WQ0040741_Application (FTSE)_20190213

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: 46 6Q r Iw he completed by DWRt
All items must he completed or the annlieation will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Town of Pittsboro (company, municipality, HOA, utility, e1c.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name. John Poteat per 15A NCAC 02T .0106 b
Title: Public Works & Utilities Director
4. Applicant's mailing address: PO Box 759
City: Pittsboro State: NC Zip: 27312-
5. Applicant's contact information:
Phone number: (919) 5424621 Email Address: b gruesbeck a ittsboronc. *ov
II. PROJECT INFOWMATION:
1. Project name: Chatham Park Section 5.2 Sewer Interco for
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQOO and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00:
3. County where project is located: Chatham
4. Approximate Coordinates (Decimal Degrees): Latitude: 35?7' Longitude.-79.15'
5. Parcel ID (if applicable): 0092665
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Christopher Huff License Number: 24420
Firm: WithersRavenel, Inc.
Mailing address: 115 MacKenan Drive
City: Cyr+ State: NC Zip: 27511-
Phone number: [phone] Email Address: chufftwwithersravencl. com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Chatham Park Permit Number: W00039375
Owner Name: Old North Utilities`} A M✓C), L
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size:
System Wide Collection System Permit Numbers ifa licable : WQCS
Owner Name(s):
FORM: FTA 04-16
_ inch
Al Ak_
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�4 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 ®NA
2. If the Applicant is a Developer of lots to be sold, has a De►�eloncr _s.Onerational A54WCITlent iF0RM:.D1=V� been attached?
❑ Yes ❑No ®NiA
3. If the Applicant is a Home Propert� Owners' Association, has an Operational Agreement (FORM, HOAJ 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 day care ❑ Medical r dental.' veterinary facilities ❑ Swimming Pool iCiubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
® Businesses!' offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 80 % Domestic -Commercial 20 % Commercial
% Industrial (See. 15A NCAC' 02I .(i103 Z)
bIs there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under € 5A NCAC t)2T..011 Wig? ❑ Yes ® No
If yes, provide a copy of flo►►• reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0I 14(f)
Daily Design Flow cb
No. of Units
Flow
gal'
GPD
gal!
GPD
gal:`
GPD
gal!
GPD
gal
GPD
gals
GPD
Total
GPD
a See 1 �A,NCAC 02T. ,Q] 14(b), (d). (eft I 1 a }j(e)E?} for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15 -NN—CA-C 02TA 1 14] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GAD (per L5A NCAC 02T _01 14)
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

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & NI DC Gravity Seers :
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
873
PVC
12
686
DI & PVC
15
914
PVC
I8
1776
PVC
21 20
3122.;268
PVC
24
2063
PVC
Section 11 & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
Section M contains information related to minimum slopes for gravity sewer(s)
Oversizing lines to meet minimum slope requirement is not alloyed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump StationslForce 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 I SA NCAC 02T .03. . 0i1h)(1 x:
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(l)(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):
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 withal] separations found in 15A NCAC 02T _0�{1. o &
>- 15ANCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems,
® 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 lI 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
hi =h 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
To slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
AnX swimming pools
10 feet
Final earth grade vertical
36 inches
i 15A ! CAC t)2T.030v5 * contains alternatives where separations in 02 ' 0). 305M cannot be achieved.
**Stream classifications can be identified using the Division's NC Surffic{ Water Classifications �br, je
i If noncompliance with 02T.0305(f) air (, 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 NL.AC 02B 0200 ® Yes ❑ No ❑ N::A
:- This would include Trout Buffered Streams per I Sty NCAU 2B.0202
4. Does the project require coverage. -authorization under a 404 Nationwide or ® Yes [-]No
individual permits or 401 Water Quality Certifications?
r Information can be obtained from the 40I & Buffer Permitting -Branch
5. Does project comply with 15A NCAC 02T_0I05(c)L6) (additional permits.:certifications)? ® Yes ❑ No
Per 15A NCAC 0210105(c)JN, 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 I. �A 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 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 021, the Minimum Desien-Criteria for the Permitting a Pump Stations
aW_srce_Mains.tlatest %ersion), and the Gravity Sever Minimum D Lyngiteria latest version,) as applicable?
® Yes ❑ No
If No, complete and submit the Variance:Alternative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is required prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
1, . Cwt x Rr attest that this application for
(Pro essional Engineer's name from Application Item IIL l.)
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 143-2I5.6A 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:
Applicant's Certification per 15A NCAC 02T .0106(b):
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 14-215.6A 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 a ee $10,000 as well as civil penalties up to $25.000 per violation.
Signature: _- . _ — _ Date:
FORM: FTA 04-16 Page 5 of

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Project: Chatham Park Interceptor SCALE 1:12000
Map Name: PMSBORO 0 1000 2000 3000
Location: 705253 ft. N, 1944400 ft. E, NAD27 FEET
Scale: 1 inch = 1,000 ft. 0.1 0.2 0.3 0.4 0.5 0.6
Date: 8/26/2016 MILES

