WQ0017887_Application (FTSE)_20230718

B U R T 0 N
F N G i N E E R I N G
I
June 1, 2023
TO: Raleigh Regional Office
Water Quality Section
FROM: Burton Engineering Associates
Carlton T Burton, PE
RE: Gold Leaf Crossing - Initial Utility Plan
NC Dept of Ciivirolimental Quality
JUN - 5 2023
Raleigh Regional Office
This application is submitted to allow relocation of a portion of an existing permitted 16" Force
Main along/adjacent to US 401 in Fuquay-Varina.
We are only relocating a portion because of DIP material shortages that prevent us from
relocating the entire line within the time available.
We believe we can assemble enough material to relocate the Force Main out of the
intersection, where a Federally Funded Highway Improvement project is anticipated to start in
the near future. Our goal is to relocate the line before it is awarded to a contractor.
Additionally, we wish to avoid having to make pavement cuts after the intersection is
completed.
There is 0 Flow associated with this application as it is only a modification to the existing
permit.
0.0�
Carlton T Burton, PE
0: [phone] I 5950 Fairview Road BurtonEngineoring.com
ISuite 100 Charlotte, NC 28210

NC Dept of Environtnewal Qualit State of North Carolina
nWR
department of Environmental Quality
Division of Water Resources
FA T;Tff .KACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRUCTION Fd 'FOR : FTA 06-21 & SUPPORTING DOCUMENTATION
Raleigh Regional Q I+
This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of 15A NCAC 02T and the Division's
Minimum Design Criteria (Gravity Sewer & Pump Stations/Force Mains) and that plans, specifications and supporting documents
have been prepared in accordance with 15A NCAC 02T, 15A NCAC 02T .0300, Division policies, and good engineering practices.
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design
documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design
calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum design criteria. These
documents shall be immediately available upon request by the Division.
Projects that are deemed permitted (do not require a permit from the Division) are explained in 15A NCAC 02T.0303.
Projects not eligible for review via the fast track process (must be submitted for full technical review):
➢ Projects that do not meet any part of the minimum design criteria (MDC) documents;
➢ Projects that involve more than one variance from the requirements of I5A NCAC 02T;
➢ Pressure sewer systems utilizing simplex septic tank -effluent pumps (STEPS) or simplex grinder pumps;
➢ Simplex STEP or simplex grinder pumps connecting to pressurized systems (e.g, force mains);
➢ Vacuum sewer systems.
General When submitting an application, please use the following instructions as a checklist in order to ensure all required items are
submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the
amount of requested additional information. Failure to submit all required items will necessitate additional processing and review
time, and may result in return of the application. Unless otherwise noted, the Applicant shall submit one original and one copy of
the application and supporting documentation.
A. One Original and One Copy (second copy may be digital) of Application and Supporting Documents
® Required unless otherwise noted. Signatures on original must be "wet ink" or secure digital signatures.
Please do not submit engineering design plans with the application unless specifically requested.
B. Cover Letter/Narrative Description (Required for All Application Packages):
® List all items included in the application package, as well as a brief description of the requested permitting action.
➢ Be specific as to the system type, number of homes served, flow allocation required, etc.
➢ Include the permit number/status of any other required sewer permits (downstream/upstream)
➢ If necessary for clarity, include attachments to the application form.
C. Application Fee (All New and Modification Application Packages):
® Submit a check or money order in the amount of $480.00, dated no more than 90 days prior to application submittal.
➢ Payable to North Carolina Department of Environmental Quality (NCDEQ)
D. Fast Track Application (Required for All Application Packages, Form FTA 05-21):
® Submit the completed and appropriately executed application.
➢ If necessary for clarity or due to space restrictions, attachments to the application may be made.
❑ If the Applicant Type in Item 1.2 is a corporation or company, provide documentation it is registered for business with the
North Carolina Secretary of State.
❑ If the Applicant Type in Item 1.2 is a partnership or d/bla, enclose a copy of the certificate filed with the Register of Deeds in
the county of business.
® The Project Name in Item 11.1 shall be consistent with the project name on the flow acceptance letters, agreements, etc.
® The Professional Engineer's Certification on Page 5 of the application shall be signed, scaled and dated by a North Carolina
licensed Professional Engineer.
® The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 02T .0106(b). Per
15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if a delegation letter is provided from
a person who meets the criteria in 15A NCAC 02T .0106(b).
INSTRUCTIONS FOR FORM: FTA 06-21 & SUPPORTING DOCUMENTATION Pagel of 3

