HomeMy WebLinkAboutWQ0036103_Application (FTSE)_20120803 OF WArF9 State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
AUG 3 - '4l2 APPLICATION
o � I � j FAST-TRACK
_ (FTA 12/07 ver2 )
for'C;"yJTY SEW'ERS, PUMP STATIONS,AND FORCE MAINS
(Pressure&Vacuum sewer systems are not to be included as part of this application package)
INSTRUCTIONS: Indicate that you have included/addressed the following list of required application package items by
checking the space provided next to each applicable item. Failure to submit all required items will lead to your application
being returned as incomplete. Forms are available from the web site or by calling the Regional Office serving your county:
http://h2o.enr.state.nc.uslperesICollection%2OSystemsICollection SystemApplications.html
® A. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. The application should include a project narrative describing the final build-out design (i.e. system and/or
pump station to ultimately serve 500 homes, but flow for only 100 homes being requested now). For modifications,
clearly explain the reason for the modification (i.e. adding another phase, changing line size/length, etc.). Only
include the modified information in this permit application - do not duplicate project information that has already
been included in the original permit.
Any changes to this form will result in the application being returned. The Division of Water Quality (Division)will
only accept application packages that have been fully completed with all applicable items addressed_ You do not
need to submit detailed plans and specifications unless you respond NO to Item 1303).
Separate applications should be made for non-contiguous sewer systems.
® B. Application Fee - Submit a check in the amount of $480 made payable to: North Carolina Department of
Environment and Natural Resources(NCDENR). Checks shall be dated within 90 days of application submittal.
❑ C. Certificates of Public Convenience and Necessity — If the application is being submitted in the name of a
privately-owned public utility, submit two copies of the Certificate of Public Convenience and Necessity (CPCN)
which demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the
sewer extension. If a CPCN has not been issued, provide two copies of a letter from the North Carolina Utilities
Commission's Public Staff that states that an application for a franchise has been received, that the service area
is contiguous to an existing franchised area, and/or that franchise approval is expected. The project name in the
CPCN or letter must match that provided in Item A(2)a of this application.
❑ D. Operational Agreements —Submit one original and two copies of a properly executed operational agreement, as
per 15A NCAC 02T .0115, if the application is submitted by a private applicant and will be serving residential or
commercial lots (e.g., houses, condominiums, townhomes, outparcels, etc.) that will be sold to another entity. If
the applicant is a home or property owner's association, use Form HOA 02/03. If the applicant is a developer,
use Form DEV 02/03. EVEN IF THE PROJECT MAY BE TURNED OVER TO A MUNICIPALITY UPON
COMPLETION, FORM DEV 02/03 IS REQUIRED.
® E. Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance — FORM FTSE 10/07 (Flow
Tracking/Acceptance for Sewer Extension Permit Applications) is required with every application. The applicant
(and owners of downstream sewers, pump stations and/or treatment facilities submitting FORM FTSE-10/07)
certifies that, to the best of their knowledge, the addition of the volume of wastewater to be permitted in this
project has been evaluated along the route to the receiving treatment plant, and that the flow from this project will
not cause capacity related sanitary sewer overflows or overburden any downstream pump station en route to the
receiving wastewater treatment plant. Where the applicant is not the owner of the downstream sewer, submit two
copies of FORM FTSE 10/07 from the owner of the downstream sewer and owner of the WWTF, if different. The
flow acceptance indicated in FORM FTSE-10/07 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-10/07 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 project-specific FTSE 10/07.
® F Map— Submit an 8.5-inch by 11-inch COLOR copy of a USGS Topographic Map of sufficient scale to identify the
entire project area and the closest surface waters. Each map or maps must show the location of the sewer line
and pump stations and be of reproducible quality. Include a street level map showing the downstream connection
point, and the permit number for the downstream sevyer, if known.
