WQ0040520_Application (FTSE)_20181023

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTE�INI EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUNIENTATION
Application Number: MQ�Ho •Dtto bc comptcled by Dwttl
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Ctyuf Sanford (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual
❑ Corporation
❑ General Partnership
❑ Privately -Owned Public Utility
❑ Federal
❑ State/County
® Municipal
❑ Other
3. Signature authority's name: Paul Weeks, PE per 15A NCAC
02T .0106(b)
Title: City Engine2
SIC Dept cif Fnvironmenral Quaiity
4. Applicant's mailing address: 225
E Weatherspoon Street. P.O. Box 3729
UL I ' 3 2018
City: Sanford State: NC
Zip: ZZIL-229
5. Applicant's contact information:
Raleigh Regional Office
Phone number: (919) 777-i 122
Email Address: Vaul.wcgks(@5anfbrdnc,nct
II. PROJECT INFORMATION:
I - Project name: Raleigh Executive Jetnort Sewer Extension
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: Lee
4. Approximate Coordinates (Decimal Degrees): Latitude: 3 5R2665 Longitude: - 9.105690'
5. Parcel ID (if applicable):
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I - Professional Engineer: Ott P. Haberstroh License Number: 36._ 505
Firm: Freese and Nichols, In
Mailing address: 10 17 Main Campus Drive. Suite 1200
City: Raleigh State: [`I. Q Zip: 27606-
Phone number: (919) 592-5 67 Email Address: %ott.habers_troh(&frccsc.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORivIATION:
1. Facility Name: Big Buffalo Wastewater Tr atm nt Plant Permit Number: N 002414
Owner Name: City of 5anford
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ0039653 Downstream (Receiving) Sewer Size: 12 inch
SysW t' 't Nurnbc r f zi.p.p [i : WQCS00047
Owner Name(s): City of Sanford
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,)]cvcloper's Operational Agreemetrt (FORM-. DEV} been attached?
❑ Yes []No EDWA
3. If the Applicant is a HamcTrptperty I)wncrs' Assuciation. lia. art QpcmtJuinaI A rcerrtent (FORME TJQA) 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 1 day care ❑ Medical i dental ! veterinary facilities ❑ Swimming Pool fClubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool Filter Baclnvash
❑ Businesses 1 offices 1 factories ❑ Nursing home ❑ Other (Explain in Attachment)
5. Nature of wastewater: % DomesticiCommercial °/° Commercial
% Industrial (Sec 15A NCAC 02T .0103(20))
-Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T ,0114f 6 ❑ Yes [:]No
If ves, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project.
Establishment Type (see A11.0I I40
Daily Design Flow ° 6
No. of Units
Flow
galf
GPD
gaff
GPD
gaff
GPD
gals
GPD
gal/
GPD
gal/
GPD
Total
GPD
a See 15A NCAC 02T .01 14(b), (d). (C)(1) and (c)(2) for caveats to wastewater design flow rates (i.c_, 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 .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.
S. Wastewater generated by project: 0 GPD (per Z I_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 server with no new flow expected
❑ Other (Explain):
FORM. FTA 04-16 Page 2 of 5

V11. GRAVITY SEINER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC(Gravity Sewers
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
12
4,506
PVC
8
313
PVC
'r Section 11 & III of the MDC for Permitting; of Gravity Sewers contains information related to design criteria
);- Section Ili 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 NIDC
VIIl. PUNIP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I . Pump station number or name:
2. Approximate Coordinates (Decimal 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 (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T _0305(h)(1)(B)r
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)(I)(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 timeframcs, 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 & l5A NCAC 02T .0305(f)):
I . Does the project comply with all separations found in 5 2T 0 0
i 15A NCAC 02 0 0 contains alternatives where separations in 02T.0305(f1 cannot be achieved.
"Stream classifications can be identified using; the Division's NC Sur—faccWater Classificalions
If noncompliance with 02T.0305(j) or„(g), see Section X of this application
® Yes ❑ No
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No ® N. A
D See the Division's draft separation requirements for situations where separation cannot be meet
1~ 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
1 Does the project comply with setbacks found in the river basin rules per ISA 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.0I05(c)(6), directly related environmental permits or certification applications arc 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.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or server
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

