WQ0044004_Application (FTSE)_20221201

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State of North Carolina
DEC 1 2022 Department of Environmental Quality
DWRDivision of Water Resources
SEWER SVSTEM EXTENSION APPLICATION
Dlvlsbn of Water Resources Raleigh Regime FT 06-21 & SUPPORTING DOCUMENTATION
Application NumberllU� b 00 (to be completed 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, ctc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ Statc/County ® Municipal ❑ Other
3. Signature authority's name: Paul Weeks. PE per 15A NCAC 02T .0106(b)
Title: City Engmeer
4. Applicant's mailing address: 225 E. Weatherspoon Street, P.O. Box 3729
City: Sanford State: NC Zip: 27331-3729
5. Applicant's contact information:
Phone number: [phone] Email Address: paul.weeks(@—sanfordnc.net
IL PROJECT INFORMATION:
1. Project name: Broadwell Phase I
2. Application iProject 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: WQOO,W
3. County where project is located: Lee
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.4208" Longitude:-79.1210-
5. Parcel ID (if applicable): 9660-37-7895-00 (or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
. Professional Engineer: Mike Zaccardo License Number: 022321
Firm: Timmons Group
Mailing address: 5410 Trinity Road, Suite 102
City: Raleigh State: NC Zip: 27607
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
Facility Name: Big Buffalo Waste Water Treatment Plant Permit Number: NCO024147
Owner Name: City of Sanford
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
I. Permit Number(s): WQ0041380
2. Downstream (Receiving) Sewer Information: 8 inch N Gravity F] Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00047
Owner Name(s): City of Sanford
FORM: FTA 06-21 Page I of 5

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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 Agreement (FORM: DEV) been attached?
❑ Yes ❑ No ® NIA
3. If the Applicant is a HomciProperty Owners' Association, has an HOA/POA Operational Agreement (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/servicc ❑ 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 i offices.," factories ❑ Nursing Home ❑ 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(t)? ❑ 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.01 14(f))
Daily Design Flow'"
No. of Units
Flow
Commercial
880 galiaceday
8.59 ac
7559 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal!
GPD
gal/
GPD
Total
7,559 GPD
a See 15A NCAC 02T .01 14(b), (d), (c)(1) and (c)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residcntial development uses; public access facilities located near high public use areas;
and residential property located south or cast of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
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.
8. Wastewater generated by project: 7,559 GPD (per 15A NCAC 02T _01 14)
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

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VIll. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravi(y Sewers):
. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8" 1,300 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 (PumR 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 2.01C.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)(l)(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

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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 contains minimum separations that shall be provided for scwcr 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 1 or
Class It 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 (e). see Section X.l of this application
*I 5A NCAC 02T.0305(0 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 webp4ge
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(t) for documentation requirements and submit a separate document,
signed/scaled 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.
D See the Division's drat[ scoaration requirements for situations where separation cannot be met.
D 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 0213_,0204? ® Yes ❑ No
D This includes Trout Buffered Streams per 15A NCAC 2B.0202
5. Does the project require covcrage/authorization under a 404 Nationwidelindividual permits ® Ycs ❑ No
or 401 Water Quality Certifications?
Please provide the permit numbedpermitting status in the cover letter if coverage.authorization is required.
6. Does project comply with 15A NCAC 02T_0105tc1t6) (additional permitstcertifications)? ® Yes ❑ No
Per 15A NC'AQ 02T.0 I 05(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 1 SA Tv�'('A& UT.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

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X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Dcsian Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria latest version as applicable?
lrz■=
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 approval of the permit, and projects requiring a variance approval may subject to Ion2cr
review times. For proiects requiring two or more variances or where the variance is determined_ by the Division to be a
sip-niticant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:
1 Mike Zaccardo , attest that this application for _ _ Broadwell - Phase l
(Professional Engineer's name from Application Item ill.i.) (Project Name from Application Item 11 t)
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. 1 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 143-215.613, 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 $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):
. . ... .... .... ..... ... ...... .
11/29/2022
Paul M. weeks Jr. P.E. Broadwell - Phase I
attest that this application for _
(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. f 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 arc 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 143-215.6B, 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:
DocuSigned by1:�
�0i), k. U)t.lks Y, P. f . 9/16/2022
BBC39E6667844B9 Date:
FORM: FTA 06-21 Page 5 of 5

