WQ0043938_Application (FTSE)_20221025

State of North Carolina
0
NC Dept of EnvironmentKtlnent of Environmental Quality
Division of Water Resources
.OrW,RDhFlslon of Water Resources f *5CX-*WER SYSTEM EXTENSION APPLICATION
FTA 06-21 & SUPPORTING DOCUMENTATION
Raleigh egiana FCc•
Application Number: be..pleted by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Orange Water & Sewer Authority (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ® Other - Public Authority
3. Signature authority's name: Todd Taylor. P.E. per 15A NC:AC 02T .0106(b1
Title: Executive Director
4. Applicant's mailing address: 400 Jones Ferry Rd
City: Carrboro State: NC Zip: 27510
5. Applicant's contact information:
Phone number: U 537-4201 Email Address: [e-mail]
II. PROJECT INFORMATION:
1. Project name: UNC McColl Building Addition and Renovation (MBAR)
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: Orange
4. Approximate Coordinates (Decimal Degrees): Latitude: 35,900780' Longitude:-79.046972--
5. Parcel ID (if applicable): 9788543697 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Jonathan A. Allen License Number: 25497
Firm: NV5 Engineers and Consultants
Mailing address: 3300 Regency Parkway, Suite 100
City: Cary State: NC Zip: 27518.!
Phone number: {919) 858-1831 Email Address: Jonathan.Allen4nv5.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Mason Farm Wastewater Treatment Plant Permit Number: NC 0025241
Owner Name: OWASA
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ NA - 12-inch VC main installed -.'49; CIPP rehab '94
2. Downstream (Receiving) Sewer Information: X Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS 00031
Owner Name(s): Orange Water & Sewer Authority
FORM: FTA 06-21 Page I 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 ® NIA
2. If the Applicant is a Developer of lots to be sold, has a developer's Operational A&reement (FORM: DEV ] been attached?
❑ Yes ❑ No ® NIA
3. If the Applicant is a Home/Property Owners' Association, has an F IGA"A Upurational Agreem en( (FORM: HOA) and
supplementary documentation as required by 15A NCAC 02T.01 15(c) been attached?
❑ Yes ❑ No ® NIA
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 I day care ❑ Medical I dental / veterinary facilities ❑ Swimming Pool/Clubhouse
® Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
® Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: % Domestic 100 % Commercial % Industrial (See 15A NCAC 02T .0103(201)
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T _011.440 ❑ Yes ® No
D If yes, provide a coov of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow ° e
No. of Units
Flow
Businesses with showers or food
preparation
35 gal/person/day
900
31,500 GPD
gal/
gall
GPD
GPD
gal/
gal/
GPD
GPD
N w _
gall
GPD
Total'
31,500 GPD
a See 15A NCAC 02T - 1 14 b d e I 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-41.
b Per 15A NCAC 02T .01 14(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.
Wastewater generated by project: 31,500 GPD (per 15A NCAC 02T .0114j
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 & _IDC (G,ravitk Sewersi:
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
12
181
DIP
8
218
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.I .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 I SA NC'AQ 02T .0i 60) do (&V ® Yes ❑ No
15A NCAC 02T.0305 contains minimum separations that shall be provided for sewers stems:
Setback Parameter's
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
"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 or see Section X.1 of this application
*15A NCAU 02T.QV0 el contains alternatives where separations in 02T_0305(ti 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 webMe
2. Does this project comply with the minimum separation requirements for water mains? [-]Yes ®No ❑ NIA
➢ 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 ® 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: Cape Fear ❑ No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .02007 ® Yes ❑ No
➢ This includes Trout Buffered Streams per I SA N!, C.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 (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 interferencelconflict 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.] 5A NQAC 02T, the Mini rWjneinC rtc �r mp5lationg
and Force h" [Lks e5s ycisiuuL and the (irayit). a !yen 1 Sblitnuin 0oigu 0iteria {latest ve ioal 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
2. Professional Engineer's Certification:
I, Jonathma A. Allen , attest that this application for UNC MQQII Business Addition and Renovation
(Professional Engineer's name from Application Item IIl.1.) (Project Name from Application Item II.1)
has been reviewed by me and is accurate, complete and consistent with the Information supplied to the plans,
specifications, engineering calculations, and all other supporting documentation to the best of my knowledge. I finther
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
h7 insmtarn Design E:rileria fpr GXAyity SCwcrs tialt_ t vcrsic.nI, and the t:lir�um I]a gi ritet�n h: i lLc I i;= rr rk litti
Lp)p- $tations. and Force Mains (la teal vm-si rmi. 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, Todd Taylor, P.E. , attest that this application for UNC McColl Business Addition and Renovation
(Signature Authority Name from Application Item U.) (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 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 and , 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 V 0,000 as well as civil penalties up to $25,000 per violation.
Signature:
FORM: FTA 06-21
Date: 10/24/2022
Page 5 of 5

