WQ0040733_Application (FTSE)_20190212

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
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Application Number:"/0LF
G d l 0 7> 3 (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: CITY OF SANFORD (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ IndividuaI ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ® Municipal
3. Signature authority's name: PAUL M. WEEKS JR P.E. per 15A NCAC 02T .0106(b)
Title: CITY ENGINEER
4. AppIicant's mailing address: PO BOX 3729
City: SANFORD State: NC Zip: 27331-
5. Applicant's contact information:
Phone number: 9( 19) 777-1119 Email Address: [e-mail]
II. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
1. Project name: ORIOLE CIRCLE SANITARY 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: 35.4645: Longitude:-79.13420
5. Parcel ID (if applicable): 9652-94-4296
(or Parcel ID to closest downstream sewer)
M. CONSULTANT INFORMATION:
1. Professional Engineer: JEREMY R. THOMAS License Number: 027472
Firm: J THOMAS ENGINEERING, INC.
Mailing address: 143 CHARLOTTE AVENUE STE 104
City: SANFORD State: NC Zip: 27330-
Phone number: (9 9� 777-6010 Email Address: JTHOMAS @JTHOMASENGM EERING COM
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: BIG BUFFALO CREEK WWTP Permit Number: NCO024147
Owner Name: CITY OF SANFORD
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
Permit Number(s): WQ „ Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS0047
Owner Name(s): CITY OF SANFORD
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FORM: FTA 04-16 Page 1 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 ®NIA
2, If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement f FORM: DE been attached?
❑ Yes ❑No ®NIA
3. If the Applicant is a Home/PropertyOwners' Association. has an O erational Agreement FORM: HOA been attached?
❑ Yes ❑No ®NIA
4. Origin of wastewater: (check all that apply):
® Residential Owned ❑ Retail (stores, centers, malts) ❑ 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 % Domestic/Commercial % Commercial
% Industrial (See 15A NCAC 02T .0103(20))
�b Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a 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 021.01140
Daily Design Flow a,b
No. of Units
Flow
RESIDENTIAL
360 gal/UNIT
16
5,760 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gat/
GPD
Total
5,760 GPD
a See I5A NCAC 02T .0114(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. 42A-4).
b Per 1SA NCAC 02T .0 t 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: 5.760 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-I6 Page 2 of 5

VIL
VIII.
GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 1,021 PVC
➢ Section II & M 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)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC Pum Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. 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. OperationaI 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)($):
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & I5A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(1) & (g)
➢ 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 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 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
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainages stems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
D 15A NCAC 02T.0305(e) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications weboaae
➢ If noncompliance with 02T.0305 or , 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
D 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
➢ 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(c)(61(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.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 ❑ NIA
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and Iocation).
High priority fines 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. A royal of the reguest is re aired rior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
I, JEREMY R. THOMAS PE attest that this application for
(Professional Engineer's name from Application Item I11.1,)
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 FazTrack 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 143-215.6B, 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.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, t" V attest that this application for
(Signature Authority's name & 'tle am NFlication Item L3.)
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 ap ackage shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civi penalties up—tb4Z5,000 per violation.
Signature: Date: l7:1A
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
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 Sanford
Project Name for which flow is being requested: Oriole Circle Sanitary 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 wastewaterflow.
low
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Big Buffalo WWTP
b. WWTP Facility Permit #: NCO024147
A11 flows are in MGD
c.
WWTP facility's permitted flow
12.0
d.
Estimated obligated flow not yet tributary to the WWTP
1.18247
e.
WWTP facility's actual avg. flow
4.616
f.
Total flow for this specific request
0.00576
g.
Total actual and obligated flows to the facility
5.80423
h.
Percent of permitted flow used
48.37%
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
Station
Firm
(Name or
Capacity,'
Number)
MGD
Little
3.60
Kelly Dr.
0.1791
(A)
(B)
Design
Average Daily
Approx.
Flow"
Current Avg,
(Firm / pf),
Daily Flow,
MGD
MGD
1.44
1.041
0.0716
0.0291
(C)
(D)=(B+C)
(E)=(A-D)
Obligated,
Not Yet
Total Current
Tributary
Flow Plus
Daily Flow,
Obligated
Available
MGD
Flow
Capacity***
0.3 08 51
1.34951
0.09049
0
0.0291
0.0425
* 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 1 of 6
FTSE 04-16

III. Certification Statement:
I PAUL M WEEKS JR., P.E. certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the
receiving wastewater treatment facility and that the flow from this project is not anticipated to
cause any capacity related sanitary sewer overflows or overburden any downstream pump station
en route to the receiving treatment plant under normal circumstances, given the implementation of
the planned improvements identified in the planning assessment where applicable. This analysis
has been performed in accordance with local established policies and procedures using the best
available data. This certification applies to those items listed above in Sections I and II plus all
attached planning assessment addendums for which I am the responsible party. Signature of this
form indicates acceptance of this wastewater flow.
Signing Official Signature
Date
Page 2 of 6
FTSE 04-16

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J THOMAS ENGINEERING, INC.
CIVIL ENGINEERING 8 PLANNING
1•13 Charlotte Avenue, Suite 10,1
Samford, North Carolina 27330
919,777.6010 phonc.
ww,.vJthomasengineering cow
License No. C 3389
February 5, 2019
Mr. S. Daniel Smith
Regional Supervisor — Water Resources Water Quality Operations G
NCDEQ Raleigh Regional Office
1628 Mail Service Center —
Raleigh, North Carolina 27699 {�
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Reference: Fast Track Application -- Gravity Sewer Extension
City of Sanford Oriole Circle Sanitary Sewer Extension A
Sanford, North Carolina (Lee County) U
z
Dear Mr. Smith:
Please find enclosed the application package for the Oriole Circle Sanitary Sewer Extension located
within the city limits of Sanford. The package includes the following items (original and one copy):
• Fast Track Sewer System Extension Application (FTA 04-16)
• $480 check for application fee
• Flow Tracking/Acceptance Form (FTSE — 04-16)
• USGS Map showing project location
• Google Earth Map showing project location
The purpose of this proposed project is to extend the City of Sanford sanitary sewer system to serve
sixteen (16) existing residential properties that currently do not have access to municipal sewer. This
project, which is part of the City's sanitary sewer petition program, entails installation of
approximately 1,021 LF of 8-inch line (gravity) and six (6) manholes. The proposed sanitary sewer
extension will connect to the existing City of Sanford sewer main at an existing manhole.
Please do not hesitate to call with any comments or questions regarding this submittal.
Sincerely,
J Thoma ngineering nc.
eremy R. Thomas, P.E.
President