WQ0043148_Application (FTSE)_20220513

State of North Carolina
Department of Environmental Quality
IDWRDivision of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: U vV "I 314 (to be completed be DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Town ol'l-uguav-Varina (compact).. municipality. I IOA. utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ StatclCounty ® Municipal
3. Signature authority's name: Michael Wagner, PE per I5A \CAC 02T .0106(h)
Title: Public Utility Director
4. Applicant's mailing address: 134 N. Main St.
City: Fuqua).-Varina Slate: NC Zip: 27526-
5. Applicant's contact information:
Phone number: (919) 567-391 1 Email Address: mwagneru,fuquav-varina.org
H. PROJECT INFORMATION:
❑ Pri%ately-Owned Public Utility
❑ Other
I. Project name: Bexford Phase 1-4
2. Application/Project stains: ® Proposed (New Permit) ❑ Existing Permit; Project
If 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: Wake
4. Approximate Coordinates (Decimal Degrees): Latitude: 78.7156, Longitude:-35.5989'
5. Parcel ID (if applicable): 0687425609 (or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
I. Processional Engineer: Thomas S. Speight Jr., PE, PLS License Number: 020234
Firm: Bateman Civil Survey Company
Mailing address: 2524 Reliance Avenue
City: Apex State: NC lip: 27539-
Phone number: [phone] Email Address: tom�ci;batemancivilsur_v_ey.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. I-acility Name: Terrible Creek W WTP Permit Number: NCO066516
Owner Name: Town of Fuquav-Varina
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Numbcr(s): WQCS00193
2. Downstream (Receiving) Sewer Information: 24 inch ® Gravity rl I-orce Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00193
Owner Namc(s): Town of Fuqua). Varina
FORM: FTA 06-21 Page I of 5

V1. GENERAL REQUIRENIENTS
1. If the Applicant is a Privately -Owned Public Utility. has a Certificate of Public Convenience and Necessity been attached?
[:)Yes [:]No MN -A
2. If the Applicant is a Developer of lots to be sold. has a De%cloper's Operational Agreement (FORN1: DEyl been attached?
❑ Ycs ❑ No ®N-A
3. If the Applicant is a I lomelProperty Owners' Association, has an I IOA- POA Operational Agreement (FORM: I IOA) and
supplementary documentation as required by 15A NCAC 02T.01 I3(c) been attached?
❑ Ycs ❑ No ®N+A
4. Origin of wastewater: (check all that apply):
® Residential (Individually 0%%ned) ❑ Retail (stores, centers. malls) ❑ Car Wash
❑ Residential (Leased) ❑ Retail with food prcparationfservice ❑ Ilotel and.lor Motels
❑ Schooll preschool l day care ❑ Medical 1 dental 1 veterinary facilities ❑ Swinuning Pool.Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool+Filter Backwash
❑ Businesses ? offices.-' factories ❑ Nursing I lome ❑ Other (Explain in Attachment)
5. Nature of %vastc«ater : 100 % Domestic _% Commercial % Industrial (Sec 15A NCAC 02'1' .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flo%%. reduction been approved under 15A NCAC 02T A)1 140)? ® Yes ❑ No
> if yes, provide a copy of flow reduction approval letter with this application
7. Summarize waste«ater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow "b
No. of Units
Flow
Bexford Subdivision (Phase 1-4)
225 gall'I-louse (75galibed)
176
3%600 GPD
Amenity
6,250 gal!
6,250 GPD
gal!
GPD
gall
GPD
gall
GPD
gall
GPD
Total
45.850 GPD
a Sec 15A NCAC (12 f .01 14(h). (d). (c)(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 G.S. 42A-4).
b Per ISA NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T,01 141 shall be
determined using aN ailable flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 45,850 GPD (per l5A NCAC 02'1 .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 k%--herc flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timefirame 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 & NIDC (Cra%ity Sewers):
I. Summarize gravity sc%%,cr to be permitted:
Size (inches)
Length (feet)
Material
8
9,392
PVC
8
708
DIP
Section If & III ofthe MDC for Permitting of Gravity Sewers contains information related to design criteria
Section lit contains information related to minimum slopes for gravit% sewer(s)
v Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
Vlll. PUMP STATION DESIGN CRITERIA (If Applicable) —02T .0305 & MDC (Puml) Stations+Force Mains):
PROVIDE A SEPARATE COPY OFTHIS PAGE; FOR 1>ACII PUMP STATION INUMDE:D IN TI IIS PROJECT
1. Pump station number or name: Bexford Pumn Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.5989- Longitude:-78.7121'
3. Total number of pumps at the pump station: 2
3. Design flo%% of the pump station: 0.197 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): 360 gallons per minute (GPM) at 98.2 feet total d) namic head (I'DF1)
5. Summarize the force main to be permitted (tor this Pump Station):
Size (inches)
Length (feet)
Material
8
8,272
PVC
If any portion of the force main is less than 4-inches in diameter, please idcntil�- the method of solids reduction per
MDCPSFM Section 2.01C_Lb. ® Grinder Pump ❑ Mechanical Bar Screen ® Other (please specify) Grinder Mll
6. Power reliability in accordance with JS;�.NC'. �'O21 .0305ihll 11:
® 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 flo%v 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 I5A NCACO2T.0305(h)(1)(C):
❑ Portable power source a ith manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit %vilh plugged emergency pump connection and telemetry:
7 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 timefrantes, shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM: FfA 06-21 Page 3 of5

