WQ0043295_Application (FTSE)_20220411

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: t�Q ppy, L' (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Pine Reserve, LLC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State -County ❑ Municipal
3. Signature authority's name: Braden Riley per l5A NCAC 02T .0106f b)
Title: MaT nap-er
❑ Privately -Owned Public Utility
® Other
4. Applicant's mailing address. PO Box 3248
City: Pinehurst State: NC Zip: 28374-
5. Applicant's contact information:t
Phone number: [phone] Email Address: Braden(a-RileyandWalker. com
11. PROJECT INFORMATION:
1. Project name: Pine Reserve AVartments Q
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
to
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: Lee
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.4366' Longitude:-79.2209'-
5. Parcel ID (if applicable): 9631-44-1034: 9631-34-9072, 9631-44-0754
(or Parcel 1D to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Mike Zaccardo License Number: 022321
Firm: Timmons Groug
Mailing address: 5410 Trinity Road, Ste. 102
City: Raleigh State: NC Zip: 27607-
Phone number: [phone] Email Address: Mike.ZaccardoOtimmons.com
x
C�
C7
0
4
� o-1 0--) Ov
0-o_
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Big Buffalo Wastewater Treatment Plant Permit Number: NCO024147
Owner Name: City of Sanford
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: _. inch
System Wide Collection 5�stem Permit Number(s) (if.applicable): WQCS00047
Owner Name(s): City of Sanford
FORM: PTA 04-16 Page 1 of 5

V1.
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) been attached?
[:)Yes ❑No ®N/A
3. If the Applicant is a Home;'Properry 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 preparationlservice ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical! dental f veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool. -Filter Backwash
❑ Businesses ! offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
% Industrial (See 15A NCAC 02T .0103(20))
%, Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .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((1)
1 Bedroom Apartment
2 Bedr000m Apartment
3 Bedroom Aparatment
Daily Design Flow a,b
240 gal/day
240 gal/day
360 gal/day
gall
gal/
gal/
No. of Units
Flow
54
12,960 GPD
180
43,200 GPD
18
6,480 GPD
GPD
GPD
GPD
Total
62,640 GPD
a See 15A NCAC.02T .0I 14(b). (d), (el(1) and (e)(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 Q.S. 42A-4).
b Per 15A NCAC 02T .01 14(c), design flow rates for establishments not identified (in table 15A NCAC 02T,0I 14] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 62.640 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

V 11.
VI11
GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
1,148
PVC
Q�
I;r A
CD
t
t1q
s.O
o
O
➢ Section II & 111 of the MDC for Permitting of Gravity Sewers contains information related to design criteRa
➢ 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
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: Pine Reserve Pump Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 35,4380 Longitude:-79,2210
3. Design flow of the pump station: 0.157 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 109 gallons per minute at 55.8 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
3
1,245
CLASS 52 DIP
b. Power reliability in accordance with i5A 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
C)
d
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
➢ Ii 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 04-15 Page 3 of 5

V11. GRAVITY SEWER DESIGN CRITERIA (if Applicable) - 02T .0305 & V1DC (Gravity Sewers):
1. Summarize gravity se%ker to be permitted:
Size (inches) Length (feet) Material
8 1.148 PVC
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
V111. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force plains?:
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. Pump station number or name: Pine Reserve Pump Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.4380 Longitude:-79.2210"
3. Design flow of the pump station: 0.1584 millions gallons per da) (firm capacity)
4. Operational point(s) of the pump(s): 110 gallons per minute at 55.1 feet total d) namic head (TDI-1)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
4
1.270
IPS DR9 HDPF
6. Power reliability in accordance %%ith 15A NCAC 021 .0305(h)(1 ):
e Qj- ' j
��teo_
® Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(Q);
• Required for all pump stations with an average daily Ilow greater than or equal to 15.000 gallons per day
9 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 021' .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.
Y 1 f 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(fl _ W ®Yes ❑ No
➢ 15A 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-1 waters of Class 1 or
Class 11 impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal
hi h 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{e) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpa, e
➢ If noncompliance with 02T.0305(f) or {, 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?
➢ Information can be obtained from the 401 & Buffer Pcrmitting Branch
5. Does project comply with 15A NCACO2T.0105JcLo) (additional permitsicertifications)? ® 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 stream banks 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. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02L the Minimum un Doing Criteriafor the M 'I i t
and Force Mains (latest version), and the Gravity we Minimum i + 'te ia (latest versionas applicable?
® Yes ❑ No
If No, complete and submit the Variance/Altemative Design Request application (VADC 10-14) and supporting documents for
review. AnpMal of the request Is re uired Prior to submittal of -the Fast Track lica ion nd su2pgrling documents,
2. Professional Engineer's Certification:
attest that this application for
� (Professionai Eng�'npeis 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. 1 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 S 10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's sea}, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1,
(Signature Authority's name & title from Application Item 1.3.)
tit
attest that this application for
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. 1 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 143-215.6A and 143-215.68, any person who knowingly makes any false
statement, representation, or certification in any applicatinn Package shall he 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: Date: 3/a 2022
FORM: FTA 04-16 Page 5 of 5

