WQ0043776_Application (FTSE)_20220826

DocuSign Envelope ID: 4A6736CATF2E-48A0-94Elcgal 7CD9789E2
DeptroC of Environmen tal Quality
DWR
Division of Water Resources
AUG 2 C 2022
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Raleigh Regional Office
FTA 06-21 & SUPPORTING DOCUMENTATION
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Application Numbet:\ oO`13 1 (to be complctcd by DWR)
All items must be completed or the application will he returned
1. APPLICANT INFORMATION:
1. Applicant's name: City of Sanford (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: Paul Weeks per 15A NCAC 02T:010(gI))
Title: City Engineer
4. Applicant's mailing address: 225 E Weatherspoon Street
City: Sanford State: NC Zip: 27330-
5. Applicant's contact information:
Phone number: [phone] Email Address: paul.weeks(alsanfordnc.net
II. PROJECT INFORMATION:
1. Project name: Pine Reserve Apartments - PU I L. l C
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: 35.457891' Longitude,-79.218235'
5. Parcel ID (if applicable): 9632-52-0276-00 (or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
1. Professional Engineer: Bill Keaton License Number: 045626
Firm: Timmons Group
Mailing address: 5410 Trinity Road, STE. 102
City: Raleigh State: NC Zip: 27607-
Phonc number: (704) 12Q-29I4 Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Big Buffalo Wastewater Treatment Plant Permit Number: NC00204=47
Owner Name: City of Sanford
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): W Q 11042
2. Downstream (Receiving) Sewer Information: 12 inch lift Gravity ;:1 Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00047
Owner Name(s): City of Sanford
FORM: FTA 06-21
Page 1 of 5

DocuSign Envelope ID: 4A6736CA-FF2E-48A0-94E1-4017CD9789E2
VI. GENERAL REQUIREMENTS
- . r1 .
vtrtentai Ouldtfy
AUK 2 c 216
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenienck ls.Aycen attached?
❑ Yes ❑ No ® N/A
2. If the Applicant is a Developer of lots to be sold, has a J eveloucr's Operationaf Agrccmcm (FORM: Dal been attached?
❑ Yes ❑ No ® N/A
3. If the Applicant is a Homc/Property Owners' Association, has an QWI'QA { rational Agreement IP RM: I IOAI and
supplementary documentation as required by 15A NCAC 02T.01 I 5(c) been attached?
❑ Yes ❑ No ® NIA
4. Origin of wastewater: (check all that apply):
® Residential (Individually Owned)
® Residential (Leased)
❑ School / preschool / day care
❑ Food and drink facilities
• Businesses 1 offices / factories
❑ Retail (stores, centers, malls)
❑ Retail with food preparation/service
❑ Medical / dental / veterinary facilities
❑ Church
❑ Nursing Home
trice
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool/Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater ; % Domestic % Commercial % Industrial (See 15A NCAC 02T .0103(20))
if lndustnal, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 0 ]- .0 ] 14{ fl? ❑ 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(t))
Daily Design Flow"
No. of Units
Flow
gal/
GPD
gal/
GPD
gall
GPD
gal!
GPD
gal/
GPD
gal/
GPD
Total
GPI)
a Sec 15A, NCAC 02T .01 I4.113 (d). , 1 . ,- (O{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
m G.S. 4 -I).
b Per I5A NCAC 02T .0114(c), design flow rates for establishments not identified in table I SA NC.A(.: 0?f,0114] 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 NrAc.Q21 .. 114)
➢ 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 sn Permit Number. Issuance Date:
® Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: PTA 06 21
Page 2 of 5

