WQ0043850_Application (FTSE)_20221027

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Transmittal Form
To:
Alfred Benesch & Company
2359 Perimeter Pointe Parkway, Suite 350
Charlotte, NC 28208
RECEIVED/NCDEQ/DWRw.benesch.com
P 704-521-9880
F 704-521-8955
OCT 17 2022
WQROS
HESVILLE REGIONAL OFFICE
NCDEQ- Water Quality Section
Mooresville Regional Office
Attn: Barry Love
610 E. Center Avenue
Mooresville, North Carolina 28115
Date: 10/13/2022 ' Job No. 17000501
Subject: Bruns Academy Elementary School
Application — 1st Submittal
® Mail
Delivery
n Messenger T Next Day Delivery
WE ARE SENDING YOU:
COPIES
DATE
Attached
DESCRIPTION
UPS Ground
Under separate cover:
—1 Other: Hand
1
10/13/22
Cover Letter for FTA 04-16
1
n/a
FTA Application Instructions / Checklist
1
9/29/22
Check No. 231504 (Review Fee)
1
10/13/22
FTA 04-16
1
9/14/22
Water and Sewer Flow Acceptance Letter
1
10/3/22
Flow Tracking for Sewer Extension Application (FTSE-10-18)
1
n/a
8.5 x 11 USGS Topo Map
1
n/a
8.5 x 11 Site Aerial Map
THESE ARE TRANSMITTED as checked below:
—1 For approval
r
IX
r
Approved as submitted TResubmit copies for approval
For your use n Approved as noted nSubmit copies for distribution
As requested p Returned for corrections C Return corrected prints
For review and comment
Remarks: Barry,
Enclosed are application documents to permit approximately 168-LF of private sanitary sewer to
serve a new relief elementary school in Charlotte, NC. These items are being submitted for your
review and/or approval.
Please let us know if you have questions or require additional information.
cc:
Signature: Matthew E. Blackmon, PE
Project Manager
PS01-0998-06 form

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Buns Academy Elementary School
Benesch Project #: 17000501
October 13, 2022
Private Sanitary Sewer Application Cover Letter
Alfred Benesch & Company
2359 Perimeter Pointe Parkway, Suite 350
Charlotte, NC 28208
www.benesch.com
P 704-521-9880
F 704-521-8955
RECEIVE©/NCOEQ/©WR
OCT 17 2022
WQROS
MOORESVILLE REGIONAL OFFICE
This private sanitary sewer extension will serve a new elementary school building at 501 S.
Bruns Ave., Mecklenburg County, North Carolina (Parcel ID: 07107453). The private extension
to be permitted will consist of (4) new manholes, 156-LF of new 8-inch DIP gravity sewer.
The proposed private gravity sewer main will discharge to an existing public 12-inch VCP
gravity service line located inside the parcel, which is owned and operated by Charlotte Water
(PWS ID# 0160010). Ultimately, wastewater flows will terminate at the Irwin Creek
Wastewater Treatment Plant (Permit # NC0024945).
The total flow increase as a result of this project is approximately 13,500 gallons per day (gpd).
In addition to this cover letter, the following items are being submitted as part of the sewer
extension application package:
• Executed FTA 04-16
• Flow Acceptance Letter
• Flow Tracking / Acceptance Form (FTSE 04-16)
• Site Map — 8.5"xl 1" USGS Topographic Map
• 8.5"xl 1" Aerial Map
• Application Fee - $480

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: jkiON- b 9 0o be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
RECEIVED/NCDEQ/DWR
OCT 1 7 2022
S
MOORESVILLE REGIONAL ©NAL OFFICE
1. Applicant's name: Charlotte Mecklenburg Board of Education (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: Gary S Adams per 15A NCAC 02T .0106(b)
Title: Director of Architecture
4 Applicant's mailing address: 3301 Stafford Drive
City: Charlotte State: NC Zip: 28208-
5. Applicant's contact information:
Phone number: [phone] Email Address: garvs.adams(a cros.k12.nc.us
II. PROJECT INFORMATION:
1. Project name: Bruns Academy Elementary School
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: Mecklenburg
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.238° Longitude: -80.866°
5. Parcel ID (if applicable): 07107452 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Matthew Blackmon, PE
Firm: Alfred Benesch & Company
Mailing address: 2359 Perimeter Pointe Parkway, Suite 350
City: Charlotte State: NC Zip: 28208-
Phone number: [phone] Email Address: mblackmonAbenesch.com
License Number: 048826
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Irwin Creek WWTP Permit Number: NC002945
Owner Name: Charlotte Water
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ
2. Downstream (Receiving) Sewer Information: inch ❑ Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
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 ►4 N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (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: HOA) 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)
❑ Residential (Leased) ❑ Retail with food preparation/service
® School / preschool / day care ❑ Medical / dental / veterinary facilities
® Food and drink facilities ❑ Church
❑ Businesses / offices / factories ❑ Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool/Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : % Domestic 100 % Commercial % Industrial (See 15A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ 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(f))
Daily Design Flow a,b
No. of Units
Flow
Elementary School
15 gal/day/student
900
13,500 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
13,500 GPD
a See 15A NCAC 02T .0114(b), (d), (c)(1) 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 .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 13,500 GPD (per 15A 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 CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
156
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 .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.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

