Loading...
HomeMy WebLinkAboutWQ0044883_WQ0044833 Application revisions.1_20231129The Mau Company Consulting Civil Engineers TRANSMITTAL, PO Box 810 Rolesville, NC 27571 NOV 2 9 919-435-6395 Deilver Sender NCDENR - Raleigh Regional Office Timothy P. Nau, PE 3800 Barrett Drive 919-625-3090 Raleigh NC 27609 tnau@thenauco.com Date November 29, 2023 919-791-4241 Delivery method Hand Delivered Project name Whipering Pines 4-8 Submittal type Sanitary Sewer Permit Project number Quantity Date Description 1 11/29/23 Cover Letter 2 11/29/23 Fast Track Application (FTA) 1 11/29/23 Flow Tracking/Acceptance Form 1 11/29/23 Franklin County Residential Flow Reduction Approval 1 11/29/23 USGS Quad Map 1 11/29/23 Aerial Map 1 11/29/23 Flow Reduction Approval 1 11/29/23 Whispering Pines - Respond to Comments Comments/Notes To: Robson. Dorothy M: Qgherty. Chris Subject: RE: Fast Track Application Wg0044833-Whispering Pines Date: Monday, November 27, 2023 8:41:28 AM Attachments: imaae=.ona irnaoe003.ono Regards, Timothy Nau, PE k. The Rau Company Mobile (919) 625-3090 _www.thenauco.com From: Robson, Dorothy M <dorothy.robson@deq.nc.gov> Sent: Tuesday, October 31, 2023 4:18 PM To: Doherty, Chris <cdoherty@franklincountync.us>; Timothy Nau <tnau@thenauco.com> Subject: Fast Tracy Application Wg0044833-Whispering Pines Hi Chris and Timothy, I have reviewed your application and have the following questions. Please address these with 30 days or the permit application will be rejected. FTA 06-21 Form 1. Section Ill; The wastewater treatment facility is not filled out. Please include all information on the form, even if it repeats itself in other sections. Owner Name, Facility Name & Permit Number. 2. Section VI.6. No flow reduction approval has been submitted with the package. The flow reduction approval is attached. 3. Section VI 7. You have 262 SFR @250 gal/day with 128 units... This is confusing. Is it 262 units or 128 units. And why do you have 250 g/d? How many bedrooms per unit? Please add more details to this. My apologies, we have 262 Single Family Homes @ 250 gal/day for a total of 65,500.00 GPD. 4. Section VI 8. Where did the 65,500 gpd come from? Please add explanation in Project Narrative. Project !Narrative is updated. 5. Section VII 1. The length totaled up to 6675 linear feet (LF), but the Project Narrative lists 6561 LF. Which one is it? Project Narrative is updated. USE 04-16 Form 1. Section I and 11. Please fill out completely. Follow the instructions attached to the form. Noted Cover letter/Project Narrative Please provide the information pertaining to the flow reduction and the 401/404permits as required in the application documents. DWR #06-0466 v5 Maps Please include the project components and downstream connection points and closest surface waters on the maps. You may need to change the scale of the maps to fit these on there and be large or small enough to see them. Maps have been updated If you have any questions, please feel free to call or email me. Respectfully, Dorothy M Robson (shelher) Environmental Program Consultant, DWR Nondlscharge Water quality Re8lo 2 it Qp a,Nioris - R sleigh Regional Office IBC Department of [nvir onwental Qualify Office: 919-791-4241; Mobile; 984-344.6978 DEQ Pmau correspcnavtce to ant hornltas odvress (s sutrject to rho Noah Carr+t rla P(roNc &Korns Law ana ma we d+scbaed to third parrres ;Please note• The Ron-D�scharge Branch tas transitioned to electronic permitting. Permit app:ications, rnonftoring reports, annua! repots, certifications, ex. shou'.d be submitted eiectronical!y using thform or by email to NondischaM2.Reports(ncdenr.irov (for app:icat'.ors s-nalier than zo MB). Papercopies are ,no longer required. Don't forget to update NDMR and NDAR forms! Click haM to dow»food F-mail 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 The Nau Company Consulting Civil Engineers NOV 2 9 2023 November 29, 2023 NC Department of Environmental Quality Division of Water Resources Raleigh Regional Office RE; Whispering Pines - Phase 4-8 Sanitary Sewer Permit To whom it may concern: Attached are the required documents for the permitting of the gravity sanitary sewer line required for the Whispering Pines - Phase 4-8 project located in Franklin County, NC. Below is a summary of the system to be permitted: System Name: Whispering Pines - Phase 4-8 Homes served: 262 Flow allocation required: 65,500.00 GPD Pipe data PVC: 12,950 LF of 8" gravity sanitary sewer Pipe data DIP: 600 LF 8" gravity sanitary sewer If you have any questions or concerns, please let me know. Sincerely, The N u Company, PLLC Timothy P. Nau, PE tnau@thenauco.com PO Box 810 / Rolesville, North Carolina 27571 / (919) 435-6395 y� 4iZ' ~ «#/ G Z u 2 U U � £ .( / L Qcf E LU c� @/ 0 10, 2 % \ G a State of North Carolina Department of Environmental Quality DWR NOV 2 .} 7 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 i5A NCAC 02T and the Division's Minimum Design Criteria (Gravity Sewer & Pump Stations/Force Mains) and that plans, specifications and supporting documents ha% a been prepared in accordance Kith 15A NCAC 02T,15A_ NCAC 02T .0300,Division policies, and good en&ee&g 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 .iSA.NG.AC_fl? _3S 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 02T.0303. Projects not eligible for review via the fast track process (must be submitted for full technical review): i 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 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. Failureto submit all required itemswill ntat e 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 cope may be digital) of Application and Supporting Documents 0 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): 0 List all items included in the application package, as well as a brief description of die 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) 7- If necessan. 