WQ0040824_Application (FTSE)_20190320

State of North Carolina
Department of Environmental Qualiq,
DWR Division of Water Resources
15ANCAC 02T.0300— FAST TRACK SBI'ER SYSTEU EXTENSION APPLICATION
Division of Water Resources FI'A 04-116 & SUPPORTING DOCUMENTATION
Application Number k"VJ (tota.completedhy DWR)
11 items must he comVieted Qr the u icuti rn will he returned
I. APPLICANT INFORMATION.
I. Applicant's name: Town of Holly Snnnes (company, municipality. HOA, utility, etc.)
?. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Ctility
❑ Federal ❑ State County ® Municipal NepofEnvironmental Quality
3_ Signature authority's name- Kendra D. Parrish. P.E. per 15A NiCAC- 0'�T _010NN
Title; Director_ of Engineering MAR 2 0 2019
4. Applicant's mailing address: 129 South Main Street
City: Holly Spring~ State: NC zip: 27540-_ Raleigh Regional Office
5_ Applicant's contact information; 11
Phone number: (919) 557-3� Email Address: kendra.nanishtwhollvsnrinvsne.us t7�
5a�rw.er-r% cSahol(jSPr�ngSri e.°LAS
11. PROJECT INFORt1If1TiON:
E. Project naps: Honeycutt Farm - Phase 8
? ApplicationTroject status'. © Proposed(New Permit) ❑ Ddsting PernilTroject
If a modification. provide the existing permit number. WQ00_ and issued date:
It' new construction but part ofa master plan, provide the existing permit number WQ00
3. County where project is located: wake
4_ Appro:dmate Coordinates (Decimal Degreesi: Latitude: 35°3T17'N Longitude:-78150'46"W
5. Parcel ID (if applicable): 0421819:0014190; 0380113
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1_ Professional Engi ieer: John C. Martin License Number. 043217
Firnt: McAdams Company
Mailing address: 2905 Meridian Parkway
City- Durham Stale: NC zip: 27713
Phone number (919-361-5000 Entail Address:imartm@mcadamscocom
I1'. WASTLNVATER TREATMENT FACILITY (WWTF) INFORMATION:
I_ Fa 16, Name: Utlev Creek WasiewaterTreatment Plan Permit Number: NCO063096
Owner Name: IQ%%,Ii o[LISIjlv Snrings
V. RECEIVING DOWNSTREAM SE%% -ER INFORMATION (if different than WWTF):
L Permt Numbers): WQ 066les Downsttvam (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS 0019a-
Owner Name(s):
FORM : FTA 04-16 Page I of'

VI. GLIERIL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Con venienec and Necessity been attached'.)
❑ Yes ❑ No ❑X MA
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DI:V) been attached'?
❑ Yes ❑ No [D N.'A
3. If the Applicant is aL#p„��.i?rgperty 0-,A-ncr&'AssociaIinrt,hasanQnerninn;Ll.ag!eLrllonc tFORh1: [IC)Ai been attached.'
❑ Yes ❑No ❑X N-A
4. Origin of wastewater_ (check all that apply):
e X Residential Owned El
Retail (stores, centers, malls) ❑ Car Wash
Residential Leased ❑ Retail with food preparai ionfsery ice ❑ Hotel and-brMotcls
❑ School ' preschool, day care ❑ Medical dental veterinary facilities ❑ Swimming Pool Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses! offices 'factories ❑ Nursing Hoax ❑ Other (Explain in Attachment)
5. Nature ofwastewater. 100 "a DomesticrCotnmercial Commercial
°o Industrial (See 15A NCAC 02T .0103(20))
---sls then: a Pretreatment Program in effect'? ❑ Yes ❑ No
G. Has a flow reduction been approved under 15A NCAC 02T .0114 1T.' A Yes ❑ No
If yes, nro►ide a cony or flow reduction opKo►ut letter
7. Summuria: wastewater generated by project:
Establishment Type (see 02T,01 14(f))
Daily Design Flow 'a'
No. of Units
Flow
SINGLE FAMILY HOME
255 gal/ UNIT
39
9,945 GPD
gal/ UNIT
GPD
gaV
GPD
gal/
GPD
gaV
GPD
gal/
GPD
Tn1u1
9.945 GPD
a See I5A (NCAC {i''T .0114(bt. (d). teiil) acid 71 for caveats to wastewater design flow rates (i.e.. minimum flow per
dwelling. proposed unknown non-residential de%elopment uses; public access facilities located near high public use areas.
and residential property located south oreast of the Atlantic Intracoastal W aienvay to be used as vacation rentals as defined
in G.S. 42A4).
b Per 15A NCAC 02T .0114(c). design flow rates l'or establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fi-dures, occupancy oro oration pattems,and other meas ured data.
8. Was tewatergenerated by project: 9.945 GPD (per 15A NCAC 02T .0114)
Do not include future flows orpreviously pentitied allocations ✓✓✓
If pernitted 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 sever with no new flow expected
❑ Other (Explain) -
FORM: PTA 04-16 Pace 2 of 5