10WithersRavenet
Our people. Your Success.
February 13, 2019
North Carolina Department of Environment and Natural Resources
Division of Environmental Quality
Raleigh Regional Office - Water Quality Section
3800 Barrett Drive
Raleigh, NC 27609
RE: Fast Track Application
Town of Pittsboro
Chatham Park Section 5.2 Sewer Interceptor
WR No. 2150098.17
To whom it may concern:
ORIGINAL
NC Dept oPEnWronf"Q flt#1 Q11
?11,;7
FEB 13 2019
Ue;?gh Regional Qfrice
On behalf of the Town of Pittsboro, please find attached documentation in support of a Fast -Track
Application (FTA 04-16) for the above referenced project. The purpose of the project is to install
a new sewer interceptor to serve the Chatham Park development and surrounding area. The
interceptor will extend from the proposed Chatham Park WWTP in a northerly direction paralleling
an unnamed tributary of Robeson Creek to and across US-64 (near the new elevated water tank).
This project included the construction of approximately 9,700 linear feet of 24 to 8-inch, gravity
sewer, associated manholes, jack and bore under US-64, connection to the proposed Chatham
Park WWTP, site restoration, and all other work necessary to provide a working gravity sewer line.
This project will be permitted at zero flow since this is the first part of the future Chatham Park
development and the future connecting sewers will have the permitted flows. Please note that
the Chatham Park WWTP (WQ0039375) is under construction.
Included with this submittal are one original and one copy of the items listed below:
• Application Fee - Check in the Amount of $480.00
• Application Form (FTA 04-16)
• Site Map (USGS Quad)
• Google Street View Map of site
Please advise if you require additional information or have any questions concerning our submittal.
Sincerely,
WithersRavenel
J, 11
Christ pher N. Huff, PE
Project Engineer
115 MacKenan Drive I Cary, NC 27511
t: 919.469.33401 f: 919,467.6008 I www.withersravenel.com I License No. C-0832
Asheville I Cary I Greensboro I Pittsboro I Raleigh I Wilmington

Cashion, Ted
From: Huff, Chris <Chuff@withersravenel_com>
Sent: Thursday, March 28, 2019 11:31 AM
To: Cashion, Ted; '[e-mail]'
Cc: Oldham, Robbie
Subject: [External] RE: Chatham Park Section 5.2 Sewer Interceptor fast track sewer application
Attachments: Page 1 of FTA 04-16.pdf
• Elcternallemail.-Do not dlCk links or open attr dhm-- ents unlessyou verify. Send all s'uspIdcius ema11 as -an attaeliEiiient.t6
n.a .
See below for responses to your comments.
Please call if you have any questions or require any additional information.
Thanks,
Christopher Huff, PE
J. ... _..
115 MacKenan Drive I Cary, NC 27511
Office 919 469 3340 I Urect. 919.535.5161
Mobile [phone]
[e-mail]
CONFIDENTIALITY AND NONDISCLOSURE
From: Cashion, Ted <[e-mail]>
Sent: Thursday, March 28, 2019 9:37 AM
To: Huff, Chris <[e-mail]>; 'bgrues [e-mail]' <bgruesbeck @ pitts bo ro nc.gov>
Cc: Robinson, Jason <[e-mail]>; Deck, Erin M <[e-mail]>
Subject: Chatham Park Section 5.2 Sewer Interceptor fast track sewer application
We are reviewing the subject application and need additional information.
1. Item V. of the application was blank. As required, please provide the downstream sewer permit number,
downstream sewer size, system wide collection system permit number, and owner name.
This project is the initial sewer from the proposed Chatham Park WWTP (WQ0039375), there
is no downstream sewer.
2. Item IX.2. noted that separation requirements for wetlands is not met (50 feet separation). Please explain how
separation requirements will be met for this project.
TESTING OF GRAVITY SEWER LINES THROUGH WETLANDS:

For this project, there are two areas were wetlands could not be avoided. The sewer pipe in
these areas will be AWWA C-900. These lines will be hydrostatically tested prior to being
placed into service. Hydrostatic pressure testing requirements for these gravity sewer lines
will be determine by the difference in elevation (in feet) between the invert out of the
downstream manhole and the rim elevation of the upstream manhole, then dividing the
difference in elevation by 2.31 psi per foot of change in elevation and then multiply that
number by a 1.5 safety factor to determine the required testing pressure. Each individual line
segment of AWWA C-900 pipe will be hydrostatically tested to this pressure and will ensure
that no allowable leakage is allowed over a two-hour period. All tests will be performed in the
presence of the Owner and/or Engineer.
Example:
(B-A) / 2.31 psi/ft. x 1.5 safety factor = testing pressure
Where,
B = Rim of Upstream Manhole
A = Invert out of Downstream Manhole
3. As required on the application, the applicant certification in Item X.3 must be the same individual as noted in
1.3. Mr. Gruesbeck is noted in 1.3; Mr. Poteat is noted in X.3. Please submit revised pages showing consistent
responsible parties in the application.
Item I.3. has been changed to John Poteat, Public Works & Utilities Director to match Item
X.3. Attached is the updated page 1 of 5 of the Fast Tract Application.
We'll continue drafting the permit upon submittal and review of the above.
ted
Ted Cashion
Water Quality Regional Operations
Division of Water Resources
NC Department of Environmental Quality
Raleigh Regional Office
919-791-4254
ii
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Cashion, Ted
From: Cashion, Ted
Sent: Thursday, March 28, 2019 9:37 AM
To: 'Huff, Chris'; '[e-mail]'
Cc: Robinson, Jason; Deck, Erin M
Subject: Chatham Park Section 5.2 Sewer Interceptor fast track sewer application
We are reviewing the subject application and need additional information.
1. Item V. of the application was blank. As required, please provide the downstream sewer permit number,
downstream sewer size, system wide collection system permit number, and owner name.
2. Item IX.2. noted that separation requirements for wetlands is not met (50 feet separation). Please explain how
separation requirements will be met for this project.
As required on the application, the applicant certification in Item X.3 must be the same individual as noted in
1.3. Mr. Gruesbeck is noted in 1.3; Mr. Poteat is noted in X.3. Please submit revised pages showing consistent
responsible parties in the application.
We'll continue drafting the permit upon submittal and review of the above.
ted
Ted Cashion
Water Quality Regional Operations
Division of Water Resources
NC Department of Environmental Quality
Raleigh Regional Office
919-791-4254
'Nothing Compares
Subscribe to Collection System & Sewer Permitting Updates,
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.