❑ G. Stream Classifications — Watershed Classification Attachment (Form WACAS-12107) If any portion of the
project boundary is within 100 feet of any surface water or wetlands, the Watershed Classification Attachment
must be completed.
❑ H Environmental Assessments — If this project is subject to an Environmental Assessment (EA) [15A NCAC
01C], this application cannot be used. Send the project application on the most current version of Form
PSFMGSA to the Design Management Unit. 1633 Mail Service Center, Raleigh, NC 27699-1633. Applications
cannot be accepted until a Finding of No Significant Impact (FONSI) or Environmental Impact Statement (EIS)
has been issued A copy is to be submitted with that permit application.
❑ i. Flow Direction — Many wastewater treatment systems are entering into agreements for regionalization efforts
and emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be directed
to more than one treatment facility. If this is the case with this project, please indicate in B(12) and give the permit
number of the second treatment facility.
® J. Certifications—Section C
The application must be certified by both the applicant and the design engineer who is a North Carolina
Registered Professional Engineer (PE). The applicant signature must match the signing official listed in Item
A(lb). The PE should NOT certify the application if he/she is unfamiliar with 15A NCAC Chapter 2T, the Gravity
Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria for the Fast-Track
Permitting of Pump Stations and Force Mains(most recent version), as applicable to the project.
THE COMPLETED FTA 12107 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
DOCUMENTS AND $480 FEE, 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,
Swannanoa, North Carolina 28778 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,
Fayetteville, North Carolina 28301-5094 Montgomery, Moore, Robeson, Richmond,
(910)433-3300 Sampson, Scotland
(910)486-0707 Fax
Mooresville Regional Office 610 E. Center Avenue Alexander, Cabarrus, Catawba, Cleveland,
Mooresville, North Carolina 28115 Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
(704)663-1699 Stanly, Union
(704)663-6040 Fax
Raleigh Regional Office 1628 Mail Service Center Chatham, Durham, Edgecombe, Franklin,
Raleigh, North Carolina 27699-1628 Granville, Halifax,Johnston, Lee, Nash,
(919)791-4200 Northampton, Orange, Person,Vance,Wake,
(919)788-7159 Fax Warren,Wilson
Washington Regional Office 943 Washington Square Mall Beaufort, Bertie, Camden, Chowan, Craven,
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
Wilmington, North Carolina 28405 Hanover, Onslow, Pender
(910) 796-7215
(910) 350-2004 Fax
Winston-Salem Regional Office 585 Waughtown Street Alamance,Alleghany,Ashe, Caswell, Davidson,
Winston-Salem, North Carolina 27107 Davie, Forsyth,Guilford, Rockingham, Randolph,
(336) 771-5000 Stokes, Surry,Watauga,Wilkes,Yadkin
(336) 771-4630 Fax
For more information, please visit our web site at: http://h2o.enr.state.nc.us/peres/
or contact the Regional Office serving your county.
•USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number.
(to tie completed by Dwt�) 003C� o 5
1. OwneriPermittee:
1a. Town of Pittsboro,Chatham County
Full Legal Name(company, municipality,HOA,utility,etc.)
Z 1 b. William G. Terry—Town Manager
O Signing Official Name and Title(Please review 15A NCAC 2T.0106(b)for authorized signing officials!)
H
1 c. The legal entity who will own this system is:
❑ Individual❑Federal®Municipality❑State/County❑ Private Partnership❑Corporation❑Other(specify)_
O 1d. P O Box 759 _1e. Town of Pittsboro
U_ Mailing Address City
Z 1f. North Carolina 1g. 27312
Z State Zip Code
0 1h. (919)542-4621 li. (919)542-7109- 1j. Bill Terry<wgte nc.rr.com -!
