WQ0044474_Modification Application (FTSE)_20240603

DocuSign Envelope ID: 03Dl lA46-6EC5-468D-ACE7-E98EACC67780
State of North Carolina
D �Q�.� Department of Environmental Quality
May 3 Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23 & SUPPORTING DOCUMENTATION
Application Number WQ0044474 MOD(to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: Town of Pittsboro (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: Kent Jackson per 15A NCAC 02T ,0106(b)
Title: Town Engineer
4. Applicant's mailing address: 635 East Street PO Box 759
City: Pittsboro State: NC Zip: 27312-
5. Applicant's contact information:
Phone number: [phone] Email Address: kiackson(@i)ittsboronc.gov
II. PROJECT INFORMATION:
1. Project name: R-5930A (R-5963D)
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: W00044474 and issued date: 7128/23,
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: 35.735166 Longitude:-79.147230
5. Parcel ID (if applicable): N/A (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Nate Harvey License Number: 045249
Firm: Kimley-Horn & Associates, Inc.
Mailing address: 300 Morris St. Suite 200
City: Durham State: NC Zip: 27701-2127
Phone number: [phone] Email Address: nate.harvey(a),kimley-hom.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Chatham Park Water Recovery Center Permit Number: NCO020354
Owner Name: Clearwater64LLC
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): W00040741
2. Downstream (Receiving) Sewer Information: 16 inch ® Gravity Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00146
Owner Name(s): Town of Pittsboro
FORM: FTA 10-23 Page 1 of 5

DocuSign Envelope ID: 03Dt1A46-6EC5-468D-ACE7-E98EACC67780
VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, leas 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; DEVI been attached?
❑ Yes ❑ No ® N. A
3. If the Applicant is a Home/Property Owners' Association, has an HOA/POA Operational Atlrccmcnt iFQRM: HQAJ and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
El Yes ❑No ®NA
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 f 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 : °-o Domestic % Commercial % Industrial (Sea 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 .01 l4(f)? ❑ Yes ❑ No
➢ If yes, provide a copy of flow reduction aunroval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow',b
No. of Units
Flow
gal{
GPD
gall
GPD
gall
GPD
gal
GPD
gal
GPD
gall
GPD
Total
j =GPD
a See I5A NCAC Q2TJUI4(b), (& 1`cXI lI and #el(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. 42A4).
b Per 15A NCAC 02T .0I 14(c), design flow rates for establishments not identified [in table l5A NCAC n2T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: _ GPD (per 15A NCAC 02T .0114 and G_ S. 143-2 l 5.1)
➢ 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 Penn it Number: _ _ Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: FTA 10-23 Page 2 of 5

DocuSign Envelope ID: 03D11A46-6EC5-468D-ACE7-E98EACC67780
VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
15 619 PVC
NC Dept of Environmental Quality
Jun 3 2024
Raleigh Regional Office
➢ Section II & 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
VIIL 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
12
3,406
DIP
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

DocuSign Envelope ID: 03D11A46-6EC5-468D-ACE7-E98EACC67780 NC Dept of Environmental Quality
Jun 3 2024
IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)): Raleigh Regional Office
1. Does the project comply with all separations/altematives found in 15A NCAC 02T.0305(f) & (g)? ® 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
'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-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 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 (g), 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? ® 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? ❑ 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.
Cape Fear
4. Is the project located in a river basin subject to any State buffer rules? ® Yes Basin name: (Jordan Lake) ❑ 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 coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® 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 ® 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

DocuSign Envelope ID: 03011A46-6EC5A68D ACE7 E98EACC67780
X. CERTIFICATIONS:
I. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Penmiain of Pump Stations
and Force Mains f latest version). and the Gravity Sewer Minimum Design Criteria (latest versionl 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 projects requiring two or more variances or where the variance is determined by the Division to be a
si nificant portion of the proiect, the full technical review is required.
2. Professional Engineer's Certification:
1, Nate Harvey , attest that this application for R-5930A (R-5963D)
(Professional Engineer's name ffom Application Item ill 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. 1 further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Desi n Criteria for Gravity Sewers (latest version), and the ]Minimum Design Criteria for the Fa,r.-Track Permittin t
Qf Pump Stations and Fgree.Mains )[latest vcrsionl. 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: v1�1 byt
_2AFE1 8 JLf1L
=z 045249
4 /, L • �P`���
................. 11.1111�� 5/29/.2024
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, Kent Jackson attest that this application for R-5930A (R-5963D)
(Signature Authority Name from Application Item 1.3.) (Project Name from Application Item 11.1)
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 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 141215.6A 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 SI 0,000 as well as civil penalties up to $25,000 per violation.
DocuStpned by:
I
c �fi,� &S6VU 5/29/2024
Signature: Date:
FORM: FTA 10-23 Page 5 of 5

