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Home My WebLink AboutWQ0040496_Application (FTSE)_20181017M MCADAMS December4, 2018 NCDEQ Raleigh Regional Office Water Quality Section 1628 Mail Service Center Raleigh, North Carolina 27699-1628 FAST TRACK APPLICATION > SAGEWOOD Re: FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, and FORCE MAINS Sagewood, Durham, North Carolina SMD-16000 Following is a brief project narrative for the proposed Sagewood Pump Station and Force Main, in Durham, North Carolina: Sagewood is a 35-acre residential development located on Doc Nichols Road west of Olive Branch Road in Durham, North Carolina. This pump station is intended to serve 62 single family units in Sagewood and 80 single family units In Nichols Farm development for a combined 142 units. The Sagewood pump station will consist of a duplex top -mounted suction lift station in accordance with the City of Durham standards. The force main will be routed through the site and discharged in a gravity sanitary sewer manhole along an existing sanitary sewer outfall to the north of the site. A newly installed 6-inch diameter force main connecting the Sagewood Pump Station to an existing gravity sanitary sewer manhole will be approximately 1,538 feet in length. Please do not hesitate to contact me if further information is required. Sincerely, MCADAMS GVzZ4--*.- 7�.nC� William T. O'Daniel, P.E. Director, Engineering Services creating experiences through experience 2905 Meridian Parkway, Durham, N[ 27713 /919.361.5000 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 ®NIA 2. If the Applicant is a Developer of lots to be sold, has a Dgvelgl2ges Ql&rational Agreement (FORM: DEV been attached? ❑ Yes []No ®NIA 3. If the Applicant is a lJoMe/Prop;rty OwncTW Amocia i n as an Opcmd9nal A reement FORM: IIOA been attached? ❑ Yes []No ®NIA 4. Origin of wastewater: (check all that apply): ® Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash ❑ Residential Leased ❑ Retail with food preparation/scrvice ❑ Hotel and/or Motels ❑ School / preschool / day care ❑ MedicaI / 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 % Commercial % Industrial (See 15A NCAC 02T .0 10320 1Is there a Pretreatment Program in effect? ❑ Yes ❑ No 6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ® No D Irves, provide a copy of flow reduction approval letter 7. Summarize wastewater generated by project: Establishment Type (see 02T.0I14(f)) Daily Design Flow ',b No. of Units Flow gal/ GPD gal/ GPD gay GPD gay GPD gal/ GPD gal/ GPD Total 0 GPD a See 15A NCAC 02T .01 14(b), W. (e)(1) and (0Q) 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 .01 14(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) tAr -0 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 State of North Carolina Department of Environmental Quality DWR Division of Water Resources 15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION Application Number: 4_ (to be completed by DWR) All items must be completed or the application will be returned 1. APPLICANT INFORMATION: I. Applicant's name: City of Durham. North Carolina (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:00040 15A NCAC 02T .0106tb1 Title: tp R� 4. Applicant's mailing address: 101 City Hall Plaza City. Durham State: NC Zip: 27701- 5. Applicant's contact information: Phone number: (919J 560-I200 Email Address: 11. PROJECT INFORMATION: I. Project name: Sagewood_Pumo Station a c> N CY O 2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project C If a modification, provide the existing permit number: WQ00 and issued date: c h a If new construction but part of a master plan, provide the existing permit number: WQ00 County where project is located: Durham w v3. 4. Approximate Coordinates (Decimal Degrees): Latitude: 35.961 169' Longitude:-78.793041` 5. Parcel ID (if applicable): 0860-03-144654 U (or Parcel ID to closest downstream sewer) Zi III. CONSULTANT INFORMATION: I. Professional Engineer: William T. O'Daniel License Number: 22630 Firm: McAdams Mailing address: P. O. Box 14005 City: RTP State: NC Zip: 27709 Phone number: (9I9) 361-5000 Email Address: odaniel(m,meadamsco.com IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: 1. Facility Name: North Durham Water Reclaimation Facilit Permit Number: NCO023841 Owner Name: City of Durham V. RECEIVING DOWNSTREAM SEWER INFORMMATION (if different than WWTF): 1. Permit Number(s): WQ Downstream (Receiving) Sewer Size:_ inch System Wide Collection System Permit Number(s)( if gMlicable : WQCS Owner Name(s): 1'0RM: FTA 04-16 Page] of 5 VI. GENERAL REQUIREMENTS I . If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached? ❑ Yes [:]No ®NIA 2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (DORM: DEV} been attached? ❑ Yes []No ®NIA 3. If the Applicant is a 11 n e/Proert Owners' Assoc jalion has -an Opcmtional Agreement FOItM: 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 I 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 */a Domestic/Commercial % Commercial % Industrial (See 15A NCAC 023' .0103(20)) E - b Is there a Pretreatment Program in effect? ❑ Yes ❑ No 6. flas a flow reduction been approved under 1 SANCAC_02T A114(f)7 ❑ Yes ® No D If Yes, provide a copy of flow reduction approval letter 7. Summarize wastewater generated by project: Establishment Type (see 02T.0114(f)] Daily Design Flow'-' No. of Units Flow gal/ GPD gall GPD gall GPD gal/ GPD gal/ GPD gal/ GPD Total 0 GPD a See 15A NCAC 02T .01 14(b), (d), (c)(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 cast of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined in G.S. 42AA). b Per 15A NCAC 02T .01 14(c), design flaw rates for establishments not identified [in table 15A-NCAC Q23'.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 027' .0114) Vty-Q D 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): I . Summarize gravity sewer to be permitted: Size (inches) Length (feet) Material D 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) D Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Puma Stations/Force Mains): COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT 1. Pump station number or name: Saeewood Pump -Station 2. Approximate Coordinates (Decimal Degrees): Latitude: 35.961 169= Longitude:-78.793041' 3. Design flow of the pump station: 0.0511 milIions gallons per day (firm capacity) 4. Operational point(s) of the pump(s): 237 gallons per minute at 22.6 feet total dynamic head (TDH) 5. Summarize the force main to be permitted (for this Pump Station): Size (inches) Length (feet) Material 6 1473 C900 PVC 6 65 DIP 6. Power reliability in accordance with 15A NCAC 02T .0305(h)( I ): ® Standby power source or pump with 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 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): i- 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: FTA 04-16 Page 3 of 5 IX. SETI3ACKS & SEPARATIONS — (0213 .0200 & 15A NCAC 02T .0305(f)): 1. Does the project comply with all separations found in 15A NCAC 02T .0305(fl L) ® 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-1 waters of Class I or Class II impounded reservoirs used as a source of drinking water 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 see item IX.2 50 feet "Any other stream, lake, impoundment, or ground water lowering and surface drainage ditches 10 feet AnX building foundation 5 feet Any basement 10 feet Top slope of embankment or cuts oF2 feet or more vertical height 10 feet Drainage systems and interceptor drains 5 feet Any swimmi ing pools 10 feet Final earth grade vertical 36 inches i I5A NCAC 02T.0305contains alternatives where separations in 02T.0305(f) cannot be achieved. D **Stream classifications can be identified using the Division's NC Surface Water Class ificatio»s webs}ag i IF noncompliance with 027f,0305(l) orfgl. 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 I5A NCAC 2B_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 PermittingB. ranch 5. Does project comply with 15AN'AC 02T.0105(c)(6) (additional permitsicertifications)? ® Yes ❑ No Per 15A NCAC 02T.0105(c1�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 NgAC 02T.0402, "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: I. Does the submitted system comply with ISA NCAC 02T, the Minimum Design Criteria for the Permiitink 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. Anyroval of the request is required yrior to submittal of the Fast Track Avylication and sumorting documents. 2. Professional Engineer's Certification: I, t LL 1 p M -r• 01 PAf4 iFV _ _ _ attest that this application for (Professional Engineer's name from Application Item IIl.