WQ0044571_Application (FTSE)_20230908 (2)

Kimley»>Horn
July 7th, 2023
NCDEQ — Division of Water Resources
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
RE: Apex Gateway Offsite Utilities, Apex, NC — Fast -Track Sewer System Extension Application
Kimley-Horn is pleased to submit, on behalf of the Town of Apex, the items listed in the table below
as a part of their application for the Fast -Track Sewer Extension permit for Apex Gateway Offsite
Utilities. The project is located at the intersection of NC 751 and US 64. The project consists of the
installation of major utilities including water, gravity sewer, force main and a public pump station.
This application is for the force main and gravity sewer associated with the site that will be permitted
through the Town of Apex. The permit is requested for 3,125 LF of 6" PVC sewer force main and 382
LF of 8" DIP gravity sewer.
Regarding FTSE 06-21 Application Item IX.5, environmental permits were completed by Atlas
Engineering, Inc. under ID# 20221495 and were approved January 41h, 2023.
This submittal is transmitted to you with the following supporting documentation:
Date
Item
07/07/2023
Fast Track Sewer System Extension Application (FTA 06-21)
07/07/2023
Flow Tracking for Sewer Extension Application (FTSE 10-18)
07/07/2023
Application Fee
07/07/2023
Site Map — 8.5"xl1" USGS Topographic Map
Should your office have any questions or concerns with this submittal, please do not hesitate to
contact me at [phone] or dan.bula(a)kimley-horn.com .
Sincerely,
Dan Bula, P.E.
Kimley-Horn & Associates

DocuSIgn Envelope ID: 8BOD41FA-3BBB-4C8C-8F7D-64DF1660573B
State of North Carolina
nWR Department of Environmental Quality
Division of Water Resources
' FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRUCTIONS FOR FORM: FTA 06-21 & SUPPORTING DOCUMENTATION
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 021 and the Division's
Minimum Design Criteria (Gravity Scwer & Pump SrarionseTorce_M itU) 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 I SA NCAC 02T Q305 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 ) AC 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 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 reshictions, 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 Camlina Secreuiry of .
❑ If the Applicant Type in Item 1.2 is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of Deeds in
the county of business.
® The Project Name in Item If.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
ljcensed Profcssional Utz.
® The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 021 .0106fW. Per
15A NCAC 02T .0106(c), an altemare 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: PTA 06-2I & SUPPORTING DOCUMENTATION Page 1 of 3

DocuSign Envelope ID: 8BOD41 FA-36BB-4C8C-8F7D-64DF1660573B
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 I 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 Iatitude/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/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)t 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."
➢ 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 MAC 02T .01 l S(a)l 11 provide the Certificate of Public Convenience and Necessity fiom the Forth 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 Militics Commission's Water and Sewer Division Public Raff 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 07T .01 I5fcl, submit the properly executed Operaiiural Ak!rccmcnt (FORM: HOA).
❑ Per 15A NCAC 02T .01 I5(c), submit a copy of the Articles of Incorporation, Declarations and lay -laws.
❑ Developers of lots to be sold
❑ Per I -SA NCAC 02T ,0115tb1. submit the properly executed Operadonal Ass -cement (FORM- DEVI.
For mole irtfo•urulionn, visit the Division's collection syste»ns wehsile
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 2 of 3

DocuSign Envelope ID: 8BOD41 FA-3BBBACBC-8RD-64DF1660573B
THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asbeville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Seodon
Swannanoa, North Carolina 28778-8211
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional O_ffic_e
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water quality Section
Fayetteville, North Carolina 28301-5095
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresvil,.,g.elialional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Ralelah Regional Office
3800 Barrett Drive
Chatham, Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27609
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] 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,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
1 llrnlrxgton Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onstow, Pender
[phone]
[phone] 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, Sury, Watauga, Wilkes, Yadkin
[phone]
[phone] Fax
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 3 of 3