Q''a1rr State of North Carolina
BAR Department of Environmental Quality
DWR x 8 2024 Division of Water Resources
Division of Water Resources Pvakh3b R& Flow Tracking for Sewer Extension Applications
Oicv (FTSE 10-18)
Entity Requesting Allocation: Chatham Park Investors, LLC
Project Name for which flow is being requested: R-5930A
More dlran one FTSE maybe required for a single project if the owner of Ilse WWTP is not responsible for all pump
stations along the route of dire proposed wastewater flow
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Chatham Park Water Recovery Center
b. WWTP Facility Permit #: NCO020354
AlI lows are in MGD
c. WWTP facility's permitted flow 0.499
d. Estimated obligated flow not yet tributary to the WWTP 0,251190
e. WWTP facility's actual avg. flow 0.01
f. Total flow for this specific request 0.0000
g. Total actual and obligated flows to the facility 0.261190
h. Percent of permitted flow used 52.34%
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
Pump
Average
Approx.
Not Yet
Total Current
Station
Station
Firm Daily Flow**
Current
Tributary
Flow Plus
(Name or
Permit
Capacity, * (Firm ! p0,
Avg. Daily
Daily Flow,
Obligated Available
Number)
No.
MGD MGD
Flow, MGD
MGD
Flow Capacity***
* 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
(pi) 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): Section 5.2 Interceptor
Downstream Permit Number: W OQ 040741
Page 1 of 6
FTSE 10-18

I1I. Certification Statement:
I _ ti,ti„� ,.,�ZY __ 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 capacity to transport and treat the proposed new wastewater.
Signing Ofcial Signa ne Date
Title of Signing Official
Page 2 of 6
FTSE 10-18

NC Dept of Environmental Quality
May 312024
U itice
Existing -Force Main
N
r+
Existing :Dlforce main bW0004447
i
Connect to 12" DI
force main by
WQ0044474
% jx�',
Connect to existing
12" PVC Suttles Rd
force main by Permit Modification
W00010602 A C-,
ted by Regulation
sewer
Connect to existing
16" gravity sewer
Legend
Chatham County
— Sewer Corridor
• - Ex Sewer Corridor
R 5930A {R-5963D) North Chatham 0 500 1,000
KimleyoHorn Parkway ,
Pittsboro, NC Feet
Project USGS Map

I
�1
• 1. f
00
� Existing12" DI
a a -
forceby
IWQ0044474
4. `.
�Y' �• ti:' lr -
"Connect to 12" DI
✓�
force main by
4Q0044474Connect to existing
T12" PVC Suttles Rd
j
force main by
1111 1.1 fit., j '; •• a
-__- wt
J /
y� any , • .� /< • • - • p
y . �� t rgpr• \►
7 16" gravity sewer
t A' ►� xY a r Legend
Chatham Count%,
Parcel Lines
Sewer Corridor
Ex Sewer Corrid(
�q,ll II Iflll���� •+� v r ///�/�\t ti1lt 471
f
4

