WQ0044146_Application (FTSE)_20230221

DocuSign Envelope ID. 4ADC55B8-9AOB-423A-B6E5-D42OD9CCDCiC
DWI
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: RA/d6d'1414(a (to be completed by DWR)
All items must he completed or the application will be returned
1. APPLICANT INFORMATION:
I . Applicant's name: CITY OF SANFORD (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ® Municipal
3. Signature authority's name: PAUL M. WEEKS JR., PE per 15A NCAC 02 r .0106f b)
Title: UTILITIES AND ENGINEERING DIRECTOR
4. Applicant's mailing address: PO BOX 3729
City: SANFORD State: NC Zip: 27331-
5. Applicant's contact information:
Phone number: (919) 777-11 19 Email Address: PAUL. WEEKS a,SANFORDNC.NET
[L PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
I. Project name: TOWNES AT CENTRAL SQUARE RESIDENTIAL DEVELOPMENT
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: LEE
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.477 Longitude:-79.158-
5. Parcel ID (ifapplicable): 9652-28-9577: 9652-38-0432 (or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
1. Professional Engineer: JEREMY_R. THOMAS, PE License Number: 027472
Firm: J THOMAS ENGINEERING, INC.
Mailing address: 143 CHARLOTTE AVE, STE 104
City: SANFORD State: NC Zip: 27330-
Phone number: [phone] Email Address: JTHOMASaJTHOMASENGINEERING.COM
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: BIG BUFFALO CREEK W WTP Permit Number: NCO024147
Owner Name: CITY OF SANFORD
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ
2. Downstream (Receiving) Sewer Information: 8 inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS0047
Owner Name(s): CITY OF SANFORD
FORM: FTA 06-21 Page I of 5

DocuSign Envelope ID: 4ADC55B8-9AOB-423A-B6E5-042oD9CCDCIC
V1. 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 attached?
❑ Yes ❑ No ® N/A
3. If the Applicant is a Home/Property Owners' Association, has an HOAIPOA Operational Agreement (FORM: HOA) and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
❑ Yes ❑ No ON. -'A
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 andlor Motels
❑ School! preschool! day care ❑ Medical f dental / veterinary facilities ❑ Swimming PooVClubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming PoollFilter Backwash
❑ Businesses / offices I factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic % Commercial % Industrial (See 15A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ®No
➢ If yes, uovide a copy of flow reduction aimroval letter with this apillication
7. Summarize wastewater generated by project:
Establishment Type (see 02T.011 14(f))
Daily Design Flow ° b
No. of Units
Flow
SF RESIDENTIAL - 3 BEDROOM
360 gal UNIT
25
9,000 GPD
gaff
GPD
gal,'
GPD
gal;'
GPD
gaff
GPD
gall
GPD
Total
9,000 GPD
a See 15A NCAC 02T .01141b). (d), 1c)(1) 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-4).
b Per 15A NCAC 02T .01 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 9,000 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

Docu$ign Envelope ID 4ADC55B8-9AOB-423A-B6E5-D42OD9CCDCIC
V11. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & NIDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 365 PVC
> Section 11 & 11] of the MDC for Permitting of Gravity Sewers contains information related to design criteria
> Section Ill 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
Vill. 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
i , 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)(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

DocuSign Envelope ID: 4ADC55B8-9AOS-423A-B6E5-D420D9CCDC1 C
IX. SETBACKS & SEPARATIONS — (02B.0200 & 15A NCAC 02T.0305(f)):
I. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(f) & (a)? ® Yes ❑ No
15A NCAC 02T,0305(f) contains minimum separations that shall be provided for sewer 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-1 waters of Class I or
Class 11 impounded reservoirs used as a source of drinking water, and associated wetlands.
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 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
D If noncompliance with 02T.0305(f) or (u), see Section X.I of this application
* 15A NCAC 02T.0305(e) 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 webpaaae
2. Does this project comply with the minimum separation requirements for water mains? ® Yes [:]No ❑ N'A
➢ 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 U No ® N.:A
➢ 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: ® No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC 213.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑ Yes ® No
or 401 Water Quality Certifications?
➢ Please provide the permit numberipermitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0 I 05(c)(6) (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 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: FTA 06-21 Page 4 of 5