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, Gravity Sewer Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting 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 1 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 S25,000 per violation. North Carolina Professional Engineer's seal, signature, and date: `.X%J111110111 1J '4'• ; � spat 7c • v 2263() • i Applicant's Certification per 15A NCAC 02T .0106(b): 'lift, ttllt.t� �r�,l'3'l� attest that this application for (Signature Authority's name & title from Application Item I.3.) 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. Signature: Date: /01s ♦ F FORM: FTA 04-16 Page 5 of 5 DWR Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources 15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION FTA 04-16 & SUPPORTING DOCUMENTATION Application Number: (to be comptctcd by DWR) All items must be completed or the application will be returned I. APPLICANT INFORMATION: 1. Applicant's name: City of Durham North Carolina (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:per 15A NCAC 02,r ,0106N Title: ! A%1- 4. Applicant's mailing address: 101 City Hall Plaza City: Durham State: NC Zip: 27701- 5. Applicant's contact information: Phone number: (2.U9 560-1200 Email Address: H. PROJECT INFORMATION: i. Project name: Sa ewood Pumv Station 2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project If a modification, provide the existing permit number: WQ00 and issued date: If new construction but part of a master plan, provide the existing permit number: WQ00 3. County where project is located: Durham 4. Approximate Coordinates (Decimal Degrees): Latitude: 35.961169'' Longitude:-78.793041 5. Parcel ID (if applicable): 0860-03-14-4654 (or Parcel ID to closest downstream sewer) III. CONSULTANT INFORMATION: 1- Professional Engineer: William T. O'Daniel License Number: 22630 Firm: McAdams Mailing address: P. O. Box 14005 City: RTP State: NC Zip: 27709- Phone number: (919) 36I-5000 Email Address: odaniel @mcadamsco.com IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: I. Facility Name: North Durham Water Reclaimation Facility Permit Number: NCO023841 Owner Name: City of Durham V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF): 1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: —VtL inch System Wide Collection stem Permit Numbers (if applicable : WQCS Owner Name(s): rY U z ai U w 0 FORM: FTA 04-16 Page I of 5 VI. GENERAL REQUIREMENTS I. 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 ®NIA 3. If the Applicant is a 110 c/Pra ert Ownc ' Association has an OperAtional A preement F0I1M: HOA been attached? ❑ Yes [:]No ®NIA 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: 12°/u Domestic/Commercial % Commercial % Industrial (See 15A NCAC 02T .0I03 20 bIs there a Pretreatment Program in effect? ❑ Yes ❑ No 6. Hasa flow reduction been approved under 15A NCAC 02T .0114 ? ❑ Yes ®No ➢ If -yes, provide a cony of now reduction anproval letter 7. Summarize wastewater generated by project: Establishment Type (see U2T.01140 Daily Design Flow'-' No. of Units Flow gall GPD gall GPD gal/ GAD gall GPD gay GPD gay GPD Total 0 GPD a See 15A NCAC 0.2'I .D114(b), (d), (c)(1) and (c)(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 cast of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined in G.S. 42A-4). b Per 15A NCAC 02T .0I 14(c), design flow rates for establishments not identified [in table 15A NCAQ 021',0 1141 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 .01 I4) LA:-t -o ➢ 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 ❑ FIow 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: D Section lI & 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) D Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains): COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT 1. Pump station number or name: Sag_ewood Pumo Station 2. Approximate Coordinates (Decimal Degrees): Latitude: 35.961169' Longitude:-78.793041 3. Design flow of the pump station- 0.0511 millions gallons per day (firm capacity) 4. Operational point(s) of the pump(s): 237 gallons per minute at 22.6 feet total dynamic head (TDH) 5. Summarize the force main to be permitted (for this Pump Station); Size (inches) Length (feet) Material 6 1473 C900 PVC 6 65 DIP 6. Power reliability in accordance with 15A NCAC 02T .0305{Ng ): ® Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(13)r Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day t 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: 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 2T .0305 & ➢ 15A NCAC 02T.0305 contains minimum separations that shall be provided for sewers stems: ® Yes ❑ No Setback Parameter* Separation Required Storm sewers and other utilities not Iisted 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 Il 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 ools 10 feet Final earth grade vertical 36 inches ➢ 15A NCAC 02T.0305f ,L; contains alternatives where separations in 02T.0305M cannot be achieved. ➢ **Stream classifications can be identified using the Division's NC Surface WaterClassifications wcbo ". If noncompliance with 02T.0305tf1 or f" 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 1.5A_Nf AC 02B .0200? 