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(f) & (g)? ® 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
2Water 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 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
➢ If noncompliance with 02T.0305(f) or (g), see Section X.1 of this application
*15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) 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 ® N/A
> 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 separation 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: ® No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes ❑ No
> This includes Trout Buffered Streams per 15A NCAC 2B.0202
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.0105(c)(6) (additional permits/certifications)? ® 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

X. CERTIFICATIONS:
1. Does the submitted system comply with 15ANCAC 02T. the Mittjtllutit_[Design Criteria for tlt, er►viitting of Pump Stations
and Force Mains (latest version). and the Gravity Sewer MinimumCriteria (latest version as a)plicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VA DC 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 ntay be subject to longer
review times. For projects requiring two or more variances or where the Valiance 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, i\fatthew Blackmon , attest that this application for Bruns Academy Elementary School
(Processional i ngincer'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 Design Crileria_for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Ptpm,-,p 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 xvith the proposed design.
NOTE — In accordance with General Statutes I43-215.6\ 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 $25,000 per violation. Misrepresentation of the application
inlbrmation including failure to disclose any design non-compliance with the applicable Rules and design criteria, 'nay subject
the Notih Carolina -licensed Professional Engineer to referral to the licensing board. (21 NCAC 56.0701)
North Carolina Professional Engineer's seal, signature, and date:
o�ii�tt9tnH II It Itt/,I
4:4 p F SS ONq<�ss.v$s0
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Applicant's Certification per 15.A NCAC 02T .0106(b); ,��i������� ,,�`����
I, Gary S. Adams , attest that this application for Bruns rlcademv Elementary School
(Signature Authority Name from Application Item 1 3_) (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, 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 \vho knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a tine not to exceed S10,000 as well as civil penalties up to S25,000 per violation.
Signature:
Date: 10%132°2Z
FORM1: ETA 06-21 Page 5 of 5

CHARLOTTE
September 14, 2022
Mr. Steve Harrington
Benesch
2359 Perimeter Pointe Parkway
Suite 350
Charlotte, NC 28208
SUBJECT: WATER AND SEWER FLOW ACCEPTANCE
BRUNS ACADEMY ELEMENTARY SCHOOL
5001 S. BRUNS AVE. CHARLOTTE, NC 28208
CLTWATER TRACKING# 20226775
After an analysis of the sanitary sewer associated with the proposed design of project, 20226775,
BRUNS ACADEMY ELEMENTARY SCHOOL, it was determined that there is sufficient capacity to
accommodate the proposed sewer flow of 13,500 gallons per day (900 Students x 15-gpd/student)
at the connection point(s) indicated on the submitted utility plan for transmission to the Irwin Creek
Wastewater Treatment Plant; NPDES permit number NC0024945, for treatment. This acceptance of
flow is based upon the existing capacity of the designated publicly owned treatments works. Please
see attached NCDEQ-FTSE form.
Charlotte Water (CLTWater) agrees to furnish water to the subject project. The water quality to the
subject project is regulated by the State Drinking Water Act Amendments of 1986 and The Water
Supply Management Plan, PWS ID # 0160010 on file with the Public Water Supply Section of
NCDEQ. However, CLTWater cannot guarantee a constant pressure or quality of flow.
The applicant should understand that due to the involvement of other agencies and continuing
growth of the water system, the ability to provide service for future projects cannot be guaranteed
nor reserved. Connection to the CLTWater system is accepted on a first come, first served basis.
The applicant should understand that this letter is not authorization to construct or extend private
water or sewer systems, as the appropriate local or State permits are required prior to construction.
If the appropriate authorization to construct permits are not obtained, construction has not started
within two (2) years of issuance of this flow acceptance, and payment for any service connections
have not been received within two (2) years of issuance of this flow acceptance letter, this flow
acceptance approval shall be rescinded, and a new flow acceptance request must be made.
The CAP analysis performed determines available capacity within the existing public gravity sewer
system. The developer is responsible for any additional private or public sewer infrastructure
required to convey flow from the proposed development to the existing public gravity sewer.
If you have any questions, please do not hesitate to contact me at [phone].
Sincerely,
Pedro- Ga-La rredu•
Pedro Galarreta BSCE, BBA / Engineering Assistant
CHARLOTTE WATER
P: 704-534-6474 / charlottewater.org
Charlotte Water 5100 Brookshire Blvd, Charlotte, NC 28216 charlottewater.org
Operated by the City of Charlotte

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Benesch
Project Name for which flow is being requested: Bruns Academy Elementary School
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: McAlpine Creek, Irwin Creek, Sugar Creek
b. WWTP Facility Permit #: NC0024970, NC0024945, NC0024937
All flows are in MGD
c. WWTP facility's permitted flow 99.00
d. Estimated obligated flow not yet tributary to the WWTP 14.047
e. WWTP facility's actual avg. flow 65.200
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
0.0135
79.650
80.5
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) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm / p f), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
* 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): Unknown
Downstream Permit Number: Unknown
Page 1 of 2
FTSE 10-18

III. Certification Statement:
Ken Cantrell 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 noiinal circumstances, given the implementation of the planned
improvements identified in the planning assessment where applicable. This analysis has been perfouuied
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.
Digitally signed by Keri B Cantrell
Date: 2022.10.03 19:01:03-04'00' 10/03/2022
Adobe Acrobat version: 2022.002.20212
Signing Official Signature
Chief Engineer
Title of Signing Official
Date
Page 2 of 2
FTSE 10-18