X. CERTIFICATIONS:
Does the submitted system comply with I5A Alt' 02 , the hli1oriurn l]e.5jan {`feria for Elie Permitting of TIgUp Siaiinos
n F rc Nl ins latest version and the 4J i i�nurn f (r; ib laty y� r5int�) as applicable?
pX Yes ❑ No
IPNo, complete and submit the Variance.. Alternative Design Request application (VADC 10-14) and supporting documents for
review. AnPMv9I orthe reguest is re uired Prior to submittal of the Fast Track Annfication and sunrwrting documents.
2. Professional Engineer's Certification:
I, 1A a
y7's_ __attest that this application for
(Professional Engineer's name from Application Item 111.1_)
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 males 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:
3. Applicant's Certification per 15A NCAC 03T .0106(b):
�+sifrrill' �
�,
.!yGINS10
�.
"0,4f "„HA6EF .►�/ 0 1 Sr j8
attest that this application fdr
(Signature Authority's naime & title from Appli ation Item ..)
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.
VOTE - In accordance with General Statutes 143-215.6A and 1.11-21 i.6f3, 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 525,000 per violation.
Signature�\—�'(' Date; r -
FORM: FTA 04-16 Page 5 of

1017 Main Campus Dr, Suite 1200 • Raleigh, North Carolina 27606 • 919-582-5859 • fax [phone] www.freese.com
October 18, 201$
NC Dept of Environmental Quality
North Carolina Department of Environmental Quality OCT 2 3 20
Water Quality Section
1628 Mail Service Center Raleigh Regional Office
Raleigh, NC 27699
Re: City of Sanford
Raleigh Executive Jetport Sewer Extension
Fast Track Sewer System Extension Application (FTA 04-16)
To Whom it May Concern:
On behalf of the City of Sanford, please find enclosed the following documents associated with the
proposed Raleigh Executive Jetport Sewer Extension:
Fast Track Sewer System Extension Application
Figure 1— USGS Topographic Map of Project Area
Figure 2 —Aerial Map of Project Area
In anticipation of potential significant development in the Raleigh Executive Jetport area in Lee County,
the City of Sanford and the Raleigh Executive Jetport are partnering up to provide sanitary sewer service
to this area. Flow will be conveyed by approximately 4,500 feet of 12-inch and 300 feet of 8-inch gravity
sewer to the upstream manhole of the gravity sewer that is part of the Moncure Sewer Extension
project, ATC permit WQ0039653, that discharges to the Intermediate Lift Station and ultimately to the
Big Buffalo Wastewater Treatment Plant.
This project is designed in accordance with 15A NCAC subchapter 02T and the Division of Water
Resources Minimum Design Criteria with the exception of the distance between the manholes on either
side of the Federal Aviation Administration (FAA) Runway Safety Area, which extends 250 feet on either
side of the runway centerline. The manholes will be located 10 feet outside of the Runway Safety Area,
making the distance between them 520 feet, rather than the maximum 425 feet. Due to the surrounding
topography and the length of the runway this alignment is the only practical routing option. The City of
Sanford has the capability to perform routine cleaning and maintenance on this section of sewer.
Since the Intermediate Lift Station is permitted as zero -flow, we are submitting this permit application
as a zero -flow permit (authorization to construct only). Once the Moncure Sewer Extension project is
permitted for flow, we will resubmit this permit application for flow.
Please feel free to contact me at [phone] if you have any questions or require additional
information. I can also be reached at [e-mail].
Sincerely,
Scott P. Habers roh, P.E.
Senior Project Manager

RALEIGH EXECUTIVE JETPORT FIGURE 1
SEWER EXTENSION
TOPOGRAPHIC MAP FREESE 1017 Main Campus Dr
raNKHQLS Raleigh, NC 27603
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