Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
WQ0040311_Application (FTSE)_20180924
State of North Carolina DWR Department of Environmental Quality Division of Water Resources 15A NCAC 02T .0300 — SEWER SYSTEM EXTENSION APPLICATION Division of Water Resources SSEA 04-16 & SUPPORTING DOCUMENTATION Application Number: {to be completed by DWR I. APPLICANT INFORMATION:A1 1. Applicant's name: Town of Sims. NC 2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility ❑ Federal ❑ State ® MunicipaI ❑ County 3. Signature authority's name: Ms. Miranda Stamper per 15,E 1tiCAC 02T .0106(b) Title: Mayor 4. Applicant's mailing address: P.O. Box 161 City: Sims State: NC Zip: 27880- V� 5. Applicant's contact information: SEP 2 4 2018 Phone number. (2� 2374226 Email Address: Unknown H. PROJECT INFORMATION: BY 1. Project name: The RETREAT AT 35° 78' 2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project 3. If a modification, provide the existing permit number: WQ00 and issued date: 4. If new construction but part of a master plan, provide the existing permit number: WQ00 5. County where project is located: Wilson 6. Approximate Coordinates (Decimal Degrees): Latitude: 32.404910 Longitude:-80.58390:' `le III. CONSULTANT INFORMATION: -C t o 7 1. ProfessionaI Engineer: Ronnie L. Sutton License Number. 10180 Firm: Herring -Sutton & Associates. PA Mailing address: 2201 Nash Street NW City: Wilson State: NC Zip: 27896- Phone number: (252) 291-8887 Email Address: rsutton@herring-sutton.com herring-sutton.com IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: 1. Facility Name: Hominy Wastewater Treatment Facility Permit Number: #23906 Owner Name: City of Wilson. NC V. RECEIVING DOWNSTREAM SEWER INFORMATION: L Permit Number(s): WQ 0022358: WO 0028854 System Wide Collection System Permit Number(s): Owner Name(s): Town of Sims FORM: SSEA 04-16 Page 1 of 6 V1. GENERAL REQUIREMENTS 1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been submitted? ❑ Yes ❑No ®NIA 2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational At;reement_�FOi21 , DEV) been submitted? ❑ Yes ❑No ®NIA 3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA} been submitted? ❑ Yes ❑No ®NIA 4. Origin of wastewater: (check all that apply): ® Residential Owned ❑ Retail (stores, centers, malls) ❑ Residential Leased ❑ Retail with food preparation/service ❑ School / preschool � day care ❑ Medical / dental I veterinary facilities ❑ Food and drink facilities ❑ Church ❑ Businesses / offices I factories ❑ Nursing Home 5. Is/was an Environmental Assessment required under 15A NCAC OIC? ❑ Yes ® No If yes, submit the appropriate final environmental document (FONSI, ROD, etc.) 6. Nature of wastewater: 1100 % DomesticlCommercial % Other waste - specify: _ % Industrial (See 15A NCAC 02T ,O 103(201) 7. Wastewater generated by project: 7,560 GPD (per 15A NCAC 02T .0114) Has a flow reduction been approved under I5A NCAC 02T .0114(f)? ❑ Yes ® No If yes, provide a copy of flow reduction approval letter 8. Summarize wastewater generated by project: ❑ Car Wash ❑ Hotel and/or Motels ❑ Swimming Pool /Clubhouse ❑ Swimming Pool/Filter Backwash ❑ Other (Explain in Attachment) Establishment Type Daily Design Flow No. of Units Flow Residential -3 Bedrooms 360 gal/day 21 7,560 GPD gall GPD gal/ GPD gal/ GPD gal/ GPD gal/ GPD Total 7,560 GPD a See 15A NCAC 02T .01 146)} tdl. (e)( 1) and_(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. 42A4). b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified below shall be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data. FORM: SSEA 04-16 Page 2 of 6 VII. GRAVITY SEWER DESIGN CRITERIA - 15A NCAC 02T .0305: 1. Summarize Gravity Sewer to be permitted: Size (inches) Length (feet) Material 8 $07 PVC 8 40 DI �f Vlll. PUMP STATION DESIGN CRITERIA — 02T .0305 & MDC (Pump Stations/Force Mains): COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT I . Pump station number or name: N/A 2. Approximate Coordinates (Decimal Degrees): Latitude: �u Longitude: - 3. What is the nearest 100-year flood elevation to the facility? feet mean sea level. Source: Is any of the proposed project located within the 100-year flood plain? ❑ Yes ❑ No 4. If Yes, are the following items provided per 15A NCAC 02T .0305{e}: Water -tight seals on all station hatches and manholes; and Control panels vents extend two feet above the100-year flood plain elevation? ❑ Yes ❑ No ❑ N/A If No, what measures are being taken to protect them against flooding? . 