WQ0040615_Application (FTSE)_20181221

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
I5A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-I6 & SUPPORTING DOCUMENTATION
Application Number: JLM Do �v ' (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Town of Apex (company, municipality, FIOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: David Hughes, P.I. per 15A NCAC 02T .0106(b)
Title: Assistant Town Manaaer
4. Applicant's ntailing address: P.O. Box 250
City: Apex State: Nam' Zip: 27502-_
5, Applicant's contact information:
Phone number: [phone] Email Address: dayid.hughesnapexnc.ore
11. PROJECT INFORMATION:
1. Project name: Middle Creek Regional Pump Station and Force Main
2. Application.Trojecl status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued dale:
If new construction but part of a master plan, provide the existing permit number: WQOO�
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3. County where project is located: Wake
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.692T Longitude:-78.8253
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5. Parcel ID (if applicable): 0750.01-17-6279 & 0750.01-26-4926�
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(or Parcel ID to closest downstream sewer)
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Ill. CONSULTANT INFORMATION:
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1. Professional Engineer: John F. Phillips License Number: 10130
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Firm: Diehl & Phillips, P.A.
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Mailing address: 1500 Piney Plains Rd., Suite 200
City: CaryState: NC Zip: 27518-�
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Phone number: {919) 467-9972 Email Address: 'f hilli s bellsouth.net
1V. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Anex Water Reclamation Facility Permit Number: NCO064050
Owner Name: Town of Apex
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ _ Downstream (Receiving) Sewer Size: 36 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00064
Owner Name(s): Town of, Apex
FORM: FTA 04-16 Page I of

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 Devel er's Operational Agreement (FORM: DEV) been attached?
❑ Yes [-]No ®NIA
3. If the Applicant is a HomelPronerty Owners' Association, has an Otrerational Agreemena.{FORM: HOA_M 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 I preschool I day care ❑ Medical / dental I veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices I factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % DomesticiCommercial % Commercial
% Industrial {See 15A NCA- 02T .0103[2O))
4 Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 0?T al l4f�f ? ❑ Yes ® No
➢ If Yes, orovide a co of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 011.0114{11}
Daily Design Flow
No. of Units
Flow
gav
GPD
gall
GPD
gall
GPD
gale
GPD
gal/
GPD
gal.`
GPD
Total
0 GPD
a See 15A NCAC 02T .01 14 b d e I 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. 42AA).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01 141 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)
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
Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
D 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
VIII. PUMP STATION DESIGN CRITERIA or Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. Pump station number or name: Middle Creek Regional Pump Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 15.69240 Longitude:-78.8253
3. Design flow of the pump station: 1.7424 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 1.210 gallons per minute at 92 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
16 (15.35 actual
ID)
8003
C905 PVC
16 (13.30 actual
ID
442
DR9 DIPS HDPE
Lk Lty
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);
D 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.
D 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 l5A NCAC 02T _0305ftf & {} ®Yes ❑ No
D 15A NCAC 02T.0305(f) contains minimum separations that shall be orovided for sewer systerns-
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 11 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
D 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
*'"Stream classifications can be identified using the Division's NC Surface Water Classifications web a e
➢ If noncompliance with 02T.0305(f) or (e). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No ❑ 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
D 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?
D Information can be obtained from the 401 &. Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)K(6} (additional permits/certifications)? ® Yes [--]No
Per 1 �A_NCAC Sf2T.0105(cX6}, 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.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
D 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:
I. Does the submitted system comply with t SA NCAC 02T, the min imurn .iarr C wgria.fur the Ncrmilting of F��rrgr .' E uns
and Force %taigs_i Ist��i wnsion3, and the Gravity Sey—ya..Minimum Design Criteria fiatest version) as applicable?
® Yes ❑ No
IfNo, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the reguest i§ required rior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
I, John F. Phillips, P.E. attest that this application for
(Professional Engineer's name from Application Item III. I.)
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 143-215.68, 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):
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1,_Oavio Hughes, PE, Assistant Tnwn Masts er- _ attest that this application for
(Signature Authority's name & title from Application Item 1.3.)
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 1.,13-215.6A and 143-215.68, 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: 2.(,1,� Date:
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Division of Water Resources
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Apex
Project Name for which flow is being requested: Middle Creek Pump Station & Force
More titan one FTSE nary be required for a single project if the owner of the WIVTP is not responsible for all punrp
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: Town of Apex Water Reclamation Facility
b. WWTP Facility Permit #: NC0064050
All flows are in MGD
c. WWTP facility's permitted flow 3.6
d. Estimated obligated flow not yet tributary to the WWTP 0.262
e. WWTP facility's actual avg. flow 1.213
f Total flow for this specific request 0
g. Total actual and obligated flows to the facility 1.475
h. Percent of permitted flow used 41 °-b
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:
Pump Pump
Station Station
(Name or Permit
Number) No.
None
(A)
(B)
Design
Average
Approx.
Firm Daily Flow**
Current
Capacity, * (Firm 1 pf),
Avg. Daily
MGD MGD
Flow, MGD
(C)
(D)=(B+C)
(E)-(A-D)
Obligated,
Not Yet
Total Current
Tributary
Flow Plus
Daily Flow,
Obligated
Available
MGD
Flow
Capacity***
* The Firm Capacity (design flow) 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
(pl) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** 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 l of 6
FTST' 10-18

