WQ0043907_Application (FTSE)_20221011

DocuSign Envelope ID: 2F5A0BAA-5D1D-408C-8BDA-EkRabilkaillignviranniontai Quality
DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Raleigh Rego [ SEWER SYSTEM EXTENSION APPLICATION
FTA 06-21 & SUPPORTING DOCUMENTATION
GCS 1 1 2022
Application Number: f 0048919 ?(to be completed by DWR)
All items must be completed or the application will be returned
I. 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
0 Federal 0 State/County ® Municipal ❑ Other
3. Signature authority's name: PAUL WEEKS. PE per I5A NCAC 02T .010Acbi
Title: CITY ENGINEER
4. Applicant's mailing address: PO BOX 3729
City: Sanford State: NC Zip: 27331-3729-
5. Applicant's contact information:
Phone number: 0)19)77711.19 Email Address: [e-mail]
II. PROJECT INFORMATION:
1. Project name: Homestead - Manufactured Home Park
2. Application/Project status:
® Proposed (New Permit) 0 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: 35.4423 Longitude: -79.1178
5. Parcel ID (if applicable): Pin. # 9661-64-0281-00 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Ken W. Bright License Number: 17585
Firm: Ken Bright Associates. PLLC
Mailing address: PO Box 553
City: Sanford State: NC Zip: 27331 553
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: BIG BUFFALO WASTEWATER TREATMENT PLANT
Owner Name: City of Sanford
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ Unknown
2. Downstream (Receiving) Sewer Information: 8 inch
Permit Number: 0024147
® Gravity D 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

DocuSlgn Envelope ID: 2F5A0BAA-5D1D-40BC-8BDA-EFED84416FD8
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 ®N.A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: Dl:V1 been attached?
❑ Yes ❑ No I] N/A
3. If the Applicant is a Home/Property Owners' Association, has an UIOA,POA Operational Agreement (FORM: HOAR 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)
® Residential (Leased)
❑ School / preschool / day care
❑ Food and drink facilities
❑ Businesses / offices / factories
❑ Retail (stores, centers, malls)
❑ Retail with food preparation/service
❑ Medical / dental / veterinary facilities
❑ Church
❑ Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool/Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic % Commercial % Industrial (,_ge 15A NCAC 021 ,01.0.3(20)
If Industrial, is there a Pretreatment Program in effect? ❑ Yes El No
6. Has a flow reduction been approved under L5A NCC 02T .01 [4U)? 0 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))
Residential 3 bedroom Homes
Daily Design Flow''b
360 gal/day
gal/
gal/
gal/
gal/
gal/
No. of Units
116
Total
Flow
41,760 GPD
GPD
GPD
GPD
GPD
GPD
41,760 GPD
a See l 5A NCAC 02T .0! 14(b), (d), f0.1] and (c)(21 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.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: 41,760 GPD (per I5A 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

DocuSign Envelope ID: 2F5A013AA-5D1 D-4O C-8l3DA-EFED84416FD8
VII. GRAVITY SEWER DESIGN CRITERIA (1f Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
1,800
PVC SDR 26
> 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 2A 1 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):
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.
➢ 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

DocuSign Envelope IP: 2F5A0BAA-5D1 D-40BC-8BDA-EFED84416FD8
IX. SETBACKS & SEPARATIONS — (02B .0200 & 1SA NCAC 02T .0305(1)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .03051f) . (g)''
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
® Yes ❑ No
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
l0 feet
Final earth grade (vertical)
36 inches
➢ If noncompliance with 02T.0305(f) or {g}, see Section X.1 of this application
*I 5A 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 Classificatioo3 weize
2. Does this project comply with the minimum separation requirements for water mains? CO 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? 0 Yes Basin name: ® No
If yes, does the project comply with setbacks found in the river basin rules per I5A NCAC 0213 .0200`' ❑ Yes ❑ No
➢ This includes Trout Buffered Streams per I SA 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 I5A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per I5A NCAC 02 I'.0105(cI(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?" 0 Yes ® No
Per 1 5A 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(aX5) or the permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

DocuSign EnvelopaiD: 2F5A0BAA-SDI D-40BC-8BDA-EFED84416F08
X. CERTIFICATIONS:
1. Does the submitted system comply with I5A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
arld Force Mains (latest version), and the Gravity Sewer Minimum Desig,p Criteria flatest version) as applicable?
®Yes No
If no, for projects requiring a single variance, complete and submit the Variance/Altemative 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 nerinit. and projects requiring a variance approval may be subleci to longer
!review times. For projects requiring two or more variances or where the variance is determined by the Division to be a
signiflcautBortion of th jjolect. the full technical review is required.
2. Professional Engineer's Certification:
I, I(en W. Bright. PE
(Professional Engineer's name from Application Item 111.1.)
, attest that this application for Homestead - Manufactured Home Park
(Project Name from Application Item ILO
has been reviewed by pee 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,
Miai i im Drjiign Criteria for Gr vity Sewers latest versionJ, and the Minimum D oisn Criteria for the !Fast -Track Permitting
of Pump inns anitysree 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):
1117r�,r
ick
SEAL .
: 17585
•
1, P ul W PE attest that this application for Homestead - Manufactured Home Park
(Signature Authority Name from Application Item 1.3.) (Project Name from Application Item 11.I)
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. 1 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 ] 43-215.6A and ] 43-2 ] 5.6B, 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.
LLOocW uargnby:►
k. lNt t. S Jr. f . L. 10/10/2022
Signature: BBC39E8887844B9. Date:
FORM: FTA 06-21 Page 5 of 5