5. Finish grade elevation of the pump station: 6. Design flow of the pump station: millions gallons per day (firm capacity) 7. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH) S. Number of pumps provided: 9. Number of pump cycles at average daily flow: cycles per hour 10. Power reliability in accordance with .13A. N .CAC 02T .0305f hl(1): ❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(S)-. ➢ 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 Or if the pump station has an average daily flow less than 15,000 gallons per day: ❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T .0305(h)(1)(C) or ❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C): ➢ it shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement) 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 in the case of a multiple station power outage. FORM: SSEA 04-16 Page 3 of VII1. PUMP STATION DESIGN CRITERIA (continued) 11. Summarize the pump station design elements: Design Element Plan Sheet Reference Specification Reference Power Reliability Source and Associated Elements Screened Wet Well Vent Check Valves, Gate Valves, etc. Control Panel Restricted Access Elements (Fence, Wet Well Lock, etc) Audible and Visual Alarms Telemetry/SCADA Level Controls Weatherproof Sign with Required Information Air Relief Valves 12. Summarize the force main to be permitted: Size {inches} Length {feet} Material High Elevation (feet) Discharge Elevation (feet) Pump -Off Elevation (feet) 13. Air release valve station locations per 15A NCAC 02T .0305(i): Air Release Valve # Station Plan Sheet Reference FORM: SSEA 04-16 Page 4 of 6 IX. SETBACKS & SEPARATIONS- (02B.0200 & 15A NCAC 02T .0305(f)): 1. Does the project comply with all separations found in 15A NCAC 02T .03i15(& ri )- I5A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems: © Yes ❑ No Setback Parameter* Separation Required Storm sewers and other utilities not listed below (vertical) 24 inches Water mains (vertical -water over sewer including in benched trenches) 18 inches Water mains (horizontal) 10 feet Reclaimed water lines (vertical - reclaimed over sewer) 18 inches Reclaimed water lines orizontaI - 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 42 100 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 (see item IX?) 50 feet "Any other stream, lake, impoundment, or ground water lowering and surface drainage ditches 10 feet Any building foundation 5 feet Any basement 10 feet Top slope of embankment ar cuts oft 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 15A NCAC 02T.0 305 g contains alternatives where separations in 02T.0305 cannot be achieved. **Stream classifications can be identified using the Division's NC_ Surf -ice _V_i'ater_Classifications_webnaee If noncompliance with 02T.0305(0j)r ., . see Section X of this application 2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No [I NIA See the Division's draft separation requirements for situations where separation cannot be meet No variance is required if the alternative design criteria specified is utilized in design and construction :- As built documents should reference the location of areas effected 3. Does the project comply with setbacks found in the river basin rules per.15A NCAC' 02B .0200? ❑ Yes ❑ No ❑ NIA i This would include Trout Buffered Streams per 15A NCAC.2-B.020? 4. Does the project require coverage/authorization under a 404 Nationwide or []Yes ® No individual permits or 401 Water Quality Certifications? Information can be obtained from the 401_& Buffer Permitthz Brancli 5. Does project comply with I iA NCAC 02T.0105(cH6) (additional permits/certifications)? ® Yes ❑ No Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent pggpits (erosion and sedimentation control plans, stormwater management plans, etc.). �,p�tia�`titii CA.. 6. Does this project include any sewer collection lines that are deemed "high -priority?" 3 Per I?A NCAC 02T.04t12. "high -priority sewer" means "any aerial sewer, surer contactingurfare ►�'at+ honor-4—dwer positioned parallel to streambanks that is subject to erosion that undermines or deteriorates th%sew",er. +? ❑ Yes © No %�O r`'+�GIidLF`�,,�•'�p i If yes, include an attachment with details for each line, including type (aerial line, size, mate ri 1Rcaty 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 permitee's individual System -Wide Collection permit. FORM: SSEA 04-16 Page 5 of 6 IX. CERTIFICATIONS: 1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pumr) Stations and Force Mains (latest version), and the Gravity Sewer ,Minimum Design Criteria (latest version) as applicable? ® Yes ❑ No If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for review. Approval of the request is re uired grior to submittal of the Fast Track Application and supportin documents. 