WQ0045312_Application (FTSE)_20240417

April 16, 2024
NCDhQ
Fayetteville -Regional Office
Attn: Trent Allen
225 Green Street, Suite 714
Fayetteville, NC 28301
RE:_Se-werApplication, ,Mitchell Farms Subdivision, .Harnett County, North Carolina
Trent;
Attached is the sanitary sewer application package for Mitchell Farms Subdivision. A
check for the $600 review fee is also enclosed.
Mitchell Farms Subdivision is a residential development made up of 262 single family
lots located in Harnett County, NC. The requested flow is 78,600 gpd (300 gpd/lot for
single family lots). The extension proposed is a gravity sewer system that will flow to a
new lift station. From the lift station a force main will convey the sewer to the Harnett
County treatment plant to the east of the development. The requested extension as
well as the new lift station will be owned and maintained by Harnett Regional Water
after construction and certification are completed.
I look forward to working with you on this project. If you have any questions or
concerns, please contact me at your earliest convenience.
Sincerely,
4D Site Solutions, Inc.
Scott Brown, PE
sbrown@4dsitesoluti,ons.com
Enclosure
RcCElVED
APR 17 2024
0EQ-FAYF- EVIi_�L(E REG4NAL0FEICE
409 Chicago Drive, Suite 112, Fayetteville, NC 28306
office 1910-426-6777 fax [phone]
On time, every time. ; www.4Dsitesolutions.com

State of North Carolina
Department of Environmental Quality
R, Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23 & SUPPORTING DOCUNNNI'ATION
Application Number: Wa00 LJ'A..Z _ - (to be completed by MR).
An s must be CM019f9d Or I&BORMCA11011
I. APPLICANT INFORMATION:
1. Applican's name; (company, municipality, HOA, utility, etc.)
2. Applicant type.- ❑ IndividtW ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
0 Federal ❑ State/courty Z Municipal ❑Other
3. Signature authority's narne: Steve Ward per I SA 1N A' WT 0106(1�1
Title: public Wo k&D1 KCu CI VGU
4. Applicant's mailing address: EQBox 1119 DEQflDWR
City: "Liliingtan "State: c, Zip: 27546-
5. Applicant's contact information: �, I� t 17, av --,A 1
Phone number: (9_ lU) 893-7575 Email Address: gzmd@h4molorb
`p.
II. PROJECT INFORMATION:
WQROS
�AY�TTF1n� t gat=r_�nn�a� ry�c�C
-1, Proijeci name:, Ntchell-FarmsSuMvision
2. Application/Praject 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 plat, provide the existing permit number: WQ00—
3. County where project is located: Harn
4. Approximate Coordinates (Decimal Degrees): Latitude.- 35,232929" Longitude:-78.8931.33'
5_ Parcel ID (if applicable): 4533-39-391_1,00o (orparcel ID to closest downstream sewer)
.III. CONSULTANT INFORMATION:
1. Professional Engineer. C. Scott Brawn License Number: 027452
Firm. 4D Site-Solutio & Inc.
Mailing address: _4ffChicas o Drive, Ste..112
City:.EuAwn iiie State: NC Zip: 28306-
-Pl1one=nrmrlser: �l 426k Email -Address: „ �ldsitesolutiozrs cam
IV. WASTEWATER TRFATMENT FACH.ITY (WWTF) INFORMATION:
1. Facility Name: Swth.H rn l is al VYWTP Permit Number N.C_©0883,66
owner Name: F mne gi z waw
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQQQ35410
2. Downstream (Receiving) Sewer Information: 8 inch ® Gravity ❑ Force Maim
3. System Wide Collection System Permit Numbers) (if applicable): WQCS000166
ownerNamo(s): Hmottl 'giona water
FORM: FTA 10-23 Page 1 of 5

YL
GENERAL REQUMMMENT$
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
yes-f]-i4b-
2. If the Applicant is aDeveloper of lots to be, said, has a EkcyeIop er' i�erationai A[,r cnr_4r�1 f l,�M: I1h'V E been attached?
❑ Yes ❑ No ® NIA
3. If the Applicant is a Home/Property Owners' A ssaciation, has an HnAIpfZA nyt 8tinnal ,fin reertt tr€ �F()RT I:_ li0,4A and
supplementary documentation as required by 15ANCAC 02T.0115(c) been attached?
❑ Yes ❑ No ® NIA
4. -Origin of wastewater: -(Check alFthat apply):
® Residential (Individually Owned) ❑ Retail (stores, centers, malls) ❑ Car Wash
[] Residential (Leased) ❑ Retail with food preparation/service 0 Hotel and/or Motels
School I preschool I day care C1 Medical I dental I veterinary facilities ❑ Swimming Pool/Clubhouse
ATOM -and drinkfacilifies []'Church '[]'NVA-inmingPbolWilter- a6kwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater : l00 % Domestic % Commercial %Industrial (So ,] 5A NCAC UT—O Q3 )
if industrial, is there a Pretreatment Program in effect? ❑ Yes[] No
.. Has_a:t7r} v-redrrrlion l n Pr�uecl ttder 15A NCAC 02T .0114rt i? :[2Yes.:jU.Na.
➢ If, es.yrovide a cot) of flow reduction gt� woval letter wkh_10h�S 0katkun
7. Summarize wastewater generated by project_
Establishment Type (see 02T_0114(f)) Daily Design Flow'° No, of Units
Single family residential homes 300 gal/unit (4 bedrooms) 262
gall
gal/
gaV
gal/
gall
Flow
78,600 GPD
GPD
GPD
G1'D
GPD
GPD
Total 78,600 GPD
a See iSiy,_ iCt C-02T..,(i114 d e l j and t 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 42 -4).
b Per 15A NCAC 02T .0I 14(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: 78,600 GPD (per 15A.NCAC 42T.0114 and G-S. 143_215.1)
➢ Do not include future flows or previously permitted allocations
If permitted low 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:
n Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORfi"ri: T TA-1d-23- Page Z of Y