111. Certification Statement:
JLIa rmitted certify to the best of my knowledge that the addition of
the volume of wastewater to be pein 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 certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Title of Signing 4ffrcirrl
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DIEHL & PHILLIPS, P.A.
CONSULTING ENGINEERS WILLIAM C. DIEHL, P.E.
1500 Piney Plains Rd., Suite 200 JOHN F. PHILLIPS, P.E.
Cary, North Carolina 27519 ALAN R. KEIT1-I, P.E.
Telephone [phone] - Fax [phone]
December 19, 2018 ,AT
Raleigh Regional Office — NC DEQ o,
Water Quality Section Poo
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1628 Mail Service Center
Raleigh, NC 27699-1628
Re: Fast Track Sewer System Extension Application ¢'
Middle Creek Regional Pump Station & Force Main G
Town of Apex - Applicant
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Dear Reviewer:
Enclosed please find the following documents in support of the referenced Application:
• One original and one copy - completed Application form FTA 04-16
• Check No. 14394, in the amount of $480.00, for the application fee
• One original & one copy - completed Flow Tracking/Acceptance form FTSE 04-
16
• Project Area Site Maps — USGS topographic map and street level map
The purpose of this project is to provide a regional wastewater pump station and force
main that will serve a portion of the Middle Creek drainage basin located within the
Town of Apex and its extraterritorial jurisdiction areas. The proposed pump station
location is on the eastern side of Middle Creek, approximately 6,500 feet south-
southeast of the Town of Apex Water Reclamation Facility. The initial design flowrate
for the duplex pump station is 1,210 gallons per minute, although the station has been
designed with expansion capabilities (by impeller changes and by the addition of a
third pump in the future).
The force main is proposed to be 16-inch diameter C905 PVC pipe, with two directional
drilled segments of 16-inch HDPE pipe. The force main length is approximately 8,445
LF, and it will discharge into an influent sewer main at the treatment plant.

Raleigh Regional Office — Water Quality
December 19, 2018
Page 2 of 2
The attached application is submitted with a zero flow projection, as all tributary flows
to the pump station will be accounted for through the permitting process for the
gravity sewer extensions. The station and force main have been designed in
compliance with 15A NCAC 2T rules, and the Division's Minimum Design Criteria for
Pump Stations and Force Mains.
Please contact me if you have any questions regarding the information in the
Application Package.
Yours very truly,
Diehl & Phillips, P.A.
John F. Phillips, P.E.
Cc: Mr. David Hughes, P.E., Assistant Town Manager, Town of Apex
Mr. Mike Whitehead, MFW Investments, LLC