0 Yes ❑ No ❑ N.-'A ➢ This would include Trout Buffered Streams per 15A NCAC 2B.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(ck61(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 13A NCAC 02T.0402, "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-I6 Page 4 of 5 X. CERTIFICATIONS: 1. Does the submitted system comply with 15A N AG. 02T, the Minimum Design Criteria for the Permitting of Pump Stations and Force Mains. latest version and the Gravity Sewer Mini- um Design Criteria latest versi 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 supportina documents. 2. Professional Engineer's Certification: _Wil.i-i A m T• �_ pr ti] l�t� _ _ _ _ attest that this application for (Professional Engineer's name from Application Item Ill.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, Gravity Sewer Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting 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: H Cgi No �� D aq S yr : y • 2230 Z NCINSS"--* !........ ��r.��ti! 3. Applicant's Certification per 15A NCAC 02T .0106(b): r��ttttllt�� g.l`i-1� I, .a�y,4c ! • EE�d�/ attest that this application for (Signature Authority's name & title from Application Item I.3.) 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 S 10,000 as well as civil penalties up to $25,000 per violation. Signature: Date: /' iQ ♦,F FORM; FTA 04-16 Pagc 5 of 5 State of North Carolina nWR Department of Environmental Quality Division of Water Resources 15A NCAC 02T .0300 - FAST TRACK SEWER SYSTEM EXTENSION APPLICATION Division of Water Resources INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been certified by a professional engineer and the applicant that the project meets the requirements of ISA NCAC 02T and the Division's Minimum Design Criteria and that plans, specifications and supporting documents have been prepared in accordance with, l NCAC 02T, 15A NCAC 02T .0300, Division policies and Rood engineerine practices. While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum design criteria. These documents shall be available upon request by the Division_ Projects that are deemed permitted (do not require a permit from the Division) are explained in 15A NCAC 02T.0303. Projects not eligible for review via the fast track process (must be submitted for full technical review): Projects that require an environmental assessment in accordance with 15A NCAC 1 C .0100; ➢ Projects that do not meet any part of the minimum design criteria (MDC) document; Y Projects that involve a variance from the requirements of 15A NCAC 21'; Pressure sewer systems utilizing septic tank -effluent pumps (STEPS) or simplex grinder pumps; STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains); Vacuum sewer systems. General When submitting an application, please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of requested additional information. Failure to submit all required items will necessitate additional processing and review time, and may result in return of the application. Unless otherwise noted, the Applicant shall submit one original and one copy of the application and supporting documentation. A. One Original and One Copy of Application and Supporting Documents ® Required unless otherwise noted B. Cover Letter (Required for All Application Packages): ® List all items included in the application package, as well as a brief description of the requested permitting action. ➢ Be specific as to the system type, number of homes served, flow allocation required, etc. ➢ If necessary for clarity, include attachments to the application form. C. Application Fee (All New and Major Modification Application Packages): ® Submit a check or money order in the amount of $480.00 dated within 90 days of application submittal. ➢ Payable to