Telephone Facsimile E-mail
V2. Proiect(Facility)Information: 2�
J 2a. whispering Meadows Subdivision 2b. Chatham Count
d Brief Project Name(permit will refer to this name) County Where Project is Located '4
a3. Contact Person:
Q 3a. Samir W. Bahho, PE-Civil and Structural Engineering Services, PL LC,4612 Kaplan Drive, Raleigh,NC 2.7_6.06
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. Office: (919)851-1642, Cell: (919)621-0628 3c. bahhos@bellsouth.net
Phone Number E-mail
1. Project is® New ❑Modification(of an existing permit) If Modification,Permit No.:
2. Owner is ®Public(skip to Item B(3)) ❑Private(go to Item 2(a))
2a. If private, applicant will be: 2b. if sold,facilities owned by a(must choose one
❑ Retaining Ownership (i.e. store,church, single office,etc.)or ❑ Public Utility(Instruction C)
❑ Leasing units(lots,townhomes,etc. -skip to Item B(3)) ❑ Homeowner Assoc./Developer(Instruction D)
❑Selling units(lots,townhomes, etc. -go to Item B(2b))
3. Town of Pittsboro—Pittsboro
Z Owner of Wastewater Treatment Facility(WWTF)Treating Wastewater From This Project
0 4a. own of Pittsboro WWTP 4b. NCO0020354
QName of WWTF WWTF Permit No.
5a. Town of Pittsboro 5b. Q ®Gravity 5c. NC00020354, See attached FTSE 10/07
OOwner of Downstream Sewer Receiving Sewer Size'❑ mit Force Main I per #of Downstream Sewer (instruction E)
0 6. The origin of this wastewater is(check all that apply):
Z ® Residential Subdivision ❑ Retail(Stores,shopping centers) 100 %Domestic
❑Apartments/Condominiums ❑ Institution %Industrial(attach
❑ Mobile Home Park ❑ Hospital description.)
W El School El Church (RO:contact your Regional Office
IL
❑Restaurant [I Nursing Home Pretreatment staff)
❑Office El Other(specify):
m %Other(specify):
7. Volume of wastewater to be allocated or ermitted for this particular project: 5,280 gallons per day
"Do not include future flows or previously permitted allocations
8. If the permitted flow is zero, indicate why:
❑Pump Station,Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit No.
❑ Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T.0303 to determine if a
permit is required)
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item 13(7)AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item 13(7). Values other than that in 15A NCAC 2T .0114(b)and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114(f).
The number of single family lots per phase I are 12 as per approved preliminary Subdivision Plat in combination of 3 and 4
bedroom for total of 5,280 gallonsAot/day. (8-4 bedroom and 4-3 bedroom single family homes)
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size(inches) Length(feet) New Gravity or Additional
Force Main
8" 500,
11. Summary of Pump Stations wl associated Force Mains to be Permitted(attach additional sheets as necessary)
W
D Pump Station Location ID N/A (self chosen -as shown on plans/map for reference)
Z
Z Design Flow Operational Point Power Reliability Option
(MGD) GPM @TDH 1 -permanent generator wIATS; Force Main Size Force Main Length
0 2-portable generator w/MTS
U
Z
0
QPump Station Location ID N/a (self chosen-as shown on plans/map for
S Design Flow Operational Point Power Reliability Option
(MGD) GPM @TDH 1 -permanent generator wIATS; Force Main Size Force Main Length
0 2 -portable generator wIMTS
LL
Z
H
Pump Station Location ID (self chosen-as shown on plans/map for reference)
W
0. Design Flow Power Reliability Option
(MGD) Operational Point 1 -permanent generator w/ATS; Force Main Size Force Main Length
m GPM @TDH 2-portable generator w/MTS
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
❑Yes ® No If Yes, permit number of 2"d treatment facility
(RO—if"yes"to 6,12 please contact the Central Office PERCS Unit)
13. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version),the Gravity Sewer Minimum Design Criteria(latest version) and 15A NCAC Chapter 2T as
applicable?