VIL G11AVIT1' SEWER DESIGN CRITERIA (If Applicable) - 112 i .0305 & NIDC (Gra Ity Ser4er% :
1. Summarize gravity sewer to be permitted:
Size(inches)
Length (feet)
Material
8
1,355
PVC
8
283
DIP
f(
Section II & III ofthe MDC for Permitting of Cavity Sewers contains inFormal on related to design criteda
Section ill contains information related to minimum slopes for gravity sewers)
i Oversizing lines to meet minimum slope requirement is not nllo►wd And a violation of the iMDC
Fill. PUMP STATION DESIGN CRITERIA (if Applicable)—02T.0305& MUC" Wump Stations+Fyrrc M:1i13w1:
COMPLETE FOR EACH PU11P STATION INCLUDED IN THIS PROJECT
I. Purnp station number or name:
2. Appro:pnrate Coordinates (Decimal Degrees): Latitude. Longitude; -__
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational points) of the purrip(s): gallons per minute at feet total dynamic head (TDH)
5. Summarize the force min to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliability in accordance with 15A NCAC 02T .0,10,%X 1)-.
❑ Standbypower sourceorpunip with autonratic activation and telemetry - 15A NCAC 02T .0305(hXl)(B)=
Required for all pump stations with in a%crage daily flow greater than or equal to 15,000 gallons per day
Must be permanent to tactlity
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 pluggm ed emergency pump connection and telemetry - 15A NCAC 02T 0305(li)(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 afall the pump slat ions'slorage
capacities and the rotation schedule of the portable power sourecor pump, including travel tiniefratttes, shall be provided
in the case ofa multiple station power outage.
FORM: FTA 04-16 Page 3 of j

I\. SETBACKS & SEPARATIONS — (11213.021111 & 15A NCAC 02T.0305(f)):
I. Does the project comply with all separations found in liA_ NCAC 07T 0.,()5(fi & lei
15A NCAC 01T 01n5in enntainc minimum rowimiinnc that chnII fnr cr-ivor a at,-nw,
❑ Yes ❑ No
Setback Parameter*
Separation Required
Stour sewers and other utilities not listed below (vertical)
24 inches
Waternrains (vertical -water over sewer including in benched trenches)
18 inches
Water mains (horizontal)
10 feet
Reclaimed water lines (vertical -reclaimed oversewed
I8 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
"Any private or public water supply source, including any wells, WS-I waters ofClass I or
Class 11 impounded reservoirs used as a source of drinking water
l0(1 feet
"*Waters classified WS (except WS-1 or WS-V). B. SA,ORW, HQW, orSB from nornul
high water (or tide elevation) and wetlands (see item IX._')
50 feet
"Any otherstream, lake. impoundment, or ground water lowering and surface drainage
ditches
10 feet
An buildin g foundation
5 feet
Any basement
10 feet
'Cop slope of embankment orcuts of 2 feet ormore vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Anyswinirling. pools
10 feet
Final earth Cmde (vertical)
36 inches
15A NCA C 02T.03031 L,,) contains alternatives where separations in 02T.0305 cannot be achieved.
'"Stream classifications can be identified using the Division's NC Surface_ Water Classifications webpage
If noncompliance with 02T.0305(f) or (1 see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) Yes- ❑ No
% 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 all setback.% found in the river basin rules per 15.A &A!. 02B Qw:' X❑ Yes ❑ No
This would include Trout Buffered Streams per I Llk _Ntr A C' 213.(}2Q?
4. Does theproject comply with an individual 404 Permit orany 401 Cenificalions7 El Yes ❑ No
Wetland -related permits shall be requested, obtained. and adhered to for projects that impact wetlands or surface waters
% Information can be obtained from the 401 & Buffer Pernitting Branch
5. Does project comply with 15A NCAC 02T.0105(c 1(6) (additional permits:certiftcations)? 0 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. Issuanceof this permit is contingent on issuanceofdependent permits (erosion and
sedimentation control plans, stomtw•aler ironagement plans, etc_).
6. Does this project include an}- sewer collection lines that are deemed "]sigh -priority?"
Per 15A NCAC 02T.0402, "high priority server'' 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.
El Yes 0 No
If yes, include an attachment with details fur each line, including type (aerial line. sin, material. and location).
High priority lines shall be inspected In the permittee or its representuti%r at least once eery six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the permitec's indi%idual System-Wir1e Collection permit.
FORM: FTA 04-16 Page 4 of 5