VII, GRAVITY SEWER DESIGN CRITERIA (If Applicable) _ 02T .0305 & MDC , Gravttx Sewers:
lilt
1. Sununarize gravity sewer to be permitted:
4_
5.
Size (inches) Length (feet) Material
8 9,837 SDR 35 PVC
8 1,216 C900 PVC
$ 1,049 DI
➢.�e�tianIl��af-t1te:M12C:f�'_Permittinguf f..st�ixy_-Sevx�s.ccyn3ain�_.infot�akicmrclatedxo.design�iteria.
➢ Section III contains information related to minimum slopes for gravity sewef(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
PU'Ae STATION DESIGN CRITERIA (If Applicable) -- W .0305 & W- I paw o rt c
PROVIDE_ A S P ZgTE COPY OF 1Hi__PAOE FOR EACH PUN P..�TATION INCLUDED IN THIS PROJECT
Pump station number or name: Wtchell F M�
ApproximteCooiTlit0mg(De='alLWtutiep TAm$]tui>t;:-Z�;$894°l7°
Total number of pumps at the pump station: 2
Design flow of the pump station: 0.455 millions gallons per day (firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
Operational point(s) per pump(s): 212.0 gallons per minute (GPNI) at 123.2 feet total dynamic head (TDID
Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6 1,790 C900 PVC
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01C.I.b. ❑ Grinder Pump . ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCA 02T .030.5t ?,_;,,3,r:
® Standby power source or ❑ Standby pump
.➢ Must ]lave automatic activalibn and'Obmetry - 15A NCAC-02T.0305(h)(1)(H)_
> 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 ISA NCACO2T.0305@)(l.)(C):
❑ Portable power source with manual ac uvatiou, quick-wrinection receptacle and telemetry
or
❑ Portable pumping unit with plugged emergency pump conrtection 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 sobedui"e of the portabW power source or pump, including travettiineframes, shaRbe provided"
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 10-23 Page 3 of 5

11PL SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(l)):
1. Does the project comply with all separationa/alternativcs found in 15A NCAC 02T -03305 jl)&.-(e)�
15ANCAC 02T.0305(:'i contains minimum se arations that shall be 3 ovided for sewer s= stems:
Setback Parameter*
Storm sewers and other utilities not listed below (vertical)
'Water mains (vertical - water over sewer preferred, including in benched trenches)
'Water mains (horizontal)
Reclaimed water lines (vertical - reclaimed over sewer)
Reclaimed water lines (horizontal - reclaimed over sewer)
*'Any private or public water supply source, including any wells, WS-I waters of Class I or
Class It impounded reservoirs used as a source of drinking water, and associated wetlands.
**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)
**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.
.A.ny.buiidingfnundatiott.(horizflnial)-
Any basement (horizontal)
Top slope of embankment or cuts of 2 feet or more vertical height
j0F0W
Separation Required
19 inches
IS inches
10 feet
IS inches
2 feet
300 feet
50 feet
10 feet
fe4t..
10 feet
10 feet
Dralnags systerns and 4ntercepttmr drains 5-feet•
Any swimming pools 10 feet
Final earth grade (vertical) 36 inches
➢ If noncompliance with 02T.0305(f) corm). see Section X 1 of this application
* 15A NCAC 02T.0305, <�J 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.
`*Sutaba e1=dit9 iWff NC Surface Water Classi_frcaiions,webpaaue
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ N/A
> If no, please refer to 15A NCAC I SC.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 ti►e,prgieci coaapiy with sgparation requirements for wetlands? �.Xes -No Q-N/A
➢ Please provide supplementary information identifying the areas of non-conformance.
9 Seethe Division's drab 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: __ Z 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 Nationwidetindividual permits ® Yes ❑ No
or 401 Water Quality Certifications? Q. 5 Marked yes
➢ Please provide the permit numberlpermitting status in the cover letter if coveragelauthorization is required, in error- see
email at end. SM
b. Does project comply with 15A NCAC.Q2I,0lQStpjt6) (additional permits/ewil5cations)? ® Yes 0 No
Per 35A,NCAC 02T;OlOSi c�:61,;di-refill xelatcsientriranrnccuaf.,permnat9.orcertification.applications must.hebesugEepanad„
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-p-6mily?" [j Yss r�(l No
Per I5A NCAC 021,04Q2, "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/eontlict boxes require a variance approval.
>p-If-yes,-include-an.attaehment withAetails-for. each,line, -including typo{aerial. ine, 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