®Yes ❑ No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested.SUBMIT TWO COPIES OF PLANS,SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
14 Have the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings-General Permit or 401Certification? ❑ Yes ❑ No ® N/A
Sedimentation and Erosion Control Plan? ®Yes ❑ No ❑ N/A
Stormwater? ®Yes ❑ No ❑ N/A
15 Does this project include any high pnonty lines, [see 15A NCAC 02T 0402 (2)] involve aerial lines, siphons,or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes ❑ and provide details
1 Owner/Permittee's Certification (Signature of Signing Official and Project Name)
1, William G- Tegy , attest that this application for Whispering Meadows Subdivision has been reviewed by me and is
accurate and complete to the best of my knowledge l 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 Note In accordance with North Carolina General Statutes 143-215.6A and
143-215.6B, any person who knowingly makes any false statement representation, or certification in any application
shall be guilty of a Class 2 misdeme tor, which may include a fine not to exceed$10,000 as well as civil penalties up to
$25,OOQ r violation
1 a _ _ `/
0iigg g cial. i nature � Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
U) TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
Z
O
H 2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
Q
V 1, Samir W. Bahho, PE attest that this application for Whispering Meadows Subdivision has been reviewed by me and is
LL accurate, complete and consistent with the information in the engineering plans,calculations, and all other supporting
documentation to the best of my knowledge. i further attest that to the best of my knowledge the proposed design has
been prepared in accordance with the applicable regulations, Gravity Sewer Minimum Design Criteria for Gravity Sewers
(L adopted February 12, 1996, and the Minimum Design Criteria for the Fast-Track Permitting of Pump Stations and Force
V Mains adopted June 1, 2000 and the watershed classification in accordance with Division guidance. 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 NC General Statutes 143-215.6A and 143-215.6B,any person who knowingly makes any false
statement, representation, or certification in any application 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.
�+���rera■!
2a. Samir W. Bahho. PE ••+,��_Gq�O•+
Professional Engineer Name f���.� 8g�•.���
2b. Civil and Structural Engineering Services, PL LC 0 O�a�•
Engineering Firm - ■ v /+[, L ■
2c.4612 Kaplan Drive, * 00
a ■
Mailing Address ��"7�t'•�,�'!;z! �ua �
2d. Raleigh 2e. NC 2f 27606 •� � P•
City State Zip + I-o it
2g. 9( 19)851-1642 2h. (919)854-1960 2i. bahhos@bellsouth net
Telephone Facsimile E-mail NC PE Seal,Signature&Date
OF W ATF,9 State of North Carolina
\O� OG Department of Environment and Natural Resources
v� r Division of Water Quality
,c Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE 10/07)
Project Applicant Name: 7OWA/ Or PI775 E�9"
Project Name for which flow is being requested:1045P252 A& )� iOf
More than one FTSE-10107 may be required for a single project if the owner of the WWTP is not responsible for all
pun»p stations along the route of the proposed wastelvater flow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: 7 ,� a _ P�T�S�ev WWTP�yy __ _
b. WWTP Facility Permit#: j1/f~. 00203 5!1
All flows are in MGD
c. WWTP facility's permitted flow 6. 7s
d. Estimated obligated flow not yet tributary to the WWTP 0.
e. WWTP facility's actual avg. flow 10. 3 See
f. Total flow for this specific request 0. 04 S 0
g. Total actual and obligated flows to the facility C7.
h. Percent of permitted flow used
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
Pump Station Name Approx. Capacity, MGD Approx. Current Avg.
(Firm/Design) Daily Flow, MGD
Nyv��
II1. Certification Statement:
1, WI hlft I AM t;. 7rAiey/ , certify that,to the best of my knowledge, 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.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 an r which I am the responsible party. Signature of this form i icates
c n f this w ewnmflow. � J / L
tgning Ojflctal Sign re Date
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CIVIL AND STRUCTURAL ENGINEERING SERVICES, PLLC
SAMIR W BAHH'J F.E.