DocuSign Envelope ID: 8BOD41FA-3BBB-4C6C-8F7D-64DF1660573B
D R
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: W GDI I (to be completed by DWR)
All items must be completed or the al3plication will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Apex (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ® Municipal
3. Signature authority's name: Marty Stone, P.E. per 15A'C ,fit (�'-1 ,i} I 163
Title, Assistant Town Manager
4. Applicant's mailing address: 73 Hunter Street
City: Apex State: NC Zip- 27502-
5. Applicant's contact information:
Phone number: {2& 249-3353 Email Address: Martv.Stone _.anexnc.org
II. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
1. Project name: Apex Gateway Offsite Utilities - Phase 1,
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: Chatham
4. Approximate Coordinates (Decimal Degrees): Latitude: 35,748525' Longitude: -78. 45114'
5. Parcel ID (if applicable): 17900• (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Daniel Bula. P.E. License Number: 046031
Finn: Kimley-Hom
Mailing address: 300 Morris Street. Suite 200
City: Durham State: NC Zip: 27701-__
Phone number: (20 434-1906 Email Address: dan.bula(c)kimlcy. horn.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name; Western Wake Regional WRF Permit Number: NCO088846
Owner Name: Towns of Cary. Apex, and Morrisville
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQCS00064
2. Downstream (Receiving) Sewer Information: 10 inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00064
Owner Narne(s): Town of Apex
FORM: FTA 06-21 Pagel of 5

DocuSign Envelope ID: 8BOD41 FA-3BBB-4C8G-8F7D-64DF1660573B
VL GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No ® N/A
2. If the Applicant is a Developer of lots to be sold, has a D-,y_e1G_cr'5 Operaticaal Ajrecrnrnt (l'tQEtM_ DFV} been attached?
❑ Yes ❑ No ®N/A
3. If the Applicant is a Home/Property Owners' Association, has an J JOAIPOA Operational AgrecnterK (I-ORM: 1!QAJ 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 : 0 % Domestic 0 % Commercial 100 % Industrial (9cc 15A NC'At= 07.'i:.O l 03(20]}
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ® No
6. Hasa flow reduction been approved under 15A_NCAC 02J,91 14ff)14fO? ❑ Yes ®No
If Yes, provide a copy of flow reduction aipuroval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow',b
No. of Units
Flow
gall
GAD
gal/
GPD
gall
GPD
gall
GPD
gall
GPD
gall
GPD
Total
0 GPD
a See 15A NCAC 021:.01 14fbL fdl. (elf I) and (c)f21 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 Q.S. 42A-4}.
b Per 1 SA NCAC 02T .0114(c), design flow rates for establishments not identified [in table 1.5 A 12CAC 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: U GPD (per 15A NCAC' 0T ,01_}4
D 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

DocuSlgn Envelope ID: 8BOD41FA-38BB-4C8C-8F7D-64DF1660573B
VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T A305 & MDC (Gravit-, sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 382 DIP
➢ Section II & 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 Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Gateway 1
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.748525' Longitude:-78.945114,
3. Total number of pumps at the pump station: 2
3. Design flow of the pump station: 0.359 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): 2421 gallons per minute (GPM) at 75.8 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
6
3125
PVC
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01 C.l .b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with .1.5A NC AC 02T _03fiiUh (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 contacted 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: 8BOD41FA-38BB-4C8G8F7D-64DF1660573B
IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separationslalternatives found in 15A NCAC 02T .Q3UCO fat? ® Yes ❑ No
15A NCAC 02T.0305(f) contains minimum senarations that shall he nrnvided fnr cPwP,• cvctP.mc
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
2Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
'Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-I 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.630.5 or see Section X.1 of this application
*15A NCAC 02T.03MW contains alternatives where separations in 02T.0305ft 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. Strrfaoc Water C1a5aiagalions wtbpp
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ NIA
➢ 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.
➢ Seethe Division's dratt_sep4mflon rcnuircmcnt.� 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: Jordan Lake ❑ No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 0213 .020Q2 ® Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC 2.0.0202,
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 coveragelauthorization is required,
6. Does project comply with I5A NCAC 02T,01.()5 c 6) (additional permits/certifications)? ® Yes ❑ No
Per I Sal NCAC' 02T_O I05(cl(6], directly related environmental permits orcertification 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 ISA 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 perrnittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

