE Group, inc.
Signed
Oster, PE
PROVIDING CIVIL/SITE & INFRASTRUCTURE CONSULTING SERVICES SINCE 1998