WQ0043149_Application (FTSE)_20220513

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number; (to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1 Applicant's name: Town of Fuquay-Varina (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation [] General Partnership
❑ Federal ❑ State:'C aunty ® Municipal
3_ Signature authority's name: Michael Wagner. PF, per 1 S_k.Nr. v 021 .Otttti�b
Title: Public Utility Director
4. Appiicant's mailing address: Y00554NYAM 134 N. Main St
City: Fuquay-Varina State: NC Zip: 27526
5_ Applicant's contact information:
Phone number: [phone] Email Address: mwa ner6Dfuquay-varina.org
It. PRO.IEcr INFORMATION:
❑ Privately -Owned Public l:ti`ity
❑ Other
Su� �" 444t�ts
I. Project name: Bcxford Phase 7-10
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: WQOO
3. County where project is located: Wake
4. Approximate Coordinates (Decimal Degrees): latitude: 78.7156' Longitude: - S 9 9°
5. Parcel ID (if applicable): 0687425609 (or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
I. Professional Engineer: Thomas S. Sgeight Jr -PE, PI,S License Number: 020234
Firm: Bateman Civil Survey Company
Mailing address: 2524 Reliance Avenue
City: Apex State: NC Zip: 27539
Phone number: [phone] Email Address: tom(@batemancivitsurvey.com
2. WASTEWATERTREATMEN'I' FACII.ITV (WWTF) INFORMATION:
1. Facility Name: Terrible Creek WWTP Permit Number: NC0066516
Owner Name: 'Town of Fuquay-Varina
IV. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ CSOO193
2. Downstream (Receiving) Sewer Information: 24 inch ® Gravity f J Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00193
Owner Name(s): Town of Fuquu-Varina
FORM: FTA 06-21 Page I of 5

V1. GENERAL REQUIREMENTS
I. if the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No ® NrA
2. If the Applicant is a Developer of lots to be sold, has a Agrecment (FORNt DEV been attached?
❑ Yes ❑ No ® NIA
3. 1f the Applicant is a Home/Property Owners Association, has an 1I0Ai10A Optrutiunal.Agrceinent '1=ORlEI: 1 it:>rl l and
supplementary documentation as required by 15A NCAC 02T.01 15(c) been attached'!
❑ Yes ❑ No ® NIA
4. Origin of wastewater: (check all that apply) -
Residential (Individually Owned) ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential (Leased) ❑ Retail with food preparationlservice ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical I dental I veterinary facilities ❑ Swimming Pool/Clubhouse
❑ Food 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 (,%Qc 15A NCA(.. 02'1 .0103(20))
1Flndustrial, is there a Pretreatment Program in effect? ❑ Yes No
6. Has a flow reduction been approved under 15A. NC_A(- 02T .011_1( ? ® 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"
No. of Units
Flow
Bexford Subdivision (Phase 7-10)
225 gal/House (75gal/bed)
0
0 GPD
gal/
GPD
gall
GPD
gall
GPD
gall
gall
GPD
GPD
Total
0 GPD
a Sec 15A NL V' 021 .0114(bJ_Lt, 'elf 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 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15 1 N( A( 021.01 14] 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 NCAC 02'f .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): Constructing gravity sewer while phase 1-4 is built out. Sewer flow in system will not include Phase 7-
10.Once sewer flow is allocated by Town of Fuqua-Varina this permit will be revised to include the flows.
FORM: FI'A 06-21 Page 2 of 5

VI 1. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 021 .0305 & MIX. Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
2,352
PVC
8
384
DIP
D Section 11 & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section I II 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) —02A .0305 & 'VIDC (Pumrt Statiotis/torce -NIains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACI I PUMP STATION INCLUDED IN THIS 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 (TDI1)
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 2.0.1 C. Lb. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A W At.. 02T .0305fh►t 1 t:
❑ Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - 1 SA 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.
➢ 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 02'r ,0305(f)):
1. Does the project comply with all separations?alternatives found in 15A INC A(.02T .0305(t) & t U? ® Yes [:]No
15A NCAC 02T.0305(0 contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Stone sewers and other utilities not listed below (vertical)
18 inches
'Water 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 I waters of Class I or
Class 11 impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
**Waters classified WS (except WS-1 or WS V), d, SA, ORW, I IQW, or SB from normal
high water (or tide elevation) and wet=ands 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 2T,030ff f or (&}, see Section X.I of this application
*15A N( AC 021'.0305{u) contains alternatives where separations in 0202 f.0305A 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 N( Surface Water C'lassific;ations wtbwup,G
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ NIA
➢ If no, please refer to 15A NCAC 18C.0906(0 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.
➢ Seethe Division's draf_5epari�t�on rccluirerncnt 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: Neuse ❑ No
If yes, does the project comply with setbacks found in the river basin rules per I SA NCAC' 02B .0200? ® Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NUAC 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 NCAC 02T.0105 { 1(additional permits/certifications)? ® Yes ❑ No
Per 15A 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, stormwater management plans, etc.).
7. Does this project include any sewer collection lines that arc deemed "high -priority?" ❑ Yes ® No
Per 15A NC A(_ 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 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 permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

X. CERTIFICATIONS:
I. Does the submitted system comply with 15A NCAQ 021. the 1,lrntinun,,Ihsr n Criteria fir the Pcrrr3ittin�uf i'urn Srations
and Force h4<u.n� i East vvrmoni, and the trtaylLY Sewer %litutitum Design ( riteria (law q version l 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 ttroiects 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
sienificant portion of the iwoiect, the full technical review is required.
2. Professional ngineer's Certification:
1, Thomas S. Speight Jr. , attest that this application for _Rexford Phase 7-10
(Professiuttal Engineer's name from Application Item 1,'[. 1;) (Project Name from Application Itcm IL1)
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 ( riterta for 6mv€t Scwcr; latest version), and the Minimum Design (. nteria for the Fast-1'nwk Permiuinu
irfPumpS[rtt,ons.and 1•pr-pret: Mmns (latest vcrsiun). 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 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):
1, Michael Wagner , attest that this application for _ Bexford Phase 7-10
(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.
1 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 incomplcte. 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, andlor 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 143-215.6, and 143-215.611, 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: FfA 06-21 Page 5 of 5

BCSC
BATFV AN C,V#t. SURVEY 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 7.10 — Fast Track Sewer Application
6490 Hilltop Road, Fuqua-Varina, Wake County, NC
Site Information
PIN# 0687-42.5609
Approximately 43 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 USACE Action 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 consist of 73 units, Phase 7-10 consist of 149). Currently sewer flow is not
allocated by the town for phases 7-10. 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. Spelght, Jr., PE, PLS
Civil Engineering & Land Development
P: 919.577.1080
tomObatemancivitsurvey.com

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GATEMAN CIVIL SURVEY COMPANY
2524 Reliance Avenue
Apex, North Carolina 27539
TO: NCDEQ-DWR
Raleigh Regional Office- WQS
3800 Barrett Drive
Raleigh, NC 27609
DATE: January 19, 2022
Phone: [phone]
[e-mail]
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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
NOTES:
PREPARED BY:
SIGNED:
DATE: January 19, 2022
RECEIVED BY:
SIGNED:
DATE:
X For Submittal
As Requested by Client