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 S480.00, 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): 0 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 I.2 is a corporation or company, provide documentation it is registered for business with the North Carolina Secretary of State ❑ If the Applicant Type in Item 12 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 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 iicenwd Professional rrigmeer. ® The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 02T�0106, . 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 Page i 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,_3. L41-215.67t 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 11-inch color copy of a k,SGS 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 (mown) 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. ❑ 1 ndude a descriptive and dear narrative identifying the previously permitted itemsto remain in the permit, itemsto be added, and/or itemsto be modifier/ (the appl i cation forth itself should i nd ude only include items to be addedlmodifi ed). The narrative should also indudewhether any previously permitted items have been certified. ❑ The narrative should dearly identify the requested permitting action and accurately describe the se+versto be listed in the final permit. H. Power Reliability Plan (Required if portable reliability- option utilized for Pump Station): ❑ Per I S � sS,r [=. 2T {1J[I sly) 1.i, submit documentation of power reliability for pumping stations. i► 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 15A NCAC 02T ,0115(a)(1) provide the Certificate of Public Convenience and Necessity from the North Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the sewer extension, or ❑ Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an application for a franchise has been received and that the service area is contiguous to an existing franchised area or that franchise approval is expected. J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold): ❑ Home/Property Owners' Associations ❑ Per 15A NCAC 02T .01 I Sfc). submit the properly executed QRcrational A rg cement (FORM. HOA). ❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws. ❑ Developers of lots to be sold ❑ Per ISA NCAC 02T .0115(b), submit the properly executed t))cr;al3onal Agreement (FO RKI: DFV). For more information, visit lire Division's collection systems ivebsite INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMF,NTATION 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 Realo" 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, Palk, (828) 299-7043 Fax Rutherford, Swain, Transylvania, Yancey Fayetteville Realonal Office 225 Green Street Suite 714 Anson, Biaden, Cumberland, Harnett, Hoke, Water Quailly Section Fayetteville, North Carolina 28301-5095 Montgomery, Moore, Robeson, Richmond, (910) 433-3300 Sampson, Scotland (910)486-0707 Fax Moor s i le 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 Regignal OfYlce 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 Washinaton Realonal 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 &Moal 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 Realonal 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 & SUUPPORT1NC7 T)OCIJMF_NTATiON Page 3 of 3 DWR Division of Water Resources State of North Carolina Department of Environmental Quality NOV 2 9 2023 Division of Water Resources FAST TRACK SEWER SYSTEM EXTENSION APPLICATION FTA 06-21 & SUPPORTING DOCUMENTATION Application Number: (to be completed by DR'R) All items must be completed or the application ► •ill be returned I. APPLICANT INFORMATION: 1. Applicant's name: Franklin County (company, municipality, HOA, utilitv, etc.) 2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Federal ® State/County ❑ Municipal 3. Signature authority's name: Chris Dohertk per I, A :6K _D2T_.ULQMi Title: Public Utilities Director 4. Applicant's mailing address: 1630 US Hwy # City: Youn s� State: NC Zip:-27596 5. Applicant's contact information: Phone number (919) 556-6177 Email Address: cdohrety a franklincountync.us II. PROJECT INFORMATION: ❑ Privately -Owned Public Utility ❑ Other Nov 2 9 �02.t 1. Project name: Whi§12gring Pines Ph 4 - 8 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 N%here project is located: Franklin 4. Approximate Coordinates (Decimal Degrees): Latitude: 36.08057" Longitude:-76.44826: 5. Parcel ID (if applicable) 1864-27-8715/1864-18-9601 (or Parcel ID to closest downstream server) III. CONSULTANT INFORMATION: I . Professional Engineer: Timoft Nau License Number: 030339 Firm Ibc Nau Compam - PLLC Mailing address: PO BOX 810 City: lesville State: hLC Zip 27571- Phone number: (y19) 625-3090 Email Address: tnau c0thenauco,com WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: 1. Facility Name: Frankhn County Permit Number: NCO069311 Owner Name: Frankhn County IV. RECEIVING DOWNSTREAM SEWER INFORMATION: 1. Permit Number(s): W 0Q0. 