DocuSign Envelope ID: 8BOD41FA-3BBB-4C8C-8.17D-64DF1660573B
X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC;. QZT, the MiniUDIm DcsiDc5ian Q..rilcTin-for-tlre Pemritting of Pwrtp 5la(iorr$
afid force Mains (latestycuit n). and the ijWi y 50M Mighnum DsSLteria {latestycrsit�n} 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 Proiects reguiring two or more variances or where the variance is determined h the Division to be a
significant oortion of the Project, the full technical review is required.
2. Professional Engineer's Certification:
I, Daniel Bula, P.E., attest that this application for _Apex Gateway Offsite Utilities - Phase I
(Professional Engineer's name_ from Application Item 111.1.) (Project Name from Application Item 11.1)
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,
I�ILI lllltl Qesi110 Criteria for Gravity $ewers (larc sI version), and the 141inimum f)e5i_Ptl.C.r]Leri .,fOr the Fast -Track Perntitling
of Puma Stations and -Farce Mains (latest V4!I'SiOAA. Althougli 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 sliall 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)
`��111tt1 I l l I l f 1!/�r
North Carolina Professional Engineer's seal, signature, and date: \�.��� �H C A RO'
_ SEAL borugoned by:
046031 � 'n; 'Q- &4t
'/ ( 1!!PD4F5. .
O''• FNGI
1f011111111n"1�1
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1, _Marty Stone, P.E. , attest that this application for Apex Gateway Offsite Utilities — Phase 1
(signature Authority Name from Application Item 1.3.) (Project Name from Application Item 11.1)
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 pails 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 pails 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-141-215.6A and I43-2145,611, 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.
Signature: f x
Tate:
FORM: FTA 06-21 Page 5 of 5

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Wilson, Susan A
From: Short, Daniel <[e-mail]>
Sent: Thursday, August 17, 2023 3:53 PM
To: Wilson, Susan A
Cc: Bula, Dan; Gray Harrell; Maggie Houston
Subject: [External] Apex Gateway Offsite Utilities - NCDEQ Lift Station Permits
Follow Up Flag: Follow up
Flag Status: Completed
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Susan,
Thank you for the call yesterday! The table below outlines the phasing of the anticipated flows to the lift station. 0 flow
is on our permit applications because no flow is being generated by the offsite utilities portion of this project. Flow
Tracking applications will be submitted by others parties as the surrounding developments come online.
Year
ADF (GPM)
PDF (GPM)
2024
24
88
2025
26
94
Buildout Total
50
182
Thanks,
Daniel
Daniel Short, E.I.
Kimley-Horn 1 300 Morris Street, Suite 200, Durham, NC 27701
Direct: 984 777 5591 1 Mobile: [phone] www.kimley-horn.com
Celebrating 16 years as one of FORTUNE's 100 Best Companies to Work For
1

Wilson, Susan A
From: Short, Daniel <[e-mail]>
Sent: Friday, September 8, 2023 10:35 AM
To: Wilson, Susan A
Cc: Bula, Dan
Subject: RE: [External] RE: Apex Gateway Offsite Utilities - NCDEQ Lift Station Permits
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Susan - Sounds good, thanks!
Daniel Short, E.I.
Kimley-Horn 1 300 Morris Street, Suite 200, Durham, NC 27701
Direct: 984 777 5591 1 Mobile: [phone] www.kimleV-horn.com
Celebrating 16 years as one of FORTUNE'S 100 Best Companies to Work For
From: Wilson, Susan A <[e-mail]>
Sent: Friday, September 8, 2023 10:05 AM
To: Short, Daniel <[e-mail]>
Cc: Bula, Dan <[e-mail]>
Subject: RE: [External] RE: Apex Gateway Offsite Utilities - NCDEQ Lift Station Permits
Daniel —
As we discussed today, this information is fine and after my conversation with our central office folks — we'll put some
special conditions in regarding "for construction purposes", this is zero flow etc. since Apex has ample WWTP capacity.
I'll do what I can to get this up for signature next week (but as I said Vanessa is on leave next week so I have to send it to
someone above her, due to signature delegation issues).
Thanks. Sorry for the delay.
From: Short, Daniel <[e-mail]>
Sent: Thursday, September 7, 2023 8:06 AM
To: Wilson, Susan A <[e-mail]>
Cc: Bula, Dan <[e-mail]>
Subject: RE: [External] RE: Apex Gateway Offsite Utilities - NCDEQ Lift Station Permits
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Susan,
I got your voicemail. There were a couple questions so I figured an email maybe a better way to reply. This permit is
holding up the project now, so we need to get it dislodged as quickly as possible.