E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (If Applicable):
® Submit the completed and executed FTSE form from the owners of the downstream sewers and treatment facility.
➢ Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different_
➢ The flow acceptance indicated in form FTSE must not expire prior to permit issuance and must be dated less than one year
prior to the application date.
➢ Submittal of this application and form FTSE indicates that owner has adequate capacity and will not violate G.S. 143 215.67(a).
➢ Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific FTSE.
F. Site Maps (All Application Packages):
18 Submit an 8.5-inch x t 1-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project area,
including the closest surface waters.
➢ General location of the project components (gravity sewer, pump stations, & force main)
➢ Downstream connection points and permit number (if known) for the receiving sewer
® Include an aerial location map showing general project area (such as street names or latitude/longitude) so that Division staff
can easily locate it in the field.
G. Existing Permit (Application Packages for Modifications to an Existing Permit):
® Submit a copy of the most recently issued existing permit. not available.
® Include a descriptive and clear narrative identifying the previously permitted items to remain in the permit, items to be
added, and/or items to be modified (the application form itself should include only include items to be added/modified). The
narrative should also include whether any previously permitted items have been certified.
® The narrative should clearly identify the requested permitting action and accurately describe the sewers to be listed in
the final permit.
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per 15A NCAC 02T .0305(h)(1), submit documentation of power reliability for pumping stations.
➢ This alternative is only available for average daily flows less than 15,000 gallons per day
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible with
the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or proposed contractor,
stating that "the portable power generation unit or portable, independently -powered pumping units, associated appurtenances
and personnel are available for distribution and operation of this pump station."
D 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. (Required at time of certification)
I. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0115(a)(1) provide the Certificate of Public Convenience and Necessity from the North Carolina Utilities
Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the sewer
extension, or
❑ Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an application
for a franchise has been received and that the service area is contiguous to an existing franchised area or that franchise approval
is expected.
J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ Home Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (FORM: HOA).
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115 b submit the properly executed Operational Agreement (FORM: DEV).
For more information, visit the Division's collection systems wehsite
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 2 of 3

N( Dcpt of Envrrorrmertt<! ptrairty
State of North Carolina
Department of Environmental Quality
DWR JUN - 5 2�2? Division of Water Resources
.�
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dtvislon of Water Resources Raleigh FTA 46-21 & SUPPORTING DOCUMENTATION
� Regional0�7`ft�t..
Application Number:{AY1yl-J3fVJJ)4 (to be completed by DWR)
All items must be completed or the ayolication will be returned
1. APPLICANT INFORMATION:
I . Applicant's name: Town of Fuquav-Varina (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Michael Wagner per 13A NCAC 02T _010Nb1
Title: Director of Public Utilities
4. Applicant's mailing address: 134 N. Main Street
City: Fuquay-Varina State: NC Zip: 27526
5. Applicant's contact information:
Phone number: [phone] Email Address: mwa ner _ fuquay-varina.org
II. PROJECT INFORMATION:
1. Project name: Gold Leaf Crossing (Initial Phase
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: WQOO 17887 and issued date: 2/10/2000
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: Wake
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.600248-' Longitude: 78.752876'
5. Parcel ID (if applicable): Wake PIN: 0689505560 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Carlton T. Burton, P.E.
License Number: 12557
Firm: Burton Engineering Associates, P.C.
Mailing address: 5950 Fairview Road, Suite 100
City: Charlotte State: NC Zip: 28210
Phone number: [phone] Email Address: cburton(a},burtoneng com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Terrible Creek WW TP Permit Number: NC0066516
Owner Name: Town of Fuquav-Varina
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQCS00193
2. Downstream (Receiving) Sewer Information: 10 inch ® Gravity 1 _ Force Main
3. System Wide Collection System Permit Numbcr(s) (if applicable): WQCS00193
Owner Name(s): Town of Fuquav-Varina
FORM: FTA 06-21 Page I of 5