22020 2. Downstream (Receiving) Sewer Information: 8 inch ® Gravity © Force Main 3. System Wide Collection System Permit Number(s) (if applicable): WQC:S00179 Owner Name(s): Franklin Counh- Utilities FORM: FTA 06-21 Page 1 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 Developer's QVDaugrtal Ajrecme t (?R _ I]'l:: V) been attached? ❑ Yes ❑ No ® NIA 3. If the Applicant is a Home/Property Owners' Association, has an J-jg&j A ('hhationai rq'i enl tl:OE : iLQ61 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/serk-ice ❑ Hotel and/or Motels ❑ School / preschool / day care El Medical / dental I veterinary facilities El Swimming Pool/Clubhouse El Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash ❑ Businesses f offices I factories ❑ Nursing Home ❑ Other (Explain in Attachment) 5. Nature of wastewater: ](1Q1a Domestic °/o Commercial % Industrial (See I, A NCAC 02T .0103(20)) If Industrial, is there a Pretreatment Program in effect? ❑ Yes❑ No 6. Has a flow reduction been approved under I SA NCAC 02T .0114(0? ® Yes ❑ No If ves rovide a co v of flow reduction noproval letter with this application 7. Summarize wastewater generated by project Establishment Type (see 02T.0114(f)) Daily Design Flow °" No. of Units Flow Single Family Homes 250 gallday 262 65,500,00 GPD gall GPD gall GPD gal/ GPD gall GPD gall GPD Total 65,500,00 GPD a See 1.5ANCAC 02T .01 14(b)9 id�,tc;(I hand rc)(2) for caveats to wastewater design flow rates (i.e., minimum flow per d%%elling: 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 S42A-4). b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01 141 shall be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data. 8. Wastewater generated by project: 65,500.00 GPD (per 15A NCAC 02T 01 14} Do not include future flows or previously permitted allocations If permitted flow is zero, please indicate why: ❑ Pump Station/Force Main or Gravit3- Sewer where flow will be permitted in subsequent permits that connect to this line_ Please proN-ide supplementary information indicating the approximate limeframe 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 VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305& M DC (Gravity Sewers): 1. Summarize gravity sewcr to be permitted: Size (inches) Length (feet) Material 8" 12,950 PVC 8" 600 Ft DIP �, Section Ii & [I[ of the MDC for Permitting of Gravity Sewers contains information related to design criteria > Section III contains information related to minimum slopes for gravity se'vver(s) > Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC Vlll. 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: 2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: - 3. Total number of pumps at the pump station: 3. Design flow of the pump station: millions gallons per day (firm capacity) > This should reflect the total GPM for the pump station with the largest pump out of sers-rce. a. Operational point(s) per pump(s): gallons per minute (GPM) at feet total dynamic head (TDH) 5. Summarize the force main to be permitted (for this Pump Station): Size (inches) Length (feet) Material If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per MDCPSFM Section 2.01C. Lb. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify) 6. Power reliability in accordance with ] $A NCA4; Q2'I . .030Sdot_b: ❑ Standby power source or ❑ Standby pump > Must have automatic activation and telemetry- 15A NCAC 02T.0305(1r)(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 clay I SA NCACO2T.0305(h)(1)(C): ❑ Portable power source -.vith manual activation, quick -connection receptacle and telemetry - or ❑ Portable pumping unit with plugged emergency pump connection and telemetry: i Include documentation that the portable source is owned or contracted by the applicant and is compatible %%ith 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. NCAQ OZT 0305{t) &_ )') ® Yes ❑ No 15A NCAC 02T.0305(t) contains minimum separations that shall be provided for sewer systems: Setback Parameter" Separation Required Storm sewers and other utilities not listed below (vertical) 18 inches `Water mains (vertical - water over sewer preferred, including in benched trenches) 18 inches '-Water mains (horizontal) 10 feet Reclaimed water lines (vertical - reclaimed over sewer) 18 inches Reclaimed water Imes (horizontal - reclaimed over sewer) 2 feet *"Any private or public water supply source, including any wells, WS-I waters of Class I or Class lI impounded reservoirs used as a source of drinking water, and associated wetlands. 100 feet "Waters classified WS {except WS-I or WS-V), B, SA, ORW, HQW, or SB Irom 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 %%ith 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 sy stems and interceptor drains 5 feet Any swimming pools 10 feet Final earth grade (vertical) 36 inches > If noncompliance with 0210305(f) or ij�L see Section X I of this application "15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305 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 Dix ision's jl�iC Surface W&r C1a,;_ l&cwwr.s u r 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(t) for documentation requirements and submit a separate document, signed/scaled by an NC licensed PE, veriA-ing the criteria outlined in that Rule. 3. Does the project comply «ith separation requirements for wetlands? ® Yes ❑ No ❑ NIA > Please provide supplementary information identif}:ing the areas of non-conformance. > Seethe Division's draft separation requirements for situations where separation cannot be met. > No variance is required if the alternative design criteria specified is utilized in design and construction. 4. Is the project located in a river basin subject to any State buffer rules? ® Yes Basin name: Tar -Pamlico ❑ No If pes, does the project comply with setbacks found in the river basin rules per €.O D 0200? ® Yes ❑ No > This includes Trout Buffered Streams per 15A NCAC 213_0202 5. Does the project require coverage.'authorization under a 404 Natiomvidelindiridual permits ® Yes ❑ No or 401 Water Quality Certifications? r Please provide the permit numberlpermitting status in the cover letter if coverage/authorization is required. 