WQ0043602_Application_20220803

DWR
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: V' WOO )\ (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
d/3
RECEIVED/NCDEQ/DWI
JUL 14 2022
1. Applicant's name: Town of Grover (company, municipality, HOA, utility, etc.) MOORESVILWOROS
LE REGIONAL OFFICE
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal VI ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: i /" Inq rk �G d c0%e-,' per 15A NCAC 02T .0106(b)
Title: p u b /i` G Wo L S
4. Applicant's mailing address: 207 Mulberry Road
City: Grover State: NC Zip: 28073.-
5. Applicant's contact information:
Phone number: [phone] Email Address: / rn C 414l €..1/ V 70W/1 0-(ir0Vei/J C a 041
II. PROJECT INFORMATION:
1. Project name: Grover Townhomes
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: Cleveland
4. Approximate Coordinates (Decimal Degrees): Latitude: N.35.16881° Longitude: W.81.45092°
5. Parcel ID (if applicable): 2562756319 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: David Reese License Number: 018163
Firm: CESI
Mailing address: PO Box 54
City: Statesville State: NC Zip: 28687-
Phone number: [phone] Email Address: davidreese(ciicesicgs.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: C/
1. Facility Name: Grover Wastewater Treatment Plan Permit Number: /VC DD 6 S I l 2
Owner Name: Town of Grover
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ
2. Downstream (Receiving) Sewer Information: inch 15 Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS -0 9, 2-4(
Owner Name(s): Town of Grover
FORM: FTA 06-21
Page 1 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8"
25.72
PVC
8"
105.03
PVC
8"
125.79
PVC
8"
PVC
,2200.455
11
S 7
➢ 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 .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 2.01C.1.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ 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

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), 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. Approval of the request will be issued
concurrently with the approval of the permit, and projects 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
significant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:
I, David Reese , attest that this application for Grover Walk
(Professional Engineer's name from Application Item III.).) (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 Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains (latest version). 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 143-215.6B, 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):
" t / a �'C� / e t C 0 9j 1 �r l , attest that this application for
(Signature Authority Name from Application Item I.3.)
Grover Walk
(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 143-215.6B, 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:
7�
FORM: FTA 06-21 Page 5 of 5

CES$
Civil- Geotechnical -Surveying
March 25, 2022
State of North Carolina
Department of Environmental Quality
Division on Water Resources
Mooresville Regional Office
610 E. Center Avenue
Mooresville, NC 28115
RECEIVED/NCDEQ/DWR
JUL 1 1 2022
WQROS
MOORESVILLE REGIONAL OFFICE
Re: Grover Townhomes Subdivision Sewer Line Extension
To Whom It May Concern:
We are pleased to submit this fast -track sewer system extension application.
Project Narrative:
The proposed project is to build a multi -family townhouse development in Grover, NC
at the intersection of Mulberry Road, Cherry Street, and Main Street. To provide
sewer services to the 29 homes, a sewer line extension is required. The sewer
system has been designed to the NCDENR Minimum Design Criteria for the
permitting of Gravity Sewers (Adopted by the Division of Water Quality on February
12, 1996. Updated to 15A NCAC 2T Regulations on March 2008).
There are a total of 4 manholes for the extension with 456.99 LF of 8" PVC pipe. The
longest run between manholes is 200.45 LF, below the maximum of 425 LF. There
are no drop type manholes, with inside drops less than 30". Slopes on 8" PVC pipe
are 0.5% throughout. There is uniform slope of the pipes between manholes.
The proposed sewer system ties into an existing sewer manhole, which is currently
part of the Town of Grover's sewer system. The homes will be 3BR homes and
based off a flow of 360 gallons/day/home, the total flow will be 10,440 gallons/day.
The homes will each have 4" PVC laterals at a minimum 0.8% slope.
CESI — Statesville Branch Office
Civil — Geotechnical — Surveying
PO Box 54, Statesville, NC 28687
642D Signal Hill Drive Extension, NC 28625 [phone]
NCBELS Firm License C-0263

Enclosed you will find several items:
• 2 Copies (1 Original) Fast Track Sewer System Extension Application FTA 06-
21. Professional Engineer's certification on Page 5.
• 2 Copies of Sanitary Sewer Specifications
• Application Fee of $480
• USGS Topographic Map of the area on 8.5" x 11"
• Aerial of the site on 8.5" x 11"
• 2 Sets of Utility Plans including profile and detail sheets (CVR, C600, C601,
C602, C603, C610)
Let us know you have any questions or need anything further. We look forward to
hearing from you.
Sincerely,
David Reese, PE
Statesville Branch Manager
CESI
704.657.4180

RECEIVED/NCDEQ/DWR
AUW
State of North Carolina
WQROS Department of Environmental Quality
MOORESVILLE REGIONAL OFFICE Division of Water Resources
`022
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: South Oak Partner, LLC
Project Name for which flow is being requested: Grover Walk
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.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: G k- v.,1 ! P
b. WWTP Facility Permit #: ►'I C cp0 G-j z 4 Z,
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
All flows are in MGD
.l
0
o, o4�'
C), c 1 C) 4--
o . oS S `t-
5F3.4f%
II. 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)
Design
Pump Average Daily Approx. Total Current
Station Firm Flow** Current Avg. Flow Plus
(Name or Capacity, * (Firm / pf), Daily Flow, Obligated
Number) MGD MGD MGD Flow
002 0. / S o.0728 0,024.5
(B) (C)
Obligated,
Not Yet
Tributary
Daily Flow,
MGD
(D)=(B+C)
D.ol ca,03�5
(E)=(A-D)
Available
Capacity***
0.03' 4-
* The Firm Capacity 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.
*** 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): 6 Ro yE Vi vi rP
Downstream Permit Number: PV C p o 6 6-Z4 Z-
Page 1 of 6
FTSE 04-16

III. Certification Statement:
I Ma fAk_ / 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 indicates acceptance of this wastewater flow.
22&
Signing Officia Signature
44f,c4.czk5
ate
Page 2 of 6
FTSE 04-16