[External] Mitchell Farms sewer application
Scott Brown <[e-mail]>
Thu 4/18/2024 2:27 PM
To:Moran, Sharon <Sharon.Mora [e-mail]>
1 attachments (3 MB)
Shady Grove site map.png;
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report
Message button located on your Outlook menu bar on the Home tab.
Item #5 on page 4 of the application was marked in error. The project is not subject to 404 or 401
certifications. A site map is attached as discussed.
thanks,
4Dsit
solut ion
kl'9. n.A � u'-* I?
Scott Brown, PE Professional Engineer
office: 910-426-6777 ext 102 1 cell: 910-489-6731 1 fax: [phone]
409 Chicago Drive, Suite 112, Fayetteville, NC 28306
On time, every time. I www.4Dsitesolutions.com

X. CERITFICATIONS:
Does the submitted system comply vlrrtah.SA NCAC O�.T, the Minim�rn Desi:a : Criteria for the, PermittingafFtlmStations
lied Farce Mans /latest vgrs�on#. ndihe-Gravin Sewer Minimum Bcsi{.r, QiteLia [,latest.versions as-agplicabls�.
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the VarianceiAiterna6ve Design Request application
.(VADC 10-14) .and -supporting- MmaM for review .to the Central Office. AngrAyal
concurrenfly. with LhV gpiltqyAof thg ggriniLand- projects r
i , For Projects r or more v n r whM the yArJ:aajgrmin hN the. 1Ws1Qn t9 be.a
si¢nifgWJ goWeil d1be uroieet, the fNi technical review is reareired.
Professional Engineers Certification:
I i' ot0r
.. _._...._, attest that this application for 0J1�''�1.�� EftMi �t111 St a:;#
(PMfessianelEogMeWanamefrnmApplicationImm-1111)- VrojoetNamefranc°Applicetion-Itmn°TINT)-
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, 1 further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
iVI'inim :m liasi LC i R�� vi y awls vwl—y� kov, and the�4�'irii t►LDesi o_f r ter�� q €h E i" ck ermitp I;
€ m rid 4IS�Ma ns_ t Yersiona- 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 GeneralStatutes143.21-5:6A and 143.21-5_6$; 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 notto 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:
} F r
_ SEAL -_
027452
3. Applicant's Certification per 15A NCAC 02T .0106(b): t /�
I, $ Coe to . V- 0(_1 attest that this application fbr SAJ'r1QU FA2 4 WS
(& par= Authority Name from Application Item I.3.) (Project/Mama from Applicatmn item Il, i)
aftest -that- this- application --has• -bem it m irmw& by vae� and- is aceuFate- and -complete- #o, Ow b t -of -my -knowleftc.
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
Qf W..ater Rewrce,s sJhould.a caorulition Qf tbi.s_Wmitbe violated.- Ialso undexx9tartsl.ilrat_ii'a1I required. parts of ilhis.$ppJicatiorh
package are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
NOTE — In accordance with General Statutes 143-2I5.6A and 143-215.6$, 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 the to $25,000 per violation.
1 r.
Signatthre: I . , Date:
.FORM: FTA 10-23 Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
of Wate esources Flow Tracking for Sewer Extension Applications
(FTSE 10-23)
Entity Requesting Allocation: Harnett Regional Water
Project Name for which flow is being requested: Mitchell Farms Subdivision —�_�_�K�t_ U���J vcu
More than one FT.SE maybe required for a single project if the owner of the WWTP is not respond Z/J
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant. oly
a. WWTP Facility Name: South Harnett WWTP a W S
b. WWTP Facility Permit #: NC0088366 n `roc^, 14, nVuIrr
All flaws are in MGD
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
15.00
5.452
5.629
0.0786
11.16
74.4%
11. 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)=(&+C) (F)JA-D)
Design
Obligated,
Pump
Pump
Average
Approx.
Not Yet
Total Current
Station
Station
Firm Daily Flow**
Current
Tributary
Flow Plus
(Name or
Permit
Capacity, * (Firm / pt),
Avg. Daily
Daily Flow,
Obligated Available
Number)
No.
MGD MGD
Flow, MGD
MGD
Flow Capacity***
* The Firmr, Opacity (design flow) of any nmmn 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): South Harnett WWTP
Downstream Permit Number: NCO088366
Page 1 of 8
FTSE 10-23

III. Certification Statement:
I Steve Ward, HKW Director certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under 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 certifies that the receiving collection system or treatment
works has adequate capaciyy)to trapyort and treat the proposed newwasteivater.
Signing Official
HRW Director
Title of Signing Official
Date
Page 2 of S
FTSE 10-23

VA mo s&Sonsae odeli aAd_.
o o 9ArvoEasory cassK CHURCH cwLa..
to
a9Sift a�
� 24Ahbus
f • -, v Google Earth