6. Does project comply with ISA NCAC 02T.0105(c)(61(additional permits/certifications)? ❑ Yes ® No Per I5A NCAC 02T 0105(c)(6), directly related environmental permits or certification applications must be being prepared, have been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and sedimentation control plans, slormN%ater management plans, etc.). 7. Does this project include any sewer collection lines that are deemed "high -priority?" [:]Yes ® No Per 15A NCAC 02T.0402. "high -priority sewer" means any aerial sexier, sex%er contacting surface waters, siphon, or severs 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. i+ 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'" individual System -Wide Collection permit. FORM: FTA 06-21 Page 4 of 5 X. CERTIFICATIONS: 1. Does the submitted system comply Aith 15A NCAC 02T, the "Iit}t3qum.0t SL ) C:ntcrm ibi the Permittxtz Off. amp Stations and Force Mains (latest version), and the Gravit - Sewer Minimum Design Criteria latest version as applicable? ® Yes ❑ No If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued concurrently with the approval of the permit, and Projects requiring a variance approval may be subject to longer review times. For_nrolects reouirintr two or more,.ariances or where the variance is determined by the Division to be a siniflcant portion of the protect, the full technical review is required. T 2. Professional Engineer's Certification: I - Timothy P_ Nau, PE , attest that this application for Whispering Pines Phase 4-8 (Professional Engineer's name from Application Item I1I.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, Minimum_ Design Criteria for Gravity Sewers (latest_ version), and the Minimum DesigLi Critena for the Fast -Track Permitting of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and have judged it to be consistent with the proposed design NUIE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. Misrepresentation of the application information, including failure to disclose any design non-compliance w ith the applicable Rules and design criteria, may subject the North Carolina -licensed Professional Engineer to referral to the licensing board. (21 NCAC 56.0701) North Carolina Professional Engineer's seal, signature, and date: •.•`• �t1 CAROB v l SEAL - . fy� • ••... • C� 3. Applicant's Certification per 15A NCAC 02T .0106(b): 11 /29/23 I, _CHRISTOPHER DOHERTY, attest that this application for WHISPERING PINES PH 4 - S (Signature.Authority Name from Application Item 1.3.) (Project Name from Application Item 1I.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 vvill result in an immediate enforcement action that may include civil penalties, injunctive relief, and/or criminal prosecution. I N ill make no claim against the Division of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application package are not completed and that if all required supporting information and attachments are not included, this application package will be returned to me as incomplete. NOTE — In accordance with General Statutes 143-215.6A and 143-215 6B, any person who knowingly makes any false statement, representation, or certification in any application package shall he guilty of a Class 2 misdemeanor, which ma) include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation. Signature: _ � ��_ �\ ' Date: I1-29-2023 FORM- FTA 06-21 Page 5 of 5 State of North Carolina NOV 2 9 Department of Environmental Quality Division of Water Resources Dlvtslon of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications (FTSE 04-16) Entity Requesting Allocation: _ Franklin County Project Name for which flow is being requested- Whispering Pines -Phase 4-8 More than one FTSEnia�, be required for a single project ifthe owner of the U717P is not responsible for all pump stations along the route of the proposed svasteivater flow. I. Complete this section only if you are the owner of the wastewater treatment plant. a. WWTP Facility Name; Franklin County Waste Water Treatment Plant b. WWTP Facility Permit #; NCO06931 All flows are in MGD c. WWTP facility's permitted flow 3.00 d_ Estimated obligated flow not yet tributary to the WWTP 0.620 e. WWTP facility's actual avg. flow 1.283 f. Total flow for this specific request 0.0145 g. Total actual and obligated flows to the facility 1.9175 h. Percent of permitted flow used 64% II_ Complete this section for each pump station you are responsible for along the route of this proposed wastewater flow. List pump stations located between the project connection point and the WWTP- (A) (B) (C) (D)=(B+C) (E)=(A-D) Design Obligated, Pump Average Daily Approx. Not Yet Total Current Station Finn Flow** Current Avg. Tributary Flow Plus (Name or Capacity. * (Finn / pf), Daily Flow, Daily Flow, Obligated Available Number) MGD MGD MGD MGD Flow Capacity*** On -Site 0.04208 0.01683 0.0145 N/A 0.0145 0,00233 * The Firm Capacity of any pump station is defined as the maximum pumped flow that can be achieved with the largest pump taken out of service. * * Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor (pf) not less than 2.5. * ** A Planning Assessment Addendum shall be attached for each pump station located between the project connection point and the WWTP where the Available Capacity is < 0. Downstream Facility Name (Sewer): Downstream Permit Number. Page i of 6 FTSE 04-16 III. Certification Statement: I Christopher Doherty 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 io the receiving treatment plant under normal circumstances, given the implementation of the planned improvements identified in the planning assessment where applicable. This analysis has been performed in accordance with local established policies and procedures using the best available data. This certification applies to those items