DocuSign Envelope ID: 4A6736CA-FF2E-48A0-94E1-4017CD9789E2
VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 021' .0305 & MDC (Gravity Sewers
1 Summarize gravity sewer to he permitted:
Size (inches)
Length (feet)
Material
8
51.18
DIP
8
1,422.35
PVC
Y Section II & 111 of the MDC for Permitting of Gravity Sewers contains information related to design criteria
A Section 1I1 contains information related to minimum slopes for gravity sewer(s)
• Ovcrsizing Tines to meet minimum slope requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DF,SIGN CRITERIA (If Applicable) — 02'f .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 Herne:
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 (I"DH)
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 me hod of solids reduction per
MDCPSFM Section 2.OIC.1.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(h)( I ):
❑ Standby power source or ❑ Standby pump
A Must have autorn-atic activation and telemetry - 1 SA NCAC 02T.0305(h ')(13):
> Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
A Must be permanent to facility and may not he portable
Or if the pump station has an average daily flow less than 15,000 gallons per day ISA NCACO2T.0305(h)(l)(C):
El 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.
D Tithe portabic power source or pump is decimated 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 timcframes, 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: 4A6736CA-FF2E-48A0-94E1-4017CD9789E2
�L 014 °fEn"nmental Quality
IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .030511) &WM Re Yes ❑ No
I5A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems: irtiao
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
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), 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,0305(f) or (g), see Section X.1 of this application
*ail t',1C' t}73-,0305(j) contains alternatives where separations in 02T 0305 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 CIitssiFftcalices wcbpagc
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ NIA
> If no, please refer to 15A NCAC l RC.0906(1) 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
D Please provide supplementary infotmation .Identifying the areas of non-conformance.
➢ See the Division's stroll staitixion.waykipenis 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 1 5A NCAC 02B .0200? ❑ Yes ❑ No
D This includes Trout Buffered Streams per 15&NCAC 213.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑ Yes ®No
or 401 Water Quality Certifications?
D Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with ISA NCAir 02T.0105(L 1(ti) (additional permits/certifications)? ® Yes ❑ Ko
Per t5A N("Ai#' 0 T0I05teUf6), 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 .1.2kKACP2T,0401, "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: 4A6736CA-FF2E-413A0-94E1-4017CD9789E2
X. CERTIFICATIONS:
A1J P. CI 2022
Raleigh Regf Ofike
1. Does the submitted system comply with I SA .! (' D7T the i i Otc i erntiiiitrt errhifilD_StAliutIS
pr14 Fgrce Mjy1; Ellt(cSL Yersitin), and the Grp ity Sewer Minimum Desiap Criteria liatcsi version)' as applicable?
®Yes No
If no, for projects requiring a single variance, complete and submit the Variance•Altcmative 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 proiccts requiring a variance approval may be subiect to longer
review times. For proiccts rcouiring 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 reauired.
2. Professional Engineer's Certification:
1, t,/1, 6.
(Professional Engineer's name from Application Item IIt.1.)
, attest that this application for'ie.faete O -t 3:74
(Project Name from Application hem IL 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,
Miii nium 1)csij n Criteria for Gravity Scwcrs Ilaicst versici , and the Minimum IJesigi CtitUi» forthe FAst:Taick Porgdlting
of Pump Stations and Forte Mains (latch versiool. Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that 1 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:
= a. SEAL �r .
71. 045626
W
3. Applicant's Certification per 15A NCAC 02T .0106(b): '// / 1 t 1 l 1 t
Paul M. weeks Jr. P.E. Pine Reserve Off site sewer
I, , attest that this application for _
(Signature Authority Name from Application hem 1 3 )
(Project Name from Application Item III)
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 arc 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 arc 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 $I0,000 as well as civil penalties up to $25,000 per violation
Signature:
Docu3lpned by:
pa„ AL ht. (Pals Jr. P t.
- BBC39E6667844B9
Date:
8/24/2022
FORM: FTA 06-21 Page 5 of 5

