WQ0044150_Application (FTSE)_20230210

n
State of North Carolina
nWR FEB 10 .. Department of Environmental Quality
Division of Water Resources
Division of Wat Resources 15,4 NC � �T"TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: QWWCNWZ� be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: 'town of Spring Hope (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ® Municipal
3. Signature authority's name: Andrew Delonno per 15A NCAC 02T .0106(h)
Title: Town Manager
4. Applicant's mailing address: 118 W Railroad St
City: Spring I —lode State: NC Zip: 27882-_ _._._.
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
11. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
1. Project name: Walnut Cove Subdivision - Phase 2
2. Application/Project status: ® 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: Nash
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.9527' Longitude: -78.1 133"
5. Parcel ID (if applicable): 2650 1422 6823
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: J. Michael Socks License Number: 19843
Firm: Stocks Engineering, P.A.
Mailing address: PO Box 1 108
City: Nashville State: NC Zip: 27856-._._ ..
Phone number: 252) 459-8196 Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: S rip Flo e. WWTP Permit Number: NCO020061
Owner Name: Town of Spring Hope
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ0042066 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00206
Owner Name(s): Town of Spring Hope
FORM: FTA 04-16 Page 1 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 ®NfA
2_ If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attacled7
❑ Yes ❑No ®NIA
K If the Applicant is a Home/Prouert+r
Owners' Association. has an O ef� rational Agreement
(FORM: HOA) been attached?
❑ Yes [—]No ®NIA
4. Origin of wastewater: (check all that apply):
® Residential Owned
❑ Retail (stores, centers, malls)
❑ Car Wash
❑ Residential Leased
❑ Retail with food preparation/service
❑ I lotel and?or Motels
❑ School / preschool / day care
❑ Medical ;` dental ? veterinary facilities
❑ Swirruning Pool !Clubhouse
❑ Food and chink facilities
❑ Church
❑ Swimming Pool?I=ilter Backw;i�h
❑ Businesses / offices I factories
❑ Nursing I lome
❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
% Industrial (See. 15A NCAC 02T.O 103001)
4 Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .01 14(? ® Yes ❑ No
➢ If Yes, vrovide a covy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.0I 14(fl)
Daily Design Flow"b
No. of Units
Flow
Single Family Residential
240 gal/unit
10
2,400 GPD
gall
GPD
gal/
G PD
gall
GPD
gall
GPD
gall
G PD
Total
2,400 GPD
a See 15A NCAC 02T .O 1 14(b), (dh le)(1) and J421 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 .O1 14(c), design flow rates for establishments not identified [in table ISA 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: 2.400 GPD (per 15A NCAC 02T .01 14
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

Vill. GRAVITY SEWER DESIGN CRITERIA (if Applicable) - 02T .0305 & MDC (Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches) f Length (feet) I Material
8_ 4995 SDR 35 PVC
➢ Section II &III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section II[ contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VI11. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: __ Longitude: -
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): gallons per minute at -_ feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliability in accordance with 15A NCAC 02T.0305(h)(.1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 021' .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
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick connection receptacle and telemetry - 15A NCAC 021'
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
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
in the case of a multiple station power outage.
rORM: FTA 04 16 Page 3 of 5

IX. SETBACKS & SEPARATIONS (02B A200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 021' .0305(f) & Igo
➢ 15A NCAC 02T.0305 t contains minimum separations that shall be provided for sewers stcros:
® Yes ❑ No
Setback Parameter*
Se aration Required
Storm sewers and other utilities not listed below vertical
24 inches
Water mains vertical -water over sewer 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 1 or
Class II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal
high water or tide elevation and wetlands see item IX.2
50 feet
10 feet
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
AnX buildingfoundation
Any basement
5 feet
10 feet
Top slope of embankment or cuts of 2 feet or more vertical hejzht
Drainage systems and interceptor drains _
Any swimming pools
10 feet
5 feet
10 feet
Final eartl rade (vertical)
36 inches
➢ I SA NCAC 02T.0305W contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpag
➢ If noncompliance with 02T.0305if) or f , see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with all setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ No
➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105ti;A6) (additional permits/certifications)?
® Yes ❑ No
Per 15A NCAC 02T.0105(c)f ft directly related environmental permits or certification applications are 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.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 1 $ A NCAC 02T& 402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ® No
➢ 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 permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Puma Stations
and Force Mains (latest version), and the Gravity Sewer Minimurn Design Criteria (latest version} as applicable?
® Yes ❑ No
IfNo, complete and submit the VariancelAlternative Design Request application (VADC 10-14) and supporting docurents for
review. Approval of the request is required prior to submittal of the East Track Application and su ortin documents.
2. Professional Engineer's Certification:
A4SG# i4r-L_ 5-T-aeKS attest that this application for
(Professional Engineer's name from Application Item I11.1.)
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, Gravity Sewer
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 cinder 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 Gass 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
CA f?,'
©,F-1......
OFESS/�
aQ SEAL 1r i
s 19343
Applicant's Certification per 15A NCAC 02T .0I06(b):
attest that this application for
re Authority's name & title from Application Item 1.3.)
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 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 S 10,000 as well as civil penalties up to $25,000 per violation.
Signature: Date: _ � — 1
DORM: FTA 04-16 Page 5 of 5