Kimley»>Horn
June 3, 2024
Raleigh Regional Office
Water Quality Section
1628 Mail Service Center
Raleigh, NC 27699-1628
RE: NCDOT Project R-5963D Suttles Road Realignment
Sewer System Extension Permit Modification (WQ0044474)
Dear WQS:
NCDOT has retained the services of Kimley-Horn to design and permit sanitary sewer on behalf of
the Town of Pittsboro. The proposed work includes relocations which are permitted by regulation, as
well as extension of gravity sewer and force main under permit modification to WO0044474, as
summarized below.
Permitted By Regulation
The existing 12-inch PVC force main along existing Suttles Rd (covered under permit WO0010602)
will be relocated, but will remain within the same right-of-way with no additional flows. Approximately
702-LF will be converted to gravity sanitary sewer.
Permit Modification for WQ0044474
The modification proposes to construct approximately 619 LF of 15-inch PVC gravity sewer, and 773
LF 12-inch ductile iron force main which will connect to a force main being installed by a previous
NCDOT project (R-5930A under permit WO0044474).
The proposed new facilities will serve a future pump station to be designed by others to the northeast
of this project. The pump station and force main connection to the force main being installed under
WO0044474 and this modification, as well as all proposed flows will be permitted by further
modification of this permit at a later date.
The original permitted length of 12-inch force main in WO0044474 was 2,633 LF. This modification
adds 773 LF of 12-inch force main, for a new total of 3,406 LF of we -inch force main.
No Added Flows
No flows will be added to the system at this time and both the Permitted by Regulation and Permit
Modification facilities will be received by existing sanitary sewers as shown on the attached map.
Enclosed are the following for your review:
• 15A NCAC 02T.0300 — Fast Track Sewer System Extension Form (1 copy)
• Application fee of $600
• USB drive with all permit requirements
• Aerial Image showing proposed relocations (1 copy)
• USGS Topographic Map (1 copy)
• Existing permit WO0044474 (1 copy)

Kimley»>Horn
Page 2
It is our understanding that a Certificate of Public Convenience and Necessity is not necessary due to
the nature of the work and zero additional flow.
The Flow Tracking / Acceptance Form previously provided for permit WO0044474 is attached for
convenience.
Please contact me with any questions or issues concerning the application at [phone] or
Nate. Harveya-kimley-horn.com.
Best Regards,
KIMLEY-HORN AND ASSOCIATES, INC.
Nate Harvey
Utilities Design Engineer

DocuSign. Envelope ID: 2FA552A4-E7DD-4CA9•A1SC-98DF4859EO71
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Kent Jackson
Town of Pittsboro
635 East Street - PO Box 759
Pittsboro, NC 27312
Sent Via Email
Subject: Permit No. WQ0044474
Town of Pittsboro
R-5930-A
Dear Permittee:
NORTH CAROLINA
Environmental Quality
July 28, 2023
Wastewater Collection System Extension Permit
Chatham County
In accordance with your application received June 12, 2023, and additional information received on July
28, 2023, we are forwarding herewith Permit No. WQ0044474 dated July 28,2023 to the Town of Pittsboro
(Permittee) for the construction and operation upon certification of the subject wastewater collection
system extension. This permit shall be effective from the date of issuance until rescinded, and shall be
subject to the conditions and limitations as specified therein. This cover letter shall be considered a part
of this permit and is therefore incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition 1.1: Upon Certification of this project, a request shall be made to the Division to transfer this
permit from Chatham Park Investors, LLC to the Town of Pittsboro.
Condition 11.1: This permit shall not be automatically transferable; a request must be made and
approved.
Condition 11.4: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 02T .0403 or any individual system -wide collection system
permit issued to the Permittee.
Condition 11.7: Upon completion of construction and prior to operation of these permitted facilities, the
completed Engineering Certification form with checklist attached to this permit shall be
submitted with the required supporting documents to the address provided on the form.
Permit modifications are required for any changes resulting in non-compliance with
this permit, regulations, or the Minimum Design Criteria. [15A NCAC 02T.0116]
DaNorthCsrohnsDepmmmtofEntluom tslQmlilyI DitvionofWatesResources
e:��Emeigh R402W Office I 3800 Soren Drive I Ralsr#t. North Caroliaa 2'609
gauftr,,,,-.' 919791.4200