IX. SETBACKS & SEPARATIONS— (02B..0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .030511 & 0 '? ® 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)
18 inches
'Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
=Water mains (horizontal)
t0 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 11 impounded reservoirs used as a source ofdrinking eater, and associated wetlands.
100 feet
**Waters classified WS (except WS-I or WS-V), B. SA, ORW, IiQW, 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 % ertical 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.03050) or_(k), see Section X.I of this application
*15A NCAC 02T.030560 contains alternatives where separations in 02 f,030501 cannot he achieved. Please check eyes"
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
2. Does this project comply, with the minimum separation requirements for water mains? ® Yes ❑ No ❑ MA
f no, please refer to 15A NCAC 18C.0906(t) for documentation requirements and submit a separate document,
signedisealed 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 ofnon-conformance.
See the Division's draft separation requirements for situations where separation cannot be met.
7 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: Neuse ❑ No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 0211 .0200? ® Yes ❑ No
This includes Trout Buffered Streams per 15A NCAC 211.0202
5. Does the project require coveragelauthorization under a 404 Nationwideli ndividual permits ® Yes ❑ No
or 401 Water Quality Certifications?
Please pro% ide the permit numberipermitting status in the cover letter if coveragelauthorization is required.
6. Does project comply, with 15A NCAC 02'f_0105(c)(6) (additional permitslcertifications)? ® Yes ❑ No
Per I5A NCAC 02T.0105 c 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, stornnvater 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 I5A NCAC 02T. the Minimum Design Criteria liar the Permitting of Pump Station
and Force Nlains (latest version). and the Grain Serer Minimum [),--.sign Criteria (latest version) as applicable?
® Yes ❑ No
[f 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 germit, and projects reguiring a variance approval may be subject to longer
review times. For Projects reguiring two or more variances or where the variance is determined by the Division to be a
sienificant portion of the proiect, the full technical review is required.
2. Professional Engineer's Certification-
1, _ Thomas S. Speight Jr. , attest that this application for_Bexlbrd Phase 1-4
(Profc53ional F.ngmccr's name :Yohi Application Item III I ) (Project Name from Application ncm 11 11
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.
,Vlinini un Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria tin• the Fast- rack Permittina
o1' Pumu Stations and Force Mains (latest %ersion). 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 tine 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: .'`tA CA�`""•.
�2`.tEsxr'�
EAf4 r�, �• 1
Applicant's Certification per I SA NCAC 02T .0106(b):
I. Michael Wagner . attest that this application for Bexford Phase 1-4
(Signature Authoring Name from Application Item 1.3) tPro)ect 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.
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. 1 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 143-215.613. any person who kno%%ingly 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: 06i30/2022
FORM: FTA 06-21 Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Fuquay-Varina
Project Name for which flow is being requested: Bexford Phase 1-4
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.
a. WWTP Facility Name: _
b. WWTP Facility Permit #
Terrible Creek WWTP
NC0066516
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
Al! flows are in MGD
3.0
1.069
1.284
.045
2.353
78.4°fo
1I. 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:
Pump Pump
Station Station
(Name or Permit
Number) No.
Bexford
(A)
(B)
Design
Average
Approx.
Firm
Daily Flow**
Current
Capacity. *
(Firm i pf),
Avg. Daily
MGD
MGD
Flow, MGD
.526
.210
0
(C)
(D)=(B+C)
(E)=(A-D)
Obligated,
Not Yet
Total Current
Tributary
Flow Plus
Daily Flow,
Obligated
Available
MGD
Flow
Capacity***
0
.045
.165
* The Firm Capacity (design flow) 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
(pi) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** 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): Terrible Creek WWTP
Downstream Permit Number: NC0066516
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Michael Wagner _ _ 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 certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
05/0212022
Signing Ofjkial Signature Date
Public Utilities Director
Title of Signing Official
Page 2 of 6
I;TSE 10-18

