WQ0045545_Application (FTSE)_20240606

DocuSign Envelope ID:1722DAC9-9CEB-400E-8939-B88D2485C740
State of North Carolina
Department of Environmental Quality
DWR ,fUN _ Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23&SUPPORTING DOCUMENTATION
Application NumberlvYq 00 4ZLIS (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: CITY OF SANFORD(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:PAUL WEEKS.PE per 15A NCAC 02T,.0106(b)
Title: Director of Utilities&Engineering
4. Applicant's mailing address:PO BOX 3279
City: SANFORD State:NC Zip:27331- 729
5. Applicant's contact information:
Phone number: 9( 19)777-1119 Email Address:paul.week§@§gnfordnc.net
11. PROJECT INFORMATION:
I. Project name: Lemon Springs Estates
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: LEE
4. Approximate Coordinates(Decimal Degrees): Latitude: 35.4456` Longitude:-79.1634"
5. Parcel ID(if applicable): 265 t-16-7869-00(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: MARTHA BRIGHT PE License Number: 022028
Firm: KEN BRIGHT ASSOCIATES,PLLC
Mailing address: PO BOX 553
City: SANFORD State:NC Zip:27331- 553
Phone number: (919J 356-3212 Email Address:mabri ht @lcenbrighten ing eering,com
IV. WASTEWATER TREATMENT FACILITY(WWTF)INFORMATION:
1. Facility Name:Bif Buffalo Wastewater Treatment Plant Permit Number:0024147
Owner Name:CITY QF SANFORD
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ Unknown
2. Downstream(Receiving)Sewer Information: 8 inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s)(if applicable): WQCS00 47
Owner Name(s):CITY OF SANFORD
FORM: FTA 10-23 Page ] of 5

DocuSign Envelope ID:1722DAC9-9CEB-400E-8939-888D2485C740
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 Operatiena1.A Bement(FORM: DEV)been attached?
❑Yes [:]No ®N/A
3. If the Applicant is a Home/Property Owners'Association,has an HOA/POA Opgrational_Agreement(FORM: HOAj and
supplementary documentation as required by 15A NCAC 02T.0115(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/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(W)
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,provideA gggyof flow reduction aiDDroval letter with this aDIDlisation
7. Summarize wastewater generated by project:
Establishment Type(see 02T.0114(f)) Daily Design Flow',b No.of Units Flow
3 Bedroom Homes 225 gal/day 28 6,300 GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
Total 6,300 GPD
a See 15A NCAC 02T .01.140J (d),(00) and (eX21 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. 42AA).
b Per 15A NCAC 02T.0114(c),design flow rates for establishments not identified[in table 15A NCAC 02T.0114i shall be
determined using available flow data,water using fixtures,occupancy or operation patterns,and other measured data.
8. Wastewater generated by project:6 300 GPD(per 15A NCAC 02T.(1114_and G.S__..14 -2 15,I)
➢ 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

DocuSign Envelope ID: 1722DAC9-9CED 400E-8939-BB8D2485C740
VI1. GRAVITY SEWER DESIGN CRITERIA(If Applicable)-02T.0305& MDC(Gravity Sewers :
I. Summarize gravity sewer to be permitted:
Size(inches) Length(feet) Material
8 2490 PVC SDR 26
8 60 CLASS 50 DIP
➢ Section 1I& 111 of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA(If Applicable)—02T.0305& MDC(Pump Stations/Force Mains):
PRQVIDE 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 2.01 C.I.b. ❑Grinder Pump ❑ Mechanical Bar Screen ❑Other(please specify)
6. Power reliability in accordance with 15A NCAC 02T_03"hx 11:
❑ 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(hxl)(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: 1722DAC9-9CEB40OF-8939-B88D24850740
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)&00? 0 Yes ❑No
15A NCAC 02T.0305 contains minimum separations that shall be provided for sewers stems:
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
'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-1 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 02:1'.0305(f)or(g),see Section X.I 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 webn
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�fl 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.
The sewer line is 7' from the wetlands vertically and horizontally. 36 LF of Class 50 DIP is proposed.
4. Is the project located in a river basin subject to any State buffer rules? ❑ Yes Basin name: ®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 *_CAC 02"1'.0105(c)L6)(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: 1722DAC9-9CEB-400E-8939-B88D2485C740
X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T,the Minjrnvnl_Design Criteria for the Permitting gf Pump Stations
and Force Maink a veysjQr1,and the Gravity Sewer!vlinimum Dcsign Crileri?i([atest version as applicable?
®Yes ❑No
If no, for projects requiring a single variance, complete and submit the Variance/Altemative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. ADDnrov_gl of the request win be Issued
comorrentiv vAth the approval of the ggrmit, n uiri valiance v l may 1-w—s-uhlect to Ionize
r
aXkwfimea.For aroleets requiring two or more,yyadgnces or where the variance is determined by the Division to be a
2. Professional Engineer's Certification:
L_Martha Bright, PE ,attest that this application for Lemon Springs Estates
(PrAwional Engineer's name from Application Item U1.1.) (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,
ij�urn�gsjgn.Critelig f rnv_it Sewers(latest version),and the Minimum Dcsign Criteria for Mast-Crack Pcrmiuing
of Pump Stations and Force Mains(latest versionl. Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed$10,000,as well as civil penalties up to$25,000 per violation.Misrepresentation of the application
information,including failure to disclose any design non-compliance with the applicable Rules and design criteria,may subject
the North Carolina-licensed Professional Engineer to referral to the licensing board.(21 NCAC 56.0701)
North Carolina Professional Engineer's seal,signature,and date.
t
= 1
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QrgIto
3. Applicant's Certification per 15A NCAC 02T.0106(b):
Paul Weeks, PE ,attest that this application for Lemon Springs Estates
(Signature Audwrity 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 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.
Docuftntd by:�
PAU At. tNt,l s ,1fY'. P.f,. 6/5/2024
Signature: 68C39E6667644B9. Date:
FORM: FTA 10-23 Page 5 of 5