North Carolina Department of Environmental Quality (NCDEQ) D. Fast Track (Form: FTA 04-16) Application (Required for All Application Packages): ® Submit the completed and appropriately executed application. ➢ If necessary for clarity or due to space restrictions, attachments to the application may be made. ❑ If the Applicant Type in Item 1.2 is a corporation or company, provide documentation it is registered for business with the North Carolina Secretary of State_ ❑ If the Applicant Type in Item 1.2 is a partnership or d/bia, enclose a copy of the certificate filed with the Register of Deeds in the county of business. ® The Project Name in Item 1I.1 shall be consistent with the project name on the flow acceptance letters, agreements, etc. * The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a !gqh Carolina licensed Pro fessional_Eneineer. ® The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 02T_.0106(_b). Per 15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T .0106(b). INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page] of3 E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (If Applicable): ® Submit the completed and executed FTSE form from the owners of the downstream sewers and treatment facility. ➢ Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different. ➢ The flow acceptance indicated in form FTSE must not expire prior to permit issuance and must be dated less than one year prior to the application date. ➢ Submittal of this application and form FTSE indicates that owner has adequate capacity and will not violate G.S.. 143- 21 S.6 dal. ➢ Intergovernmental agreements or other contracts will not be accepted in lieu of project -specific FTSE. F. Site Maps (All Application Packages): ® Submit an 8.5-inch x 11-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project area and closest surface waters. ➢ Location of the project (gravity sewer, pump stations & force main) ➢ Downstream connection points and permit number (if known) for the receiving sewer ® Include a street level map (aerial) showing general project area so that Division staff can easily locate it in the field. G. Existing Permit (All Modification Packages): ❑ Submit the most recently issued existing permit. ❑ Provide a list of any items within the permit the Applicant would like the Division to address during the permit modification (i.e., permit description, flow allocation, treatment facility, etc.). H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station): ❑ Per 15A NCAC 02T .0305(h){ lJ, submit documentation of power reliability for pumping stations. ➢ This alternative is only available for average daily flows less than 15,000 gallons per day ➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible with the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or proposed contractor, stating that "the portable power generation unit or portable, independently -powered pumping units, associated appurtenances and personnel are available for distribution and operation of this pump 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. (Required at time of certification) 1. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities): ❑ Per 15A NCAC 02T .01 IS a I provide the Certificate of Public Convenience and Necessity from the North _Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the sewer extension, or ❑ Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an application for a franchise has been received and that the service area is contiguous to an existing franchised area or that franchise approval is expected. J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold): ❑ Home..'Pro ertOwners' Associations ❑ Per 15A NCAC 02T .0115 c , submit the properly executed Operational Agreement f FORM: HOAI. ❑ Per 15A NCAC 02T .0f 15(c), submit a copy of the Articles of Incorporation, Declarations and By-laws. ❑ Developers of lots to be sold ❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement tFORM: DEV). For more information, visit the Division's collection systems website INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 2 of THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE: REGIONAL OFFICE ADDRESS COUNTIES SERVED Avery, Buncombe, Burke, Caldwell, Cherokee, Asheville Regional Office 2090 US Highway 70 Water Quality Section Swannanoa, North Carolina 28778 Clay, Graham, Haywood, Henderson, Jackson, (828) 296-4500 