State of North Carolina
NC Dept of Environmental Qua' Department of Environmental Quality
Division of Water Resources
GCS` 2 5 2027
DIvlslon of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
— —_ �11Cj#ghkr��si�lrtitr�_
Entity Requesting Allocation: Orange Water and Sewer Authority
Project Name for which flow is being requested
UNC McColl Addition and Renovation
More than one FTSE maybe 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.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Mason Farm Wastewater Treatment Plant
b. WWTP Facility Permit #: NCO025241
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
14.5
0.626
7.5
0.032 (31,500 gpd)�
8.158
56.3
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 i pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
NA Direct to
IILIV-Tn
* 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): OWASA
Downstream Permit Number: WQCS00031
Page 1 of 6
FTSE 10-18

111. Certification Statement:
I Todd Taylor, A.E. 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 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.
n-ySignIng Official
Executive Director
Title of Signing official -
10/24/2022
Date
Page 2 of b
FTS E 10-1 S

October 25 2022
X'Obept ofEnvironmentRl Qu► "'
.00".
GCT 2 5 2022
Raleigh Regional 01'r,(-e
State of North Carolina
Department of Environmental Quality -- Division of Water Resources
3800 Barrett Drive
Raleigh, NC 27609
ATM Jason Robinson
Subject: UNC McColl Business Addition and Renovation (MBAR)
Sewer Fast Track Application
Dear Jason:
NIVIS
Please accept this Fast Track Application for a new project at the University of North Carolina -
Chapel Hill. The project is a new building for the McColl Business School. The new building will be a
classroom building with a cafeteria and below -grade parking. The estimated wastewater flow for this
building is 31,500 GPD. New sewer service lines from the building will connect to existing sanitary
sewer infrastructure located nearby and maintained by OWASA.
This application package includes:
- Fast Track Sewer System Extension Application
- $480 application fee (PLEASE NOTE THAT THIS CHECK HAS ALREADY BEEN SUBMITTED TO
NCDEQ; CHECK NUMBER 001279764 DATED 9/23/22)
- Flow Tracking/Acceptance Form (FTSE)
- Site Maps (USGS Map and Vicinity Map)
Please feel free to contact me at [phone] or [e-mail] if you have any
questions or comments.
Sincerely,
*onathan4PE
Land Development Project Manager
3300 Regency Parkway, Suite 100 1 Cary, NC 27518 1 www.NV5.com I Office 919.836.4800 1 Fax [phone]
CONSTRUCTION QUALITY ASSURANCE - INFRASTRUCTURE - ENERGY PROGRAM MANAGEMENT - ENVIRONMENTAL

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N V 5
LETTER OF TRANSMITTAL
NC Deft 0a'nvis0nmCU1d QUAW
To: NCDEQ — Division of Water Resources
3800 Barrett Drive
Raleigh, NC 27609
ATTN: Jason Robinson
Re: UNC McColl Business Addition and
Renovation (MBAR)
I am sending you the following item(s):
OCl2 �422
3300 Regency Parkway, Suite 100
Cary, NC 27518
P:919.836.4800
F: 919.851.1918
NV5.com
Date: October 25, 2022
** FEDERAL EXPRESS **
Job No.: 2018009.00 / C3
COPIES DATE NO. DESCRIPTION
1 1 Sanitary Sewer Submittal Package
These are transmitted as checked below:
® As requested ❑
® For approval ❑
❑ For review and comment
For your use
Remarks:
Please accept this sanitary sewer submittal package for a new project at UNC-CH.
Pease contact me at ionathan.allenOnvS.com or [phone] if you have any questions, comments or
concerns.
Copy to: File Signed: Jonathan Allen