WQ0043389_Application (FTSE)_20220405

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:\)\) 0 0' 3 3S/Ito be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: ECO TIP West, LLC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership
0 Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal
3. Signature authority's name: Kirk Bradley per I5A NCAC 02T .0106(k)
Title: Manager
4. Applicant's mailing address: 603 Carthage Street, Suite 120
City: Sanford State: NC Zip: 27331-
5. Applicant's contact information:
Phone number: [phone] Email Address: kbradley a,lmoc.net
II. PROJECT INFORMATION:
1. Project name: AKPAR 5814 & 91175 Initial Infrastructure
2. Application;'Project status: ® Proposed (New Permit)
❑ Other
NC Dept of Environmental Qua
APR U 5 2022
Raleigh Regional Officr
❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
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: Chatham
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.6231 Longitude:-79.0508=
5. Parcel ID (if applicable): 5814, 91175 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Jeff Foster License Number: 02$291
Firm: CE Group, Inc
Mailing address: 301 Glenwood Ave., Suite 220
City: Raleigh State: NC Zip: 27603-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I . Facility Name: Big Buffalo WWTP Permit Number: NC0024147
Owner Name: City of Sanford
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ0043189
2. Downstream (Receiving) Sewer Information: 36 inch
Cx] Gravity 1 Ftirce Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS __
Owner Name(s):
FORM: FTA 06-21
Page I 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?
e twou Fron^
❑ Yes ❑ No ®N/A
2. If the Applicant is a Developer of lots to be sol. , hals4DeveI s . s Operatio 1 Agreenten FORM; DEV) been attached?
Ycis Al o ❑ NI
3. If the Applicant is a Home.Property Owners' Associa '. n, has an HOA,'POA Operational Agreement ( FORM: HI. )A) and
supplementary documentation as required by I5A NCAC 02T.0115(c) been attached?
❑Yes ❑No ®NA
4. Origin of wastewater: (check all that apply):
❑ Residential (Individually Owned)
❑ Residential (Leased)
❑ School ;' preschool / day care
❑ Food and drink facilities
❑ Businesses ;' offices / factories
❑ Retail (stores, centers, malls)
❑ Retail with food preparation,'service
❑ Medical dental / veterinary facilities
❑ Church
❑ Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool/Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : ° ° Domestic °.o Commercial % Industrial (See 15A NCAC 02T .0103(201)
If Industrial, is there a Pretreatment Program in effect? ❑ Yes No
6. Has a flow reduction been approved under 15A N['Ar.: 02T .01 14(t j? ❑ 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.0114(f))
Daily Design Flow a.b
No. of Units
Flow
gal.
GPD
gal/
GPD
gal/
GPD
gals'
GPD
gale
GPD
gal:
GPD
Total
GPD
a See I5A NCAC 02T .01140), (d). (ej(l) and (c)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 02T.0 1 ] 4i shall be
determined using available flow data, water using fixtures, occupancy or operation pattems, and other measured data.
8. Wastewater generated by project: GPD (per 1 5A NCAC 02T .0114)
> 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): Area to be served is currently being developed with land use and tenants unknown
FORM: FTA 06-21
Page 2 of 5

VI1. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
14
2,980
DIP
8
125
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 requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP 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 totai 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 me hod of solids reduction per
MDCPSFM Section 2.01C.1.b. ❑ Grinder Pump ❑ Mechanical Bar Screen 0 Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .030501,Ij:
❑ Standby power source or ❑ Standby pump
➢ Must have 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 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)(I)(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