Macon, Madison, McDowell, Mitchell, Polk, (828) 299-7043 Fax Rutherford, Swain, Transylvania, Yancey Fayetteville Regional Office 225 Green Street Suite 714 Anson, Bladen, Cumberland, Harnett, Hoke, Water Quality Section Fayetteville, North Carolina 28301-5094 Montgomery, Moore, Robeson, Richmond, (910) 433-3300 Sampson, Scotland (910) 486-0707 Fax Alexander, Cabarrus, Catawba, Cleveland, r Mooresville Regional Office 610 E. Center Avenue Water Quality Section Mooresville, North Carolina 28115 Gaston, Iredell, Lincoln, Mecklenburg, Rowan, (704) 663-1699 Stanly, Union (704) 663-6040 Fax Raleigh Regional Office Water Quality Section Washington_ Regional Office Water Quality Section Wilmington Regional Office Water Quality Section Winston-Salem Re tonal Office Water Quality Section 1628 Mail Service Center Raleigh, North Carolina 27699-1628 (919) 791-4200 (919) 788-7159 Fax 943 Washington Square Mall Washington, North Carolina 27889 (252) 946-6481 (252) 975-3716 Fax 127 Cardinal Drive Extension Wilmington, North Carolina 28405 (910) 796-7215 (910) 350-2004 Fax 450 W. Hanes Mill Road Suite 300 Winston-Salem, North Carolina 27105 (336)776-9800 Chatham, Durham, Edgecombe, Franklin, Granville, Halifax, Johnston, Lee, Nash, Northampton, Orange, Person, Vance, Wake, Warren, Wilson Beaufort, Bertie, Camden, Chowan, Craven, Currituck, Dare, Gates, Greene, Hertford, Hyde, Jones, Lenoir, Martin, Pamlico, Pasquotank, Perquimans, Pitt, Tyrrell, Washington, Wayne Brunswick, Carteret, Columbus, Duplin, New Hanover, Onslow, Pender Alamance, Alleghany, Ashe, Caswell, Davidson, Davie, Forsyth, Guilford, Rockingham, Randolph, Stokes, Surry, Watauga, Wilkes, Yadkin INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 3 of 3 J MCA.DAMS LETTER OF TRANSMITTAL Date: October 15, 2018 FEDERAL EXPRESS To: NCDENR Division of Water Resources Re: Sagewood Raleigh Regional Office Pump Station Fast Track Submittal 1628 Mail Service Center Raleigh, North Carolina 27699-1628 Job #: SMD-16000 I am sending you the following items: ❑ Drawings ❑ Letter ❑ Specifications ® Submittal ❑ Plans ❑ Prints ❑ Statement of Qualifications ❑ Other QUANTITY UNIT DESCRIPTION O 2 Copy Cover LetterQz - 2 Copy 1 Original & 1 Copy — Signed FTA 04-16 Ow � 1 Check $480 Check for Application Fee o ^ 5h 2 Copy 1 Original & 1 Copy —Signed FTSE 04-16 2 Copy Site Maps o .ce a � � I Transmitted as checked below: ® For approval ❑ For review + comment ❑ For your use ❑ Other ❑ As requested ❑ Other Remarks: Copy to: Signature: or Project Manager, Residential creating experiences through experience 2905 Meridian Parkway, Durham, NC 27713 / 919. 361. 5000 ORIGINALState of North Carolina DWR Department of Environmental Quality Division of Water Resources Division of water Resources Flow Tracking/Acceptance for Sewer Extension Applications (FTSE 04-16) Entity Requesting Allocation: City of Durham Project Name for which flow is being requested: Sa ewood Pump Station 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: North Durham Water Reclamation b. WWTP Facility Permit #: NCO023841 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 _20.0 3.36 o 9.18 N 0 12.54 C-.) 62.7 C) II. Complete this section for each pump station you are responsible for along the route othis proposed wastewater flow. 7- List pump stations located between the project connection point and the WWTP: (A) Design Pump Average Daily Station Firm Flow** (Name or Capacity, * (Firm.." po, Number) MGD MGD Brightleaf 2.6741 0.9550 (B) (C) (D)=(B+C) (E)=(A-D) Obligated, Approx. Not Yet Total Current Current Avg, Tributary Flow Plus Daily Flow, Daily Flow, Obligated Available MGD MGD Flow Capacity*** 0.2588 0.5546 0.8I34 0.1416 * 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): Downstream Permit Number: Page I of 6 FTSE 04-16 III. Certification Statement: 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 11 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 /!11 /I,. Date Page 2 of 6 FTS E 04-16 State of North Carolina Department of Environmental Quality Division of Water Resources Division of Water ttcsources Flow Tracking/Acceptance for Sewer Extension Applications (FTSE 04-16) Entity Requesting Allocation: City of Durham Project Name for which flow is being requested: Sagewood Pump Station More than one FTSE may be required for a single project if the owner of the WIVTP is not responsible for all pump stations along the route of the proposed waste►vater