DocuSi9n Envelope ID: 4ADC55B8-9AOB-423A-B6E5-D42oD9CCDCIC
X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer,Ntinimum Desit~n Criteria (latest version) as applicable?
M Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance.: A I ternati ve 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 auvroval may be subject to longer
review times. For projects requiring two or more variances or where the variance is determined by the Division to be a
significant portion of the proiect, the full technical review is required.
2. Professional Engineer's Certification:
1, Jeremy R. Thomas, PE , attest that this application for The Townes at Central Square
(Professional Engineer's name from Application Item III I ) (Project Name from Application Item It I)
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,
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 143-215.6B, 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:
027472
. ..... ................ .2
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1 Paul M. Weeks Jr., PE , attest that this application for The Townes at Central Square
(Signature Authority Name from Application Item 13 1 (Project Name from Application Item It I)
attest that this application has been reviewed by me and is accurate and complete to the hest 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 143-215.613, 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.
bocu5lyned by*
Atµ,
lk Wt,tks Y. 2/27/2023
Signature: _ _ _ Date:
FORM: FTA 06-21 Page 5 of 5

DocuSign Envelope ID: 1990IC7F-8630-4834-A901-725997BE7C14
NC Dept of Environmental Quality State of North Carolina
Department of Environmental Quality
DW
Division of Water Resources
R
FEB 21'0'
Flow Tracking for Sewer Extension Applications
Division of Water Resources Weigh Regional Office (FTSE 10-18)
Application Number: I FT-351
Entity Requesting Allocation: City of Sanford
Project Name for which flow is being requested: Townes (a Center Square (Bragg St. @ Cooper St.)
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for ali pump
stations along tite route ofthe proposed wastewater flow.
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:
d. Estimated obligated flow not yet tributary to the WWTP:
e. WWTP facility's actual average flow:
12.0000
1.9750
4.1390
f. Total flow for this specific request: 0.00900
g. Total actual and obligated flows to the facility: 6.1230
h. Percent of permitted flow used: 51 %
H. 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) (B) (C) (D) = (B+C)
(E)=(A-D)
Pump
Pump Firm Design Approx. Obligated, Total Current
Available
Station
Station Capacatyl Average Current Not Yet Flow Plus
Capacit}
(Name or
Permit Daily Flown Avg. Daily Tributary Obligated
Number)
Number (Firminfl. Flow, Daily Flow, Flow
MGD MGD MGD MGD MGD
MGD
Lillie . -Buffalo
#WQ0040285 6.3648 2.5459 1.3046 0.6642 1.9689
05771
zBig_ButTalo
#N.-A #NIA #NIA #NIA #NIA
#NIA
x
#N.-A #NIA #NIA #NIA #N1A
#NIA
x
#N!A #NIA #NIA #NIA #NIA
#NIA
x
#N.-A #NIA #NIA #NIA #NIA
#NIA
x
#N.-A #NIA #N1A #NIA #NIA
#NIA
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) of 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
Pagel of 6 FTSE 10-18

Docusign Envelope ID: 19901C7F-863o-4834-A901-7259978E7C14
III. Certification Statement
1, 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.
O*eusl Md by:
P k. MLu3 Y. F.f.
eec�9F-SMSu59...
Signing Ojji'cial Signature
Utilities & Engineering Director
Title of Signing Official
02/ 10/23
Date
Page 2 of 6 FTSE 10-18

J THOMAS ENGINEERING, INC.
C vIL ENGINEERING 8 PLANNFNG
NC Dept of Environmental Quality
FEB 2 1 _?
February 15, 2023
Raleigh Regional Office
Mr. S. Daniel Smith
Regional Supervisor — Water Resources Water Quality Operations
NCDEQ Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699
Reference: Fast Track Application — Gravity Sewer Extension
Townes at Central Square Residential Development
Sanford (Lee County), North Carolina
Dear Mr. Smith:
143 Charlotte Avenue, Suite 104
Sanford, North Carolina 27330
919-777-6010 phone
www.jthoma sengineeri ng.com
License No. C-3389
Please find enclosed the application package for the Golf Course Road Residential Development
Project located in Sanford, North Carolina. The package includes the following items (original and
one copy):
• Fast Track Sewer System Extension Application (FTA 04-16)
• $480 check for application fee
• Flow Tracking/Acceptance Form (FTSE — 04-16)
• USGS Map showing project location
• Google Earth Map showing project location
This proposed 25-unit townhome development will require an extension of the public sanitary sewer
collection system to serve the proposed lots. Approximately 365 LF of new 8-inch sewer main is
proposed to serve the proposed units.
Please do not hesitate to call with any comments or questions regarding this submittal.
Sincerely,
J Thomas En ' ring, Inc.
1140Y
Jeremy R. Thomas, P.E.
President

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