2. Professional Engineer's Certification: L cA I, {` (Professional Engihbdr'!5rd¢me from Item HI.1.) e_ 1F, S tA-� ih= sgtzzo (Facility name from Application Item II.1.) that this application for 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 this application package and its instructions, as well as all applicable regulations and statutes. 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 143-2 15.6% any person who knowingly makes any false statement, representation, or certification in any application package shall be guilty of a CIass 2 misdemeanor, which may include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. North Carolina Professional Engineer's seal, signature, and date: 3. Applicant's Cerdficatiogper 15A NCAC 02T 106(b)- 1, r, c;:�p�ESSlpl,•..q SEALI• ?o180 tiF�G1�1��`�•; o� that this application for (Signature Authority's name & title from Agplication1tem 1.3.) 1-ft ETC OL-wrkT -261tn` (Facility name from Application Item H.1.) has been reviewed by me and is accurate and complete to the best of my knowledge. 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 14'-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: Z/P—O-Z� Date: 2O / FORM: SSEA 04-16 Page 6 of 6 ECEIVE DW K SEP 7 4 2018 State of North Carolina Department of Environmental Quality BY. Division of Water Resources Division of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications (FTSE 04-16) Entity Requesting Allocation: City of Wilson, North Carolina Project Name for which flow is being requested: Town of Sims,The Retreat at 35°78° More than one FTSE may be required for a single project if the o►vmer of the WWTP is not responsible far all pturrp 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 a. WWTP Facility Name: Hominy Creek Wastewater Management Facility b. WWTP Facility Permit M NCO023906 Allflows are in MGD o c. WWTP facility's permitted flow 14.0 MGD d. Estimated obligated flow not yet tributary to the WWTP 0.959025 MGD e. WWTP facility's actual avg. flow 8.77 MGD CL f. Total flow for this specific request 0.00756 q g. Total actual and obligated flows to the facility 9.729025 MGD Z h. Percent of permitted flow used 69.49% 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 Average Daily Approx. Not Yet Total Current Station Firm Flow** Current Avg. Tributary Flow Plus (Name or Capacity, * (Firm / pt), Daily Flow, Daily Flow, Obligated Available Number) MGD MGD MGD MGD Flow Capacity*** #26 0.720 0.288 0.765 0 0.0841 0.2039 #14 0.360 0.144 0.0844 0 _ 0.0920 0.0520 #8 0.504 0.202 0.1098 0 0.1174 0.0842 #3 4.320 1.728 1.06 0.34093 1.4085 0.3195 * The Firm Capacity 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. *** 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): Hominy Creek WMF Downstream Permit Number: NCO023906 Page 1 of 6 FTRF 04-16 State of North Carolina Department of Environmental Quality DWR Division of Water Resources Division of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications (FTSE 04-16) Entity Requesting Allocation: City of Wilson, North Carolina Project Name for which flow is being requested: Town of Sims,The Retreat at 350780 More than one ME ma}p be required for a single project if the owner of the WWTP 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: Hominy Creek Wastewater Management Facility b. WWTP Facility Permit #: NCO023906 c. WWTP facility's permitted flow d. Estimated obligated flow not yet tributary to the WWTP e. WWTP facility's actual avg. flow f. Total flow for this specific request g. Total actual and obligated flows to the facility h. Percent of permitted flow used AllHoops are in MGD 14.0 MGD 0.959025 MGD 8.77 MGD 0.00756 9.729025 MGD 69.49% IL 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 Average Daily Approx. Not Yet Total Current Station Firm Flow** Current Avg. Tributary Flow Plus (Name or Capacity, * (Firm / po, Daily Flow, Daily Flow, Obligated Available Number) MGD MOD MGD MGD Flow Capacity*** #4 6.264 2.506 1.66 0.3203 1.9879 0.5177 * The Firm Capacity 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 (pf) not less than 2.5. *** 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): Hominy Creek WMF Downstream Permit Number: NCO023906 Page 1 of 6 RTCF nn 1 A III. Certification Statement: I W.T. Bass, IV, P.E. 