August 02, 2012
Raleigh Regional Office, DWQ
1628 Mail Service Center,
Raleigh, North Carolina 27699-1628
Reference: Whispering Meadows Subdivision Sewer Systems
Fast-Track Application (FTA 12/07_ver2) and FTSE 10/07
Attached to this letter are: (1) Original copy of the Flow Tracking/Acceptance for Sewer
Extension (Form FTSE 10/07), (1) Original copy of the Fast-Track Application (FTA 12/07_ver2)
with USGS 8.8x11 map and other maps showing existing sewer system in the area including
vicinity map. Also, attached a check for$480.00 Application Fees.
The Application is Submitted for review and approval.
For any further question call me or email me. My telephone number is (919) 621-0628. My
email address is bahhos@bellsouth.net
Sincerely,
Samir W. Bahho, PE
Cc: Town of Pittsboro, Town Manager
WINDSTAR Realty, L LC
rRfAUG
3 - 2012
919 851 1642 TEL • 919.621.0628 CELL
919 854 1960 FAX • BAHH:.-SC NET
4612 KAPLAN OR VE • RALEIGH. NC 27606
✓ Electronic Copy to PERCS for our files.
✓ Copy to Central Files (attach application package and any supporting documents with a staple-
do not include any plans unless they are small and can be folded up into an 8.5" x 11"sheet)
✓ Save an electronic version named WQOOXXXXX.doc in a folder on your office shared drive or
hard drive. Try to keep your drafts and issued files separate. SEND ELECTRONIC COPIES TO
PERCS on a frequent basis- weekly or monthly!
Permit Corrections
♦ If a permit has been issued but an error discovered internally or by the Permittee or their engineer, a
permit correction is necessary.
♦ Pull the original permit and make the corrections - do not change issue dates or enter a new
application in BIMS-resave the permit.
♦ Prepare the permit correction cover letter modifying as applicable - the corrections need to be
distributed to the same people and/or agencies who received the original permit.
♦ Print the corrected permit and permit correction letter-sign if needed.
♦ Maintain Permit in BIMS-add permit corrected event date and comments as to what was corrected.
♦ Copy and distribute.
The Certification
♦ Final engineering certifications will be submitted back to your office when the project is complete.
These should be date stamped (the certification page, record drawings and calculations, if
applicable).
• Construction, Grants & Loans (CGL) may request and audit some of these certifications.
♦ Regardless of whether the region or CGL reviews a certification, the receipt date must be logged into
BIMS. Perform the following: Maintain Permit, Enter Permit No., Go to Events Tab,Add Event, Select
Engineering/Tech Specialist Certification Received, Enter Receipt Date.
♦ If the certification sheet is marked partial -put partial in the event comment field.
♦ If the certification seems incomplete - missing plans or calculations or no PE seal - note incomplete
in the comment field. Send an incomplete certification letter. The certification page in the permit
explains exactly what the engineer is to provide.
♦ If the certification is provided to CGL - maintain the engineer certification received event and put "to
CGL for review on DATE"in the event engineer certification received comment field.
♦ If the region wishes to perform a detailed review - look for items not meeting the minimum design
criteria or outside of the permit. For instance, minimum cover; slope; minimum separation distances;
line size changes; length; reroutes; more or less lots than permitted; pump station alarms; pump cycle
times; no indication of record drawing (as-builts) on plans; no PE seal or note about record drawings
(land surveyor seals are not appropriate).
♦ Regardless of review, certifications need to be processed as this closes out the permit. Follow the
processing engineering certifications guidance document.
