WQ0043471_Application (FTSE)_20220511

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 NumberMQW 1 941 / (to be completed by DWR)
All items must be completed or the application will be returned
APPLICANT INFORMATION:
I. 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 D Municipal
3. Signature authority's name. Christopher Doherty per 15A NCAC 02T ,0106113)
Title: Public_l `tilities Director
4. Applicant's mailing address: 1630 US 1 Highway
City: Youngsville State: NC Zip: 27549-_
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
❑ Other
NC Dept of Environmental Quality
MAY 11 2022
Raleigh Regional Office
II. PROJECT INFORMATION:37
l_ Project name; Maple Ridge ,-./1001111'-
2. Application/Project status: ® Proposed (New Permit) ❑ 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: Franklin
4. Approximate Coordinates (Decimal Degrees): Latitude: 37.075423Q Longitude:-78.4309I2Q
5. Parcel ID (if applicable): 029208 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Tyler E. Probst License Number: 051536
Firm: McAdams
Mailing address: 2905 Meridian Pkwy
City: Durham State: NC Zip: 27713-
Phone number: [phone] Email Address: probstta mcadamsco.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. 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 l7 Gravity ® Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00I79
Owner Name(s): Franklin County Public Utilities
FORM: FTA 06-21
Page 1 of 5

VI. GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No ®NIA
2. if the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreemem (FORN.11 DE\' I been attached?
❑ Yes ❑ No ® NA
3. If the Applicant is a Home/Property Owners' Association, has an HOAFPOA Operational Agreement (FORM: HOA1 and
supplementary documentation as required by I5A NCAC 02T.01 15(c) been attached?
❑ Yes ❑ No ®N?A
4. Origin of wastewater: (check all that apply):
Residential (Individually Owned) ❑ Retail (stores, centers, malls)
® Residential (Leased) ❑ Retail with food preparationfservice
❑ School / preschool / day care ❑ Medical . dental / veterinary facilities
❑ Food and drink facilities ['Church
❑ Businesses / offices / factories ❑ Nursing Home
❑ Car Wash
❑ Hotel andlor Motels
❑ Swimming Pool/Clubhouse
❑ Swimming PoollFilter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic % Commercial % Industrial (See 1 5A NCAC 02T .0I 03i 201)
If Industrial, is there a Pretreatment Program in effect? ❑ Yes❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .01 I4i fi? ❑ 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(t))
Daily Design Flow ".°
No. of Units
Flow
Single Family (3 BR)*
250 gal/day
5!
12,750 GPD
Townhome *
250 gal/day
86
21,500 GPD
Single Family (4 BR)*
334 gal/day
33
11,022 GPD
gal/
GPD
gal/
GPD
*Per Franklin County Utility Allocation
gal/
GPD
Total
45,272 GPD
a See I SA NCAC 02T _01141bk id), { ell 11 and le 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 I5A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC .2'r.01 I4] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project; GPD (per 15A NC AC .01 I4.)
➢ 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

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sellers):
1. Summarize gravity sewer to be permitted
Size (inches)
Length (feet)
Material
8
1,145
SDR 35 PVC
8
840
SDR 26 PVC
8
3,561
C900 DR 18 PVC
8
128
401 Protect° DIP
➢ Section II & ili 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
Vill. PUMP STATION DESIGN CRITERIA (If Applicable)— 02T .0305 & MDC (Puntp-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 by LKC Engineering under separate application.
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 D Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAc LT .(13105(19( I):
D Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - I5A NCAC 02T.0305(h)(1)(B)1
➢ 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

