WQ0039381_Application (FTSE)_20190225

State of North Carolina
DWR Department of Environmental Quality
Division of Water Resources
15A NCAC 02T.0300— FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dhrlslon of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: &6315��1aO�tu @c complctcd b) IAA)
All items must be completed or (lie application will be returned
1. APPLICANT INFORMATION:
1.
Applicant's name: Orange Water R Sewer Authority (company, municipality, HOA, utility, e1c.)
2.
Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned
Public Utility
❑ Federal ❑ State/Coun(y ❑ Municipal ® Other
3.
Signature authority's name: Ed Kerwin per.15A NC'AC 02T.0i ffitl
Title: Executive Director
4.
Applicant's mailing address: 400 Jones Ferry Road
City: Carrboro State: NC Zip: 27510-
5.
Applicant's contact information:
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Phone number: [phone] t?mail Address: nparkernowasa.org
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H. PROJECT INFORMATION:
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1.
Project name: Chapel Hill High School Extension
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2.
Application/Project status: [] Proposed (New Permit) X❑ Existing Permit, Project
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If modification, provide the existing permit number: WQ0039381 and issued date: 08.;03;'2017
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If new construction but part of a master plan, provide the existing permit number: WQ00
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3.
County where project is located: Orange
4.
Approximate Coordinates (Decimal Degrees): Latitude: 35.95 Longitude: -79.08
5.
Parcel ID(ifapplicable): 9779-68-6385
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I . Professional Engineer: Brandon McLamb License Number; 034374
Firm: Timmons Group
Mailing address: 5410 Trinity Road. Suite 102
City: Raleigh State: NC Zip: 27607-
Phone number: (919) 8GG-4935 Email Address: brandon.mclamb ir-timmons.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Mason Farm Wastewater Treatment Plant Permit Number: NC 0025241
Owner Name: OWASA
V. RECEIVING DO�NrNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ NA * Downstream (Receiving) Sewer Size: S inch
System Wide CollcctionSystem Permit Number�Ls{ifapplicable: WQCS.do3
OwnerName(s):�
t1t3 PUMA
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FORM: I TA 04-1 G Page I of 5

VI. GENERAL RCQUIREMENTS
1. 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 AgMynekngFOR M: DEYJ been attached?
❑ Yes []No ®N-A
3. If the Applicant is a HomelProperty Owners' Association, has att_Operational Agreement.4FORM& 1(0A) 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 I veterinary facilities ❑ Swimming Pool .-'Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming PooliFilter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in A(tachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
% Industrial { ee 14A NCAC 02T .0103(20 )
—Is there a Pretreatment Program in effect? ❑ Yes ❑ No
G. Has a flow reduction been approved under 15A NCA�;_02T .0114(f)? ❑ Yes (K No
Y If yes, nrovi{le a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114ff1)
Daily Design Flow
No. of Units
Flow
C
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gall
GPD
gall
GPD
gall
GPD
gal?
GPD
gall
GPD
Tool a
a See .13A. NCAC 02T .0114(bl. f d). (e)(1) and fe)(21 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 lobe 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 136 Nf:AC 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: "p & ?'0 (per 15A 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
❑ Flow has already been allocated in Pennit Number:
Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-1 G Page 2 of 5

Vll. GRAVITY SEVER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 487 DI
Section II & III of the NIDC for Permitting of Gravity Sewers contains information related to design criteria
Section Ill contains information related to minimum slopes for gravity sewer(s)
3- Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
Vill. 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:
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
G. Power reliability in accordance with 15A NCAC 02T .0345(h)i 1 t:
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(R)_
i 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)(l)(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 timefrantes, shall be provided
in the case of a multiple station power outage.
FORM: PTA 04-1 G 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 C t 2T .030,5t f18c.�g (] Yes [-]No
15A NCAC 02T.03050) 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-I waters of Class l 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
Drainage systems and interceptor drains
5 feet
Any swimming ools
10 feet
Final earth grade (vertical)
36 inches
:- ISA NCAC 02Ti1}O5 {� contains alternatives where separations in 02T.0305(f) cannot be achieved.
**Stream classifications can be identified using the Division's NC Surface Water.Qhl ,si fica;tions webLa-.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 ❑ N+A
See the Division's draft separation requirements for situations where separation cannot be meet
No variance is required if (lie 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 02.B .02 ? ❑ Yes ❑ No (E N?A
This would include Trout Buffered Streams per 15A NCAC 2B_02Q2
4. Does the project require coverage?authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or401 Water Quality Certifications?
Information can be obtained from the 401 & Buffer Perrgit inyBranch
5. Does project comply with 15A-NCAC AC 02T.01 i6) (additional permits certifications)? X❑ Yes ❑ No
Per 15A NCAC 02T.0I05(cH , 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 ®NSA
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 permitet:'s individual System -Wide Collection permit.
FORM: FTA 04- I6 Page 4 of 5

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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/Altemative 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 supg2rtingdocumeats.
2. Professional Engineer's Certification:
I,
name from Application Item Ill./.)
that this application for
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 dale:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
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(Signature Authority's name & title from Application Item 1.3.)
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that this application for
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 43I 2IS-�Ij. 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.
Signatur#eL____:Ak
Date: IJD5/-�—
FORM: FTA 04-16 Page 5 of 5

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NC Dept of Environmental Quality
FEB 2 5 2019
Raleigh Regional UI'Ficc

I USGS 24K Toi3oarwhic 1 County Soil Survev MaDS
0 Site Parcel Boundary Address: 1709 High School Rd
0 300 600 9001,200 Feet parcel ID: N
9779-68-6385, 9779-79-3670
1 inch = 1,000 feet : mated by Town of Chapel Hill Public Works Department - Stormwater Management Division. 512CV2016

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TIMMONS GROUP
YOUR VISION ACHIEVED THROUGH OURS.
TRANSMITTAL
TO: Water Qualily Regional Operations Date: 2-25-19 Job #: 38753
Division of Water Resources
512 N. Salisbury Street
Ralei h NC 27604
❑ ENCLOSED PLEASE FIND:
Project: CHHS- Utility Extension
Reference: Utility Extension
Copies Sent To: Jason Robinson
COPIES
DATE
NUMBER
DESCRIPTION
1
Fast Track Application
1
$480.00 Check
1
USGS Ma p Ir nm n
1
Vicinity Ma
1
Existing Permit FEB 2.5
"wign xegional utticc
COMMENTS:
Please find the enclosed information for the Chapel Hill HS Sanitary Sewer submittal. If you need
anything further to complete your review please give me a call.
Please contact me at 919-866-4935 with any questions.
Thank you,
Brandon McLamb
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SIGNED:
Brandon McLamb, PE
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