Vl. GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No ® N.`A
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 Home/Property Owners' Association, has an HOA/PQA Operational Agreement (FORM: HOA) and
supplementary documentation as required by 15A NCAC 02T.0115(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) ❑ RetaiI with food preparation/service ❑ Hotel and/or Motels
❑ School I preschool ? day care ❑ Medical I dental I veterinary facilities ❑ Swimming Pool/Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices I factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: �% 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 t ? ®Yes [:]No
➢ if yes, arovide a coov of flow reduction annroval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow
No. of Units
Flow
N `A
0 gal/0
0
0 GPD
gal/
GPD
gal/
GPD
gall
GPD
gall
GPD
gal/
GPD
Total
0 GPD
a See 1 AA NCAC 02T .01 14�b), (di. fe1[ I } a nd. fe [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 fin table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per 15A NC:A(: 02T .01)4)
)> 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 timcframc 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

1
g� �tvA
GRA%-rrY 5EUER DESIGN CRITERIA (If Applicable) - OIT .0303 & AMC (Gran tr Semis).
1 5tnnmariae gratYn sews to be yetitweed
> Section 11 & M of the SIDC for permiving of Gmily Sens contains information related to destp uitana
> Section M contains information related to mmmmmm slopes for parity sewer(%)
> Overstans tines to meet minimum Slope requirements is not allowed and a siolatlen of the SLOG
IIM FCXIP STATION DESIGN CRITERU (If Applicable) — 02T .0305 do ILMt stiy 5tatrossFFaru siaiasl:
kuniTrsr x Ssv s u i Tr { OP] t?F THIS P 1CcE FOIL f�lCFi t77 rim �rxrrnx � t r t inert% r� ,-sire � n,r r-r
1 Pomp station nubs or tame.:: T AA
Approxu=* Coordinates (Decimal Degreesa Lannide. Longitude_ -
3. Total munber of pumps at the pump station
I Deup flow of the pomp statist milltom pFloas per das• {firm capacity)
> This should reflea the total GP.Ni for the pump station with the largest pump out of senice.
4. OPeratronai pomt(s) Per Pttmp(s) gallons per immure (Gp>f) at feet total dynamic head (TDR)
5. Sustmsrwe the farce main to be permitted (tor this pomp Station):
Sae (inches)
Lag& (feet)
Materbi
16
26
DIP
If any portion of the farce mam is less than d-inches in diameter. please identity the method of solids reduction per
]IDC PSM Section 2 O1C 1 b. ❑ Grinder Ramp ❑ Mechanical Bar Screen ❑ Other (please specify)
6 Power rehabilttp in accordance with 13,E NCAC D2T .0305(h)(1 ]
❑ Standby power source at ❑ Standby pomp
> Must have automatic activation and teletmetry -15A NCAC 02T O305(I)(l)(B),
> Repited for all pump stations with au average daily Dow greater than or equal to 15.000 p Homer per day-
), Ernst 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 NC ACO_T.0305(h)(1}tC; .
❑ portable power source nrth ten] acmvatiorr gawk -connection receptacle and telemetts -
or
❑ portable pumping twit with plugged emergency pomp commecnon and telemeay.
> Inchtde documentation that the portable soasce is owmed or contracted b%. the applicant and Is compatible with the. statiom-
> If the portable power sauce or pnatp is dedicated to multiple pomp stations. an es OUtron of all the pump s canons' storage
capacities and the rotation ubifte. of the portable power suture or pump. mchtdmg travel titmeftutes. shall be prodded
as part of this Remit LyNk ation m the case of a multiple station power outage
FORJI FTA 06-21 page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separationsialternatives found in 1.5A NCAC 02T .0305(0 & t &l? ® 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-I 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.
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)
j 36 inches
➢ If noncompliance with 02T.0305(f) or (g), see Section X.I of this application
*15A NCAC 02T.0305(g 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 wcbpggL;
2. Does this project comply with the minimum separation requirements for water mains? ® Yes []No ❑ NrA
➢ 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.
➢ See the Division's draft . eparation 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: Neuse ❑ 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 number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NfAC 02T_010 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

