WQ0044035_Application_20230110 (2)

State of North Carolina
DWRDepartment of Environmental Quality Division of Watet- Resources
FASTTRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number U/0-00'4L4 q to be completed by D%NTR) 1110,123
All Items must he completed or the apiffleation will he returned
I.. APPLICANTINFORNIATION:
1, Applicant's name: City of Kannapo Lis (company, municipality, I IOA, utility, etc.)
2. Applicant type: n Individual ❑ Corporation ❑ General Partnership
n Federal ❑ State/County Municipal
3, Signature authority's name: Alex Anderson per 15A N .AC M'—r-01
Title: Director of Water Resources
4, Applicant's mailing address: 401 J.aurcaw WAY
City: Kannal2oli State: NC Zip: 28081-0005
5. Applicant's contact information:
Photienumber; (104)220-42A0 l;iiiaiIA(I(Iress:aiti(lersoti((i,)kaiiiiLipolisnc.ov
El Privately -Owned Public Utility
El Other
11. PROJECTINFORMATION:
1. Projectname: Ka napolis Crossi-ng M.i..xed Sewer
2. Application/Project status: FX1 Proposed (New Permit) F1 Existing.Permit/Project
If a modification, provide the existing permit number: WQOQ— and issued date:
Foi- modifications, also attach a detailed narrative description as described in Item G of the elteeldist.
If new construction, but part of a master plan, provide the existing permit number: WQ00-
3. County where project is located: Rowan
4, Approximate Coordinates (Decimal Degrees): Latitude: 3 5 3 M Longitude: - 8 Q 3 3 6 E)
5. Parcel ID (if applicable): Nv I — (or Parcel ID to closest do t stream sewer)
Rowan County PTN 5635-03-62-3296
111. CONSULTANT INFORMATION:
1, Professional Engineer: Pau-1- Number:
CarapbE-iL-�uqc NCPE 018906
Firm: kWCK
Mailingaddress: PO Box 1248
City: Kannapc&�,,q NC zip: 28082
Phone number: (2AO!�38151.5 EmailAddress: pcampbell@amck,cons
IV. WASTEWATER TREATMENT I?AC`tLITV (WWTF) INFORMATION:
1, Facility Name: Rocky River Regional Wastewater Treatment Plant Permit Number: NC0036269
Owner Name: Water & Sewer Authority of CabaITUS COUnLy
V. RECEIVING DOWNSTREAM SEWER INFORNIATION:
1. Permit Number(s): WQ
2. Downstream (Receiving) Sewer Information: inch F❑I Gravity 11 Force Main
3. System Wide Collection System PermitNumber(s) (if applicable): WQCS
OwnerName(s):--.C!LltY of Kannapolis
FORM: FTA 06-21 Page I ors

'11111i COMPIKIT11) A1)'131JCA'r10N PACKAGE INC ,DING ikLl, SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT'I'0111E APPROPRIXTE RE610NAI., OFIACE:
REGIONAL OFFICE
ADDRESS
........... --.­.--___ — -----
COUNTIES SERVED
Asheville Rec0onal Office
2090 US Highway 70
.. . . ........
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778-8211
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Re tonal Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Section
Fayetteville, North Carolina 28301-5095
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
(9 10) 486-0707 Fax
Mooresville Regional Office
610 E. Center Avenue
............ -
Alexander, Cabarrus, Catawba, Cleveland,
WateLQLjylfty SacttRn
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
RRAa!lfei �hRe �ional office
3800 Barrett Drive
Chatham, Durham, Edgecombe, Franklin,
Water Oyali!y Section
Raleigh, North Carolina 27609
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington _RtgiRna! Office
943 Washington Square Mail
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilinington.,Rational Office
127 Cardinal Drive Extension
....... ...... ­­­ .. .......
Brunswick, Carteret, Columbus, Duplin, New
Water Qu Ilitv Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem RegTonal Office
450 W. Hanes Mill Road
Alamance, Alleghany, Ashe, Caswell, Davidson,
Water Quality Section
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
[phone] Fax
. . .
. ...... . .............
INSTRUCTIONS FOR I'ORM: FTA 05-21 & SUPPORTING DOCUMENTATION 111age 3 of 3