►IUi.U01a11 C;1 VCIUPU IU. LMvUDZVa- I OJJ""fYYY-MCJJ-MC.7`JOMI COGG`J
DWR .001'r
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)
Application Number: I FT-332
Entity Requesting Allocation: City of Sanford
Project Name for which flow is being requested: Pine Reserve
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.
1. Complete this section only if you are the owner of the wastewater treatment plant.
WWTP Facility name: Big Buffalo Wastewater Treatment Plant
aa.
� �D
b.
WWTP Facility Permit #: NCO024147
QQ
All f lows are in MG16' tda
c.
WWTP facility permitted flow:
%2.00
d.
Estimated obligated flow not yet tributary to the WWTP;
01.2556
e.
WWTP facility's actual average flow:
6 4.1390
f.
Total flow for this specific request:
0.06264
g.
Total actual and obligated flows to the facility:
5.4573
h.
Percent of permitted flow used:
45%
11. 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
Flow Plus
Capacity,
(Name or
Permit
Daily Flow'
Avg. Daily
Tributary
Obligated
Number)
Number
IFI. :nfl
Flow,
Dadv Flow,
Flow
MGD
MGD
VIGD
MGD
MGD
MGD
#NIA
#N A
#N'A
#NIA
#N/A
#NIA
#N/A
#N/A
#N+A
#NIA
#N/A
#N/A
#NIA
#N/A
#N/A
#N'A
#NIA
#N/A
#NIA
#N/A
#N/A
#NIA
#N:A
#NIA
#N/A
#NIA
#NIA
#NIA
#N/A
#N A
#NIA
#N/A
#NIA
#NIA
#N/A
#NIA
#N A
#NIA
#N/A
#N/A
#N1A
#NIA
1. The Firm Capacity (design flow) of any pump station is defined as the maximum pumped now 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 (pf) 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!!-. 0.
Downstream Facility Name (Sewer):
Downstream Permit Number:
City of Sanford Collection System
WQCS00047
R
Page 1 of 6 FTSE 10-18

UUI.U0IYII CIIVGIUVId IU. CM2iUDLU0-IDUU-4'i4'f-MCJa-MCUJOMI COZZU
III. 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 11 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.
DocuSlgned by:
Pok k Wt,tks Y, p.f. 03/03122
Signing Official Signature
City Engineer
Title of Signing Official
Date
n
o
ca
=�•
�
o
g
�
O
h
A
[3
�
m
y
�y
Page 2 of 6 FTSE 10-18