listed above in Sections I and II plus all attached planning assessment addendums for which I am the responsible party. Signature of this form indicates acceptance of this wastewater flow. �) 11-29-2023 Signing Off vial Sipiature Date Page 2 of 6 FTSE 04-16 PLANNING ASSESSMENT ADDENDUM (PAA) Submit a planning assessment addendum for each pump station listed in Section 1I where Available Capacity is < 0. Pump Station (Name or Number): Given that: a, The proportion and amount of Obligated, Not Yet Tributary Daily Flom (C) accounts for % and MGD of the Available Capacity (E) in Pump Station ; and that b_ The rate of activation of this obligated, not yet tributar} capacity is currently approximately MGD per year; and that c. A funded Capital Project that will provide the required planned capacity, namely is in design or under construction with planned completion in ; and/or d. The following applies: Therefore: Given reasonably expected conditions and planning information, there is sufficient justification to allow this flow to be permitted, without a significant likelihood of over -allocating capacity in the system infrastructure. I understand that this does not relieve the collection system owner from complying with G.S. 143- 215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste disposal system. Signing Official Signature Date Page 3 of 6 FTSE 04-16 Instructions for Flow Tracking/Acceptance form (FTSE) and Planning Assessment Addendum (PAA) Section I a. YAM Facility Name: Enter the name of the WWTP that will receive the wastewater flow. b. WWTP Facility Permit #: Enter the NPDES or Non -Discharge number for the WWTP receiving the wastewater flow. c. WWTP facility's permitted flow. MGD: From WWTP owner's NPDES or Non -Discharge permit. d. Estimated obligated f14��: n yet tributary to the WWTP. MGD: This includes flows allocated to other construction projects not yet contributing flow to the collection system. Flows allocated through interlocal agreements or other contracts not yet contributing flow to the collection system are also included. For POTWs that implement a pretreatment program, include flows allocated to industrial users who may not be using all of their flow allocation. Please contact your Pretreatment Coordinator for information on industrial flow tributary to your WWTP. As of Januan, 15, 2008 the POTW should have reviewed flow allocations made over the last two years and reconciled their flow records, to the best of their ability, so it is known how much floe• has been obligated and is not yet been made tributary to the WWTP, in accordance with local policies and procedures employed by the reporting entity. e. WWTP facilit��'s actual avg. flow. MGD: Previous 12 month average. f. Total flow for this specific request, MGD.: Enter the requested flog volume. g. Total actual and obligated flogs to the facilitk, MGD Equals [d + a + fJ h. Pgrcent of permitted flow used: Equals [(g / c)* 1001 For example: On January 15 a POTW with a permitted flow of 6.0 MGD_ reported to the Regional Office that there is 0.5 MGD of flow that is obligated but not yet tributary. The annual average flow for 2007 is 2.7 MGD. There is a proposed flow expansion of 0.015 MGD. The first Form FTSE submitted after January 15, 2008 may have numbers like this: c. = 6.0 MGD d. = 0.5 MGD e. = 2.7 MGD f. = 0.015 MGD g. = 3.215 MGD h. = 53.6 % The next Form FTSE may be updated like this with a proposed floe- expansion of 0.102 MGD: c. = 6.0 MGD d. = 0.515 MGD e. = 2.73 MGD f. = 0.102 MGD g. = 3.349 MGD h. = 55.8 % Each subsequent FTSE form "ill be updated in the same manner. Page 4 of 6 FTSE 04-16 Section II List the pump station name or number and approximate pump station firm capacity, approximate design average daily flow (A) approximate current average daily flow (B), and the obligated, not vet tributan, flow through the pump station (C) for each pump station that will be impacted by the proposed sewer extension project. Calculate the total current flow plus obligated flow (D=B+C) and the available capacity (E=A-D). Include the proposed flow for this project with other obligated flows that have been approved for the pump station but are not vet tributary (C). Firm capacity is the maximum pumped flow that can be achieved with the largest pump out of service as per the Minimum Design Criteria. Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor (pf) of not less than 2.5. If the available capacih• (E) for any pump station is < 0, then prepare a planning assessment for that pump station if the system has future specific plans related to capacity that should be considered in the permitting process. (A) (B) (C) (D)=(B+C) (E)=(A-D) Obligated, Design Approx. Not Yet Total Current Firm Average Current Avg. Tributary Flom Plus Pump Station Capacity Daily FIow Daily Flow, Daily Flow, Obligated Available (Name or Number) MGD (Firm I pf) MGD MGD Flow Capacity* Kaw Creek PS 0.800 0.320 0.252 0.080 0.332 -0.012 Valley Road PS 1.895 0.758 0.472 0.135 0.607 0.151 Page 5 of 6 FTSE 04-16 Plannine Assessment Addendum Instructions Submit a planning assessment addendum for each pump station listed in Section II where available capacity is < 0. A planning assessment for Kaw Creek PS (see example data above) may be performed to evaluate whether there is significant likelihood that needed improvements or reductions in obligated flows will be in place prior to activating the flows from the proposed sewer extension project. If the system decides to accept the flow based on a planning assessment addendum, it is responsible to manage the flow without capacity related sanitary overflows and must take all steps necessary to complete the project or control the rate of how