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HomeMy WebLinkAboutWQ0045254_Application (FTSE)_20240520State of North Carolina Department of Environmental Quality DWR Division of Water Resources FAST TRACK SEWER SYSTEM EXTENSION APPLICATION Division of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION Application Number: 4 46 0 1 ✓ 2 5 to be completed by DWR) All items must be completed or the application will be returned 1. APPLICANT INFORMATION: I. Applicant's name: Town of Goldston (company, municipality, HOA, utility, etc.) 2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Federal ❑ State'County ® Municipal 3. Signature authority's name: Jonathan Hensley per 15A NCAC 02T .0106(b Title: Mayor 4. Applicant's mailing address: P.O. Box 527 City: Goldston State: NC Zip: 27252-__ ❑ Privately -Owned Public Utility ❑ Other '`'�1;FDf 1iT r 5. Applicant's contact information: MAY � 2024 Phone number: (919) 356-3321 Email Address: jwh_302@hotmail.comf�lVltf, 1Q"?;, ., 11. PROJECT INFORMATION: 7 I . Project name: Goldston Fields Subdivision - Phase l 2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project If a modification, provide the existing permit number: WQ00 and issued date: , For modifications, also attach a detailed narrative description as described in Item G of the checklist. If new construction, but part of a master plan, provide the existing permit number: WQ00 3. County where project is located: Chatham 4. Approximate Coordinates (Decimal Degrees): Latitude: 35. 607615 Longitude:-79.316889 5. Parcel ID (if applicable): 9533 (or Parcel ID to closest downstream sewer) Ill. CONSULTANT INFORMATION: I. Professional Engineer: Jarrod Hilliard, PE. License Number: 03.5670 Firth: Hilliard Engineering PLLC. Mailing address: 3417 Winterwind Circle City: Sanford State: NC Zip: 27331- Phone number: (919) 352-2834 Email Address: ihilliard@hilliardenpineering.com IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: 1. Facility Name: Big Buffalo WWTP Permit Number: NCO024147 Owner Name: City of Sanford V. RECEIVING DOWNSTREAM SEWER INFORMATION: 1. Permit Number(s): WQ0037122 2. Downstream (Receiving) Sewer Information: 8 inch 54 Gravity n Force Main 3. System Wide Collection System Permit Number(s) (if applicable): WQCS Owner Name(s): - FORM: FTA 06-21 Page] 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 Developer's Operational Agreement (FORM: DEV been attached? ❑ Yes ❑ No ® NIA 3. If the Applicant is a Home. -Property Owners' Association, has an HOAIPOA Operational Agreement (FORM: HOA) and supplementary documentation as required by 15A NCAC 02T.01 15(c) been attached? ❑ Yes ❑ No ® NIA 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 i day care ❑ Medical.' dental.- veterinary facilities ❑ Swimming Pool. -'Clubhouse ❑ Food and drink facilities ❑ Church ❑ Swimming Pool Tilter Backwash ❑ Businesses offices' factories ❑ Nursing Home ❑ Other (Explain in Attachment) 5. Nature of wastewater: 100 % Domestic °fo Commercial %' Industrial (See 15A NCAC 02T .0103(20)) If Industrial, is there a Pretreatment Program in effect? ❑ Yes❑ No 6. Has a flow reduction been approved under 15A NCAC 02T .0114( ? ❑ 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(1)) Daily Design Flow a,b No. of Units Flow Residential 4 bed SRF 300 gal/day 40 12,000 GPD gall GPD gall GAD gall GPD gal/ GPD gal/ GPD Total 12,000 GPD a See 15A NCAC 02T I I4LbJLd a if and j 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__42A=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. Wastewater generated by project:,12JDOb , GPD (per 15A NCAC 02T.0114) ➢ Do not include future flows or previously permitted allocations If permitted flow is zero, please indicate why: ❑ Pump Station. -Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line. Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow. ❑ Flow has already been allocated in Permit Number: Issuance Date: ❑ Rehabilitation or replacement of existing sewers with no new flow expected ❑ Other (Explain): FORM: FTA 06.21 Page 2 of 5 VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers): 1. Summarize gravity sewer to be permitted: Size (inches) 1 Length (feet) I Material 8 1 3307 1 PVC (SDR-26) ➢ Section 11 & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria ➢ Section III contains information related to minimum slopes for gravity sewer(s) ➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC VII1. 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 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.I.