WQ0043774_Application (FTSE)_20220822

NC Dept of Enwatimental Quality
DocuSign Envelope ID: 1F3EE50C-E80C46F1-B65E-EE3126A31168
AU6 22 2022 State of North Carolina
Department of Environmental Quality
DWR Raleigh Regional OfficeDivision of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: IN 00''% (to he completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: Town of Holly Springs
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ StatelCounty ® Municipal ❑ Other
3. Signature authority's name: Kendra D. Parrisl ,PE _ _ ^ _ per I SA NCAC 02T .0106(b)
Title: Executive Director of Utilities & Infrastructure Service
4. Applicant's mailing address: 128 South Main Street PO Box 8
City: Holly Springs State: NC Zip: 27540
5. Applicant's contact information:
Phone number: [phone] Email Address: Kcndr2i.varrish(rPhollvspringsnc.gov
IL PROJECT INFORMATION:
I. Project name: The Yield 2.0 -Pod 4- Infrastructure
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: Witke
4. Approximate Coordinates (Decimal Degrees): Latitude: N34.073128 Longitude: W84.633W
5. Parcel ID (if applicable) : _____.. _ . (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: William Altman, PE License Number: 045892
Firm: Timmons Group
Mailing address: 5410 Trinity Rd Suite 102
City: Raleigh State: NC Zip: 27607
Phone number: [phone] Email Address:: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Utley Creek Water Reclamation Facility Permit Number: NCO063096
Owner Name: Town of Holly Springs
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ0042872
2. Downstream (Receiving) Sewer Information: -I" 12_ inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00192
Owner Name(s): Town of Holly Springs
FORM: FTA 06-21 Page i of 5

DocuSign Envelope ID- 1F3EE50C E80C-46F1-B65E-E1=3126A31168
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 Developer's Operational Aarcement (FORM: DEV) been attached?
[—]Yes ❑No ®N`A
3. If the Applicant is a Home:Property Owners' Association, has an HOA.'POA Operational Agreement (FORM:-FIk�A and
supplementary documentation as required by 15A NCAC 02T.0I 15(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 PoollClubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
® Businesses i offices r' factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: % Domestic % Commercial 100 % Industrial (See 1 SA NSA((12T _010;K2(�j)
If Industrial, is there a Pretreatment Program in effect? ❑X Yes❑ No
6. Has a flow reduction been approved under I SA NCAC 02T .01 14r i)? ❑ 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.0I14(f))
Daily Design Flow "6
No. of Units
Flow
gall
GPD
gall
GPD
gal/
GPD
gall
GPD
gall
GPD
gall
GPD
Total
0 GPD
a See I-5A_NCAC 02T-0114(b), (d},-(el{ l) 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 .01 14(c), design flow rates for establishments not identified [in table 15A NC -AC 02T.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: 0 GPD (per 15A NCAC 02T,0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump StationlForce 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: WQ0042872 Issuance Date: Nov 17, 2021
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: FTA 06-21 Page 2 of 5

DocuS+gn Envelope ID: 1F3EE50C-E80C46F1-B65E-EE3126A31168
V11. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewersl:
1. Summarize gravity sewcr to be permitted:
Size (inches)
Length (feet)
Material
8
2,153 2w7
PVC
8
794
DIP
12
1,509
PVC
12
550
DI
➢ 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
V111. PUMP STATION DESIGN CRITERIA (If Applicable) — 027' .0305 & MDC. (Pamta Stations/Farce 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):
3. Total number of pumps at the pump station: _
3. Design flow of the pump station:
Latitude: 0Longitude: °
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.,030-Sht] :
❑ 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 al l 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

DocuSign Envelope ID: 1F3EE50C-E80C-46F1-B65E-EE3126A31168
IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .03046 $ (8)? ❑x Yes ❑ No
15A NCAC 02T.0305(f) contains minimum separations that shal l 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-1 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-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
➢ If noncompliance with 02T.0305i 0 or t e]- see Section X.l of this application
*I SA NCAC 02T.Ml(g) contains alternatives where separations in 02T.0305M 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 webpage
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ N1A
➢ If no, please refer to 15A NCAC 18C.0906(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 draft sep0ration requirements 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 I SA NCAC 020-,0200'' ® Yes ❑ No
➢ This includes Trout Buffered Streams per I A NCAC 2B.0202
5. Does the project require coveragelauthorization under a 404 Nationwidel individual permits ® Yes ❑ No
or 401 Water Quality Certifications?
➢ Please provide the permit numberlpermitting status in the cover letter if coveragelauthorization is required.
6. Does project comply with 15A NCAC 02T.01051c)(6) (additional permitslcertifications)? ® 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 are deemed "high -priority?" ❑ Yes ® No
Per 15A 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

DoouSign Envelope ID: 1 F3EE50C-E8oC-46F1-B65E-EE3126A31168
X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCACD2T, the Minimum Dgs1&n.C1i ri for the Permitting of Pump Stations
Ln_�_horce 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 loneer
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 Qroaect, the full technical review is required.
-
2. Professional Engineer's Certification:
I William Altman, PE
_ .-_-. ,attest that this application for The Yield 2.0 -Pod 4 - Infrastructure
(Professional Engineer's name from Application Item 111.1.) (Project Name 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,
Minimum DesijZn Crileria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permittinc
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 143-215.613, 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: 4'1 N C A 0�4►
A�OFE3S� 0�
0�ofcu5lpnedby: J? R
WtlUAtk Q S 7
BA F.s�� ar.�75a 04519
8/4/2022
IN
�� C
P.
Applicant's Certification per 15A NCAC 02T .0106(b):
1, Kendra D. Parrish- PE ., attest that this application for The Yield 2.0 - Pod 4
(Signature Authority Name from Application Item 13 ) (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.
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, andior 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.
IJJ,DocuStpned by,
Signature: �`�` _ _ Date: 8/4/2022
030051RSSIFC34440.
FORM: FTA 06-21 Page 5 of 5