5
FAST-TRACK Application Review Procedures (Rev 12/08)
Central Files: APS SWP
a3 « 08/21/12Permit Number WQ0036103 Permit Tracking Slip
Program Category Status Project Type
Non-discharge Active New Project
Permit Type Fast Track Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer 1.00 Individual
Extensions
Primary Reviewer Permit Contact Affiliation
barry.herzberg
Coastal SW Rule
Permitted Flow
5280
Facility
Facility Name Major/Minor Region
Whispering Meadows Subdivision Minor Raleigh
Location Address County
Chatham
Facility Contact Affiliation
Owner
Owner Name Owner Type
Town of Pittsboro Government- Municipal
Owner Affiliation
PO Box 759
Pittsboro NC 273120759
Dates/Events
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
08/21/12 08/03/12 08/21/12 08/21/12
Regulated Activities
Subdivision
O utfa l l
Waterbody Name Stream Index Number Current Class Subbasin
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FAST-TRACK APPLICATION REVIEW PROCEDURES (January 2009)
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Project Name:��ISP )� D Review Date: f Z
Project Number: Reviewer: Barry Herzberg
All fast-track projects should be submitted on the application entitled "Fast-Track Application for
Gravity Sewers, Pump Stations, and Force Mains" (currently Form FTA 12/07 ver 5) unless
otherwise directed by PERCS or CG&L. Any pump station/force main projects that require an
Environmental Assessment (EA) are excluded from the Fast-Track review process, and should be
submitted for full review to CG&L. Additionally, any projects involving a flow reduction request
must receive approval for the flow reduction from PERCS.
PRE- EVIEW
Does the application package appear to be generally complete (i.e. all attachments, check, key
questions answered)? Applications, which are incomplete, have stale dated checks (over 90
days old), are lacking signatures, etc., should be returned to the Permittee with a copy to the
engineer. Any projects being returned should be returned prior to accepting the application (i.e.,
before logging in the application and depositing the check). After a project has been accepted,
any information that is found to be incorrect and/or lacking must be requested via an Additional
Information Request in accordance with 15A NCAC 02T .0107(e).
Be certain the check amount is $480.00, and is made out to NCDENR. All new projects and
major modifications to existing projects require an application fee. In general, a major
modification includes any changes to permitted flow volumes, changes in pipe diameter, changes
in pipe length, changes in the operating points of a pump station, etc. Minor modifications are
usually to correct errors in the issued permit.
SECTION A—Application Information
04 if the applicant is private(Item B.2a.)and listed as a corporation, check the NC Department of the
Secretary of State's web site at htt /www.secretary.state.nc.us/Corporations/ to ensure that the
Applicant is registered with the Secretary of State to conduct business as a corporation in the
State of NC. Developers and Home Owner Associations should be listed.
Ensure that the signing official meets the requirements of 15A NCAC 02T .0106(b). If they do
not, request a revised application that has been completed by an appropriate official or a letter
from an appropriate official that indicates the person in question is delegated to sign the
application on the applicant's behalf. A current list of Delegated Signing Officials can be obtained
from PERCS.
SECTION B— Permit Information
�// Project i OneModification? If the project is a modification to an existing permit, be sure to
enter thetion into RIMS as a permit modification (i.e. "renew/modify application" and not
/ "create new project").
Applicantfblic%ntity (e.g. county, town, sanitary district)?
Applicant avate entity'?
Retaining ownership? (Typical of banks, churches, schools, etc.)
Selling units, lots, parcels, etc? (Typical when the owner is a public utility)
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FAST-TRACK Application Review Procedures (Rev 12r08)
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Where pri�te applicants are selling units, they must meet one of the f owin
requirement
Be desi nated as a public utility by the NCUC. [15A NCAC 02T A 5(a)(1)]
♦ If the pplicant is a public utility, they should provide a rtificate of Public
Conve ence and Necessity (CPCN) from the No Carolina Utilities
Commis on (NCUC), or a letter from the NCUC de ng the applicant to be
a public ility. Note that the project name on th application and on the
CPCN mu match. Contact the NCUC Public S ff if questions arise. This
is NOT RE UIRED for a municipality or cou 1 Examples of companies
that would pr ide such information are Heat Utilities (AquaNC)or Carolina
Water Service, tc.
. "*OR..,**..