to prevent sanitary sewer overflows - The planning assessment may identify- a funded project currently in design or construction, or a planned project in the future not yet funded but in a formal plan adopted by the system. The system should carefully weigh the certainty of successful timely project completion for any expansion, flow management diversion or infiltration and inflow elimination projects that are the foundation of a planned solution to capacity tracking and acceptance compliance. For example: Given that: a. The proportion and amount of obligated, not yet tributary flow accounts for 24 % and 0-080 MGD of the committed flow in Pump Station K w Creek, and that b. The rate of activation of this obligated, not yet tributary capacity is currently approximately 0.01 MGD per year; and that c. A funded capital project that will provide the required planned capacity, namely is in design or under construction with planned completion in : and/or d. The following applies: The master plan and ten year capital_321an contain recommended scope and funding fora capital project entitled Kaw Creek Pump Station upgrade with funding planned in July 2014. This project is planned to pdd 0,100 M D o & firm ca i f the, pumpy October 2015. In l i n f this vital project as a condition of this Flow Tracking/Acceptance for Sewer Extension Permit Application elevates this nroiect's priority for funding and construction to be imnlcmented ahead of the activation of obliizated. not vet tribu , flows in am un s that gxce2d the firm pump station capacities identified in ction II abovg. Therefore: Given reasonably expected conditions and planning information, there is sufficient justification to allow this flow to be permitted, without a significant likelihood of over -allocating capacity in the system infrastructure. Page 6 of 6 FTSE 04-16 State of North Carolina Department of Environmental Quality DWR Division of Water Resources y NOV 2 9 �A'ST TRACK SEWER SYSTEM EXTENSION APPLICATION Division of Water Resources INSTRUCTIONS FOR FORM: FTA 06-21 & SUPPORTING DOCUMENTATION This application is for server 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 NC A(0 1 and the Division's Minimum Design Criteria (Gravity Sewer & Pumn Stations/Force Mains) and that plans, specifications and supporting documents have been prepared In accordance with 15A NCAC 02T 15A NCAC 02T.0300 Division policies, and good eneineering practices. While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design calculations, and project specifications referenced in 15A NCAC 02T 0305 and the applicable minimum design criteria These documents shall be immediately available upon request by the Division. Projects that are deemed permitted (do not require a permit from the Division) are explained in 15A NCAC 02T.0303. Projects not eligible for review via the fast track process (must be submitted for full technical review): 7 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 simple-\ grinder pumps connecting to pressurized systems (e g. force mains); Vacuum sewer systems. General - When submitti rig an application, please use the fol Iowi ng instructions as a checkii st i n order to ensure al I required items are submitted. Adherence to these i nstrucctions and checki ng the provided boxes will help produce a quicker review ti me and reduce the amount of requested additional information. Failure to submit all required iternswill 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 maybe 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. 7 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) 7 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 I.2 is a corporation or company, provide documentation it is registered for business with the North Carolina Secretary of State. ❑ If the Applicant Type in Item L2 is a partnership or dlb/a, enclose a copy of the certificate filed with the Register of Deeds in the county of business. ® The Project Name in Item II. 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 Nonh Carolina licensed Professional Engineer. ® The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 021T .0106ft 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 Page 1 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 «here the downstream sewer owner and wastewater treatment facility are different, > The flo« 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. 1.13-215.67(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 "aters. > General location of the project components (gravity sewer, pump stations, & force main) > Downstream connection points and permit number (if known) for the receiving sever ® Include an aerial location map shoiOng 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. ❑ 1 ncludea descriptive and dear narrative identifyingthe previously permitted itemsto remain in the permit, itemsto be added, and/or itemstobe modified (the applicatlon form itself should include only include itemsto beaddedlmodifled). The narrAlve should also include whether any previously permitted items have been certified. ❑ The narrative should dearly identify the requested permitting action and aoci rateiy describethe sewersto be listed in the final permit. H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station): ❑ Per l 5.A NQAC 02T .0305(h)(1), submit documentation of power reliability for pumping stations. > This alternative is only available for average daily flows less than 15,000 gallons per day > It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible with the station. The Division will accept a letter signed by the applicant (see I5A 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 15A NCAC OZT .0( l (a)(1) provide the