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Critgia for the Permitting of P=g Stations
and Force Mains [ latest version). and the Gravity Sewer Minimum Design Criteria (latest version} as applicable?
® Yes ❑ No
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 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 proffiect, the full technical review is re uired.
2. Professional Engineer's Certification:
1, Carlton T. Burton, attest that this application for Gold Leaf Crossing
(Professional Engineer's name from Application Item 111. 1.) (Project Name from Application Item IL 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,
Minimum Design Criteria for Gravity Sewers (latest version}, and the Minimum Design Criteria for the Fast-Trauk 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
;...............���Ik-6iaiaa,. .. ......... .
North Carolina Professional Engineer's seal, signature, and date: `� �•,
.� /0'L•: 7'.
q'
Q SEAL '
12557
.,��,pN T g
........ ........ �..ffJ��./ O�i7
Applicant's Certification per ISA NCAC 02T .0106(b):
I, _ Michael Wa net , attest that this application for {fold Lcaf (Tossing
(Signature Authonty Name from Application Item 13 ) (Project Name from Application Item II.1)
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. 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 $10,000 as well as civil penalties up to $25,000 per violation.
41Signature: Date: 05/30/2023
FORM: FTA 06-21 Page 5 of 5

NC l)on# of Environmental Quality
State of North Carolina
Department of Environmental Quality
JUN - 5 2023 Division of Water Resources
Divlslon of Water Resources Raleigh RegionN491 IR12cking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Fu ua -Varina
Project Name for which flow is being requested: Gold Leaf Crossing
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 wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Terrible Creek WWTP
b. WWTP Facility Permit #: NC0066516
AU flows are in MGD
c. WWTP facility's permitted flow 3.0
d. Estimated obligated flow not yet tributary to the WWTP 1.214
e. WWTP facility's actual avg. flow 1.306
f. Total flow for this specific request 0.000
g. Total actual and obligated flows to the facility 2.520
h. Percent of permitted flow used 84.00%
II. 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)
Design
Pump
Pump
Average
Approx.
Station
Station
Firm Daily Flow**
Current
(Name or
Permit
Capacity, * (Firm / p fl,
Avg. Daily
Number)
No.
MGD MGD
Flow, MGD
(C)
(D)=(B+C) (E)=(A-D)
Obligated,
Not Yet
Total Current
Tributary
Flow Plus
Daily Flow,
Obligated Available
MGD
Flow Capacity***
* 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): Terrible Creek WWTP
Downstream Permit Number: NC0066516
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Michael Wagner 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 certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Signing OjJz'cial
Public Utilities Director
Title of Signing OjJIcial
Date
Page 2 of 6
FTSE 10-18

J U N - 5 2023
Cary PARK
EAST RALEIGIi
Z Mgr i at Q ce WEST RALEIGH' k
Raleigh
r' 64 SOU,zid1VES���
4ltonville
r 401
EAGLE RIDGE
While p8kj
IACCIiLLERS �I
P.- RK AT r Ijj WEST LAKE
ly Springs
Al STREET r �'
SQUAREqO
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I�
55 4p, SITE
4
LLO%V SPRING 42
'Fuquay,Var' ma ss Qx so
�� Holland

y

From:
Carlton Burton
To:
Wilson, Susan A
Cc:
Michael Wagner
Subject:
[External] RE: Gold Leaf Crossing (initial phase) Fast Track Sewer Modif WQ0017887 MOD
Date:
Monday, June 19, 2023 5:20:22 PM
Attachments:
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Susan, Thanks for the quick response, I'm responding in RED below for convenience:
From: Wilson, Susan A <[e-mail]>
Sent: Monday, June 19, 2023 12:19 PM
To: Carlton Burton <[e-mail]>
Cc: Michael Wagner <[e-mail]>
Subject: Gold Leaf Crossing (initial phase) Fast Track Sewer Modif WQ0017887 MOD
Good afternoon Carl —
I just went over the fast track application for this project. I'd like to turn this around for you folks as
quickly as we can. Do you guys happen to have a copy of the old permit? I'm having trouble locating
it here (although our computer system indicates 20,000 LF 16 in force main, 78 LF 12 in force main,
1721 LF 18 in GS, and 1260 gpm pump station- if this sounds familiar, as it is from 3/2000). Susan,
Michael is the new Director and has searched their files with no luck. I do have a copy of the
Plans if that helps, Here is a link. https://www.dropbox.com/t/DQpUjMbBhRRk1sQJ
I need to have some estimation on the increased linear footage with the relocation and a good pipe
diagram of the relocation? That can be simplistic — I just need a better idea of what's entailed. I
can't really tell from the diagram submitted. Attached is a sketch based on the original plans.
New 170' vs 144' = 26' Longer

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I don't know if this would be applicable (and this may be an ignorant statement!) — but have you
checked the language in 15A NCAC 2T .0303(4) and (C)? Could this be deemed permitted? Scroll to
page 18. 1 lose all formatting, or I'd copy it here. Yes, both Michael and I checked and Michael
noted that we would not be entirely within the existing easement, hence we felt like we did not
qualify for the exception.
http://reports.oah.state.nc.us/ncac/title%2015a%20-
%20environmental%20quaIit)C/chapter%2002%20-
%20environmenta1%20manage ment/subchapter%20t/subchapter%20t%20ruIes. pdf
If not, just provide that information.
Thanks,
Susan Wilson
Environmental Engineer (Part Time, Temporary)
Water Quality Regional Operations - Raleigh Regional Office
NC Department of Environmental Quality

Office: 919-791-4240
Enid cvrzespmrderr=e ro and from this address rs su4iedt to Me Nbrlh
Card Aubde Remd's hew and maybe drsdosed ro third parties
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third
parties by an authorized state official.

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State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
March 22, 2000
Larry W. Bennett, Jr. Town Manager
Town of Fuquay-V arina
1300 E. Academy St.
Fuquay-Varina, North Carolina 27526
Dear Mr. Bennett:
L
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Permit No. W00017887
East Regional Pump Station
Town of Fuquay-Varina
Wastewater Collection System
Wake County
In accordance with your application received January 10, 2000, and additional information received
March 9, 2000 we are forwarding herewith Permit No. W00017887 dated March 22, 2000, to the Town of
Fuquay-Varina for the construction and operation of the subject wastewater collection extension. This permit
shall be effective from the date of issuance until rescinded and shall be subject to the conditions and
limitations as specified therein.
Permitting of this project does not constitute an acceptance of any part of the plans and specifications
that do not meet 15A NCAC 2H .0200 and the Division of Water Quality's Gravity Sewer Minimum Design
Criteria adopted February 12, 1996 unless specifically mentioned herein. Division approval is based on the
acceptance of the certification provided by a N.C. Professional Engineer on Page 6 of the subject permit
application form. It shall be the permittee's responsibility to ensure the plans and specifications meet the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North
Carolina General Statute 143-215.6A — 143-215.6C, construction of additional facilities, and/or referral of the
N.C. Professional Engineer to the licensing board.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right
to request an adjudicatory hearing upon written request within thirty (30) days following receipt of this permit.
This request must be in the form of a written petition, conforming to Chapter 150B of the North Carolina
General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are trade this permit shall be final and binding.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