Operational Agreement [15A NCAC 0 .0115(a)(2)]
• Operational Agreeme s are o required if the applicant is not a public
entity (i.e. Town, Coun etc. or public utility as designated by the North
Carolina Utilities Commi io AND the lots being served by the collection
system are to be SOLD to dividual owners.
♦ If the applicant is de eloper, they must fill out the DEVELOPER
Operational Agre ent ( RM: DEV 02103). A developer may be
responsible for a system r an interim period until the homeowners
association is rmed, at whi time a Permit Name/Ownership Change
request (FO : PNOCF 06/0 will be needed to transfer the permit to
the HOA.
• If the a licant is a homeowners' ssociation (HOA), they must fill out
the A OCIATION Operational Ag ement (FORM: HOA 02/03). The
HOA ust be registered with the Se retary of State's office and must
pro de a copy of the Associations' ByI ws and Articles of Incorporation.
T se documents should be review e to ensure that all applicable
I nguage regarding the collection syste is included as is required by
he Operational Agreement.
♦ e Operational Agreement should be atta ed to the permit and
ncorporated into the language of the permit. Ple a note that Operational
Agreement language should not be altered wit ut approval from the
Attorney General's Office. Operational Agreeme is are available at
http://h2o.enr.state.nc.us/ndpu/ndpuapps.htmi.
Approval of flow to receiving sewers and WWTF? (Form FTSE - 10/07)
♦ Ensure that the receiving sewers and WWTF have adequate capacity available to accept the
flow volume that is being requested, and that the WWTF has been in compliance with their
treatment and disposal permit. Verify there are no SOC's or moratoria in place.
• Form FTSE —10/07 MUST BE INCLUDED in the application package. In addition, the FTSE
must be project specific. Do not accept a flow acceptance letter that was issued for any other
j project than that given in ' pplication.
Wastewater industrial o omesti n nature?
♦ Most projects will be for wastewater that is domestic in nature. If Item B.6 indicates that the
wastewater is industrial in nature, in whole or in part, notify the Regional Office Pretreatment
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FAST-TRACK Application Review Procedures (Rev 12/08)
Coordinator or the WQ Pretreatment Unit Central Office to determine if a pretreatment permit
is needed or if a program already in place and compliant.
f/ Flow volume calculated correctly? [15A NCAC 02T .0114]
• Ensure that the daily design flow in the application is based on the guidance provided in the
regulations or existing flow, and that the explanation as to how this volume was determined is
very specific (i.e., 22 three-bedroom homes, 50,000 s.f. of retail space, 18 employees, etc).
This information MUST be included in the description of the system in the permit. The code
section above gives 120 gpd/bedroom for residential. Note that for one-bedroom the
minimum they can use is 240 gpd.
♦ If daily design flow is not based on code values, ensure that the applicant has an approved
flow reduction of daily design flow rate on file with the Division. A list of approved flow
reductions may be obtained from PERCS. Flow reduction requests are to be reviewed by
CG&L, and must be reviewed and approved before the permit is issued.
• On occasion, there may be an instance where supporting documentation is submitted with
the application for a specific facility. Contact PERCS to determine a course of action.
♦ Ensure that the flows shown on the application match up to what is shown on the FTSE.
♦ Applications requesting ZERO flow still require the FTSE to confirm downstream capacity of
anticipated flows. Zero flow permits must contain language that explains why the permitted
flow is zero, e.g., Pump Station, Interceptor, etc.
Adequate information provided regarding the proposed gravity sewer and/or force main (if
applicable)? (Adequate info is pipe size and total installed length)
Nam` Adequate information provided regarding the proposed pump station(s) (if applicable)?
(Adequate info is HP, GPM, TDH and power reliability)
Project designed in accordance with 15A NCAC 02T .0305, the Gravity Sewer Minimum Design
Criteria and the Minimum Design Criteria for the Fast-Track Permitting of Pump Stations and
Force Mains document (as applicable)? Variance requests must be processed through CG&L for
approval.
