WQ0045803_Ramseur_Main_PS_Force_Main_&_Tube_PS_Replacement_FTSSE_Final_App_20240906

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State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23 & SUPPORTING DOCUMENTATION
11
Application Number: ��0 1 J $U✓ (to be completed by nwR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Ramseur (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: Hampton Spivey per 15A NCAC 02T .0106(b)
Title: Mayor
4. Applicant's mailing address: 724 Liberty St
City: Ramseur State: NC Zip: 27316-9464
5. Applicant's contact information:
Phone number: [phone] Email Address: mayor(dytownoframseur.org
IL PROJECT INFORMATION:
1. Project name: Ramseur Main PS Force Main and Tube PS Replacement
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project ® ARPA funded
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: Randolph
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.72452' Longitude:-79.65430'
5. Parcel ID (if applicable): 91105 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: John C. Grey License Number: 18097
Firm: The Wooten Company
Mailing address: 119 Brookstown Ave, Suite 100
City: Winston Salem State: NC Zip: 27101-5245
Phone number: [phone] Email Address: jgrey(a)thewootencompany.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Ramseur WWTP Permit Number: NCO026565
Owner Name: Town of Ramseur
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQWO0010528
2. Downstream (Receiving) Sewer Information: 8 inch ❑ Gravity ® Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00195
Owner Name(s): Town of Ramseur
FORM: FTA 10-23 Page 1 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 ® N/A
3. If the Applicant is a Home/Property Owners' Association, has an HOA/POA Operational Agreement (FORM: HOA) and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
❑ Yes ❑ No ® N/A
4. Origin of wastewater: (check all that apply):
® Residential (Individually Owned) ® Retail (stores, centers, malls) ® Car Wash
® Residential (Leased) ® Retail with food preparation/service ® Hotel and/or Motels
® School / preschool / day care ® Medical / dental / veterinary facilities ❑ Swimming Pool/Clubhouse
® Food and drink facilities ® Church ❑ Swimming Pool/Filter Backwash
® Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 65 % Domestic 35 % 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(fl? ❑ Yes ® No
> If Yes, provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow a'°
No. of Units
Flow
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
0 GPD
a See 15A NCAC 02T .0114(b), (d), (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e. proposed unknown
non-residential development uses; public access facilities located near high public use areas; and residential property
located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per 15A NCAC 02T .0114 and G.S. 143-215.1)
> Do not include firture flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be pennitted 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

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 30 PVC
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains infonmation 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):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Tube PS
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.72398 -1 Longitude:-79.65387'
3. Total number of pumps at the pump station: 2
3. Design flow of the pump station: 0.288 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): 200 gallons per minute (GPM) at 78 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
6
85
PVC
12
575
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. Lb. ❑ Grinder Pump ❑ Mechanical Bar Screen [:]Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
® Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - 15A NCAC 02T.0305(h)(1)(B)_
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 10-23 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(f) & (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-1 or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
If noncompliance with 02T.0305(f) or (g), see Section X.1 of this application
* 15A NCAC 02T.0305(Q) contains alternatives where separations in 02T.0305(fl 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 webpaee
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.
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 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.04021 "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

Y. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the NIinimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version). and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the permit. and projects requiring a variance approval may be subject to longer
review times. For oroiects requiring two or more variances or where the variance is determined by the Division to be a
significant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:
I, ej-0k/1 ( • G•,C\/ , attest that this application for -6-FM
(Professional Engineer's name from Applic un Item III I ) (Project Name from Application Item 11 t )
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications, engineering calculations, and all other supporting documentation to the best of my knowledge. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria for Gravity Sewers (latest version), and the !4linimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Dlains (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 I43-215.613, 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 NCti `V i97Q))�`
C AN
North Carolina Professional Engineer's seal, signature, and date:
C) ti
EAL r —_
= 18Q97 —
3. Applicant's Certification per 15A NCAC 02T .0106(b):
Hampton Spivey, Ma or Ramseur Main PS Force Main and Tube PS Replacement
I, Py ,attest that this application for
(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.
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 143-215.613, 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.
Signature: /' a Mayor Date:
8-28-2024
FORTM: FTA 10-23 Page 5 of 5