flow. Complete this section only if you are the owner of the wastewater treatment plant a. WWTP Facility Name: North Durham Water Reclamation Facility 1 b. WWTP Facility Permit M NCO023841 A11 flows are in MG I. co c. WWTP facility's permitted flow 20.0 c d. Estimated obligated flow not yet tributary to the WWTP 3.36 r~ e. WWTP facility's actual avg. flow 9.18 f. Total flow for this specific request 0 g. Total actual and obligated flows to the facility 12.54 o a h. Percent of permitted flow used 62.7 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) Design Pump Average Daily Station Firm Flow** (Name or Capacity, * (Firm 1 po, Number) MGD MGD Bri htg leaf 2.6741 0.9550 (B) (C) (D)=(B+C) (E)=(A-D) Obligated, Approx. Not Yet Total Current Current Avg. Tributary Flow Plus Daily Flow, Daily Flow, Obligated Available MGD MGD Flow Capacity*** 0.2588 0.5546 0.8134 0.1416 * 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): Downstream Permit Number: O Page 1 of 6 FTSE 04-16 III. Certification Statement: z&-O'r—�V 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 QJricial Signature Date Page 2 of 6 FTS E 04-16 Z CL J W W .J a t� ca o 9 E .> C" C) o a bn z 1 1 inch = 500 Feet Feet 0 210 420 840 1,260 3AI-fo r V u 1 1 inch = 500 Feet Feet 210 420 840 1,260 Robinson, Jason From: Greeley, Don <Don.Greeley@durhamnc.gov> Sent: Thursday, December 06, 2018 3:18 PM To: Robinson, Jason; O'Daniel, Todd Cc: Cashion, Ted; Deck, Erin M; Finch, Jeremy, McKinney, Thomas H; Green, Bryant; Morrone, Jerry Subject: RE: [External] RE: Sagewood Pump Station Sewer Application Hi Jason, The City is in agreement with the changes indicated below. Thanks, Don Greeley Donald F. Greeley, PE, PLS Director Department of Water Management 101 City Hall Plaza Durham, North Carolina 27701 1919) 560-4381 Fax (919) 560-4479 Don.Greelevt@durhamnc.gov From: Robinson, Jason[mailto:jason.t.robinson@ncdenr.gov] Sent: Tuesday, December 04, 2018 2:55 PM To: O'Danlel, Todd; Greeley, Don Cc: Cashion, Ted; Deck, Erin M; Finch, Jeremy; McKinney, Thomas H Subject: RE: [External] RE: Sagewood Pump Station Sewer Application Mr. Greeley, Since you are the proposed permittee, please confirm that you are okay with these changes to the application. Thanks, Jason ------------ Jason T. Robinson, P.E. Raleigh Regional Office Water Quality Regional Operations Division of Water Resources, DEQ 919-791-4200 E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties. From: O'Daniel, Todd <O'Daniel@mcadamsco.com> Sent: Tuesday, December 04, 2018 2:50 PM To: Robinson, Jason <iason.t.robinson@ncdenr.go>; don.Rreelev@durhamnc.sov Cc: Cashion, Ted <ted.cashion jR ncdenr. ov>; Deck, Erin M <erin.deck@ncdenr.sov>; Finch, Jeremy <ifinch mcadamsco.com>; McKinney, Thomas H <thomas.mckinnev@ncdenr.eov> Subject: (External] RE: Sagewood Pump Station Sewer Application Jason, The reference to 51,120 gpd flow generation for the subject application was an error. 1 have attached a new page 2 of 5 of the application stating the wastewater generated by project is 0 (line #8). The flow is accounted for under a separate gravity sewer permit. I also attached a revised cover letter deleting the flow reference. Please let me know if you need anything else. Thanks, Todd From: Robinson, Jason <jason.t.robinson@ncdenr.sov> Sent: Tuesday, December 4, 2018 2:03 PM To: don.ereeley@durhamnc.eov: O'Daniel, Todd <O'Daniel@mcadamsco.com> Cc: Cashion, Ted <ted.cashion@ncdenr.eov>; Deck, Erin M <erin.deck@ncdenr.gov>; McKinney, Thomas H <thomas.mckinnev@ncdenr.gov> Subject: Sagewood Pump Station Sewer Application We are reviewing the subject sewer extension permit application and have found the following issue: 1. Section VI.7 does not show any proposed flow. Section VI.8 states there is 51,120 GPD, but then the box is checked below that indicates there is 0 flow. The narrative states 51,120 GPD. But the flow tracking sheet a total flow of 0 gallons for this request (I.f). If this application is for 51, 120 GPD, please correct and re -submit sheet 2 of 5 of the application, as well as the flow tracking sheet. I will also need confirmation from the permittee that they are aware of the revisions to the application and the flow tracking sheet. ------------ Jason T. Robinson, P.F. Raleigh Regional Office Water Quality Regional Operations Division of Water Resources, DEQ 919-791-4200 E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties.