WQ0045034_Application (FTSE)_20231204

D&L Engineering, PLLC
December 4, 2023
NCDEQ
Division of Water Resources
225 Green Street
Fayetteville, N.C. 28301
Attn: Trent Allen
Ref: Blackburn Farm Phase 2
Hoke County, NC
Sewer Permit Application
Transmittal
bmio UFO
DEC 06
'AYETTFin,WQROnV41 nFFICF
Trent,
This permit is for the proposed Blackburn Farm Phase 1 Project in Hoke County.
Please find attached:
Cover letter, sewer permit application, downstream sewer evaluation, flow tracking
form, USGS map, street view map and the fee check.
If you have any questions or need any additional information, please feel free to
contact this office.
D&L ENGINEERING, PLLC
Lee Humphrey, Project Manager
150 S. Page Street Southern Pines, NC 28387 PH: [phone]
Firm No. P-2587

State of North Carolina
DWR Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Divislon of Water Resources VIA 10-23 & SUPPORTING DOCUMENTATION
Application Number: ►n1Q600N14C18SC (to be completed byDWR)
All items must be comoleted or the aoolication will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Hoke County (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ® State/County ❑ Municipal ❑ Other
3. Signature authority's name: James McQueen per 15A NCAC 02T .0106(b)
Title: Public Works Director
4. Applicant's mailing address: 423 E. Central Ave. HL(itl UCtq,,
City: Raeford State: NC Zip: 28376- DCQIDWR
5. Applicant's contact information: DEC Qg �2va3
Phone number: (NO) 848-0385 Email Address: jmcqueen .hokecounty.org
II. PROJECT INFORMATION: FAYM-F Ut/I FRFMONAI OFFICE WQROS
1. Project name: Utility Improvements to serve Blackburn Farm Phase 2
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000 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: W000_
3. County where project is located: Hoke
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.975150 Longitude:-79_12'
5. Parcel ID (if applicable): 494640001003 (or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
1. Professional Engineer: David T. Upchurch, PE
Firm: D & L Engineering, PLLC
Mailing address: 150 S. Pape Street
City: Southern Pines
Phone number: 9( ) D) 684-8646
State: NC
License Number: 9570
Zip: 28387-_
Email Address: Lee(@doubledeng.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Hoke County Wastewater Treatment Plant Permit Number: NCO089176
Owner Name: Hoke County
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. PermitNumber(s): WQ_
2. Downstream (Receiving) Sewer Information: 30 inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS_
Owner Name(s): Hoke County
FORM: FTA 10-23 Pagel of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No ® N/A
2. If the Applicant is a Developer of lots to be sold, has a Develoner's Operational Agreement (FORM: DEV) been attached?
❑ Yes [—]No ® N/A
3. If the Applicant is a Home/Property Owners' Association, has an HOA/POA Operational Agreement (FORM: HOA) and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
❑ Yes ❑ No ® N/A
4. Origin of wastewater: (check all that apply):
® Residential (Individually Owned) ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential (Leased) ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool/Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic % Commercial _ % Industrial (See 15A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes® No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f) ❑ Yes ® No
➢ If yes, provide a cony of flow reduction approval 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 Residence
225 gal/day
42
9450 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total T
9450 GPD
a See 15A NCAC 02T .0114(b), (d), (e)(I) and (e)(2) for caveats to wastewater design flow rates (i.e. proposed unknown
non-residential development uses; public access facilities located near high public use areas; and residential property
located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined in G.S. 42A-41.
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 9450 GPD (per 15A NCAC 02T .0114 and G.S. 143-215.11
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: FTA 10-23 Page 2 of 5

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
1641
PVC
8
20
DIP
➢ Section I1 & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the AMC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Puma Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. 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 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.l.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
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 telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 10-23 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) & (2)? N Yes ❑ No
15A NCAC 02T.0305(fl contains minimum separations that shall be Drovided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
'Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
'Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
**Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ If noncompliance with 02T.0305(f) or (M. see Section X.1 of this application
* 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved. Please check "yes"
above if these alternatives are used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
2. Does this project comply with the minimum separation requirements for water mains? N 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, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? N Yes []No ❑ N/A
➢ Please provide supplementary 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: _ N No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes [-]No
➢ This includes Trout Buffered Streams per 15A NCAC 213.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑ Yes N No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? N Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications must be being prepared,
have been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion
and sedimentation control plans, stormwater management plans, etc.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes N No
Per 15A NCAC 02T.0402. "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: FTA 10-23 Page 4 of 5

