HomeMy WebLinkAboutWQ0044187_Application (FTSE)_20230302NC Dept of Envtranrfiental Quality State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
2 FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
V�,y'nnotl dice
Application Number: a) 't0 4 q($7 (to be completed by DWR)
All items must be 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 Weeks Jr., P.E. per 15A. NC'AC 02T .0106I bl
Title: City Engineer
4. Applicant's mailing address: 225 E Weathersnoon Street, P.O. Box 3729
City: Sanford State: NC Zip: 27331-3729
5. Applicant's contact information:
Phone number: (919) 777-1122 Email Address: naul.weeks@sanfordnc.net
I1. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
I. Project name: Lemon Springs Lift Station Improvements
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: 35.264784 Longitude:-79.94666
5. Parcel ID (if applicable): 9651-17-499-00 (or Parcel ID to closest downstream sewer)
II1. CONSULTANT INFORMATION:
1. Professional Engineer: Scott P. Haberstroh License Number: 36505
Firm: Freese and Nichols, Inc.
Mailing address: 1017 Main Campus Drive, Suite 1200
City: Raleigh State: NC Zip: 27606-
Phone number: (919) 582-5867 Email Address: scott.haberstroh a,freese.com
1V. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Big Buffalo Wastewater Treatment Plant Permit Number NCO024147
Owner Name: City of Sanford
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ
2. Downstream (Receiving) Sewer Information: inch El Gravity Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00047
Owner Name(s): City of Sanford
FORM: FTA 06-21 Pagel 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 ® NIA
2. If the Applicant is a Developer of lots to be sold, has a Dcvcicjt<r Operational Agreement f FORM: DEV 1 been attached?
[:]Yes ❑ No ® NfA
3. If the Applicant is a Home/Property Owners' Association, has an H0A.T0A Operational Agrenunt {FORM HOA1 and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
[--]Yes [—]No ®N?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 and/or Motels
❑ School / preschool / day care ❑ Medical ? dental; veterinary facilities ❑ Swimming Pool?'Clubhouse
❑ Food and drink facilities ❑ Church
❑ Swimming Pool. -'Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: % Domestic % Commercial % Industrial (Sec l .SA NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes[—] No
6. Has a flow reduction been approved under 15A NCAC 02T .01 14(1 ? ❑ Yes ❑ No
➢ If yes, provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow a °
No. of Units
Flow
gal
GPD
gal
GPD
gal
GPD
gala
GPD
gala
GPD
gala
GPD
Total
GPD
a See 15A NC'AC 02T .01 14(b), fd). (1;)(1) and (c)f? 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 .0114(c), design flow rates for establishments not identified [in table 15A 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: 0 GPD (per 15A NC- AC 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
VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravih Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
➢ Section Il & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III 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
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) 02T .0305 & MDC (Pump StationsiForce Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Lemon Springs Lift Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 35,264784 Longitude:-79.94666
3. Total number of pumps at the pump station: 2
3. Design flow of the pump station: 0.53 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). 365 gallons per minute (GPM) at 87 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.Lb, ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with I SA NCAC 02T .0305th�t-I-):
® 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
IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separationslalternatives found in 15A NCAC 0211' _0305 f iu)' ® Yes ❑ No
15A NCAC 02T.0305(f) contains minimum separations that shall be nrovided fnr 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 II 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
➢ If noncompliance with 02T.03051 0 Dr Ig), see Section X.I of this application
*I SA N['A(' 02T.0305tL,1 contains alternatives where separations in 02T_0 05 cannot be achieved. Please check "yes"
above if these alternatives are used and provide narrative infonnation to explain_
**Stream classifications can be identified using the Division's NC Surface Water ('Iassifucations wubpagc
2. Does this project comply with the minimum separation requirements for water mains? ❑ Yes ❑ No ® N.A
➢ If no, please refer to i SA NCAC I8C.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 ® N 'A
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ See the Division's draft swnaration requirrmnts 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 riles? ❑ Yes Basin name: ® No
If yes, does the project comply with setbacks found in the river basin ales per !!A NCAV 02B .02009 ❑ Yes ❑ No
➢ This includes Trout Buffered Streams per I S_ A NCAC 2B.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 numberlpermitting status in the cover letter if coveragc.!authorization is required.
6. Does project comply with ISA NCAC 02T.().105JSJi6) (additional permits. -certifications)? ® Yes ❑ No
Per 15A NCAC 02T.01051e)f61, 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) SA 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:
I. Does the submitted system comply with 15A NCAC s�lalest 02T, the hliaimt Desi n Criteria for the Permittin = f Puma Stations
and Forte Mainversioni), and the Gravinv Sewer Minimunl Design Criteria (latest version t 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_reguiring a variance approval may be subject to longer
review times. For proiects requiring two or more variances or where the variance is determined by the Division to be a
siQnifiicant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:
1, Scott Haberstroh, P.E., attest that this application for Lemon Springs Lift Station Improvements
(Professional Engineer's name from Application Item Ill.I ) (Project [dame from Application Item II 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 forGravity Sewers (latest version}, and the Minimum Design Criteria for the Fast -Track Penpiii_ingna
(If Ptiinp 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 mp
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)
......... .............. ......... ............. ..
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North Carolina Professional Engineer's seal, signature, and date: �N CARO4 r,
,O�ESSOF
loEAL
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h DocY.
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....... ....... ..... _t ..................
3. Applicant's Certification per 15A NCAC 02T .0106(b):
2/28/2023
I, Paul Weeks Jr., P.E., attest that this application for Lemon Springs Lift Station Improvements
(Signature Authority Name from Application Item 1.3 ) (Pro)ect 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 W-2.15,6A and 143-21 5.613, 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.
Do�crruSigned by;
GUM, k. ujuks Y. P.-E. 2/27/2023
Signature: le aec39E&:e7844,, Date:
FORM: FTA 06 21 Page 5 of 5
NC Dept o:Tiivit•onmental Quality State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
�
�� 2 �02' FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRUCTIONS FOR FORM: FTA 06-21 & SUPPORTING DOCUMENTATION
Ra lei all
This application is for sewer extens` ris 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 I SA NL AC 02T and the Division's
Minimum Design Criteria (Gravity Sewer & Pump Station�Jorcc 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 l5A- Nf�A(' 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 I5A, NCAC 02.T.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 15A 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 C'arc hn; Secretary of Stale.
❑ If the Applicant Type in Item I.2 is a partnership or dlbla, 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, sealed and dated by a North Carolina
li nsco Profcssional Eii git. nwer.
❑ The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NC'4C 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):
® Submit an 8.5-inch x l ]-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.
❑ 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;'modifed). 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 15 A NCAC 021.0305i h}{ 1 t, 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."
➢ 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)
1. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per I SA NC AC 02T 0115(a)t 1 i provide the Certificate of Public Convenience and Necessity from the North Carolina Uiilitic�
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 Utilitws Commission's Watcr 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 HOAIPOA and Developers for lots to be sold):
❑ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .01 15(c), submit the properly executed Operational Agreement FORM: H A .
❑ 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 NCAC02T 01 15(b), submit the properly executed Operational A ur ment FORM• DEV
For more information, visit the Divisions collection systems weh he
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 2 of 3
THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778-8211
Clay, Graham, Haywood, Henderson, Jackson,
(828) 296-4500
Macon, Madison, McDowell, Mitchell, Polk,
(828) 299-7043 Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Section
Fayetteville, North Carolina 28301-5095
Montgomery, Moore, Robeson, Richmond,
(910) 433-3300
Sampson, Scotland
(910)486-0707 Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
(704) 663-1699
Stanly, Union
(704)663-6040 Fax
Raleigh Regional Office
3800 Barrett Drive
Chatham, Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27609
Granville, Halifax, Johnston, Lee, Nash,
(919) 791-4200
Northampton, Orange, Person, Vance, Wake,
(919) 571-4718 Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
(252) 946-6481
Jones, Lenoir, Martin, Pamlico, Pasquotank,
(252) 975-3716 Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
(910) 796-7215
(910)350-2004 Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Alamance, Alleghany, Ashe, Caswell, Davidson,
Water Quality Section
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
(336)776-9800
(336)776-9797 Fax
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 3 of 3
NC Dept of Environmental Quality
MAR 2 2023
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Raleigh Regional Office Flow Tracking for Sewer Extension Applications
Division of Water Resources (FTSE 10-18)
Application Number: FAT-FT
Entity Requesting Allocation: City of Sanford
Project Name for which flow is being requested: Lemon Springs LS Improvements
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.
1. 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 Pen -nit #: NCO024147
A11flows are in MGD
c. WWTP facility penmitted flow:
d. Estimated obligated flow not yet tributary to the WWTP:
e. WWTP facility's actual average flow:
12.0000
1.9840
4.1390
f. Total flow for this specific request: 0,00000
g. Total actual and obligated flows to the facility: 6.1230
h. Percent of permitted flow used: 51 qa
IL 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
Capacity'
Average
Current
Not Yet
Flow Plus
Capacitys
(Name or
Permit
Daily Flow-
Avg Daily
Tributary
Obligated
Number)
Number
(Firmlnl),
Flow-
Daily Flow,
Flow
MGD
MGD
MGD
MGD
MGD
MGD
Gaster Creek
#002
4.0291
1.6116
1.0195
0.4117
1.4313
0.1804
zBig Buffalo
#N A
#NrA
qN+A
#N.A
#N A
#KA
x
ON A
#N+A
#N+A
#N.A
#NIA
ORA
x
#N A
#N+A
WA
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I. 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 S 0.
Downstream Facility Name (Sewer): City of Sanford Collection System
Downstream Permit Number: WQCS00047
Page 1 of 6 FTSE 10-18
III. Certification Statement
i, 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 nonnal 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.
DoeuSigned by:
ill.. (t, s Jr. P. f .
Er E6667844B9
Signing Official Signature
Utilities & Engineering Director
Title of Signing Official
02,"27.'23
Date
Page 2 of 6 FTSE 10-18
1017 Main Campus Dr, Suite 1200 • Raleigh, North Carolina 27606 • 919 582 5859 • fax 817-735-7491 www.freese cony
PROJECT:
Lemon Springs Lift Station Improvements DATE: 3/2/2023
TO:
NCDEQ— Water Quality Regional Operations Section
ADDRESS:
3800 Barrett Drive
Raleigh, NC 27609
PHONE NO.:
919-582-5867
FROM:
Scott Haberstroh, PE
WE ARE SENDING YOU THE FOLLOWING ITEMS:
• Fast Track Sewer System Application (FTA 06-21)
• Flow Tracking/Acceptance for Sewer Extension Application (FTSE 10-18)
• Associated figures and check
® Attached ❑ under separate cover via:
❑ Delivery Service and Tracking No.
® Hand Delivery ❑ Email ❑ Other
THESE ITEMS ARE TRANSMITTED FOR YOUR:
❑ Use ❑ Review and Comment ❑ Information
® Approval ❑ Distribution to Parties ❑ Response
® Records ❑ Other:
REMARKS:
Please feel free to contact me at (919) 582-5867 if you have any questions or require additional
information. I can also be reached at scott.haberstroh,�Lfreese.com,
1017 Main Campus Dr., Suite 1200 + Raleigh, North Carolina 27606 + 919-582-5850 + FAX 817-735-7491 www freese.com
February 27, 2023
North Carolina Department of Environmental Quality
N. C. DEQ Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699
Re: City of Sanford
Lemon Springs Lift Station Improvements
Fast Track Sewer System Extension Application (FTA 06-21)
To Whom it May Concern:
NC Dept of Environmental Quality
MAR 2 2N3
Raleigh Regional Office
On behalf of the City of Sanford, in accordance with 15A NCAC subchapter 02T and the Division of Water
Resources Minimum Design Criteria, please find enclosed the following documents associated with the
proposed Lemon Springs Lift Station Improvements Project:
• Fast Track Sewer System Extension Application (FTA 06-21)
• Flow Tracking/Acceptance for Sewer Extension Application (FTSE 10-18)
• Figure 1— USGS Topographic Map of Project Area
• Figure 2 —Aerial Map of Project Area
• Application Fee Check $480.00
The City of Sanford is requesting authorization to install two new pumps to increase the firm capacity at
the Lemon Springs Lift Station from 200 GPM to 365 GPM. We were unable to locate the original permit
from NCDEQ or the City's records. The conveyance of the lift station's discharge remains unchanged and
will terminate at the Gasters Creek Lift Station which discharges to the Big Buffalo Wastewater
Treatment Plant, permit number NC0024147.
Please feel free to contact me at (919) 582-5867 if you have any questions or require additional
information. I can also be reached at scott.haberstroh@freese.com.
Sincerely,
E
DacuSigned 6y:
7�oft �..bcrst�wh
489F698C8F1E406
Scott P. Haberstroh, P.E.
Senior Project Manager
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