DocuSign, Envelope ID:2FA552A4-E7DD-4CA9-A1BC-98DF4859E071
Town of Pittsboro
Permit No. WQ0044474
It shall be the responsibility of the Permittee to ensure that the as -constructed project meets the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North
Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to
the licensing board.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 1508 of North Carolina General
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are made, this permit shall be final and binding.
If you need additional information concerning this matter, please contact Michael Hall via e-mail at
michael.hail deq.nc.yov or 919-791-4237.
Sincerely,
D=419ned by:
VM.J.SSa f,
B29t8E0A8321MF...
for Richard E. Rogers, Jr.
Director, Division of Water Resources
by Vanessa E. Manuel, Assistant Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
cc: Nate Harvey, Kimley-Horn & Associates
Timothy R. Smith, Chatham Park Water Recovery Center
DWR Laserfiche
Anne Lowry, Chatham County Health Department
Page 2 of 9

DocuSign. Envelope ID: 2FA552A4-E7DD-4CA9-A1BC-98DF4859ED71
NORTH CAROLINA
Environmental Quality
401
r
ell
WASTEWATER COLLECTION SYSTEM EXTENSION PERMITq,
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
Town of Pittsboro
Chatham County
for the construction and operation of approximately 2,633 linear feet of 12-inch force main to serve (an
as -yet to be constructed pump station supporting the Suttles Road Realignment) as part of the R-5930A
project, and the discharge of 0 gallons per day of collected domestic wastewater into the Town of
Pittsboro's existing sewerage system, pursuant to the application received June 12, 2023, and additional
information received on July 28, 2023, and in conformity with 15A NCAC 02T; the Division's Gravity Sewer
Minimum Design Criteria adopted February 12, 1996 and updated in March 2008, as applicable; the
Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
adopted June 1, 2000 as applicable; and other supporting data subsequently filed and approved by the
Department of Environmental Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the specified
conditions and limitations contained therein.
E�OCUSlprnd try:
un,cssa. �. M.aln�tf,
2878EBAB321"F.,
for Richard E. Rogers, Jr.
Director, Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number: WQ0044474
Permit Issued: July 28, 2023
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DocuS gn. Envelope U 2FA552A4-E7DD-4CA9-A 1 BC-98DF4859EO71
SUPPLEMENT TO PERMIT COVER SHEET
'14,9
Town of Pittsboro is hereby authorizdh d'
��
Construct, and then operate upon certification the aforementioned wastewater coll�Aiog extension. The
sewage and wastewater collected by this system shall be treated in the Chatham Park%,investors, LLC
Wastewater Treatment Facility in accordance with Permit Number NC0020354.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 02T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division approval
is based on acceptance of the certification provided by a North Carolina -licensed Professional Engineer in
the application. It shall be the Permittee's responsibility to ensure that the as -constructed project meets
the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
I. SPECIAL CONDITIONS
1. No flow in excess of the quantity permitted herein, zero additional GPD, shall be made tributary to
the subject sewer system until an application for permit modification for an increase in flow or a new
upstream application with flow has been submitted to and approved by the Division. [15A NCAC
02T.0304(b)]
II. STANDARD CONDITIONS
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by documentation from the parties involved, and
other supporting materials as may be appropriate. The approval of this request shall be considered
on its merits and may or may not be approved. [15A NCAC 02T.0116; G.S 143-215.1(d3)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 02T; the Division's Gravity Sewer Minimum
Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for
the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and
other supporting materials unless specifically mentioned herein. [15A NCAC 02T.0110]
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T .0110]
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 02T .0403. If an individual
permit is not required, the following performance criteria shall be met:
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DocuSign Envelope ID: 2FA552A4-E7DD-4CA9-A1BC-98DF4859EO71
The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or surface
water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e. 365
days per year). Pump stations that are connected to a telemetry system shall be inspected at
least once per week.
e. High -priority sewer lines shall be inspected at least once per every six -months and inspections are
documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in accordance
with 15A NCAC 2B .0506(a), and public notice shall be provided as required by North Carolina
General Statute §143-215.1C.
h. A Grease Control Program is in place as follows:
For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of three
years with exception of the map, which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Raleigh Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours,
following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable
of adequate wastewater transport, such as mechanical or electrical failures of pumps, line
blockage or breakage, etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
