WQ0044056_Application (FTSE)_20230113

State of North Carolina
DWR NC Dept of Environmental Quality Department of Environmental Quality
Division of Water Resources
Division of Water Resources FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
JAN 13 103 FTA 06-21 & SUPPORTING DOCUMENTATION
Appli&h*hAWiolna1 Office (i„ tx unnpkittd by DWR) WQ Odq `a'"AS-0
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
I. ApphcanPs name: OLft41ge 1 jlgL4 , ewer Aulhority (company, municipality, HOA. utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑Privately -Owned Public Utility
❑ Federal ❑ State/County 0 Municipal ® Other Public Non -Profit Utility
3. Signature authority's name: Todd Taylor, P.E. per IJA NCAC t12-.0()6(bF
Title: Executive Director
4. Applicant's mailing address: 400 Jones Ferry Road
City: Carrboro State: NC Zip: 27510-
5. Applicant's contact information:
Phone number: [phone] Email Address: nparker,;�owasiL.o2m
11. PROJECT INFORMATION:
1. Project name: 1200 MLK Sheetz and Climate Controlled Storage
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 pan of a master plan, provide the existing permit number; WQ00_
3. County where project is located: Orange
4. Approximate Coordinates (Decimal Degrees). Latitude: 35.946451 Longitude:-79.058267
5. Parcel ID (if applicable)_ 9789297279 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
L Professional Engineer. Preston Royster P.E. License Number: 35003
Firm- CJT Pa (nou. Thomas and Hutton En Bering Co.)
Mailing address: I I 1 W. Main Street
City: Durham State: NC Zip: 27701-
Phone number: (2.L9) 682-0368 Email Address: ro ster. naandlt.com
W. WASTEWATER 'TREATMENT FACILITY (WWTF) INFORMATION:
I. I-acility Name: Mason Fann Wastewater Treatment Plan Pennit Number: NC 0025241
Owner Name: OWASA
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
Pennit Number(s): NA - Installed - 96
2. Do%vmtream (Receiving) Sewer Infonnation: 8 inch DI 0 Gravity ! ' force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00031
0"-ner Name(s); Orange Water & Sewer Authority
FORM; F1'A 06-21 Pags I of 5

NIL 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
If the Applicant is a Developer of lots to be sold, has a DeveIoper'%� eration�il Agreerttent (FORM: DF V) been attached,
❑ Yes ❑ No ® N."A
3. If the Applicant is a Home/Property Owners-' Association, has an LI A_19A [ I�+erotiona! ,erect nt URM, ilOAl and
supplementary documentation as required by 15A NCAC 02T.O I f 5(c) been attached?
❑ Yes []No ® N?A
4. Origin of wastewater: (check all that apply):
❑ Residential (Individually Owmed) ® Retail (stores, centers, malls) ❑ Car Wash
❑ Residential (Leased) ❑ Retail with food preparationlservice ❑ Motel anWor Motels
❑ School / preschool / day care ❑ Medical / dental ; veterinary facilities ❑ Swimming Pool/Clubhouse
❑ Food and drink facilities
❑ Church El Swimming Pool?Filter Backwash
® Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: % Domestic 100 % Commercial _ % Industrial (S%J: M-CMAII_-003 011)
If Industrial, is there a Pretreatment Program in effect? ❑ Yes❑ No
6. Has a flow reduction been approved under 15,"CAC 021 .Oil (3(,f)? ❑ Yes ® No
L If yes, provide a coey of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 01T.0114(f))
Gas Station
Commercial
Daily Design Flow 10
250 gal?fixture
25 gal/employee
No. of Units
19
2
Flow
4750 GPD
50 GPD
Restaurant — single service articles
20 galiseat
34
680 GPD
gay
gal:`
GPD
GPD
gay
GPD
Total
5480 GPD
a See IL,NCAC 021 .01 H101 ON 11 andkM 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
b Per 15A NCAC 02T .O1 14(c), design flow rates for establishments not identified f in table 15.A NCAC 021.01 14] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other mcasured data.
8. Wastewater generated by project: 5480 GPD (per j_54 CV('A(' 02T ,0114)
1- 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 limefrante for permitting upstream sewers with flou..
❑ Flow has already been allocated in Permit Number: __ Issuance Date:
❑ Rehabilitation or replacement of existing sewers a ith no new flow expected
❑ Other (Explain):
DORM: FTA 06-21 Page 2 of 5

VI1. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02'1_0305 & 1►IDC (Gra►itr .Se►►ers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 344 DI
Y- Section 11 & III of the MDC for Pennitting of Gravity Sewers contains information related to design criteria
Y Section III contains information related to minimum slopes for gravity sewer($)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 021 .0305 & NIDC f Pump Stations/Force Mains :
PROVIDE A SEPAMTE 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)
z This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational points) 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)
J.-
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)
Power reliability in accordance with I �A NCACO21 .03051h]L)j:
❑ Standby power source or ❑ Standby pump
L Must have automatic activation and telemetry - 15A NCAC 021'.0305(h)(l)(B)_
y 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 I SA 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 putup, including travel tiniefratmes, shall be provided
as pan 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)):
I. Does the project comply with all separations altematives found in ISA NCAC .U21..0,1055 &. ®yes ❑ No
15A NCAC 02T.0305 contains minimum se arations that shall be v d d f
rot or se I
w cr systems:
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
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-1 waters of Class I or
Class If 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
I0 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.030S or see Section X. I of this application
* *.ANCAC Q2J _O)QW contains alternatives where separations in I} '1 0 t3 F JO 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 N[; Surface %rater_Clai�i is W brat
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ N;'A
L 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_
1✓ See the Division's draft seirem. epts for situations where separation cannot be tnet.
Y 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 I a NCAC 02B .0200? ❑ Yes ❑ No
�__ This includes Trout Buffered Streams per 15A_lL4"' ,0202
S. Does die project require coverage'authorization under a 404 Nationwide+individual permits ❑ Yes ® No
or 401 Water Quality Certifications?
D Please provide the permit number -permitting status in the cover letter if coverage'authorizatiou is required.
6. Does project comply with 154..NL,Aty, t} ).0j9i LjL6) {additional penniWcertificatrons)? ® Yes ❑ No
Per 15A 02r.005t
1cH61. directly related environmental pennits 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. stonnwater management plans, etc.).
7. Does this project include any se►%cr collection lines that are deemed "high -priority?" ❑ Yes ® No
Per 15A NCAC 021 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(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: Iq A 06-21 Page 4 of 5

X. CERTIFICATIONS:
Does the submitted system comply with 15A-NLAC' 021, the (ti iliintuni De'lan. f='nle h tor the Psrntltlin uf!'ultt i ~tat rns wid 1 urcr.Al.ntF±�iaate,� r r.iand lheffravki Se►+der Minittlum Dc.ilm Criteria (4kM versit}rs} a.q applicable'?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the VariancelAlternattve Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. ApRroval of the refluest will be issued
concurrent!y with the a rovel of the ermit and Projects requiring a variance goproval may be subject to ton er
review times. For ro ects reguiring two or more variances or where the variance is determined b i the Division to be a
si nificant Portion of the Proiect, the full technical review Is re aired.
2. Professional Engineer's Cenifcation:
1, Preston Ro ster P.E. , attest that this application for 1200 MLK Sheetz & Climate Controlled Storage
(ProfCSSIOnal Engineer's name from. Application lien, if I I )
(I'MIM N3111C fmm Appllcalion Item tl.l )
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. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minin►rtm s �n {'ritt:ria or Graril s•wersiatest vertiio�}i , and the Minum1lti Derr herta for the bast {c. k Perntitline
t4 tP�,
of Pum Sta io s at4 Fo .ate f _ 2 . � p
mkt i � �M latest ver.ion . Although other professionals may hav a 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 Willi 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:
aa
O`..•'•r •I''
SEAL _ f
1. 35 03
�oA•- � 1a Zv�Z'� : �
TON 13. RQ�r?�s• 1
i .....��L.11,�.t.l.t.t , ..�
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1, Todd Taylor P.E. , attest that this application for 1200 MLK Sheetz & Climate Controlled Store �e
(Signature Authority Name 1'rtnn Application hem 1.3 1
(Project Name from Application Item ti.l;
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
1 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. 1 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 inforniation and attachments are not included, this application
package will be returned to me as incomplete.
NOTE - In accordance with General Statutes 14_3- SAA and 141-211.61), any person who knowingly makes any false
stalement, 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: do
FORM- F1A 06-21 IOU
Date: 12/22/2022
Page 5 of 5

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Witter Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Orange Water & Sewer Authority
Project Name for which flow is being requested: 1200 MLK Sheetz & Climate Controlled
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 wastewaterJlow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Mason Farm Wastewater Treatment Facility
b. WWTP Facility Permit#: NC 0025241
All flows are in MGD
c. WWTP facility's permitted flow 14.5
d. Estimated obligated flow not yet tributary to the WWTP 0.643
e. WWTP facility's actual avg. flow 7.5
f. Total flow for this specific request 0.0055 (5480 gpd)
g. Total actual and obligated flows to the facility 8.149
h. Percent of permitted flow used 56.2%
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:
Pump
Station
Firm
(Name or
Capacity,
Number)
MGD
Rogerson Dr
18.5
(A)
(B)
Design
Average Daily
Approx.
Flow"
Current Avg.
(Firm I pf),
Daily Flow,
MGD
MGD
74
3.75
(C)
(D)=(B+C)
(E)=(A-D)
Obligated,
Not Yet
Total Current
Tributary
Flow Plus
Daily Flow,
Obligated
Available
MGD
Flow
Capacity***
0.39
4.14
3.26
* The Firm Capacity 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.
*** 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):
Downstream Permit Number:
OWASA
WQCS 00031
Page 1 of 6
FTSE 04-16