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 H plus all attached planning assessment addendums for which I am the responsible party. Signature of this form indicates acceptance of this wastewater flow. Signing Official Signature Page 2 of 6 FTSE 04-16 911a/2018 Dashboard O �Wols Layers ,---- � i -ima M1 _ ddressles ••• O O a` O ,`Y S_ 1§ OOO r x Q O O O D O?.0 0 , -.-.� O a Structures ' O a O 0 O O F!O Rock Rd O O 0 O 0000 0 40 O vo O O 00000 n [7 0 C F a€lroads I I Streets CID n O �os0 - ...88 r o " OCO OcO�� (740 O 8 E Cp o 0 gkreets=-Major •$ 0000 Airport0 O ••• O 00000 Flat Rock Rd Airport Pmtec6o C7 oOOoo O O O O Zones O ' Airport Obstruction 00000 Zones 00000 Buckhhom ReservOr MOW Tax Property Search O ECIWE SEP 9 4 2018 BY:_ 8 This site uses cookies. By continuing to browse the site you are agreeing to our use of x 0 300 600ft cookies. v Maps https:llgis.vAlsonnc.org/communitymaps 111 State of North Carolina Department of Environmental Quality _.. R SEP 2 li 20% Division of Water Resources Dlvlsion of Water Resources Flow Tracking- cceptance for Sewer Extension Applications BY:(FTSE 04-16) Entity Requesting Allocation: TOWN OF SIMS Project Name for which flow is being requested: THE RETREAT AT 3578` More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump stations along the route ofthe proposed wastewaterflow. I. Complete this section only if you are the owner of the wastewater treatment plant. a. WWTP Facility Name: CITY OF WILSON HOMINY SWAMP WWTP b. WWTP Facility Permit #: NCO023906 All flows are in MGD c. WWTP facility's permitted flow d. Estimated obligated flow not yet tributary to the WWTP e. WWTP facility's actual avg. flow f. Total flow for this specific request 0.00756 g. Total actual and obligated flows to the facility h. Percent of permitted flow used 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) Design Pump Average Daily Approx. Station Firm Flow** Current Avg. (Name or Capacity, * (Firm." pf), Daily FIow, Number) MGD MGD MGD PS# 1 0.461 0.184 0.02 (C) (D)=(B+C) (E)=(A-D) Obligated, Not Yet Total Current Tributary Flow PIus Daily Flow, Obligated Available MGD Flow Capacity*** 0 0.02756 0.15644 * The Firm Capacity of any pump station is defined as the maximum pumped flow that can be achieved with the Iargest pump taken out of service. ** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor (pf) not less than 2.5. *** 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): SIMS 264 ALT Downstream Permit Number: NCO023906 Page 1 of 6 FTSE 04-16 Ill. Certification Statement: I MIRANDA STAMPER, MAYOR 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 indicates acceptance of this wastewater flow. Signing Official Signature v / 2-J Page 2 of 6 )~TSE 04-16 go N O OD rl- LO J CY) J cq (!1 a a tC CL co a, J E v L N CL 0 O Q to ry 1p a_ ry m `G] 1L u � S tij� Y y o-� m N a a U L'J2.J )m it fs ufeW " _ a� C ul O a q qu Uin � aC N GFn 7 O to ry C m .0 U co Z L pp � �i �T y CO y a . 3� G u s :2 2 r 'k v; n CL s' l0 m rVn � V- SEP 7 4 2018 Oi Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties unless the content is exempt by statute or other regulation. From: Ron Sutton <rsutton@herring-sutton.com> Sent: Monday, November 05, 2018 3:57 PM To: Cashion, Ted <ted.cashion@ncdenr.gov> Cc: Robinson, Jason <jason.t.robinson@ncdenr.gov> Subject: [External] RE: 'sown of Sims The Retreat at 35o 78o fast track sewer extension application [ emri[. Dfl n - ralci{ lir[k5 r eats unless Vr Il u ici,.IQ5 Pmdal �� :gin a Ted 1 overlooked that one. Please see the attached PDF copy of the appropriate application page on which I have marked the yes block, sealed and signed the revised page. If you should have other comments please let me know. Ron Herring -Sutton E;.G'P,EERS - SURVEYORS • Pi r %,,4EP Ran Sutton, PE 252: 29!.EE.87 - Fi ,2521 291.5900 • Vo LE`.131 [2.521234•2101 Et: 23z 2'D 0-09 - Ema-1 '5L::�„i� n 7�•st<::o�i.co;ir From: Cashion, Ted [mailto:ted.cashion@ncdenr.gov] Seat: Monday, November 05, 2018 3:34 PM To: Ron Sutton Cc: Robinson, Jason Subject: Town of Sims The Retreat at 35o 78o fast track sewer extension application Hi Ron, We are reviewing the subject application. Item IX.1 of the application was not marked as required. If you tell us how to mark the box, and with your permission, we'll mark the box for you to expedite the issuance of the permit. Thx