0
State of Not'th Carolina
Department of Environmental Quality
DWR Division of Water Resources
15A NCAC 02T .0300 — FAST TRACI{ SEWER SYSTEM EXTENSION APPLICATION
Dlvislon of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
%��% RECEIV ®WR
Application Nunibcr:/ QQgw(tobecompletedbyDWR)
JAN
All items must be completed or the application will be returned
WOROS
1. APPLICANT INFORMATION: MIO©RESVILLE REGION OFFICE
I . Applicant's name: City of Kannapolis (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation
❑ General Partnership
❑ Federal ❑ State/County
0 Municipal
3. Signature authority's name: Alex Anderson per 15A NCAC
02T .0106(bl
Title: Director of Water Resources
4. Applicant's mailing address: 401 Laureate Way
City: Kannapolis State: NC Zip:28081-0005
5. Applicant's contact information:
Phone number. (Z) 920-4200 Email Address: anderson
c@kaunapolisnc.g_oy
II. PROJECT INFORINIATION:
1. Projectname: Kannapolis Crossing Mixed Sewer
❑ Privately -Owned Public Utility
❑ Other
2. Application/Project status: Q Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Rowan
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.320-b Longitude: -g 3 60
5. Parcel l.D(if applicable): Rowan County PIN 5635-03-62-3296
(or Parcel ID to closest downstream sewer)
11I. CONSULTANT INFORMATION:
1. Professional Engineer: Paul CampkBArse Number: 018906
Firm: AWCK
Mailing address: PO Box 1248
City: Kannapolhilte: NC Zip: 28082
Phone number: 70 J 9381515 Email Address: pcampbell@awck. com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1, Facility Name: Rocky River Regional Wastewater Treatment Plant Permit Number: NC0036269
Owner Name: Water & Sewcr Authority of Cabartus CountX
V. RECEIVING DOWNSTREAM SEWER INFORDIA'I'ION (if different (hap 1V\\"1'1 ):
l . Permit Number(s): WQ
System Wide Collection System Permit Number(s) (if applicable): WQCS
OwnerName(s): City of Kannapolis
FORM: FTA 04-16 Pagel of 5

V1. GENERAL REQUIREMENTS
1. IF the Applicant is a Privately -Owned Public Utility, has aCertificate of Public Convenience and Necessity been attached?
El Yes 0 No E N/A
2. If the Applicant is Developer of lots to jeratioti: lrz true ull
[:1 Yes El No M N/A
3. If the Applicant is a Flome/Property Owners' Association, has an I iOA. .......A )eratioiial Agree nici _,1J( A k and
supplementary documentation as required by ISA NCAC 02T.01 I 5(c) been attached?
0 Yes El No M N/A
1, Origin of wastewater: (check all that apply):
El Residential (Individually Owned) El Retail (-,tOl'eS, centers, 111,111s) El Car Wash
El Residential (Leased) El Retail with food preparation/service El I lOtcl and/or Motels
El School / preschool / day care El Medical I denull / veterinary facilities El Swimming fool/Clubhouse
n Food and drink. Facilities El Church F1 Swirrinfing Pool/Filter Backwash
Fx] Businesses / offices / factories E] Nursing Home El Other (Explain in Attachment)
.5, Nature of wastewater: 10 0 % Domestic -% Commercial % Industrial (&c 15A 0Q1 .0i+t fatal)
If Industrial, is there a Pretreatment Program in effect? 0 Yeso No
6. .Ras a flow reduction been approved under 15ik NCACO2T, I 1�4f Yes 0 No
If Yes, provide a copy of flow I -eduction appi-oval letter with this application
7. Summarize wastewater generated by project:
EstablishmentType (see 02T.01 14(f))
Daily Design Flow
No. of Units
Flow
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
Gpl)
gal/
GPf)
Total
0 GPD
a See 15A !CA((A2 1',OLIALIIJ, fth- (C')RI 1 2 caveats to wastewater design flow rates {i.e,, mininium flo%v Per
I for c, 9
dwelling; proposed unknown tion-residential development uses; public access facilities -located -near high public use arcas;
and residential property located south or cast of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in s. .-f2,A-4).
b Per I SA NCAC 02T.0 1 14(c), design flow rates for establishments not identified [in table 15A NI(,,AC 02'V,L ) [_L4] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data,
8. Wistowtitei,generate(itry project: 0 GPD (per .15AN(',,,�('O?'T'-,.,01lit)
Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
El Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsecluciii, permits that connect to this line.
Please providesupplenientary information indicating the approximate (inieframe for permitting UPSLI-ealu sewers with flmV.
[-I Flow has already been allocated in Permit Number: Issuance Date:
F-I Rehabilitation or replacement or existing sewers with no new flow expected
ROther(Explain): outfall tartly
FORM: FTA 06-21 Page 2 of 5