One set of approved plans and specifications is being forwarded to you. If you need additional
information concerning this matter, please contact Mr.-MichaZSincer
19) 733-5083 extension 370. •
/,.—Kerr T. Stevens
cc: Wake County Health Department
Raleigh Regional Office, Water Quality Section (NPDES No. NC0066516)
Diehl & Phillips, P.A.
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NORTH CAROLINA
• ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended,
and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
THE TOWN OF FUQUAY-VARINA
Wake County
FOR THE
construction and operation of approximately 1,721 linear feet of 18-inch gravity sewer, a 1260-GPM pump station
with duplex pumps, on -site audible and visual high water alarms, an autodialer, an on -sight generator, an
automatic transfer switch, approximately 20,000 linear feet of 16-inch force main, approximately 78 linear feet of
• 12-inch force main, and 1700 linear feet of six-inch force main to serve The Town of Fuquay-Varina's East
Regional Pump Station, and the discharge of zero GPD (no new tributary flow) of collected municipal wastewater
into the Town of Fuquay-Varina's existing sewerage system, pursuant to the application received January 10,
2000, and in conformity with the project plan, specifications, and other supporting data subsequently filed and
approved by the Department of Environment and Natural Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the following
specified conditions and limitations:
I. This permit shall become voidable unless the facilities are constructed in accordance with the conditions of
this permit, 15A NCAC 2H .0200, the Division of Water Quality's Gravity Sewer Minimum Design
Criteria adopted February 12, 1996, the approved plans and specifications, and other supporting data unless
specifically mentioned herein.
2. This permit is effective only with respect to the nature and volume of wastes described in the application
and other supporting data.
3. The facilities must be properly maintained and operated at all times.
4. The sewage and wastewater collected by this system shall be treated in the Town of Fuquay-Varina's
Terrible Creek Wastewater Treatment Plant (NPDES No. NC0066516) prior to being discharged into the
receiving stream.
5. This permit is not transferable. In the event there is a desire for the facilities to change ownership, or there
• is a name change of the Permittee, a formal permit request must be submitted to the Division of Water
Quality (Division) accompanied by an application fee, documentation from the parties involved, and other
supporting materials as may be appropriate. The approval of this request will be considered on its merits
and may or may not be approved.