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify) 6. Power reliability in accordance with .15A NCAC 02T _0305 ft 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 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(I) & f ? ® Yes ❑ No 15A NCAC 02T.0305(f) 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 ZWater mains (vertical - water over sewer preferred, including in benched trenches) 18 inches ZWater 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-1 waters of Class 1 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 WI., 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{gl see Section X.1 of this application * 15A NCAC 02T.0305( contains alternatives where separations in 021,03051f} 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 Classificati ns webpage 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, signe&sealed by an NC licensed PE, verifying the criteria outlined in that Rule. 3. Does the project comply with separation requirements for wetlands? ® Yes [-]No ❑ NIA ➢ Please provide supplementary information identifying the areas of non-conformance. ➢ 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: Cape Fear ❑ 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 ® No or 401 Water Quality Certifications? ➢ Please provide the permit number. permitting status in the cover letter if coveragelauthorization is required. 6. Does project comply with 15A NCAC 02T.0105c�6) (additional permits/certifications)? ❑ Yes ® No Per 15A NCAC 02T.0105(c)t6), 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 ® 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 06-21 Page 4 of 5 X. CERTIFICATIONS: 1. Does the submitted system comply with 1A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations and Force Mains (latest version},, and the Qcgvity 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 avproval of the permit, and ro'ects reguiring a variance approval may be subject to longer review times. For projects requiring two or more variances or where the variance is determined by. the Division to be a si,anificant portion of the project, the full technical review is required. 2. Professional Engineer's Certification: I, Jarrod E. Hilliard, PFM , attest that this application for Goldston Fields Subdivision — Phase Professional Fngineer's name from Application Item Ill. 1.) (Project Name from Application Item II.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.Desip-n Criteria forbravity Sewers (latest versionj, 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 143-215.613, 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: it{ CqF �QFES� = Q 3`►070 E. Applicant's Certification per 15A NCAC 02T .0106(b): Z/I 1, Jonathan Hensley , attest that this application for Goldston Fields Subidivison - Phase I (Signature Authority Name from Application Item 13.) (Project Name from Application Item II,1) attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge. 1 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: Date: FORM: FTA 06-21 Page 5 of 5 DocuSign Envelope ID: 31C4F850-B7D6-4ACD-B107-6F57AB46DE97 K Division of Water Resources Application Number: I FT-369 Entity Requesting Allocation: city of Santord State of North Carolina Department of Envii-onmental Quality Division of Watel• Resoul•ces Flow Tracking foi- Sewer Extension Applications (FTSE 10-23) Project Name for which flow is being requested: Goldston Fields Ph. 1 (Town of Goldston) More than one FTSE nnay be required for a single project if the owner of the IVFVTP is not responsible for all punnp stations along the route of the proposed wastewater flow. Complete this section only if you are the owner of the wastewater treatment plant. a. WWTP Facility name: Big Buffalo Wastewater Treatment Plant b. WWTP Facility Permit #: NCO024147 All flows are in MGD c. WWTP facility permitted flow: 12.0000 d. Estimated obligated flow not yet tributary to the WWTP: 1.7196 e. WWTP facility's actual average flow: 4.0280 f. Total flow for this specific request: 0.01200 g. Total actual and obligated flows to the facility: 5.2915 h. Percent of permitted flow used: 44% Complete this section for each pump station you are responsible for along the route of this proposed List putnp stations located between the project connection point and the WWTP. (A) (B) (C) (D)=(B+C) (E)=(A-D) Pump Pump Finn Design Approx. Obligated, Total Current Available Station Station Capacity Average Current Not Yet Flow Plus Capacity (Name or Permit Daily Flown Avg. Daily Tributary Obligated Number) Number (Finn/nn. Flow, Daily Flow, Flow NIGD NIGD NIGD NIGD NIGD NIGD #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A 1. 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. 2. Design Average Flow is the firm capacity of the pump station divided by the peaking factor (pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Q•iteria. 3. 