WQ0043436_Application (FTSE)_20220505

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: A) 0 0O 9 �49 (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Franklin County Public Utilities (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ® State.'County ❑ Municipal
3. Signature authority's name: Christopher Doherty per 15A NCAC 02T .0106(b)
Title: Public Utilities Director
4. Applicant's mailing address: 1630 US I Highway
City: Youngsville State: NC Zip: 27549-
5. Applicant's contact information:
Phone number: [phone] Email Address: cdoherty cr.franklincountync.us
I1. PROJECT INFORMATION:
I. Project name: Maple Ridge Pump Station
2. Application 'Project status: ® Proposed (New Permit)
❑ Other
❑ Existing Permit/Project
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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: Franklin County
4. Approximate Coordinates (Decimal Degrees): Latitude: 37.075423' Longitude: -78.430912
5. Parcel ID (if applicable): 029208 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Adam P. Kiker License Number: 35038
Firm: LKC Engineering
Mailing address: 140 Aqua Shed Court
City: Aberdeen State: NC Zip: 28315-
Phone number: [phone] Email Address: Adam a,LKCengineering.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Franklin County Wastewater Treatment Plant Permit Number: NC 0069311
Owner Name: Franklin County Public Utilities
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1, Permit Number(s): WQ
2. Downstream (Receiving) Sewer Information: 10 inch U Gravity [1 Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00179
Owner Name(s): Franklin County Public Utilities
FORM: FTA 06-21
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 Develoner's Operational Agreement (FORM: DEN) been attached?
❑ Yes ❑ No ® N/A
3. If the Applicant is a Home,Property Owners' Association, has an HOAIPOA Operational Agreement {FORM: HOA,N and
supplementary documentation as required by 15A NCAC 02T.01 15(c) been attached?
❑Yes El No ®N.A
4. Origin of wastewater: (check all that apply):
® Residential (Individually Owned)
® Residential (Leased)
O School preschool / day care
❑ Food and drink facilities
O Businesses/ offices / factories
El Retail (stores, centers, malls)
O Retail with food preparation.•service
❑ Medical / dental . veterinary facilities
❑ Church
O Nursing Home
❑ Car Wash
O Hotel and/or Motels
O Swimming Pool/Clubhouse
O Swimming Pool/Filter Backwash
O Other (Explain in Attachment)
5. Nature of wastewater : 100 °•o Domestic % Commercial °ro Industrial (See 15A N(J AG 02T ,0103(20))
If Industrial, is there a Pretreatment Program in effect? 0 Yes❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0l l4(f)? ❑ Yes ❑ No
➢ If ves, provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(0)
Daily Design Flow''b
No. of Units
Flow
gall
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
GPD
a See 15A NCAC 02T . 114(b), (di. (ell 1) and (e) 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 (i_S, 42A-1).
b Per I5A NCAC 02T .01 I4(c), design flow rates for establishments not identified [in table I5A NCAC 02T.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per jSA 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:
El Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain): Fast Track Anlication for the Maple Ridge Gravity Sewer to be submitted in a separate application
FORM: FTA 06-21
Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
I. Summarize gravity sewer to be permitted: Maple Ridge gravity sewer to be permitted in a subseaurnt application
Size (inches)
Length (feet)
Material
> Section II & 111 of the MDC for Permitting of Gravity Sewers contains information related to design criteria
> Section I11 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 (Pum Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Maple Ridge Pump Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 37.075423 Longitude: -78.430912
3. Total number of pumps at the pump station: 2
3. Design flow of the pump station: J29690 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): 90 gallons per minute (GPM) at 78 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station) -
Size (inches)
Length (feet)
Material
4
1776
C900 DR 18 PVC
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.I.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305{h)( I):
® Standby power source or ❑ Standby pump
> Must have automatic activation and telemetry - I5A 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
El 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(0):
1. Does the project comply with all separationsialternatives found in 15A NCAC 02T _0305(f1 & (g)?
I 5A NCAC 02T.0305{f) contains minimum separations that shall be provided fnr sewer sysrems
® 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
2Water 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 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
I 0 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ It noncompliance with IT,Q305(f' Qr f g). see Section X. 1 of this application
*j,5A NCAC 1 T.0305(g) contains alternatives where separations in 02T,0305(1) 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 ClassiRcations webpage
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,
signedlsealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands?
> Please provide supplementary information identifying the areas of non-conformance.
➢ See the Division's draft separtion 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: Tar -Pamlico
If yes, does the project comply with setbacks found in the river basin rules per I5A NCAC 02B .020Q?
> This includes Trout Buffered Streams per 15A. 19CAC 2110202
® Yes ❑ No ❑ N/A
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage?authorization is requ
6. Does project comply with 15A NCAC 02T_O1O5(c11) (additional permitsicertifications)? ® Yes ❑ No
Per J 5A NCA 92T_OJO5jcj 6 , 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
❑ No
®Yes ❑No
❑ Yes ® No
ired.

X. CERTIFICATIONS:
I. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Cnteria for the Permitting of Pump Stations
and Force Mains (latest vtrsicm), and the Gravity Sewer Minimum Design Criteria (latestvrrsionj as applicable?
Yes ❑ 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. Annroval of the request will be issued
concurrently with the approval of the permit. and projects requirine a variance approval may be subject to longer
review times. For protects 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, Adam P. Kiker , attest that this application for Maple Ridge Pump Station
(Professional Engineer's name from Application Item III.1.) (Project Name from Application Item 11.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 frITS.Eravity Sewers (.latest version), and the Minimum Design Criteria for the Fast -Track Per nutipg
of Pusm,Slations end Force Mains (latest versionl. 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 143-215.6B, 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 56.0701)
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, ,►-letS`1,1P441er1-,04i,ElZ, attest that this application for
(Signature Authority Name from Application em 1.3.)
Maple Ridge Pump Station
(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 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 wilt be returned to me as incomplete.
NOTE — In accordance with General Statutes Pa-ALM and 143-215.6H, 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.
Si
iratjlo
boFORM: FTA 06-21 Page 5 of 5
Date: 04-25-2022

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May 46, 2022
Mr. Scott Vinson
NCDEQ — Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
Re: Franklin County Public Utilities
Maple Ridge Pump Station
Fast -Track Sewer Application
Mr. Vinson,
NC Dept of Environmental Quality
MAY - 5 2022
Raleigh Regional Office
Regarding the above referenced project, please find the following items:
1. One original & one digital copy of the Fast Track application and supporting documents.
2. One check for the $480.00 application fee.
This project features the installation of a sanitary sewer pump station and 1,776 I.f. of 4-inch
C900 DR 18 PVC force main to serve a new development (Maple Ridge Subdivision) along Lane
Store Rd in Franklin County. There will be a separate Fast Track Application to cover the gravity
sewer within the subdivision; thus, this is a zero -flow request.
If you have any questions, please do not hesitate to contact me at [phone] or by email at
[e-mail].
Sincerely,
LKC Engineering, PLLC
/7'
Benjamin B Wibbens, E.I.
LKC Engineering, PLLC, 140 Aqua Shed Court,
Aberdeen, North Carolina 28315
PH: 910/420.1437 * FAX: [phone] * License No. P-1095