Certificate of Public Convenience and Necessity from the North Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the sewer extension, or ❑ Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an application for a franchise has been received and that the sen•ice 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/PropgM, Owners' Associations ❑ Per I5A NCAC 02T .0115(c), submit the properly executed O rational Agreement (FORM: 1OA). ❑ Per 15A NCAC 02T .0l 15(c), submit a copy of the Articles of Incorporation, Declarations and By-laws. ❑ Dg3vlo Z rs of lots to -be sold ❑ Per 1_5A NCAC 02T .0115(b), submit the properly executed Operational Agreement (FORM: DEW For more information, visit the Division's collection systems websrte 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 Reaional Office 2090 US Highway 70 Avery, Buncombe, Burke, Caldwell, Cherokee, Wate[ 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 Fa-ettevilte Regional Office 225 Green Street Suite 714 Anson, Bladen, Cumberland, Harnett, Hoke, Water guality Section Fayetteville, North Carolina 28301-5095 Montgomery, Moore, Robeson, Richmond, (910) 433-3300 Sampson, Scotland (9 10) 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 a i ection Raleigh, North Carolina 27609 Granville, Halifax, Johnston, Lee, Nash, (919) 791-4200 Northampton, Orange, Person, Vance, Wake, (919) 571-4718 Fax Warren, Wilson Washinaton 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 WinstonSaigm 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 05-2I & SUPPORTING DOCUMENTATION Pagc 3 of 3 "Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources NOV 2 9 2023FAST TRACK SEWER SYSTEM EXTENSION APPLICATION FTA 46-21 & SUPPORTING DOCUMENTATION Application Number: (to be completed by DWR) All items must be completed or the application will be returned I. APPLICANT INFORMATION 1. Applicant's name: Franklin County (company, municipality, HOA, utility, etc.) 2. Applicant type: ❑ Individual (] Corporation E] General Partnership ❑ Federal ® StatefCoumy ❑ Municipal 3- Signature authority's name: Chris Doherty per 15A NCAC 02T 0106(b) Title: Public Utilities Director 4. Applicant's mailing address: 1630 US Hna #1 City: Youn sa ville State- NC Zip--27596 5. Applicant's contact infonnation: Phone number (919) 556-6177 Email Address: cdohrety c0ftanklincountvnc.us II. PROJECT INFORMATION: ❑ Privately -Owned Public Utility ❑ Other 1. Project name Whispering_ Pines Ph �4 - 8 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: Franklin 4. Approximate Coordinates (Decimal Degrees): Latitude: 3 8057 = Longitude:-76.44826' 5. Parcel ID (if applicable): 1864-27-8715/1864-18-9601 (or Parcel ID to closest downstream sewer) III. CONSULTANT INFORMATION: 1. Professional Engineer: Timothy P. Nau License Number: 030339 Firm: The Nau Company. PLLC Mailing address: PO BOX 810 City: Ro esville State: NC Zip: 27571- Phone number: 9( 19) 625-3090 Email Address: tnauRmthenauco.com WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: 1, Facility Name: Franklin County Permit Number: NCO06931 I Owner Name: Franklin County IV. RECEIVING DOWNSTREAM SEWER INFORMATION: I. Permit Number(s): WQ0022020 2. Downstream (Receiving) Sewer Information: 8 inch Z Gravity Force Main 3. System Wide Collection System Permit Number(s) (if applicable): WQCS00179 Owner Name(s): Franklin County Utilities FORM: FTA 06-21 Page I of 5 V1. GENERAL REQUIREMENTS 1. If the Applicant is a Privately -Owned Public Utilih-, 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 Developer's QKrational Agreement (FORM; DEV) been attached? ❑ Yes ❑ No ® NIA 3. If the Applicant is a Home/Property Owners' Association, has an HOA/POAAQperational Agreement (FORM: HOA) and supplementary documentation as required by 15A NCAC 02T.0I 15(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 I offices 1 factories ❑ Nursing Home ❑ Other (Explain in Attachment) 5. Nature of wastewater: 100 %Domestic Commercial % Industrial (See 15A ItiCAC 02T .0103(20.)) If Industrial, is there a Pretreatment Program in effect? ❑ Yes 0 No 6. Has a flow reduction been approved under 15A NCAC 02T .01 14(f)? ® Yes ❑ No ➢ If yes, provide a cony of flow reduction approval letter with this application 7. Summarize waste -water generated by project: Establishment Type (see 01T.0114(f)) Daily Design Flow a.b No. of Units Flow Single Family Homes 250 gal/day 262 65.500,00 GPD gal/ GPD gal/ GPD gall GPD gal/ GPD gal/ GPD Total 65,500.00 GPD a See 15A NCAC 02T .0114 L (d). is 3(1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas, and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined in G.S. 42A4). b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data. 8. Wastewater generated by project. 65,500.00 GPD (per 15A NCAC 02T .0l 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 supplementM- 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 sc-A ers with no new flow expected ❑ Other (Explain): FORM: FTA 06-21 Page 2 of 5 VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & M DC (GralLdy Se+i w1j: 1. Summarize gravity sewer to be permitted: Size (inches) Length (feet) Material 8" 12,950 PVC 8" 600 Ft DIP Section II & IIl 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 Station s/F ►�M Mains): PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT 1. Pump station number or name: 2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: - 3. Total number of pumps at the pump station: 3. Design flow of the pump station: millions gallons per day (firm capacity) This should reflect the total GPM for the pump station with the largest pump out of service. 4. Operational point(s) per pump(s): gallons per minute (GPM) at feet total dynamic head (TDH) 5. Summarize the force main to be permitted (for tlus 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. l.