1. The flow will be 100% industrial. This pump station will serve a campus that will "feature four speculative
buildings and will be the home to Durham Coca-Cola Bottling Co.'s headquarters." This is from
http://www.apexgateway.com/
2. The Town of Apex requires that we permit the pump station/force main through NCDEQ to have our
Construction Drawings approved. I'm unaware of their status as an NCDEQ delegate and as to what they can
permit as a delegate.
Thanks,
Daniel
Daniel Short, E.I.
Kimley-Horn 1 300 Morris Street, Suite 200, Durham, NC 27701
Direct: 984 777 5591 1 Mobile: [phone] www.kimley-horn.com
Celebrating 16 years as one of FORTUNE's 100 Best Companies to Work For
From: Wilson, Susan A <[e-mail]>
Sent: Thursday, August 24, 2023 9:42 AM
To: Short, Daniel <[e-mail]>
Subject: RE: [External] RE: Apex Gateway Offsite Utilities - NCDEQ Lift Station Permits
That would be great — I'll just add it to the file.
From: Short, Daniel <[e-mail]>
Sent: Thursday, August 24, 2023 9:41 AM
To: Wilson, Susan A <[e-mail]>
Subject: RE: [External] RE: Apex Gateway Offsite Utilities - NCDEQ Lift Station Permits
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Susan — All utilities, including the pump station, will be public and owned by the Town of Apex. "Private" is a typo in the
cover letter and should be replaced with "public". Can I make this edit and send it to you to include in the package?
Thanks,
Daniel Short, E.I.
Kimley-Horn 1 300 Morris Street, Suite 200, Durham, NC 27701
Direct: 984 777 5591 1 Mobile: [phone] www.kimleV-horn.com
Celebrating 16 years as one of FORTUNE'S 100 Best Companies to Work For
From: Wilson, Susan A <[e-mail]>
Sent: Thursday, August 24, 2023 9:32 AM
To: Short, Daniel <[e-mail]>
Subject: RE: [External] RE: Apex Gateway Offsite Utilities - NCDEQ Lift Station Permits
You don't often get email from [e-mail]. Learn why this is important
Daniel — question for you as I'm inquiring (again) with folks in central office — the narrative says the pump station will be
private? Or is that for another pump station later (as this application does indicate a pump station, force main, and
gravity sewer and this would be issued to the Town of Apex).

The only sticking point from RRO perspective is with regard to the zero flow on this request (and it may not be a problem
— I just have to ask folks downtown). We can likely just put in a special condition in the permit — or that's what I'm
hoping will transpire.
Thanks,
From: Short, Daniel <[e-mail]>
Sent: Thursday, August 24, 2023 8:52 AM
To: Wilson, Susan A <[e-mail]>
Cc: Bula, Dan <[e-mail]>; Gray Harrell <[e-mail]>; Maggie Houston
<[e-mail]>
Subject: [External] RE: Apex Gateway Offsite Utilities - NCDEQ Lift Station Permits
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Good morning Susan,
Just following up on your request from last week. Is the information below sufficient? Is there anything else that we
need to do on our end before receiving approval?
Thanks,
Daniel Short, E.I.
Kimley-Horn 1 300 Morris Street, Suite 200, Durham, NC 27701
Direct: 984 777 5591 1 Mobile: [phone] www.kimley-horn.com
Celebrating 16 years as one of FORTUNE'S 100 Best Companies to Work For
From: Short, Daniel
Sent: Thursday, August 17, 2023 3:53 PM
To: 'susa n.wilson @deq. nc.gov' <[e-mail]>
Cc: Bula, Dan <[e-mail]>; Gray Harrell <[e-mail]>; Maggie Houston
<[e-mail]>
Subject: Apex Gateway Offsite Utilities - NCDEQ Lift Station Permits
Susan,
Thank you for the call yesterday! The table below outlines the phasing of the anticipated flows to the lift station. 0 flow
is on our permit applications because no flow is being generated by the offsite utilities portion of this project. Flow
Tracking applications will be submitted by others parties as the surrounding developments come online.
Year
ADF (GPM)
PDF (GPM)
2024
24
88
2025
26
94
Buildout Total
50
182
Thanks,
Daniel

Daniel Short, E.I.
Kimley-Horn 1 300 Morris Street, Suite 200, Durham, NC 27701
Direct: 984 777 5591 1 Mobile: [phone] www.kimley-horn.com
Celebrating 16 years as one of FORTUNE's 100 Best Companies to Work For
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.