DocuSign Envelope ID: 4F53FBBB-2356-45AE-8E58-F19377350834
Division of Water Resource.
tC Dept ofEnvironmetu,tl VOA"' State of North Carolina
Gen 1 2022 Department of Environmental Quality
Division of Water Resources
Raleigh Rcgionai
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Application Number:
Entity Requesting Allocation:
Project Name for which flow is being requested: Homestead MHP
City of Sanford
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: Big Buffalo Wastewater Treatment Plant
b. WWTP Facility Permit #: NC0024147
All flows are in MGD
c. WWTP facility permitted flow: 12.0000
d. Estimated obligated flow not yet tributary to the WWTP: 1.8516
e. WWTP facility's actual average flow: 4.1390
f. Total flow for this specific request: 0.04176
g. Total actual and obligated flows to the facility: 6.0324
h. Percent of permitted flow used: 50%
II. Complete this section for each pump station you are responsible for along the route of this proposed
List pump stations located between the project connection point and the WWTP.
(A) (B) (C) (D) _ (B+C) (E)=(A-D)
Pump Pump Firm Design Approx. Obligated, Total Current Available
Station Station Capacity' Average Current Not Yet Flow Plus Capacity3
(Name or Permit Daily Flow2 Avg. Daily Tributary Obligated
Number) Number tpirm;nft Flow, Daily Flow, Flow
MGD MGD MGD MGD MGD MGD
Carr_Creek #001 0.9000 0.3923 0.3658 0.0600 0.4258 -0.0335
Gaster_Creek 4.0291 1.6116 1,0195 0.3001 1.3197 0.2920
zBig_Buffalo #N!A #NIA #MIA #N/A #NIA #N/A
x #N. A ONIA #NfA #N/A #N/A #N/A
x #N+A #NIA #NfA #N!A #NfA #NIA
x #N.A #N!A #NfA #N/A #NIA #N/A
1. 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.
2. Design Average Flow is the firm capacity of the pump station divided by the peaking factor (pf) not
less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
3. 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 50.
Downstream Facility Name (Sewer): City of Sanford Collection System
Downstream Permit Number: WQCS00047
Page 1 of 6 FTSE 10-18

DocuSign Envelope ID: 4F53FBB13-2356-45AE-8E58-F19377350834
•
III. Certification Statement
I, Paul Weeks, Jr. PE, 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 1 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.
CocuBipned by:
PAL .i ,t.S,r.P.t.
BBC39E9887844B9.
10/1 0/22
Signing Official Signature Date
Utilities & Engineering Director
Tide of Signing Official
Page 2 dB FTSE 1048

DocuSign Envelope ID: 4F53FBBB-2356-45AE-8E58-F19377350834
PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section II where Available Capacity is <
0.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
103 % and .034 MGD over Available Capacity (E) in the Pump Station
Carr Creek Lift Station ; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
.04 MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
is in design or under construction with
planned completion in ; and/or
d. The following applies:
Carr Creek Lift Station has aproximatley 26,500 GPD available capacity. This project will
produce 41,760 GPD. Carr Creek LS will be upgraded such that the obligated not yet
tributary flow is less than 100% of available capacity.
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow
this flow to be permitted, without a significant likelihood of over -allocating capacity in the system
infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste disposal
system.
Signing Official Signature Date
Page 3 of 6
FTSE 10-18

KEN BRIGHT ASSOCIATES, PLLC
Consultln En Ineers
October 11, 2022
Mr. Zach Thomas
Environmental Program Consultant, Division of Water Resources
North Carolina Division of Environmental Management
1628 Mail Service Center
Raleigh, NC 27699-1628
NC Dept of Environmental Quality
GCT 1 i 2022
Raleigh Regional Office
Re: Homestead Manufactured Homes Subdivision
Lee County
Dear Mr. Thomas:
This project consists of the extension of approximately 1,800 LF of 8" PVC pipe to serve
a residential manufactured home subdivision with 116 homes in Lee County.
Enclosed please find the following documents:
1. The fast track sewer application.
2. Form FTSE 04-16
3. A check for the amount of $ 480.00.
4. A Color copy of a USGS Topographic map.
5. A Street level map.
Also included is the permit application for proposed upgrades to the Carr Creek Lift
Station prepared by Charles Underwood Inc.
If you have any questions, please feel free to contact me.
I would appreciate your reviewing these as soon as possible. If you have any questions
please feel free to contact me.
Sincerely,
Ken W. Bright, PE
File:project2022/Robbie Braford/HomesteadSewer {Letter sewer appl Homestead 10-11-22.doc
P.O Box 553
2305 Carthage Street
Sanford, NC 27330
Phone: [phone]
e-mail: [e-mail]

NC Dept ofEnvironmental Quality
OCT 11 2022
Raleigh Regional Office
HOMESTEAD - MANUFACTURED HOME PARK SITE
KEN W. BRIGHT ASSOCIATES, PLLC
CONSULTING ENGINEERS
P.O. BOX 553 SANFORD, NC 27331
[phone]
SCALE: 1"=5130'
DATE: 10-11-2022
REVISIONS: -

HOMESTEAD - MANUFACTURED HOME PARK USGS
KEN W. BRIGHT ASSOCIATES, PLLC
CONSULTING ENGINEERS
P.O. BOX 553 SANFORD, NC 27331
[phone]
SCALE: 1"=500'
DATE: 10-11-2022
REVISIONS: -12-15-2022

HOMESTEAD - MANUFACTURED HOME PARK
KEN W. BRIGHT ASSOCIATES, PLLC
CONSULTING ENGINEERS
P.O. BOX 553 SANFORD, NC 27331
[phone]