WQ0043594_Application (FTSE)_20220627

DocuSign Envelope ID: F9467F61-094F4IW91CF-CC373E5D24CC
-W
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 Number: WO D (to be completed by DWR) NC Dept of Environmental Quality
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Cat of Sanford (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ® Municipal
3. Signature authority's name: Paul Weeks per 15A NUAC 02T .Ill M
Title: Utilities and Engineering Director
4. Applicant's mailing address: 225 E. Weathers oon Street
City: Sanford State: NC Zip: 27331
5. Applicant's contact information:
Phone number: 919 777-1122 Email Address: paul.weeks()sanfordnc.net
11. PROJECT INFORMATION:
JUL 012022
Raleigh Regional Office
❑ Privately -Owned Public Utility
❑ Other
1. Project name: Elite Storage (Broadway)
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: Lee
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.4622� Longitude:-79.1377'
5. Parcel ID (if applicable): 9652-92-1997 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Jeff Foster License Number: 028291
Firm: CE Group, Inc
Mailing address: 301 Glenwood Ave., Suite 220
City: Raleigh State: NC Zip: 27603-�
Phone number: [phone] Email Address: jeff(a�cegroupinc.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Big Buffalo W WTP Permit Number: NCO024147
Owner Name: City of Sanford
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ22556
2. Downstream (Receiving) Sewer Information: 8 inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00047
Owner Name(s): City of Sanford
FORM: FTA 06-21 Page I of 5

DocuSign Envelope ID: F9467F61-094F-4160-91CF-CC373E6D24CC
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 Developer's Operational Agreemcnt (FORM: DEV j been attached?
[--]Yes [--]No ® N/A
3. If the Applicant is a Home/Property Owners' Association, has an HOA/P(:)A Operational A, pe!ment (FUR.t: HOAI 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 preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / 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: % Domestic 100 % Commercial _.. % Industrial (Sec 15 q NC C 02t,0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .01141 t)? ❑ Yes ❑ No
➢ If yes, provide a coipy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow "s
No. of Units
Flow
Warehouse — Self Storage
I gaWnit
265
265 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
GPD
a See 15A NCAC 02T .0l l4().[d}_ (e){ 1.1 and ic1[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 .01 14(c), design flow rates for establishments not identified [in table 15A CAC i12T.0l 14J 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 NCAC 02T.0 1141
➢ 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

DocuSign Envelope ID: F9467F61-094F4160-91CF-CC373E5D24CC
VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity, Sewers):
L Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
210
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)
D Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) 02T .0305 & MDC (Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH 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 (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 2.01 C.l .b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A Ni'AC. 02T .0305(h)t l ):
❑ 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 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

bocuSign Envelope ID: F9467F61-094F-4160-91CF-CC373E5D24CC
IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .03[)5(f) &ice-' ® Yes ❑ No
15A NCAC 02T.0305(f) contains minimum separations that shall be nrnvided fnr sewer cvsremv
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 Iines (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-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)
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
y If noncompliance with 02T.0305ft) or (a) , see Section X.I of this application
* 5-1 NCAC 02T.0305jg) contains alternatives where separations in 02T.03051f! 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 Clag�itications webpa�,e
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ N. A
➢ If no, please refer to 15A NCAC 18C.0406(f) 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 ®N+A
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ See the Division's tlra eparation tyquirements 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: ® No
If yes, does the project comply with setbacks found in the river basin rules per .15A Nc.'AC 02B .0200? ❑ Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC 2B4O202
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.OI 05(cN6) (additional permits. -certifications)? ® Yes ❑ No
Per ISA NCAC 02T_0105(.c)(61 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 13 A 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

DocuSign Envelope ID: F9467F61-094F-4160-91CF-CC373E5D24CC
X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimilm Design Cri—ria for the Petm[tiin& o1' Pump Stattow,
and Force Mains latest yersionl, and the Gravity Sewer Minimum Design Criteria (latest 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. Annroval of the reauest will be issued
concurrently with the a roval of the ipermit, and proiects reouirine a variance aipproval may be subject to longer
review times. For tnroiects reauirint< two or more variances or where the variance is determined by the Division to be a
si nificant ortion of the pr9jeF1 the full technical review is re uired.
2. Professional Engineer's Certification:
I, Jeffrey R Foster Jr attest that this application for Elite Storage (Broadway)
(Professional Engineer's name from Application Item III 1 ) (Project Name from Application Item II 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,
Minimum Design Criteri, . fart Gravi!y Sewers (latest versionl, and the Minimum 12csign Criteria. for the Fast-Tra;:k Permitting
gMmp Stations and Force Mains flatest ver i n . 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:
0610?12�
•� -
Applicant's Certification per 15A NCAC 02T .0106(b):
I, Paul Weeks attest that this application for Elite Storage (Broadway)
(Signature Authority Name from Application Item 13.) (Project Name from Application Item II 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 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. 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 143-21.5.613, 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.
EP88C39E55G7844B9
DocuSigned by:
$A h. u1UIS Jr. P.f,.
Signature: Date: 6/30/2022
FORM: FTA 06-21 Page 5 of 5