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DocuSign JEnvelope ID: 2FA552A4-E7D13-4GA9-All BC-98DF4859EO71
Voice mail messages or faxed information is permissible, but this shall not be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part 1 of Form CS-SSO (or the most current Division approved form) within five days following first
knowledge of the occurrence. This report must outline the actions taken or proposed to be taken to
ensure that the problem does not recur. Part II of Form CS-SSO (or the most current Division approved
form) can also be completed to show that the SSO was beyond control. [G.S. 143-215.1C(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification form with checklist attached to this permit shall be submitted with the
required supporting documents to the address provided on the form. A complete certification is one
where the form is fully executed and the supporting documents are provided as applicable. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Engineer's Certification shall be considered a violation of the permit and shall subject the
Permittee to appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the Articles
of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been appropriately
filed with the applicable County's Register of Deeds office shall be submitted with the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines & force
mains) of the wastewater collection system extension. Final record drawings should be clear on
the plans or on digital media (CD or DVD disk) and are defined as the design drawings that are
marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing, velocity,
pump cycle times, and level control settings, pump station buoyancy, wet well storage, surge
protection, detention time in the wet well, and force main, ability to flush low points in force
mains with a pump cycle, and downstream sewer capacity analysis. If a portable power source or
pump is dedicated to multiple stations, an evaluation of all the pump stations' storage capacities
and the rotation schedule of the portable power source or pump, include travel timeframes, shall
be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including but not limited to pipe length changes of 10% or
greater, increased flow, pump station design capacity design increases of 5% or greater, and
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DocuSign JEnvelope ID: 2FA552A4-E7DD-4CA9-A1 BC-98DF4859EO71
increases in the number/type of connections), regulations, or the Minimum Design Criteria.
Requested modifications or variances to the Minimum Design Criteria will be reviewed on a case -by -
case basis and each on its own merit. Please note that variances to the Minimum Design Criteria
should be requested and approved during the permitting process prior to construction. After -
construction requests are discouraged by the Division and may not be approved, thus requiring
replacement or repair prior to certification & activation. [15A NCAC 02T .0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the Division's
Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified until
corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case -by -case basis. Resolution of such request shall be evident priorto completing and submitting
the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the individual permit and construction record drawings shall be maintained on file by the
Permittee for the life of the wastewater collection facilities. [15A NCAC 02T .0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 02T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted June
1, 2000 as applicable; and other supporting materials may subject the Permittee to an enforcement
action by the Division, in accordance with North Carolina General Statutes §143-215.6A through §143-
215.6C, construction of additional or replacement wastewater collection facilities, and/or referral of
the North Carolina -licensed Professional Engineer to the licensing board. [15A NCAC 02T .0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including those
as may be required by this Division, such as the construction of additional or replacement facilities.
[15A NCAC 02T .0110; 15A NCAC 02T .0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or Local
government agencies which have jurisdiction or obtaining other permits which may be required by
the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
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Kimley>O Horn
Transmittal
MAR 18 2024
t �1
300 Morris St
Suite 200
Durham, North Carolina 27701
TEL [phone]
FAX [phone]
Date: 314124 Job Number: 011036731
Project Name. R-5963D Suttles Road Realignment
To: Raleigh Regional Office — Water Quality Section
1628 Mail Service Center
Raleigh, NC 27699-1628
Telephone No. 919-791-4200
We are sending these by
❑ U.S. Mail ❑ FedEx ❑ Hand Delivery
❑ Other
We are sending you
® Attached ❑ Under separate cover via
❑ Shop drawings ❑ Prints.�Plans ❑ Samples
the following items:
® Specifications ❑ Change Orders
® Other Engineering Report, Permit Application Fee. PDF copies on USB
Collies Data Nn I)asrrintinn
1
1
Cover Letter
1
2
Form FTA 10-23 Fast Track Application
1
3
Sewer USGS Ma
1
4
Sewer Vicinity Ma
1
5
Permit Review Fee $600
2
6
USS Drives with PDF permit Package
These are transmitted as checked below.
® For your use ❑ Approved as submitted ❑ Resubmit ❑ Copies for approval
❑ As requested ❑ Approved as noted ❑ Submit ❑ Copies for distribution
❑ For review and comment ❑ Returned for corrections ❑ Return ❑ Corrected prints
6 iz:�
Copy to: Signed: l �"`
Nate Harvey
[phone] 1 nate.h rvey kimley-horn.con