\11 1. (.-;RAN/ITN'Sl',\VER DESIGN CRITERIA (if Applicable) - 02T.0311-5 & NIDC (Gravity S��wers :
1, Siiiiiiiiai-izegi-,t\,ityselves tobcl)criiiitted:
Size (illelles)
.
Length (feet)
. . ......... -- .......... - .................... .
MateHal
8,1
503
PVC
811
955.7
DIP
Section 11 & 1.11. of the MDC for Permitting of Gravity Sewers contains information related to desibili criteria
Section .11.1 contains information related to minimum slopes for gravity sewer(s)
)0- Ovel-sizing lilies to meet millilkitim slope requii-ements is not allowed and a violation of the MDC
Nim. Pump s,rA,rION DESIGN CRITERIA (if Applicable) —_j)2F .0305 & N fQC ( Pon a StationsTorc
--w
PROVIDE.A.S.1J."'PARATE COPY OF "PHIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1, Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
3. Totrd number of putups at the puratlr station:
3, Design flow of the pump station: — millions gallons per day (firm capacity)
);, This should reflect the total GPNT 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 (ilielles) 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
MDCI1SFM Section 2.0 1 C. 1.1).E] Grinder PLUIllp F1 Mechanical Bar Screen F1 Other Tease specify) —
6. Power reliability in accordance with I �A NCA('..02j',(Lj(L5L1jj-(�
�-, I . .... ......
El Standby power source or F] Standby pump
Must have automatic activation and telemetry - 15 A NCAC 02'r,0305
Required for all pump stations Withall average daily flow greater than or equal to 15,000 gallons per (lay
� Must be pennaneii( to J'Acility 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):
F Portable power source with manual activation, quick -connection receptacle and telemetry -
or
n Portable puniping, 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' saorage
capacities and the rotation schedule of the portable power source or pump, including travel timefirames, shall be provided
� 'IS 0
, part of this permit application in (lie case of multiple station power outauc.
FORM: FTA 06-21 Page 3 of 5