DocuSign Envelope ID: DBA7E3B7-342D-4F54-864A-11CA05OF6502
NC Dept ofEDvitonmcntal Quality
State of North Carolina
JUL 0 12022 Department of Environmental Quality
Division of Water Resources
Raleigh Regional Offing
Tracking for Sewer Extension Applications
Division of Water Resources (FTSE 10-18)
Application Number: FT-337
Entity Requesting Allocation: City of Sanford
Project Name for which flow is being requested: Elite Storage_Broadway Rd
More titan 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.
Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility name: Big Buffalo Wastewater Treatment Plant
b. WWTP Facility Permit #: NCO024147
AU flows are in MGD
c. WWTP facility permitted flow:
d. Estimated obligated flow not yet tributary to the WWTP:
e. WWTP facility's actual average flow:
12.0000
1.8010
4.1390
f. Total flow for this specific request: 0.00027
g. Total actual and obligated flows to the facility: 5.9402
h. Percent of permitted flow used: 50%
II. Complete this section for each pump station you are responsible for along the route of this proposed
List pump stations located between the project connection point and the WWTP.
(A) (B) (C) (D) - (B+C)
(E)=(A-D)
Pump
Pump Firm Design Approx. Obligated, Total Current
Available
Station
Station Capacity, Average Current Not Yet Flow Plus
Capacity'
(Name or
Permit Daily Floe Avg, Daily Tributary Obligated
Number)
Number tFirmintl Flow, Daily Flow Flow
11IGD MGD MGD MGD MGD
MGD
Kelly . Drive
#005 02880 0 1 152 00360 00060 00420
0.0732
Little Buffalo
6 3648 25459 1 3.`146 06602 19648
0.5811
zBig_Buffalo
#N:'A #N A #N A MA #NrA
#NIA
x
#Nr'A #N+A #N A #NIA MA
MA
x
#N:A #N.'A #N A #N)A #NrA
#NrA
x
#N A #N.:A #N. A MA #N.'A
#NIA
I. 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.
2. Design Average Flow is the firm capacity of the pump station divided by the peaking factor (pf) not
less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
3. 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 5 0.
Downstream Facility Name (Sewer): City of Sanford Collection System
Downstream Permit Number: WQCS00047
Page 1 of 6 FTSE 10-18

DocuSign Envelope ID: DBA7E3B7-342D-4F54-864A-1 I CA05OF6502
III. Certification Statement
I, Paul Weeks, Jr. PE, 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.
E 0 Signed
by:
aul, M WUkS Y. P.f'.
99C79EBBB784409
Signing Official Signature
City Engineer
Title of Signing Official
§dd"2JZ
Date
Page 2 of 6 FTSE 10-18

CE GROUP
June 30, 2022
NCDEQ/DWR
Water Quality Section
Fast Track Unit
3800 Barrett Drive
Raleigh, NC 27609
Re: Elite Mini -Storage (Broadway)
Sanitary Sewer Extension
NC DePt of Environmental Quality
JUL 012022
Rzdcigla Regional Office
Please find attached the following information for the requested extension permit:
- Application Fee: $480
- Fast Track Sewer System Extension Application (FTA 06-21) — Original and Copy
- Flow Tracking/Acceptance Form (Form: FTSE 10-18)
- USGS Topographic Map
- Vicinity Map
- Electronic Thumb Drive (Above Info)
This information is provided as required for processing of the requested permit application for the 8" Public
Sanitary Sewer Extension for Elite Mini -Storage on Broadway Road in Sanford, Lee County, North Carolina,
consisting of a Mini -Storage facility. Immediately downstream of this project is a gravity sanitary sewer system
currently owned by and serving the City of Sanford that flows to the Big Buffalo WWTP Facility. The total
estimated Daily Design Flow at buildout is listed as 265 GPD (1 gallon / unit).
Respectfully Submitted,
CE Group, Inc_
Jeff Foster, PE
Project Manager
301 Glenwood Avenue I Raleigh, NC 27GO3 1 (919) 3G7-8790 I wv w.cegroupinc.com

NC Dept of Environmental Quality
JUL 012022
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TO: NCDEQ — DWQ
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
ATTENTIOW Permitting — Fast Track Sewer
CE GROUP
301 GLENWOOD AVENUE, SUITE 220
RALEIGH, NC 27603
Phone: [phone]
E-Mail: 'eff ce rou inc-com
Transmittal
DATE, June 30, 2022
PROJECT NO: 265_008
Broadway Self -Storage
Quantity
Drawing No.
Description
1
1 original
Fast Track Sewer System Extension Application
1
Project Narrative/Cover Letter
1
Check
$480 Application Fee
1
Copy
USGS Overall Area Maps
1
Copy
Vicinity Location Map
NC Dept of Environmental Quality
Raleigh Regional Office
REMARKS Please let us know if you require any additional information.
CC: , CE Group, lnc
Signed
oster, PE