WQ0040408_Application_20181114 (2)

Central Files: APS _ SWP _
11 /14/2018
Permit Number WQ0040408
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
ori.tuvia
Coastal SWRuIe
Permitted Flow
10,285
Facility
Facility Name
Trivium-Wave Sewer Extension
Location Address
Owner
Permit Tracking Slip
Status
Project Type
Active
New Project
Version
Permit Classification
1.00
Individual
Permit Contact Affiliation
Major/Minor Region
Minor Mooresville
County
Catawba
Facility Contact Affiliation
Owner Name Owner Type
City of Hickory Government - Municipal
Owner Affiliation
Warren Wood
City Manager
76 N Center St
Dates/Events Hickory NC 28601
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
11 /14/2018 11 /5/2018 11 /14/2018 11 /14/2018
Regulated Activities Requested /Received Events
Industrial/Commercial washwater Additional information requested
Office Additional information received 11/13/18
Wastewater collection Additional information requested 11/6/18
Additional information received
Outfall
Waterbody Name Streamindex Number Current Class Subbasin

November 1, 2018
North Carolina Department of Environmental Quality (NCDEQ)
Division of Water Resources
610 East Center Avenue
Mooresville, North Carolina 28115
To whom it may concern:
Subject: Fast Track Sewer System Application
Project Wave Sewer Extension
CEC Project 171-287
%i:�
Civil & Environmental Consultants, Inc.
RECENEDINCDENRIDWR
NOV -- 5 ?018
WOROS
MOORESVILLE REGIONAL OFFICE
Attached for your review and approval are the following items for Fast Track Sewer System
Application permitting for Project Wave Sewer Extension, located at 2461 Startown Rd, Newton,
NC:
• One (1) check written to the amount of $480.00 for application fee. Check made payable
to North Carolina Department of Environmental Quality (NCDEQ);
• One (1) original and one (1) copy of the completed and executed Fast Track Application;
• One (1) original and one (1) copy of the completed and executed Flow
Tracking/Acceptance Form;
• One (1) copy of an 8.5" x I I" USGS topography map; and
• One (1) aerial map of project area.
The project includes the installation of approximately 1,415 linear feet of gravity sewer that will
tie into a 12 inch diameter gravity sewer recently completed — WQ#0039791.
Should you have any questions or require any additional information in support of this application,
please do not hesitate to contact me at 980-237-0373.
Sincerely,
CIVIL & ENVIRONMENTAL CONSULTANTS, INC.
Shad Walters, PE
Principal
CC: Kevin Greer, City of Hickory
Attachments
1900 Center Park Drive, Suite A I Charlotte, NC 28217 1 p: 980-237-0373 t: 980-237.0372 1 www.cecinc.com