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please speciA,) 6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1): ❑ Standby power source or ❑ Standby pump Must have automatic activation and telemetry - 15A NCAC 02T.0305(h)(1)(B).. Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day ➢ Must be permanent to facility and may not be portable Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C): ❑ Portable power source with manual activation quick -connection receptacle and telemetn, - 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. 9 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 separations/alternatives found in 15A NCAC 02T.0305(f) & (g)? ® Yes ❑ No 15A NCAC 02T.0305(f) contains minimum scparations that shall be provided for sewer wstems: Setback Parameter* Separation Required Storm sewers and other utilities not listed bclo«- (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 AN ater supply source, including any wells, WS-I waters of Class 1 or Class II impounded resen-oirs used as a source of drinking water, and associated wetlands. 100 feet **Waters classified WS (except WS-I or WS-V), B. SA, ORW, HQW, or SB from normal high water (or tide elevation) and wetlands associated with these waters (see item IX.2) 50 feet **Any other stream, lake, impoundment, or ground i%ater 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.0305(f) or (g), see Section X 1 of this application * 15A NCAC 02T.0305(e) contains alternatives where separations in 02T.0305(f) cannot be achieved. Please check "yes" above if these alternatives are used and provide narrative information to explain. **Stream classifications can be identified using the Division's NC Surface Water Classifications weboage 2. Does this project comply with the minimum separation requirements for water mains? ® Yes []No [:]N/A ➢ If no, please refer to 15A NCAC 18C.0906(f) for documentation requirements and submit a separate document, signed/sealed by an NC licensed PE, verify ing the criteria outlined in that Mule. 3. Does the project comply with separation requirements for wetlands? ®Yes []No ❑ NIA ➢ Please provide supplementan- information identifying the areas of non-conformance. > See the Division's draft separation requirements for situations where separation cannot be met. > No variance is required if the alternative design criteria specified is utilized in design and construction. 4. Is the project located in a river basin subject to any State buffer rules? ® Yes Basin name: Tar -Pamlico ❑ No If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No > Tlus includes Trout Buffered Streams per 15A NCAC 2B.0202 5. Does the project require coverage/authorization under a 404 Nationwide/individual pennits ® Yes ❑ No or 401 Water Quality Certifications? > Please provide the permit nurnber(pennitting status in the cover letter if coverage/authorization is required. 6. Does project comply with 15A NCAC 02T.0105(c)(6) (additional pennits/certifications)? ❑ Yes ® No Per 15A NCAC 02T.0105(c)(6), directly related em-ironmental 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 pennits (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 I SA NCAC 02T.0402, "higli-priority sewer" means am 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 lime, 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 NCAQ 02T, the Minimum Design C1itigta for.tkte I'exgl.tttin�of Purry Stations and Force Mains (latest version), and the Gravity LvTv4�nir Erin Dc}ign Criteria latest version} as applicable? ® Yes ❑ No If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued concurrently with the approval of the permit, and proiects requiring a variance approval may be sublect to longer review times. For proiects requiring two or more variances or where the variance is determined by the Division to be a significant aortion of the prolect, the full technical review is required. 2. Professional Engineer's Certification: I Timothy P. Nau, PE , attest that this application for Whispering Pines Phase 4-8 (Professional Engineer's name from Application Item IIl.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, Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains latest version). Although other professionals may have developed certain portions of this submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and have judged it to be consistent with the proposed design. NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. Misrepresentation of the application information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject the North Carolina -licensed Professional Engineer to referral to the licensing board. (21 NCAC 56.0701) North Carolina Professional Engineer's seal, signature, and date: ���` ��N CAPO z SE Applicant's Certification per 15A NCAC 02T .0106(b): 11 /29/23 I, _CHRISTOPHER DOHERTY, attest that this application for WHISPERING PINES PH 4 - 8 (Signature Authority Name from Application Item 1.3.) (Project Dame from Application Item It.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 null make no claim against the Division of Water Resources should a condition of this permit be violated. 1 also understand that if all required parts of this application package are not completed and that if all required supporting information and attachments are not included, this application package will be returned to me as incomplete. NOTE — In accordance with General Statutes 143-215 6A and 143-215.6B_ any person who knowingly makes any false statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation Signature- Date: 11-29-2023 FORM- FTA 06-21 Page 5 of 5