IX.
SETBACKS & SEPARATIONS (02B .0200 & 15A NCAC 02T .0305(f)):
Does the project comply with all separationslaltematives found in 15A NCAC 02T:0305{f) & lgl?
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
❑ Yes ❑ No
Separation Required
Storm sewers and other utilities not listed below (vertical)
2Water mains (vertical - water over sewer preferred, including in benched trenches)
2Water mains (horizontal)
18 inches
18 inches
I0 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)
**Any other stream, Iake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
Any building foundation (horizontal)
50 feet
10 feet
5 feet
Any basement (horizontal)
Top slope of embankment or cuts of 2 feet or more vertical height
Drainage systems and interceptor drains
Any swimming pools
Final earth grade (vertical)
10 feet
10 feet
➢ If noncompliance with 02T.0305(ft or 10. see Section X.1 of this application
*I 5A NCAC 0?,T.0305(g) contains alternatives where separations in 02T.0?05 II 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 webpage
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ N/A
➢ If no, please refer to 1 5A NCAC 18C.0906(t) 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 ❑ NIA
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ See the Division's drf1 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: Tar Pamlico ❑ No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 028 .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 D 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.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.00105, cj(6j, 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 Minimum Design Criteria for the Permitting of Puma Stalioni
an4 Force Mains (latest versiottl, and the Gravity Sewer Minimum Design Criteria I la esi version) 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. Approval of the request will be issued
concurrently with the approval of the permit, and projects requirinE a variance approval may be subject to loneer
review times. For projects requirinE two or more variances or where the variance is determined by the Division to be a
sienificant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:
1, Tyler E. Probst, PE , attest that this application for
Maple Ridge
(Professional Engineer's name from Application Item 111 1) (Project Name from Application Item 11.1)
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,
Minimum Design Criteria for Gravity ' etiv r l latest. versk nl, and the Minimum Design Criteria for the Fast -Track Permitting
of Purnp 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 1 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:
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3. Applicant's Certification per I5A NCAC 02T .0106(b):
Christopher Doherty
I, , attest that this application for Maple Ridge ,
(Signature Authority Name from Application Item 13 )
(Project Name from Application Item 111)
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. 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. 1 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 143-215.6B, 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.
Signature:
Date:
05-09-2022
FORM: FTA 06-21 Page 5 of 5

t1�1 MCADAMS LETTER OF TRANSMITTAL
Date: May 9, 2022 HAND DELIVER
To: NCDEQ
Raleigh Regional Office
3800 Barrett Drive
Re: Maple Ridge
Sewer Permit Application
Raleigh, North Carolina 27609 Job #: 2020110384
I am sending you the following items:
❑ Drawings
❑ Specifications
❑ Plans
❑ Letter
® Submittal
LI Prints
❑ Statement of Qualifications
❑ Other
QUANTITY
UNIT
DESCRIPTION
2
Copies
FTSA Application NC Dept
1
Check
$480.00 to NCDEQ of Environmental Qualit
2
Copies
USGS tope Map Y
2
Copies
Aerial Site Map
Transmitted as checked below:
® For approval
O For your use
❑ As requested
® For review + comment
❑ Other
O Other
Raleigh Regional Office
Narrative: Please find the attached FTA for the onsite gravity sewer system for Maple Ridge. The project
includes a total of 84 single family homes and 86 townhomes for a total estimated sewer flow of
45,272 gallons per day. There is a proposed public pump station and offsite force main that LKC
Engineering has designed and gained approval for from Franklin County Utilities and they will
submit as a separate permit application.
Copy to: Signature:
wpA.Ad
Brad Rhinehalt, PE / ak
Sr. Project Manager, Residential
creating experiences through experience 2905 Meridian Parkway, Durham, NC 27713 / 919, 361. 5000

111
MCADAMS
The John 8 McAdams Company nc
2905 Merid an Parkway
Durham, NC27713
phone [phone]
lax 919.361. 2269
license number: C 0293. C 187
wy.w mcadamsco corn
MAPLE RIDGE
USGS TOPO MAP
CEDAR CREEK ROAD
FRANKLIN COUNTY, NORTH CAROLINA
PLAN INFORMATION
PROJECT NO. GHK-2020110384
FILENAME USGS-MAP
CHECKED BY TEP
DRAWN BY SJB
SCALE 1"=1000'
DATE 08.10.2021