DocuSign Envelope ID: 1F3EE50C. E80C46F1-B65E-EE3126A31168
.�0000 It
5410 Tnnity Road P 919.866.4951
T I M M O N S GROUP SLrite
Ralei IF919.859.5663
Raleagh NC 27607 vnnw.timmons.com
Yield 2.0-Pod 4
Date: 08-02-22 Job #: 50490
Items included in package:
COPIES
DATE
NUMBER
DESCRIPTION
1
Full Size Civil Plan Set
1
Fast Track Sewer System Extension Application
1
Sewer Design Certification
1
$480.00 Check NCDEQ
1
$200.00 Check Town of Holly Springs)
1
USGS Topographic Ma
1
Street level ma(vicinity map shown on C0.0
Cover Letter:
The proposed project is in Town of Holly Springs, located at the intersection of New Hill Holly Springs
Road and Hensley PI_ The scope of the project will include the construction of two Town of Holly Springs
roads, a water main, reclaimed water main and sanitary sewer main. The proposed sanitary sewer
system will serve the surrounding properties and connect to an existing main on the other side of Green
Oaks Parkway to ultimately connect to the Town's existing pump station. The new gravity sanitary sewer
system will be owned, operated, and maintained by the Town of Holly Springs. The sanitary sewer main
is made up of:
Size (inches)
Length (feet)
Material
8
2,153
PVC
8
794
DIP
12
12
1,509
PVC
550
DIP
Associated 401 /404 permits are currently under review. The flow permitted for this site was included in
the Oakview Innovation Park permit issued November 17,2021 (permit # WQ0042872).
ENGINEERING I DESIGN I TECHNOLOGY

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DocuSign Envelope ID: 1F3EE50C E800-46F1-B65E-EE3126A31168
{. # icei11it 1
i, FI
T HE TOWN OF
August 3, 2022
Director, Division of Water Resources
Raleigh Regional Office
Water Quality Operation Section
3800 Barrett Drive
Raleigh, NC 27609
,� olly �'prings
Re: Application for Sewer Extension Permit
Project: Yield 2.0, Pod 4 Infrastructure
Dear Sir or Madam:
NCDcpt ofEnvirmMental Quality
a l tr4
Raleigb Region Office
Please find enclosed the following items in application for a sewer extension permit to the Town
of Holly Springs existing sewer distribution system:
0 One original and one copy cover letter including a project narrative
o A check in the amount of $480.00
0 One original and one copy of the State of North Carolina Fast Track Sewer System
Extension Application(FTA 04-16)
0 Two color copies of 8.5-inch by 11-inch portion of 7.5 minute USGS Topographic
Map showing project area
0 Two copies of a street level map showing all relevant project areas
0 One copy of the locally -required Design and Application Certification
Feel free to contact me at 919-577-3150 should you have any questions or need additional
information in order to process this application.
Sincerely, Hftun.dby:
05969FC34440,
Kendra D. Parrish, P.E., CFM
Executive Director of Utilities and Infrastructure
KP/tr
cc: Project Consultant Engineer, William Altman, PE
Rachel Ingham, Utility Engineer
Drew Johnson, Development Construction Manager
Theresa Randall, Utility Permitting Specialist
Project file/Correspondence #42010
os nns
3002
04 172018
Utilities and Infrastructure Services
P,O. Box 8 - 128 S. Main Street - HolIy Springs, NC 27540 - www.hollyspringsnc.gov

DocuSign Envelope IR 1F3EE50C-E80C-46F1-865E-EE3126A31168
DO NOT SUBMIT SEWER EXTENSION APPLICATIONS UNTIL
CONSTRUCTION DRAWINGS HAVE BEEN APPROVED BY STAFF!
Sewer Design and Application Certification
Note: This form must be submitted with the Fast Tract Application for extension to the Town of
Holly Springs Sewer System
Project: The Yield 2.0 - Pod 4
Design Engineer: Timmons Group, William Altman, PE
Address: 5410 Trinity Road, Suite 102 Raleigh NC, 27607
Phone Number: (919) w6 493a Email: William.Altman(pTimmons.eom
Date Complete Application Package Received by Town: osro3t=2
os 0s 0s
Date Approved: Rz (by RI) (by KDP) (by DJ)
As design engineer for this project, I certify the following (please check (x) each applicable box).
O That the design of the project is in complete conformance with the Town of Holly
Springs Engineering Design and Construction Standards and NC DEQ Sanitary Sewer
Design Regulations;
© That each of the following items are completed and enclosed for submittal to the State for
a sewer extension permit:
o One cover letter that includes a project narrative
® A check in the amount of $480.00 to NC DEQ
® A check in the amount of $200.00 to the Town of Holly Springs
m One State of North Carolina form FTA 04-16 Fast Tract Sewer System
Extension Application
® One FTSE 10-18 Flow Tracking for Sewer Extension Applications
• One color copy of an 8.5-inch by 11-inch portion of a 7.5-minute
USGS Topographic Map showing project area
® One copy of a street level map showing all relevant project areas
® One copy of the locally -required Design and Application Certification
(this form)
Design Engineer's Signature
Date 7-27-2022
Please contact Theresa Randall at [phone] or theresa.randall`'4:hollyspringsnc ov if you
have any questions.
2003 Scwcr Dcsign Application Cerifiratlon
01.1421
Utilities and Infrastructure Services
P.O Box 8 • 128 S. Main Street • Holly Springs, NC 27540 0 wwlv.hollyspringsne gov