PROJECT NARRATIVE
Project Name:
Location:
PIN:
Owner:
Developer:
I— _3W
Pine Reserve Apartments W.
124 Center Church Road W
Sanford, NC 27331
9631-44-1034, 9631-34-9072, 9631-44-0754
0
Pine Reserve LLC
PO Box 3248
Pinehurst, NC 28374
Pine Reserve LLC
PO Box 3248
Pinehurst, NC 28374
Consultant: Timmons Group
Mike Zaccardo, PE
5410 Trinity Road, Suite 102
Raleigh, NC 27607
Phone: [phone]
PROJECT DESCRIPTION AND NARRATIVE:
The proposed project is located approximately 961 LF north from the intersection of Center Church
Road and US 1/15-501 in Sanford, NC. The project proposes the construction of 252 apartments. The
project is anticipated to generate the following wastewater flows:
1 Bedroom Apartment -- 54 units at 240 GPD/day = 12,960 GPD
2 Bedroom Apartment — 180 units at 240GPD /day = 43,200 GPD
3 Bedroom Apartment 18 units at 360 GPD/day — 6,480 GPD
Development Total Flow Rate: 62,640 GPD
The proposed gravity sanitary sewer system on -site will consist of approximately 1,148 LF of 8" PVC.
A Duplex submersible sewage pump station with a 6/hp motors will be installed. The pump station
has been designed to a firm capacity rate of 0.1570 MGD, and an operational point of 109 GPM at
55.8 feet of total dynamic head.
The proposed force main will consist of approximately 1,245 LF of 3" Class 52 DIP.
Both the new private gravity sanitary sewer system and the pump station will be owned, operated, and
maintained by Pine Reserve, LLC.
r�
0
d
0
p
r

U SELM. DEPAUMENT OF THE INTEk*k �N4 MWORD QUA7RAWAE
.........,l.lw
u.s aaowcA�>uver $:0rIGPo VMS
'Ip'�H • �rE \. «� "l' ; ,'/ 'i�:.}. 10.� ,�,j i k r = +' . V yilu' 41,
"ifs � \ � :r 3 7�1Y_ ra• ' �� i ki � -♦ E T7 i if �- 4 y'+..;; .t ��.. �-�;� .! 4�' - x _ 'n
j 4 ti ✓A �
• k i7'll.h � � � ' r't. ` '1���� s �`�j r
kip,
a.F.i 75 i k. xr
! `\I ' , • k., - {.. .�.� � � l'J�``� y.1"F �-'"tif Z �'�' �.•',1 bpi
A►►K[;MWilE ':r�� ate. 5 ��� ♦♦ �'l`,. �yy,, �t_ .�1 � .I'i� `t I ' I i .
SITE LOCATION
\-
��
�111%� v
.f,y`'-"� ��
I l•3 U E .,�/}q(�. �`ytiG�lY�1 i`' ` ����'•'�/ I __
ip
��:,,��7� ,�. � 4.;1 -}IT ^�I �3T,"�.� �.��=v l�� �\�• .x- Cr..�'_.. 1 � o-#'M1' "i"'
l�{ L �r #Y•� �Y �f f L
e_e
n N Tq N Y el Y N N N Y
hw r\4'YIMN Lrr. fMYN� Iw•h ,w{ vu r l 24
SANIDRD, NC =
2019

V\-SITE
VICINITY MAP
IRK

• i •
n
d
TIMMUNS GROVP
YOUR VES101+1 ACHIEVED THROUGH OURS. �i•
co �
TRANSMITTAL
TO: NCDENR-Raleigh Regional Office
Division of Water Resources
3800 Barrett Drive
Raleigh, NC 27609����NC 276099
❑ ENCLOSED PLEASE FIND:
❑ WE ARE SENDING UNDER SEPARATE COVER:
0
Date:3/08/2022 Job #:47048 :i
Project: Pine Reserve Apartments
Reference:
Copies Sent To:
COPIES
DATE
NUIiB­ER
DESCRIPTION
1
1
Fast Track Sewer Application sealed 3/2/22
1
2
Project Narrative sealed 3/8/22
1
3
USGS ma
1
4
Vicinity Ma
1
5
Flow Acceptance Form / Certification Statement
1
6
Check for $480 payable to NCDEQ check # 90909
THESE ITEMS ARE TRANSMITTED
!f enclosures are not as noted_ please notify us at once.
COMMENTS:
Feel free to contact me with any questions at 919-866-4944 or [e-mail]
Thank you,
Mike Zaccardo, PE
Sr. Project Manager
SIGNED:
P
0
w
N
U M
Z to
tD
z in
a� ai
b 0°
cc (;
N Ol
LL
Ln
M Ln
0 C,
rD
Co
v a,
v w
LM