WQ0043503_Application (FTSE)_20220513

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: OO q3 50o becompleted by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Town of Fuquay-Varina (company, municipality, IIOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State.`County ® Municipal
3. Signature authority's name: Michael Wagner. PE per 15A NCAC 02 1'.t1106(b)
Title: Public Utility Director
4. Applicant's mailing address: MMADfiYAX 134 N. Main St.
City: ugpoy-Vari State: NC Zip: 27526-
5. Applicant's contact information:
Phone number: [phone] Email Address: mwa ner w,fuquay _varina.ora
11. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
I. Project name: Bexford Phase 5-6
2. Applie ationlProject 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: 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)
III. CONSULTANT INFORMATION:
1, Professional Engineer: Thomas S. Speight Jr.,PE, PLS License Number: 020234
Firm: Bateman Civil Survey Compaov
Mailing address: 2524 Reliance Avenue
City: Amex State: NC Zip: 27539-�
Phone number: [phone] Email Address: [e-mail]
2. WASTEWATER TREATMENT FACILrry (WWTF)1NFORMATION.-
1. Facility Name: Terrible Creek WWTP Permit Number: NCO066516
Owner Name: Town of Fuquay-Varina
IV. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ CS00193
2. Downstream (Receiving) Sewer Information: 24 inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00193
Owner Name(s): Town of Fu ua -Varina
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 ®N/A
2. if the Applicant is a Developer of lots to be sold, has a ��loper's C17� era�,i,�,nal :l,�rcc€licnt {1�()tOA V - been attached?
❑ Yes ❑ No ® N/A
3. If the Applicant is a Home/Property Owners' Association, has an lift. A PQAA Operational A re anent I i !_tl(I I ft):11 and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
❑ Yes ❑ No ®N/A
4. Origin of wastewater: (check all that apply):
® Residential (Individually Owned) ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential (Leased) ❑ Retail with food prcparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool/Clubhouse
❑ rood and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic %Commercial % Industrial (See 15A NL AC 02'1 .0103f201)
If Industrial, is there a Pretreatment Program in effect? ❑ Yes❑ No
6. Has a flow reduction been approved under 15A N(;ACU2T .01 14(? ® Yes ❑ No
D If yes, provide a cony of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow ',b
No. of Units
Flow
Bexford Subdivision (Phase 5-6)
225 gal/House (75gal/bed)
0
0 GPD
gal/
GPD
gal?
GPD
gall
GPD
gal;'
GPD
gal.+
GPD
Total
0 GPD
a See 15A NCAC 01 0114(h), td),_Ieg 11 and iett2 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 O.S. 4 A-41.
b Per 15A NCAC 02T .0I 14(c), design flow rates for establishments not identified [in table + . . . ] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 48,825 GPD (per 15A Ut; M 021 .01 W
➢ 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): Constructing gravity sewer while phase 1-4 is built out. Sewer flow in system will not include Phase 5-
6, Once sewer flow is allocated by Town of Fuqua-Varina this permit will be revised to include the flows.
FORM: FTA 06-21 Page 2 of 5

Vll. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02'f .03€l5 & NI lK Gravity Sewers):
Summarize gravity sewer to be permitted:
Sire (inches) Length (feet) Material
8 379 PVC
➢ Section I I & II I 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) —02 r .0305 & MDC (Putup Stations/I orce Mains—):
PROVIDE A SEPARATE. COPY O THIS PAGE FOR EACH PUMP STATION INCLUDED IN 'ruin PROJECT
1. 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 total dynamic head (DH)
S. 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.Lb. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC tt2T .03U'{131r11:
❑ 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)(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.
D 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

