WQ0043587_Application (FTSE)_20220603

D...WR
Division of Water Resources
NC Dept of Environmental Qualil• State of North Carolina
Department of Environmental Quality
�A 3 2Q2 Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Raleigh Regional Office FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: A}%.PPgS6� (ui be wmpleted by DwR)
All Items must be completed or the application will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: City of Mebane (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State. -County ® Municipal ❑ Other
3. Signature authority's name: Chris Rollins per 1 W.CAC 02T .61.Q b)
Title; City Manager
4. AppIicant's mailing address: 106 E. Washington street
City: Mebdgg, State: NC Zip: 27302-
5. Applicant's contact information:
Phone number: [phone] Email Address. [e-mail]
ll. PROJECT INFORMATION:
I . Protect name: l 1'_Street Apartments
2. AppIication/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 pcnnit number: WQ00__ _
3. County where project is located: Orange County
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.090654 ° Longitude:-79.257039'
5. Parcel ID (if applicable): 9 2-41-0961 (or Parcel ID to closest downstream sewer)
Ill. CONSULTANT' INFORMATION:
1, Professional Engineer: Timothy A. Smi i License Number. 030517
Firm: Summit 12mign and Engineering Services
Mailing address: 320 Executive Court
City: Hillsborough State: NC 7ip: 27278
Phone number 919) 732-3883 Email Address: tim,[e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: WRRF Permit Number: NCO021474
Owner Name: City of Mebane
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ .
2. Downstream (Receiving) Sewer Information: inch 13 Gravity O Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00081
Owner Name(s): City of Mebane
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 PeYd jxt is QnrftfiQE@LAZMpupreat tkpRM: DFV] been attached?
❑ Yes [:]No ® N; A
3. If the Applicant is a Home/Property Owners' Association, has an 110kPOA Operational ASreement ( FQRMt WA) and
supplementary documentation as required by 15A NCAC 02T.01 15(c) been attached?
❑ Yes ❑ No ® NIA
4. Origin of wastewater: (check alk that apply):
❑ Residential (Individually Owned) ❑ Retail (stores, centers, malls) ❑ Car Wash
® Residential (Leased) ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School I preschool I day care ❑ Medical / dental i veterinary facilities ❑ Swimming Pool/Clubhouse
❑ Food and drink facilities H
Church ❑ Swimming Pool/Filter Backwash
❑ Businesses I offices ; factories Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic 0 % Commercial 0 % Industrial (See 15 A NCA,C.02T., IO 03W )
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 1.SA N( AC 02T .01 l4(? ❑ Yes ®No
If ves, Provide a cony of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see O2T.0114(f))
Daily Design Flow ^°
No. of Units
Flow
48 one and two bdrm apartment unitst80
gpd/bdnn
160 gal/day min.
48
7,680 GPD
gall
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
7,680 GPD
a i5ee 1,)A f4t Aq,;. 2 t ,U 1 141D,�,�,..�a�{ l)an4_€e W 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 C.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table I5_A VCA 0 T.0114 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 7_,680 GPD (per 1 SA 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:
❑ 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 CRITFRIA (if Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Materlal
8 196 DIP
➢ Section II & III 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) — 02T.030 5 & MDC (Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR E 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 (fuze 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 2.0IC. Lb. [] Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify) .
fo-_ Power reliability in accordance with 15A NCAC 027' .0305(h)(I ):
❑ 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 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 NCACO2"1'.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.
FORK FTA 06-2 t Page 3 of 5

I.X. SE f BACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(Q):
1. Does the project comply with all separationsfalterttatives found in 15A NCAC 0,2T A3USC & Jr. ® 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) 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 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) r 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 ti
➢ If noncompliance with 92T Q3ft5ifl or {tt). see Section X. I of this application
*.I SA NCAC. 02T,0305 contains alternatives where separations in 021(;305(t) 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 webM_e
2. Does this project comply with the minimum separation requirements for water mains? ® Yes []No ❑ MA
A If no, please refer to 1SA NCAC 18C.0906(t) 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 stparation re%uireme!t� 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: Cape Fear ❑ No
If yes, does the project comply with setbacks found in the river basin rules per ]5A_NC4C_02__B_,02%r? ®Yes ❑ No
A This includes Trout Buttered Streams per 1.5A NCAC: 2B.0202
5. Does the project require coveragerauthorization under a 404 Nationwide/individual permits ❑ Yes ® No
or 40t Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverageJauthorization is required.
6. Does project comply with 1 SA _6CQ2 QJQ5{cX61(additional permits/certifications)? ❑ Yes ❑ No
Per 15A15A NQAC 02T.010. (M, 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 sedunentation 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 021-_040), "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 ISA NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: F 1'A 06- 2 l Page 4 of 5

X. CFRTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria Far the rmLt1jM.gf Funia Stations
d Forme. M 19.s.Clattyersionl. and the gtif_'jLy-r ewe Minitnum Desio Criteria ( latest varsiol.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
conSI!rrently with the approval of the permit, and prolects reguiring a variance 8012roval may be sub ect to longer
review times. For prolects rgguiring 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;
1, Timothy A. Smith, PE , attest that this application for I Ph Street Apo I ments
(Professional Engineer's name from Application Item III 1.) (Project Natne 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. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
i t myffl_D ign Criteria for {igavi r Sew latest nrsicln], and the Mini�am Des n_CriteTa for IIa~ Fat -Track Permitting
of Pump Stations and f arse Mains 11tllcst vexsionl. 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 I43-215.6A 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:
CARO
SEAL
03054/ 1_1 /2022
3. Appli nt's C ificathon r 15 CAC 021.0106(b):
1, ✓hr4 4, attest that this application for 11 th Street Apartments
(Signature 01hority Name from Application Item 1.3.) (Project Name from Application Item H.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 Iand 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 will be returned to me as incomplete.
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.
Signature: Date: LW2
FORM: FTA 06-21 Page 5 of 5

NC Dept of Environmental Qualit
State of North Carolina
AN DWk 3 2T Department of Environmental Quality
Division of Water Resources
Raleigh Regional OffiF�ow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: City of Mebane _-
Project Name for which flow is being requested: Eleventh Street Apartments
More than one FTSE maybe 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: City of Mebane
b. WWTP Facility Permit #: NCO021474
All flows are in MGD
c. WWTP facility's permitted flow 2.5
d. Estimated obligated flow not yet tributary to the WWTP 0.424
e. WWTP facility's actual avg. flow 1.692
f. Total flow for this specific request 0.00768
g. Total actual and obligated flows to the facility 2.124
h. Percent of permitted flow used 85%
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:
(A)
(B}
(C)
(D)=(B+C)
(E)=(A-D)
Design
Average
Approx,
Obligated,
Total
Pump
Daily
Current
Not Yet
Current Flow
Pump Station
Station
Firm
Flow**
Avg. Daily
Tributary
Plus
(Name or
Permit
Capacity, *
(Firm 1 pt),
Flow,
Daily Flow,
Obligated
Available
Number)
No.
MGD
MGD
MGD
MGD
Flow
Capacity***
SERe ional
2.500
1.002
0.228
0.138
0.366
0.634
* 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
(pf) 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): City of Mebane
Downstream Permit Number: WQ0038635
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Chris Rollins certify to the best of my knowledge that the addition of
the volume ofwastcwaterto 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 It 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.
Signing Official Signature
Title of Signing *ff4ia!
Page 2 of 6
Date
FTSE 10-18

SUMMIT
DESIGN AND ENGINEERING SERVICES
Project:
SDE Project #:
Information Provided by:
Contents:
320 Executive Court, Hillsborough, NC 27278
Phone // 919,132.3883 Web // www.summitde.net
Fast Track Sewer Application
Cover Letter
Eleventh St. Apartments
20-0162.010
Timothy A. Smith, P.E.
June 2, 2022
Cover Letter, wastewater flow calculations and project narrative, Division of Water Resources
Fast Track Sewer System Extension application and attachments.
Proiect Narrative:
Eleventh Street Apartments consists of three proposed 2 •story buildings with 16 units in each,
for a total of 48 units. The units will be a combination of one- and two -bedroom units. The project
will also include the construction of parking lots, an access drive and an amenity area with a
shelter, dog park, play field and playground/tot lot. The site is located on South Eleventh Street
in Mebane, North Carolina and identified with Orange County Parcel PIN #9825410961. The
development of this site will require a public sewer main extension along the west side of
Eleventh Street and will then be bored under Eleventh Street to reach the site. This extension will
include 2 new manholes and 196 If of 8" SDR-35 PVC pipe.
Wastewater Flows:
48 one- and two -bedroom apartment units @ 80 gpd/bdrm (160gpd min.) = 7,680 gpd
(per 15A NCAC 027 .0114 Wastewater Flow Rates)
Total Wastewater Flow = 7,680 gpd
Items included with this submittal: (one original and one copy)
• Cover Letter
• Fast Track Form and $480 fee check
• Flow Tracking Form
• Site Maps (USGS and Google Street Map)
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SUMMIT
DESIGN AND ENGINEERING SERViC:5
LETTER OF TRANSMITTAL
320 Executive Court, Hillsborough, NC 27278
Phone i l 919.732.3883 Web H www.summitde.net
TO: NCDEQ - Division of Water Resources ,� DATE: 6/2/2022 PRO]. NO.:20-0162
3800 Barrett Drive, Suite 100 I RE: Eleventh Street Apartments
Raleigh, NC 27609 Fast Track Sewer Extension Application
ATTN:
Scott Vinson XC bept of Environmental Qulltit�
-
919-791-4200 j U N 3 2022
TRANSMITTED VIA: Fedex
Raleigh Regional Office
WE ARE SENDING YOU:
COPIES DRAWING DATE
I C-Ithru LS-1 4/4/2022
t i N/A 6/2/2022
L N/A 4/ 11 /2022
T N/A 3/21 /2022
DESCRIPTION
Eleventh St. Apartments Construction Drawings
Cover Letter
Fast Track Sewer Application
Flow Tracking Form FTSE
1 N/A N/A Google Maps Site Location Map
I N/A N/A NCGS Quad Map Site Location
I N/A 5/26/2022 $480 Fee Check
N/A 6/2/2022 CD Disk with Digital Files
TRANSMITTED
For Approval As Requested For Your Use For Review and Comment
COMMENTS:
COPY TO:
SIGNATURE: Timothy A. Smith
Ow lOh OlN.0.��Ya N