WQ0043987_Application_20221212

Division of Water Resources
RECEIVED/NCDE_Q/DWR
State of North Carolina
Department of Environmental Quality
Division of Water Resources
DEC - 8 2022
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
WQROS FTA 06-21 & SUPPORTING DOCUMENTATION
MOORFSVIJ i F RF(;intat nFFICF
Application Number: be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Dallas (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: Maria Stroupe per 15A NCAC 02T .0106(b)
Title: Town Manager
4. Applicant's mailing address: 210 N Holland Street
City: Dallas State: NC Zip: 28034-1625
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
II. PROJECT INFORMATION:
1. Project name: Dallas/Stanley Pump Station Upgrade
2. Application/Project status: ►4 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: W000
3. County where project is located: Gaston
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.3207° Longitude: --81.1640°
5. Parcel ID (if applicable): 218863 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Johnny H Denton License Number: 23530
Firm: Diamond Engineering, PLLC
Mailing address: 440 Old NC 277 Loop Road
City: Dallas State: NC Zip: 28034
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Town of Dallas WWTP Permit Number: NC006888
Owner Name: Town of Dallas
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ
2. Downstream (Receiving) Sewer Information: inch 0 Gravity 0 Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
FORM: FTA 06-21
Page 1 of 5

/2/12
VI GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attachcd?
O Yes No &1 N/A
If the Applicant is a Developer of lots to be sold, has a Dc \eloper's Operational Agreement (FORA DEV) been attached?
O Yes 0 No )IN/A
3, If the Applicant is a Home/Property Owners' Association_ has an HQA/P0AopgraoQpiit Amement(FORMLHOAI and
supplementary documentation as required by I 3A NCAC 02T.0115(c) been attached?
4. Origin of wastewater (check all that apply):
El Residential (Individually Owned)
O Residential (Leased)
O School / preschool / day care
0 Food and drink facilities
0 Businesses / offices / factories
O Yes 0 No A N/A
O Retail (stores, centers, malls)
0 Retail with food preparation/service
0 Medical / dental / veterinary facilities
0 Church
• Nursing Honie
0 Car Wash
0 Hotel and/or Motels
Swinuning Pool/Clubhouse
0 Swimming Pool/Filter Backwash
ID Other (Explain in Attachment)
5, Nature of wastewater : 100 % Domestic % Cornmercial % Industrial (See 15A NCAC 02T 010.3(20))
If industrial, is there a Pretreatment Program in effect? 0 Yes0 No
6. Has a flow reduction been approved under 15A NC AC 02T 0 114(09 0 Yes 0 No
e If ves, provide a copy of flow reduction approval letter with this application
Summarize wastewater generated by project:
Establishment Type (See 02T.0114(0)
Daily Design
gal/
No. of Units
Flow
GPD
gal/
gal/
gall
gal/
gal/
GPD
GPD
GPD
GPD
GPD
Tara' GPD
a See 15A NCAC 1A121(4 ortJjjmA. [cA.Z) for caveats to wastewater design flow rates (i.e„ mininunn 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.& -12A--.)-
b Per 15A NCAC 02T ,0114(c). design flow rates for establislunents not identified [in table 1.5A NCAC 02T 01141 shall be
determined using available flow data, water using fixtures. occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPI) (per 15A NCAC )2T _0_114)
e Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
0 Purnp 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,
0 Flom has already been allocated in Permit Number: Issuance Date:
[ZI Rehabilitation or replacement of existing sewers with no new flow expected
0 Other (Explain): _
FORM: FT, 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
12
41
PVC
➢ 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 (Pumu Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: TOD #2 W00500165
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.3207° Longitude:-81.1640°
3. Total number of pumps at the pump station: 2
3. Design flow of the pump station: 1_3 millions gallons per day (firm capacity)
➢ This should reflect the total GPM for the pump station with the largest putnp out of service.
4. Operational point(s) per pump(s): 1800 gallons per minute (GPM) at 131 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
20
2690
PVC
20
60
DIP
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 0 Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
® Standby power source or 0 Standby pump
> Must have automatic activation and telemetry - 15A NCAC 02T.0305(h)(1)(B)i
➢ 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):
0 Portable power source with manual activation, quick -connection receptacle and telemetry -
or
0 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(0):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(f) & (g)? ❑ Yes ❑ No
15A NCAC 02T.0305(fj 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
'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-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
**Arty 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 0 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 0 NIA
> 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: Catawba ❑ No
If yes, does the project comply with setbacks found in the river basin rules per I5A NCAC 02B .0200? ® Yes 0 No
> This includes Trout Buffered Streams per 15A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Natiomvide/individual permits 0 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 0 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 pennit 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 am deemed "high -priority?" 0 Yes ® No
Per 15A NCAC 02T.0402, "high -priority sewe?' 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 i5A NCAC 02T, the Minimuln Design Criteria for the Permitting of Purnp Stations
and Force Mains (latest version). and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
®Yes El 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 annroval of the permit, and projects requiring a variance approval may be subiect 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:if/
I, Jo /� +l n G/ r7 - (/2c2 Tel attest that this application for i2 //A s /ten /ey pam/?S/a/ tL
(Professional En eer s name from Application Item 111.1.) (Projec \ama from . pl' uou Item 11.1)
U0 if.c
has been reviewed by me and is accurate, complete and consistent with the inforfn tion 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):
I, . 7 !. ct, , attest that this application for -/ 61K-i /;*JP.2i i l e y /wiry? j )r_cii 0"-
(Sign re Authority Name from ApAication Item 1.3.) (Project Name from Application Iter1 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 attachunents 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 attaclunents 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: /; -
FORM: FTA 06-21
Page 5 of 5

December 12, 2022
Ori Tuvia
Division of Water Resources
Mooresville Regional Office
610 E. Center Avenue
Mooresville, NC 28115
SUBJECT: Dallas/Stanley Pump Station Upgrade (1987 Permit Number:
14292)
Dear Mr, Tuvia,
This letter is to document the original pump station design flow, and the pump station
design flows for the proposed improvements.
The original pump station and 8" force main were permitted in 1987. It was designed
to flow 320 gpm. This pump station is now at capacity. We are proposing to replace
this pump station with a new pump station and force main. The new pump station is
designed to flow 1800 gpm through a new 20" force main. This will provide for the
current inflow and for future expansion of the system.
If you have any questions, you may contact me at 704-922-0024.
Sincerely,
hnny I Denton, PE, PLS
Diamond Engineering, PLLC
Fiagizwaing Surw7.iN
rosion Control Flaming
Water & Sewer f..),sign
440 NC 277 Loop Rw3,..-1
218034
Phone' (704.'i 922..0024

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