7sE ON C—Watershed Classification
t,� Color topographic map submitted?
N Watershed classification required? WSCAS 12/07 is required to be included with the application
if any part of the property boundary lies within 100 feet of any surface water or wetlands.
SECT N D—Certifications
Signing Official's signature? [15A NCAC 02T .0106(b)]
♦ Ensure that the applicant's signature is the same person as that listed as the applicant's
signing official on Page 1 of the application form.
PE stamped, signed, and dated application? [15A NCAC 02T .0105(b)]
♦ Ensure that the same engineer has signed, sealed, and dated the application and all the
items, with the exception of items designed by specialty disciplines (i.e., architectural,
structural, plumbing, and electrical plans). If not, an explanation and/or authorization is
/ required.
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Adequate information provided for the engineer/engineering firm?
PE with active license in North Carolina?
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FAST-TRACK Application Review Procedures (Rev 12/08)
♦ Ensure that ALL pertinent P.E's have active licenses by checking the NC Professional
Engineer's Board web site (www.ncbels.orcl). If the PE seal number does not show up on the
web site database, call the PE Board for verification (919)881-2293.
Drafting a Permit
♦ In order to be consistent, use the most current version of the Fast-Track permit shell. This permit
shell contains specific language with respect to the Minimum Design Criteria, regulations, and
collection system permitting. PERCS will notify you of any changes to this permit shell.
♦ Be specific with respect to the system description and information. Indicate the flow, what the project
will be serving, length and size of gravity sewer lines and force mains, etc. For projects involving
pump stations, the size of the pump stations, as well as the reliability option and any additional info
(telemetry, odor control system, etc)should be included.
♦ Add any special conditions as necessary. Please call attention to any non-standard permit conditions
in the cover letter of the permit and include the permit condition where necessary. See the Example
Special Conditions document.
♦ If the project is a modification, don't forget to include the system description from the previous permit
and void the previous permit in the language! Some of these can be tricky so feel free to run the
drafted permit through PERCS first before issuance.
♦ It is preferable if Fast-Tracks are saved electronically by permit number under issued year and month.
Denying a Project
♦ The initial review of any application should look for any reason that a permit might be denied.
Permit denials must be based on a failure of the project as proposed to meet EPA, SEPA,
NCAC or NCGS rules, regulations and/or statutes, or an inability to meet the Minimum Design
Criteria where a variance request is not granted.
• If the Reviewer and/or Supervisor determine that an application package should be denied because it
does meet NC Statutes, rules or regulations, then a request for additional information must be made.
If the additional info response does not resolve the reason(s) for denial, a denial letter should be
drafted. Special attention should be paid to the statutory deadline for permitting. If it is
thought that a project might be denied, it is important to review it and draft the denial letter as
soon as possible. There must be time allowed for the denial letter to be sent to the Director
and signed prior to the statutory date.
♦ The Reviewer should use the Application Denial Letter template to prepare a denial package for the
Supervisor's review and submittal to the Director for signature. The letter should not be dated, but
instead will be dated after the Director signs it. A memo to the Director should be attached to the top
of the denial package summarizing the reasons for denial. The reviewer, supervisor, Section Chief,
and Director all must sign this package. Distribute the letter as directed in "Issuing a Permit" below.
Issuing a Permit
♦ Permits should be signed only by those delegated to sign for the Director.
♦ Permits should be distributed as follows (include the signed Operational Agreement with the
permit and all distribution copies if applicable!):
✓ Original to the Permittee
✓ Copy to the consulting engineer
✓ Copy to the county health department
✓ Copy to the Mecklenburg County Department of Environmental Protection for all projects located
in Mecklenburg County
✓ Copy to the owner of the WWTF and owner of the downstream sewers (if different than the
Permittee)
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FAST-TRACK Application Review Procedures (Rev 12108)