BCSC
BATEMAN CIVIL SURVEY COMPANY
2S24 Reliance Avenue
Apex, North Carolina 27539
TO: NCDEQ-DWR
Raleigh Regional Office- WQS
3800 Barrett Drive
Raleigh, NC 27609
DATE: July 1, 2022
RE- Bexford Subdivision Phase 1-4 — Fast Track Sewer Application
6490 Hilltop Road, Fuqua-Varina, Wake County, NC
Site Information
PIN# 0687-42-5609
Approximately 42 AC
To Whom It May Concern,
Phone: [phone]
[e-mail]
Please find the enclosed application, plans and supporting documentation for the Bexford Subdivision for your review and
approval. Please note that this project has an approved 401 application (DWR#20211837 USAGE Action ID No. SAW-
2019-02335).
This project proposes the addition of approximately 398 res.,dential single-family and town -home units. Currently, we are seeking
to provide sewer service for 176 lots as allocated by the Town of Fuquay-Varina.
Sewer flow is based on 3 bedroom units, at 75 GPD, at 225/GPDrUnit.
Table 150.01 - Flow Factors
Land Use
Flow Factor
Seyte Family Resrdentia'
75 GPD per tedmom (225 GPD ter un:t m
Mu'fi-Family Residential'
75 GPD per tearoom (l50 GPD .er un t e
Q?frce and thVilul Mal
2PrM GPDracre
Coninun Ural
25p0 GPDracm
6 Austria)
5C00 GPD-'acre
' Use the average of the range of d%elhng units per acre tar the various zoning
aensMes.
Nate Flow factors not listed shall be as recommended by tie Ncrth Carpaina
Department of EfMiMmental Duality (NCOEO)
Table 150.01, Section 150 of Town of Fuquay-Varina Specificaitons.
Project will consist of a pump station that will serve the region. Only sewer flows currently allocated are being requested at this
time.
City of Fuquay-Varina was consulted and agreed to the number and types of units to reach an average daily flow that could be
accommodated. The flows, number of units and total daily flow are included on the application form as required.
If you require add tional information to complete the review and approval for this project, please contact me by phone or email
using the information below.
Kind Regards,
Thomas S. Speight, Jr., PE, PLS
Civil Engineering & Land Development
P: 919.577.1080
[e-mail]

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