I 401AR1113116114CIIN13
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the permit, and projects reguirine a variance anuroval may be subject to loneer
review times. For projects reauirine two or more variances or where the variance is determined by the Division to be a
significant portion of the project, the full technical review is reauired.
2. Professional Engineer's Certification:
I, oao:0 t UpAdP[�.. PE attest that this application for b31a&k Utm w6YNM P�eSe jl
(Professional Engineers name from pplication Item Ill. ).) (Project Name from Application Item IL 1)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications, engineering calculations, and all other supporting documentation to the best of my knowledge. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pumn 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 q Q']Ql)
North Carolina Professional Engineer's seal, signature, and date:
N6ctt N EEe'' �G�=,
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, ��4mlxs �, Q UJug3nJ attest that this application for 9[(:lr_ j yq F4zm PnnSE
(Signature Authority Name firoto Application Item 1.3.) (Project Name from Application Item IL I)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
I understand that if all required parts of this application are not completed and that if all required supporting documentation
and attachments are not included, this application package is subject to being returned as incomplete. I understand that any
discharge of wastewater from this non -discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division
of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application
package are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature:
FORM: FTA 10-23 Page 5 of 5

I�tL1tivCU
DEQIDWR
Project Cover Letter
Utility Improvements to serve Blackburn Phase 2
DEC 06 `0;-3
WQROS
SAYE rwi i FRFmnNAi r)FFICF
The new 8" gravity sewer mains to serve the Blackburn Phase 2 will connect to the existing sewer line
located within an existing sewer easement to the East of the proposed project area. The new 8" gravity
sewer will extend 1661 If into the proposed development and serve 42 homes. The sewer will include 9
new 4' dia. manholes. This Sewer Improvements Project will serve 42 single family homes @ 225
gpd/home for a total proposed flow 9,450 gpd.
Downstream Sewer Evaluation
The Hoke County Sewer System is relevantly new and prior to issuing the Flow Acceptance Letter, Hoke
County did their own evaluation of the capacity of their downstream sewer and found they had
adequate capacity in the existing sewer mains and at the W WTP to handle the additional flow.

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Downstream Sewer Evaluation
Sewer Improvements to serve Blackburn Farm Phase 2
8" Diameter PVC Pipe at 0.40% grade
42 Single Family Townhomes at 225/GPD = 9,450 GPD
Existing flow 599,000 gpd from Flow Tracking Letter
9,450 gpd times 2.5 Peak Factor = 23,625 GPD
ling n for material 0.01
(ft/ft) 0.000E
diameter (in)
min. (8"-18" pipe) FALSE
min. (21"-36" pipe) 0.000E
Pipe Diameter (ft)
2.500
X-sex area (1/2-full)
2.453
Hydraulic Radius
0.625
Hydraulic Radius A 2/3
0.731
Slope A 1/2
0.024
Velocity (ft/s)
2.186
Flow (cfs)
5.362
Flow (gps)
40.116
Flow (gpd) 1/2 Pipe
3,466,028
Flow (gpd) 3/4 Pipe
5,199,042
Flow (gpd) Full Pipe
6,932,057
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Existing Gravity Sewer has sufficent capacity to handle current and future flow.

KtuizzlycLd
DEQIDWR
DEC 06 State of North Carolina
Department of Environmental Quality
R_WQROS Division of Water Resources
FAYETTEVILLfIgM&W fdfr Sewer Extension Applications
"Division of Water Resources
(FTSE 10-23)
Entity Requesting Allocation: County of Hoke
Project Name for which flow is being requested: Blackburn Farm Phase Il
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for alt pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Hoke County Wastewater Treatment Facility
b. WWTP Facility Permit #: NCO089176
Aff lows are in MGD
c. WWTP facility's permitted flow 1.500
d. Estimated obligated flow not yet tributary to the WWTP 0.536
e. WWTP facility's actual avg. flow 0.600
f. Total flow for this specific request 0.0095
g. Total actual and obligated flows to the facility 1.136
It. Percent of permitted flow used 75.8%
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
Approx.
Obligated,
Total
Pump
Pump
Average
Current
Not Yet
Current Flow
Station
Station
Firm
Daily Flow**
Avg. Daily
Tributary
Plus
(Name or
Permit
Capacity, *
(Firm / pf),
Flow,
Daily Flow,
Obligated
Available
Number)
No.
MGD
MGD
MGD
MGD
Flow
Capacity***
Regional
WQ0036140
3.75
1.50
0.600
0.536
1.136
0.364
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow that can be
achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor (pf) not
less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located between the
project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Hoke County Collection System
Downstream Permit Number: WQCS00352
Page I of 8
FTSE 10-23

III. Certification Statement:
certify to the best of m knowledge that the addition of
I _r�+�rnie� ���), i� (��r�erv� Y Y g
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and lI plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Official Signature
Title of Signing Official
Date
Page 2 of 8
FTSE 10-23