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September 5, 2024
Winston-Salem Regional Office
Water Quality Section
450 W. Hanes Mill Road
Suite 300
Winston-Salem, NC 27105
NC Department of
Environmental Quality
Received
SEP 0 6 2024
Winston-Salem
Regional Office
119 Brookstown Avenue, Suite 100
Winston-Salem, NC 27101
[phone]
Re: Fast Track Sewer System Extension Application (FTA 10-23)
Town of Ramseur
Ramseur Main Pump Station Force Main and Tube Pump Station Replacement
TWC No. 3190-M
Dear Sir or Madam:
On behalf of the Stanly County, we are forwarding copies of the following documents for your review and to
request approval of the above referenced project:
➢ Narrative Description
➢ Application Fee - Check in the amount of $600.00 made payable to NCDEQ to cover the permit
application fee.
➢ One Original and One Digital Copy of Fast Track Sewer System Application (FTA 10-23)
➢ 8.5-inch x 11-inch color copy of USGS Topographic Map
➢ Aerial location map
If you should have any questions or need additional information, please do not hesitate to contact us at
[phone].
Regards,
THE WOOTEN COMPANY
John C Grey, P.E.
Project Manager
cc: Happy Spivey, Town of Ramseur — Mayor

NARRATIVE
TOWN OF RAMSEUR
RAMSEUR MAIN PS FORCE MAIN & TUBE PS REPLACEMENT
DESCRIPTION OF PROJECT
Location of Project
The project is located in Ramseur, Randolph County. The project will involve the installation of a new 12-
inch force main that will be Horizontally Directionally Drilled under the Deep River from the Main PS to the
west side where it will reconnect to the existing force main. The new force main will run parallel to existing
8" force main, which will be abandoned and grouted. The project also includes installation of a new 200
GPM sewer lift station to replace the existing "Tube" (west side) sewer lift station. The new Tube PS will tie
into existing 6" force main that conveys to the WWTP. Existing Tube pump station and (1) bypass manhole
will be demolished.
Existing permit includes the system wide collection system permit, which will remain unchanged other than
the items mentioned in this description.
Project Location (Approximate): 35.72452,-79.65430
Type of Development
Gravity Influent Construction which includes:
• Tube Pump Station Influent Line: 8" PVC— 30 LF
Force Main Construction which includes:
• Main Pump Station Force Main: 12" Fused PVC - 425 LF (HDD); 12" PVC— 150 LF
• Tube Pump Station Force Main: 6" PVC— 85 LF
Replacement of Tube Pump Station which includes:
• 8' ID precast wet well with 2-10 HP submersible pumps
• 6'x6' Precast Valve Vault
• Replacement of standby generator and power/motor control panels
Existing Permits
This project will be modifying existing system wide collection permit WQCS00195.
Additional Permits
No additional permits will be required.

Wooten
119 Brookstown Avenue, Suite 100
Winston-Salem, NC 27101
NC Department of
Environmental Quality
Received TRANSMITTAL
SEP 0 6 20;
ent Via:
Winston-SalgTRegular Mail ❑ FedEx ® UPS
Regional OfkP-Certified Mail ❑ Courier ❑ Pick-up
TO: NCDEQ DATE: September 5, 2024 Job No.: 3190-M
Water Quality Section
Winston-Salem Regional Office RE: Ramseur Main PS Force Main and Tube PS
450 W. Hanes Mill Rd., Suite 300 Replacement
Winston-Salem, NC 27105
WE ARE SENDING: ® Attached ❑ Under separate cover via the following items:
❑ Shop Drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of Letter ❑ Change Order ® Fast Track application and supporting documents
COPIES
DATE
NO.
DESCRIPTION
1 set
9-5-24
1
Printed — Cover letter, check, Application, narrative, maps
1 set
9-5-24
2
Flash drive — Cover letter, check, Application, narrative, maps
THESE ARE TRANSMITTED as checked below:
® For Approval ❑ Reviewed ❑ Revise and Resubmit
® For Your Use ❑ Rejected ❑ Submit Copies for Distribution
❑ As Requested ❑ Corrected ❑ Return Corrected Print
® For Review and Comment ❑ Other:
a ❑ Prints Returned after Loan to Us
Remarks: Thank You -
Via: UPS
Signed: —� °' 101�
If enclosures are not as noted, kindly notify us at once.