DocuSign Envelope ID 4A6736CA-FF2E-48A0-94E1-4017CD9789F7
••••••
•
TIMMONS GROUP
YOUR VISION ACHIEVED THROUGH OURS
4/22/2022
State of North Carolina Department of Environmental Quality
Raleigh Regional Office Land Quality Section
3800 Barrett Drive
Raleigh, NC 27609
5410 Trinity Road
Suite 102
Raleigh, NC 27607
P 919 866,4951
F 919 859.5663
www.dmmons.com
Fast Track Sewer Extension Application — Pine Reserve Offsite Sewer Upgrades .l 61•I;�,
To Whom It May Concern:
Timmons Group is p.eased to submit the following Fast Track Sewer Extension Application on behalf of iwn of
Sanford. This review is for the replacement of 8-inch sewer. This project includes the replacement of 10 lengths of
sewer equating to approximately 1,474 FT of sewer and 5 manholes with the addition of 1 new inside drop manhole.
The planned limits of disturbance are approximately 0.66 acres.
The sewer upgrades are in support of the Pine Reserve Apartments, Pine Reserve has an onsite pump station that is
designed to discharge 110 GPM. Flow monitoring was done on the existing sewer and the total peak flow was
measured at 250 GPM.
We look forward to hearing from you regarding this review. If you have any questions or need any additional
information, please don't hesitate to contact me at 704.790.2914 or bi11-keatonatimmons.com at your convenience.
Sincerely,
1
Bill Keaton, PE
Senor Project Manager
704.790.2914
CIVIL ENGINEERING I ENVIRONMENTAL I SURVEYING I GIS I LANDSCAPE ARCNIrECTURE I CONSTRUCTION SERVICES

DocuSign Envelope ID: 4A6736CA-FF2E-46A0-94E1-4017CD9789E2
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DocuSign Envelope ID: 4A6736CA-FF2E-48A0-94E1-4017CD9789E2
CONNECTGIS
WEb MOSIINO
APPROXIMATE
SEWER ALIGNMENT
'it. of Sao fried Site Data conta toed within this s1-e is for reference purposes only and is nerd to Change.
Sanford
Printed April 12, 2022
Site Below for Disclaimer
Pioposel 6l9rvnenk
Survey Progress
•
► oortine Atie Pr ill Ducialsenb
1J0hrs
Colalty Soudiry
❑ Duo..
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Centerlines
OutstarWvy Fees
Parcels (Mack
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Railroad
Nord city Umits Guido,
St Res;rlac.y 2016 - 2017
St Resurfacing 2015 -2016
St Resurfacing 2014
SI Reslrfas ri 2012 -2013
St Resurfacing 2009
St Resirfindng 2007 - 2008
St Resurfacing 2006 2007
5t ReSurfacitg 2065 - 2006
St Resurfltlrg 2002 2003
St Reswfackg 2001 • 2002
St Resurfacing :000 • 2001
St Resurfacing 2000
St Rtstirficirg 1999 1999
St ReHrlKu9 11197 - 1490
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St Resurfacing 1996 15197
Sidewalks
NC Dept iiithvirtiofiefital C+7aiity
408 2 217
Raleigh itegtoaid of

reg ram.
•
TIMMONS GROUP
YOUR VISION ACHIEVED THROUGH OURS.
5410 Trinity Road
Suite 102
Raleigh, NC 27607
TRANSMITTAL
PWS Section Plan Review Unit
TO: _
1634 Mail Service Center
Raleigh, NC 27699-1634
44l0;4
Date: 8/2612022 Job#: 4iffie04
O
Project: Pine Reserve Offsite Sewer wee
Reference:
Copies Sent To:
P 919.866.4951
F 919.859.5663
.4,t www.timmons.com
SIOfe,�.
GE
COPIES
DATE
DESCRIPTION
1
8/26/2022
Check
1
8/26/2022
Cover Letter
1
8/26/2022
Sewer Fast Track Application
1
8/26/2022
Site Map
1
8/26/2022
Area Maps
THESE ITEMS ARE TRANSMITTED:
If enclosures are not as noted, please notify us at once.
COMMENTS:
These documents pertain to the submittal or the Pine Reserve Offsite Sewer. The proposed
plan will replace the existing 8" sewer.
CIVIL ENGINEERING I ENVIRONMENTAL I SURVEYING I GIS I LANDSCAPE ARCHITECTURE I CONSTRUCTION SERVICES