NC Dept of Environmental Quality State of North Carolina
Department of Environmental Quality
DW.R FE3I'
Division of Water Resources
�t :
Division of Water ResourcE Flow Tracking for Sewer Extension Applications
Raleigh R���,��� �:�.._
(FTSE 10-18)
Entity Requesting Allocat on: Town of Spring I lope
Project Name for which flow is being requested: Walnut Cove Subdivision - Phase 2
More than one FTSE ntaj} be required for a single project if the owner of the WWTP is not responsible for allptnnp
stations along the route of the proposed waste►vater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Spring Hope WWTP
b. WWTP Facility Permit #: NC0020061
All flows are in MGD
c. WWTP facility's permitted flow 0.40 (0.350 Built)
d. Estimated obligated flow not yet tributary to the WWTP 0.0
e. WWTP facility's actual avg. flow 0.1308
f Total flow for this specific request 0.0024
g. Total actual and obligated flows to the facility 0.1368
h. Percent of permitted flow used 34.2%
I1. 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
Average
Approx.
Obligated, Total
Pump
Daily
Current
Not Yet Current
Pump Station Station
Firm Plow**
Avg. Daily
Tributary Flow Plus
(Name or Permit
Capacity, * (firm ? pf),
flow,
Daily Flow, Obligated
Available
Number) No.
MGD MGD
MGD
MGD Flow
Capacity***
Montgomery
Unknown
0.432 0.173
0.078
0 0.078
0.095
* 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): Spring Hope WWTP
Downstream Permit Number: NC0020061
Page I of 6
FTSE 10-18

Ill. Certification Statement:
I Andrew Delonno 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.
Signing Official
Title of Signing Official
- 9 -
Date
Page 2 of b
FTSE 10-18

Sewer Project Narrative
For
Walnut Cove Subdivision
me Dept ofEnvironmental
Quality
FEB 10 29
Raleigh Regional Office
The Walnut Cove Subdivision — Phase 2 at Spring I lope is a expansion to a residential
development that consists of an additional 10 lots and will be located on a 4.89 Ac.
parcel. The wastewater generated by this residential area was calculated using a daily
flow of 80 gal/day per bedroom based on the Residential Flow Reduction Approval letter
dated 1�ebruary 3rd, 2022 for the Spring Hope Collection System (WQCS00206). There
are 3 bedrooms per lot bringing the daily flow for the project to be 2,400 GPD. It will
consist of 100% residential flow. The sewer system will be constructed of
approximately 495 LF of 8-inch SDR-35 PVC gravity sewer line including three new
manholes. The wastewater treatment plant facility that will be handling this flow is the
Spring Hope WWTF (Permit€ NC 0020061). The permitted flow for the WWTF is 0.4
MGD and after the allocation of the Walnut Cove -- Phase 2 Subdivision's flow the
WWTF will operate at 33.6% of its total capacity.

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�r ,r , � , � , r Y , UoP ofEnvtra"�ntal
LL 1 1 LR O 1 RANSMI 11 AL Quaiity
Stocks Engineering, PA FEB 2023
PO Box 1108
J. Michael Stocks, PE Nashville, NC 27856 �aI, 1A
252.903.6891 252.459 V6910frice8196 252.
To:
Ted Cashion
NCDEQ-DWQ
3800 Barrett Drive, Suite 101
Raleigh, NC 27609
Phone:
919-791-4252
1 Overnight No
Yes
Job No.
2019-087
Job Name:
Walnut Cove Subdivision — Phase 2
Date:
2/9/23
Sent By:
Ethan Averette
We are sending you the following:
❑ EC P ans ❑ Prints/Plans ❑ Construction Plat ❑ Site Plan Drawings ❑ Computer Disk
❑ Contracts x Permit Applications ❑ Site Work Calculations ❑
These are transmitted as checked below:
x For Approval ❑ As Discussed ❑ For Your File ❑ As Requested ❑ For Your Use
❑ For Review and Comment ❑ For Your Signature, thou return tv
Copies Date Description
2 2/9/23 Fast Track Sewer Application
2 2/9/23 Flow Tracking/Acceptance for Sewer Extension Applications
2 2/9/23 USGS Map with location of site shown
2 2/9123 Street Map of Surrounding Area
2 2/9/23 Sewer Project Narrative
2 2/9123 Flow Reduction Approval Letter
1 2/9/23 Permit Fee Check
Remarks —
Copies To: _