IX. SETBACKS & SEPARATIONS —(02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations?alternatives found in I5A NCAC 02T _0305(f) & ?
I 5A NCAC 02T.0305(f) 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)
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), 13, SA, ORW, HOW, 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.030 or (g) see Section X.1 of this application
*15A NCAC 02T.0305(g) contains alternatives where separations in 02T.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 Surface Water Classifications webae
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ N A
➢ If no, please refer to 15A NCAC 18C.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 ❑ No ❑ N/A
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ See the Division's draft separation reguirements 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: Haw ❑ No
If yes, does the project comply with setbacks found in the river basin rules per 1 .&N.CAC 02B .0200? ® Yes ❑ 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 NC A.0 02T.0I05(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105La6j, 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 15A 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 15A NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the irJinl[tl'tttn Design Criteria for the Permitting of.Pump Stations
And Force Mt his(tat version),and the Gravitywer Minimum Design Criteria(latest version)as applicable?
�Ycs ❑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 projects requiring a variance approval may be subject to longer
review times. For projects requiring two or more variances or where the variance is determined by the Division to be a
significant portion of the project,the full technical review is required.
2. Professional Engineer's Certification:
1, j1ZC?A.LF4 i ,attest that this application for V?AC+$01 t} Or 111 1 S INMil L.
(Professional nginecr's name from Applicatio Item Ill I) (Project Name from Application Item It 1)
14RASe ttiViS
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 fir Gravity Sewers(latest version),and the Minimum Design Criteria for the Fuss-Track Pertnitti
g
of Pump Status 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 I43-215.6A and 143-2I5.6B, 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 Cngineer to referral to the licensing board.(21 NCAC 56.0701)
North Carolina Professional Engineer's seal,signature,and date; ,`��•`P.t� CAF107t.;1
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3. Applicant's Certification per 1 SA NCAC 02T.0106(b):
I, Kirk Bradley ,attest that this application for KPARt 5814 dtc 9I 175 Mikis Infrastructure
(Signature Authority Name from Application Item 1.3.) (Project Name from Application Item 11.1)
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 arc 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 143-2I S.f A and 143-21 ,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:
FORM: ETA 06-21 Page 5 of 5

CD
CE GROUP
April 4, 2022
NCDEQ/DWR
Water Quality Section
Fast Track Unit
3800 Barrett Drive
Raleigh, NC 27609
Re: Moncure TIP West
Private Sanitary Sewer Extension
NC Dept of Environmental Qualit)
APR U 5 2022
Raleigh Regional Office
Please find attached the following information for the requested extension permit:
- Application Fee: $480
- Fast Track Sewer System Extension Application (FTA 04 16) — Original and Copy
- USGS Topographic Map
- Vicinity Map
- Electronic Thumb Drive (Above Info)
This information is provided as required for processing of the requested permit application for the 14" Private
Sanitary Sewer Extension for Moncure TIP West location in Moncure, Chatham County, North Carolina,
consisting of a future heavy commercial and Tight industrial complex. Immediately downstream of this project is
a gravity sanitary sewer system currently under design for the City of Sanford that flows to the Big Buffalo WWTP
Facility. The permit will be modified as tenants are determined and flows are assigned.
Respectfully Submitted,
CE Group, Inc.
Jeff Foster, PE
Project Manager
301 Glenwood Avenue 112aleigh. NC 27603 I [phone] j www.cegroupinc.com

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NC Dept of Environmental Quality
APR U 5 2022
Raleigh Regional Office
TO: NCDEQ — DWQ
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
ATTENTION:
Permitting — Fast Track Sewer
CE GROUP
301 GLENWOOD AVENUE, SUITE 220
RALEIGH, NC 27603
Phone: [phone]
E-Mail: leff(d!ceoroupinc.com
Transmittal
DATE: May 5, 2020
PROJECT NO: 200-123
Moncure TIP West — AKPAR 5814 &
91175
Initial Infrastructure
Private Sewer Extension
Quantity
Drawing No.
Description
1
1 original
Fast Track Sewer System Extension Application
1
Project Narrative/Cover Letter
1
Check
$480 Application Fee
1
Copy
USGS Overall Area Maps
1
Copy
Vicinity Location Map
1
DEV-03-19 Signed
1
Copy
Corporation Information for DEV 03-19
REMARKS Please let us know if you require any additional information.
CC:
Signed
CE Group, Inc.
Foster, PE
PROVIDING CIVIL / SITE & INFRASTRUCTURE CONSULTING SERVICES SINCE 1998

Corporation Info from Secretary of States Office:
Legal Name
ECO TIP WEST LLC
Information
Sosid: 1945129
Status: Current -Active O
Date Formed: 2/3/2020
Citizenship: Domestic
Annual Report Due Date: April 15th
Annual Report Status: Current
Registered Agent: Incorporating Services, Ltd.
Addresses
Reg Office
176 Mine Lake Court, Ste. 100
Raleigh, NC 27615