Ix. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(l)):
1, Does fire project comply Xvith all separations/alternatives found in i:jA W N ° tl2`I` t"8_ 0 t�,> FO Yes ❑ No
15A NCAC 02T,0305 contains minimum seem ations that shall be Lovided for sewer systems:
Setback Parameter*
Separation Requiretl
Storm sewers and other utilities not listed below (vertical)
18 inches �
'Water stains (vertical - water over sewer preferred, including In benched trenches)
18 incites
'Water mains (horizontal)
10 feet
Reclaimed water hues (vertical •- reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
*Any private or public water supply source, including any Weds, WS-1 waters of Class I or
Class 11 impounded reservoir's used as a source of drinking Water, and associated wetlands.
100 feet
*Waters classified WS (excerpt WS-I or DVS-Y), B, SA, CfRW, FIQW, or S13 from normal
high water (or tide elevation) find 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 "IL
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 systeIus arrel interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 tIiehes
If noncompliance with 1t? 11,£?3 9 t�l c E° 'g see Section X.1 of'this application
[5 Nt lC {tZ 1.(i�st35 Lg' contains alternatives where separations in tf 1-.IiL I cannot be achieved, Please check "yes"
above if these alternatives are uscd and provide narrative information to explain.
"Stream classifications can be identified using; the Division's �iC Surt�c�.
2. Does this project comply with the minimum separation requirements for water mains? ❑ Yes ❑ No ❑ NIA
If no, please refer to 15A NCAC 1 SC.0906(f) for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE, verifying the criteria outlined in that hole.
3. Does the project comply with separation requirements for wetlands? ® Yes ❑ No ❑ N/A
> T'lease provide suppteiiientary information identifying the areas ofnon-conforruzuuce.
See the Division's dr itt ,, 4la ralit) ri re Itrei, sm�rw 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: Q No
If yes, does the project comply with setbacks found in the river basin rules per i A MAC0213 .020 , ❑Yes El No
Y This includes Trout Buffered Streams per I-JA NCAC 2B4O2-02
5. Does the project require coverag es/authoriraticin uncicr ra 40E1 Nationwide /indv<1o<il permits Q Yes ❑ No
or 401 Water Quality Certifications?
5� Please provide the permit number/permitting status in fire cover letter if coveragetauthorization is required.
6. Dues project comply with 1 :: . Q2 11, tt 105.( .i(h) (additional perillits/certittcations)? JE Yes ❑ No
Per 15A NCAC o2,_oItl5(, it<a , 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
arrd sedimentation control plans, stormwater manageruucaut plans, etc.),
T Does this proiect include any sewer collection lines that are deemed "high -priority?" ❑ Yes © No
Per I M NCAC 02T.0402, `high -priority sewer" means any aerial Sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambrmks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
r It'yes, include all attachment with details for cacti 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-niorrths and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: F T'A 06-21 Page 4 o1' 5

X. CERTIFICATIONS:
I. Does the submitted system comply Nvith l A NCAC 02T, the Minimum L),!�sjm C
— -� -- , 1: Lt
and Force Mams (latest ver-iii4n), stud (lie ravit
-tL.rNionj as applicable'?
Fx] Yes El No
If no, for pro - jects requiring a single variance, complete and submit the Variartee/Altertiative Design RcqLicst application
(VAI)C 10,14) and supporting documents for review to the Central Office, Approval of tile request will be issued
collell!ll, . projects requirhi2 a variance approval may be subject ty jq1mC—r
review times For lirojects requil-filLf two or more VHriallees or where the variance is deter mined by the Division to Ile a
Siallificallf portion of (lie vroiecL tile full technical review is requiml.
2. Professional Ftigincer's Certificatiou:
1, Paul, Campbel-I attest that this applicatioo fior Xannapo.lis Crossing Mixed
.......... ....... .......... - . ................................. . . .. . .. .............
cation Item 111.1) (Project Name (roin Application Rem 11.1)
(Professional Engineer's manic from Al FP�'
Sewor outfall
has I)ecu reviewed by tile and is accurate, complete at)d cousistent with the hiformation supplied in the plans,
specifications, engineerhig calculations, arid all other supporting doeumentatioll to the best of illy knowledge. I further
attest that to the best of my knowledge the proposed design has been prepared iii accordarice with the applicable regulations,
Minimmu Dosigg t—"riteria r(AL( �sionj, arid the NjinimmuDesigni Critcri�i lor the Fast -Track Permitti o
Lju� vity '�'mcrs Illest ve� .......... - -Pz�
. ........... I ..............
of llumLi Stations mid Force Maims Although other profeisiorials may have developed certain portiolls of this
submittal package, inclusion of these materials under illy sigriature and :teat( sigiiifies that I have reviewed this material mid
have judged it to be consistent with the proposed design.
NOTE — to accordance with (icocral Statutes 143-215.6A atid 143-215.613, any person who knowingly makes any false
statemem, representation, or certification in any applicatioti package shall be guilty of a Class 2 misdemeanor, which may
include fine not to exceed $ 10,000, as well as civil penalties up to $25,000 per violation. Misrepresentation of the application
iotbruiatioli, including failure to disclose any desigri non-compliance with the applicable Rules and desigii criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board. (21 NCAC 56,070 1)
North Carolina Professional Eughieer's seal, signature, and date:
3, Applicant's Certification per ISA NCAC 02T.0106(b):
Alex Anderson . —, attest that this application for Kannapolis Crossing Mixed Sewer-Outfall
.. . ......... (Sip'linhirc Authority Name fivin Application hole 1A) (Project Manic from Application Hem IL 1)
attest that this application has been reviewed by me avid is accurate and complete to the best of lily knowledge.
I understand that if all required parts of this application are not completed atid flim if all required supporting documcutatioll
and attachments are not inchided, this applicatiot) package is; subject to being returned as incomplete. I understand that any
discharge of wastewater from this iron -discharge system to surface waters or the land will result in awl immediate enforcement
action that may include civil penalties, ilijurictive relief, and/or Criminal prosecution. I will make no claim against the Division
of Water Resources should a condition (if this permit be violated. I also miderstaod that if all required parts of this application
package are not completed and that if ail required supporting information and attachments are not included, this application
package will be returned to me as incomplete,
Num — In accordance with Geiieral Statutes 14-1-2 11 5,6A, and t 43-215 .6B, any person who krioNvirigly makes any false
statenieut, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fate not to exceed $ 10,000 as well as civil penalties tip to $25,000 per violation.
Jan 9, 2023
Siguature: Date: ........ . ... . 11 ........ . . ......... ................... --l- ----
FORM: FTA 06-21 Page 5 of 5