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 5 0. Downstream Facility Name (Sewer) Downstream Permit Number: 1I1. Certification Statement City of Sanford Collection System WQCS00047 I, Paul Weeks, Jr. PE, certify to the best of my knowledge that the addition of the volume of Pagel of 6 FTSE 10-23 DocuSign Envelope ID: 31C4F850-B7D6-4ACD-B107-6F57AB46DE97 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 capacity to transport and treat the proposed new wastewater. —Oacuftned by: Paul, ill,. U1tAS Y. P.fl. Signing Official Signature Date Utilities & Engineering Director Title of Signing Official 01 /26/24 Page 2 of 6 FTSE 10-23 M .NI CDC /G� rrCs DW� R MAY I 2024 State of North Carolina Department of Environmental Quality Division of Water Resources Division of Water tesocraiol� Flow Tracking for Sewer Extension Applications :�,;:'__���•:r; (FTSE 10-18) Entity Requesting Allocation: Town of Goldston Project Name for which flow is being requested: Goldston Fields Subdivision - Phase 1 More than one FTSE may be requireafor a single project if the owner of the WWTP is not responsible for all pump stations along the route of the proposed wastewaterJlow. I. Complete this section only if you are the owner of the wastewater treatment plant. a. WWTP Facility Name: NIA b. WWTP Facility Permit #: NIA AUflows are in MGD c. WWTP facility's permitted flow NIA 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 NIA NIA NIA NIA NIA I1. Complete this section for each pump station you are responsible for along the route of this proposed wastewater flow. List pump stations located between the project connection point and the WWTP: Pump Pump Station Station Firm (Name or Permit Capacity, Number) No. MGD Vernie _ ns,.aIL-_ WQ0037122 0.18 (A) (B) (C) (D)-(B+C) (E)=(A-D) Design Average Approx. Obligated, Daily Current Not Yet Total Current flow** Avg. Daily Tributary Flow Plus (Firm / pf), Flow, Daily Flow, Obligated Available MGD MGD MGD flow Capacity*** .042 0.0094 .021 .030 0.012 Main St. WQ0036067 .288 .115 0.023 .021 .044 0.071 * 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 (pl) 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): Jown of Goldston Downstream Permit Number: W00037122 Page 1 of 6 FTSE 10-18 III. Certification Statement: I Jonathan Hensley 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 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. Signing cial Signature Date Title of Sign r g Official Page 2 of 6 FTSE 10-18 U~ V V 7 to c �� aU,cYlNno3 sa73�� -� Co � �Q: Wil H IS3839N1d I EMMEMEN �O U email 'l 11 �L�AIJDE%HASH, \77 r�� I IaI,�LL 1�Rp ENGINEERING, PLLC 3417 Winteiwind C rcle, Sanford, NC 27330 May 8, 2024 PO Box 249, Sanford, NC 27331 Phone (919)352-2834 &-mail jhflliardChilliardengineering,com NC License M P-0836 ; -C Mr. Tanvir of Regional Supervisor — Water Resources Water Quality Operations NCDEQ Raleigh Regional Office 14AY 16 20?4 1628 Mail Service Center Raleigh, North Carolina 27699 eft-'[�;13i,;r; Reference: Fast Track Application — Gravity Sewer Extension - Resubmittal Goldston Fields Subdivision - Phase 1(Residential) Town of Goldson, North Carolina (Chatham County) Dear Mr. Tanvir: Please find enclosed the revised application package for the proposed Goldston Fields Subdivision — Phase 1 project located within the town limits of Goldston. The package includes the following items (original and one copy): • Fast Track Sewer System Extension Application (FTA 04-16) • Flow Tracking/Acceptance Form (FTSE — 04-16) • USGS Map showing project location • Google Earth Map showing project location As part of this project, the Town of Goldston sewer system will be extended to serve Forty (40) new residential single family properties (Lots 22-23 of this project will be served by the existing sanitary sewer). This project entails installation of approximately 3,307 LF of 8-inch line (gravity) and twenty-four (24) manholes. The proposed sanitary sewer extension will connect to the existing Town of Goldston sewer main at an existing manhole on Pittsboro Goldston Road. This main discharges into the Vernie Phillips Pump Station then to Main Street Pump Station via force main and gravity system. The towns total flow is pumped in a force main along HWY 421 from Main Street Pump Station to City of Sanford Buffalo Creek WWTP. Please do not hesitate to call with any comments or questions regarding this submittal. Sincerely, Hilliard Engineering, PLLC. f Michael Blakley May 20, 2024 Wastewater Branch Water Quality Permitting Section Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Delegation of Signature Authority TOWN OF GOLDSTON Permit Number WQ0037122 To Whom It May Concern: By notice of this letter, I hereby delegate signatory authority to each of the following individuals for all permit applications, discharge monitoring reports, and other information relating to the operations at the subject facility as required by all applicable federal, state, and local environmental agencies specifically with the requirements for signatory authority as specified in 15A NCAC 2B.0506. Individual #1 Individual #2 (if applicable) Name: Jonathan Hensley Title: Mayor Mailing Address: P.O. Box 527 - Goldston, Nc 27253 Physical Address: (if different) Email Address: jwh_302@hotmail.com Office Phone: - - - - Mobile Phone: 919 - 356 - 3321 - - If you have any questions regarding this letter, please feel free to contact me at 919 356-3321. Sincerely, d athan Hensle Mayor P.O. Box 527 - Goldston, Nc 27253 Jwh_302@Hotmail.Com 9193563321 Mobile Phone cc: Select a region Regional Office, Water Quality Permitting Section