DocuSign Envelope ID: 705FF590-04CC-417D-B5AC-6B89FDF58C5F
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State of North Carolina
Department of Environmental Quality
Division of Water Resources
w ZZOZ 1 �)30 Flow Tracking for Sewer Extension Applications
Division of Water Resources (FTSE 10-18)
Application Number: -�
Entity Requesting Allocation: City of Sanford
Project Name for which flow is being requested-. Broadwell Ph. I (Commercial)
Vlore than one FTSE stay be required fir a single project if the owner of tire FVWTP is not responsible fir 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: Big Buffalo Wastewater Treatment Plant
b. WWTP Facility Permit #: NCO024147
All flows are in MGD
c.
WWTP facility permitted flow:
12.0000
d.
Estimated obligated flow not yet tributary to the WWTP:
1.8441
e.
WWTP facility's actual average flow:
4.1390
f.
Total flow for this specific request:
0.00756
g.
Total actual and obligated flows to the facility:
5.9906
h.
Percent of permitted flow used:
50° o
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)
(8)
(C)
(D)=(B+C)
(E)=(A-D)
Pump
Pump
Finn
Design
Approx.
Obligated,
Total Current
Available
Station
Station
Capacity'
Average
Current
Not Yet
Flow Plus
Capacity''
(Name or
Permit
Daily Flow''
Avg. Daily
Tributary
Obligated
Number)
Number
Winn;nA
Flow.
Daily Flow.
Flom.
NIGD
3#IGD
NIGD
VIGD
NIGD
XIGD
Gaster Creek
#002
4.0291
L6116
1.0195
0.3001
13197
0.2920
zt3ig_Buffalo
#N:A
#N.A
#N-A
ON A
#N;A
#N-A
x
ON A
#N!A
#N+A
ON. A
#N, A
#N-A
x
ON A
#N-A
#N;A
#N.A
#N.:A
WA
x
#N'A
#N-A
#N:A
#N'A
#N,A
#NSA
x
#N-A
#N:'A
#N.'A
HWA
#N-A
ON 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) or 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 5 0.
Downstream Facility Name (Sewer):
Downstream Permit Number:
City of Sanford Collection System
WQCS00047
Page 1 of 6 FTSE 10-18

DocuSign Envelope ID: 705FF590-04CC-417D-85AC-6B89FOF58C5F
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 I and 11 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.
OocuSigned by:
aui h. wt,tks Y. P.t. Ip .
BBCS9E6667844Bg
Signing Official Signature
Utilities & Engineering Director
Title ol'Signing Official
09 , 16122
Date
Page 2 of 6 FTSE 10-18

DocuSign Envelope ID: 53DC1878-CC83-4DOD-B278.483555D71EC4
TIMMONS GROUP
YOUR VISION ACHIEVED THROUGH OURS.
PROJECT ENGINEERS' REPORT
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Project Name: Broadwell Commercial l�jgo
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Location: Sanford, Lee County, NC
PIN: 9660-36-8707-00; 9660-37-7895-00
Owners: Fig Broadwell, LLC & Mad M&R LLC J
709 Croswell Court 709 Croswell Court Whitsett, NC 27377 Whitsett, NC 2734 IeynaucuotEu3�
(PIN:9660-36-8707-00) (PIN:9660-37-7895-00)
Developer: Fig Broadwell
709 Croswell Court
Whitsett, NC 27377
Consultant: Timmons Group
Mike Zaccardo, PE
5410 Trinity Road, Suite 102
Raleigh, NC 27607
Phone: [phone]
PROJECT DESCRIPTION AND NARRATIVE:
The proposed development is located approximately 580 LF west of the intersection of NC-87 and Harvey
Faulk Rd (SR 1138). The project proposes the construction of five (5) commercial lots totalling 8.59 acres
in Sanford, NC. This project is anticipated to generate the following wastewater flows:
8.59 ACRES * 880 GAL/AC/DAY = 7,559 GPD
The proposed gravity sanitary sewer system will consist of approximately 1,300 LF of 8" ductile iron pipe.
This system will be owned, operated and maintained by the City of Sanford.
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5410 Trinity Road
TIMMONS GROUP Suite102
YOUR VISION ACHIEVED THROUGH OURS Raleigh, NC 27607
TRANSMITTAL.
NCDEQ DWR — Raleigh
TO: Regional Office
3800 Barrett Drive
Raleigh, NC 27609
P 919.866.4951
F 919.859.5663
www.timmons.com
NC Dept of Environmental Quality
DEC 1 ML2
Date: 11/30/2022 Job#: 4776h Regional Office
Project: Broadwell Phi
Reference: FTA If FTSE Application
Copies Sent To:
COPIES
DATE
NUMBER
DESCRIPTION
1
1
Fast Track Sewer Application(including Flow Acceptance Form
1
2
$480 review fee check
1
3
Project Narrative
1
4
USGS ma
1
5
Vicinity Ma
THESE ITEMS ARE TRANSMITTED -
If enclosures are not as noted, please notify us at once
COMMENTS:
Please process this submittal for FTA/FTSE review. Feel free to contact me with any
questions at [phone] or [e-mail].
Thanks,
John Best,
Project Manager
Timmons Group
5410 Trinity Rd, Suite 102
Raleigh, NC 27607
ENGINEERING I DESIGN I TECHNOLOGY