1X. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f))-
I. Does the project comply with all separations/alternatives found in ' 5A NCAQ 02T .0)05.f t & i a ® Yes ❑ No
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
Y 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)
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-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-1 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
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ If noncompliance with 'I'.0305( f or 6 see Section X.I of this application
* 15A NCAC 02T.0305f1;) contains alternatives where separations in 02T.0305f fi 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 Wuu:r Classifications webrra ge
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ WA
If no, please refer to 15A NCAC 18C.0906(o for documentation requirements and submit a separate document,
signed/scaled 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
D Please provide supplementary information identifying the areas of non-conformance.
See the Division's draft separation %quircmeiiu for situations where separation cannot be met.
D 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
1f yes, does the project comply with setbacks found in the river basin rules per ! 5A NCAQ 02B .0200? ® Yes ❑ No
➢ 'I'his includes Trout Buffered Streams per N.(-A( 113.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ® Yes ❑ No
or 401 Water Quality Certifications?
D Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A INC A( Q21 0105(O (,) (additional permits/certifications)'? ® Ycs ❑ No
Per 15A N( AC 021%0105tc1(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,
siplion, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interferencelconflict 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 permittec's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

X. CERTIFICATIONS:
1. Does thesubmitted system comply with IS.A VCA(_021', the Minimum Design Criteria for thi_Pertnttttne of Pump Slatlons
and I mue M,uns (latest verstun and the Oras�ity Sewer 141intmum De-istn Criteria tlatetit_ver Icuo1 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 proieets reauiring a variance approval may be subject to loner
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 proieet, the full technical review is required.
2. Professional Engineer's Certification:
1, Thomas S. Speight Jr. _ attest that this application for Bexford Phase 5-6
(ProfeS5iC1Lal f;nt;sneer's name rron, Application hen, lit I ) (Project Nairm ream Application Item II 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. 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 6n o ity Sewers (latestyermonj, and the Minirnutn Dry tg,n Criteria for the Past-1 rack I"cruittnng
of Punp Stations and FOrue Maims 'latest version'. Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials tinder 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. 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: '
�AR�
;;OQQQoft: sr ,yR(,,� i
E L
20234 `
3. Applicant's Certification per 15A NCAC 02T .0106(b);
1 Michael Wagner , attest that this application for _ Bexford Phase 5-6
(Signature Authority Name From Application hem 1.3.) (Project Name frout Application licit 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. 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. 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 I43-215.613, 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 $10,000 as well as civil penalties up to $25,000 per violation.
Signature: _ Date;
05/02/2022
FORM: FTA 06-21 Pagc 5 of 5

E3 C S C
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,
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RA' FMAN C'iVlt S! 1RV4 Y COMPANY
2524 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 5.6 — Fast Track Sewer Application
6490 Hilltop Road, Fuqua-Vanna, Wake County. NC
Site Information
f IN# 0687.42.5609
Approximately 10 AC
To Whom It May Concern:
Phone: [phone]
[e-mail]
Please find the enclosed application. plans and support'.ng documentation for the Bexford Subdivision for your review
and approval. Please note that this project has an approved 401 application (DWR#20211837 USACE Acton ID No.
SAW-2019-02335).
We are seeking authorization to construct the sewer service for the remaining phases of the Bexford development
(Phase 1-4 consist of 176 units: Phase 5-6 will consist of 73 units). Currently sewer flow is not allocated by the town
for phases 5-6. As allocation becomes available this sewer permit will be updated accordingly.
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 additional 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
tomObatemancivilsurvey.com

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BCSC
BATEMAN CIVIL SURVEY COMPANY
2524 Reliance Avenue
Apex, North Carolina 27539
Phone: [phone]
[e-mail]
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TO: NCDEQ-DWR ""
Raleigh Regional Office- WQ5 AN
3800 Barrett Drive f y 1i
Raleigh, NC 27609
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DATE: January 19, 2022 face
RE: Bexford Subdivision Phase 5-10 -- LETTER OF TRANSMITTAL
City of Fuqua-Varina
BCSC #190419
COPIES
PAPER CD ELECTRONIC
1 1
SHEETS
1
DESCRIPTION
Cover Sheet
1
1
8
DWR Application for Approval
1
1
6
FTA Application for Approval
1
1
1
USGS Topographical Map
1
1
1
Aerial Location Map
1
Payment by Check for Application
THESE ARE TRANSMITTED AS INDICATED BELOW:
X For Approval X For Submittal
NOTES:
PREPARED BY:
SIGNED:
DATE: January 19, 2022
RECEIVED BY:
SIGNED:
DATE:
As Requested by Client