PRS2022-01671 Kannapolis Crossing Sewer
Outfall COK Sewer Permit
Final Audit Report 2023-01-09
Created:
2023-01-09
By:
Elizabeth Hassenfritz ([e-mail])
Status:
Signed
Transaction ID:
CBJCHBCAABAARt4l4AvZPwYE_Ufp1p4Ura3t517ViZ8E
"PRS2022-01671 Kannapolis Crossing Sewer Outfall COK Sew
er Permit" History
Document created by Elizabeth Hassenfritz ([e-mail])
2023-01-09 - 8:53:24 PM GMT- IP address: 204.84.167.66
Document emailed to Alex Anderson ([e-mail]) for signature
2023-01-09 - 8:53:59 PM GMT
Email viewed by Alex Anderson ([e-mail])
2023-01-09 - 9:01:28 PM GMT- IP address: 204.84.167.66
Document e-signed by Alex Anderson ([e-mail])
Signature Date: 2023-01-09 - 9:01:36 PM GMT - Time Source: server- IP address: 204.84.167.66
Agreement completed.
2023-01-09 - 9:01:36 PM GMT
Adobe Acrobat Sign

KANEngineen
January 10, 2023
North Carolina Department of Environmental Quality
Mooresville Regional Office — Water Quality Section
610 East Center Avenue, Suite 301
Mooresville, North Carolina 28115
Re: Kannapolis Crossing Sewer Outfall
City of Kannapolis — Rowan County
Ori:
r
0
Please find attached for your review and approval the digital copy of the updated permit
application. The $480 processing fee was submitted with the original submittal on January 5th.
A flow acceptance letter from the Water and Sewer Authority of Cabarrus County (WSACC) is not
enclosed since the proposed outfall is solely a sewer extension to get the sewer outfall across the
adjacent tract and Old Beatty Ford Road prior to roadway widening. All development (scheduled
to occur in the latter part of 2023 and early 2024) on the north and south sides of Old Beatty Ford
Road will have public sewer extensions that will be approved by WSACC and permitted by
NCDEQ to tie into the proposed outfall. Therefore, the subject project is submitted with zero flow
at this time.
Authorization for the 404/401 permits is provided under ID SAW-2019-00538 (USACE) and
WQC004445 (NCDEQ).
The Water and Sewer Authority of Cabarrus County Standard Specifications for Wastewater
Collections Systems were approved by your office and are being maintained by the Division of
Environmental Management. This project will be installed in accordance with these standard
specifications.
Please email me with questions at bhassenfritz(a)kannapolisnc.gov.
Sincerely,
Beth Hassenfritz, PE
401 LAUREA] L WAY, KANNAP01.15. NC 28081
704-938-1 19 Wtvtiv.KANN POLISNC.G0V

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