DocuSign Envelops ID:D615674B-F624-4038-A78B-BA18DFBB9439
State of North Carolina
Department of Environmental Quality
w� rsf asses r wa�i,r 1V�, Division of Water Resources
Flow Tracking for Sewer Extension Applications
'ivision of Water Resources (FTSE 10-23)
Application Number: FT-382
Entity Requesting Allocation: Uty of ,antord
Project Name for which flow is being requested: Lemon Springs Estates
More than one FTSE may be required for a single project if the owner of the if'WTP Is not responsible for all 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: 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: 2.04818
e. WWTP facility's actual average flow: 4.02800
f. Total flow for this specific request: 0.00630
g. Total actual and obligated flows to the facility: 6.08248
h. Percent of permitted flow used: 51%
11. Complete this section for each pump station you are responsible for along the route of this proposed
List pump stations located between the project connection point and the WWTP.
(A) (B) (C) (D)—(B+C) (E)—(A-D)
Pump Pump Firm Design Approx. Obligated, Total Current Available
Station Station Capacity' Average Current Not Yet Flow Plus Capacity
(Name or Permit Daily Flow Avg.Daily Tributary Obligated
Number) Number (Finn/nf). Flow, Daily Flow, Flow
MGD MGD MGD MGD MGD MGD
Lemon_Springs 4006 0.2880 0.1152 0.0216 0.1193 0.1409 -0.0257
Gasters_Creek 4.0291 1.6116 1.0195 0.4721 1.4916 0.1201
x #N/A NN/A NN/A NN/A #N/A #N/A
x NN/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 now that
can he 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 Criteria.
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): City of Sanford Collection System
Downstream Permit Number: WQCS00047
I11. Certification Statement
1, Paul Weeks, Jr. PE,certify to the best of my knowledge that the addition of the volume of
Page 1 of 6 FTSE 10-23

DocuSign Envelope ID:D615674B-F624-4038-A78B-BAI8DFBB9439
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.
CP
Doeu8lpneA by:
AU At. UkAS Y. P.f.
BBC39E66678"89 06/03/24
Signing Official Signature Date
Utilities & Engineering Director
Title of Signing Official
Page 2 of 6 FTSE 10-23

DocuSlgn Envelope ID:D615674&F624-4038-A78B-BAI8DFBB9439
PLANNING ASSESSMENT ADDENDUM(PAA)
Submit a planning assessment addendum for each pump station listed in Section II where Available Capacity is<
0.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated,Not Yet Tributary Daily Flow(C)accounts for
85 %and 0.1193_ MGD of the Available Capacity(E) in Pump Station
Lemon Springs ; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
is in design or under construction with
planned completion in ; and/or
d. The following applies:
Work is underway to upgrade the station from a design average flow of-1.15 200 gpd to
210,240,gpd(WQ0044187)and will be complete in August 2024.
Flows from the proposed development will not start to reach the station until Spring of 2025
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow
this flow to be permitted, without a significant likelihood of over-allocating capacity in the system
infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste disposal
system.
Doau$lgned by:
Pau, , k. uk,as Y. p.f.
BBC39E888784489. 6/5/2 0 2 4
Signing Official Signature Date
Page 3 of 6
FTSE 10-18

KEN BRIGHT ASSOCIATES, PLLC
Consulting Engineers
EN
June 5, 2024
Project Narrative Sewer Lemon Springs Estates — Sanford NC
Description: This project is for a new residential subdivision in Sanford, NC.
It consists of the extension of approximately 2,550 LF of 8" PVC & Class 50 DIP gravity
sewer to serve a residential subdivision with 28 single family homes.
The homes will have 3 bedrooms (225 GPD/home)
Total Flow Allocation Required: 28 homes x 225 GPD/home = 6,300 GPD.
Site Location:
Approximate Coordinates (Decimal Degrees): Latitude: 35.4456 Longitude: -79.1634(
Martha Bright, PE
P.0 Box 553 Phone: [phone]
2305 Carthage Street
Sanford, NC 27330 e-mail: mabright@ken brig htengineering_com

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KEN BRIGHT ASSOCIATES, PLLC
Consulting Engineers
June 5, 2024
Mr. A B M "Tanvir" Pasha, MS
Environmental Engineer JU1V -6
Division of Water Resources - Raleigh Regional Office
North Carolina Department of Environmental Quality
3800 Barrett Drive
Raleigh, NC 27609
Re: Lemon Springs Estates
Lee County
Dear Mr. Pasha:
This project consists of the extension of approximately 2,550 LF of 8" PVC & Class 50
DIP gravity sewer to serve a residential subdivision with 28 single family homes.
Enclosed please find the following documents:
1. The fast track sewer application.
2. Form FTSE 10-23
3. Project Narrative
4. A check for the amount of$ 600.00.
5. A Color copy of a USGS Topographic map.
6. A Street level map.
If you have any questions, please feel free to contact me.
I would appreciate your reviewing these as soon as possible. If you have any questions
please feel free to contact me.
Sincerel ,
Martha Bright, PE
File:project2023 Lemon Springs Estates Letter sewer appl Lemon Springs Estates 6-5-024
P.O Box 553 Phone: [phone]
2305 Carthage Street
Sanford, NC 27330 e-mail [e-mail]