III. Certification Statement:
I Todd Taylor, P.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 indicates acceptance of this wastewater flow.
Si ing Official
Page 2 of 6
Date
USE 04-16

N THOMAS & HUTTON
I I I W. MAIN STREET NC Dept of Environmental Quality
DURHAM, NC 27701 1 919.682.0368
WWW.THOMASAN DH UTTON.COM
January 13, 2023
Jason T. Robinson, PE
NC Division of Water Resources, DEQ
Water Quality Regional Operations
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
Re: 1200 MLK
Orange County
Mr. Robinson:
JAN 13 ?Cf--13
Raleigh Regional Office
The 1200 MLK Sheetz & Climate Controlled Storage project involves the construction of a new gas filling
station, convenience store, self -storage facility, and the associated infrastructure. The site is located on the
east side of Martin Luther King Jr. Blvd., north of its intersection with Taylor Street within the Town limits
for the Town of Chapel Hill in Orange County. The existing site is currently a gas station and 73 mobile
homes. The proposed project keeps the 73 mobile homes, replaces the gas station, and adds a climate
controlled self -storage building.
Based on the 2T rules, the anticipated design sewage flow has been calculated to be 5,480 GPD. (250
gallons per fixture + 25 gallons per employee + 20 gallons per dining seat)
There is an existing public gravity main in the public ROW of Martin Luther King Blvd. The proposed
improvements include the construction of approximately 349 fl of new 8" gravity sewer and 72 ft of new 6"
gravity sewer service.
Please find the following items included with this submittal:
• Submittal Cover Sheet
• Project Narrative
• Fast Track Sewer System Extension Application (FTA-06-21)
• Flow Tracking / Acceptance for Sewer Extension Application (FTSE 04-16)
• Project Location Aerial Map
• USGS Map
Please begin your review of this submittal upon receipt of this letter and the attached documents. If you
have any questions or need any additional information regarding this project, please do not hesitate to call
me at [phone] or send an email to Anderson.' -tandh._ -o[m. We look forward to hearing from you.
Sincerely,
Thomas and utton Eng. Co. (Formerly CJTpa)
Jere y S. nderson, PLA
ct Manager

PROJECT NARRATIVE
1200 MLK Sheetz & Climate Controlled Storage
January 12, 2023
NC Dept of FnvirHntaonigl Qualify
Raletgt. &.op*jaj t)fj ice
The 1200 MLK Sheetz & Climate Controlled Storage project involves the construction of a new
gas filling station, convenience store, self -storage facility, and the associated infrastructure. The
site is located on the east side of Martin Luther King Jr. Blvd., north of its intersection with
Taylor Street within the Town limits for the Town of Chapel Hill in Orange County. The
existing site is currently a gas station and 73 mobile homes. The proposed project keeps the 73
mobile homes, replaces the gas station, and adds a climate controlled self -storage building.
Based on the 2T rules, the anticipated design sewage flow has been calculated to be 5,480 GPD.
(250 gallons per fixture + 25 gallons per employee + 20 gallons per dining seat)
There is an existing public gravity main in the public ROW of Martin Luther King Blvd. The
proposed improvements include the construction of approximately 349 ft of new 8" gravity
sewer and 72 ft of new 6" gravity sewer service.

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Coulter Jewell Thames..
LETTER OF TRANSMITTAL
❑ LETTER ❑ FAX ❑ EMAIL Q OTHER:
Date: 13-Jan-2023
To: Raleigh Regional Office
Water Quality Section
Attn: 3800 Barrett Drive
Raleigh, North Carolina 27609
WE TRANSMIT TO YOU HEREWITH:
# of Copies Sheet No.
1
1
1
1
1 2
1
1
Remarks:
"THOMAS
H� HUTTON
NC Dept of Environmental Quality
JAN 13 H?3
Raleigh Regional Office
Project: 1200 MLK
Fast Track Sewer Application
Date Description
Fast Track Application
Flow Tracking
$480 Check fee
Narrative
USGS and Aerial
Flash Drive
Cover Letter
Copies To:
From:
Jeremy S. Anderson, RLA
Daniel A. Jewell, RLA
Jeffrey P. Williams, PLS office: 111 West Main Street, Durham, NC 27701
Preston B. Royster, PE phone: [phone]
Jeremy S. Anderson, RLA fax: 919.688,5646