6.
Construction of the sewers, pump station(s) and force main shall be scheduled so as not to interrupt service
by the existing utilities nor result in an overflow or bypass discharge of wastewater to the surface waters of
the State.
•
7.
Upon completion of construction and prior to operation of this permitted facility, a certification and a
copy of the record drawings (i.e., as -constructed plans) must be received from a professional engineer
certifying that the permitted facility has been installed in accordance with the Division's Gravity Sewer
Minimum Design Criteria adopted February 12, 1996, 15A NCAC 2H .0200, this permit, and other
supporting materials. If this project is to be completed in phases and partially certified, you shall retain the
responsibility to track further construction approved under the same permit and provide a final certificate of
completion once the entire project has been completed. A copy of the record drawings, indicating the
facilities constructed in the phase being certified, shall be submitted with each partial certification. Mail the
Certification and one (1) copy of the record drawings to the Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
8.
A copy of the approved plans and specifications shall be maintained on file by the Permittee for a minimum
of five years from the date of the completion of construction.
9.
Failure to abide by the conditions and limitations contained in this permit or to construct the facilities in
accordance with the conditions of this permit, 15A NCAC 2H .0200, the Division's Gravity Sewer
Minimum Design Criteria adopted February 12, 1996,the approved plans and specifications, and other
supporting data may subject the Permittee to an enforcement action by the Division, in accordance with
North Carolina General Statute 143-215.6A to 143-215.6C.
10.
The issuance of this permit does not preclude the Permittee from complying with any and all statutes, rules,
regulations, or ordinances which may be imposed by other government agencies (local, state, and federal)
which have jurisdiction.
•
11.
The Permittee shall provide for the pump station and force main the following items:
a. Pump on/off elevations located so that 2-8 pumping cycles may be achieved per hour in the pump
station,
b. An air relief valve located at all high points along the force main,
c. A screened vent for the wet well,
d. Fillets located in the wet well at the intersection of the flooring and sidewalls,
e. Three feet of cover (minimum) over the force main or the use of ferrous material where three feet
cannot be maintained,
f. Sufficient devices which will protect the pump station from vandals, and
g. Flood protection if the pump station is located below the 100-year flood elevation.
h. Adherence with the following minimum separations:
(i) Storm sewers (vertical) 12 inches
(ii) Water mains (vertical -water over sewer) 18 inches or (horizontal) 10 feet
(iii) In benched trenches (vertical) 18 inches
(iv) Any private or public water supply source, including any WS-I waters or Class I or Class II
impounded reservoirs used as a source of drinking water 100 feet
(v) Waters classified WS (other than WS-I), B, SA, ORW, HQW, or SB [from normal high water (or
tide elevation)) 50 feet
(vi) Any other stream, lake or impoundment 10 feet
(vii) Any building foundation 5 feet
(viii) Any basement 10 feet
(ix) Top slope of embankment or cuts of 2 feet or more vertical height 10 feet
(x) Drainage systems •
(I) Interceptor drains 5 feet
(II) Ground water lowering and surface drainage ditches 10 feet
(xi) Any swimming pool 10 feet

(xii) Ferrous sewer pipe with joints equivalent to water main standards, shall be used where these
minimum separations cannot be maintained. The minimum separation shall however not be less
• than 25 feet from a private well or 50 feet from a public water supply well;
12. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the
Permittee shall take immediate corrective action, including those as may be required by this Division, such
as the construction of additional or replacement wastewater collection facilities.
13. NONCOMPLIANCE NOTIFICATION:
The Permittee shall report by telephone to the Raleigh Regional Office, telephone number [phone],
as soon as possible, but in no case more than 24 hours or on the next working day following the occurrence
or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable of
adequate wastewater transport, such as mechanical or electrical failures of pumps, line blockage or
breakage, etc.; or
b. Any failure of a pumping station or sewer line resulting in a by-pass directly to receiving waters
without treatment of all or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report in letter form within five (5)
days following first knowledge of the occurrence. This report must outline the actions taken or proposed to
be taken to ensure that the problem does not recur.
Permit issued this t twenty-second day of March, 2000.
• NORT ROLIN NTAL MANAGEMENT COMMISSION
—/Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number W00017887

Permit No. WQ0017887
March 22, 2000
ENGINEER'S CERTIFICATION
Partial Final
I, , as a duly registered Professional Engineer in the State of
North Carolina, having been authorized by the Permittee to observe (periodically, weekly, full time) the
construction of the project,
Project Nante Location and County
hereby state that, to the best of my abilities, due care and diligence was used in the observation of the construction
such that the construction was observed to be built within substantial compliance and intent of the Division of
Water Quality's Gravity Sewer Minimum Design Criteria adopted February 12, 1996, 15A NCAC 2H .0200, this
permit, the approved plans and specifications, and other supporting materials.
Signature
Date
Registration No.
The above Engineer's Certification must be completed and submitted to the address below with one (1) copy of
the Record Drawings (i.e., as -constructed plans) of the permitted facilities. This project shall not be considered
complete and allowed to operate until this Engineer's Certification and the Record Drawings have been submitted.
Any wastewater flow made tributary to the permitted facilities prior to completion of this Engineer's Certification
shall be considered a violation of the permit and shall subject the Permittee to appropriate enforcement actions.
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY
WATER QUALITY SECTION
NON -DISCHARGE PERMITTING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
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