State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
1. /00ooLJo RECEIVEDINCDENR/DWR
Application Number: IV � �CJ ([o be completed by DWR) qq
NOV
All items must be completed or the application will be returned
WQROS
I. APPLICANT INFORMATION: MOORESVILLE REGIONAL OFFICE
1. Applicant's name: City of Hickory (company, municipality, FICA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Warren Wood per 15A NCAC 02T .0106(b)
Title: City Manager
4. Applicant's mailing address: 76 N Center Street
City: Hickory State: NC Zip: 28601-
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
11. PROJECT INFORMATION:
1. Project name: Trivimn - Wave Sewer Extension
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000_ and issued date:
If new construction but part of a master plan, provide the existing permit number: W000_
3. County where project is located: Catawba
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.682°Longitude:-81.282'
5. Parcel ID (if applicable): 372118311271
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Shad Walters P.E. License Number: NC P.E. 035796
Firm: Civil & Environmental Consultants, Inc.
Mailing address: 1900 Center Park Drive, Suite A
City: Charlotte State: NC Zip: 28217-.
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Henry Fork W WTP Permit Number: NC 0040797
Owner Name: City of Hickory
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): W00039791 Downstream (Receiving) Sewer Size: 12 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): City of Hickory
FORM: FTA 04-16 Page I 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 Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
❑ Residential 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: 97 % Domestic/Commercial % Commercial
3 % Industrial (See 15A NCAC 02T .0103(20))
)•Is there a Pretreatment Program in effect? ® Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ® No
➢ If yes, Provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 011.0114(fl)
Daily Design Flow a."
No. of Units
Flow
General Business and Office Facilities
25 gal/employee
400
10,000 GPD
Industrial Process Flow
285 gal/day
1
285 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
10,285 GPD
a See 15A NCAC 02T .0114(b), (d), (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. 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: 10285 GPD (per 15A NCAC 02T .0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 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" 225 Ductile Iron
8" 1,187 PVC;
Y Section 11 & Ill of the MDC for Permitting of Gravity Sewers contains information related to design criteria
S Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
V[II. PI1MP STATION DESIGN CRITERIA (If Applicable)-02'f.0305 & MDC (Pimp Stations/Force Mains):
COMPLETE FOR EACH POMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: N/A
2, Approximate Coordinates (Decimai Degrees): Latitude: - Longitude: -
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): _ gallons per minute at feet total dynamic head ('FDI1)
5. Summarize the force main to be permitted (for this Pump. Station):
Size (inches) Length (feet) Material
N/A —
6. Power reliability inaccordance with 15A'NCAC 02`1'„_0_>05(h)(I):
❑ Standby power source or pump with automatic activation and telemetry - I SA NCAC 02T .0305(h)(I)(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
Or if the pump station has an average daily flow less that 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):
Y 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 tinteframcs, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS - (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305() & (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)
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 (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class lI impounded reservoirs used as a source of drinking water
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.2
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 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
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(fl cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
➢ If noncompliance with 02T.0305(fl or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No ® N/A
➢ 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 ❑ N/A
➢ This would include Trout Buffered Streams per 15A NCAC 213.0202
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 Permitting Branch
5. 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 are 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.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.04021 "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
[-]Yes ® No ❑ N/A
➢ 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 permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum 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, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is required prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
that this application for
(Professional Engineer's'name from Application Item 111.
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, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Pennitting
of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
that this application for
& title from Application Item I.3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 understand that if all required parts of
this application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition
of this permit be violated. I also understand that if all required parts of this application package are not completed and that if
all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in, any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: / A 114- Date: 'v-22 - 17
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 08-13)
Project Applicant Name: City of Hickory
Project Name for which flow is being requested
Trivium - Wave Sewer Extension
.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 of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Henry Fork WWTP
b. WWTP Facility Permit #: NC0040797
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
All flows are in MGD
9.0
1.82377
2.48
0.010285
4.314055
47.93%
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**
Cut -rent Avg.
Tributary
Flow Plus
(Name or Capacity,* (Firm / pf),
Daily Flow,
Daily Flow,
Obligated
Available
Number) MGD MOD
MGD
MGD
Flow
Capacity***
Clark Creek 3.5 1.4
0.670
0.40291
1.07291
0.327090
Sandy Ford 4.32 1.728 0.930 0.41206 1.35582 0.37218
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.
Page 1 of 6
FTSE 08-13

III. Certification Statement:
I Warren Wood, City Manager 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.
Page 2 of 6
C/:2- 'I,K
Date
FTSE 08-13

Tuvia, Ori A
From:
Walters, Shad <[e-mail]>
Sent:
Monday, November 12, 2018 9:32 AM
To:
Tuvia, Ori A
Cc:
Caleb Bynum; Kevin Greer; Shawn Pennell
Subject:
[External] FW: Wave Sewer Extension Revised FTA
Attachments:
FTA Sewer Application_EXECUTED.PDF
Follow Up Flag: Follow up
Flag Status: Flagged
Mr. Tuvia:
Thanks for the call on Friday regarding the Project Wave FTA. As requested, the 6-inch diameter sewer services has
been removed from the general project description on page 3 of the application.
In regards to the industrial wastewater flow, the 285 gpd flow was determined based upon an average discharge of 2000
gallons per week. The process water is recycled through a pretreatment system and then discharged — this information
is based upon information provided by the site owner. The site owner currently has an existing facility within the City
of Hickory and the City is familiar with their process and discharge.
Please review and let me know if you need any additional information.
Shad W. Walters, P.E. / Principal
Civil & Environmental Ccrosultants. Inc.
1900 Center Park Drive Suite A Charlotte, NC 28217
Toll -Free: [phone] - Tax: [phone]
Mobile: [phone] � http:l'w�vw.ceciiic.com
Senior Leadership - Integrated Services Personal Business Relationships
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