i
K. CERTIFICATIONS:
I. Does the submitted systemcomply with 15A NCAC 021 the MinigMm Design Criteria for Ilse PcmtkIine of Pum Stations
and Force Mains (latest version). and the Gravity Sewer Min imum-Des ian Criteria {latest version) as applicable?
X Yes ❑ No
If No, complete andsubmit the Variance;Altemathe 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 supWrting„ documents,
2. Professional Engineer's Certification:
John C Martin
I. attest that this application for
(Professional Engineer's name from Application hem 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 Fast -Track Permitting
of Pump Stations and Force Alains (latest % ersion). 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
haN a 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 S25.000 per violation.
North Carolina Professional Engineer's seal, signature, And date:
CARO
Z.��-
tL SEAL
0432V =
iv
Ills
3. Applicant's 'ertitication p • l5A NCAC 02T .0106(b)_
1. ----- — attest that this application for
(Signature Authority's name & title from Application Item I.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 systemto surface waters or the land will result in an immediate enforcement action that nray include civil penalties,
injunctive relief, and'orcriminal prosecution. I will make no claim against the Division of Water Resources should a condition
of this permit be violated, I also understand that it'all required parts of this application package are not completed and t hat 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 143-215.613, 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.(i00 per violation.
Signature; -- _ Y _ Date: — ALI --
FO RN] ; FTA 04-16
Page 5 of 5

A HONEYCUTT ROAD
USGS TOPO MAP
o Soo 1,000 2,000 PROJECT #: MlH-16010
Feet
i inch.- 1,000 rcet HOLLY SPRINGS, NORTH CAROLINA
"J
WADAMS

r 4
or
maK 9: C i
3�� ��������'LL4�J�� - l { � 6 • ��V{' L�j:+l 0 h 'r'IJ-.y ..

4CT
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
.fames B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
March 31, 1995
Stepanie L. Sudano, P.E., Town Engineer
Town of Holly Springs
Post Office Box 8
Holly Springs, North Carolina 27540
RE: Town of Holly Springs
Request for Adjusted Daily Wastewater Flow
Wake County
Dear Ms. Sudano:
Ad
E)EHNR
On March 15,1995, the Division received your wastewater flow reduction request and supporting
documentation concerning wastewater flows associated with present residences within the Town of Holly
Springs. Your letter requested the Division allow the reduction of wastewater flows from 120 GPD per
bedroom as required in required by North Carolina Administrative Code to 255 GPD per household for
single family residential units. In support of your request, water consumption data and wastewater
information was supplied from households located in Holly Springs.
An evaluation was completed by the Division in accordance with 15A NCAC .02190)(3) using the
water consumption data submitted, twelve (12) months of data starting from January 1994. The peak
month was determined to be January 1994 based on average wastewater generated per customer. Using
the upper 10% of the water consumption data for the month of January, eliminating industries, commercial
properties and several inaccurate residential readings, Division staff verified the flow rate of 255 GPD per
household.
In view of the information submitted, the Division of Environmental Management hereby approves
the use of 255 GPD per single family residence in all applicable non -discharge permit applications for
future wastewater collection extensions which will be made tributary to the Town of Holly Springs
Wastewater Treatment Plant (Permit No. NC0063096). This consideration applies to any applicable future
projects submitted to this Division as well as any projects which are presently under review. Wastewater
flows presently tributary to the wastewater treatment facilities can be adjusted upon negotiations between
the Town of Holly Springs and the Raleigh Regional Office.
If you have any questions or comments regarding this matter, please contact Mr. Michael D. Allen
at [phone] ext. 547.
cc: Raleigh Regional Office, Water Quality Section
State Engineering Review Group
P.O. Box 29535, Raleigh, North Carolina 27826-0535
An Equal Opportunity Affirmative Action Employer
Since y,
v e—
/—A. Preston Howard, Jr., P.E.
Telephone [phone] FAX [phone]
50% recycled/ 10% post -consumer paper

F
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sever Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Town Of Holly Springs
Project Name for which flow is being requested: Honeycutt Farm - Phase 8
Afore thin) one FTSE rnar be requircxl,lor a single project it the rm .ner of the 11117P is not respurrsihle Jar cr� np
_cautions alone the Pane of the prvpr�scd urtstetrurcr /lou.
CR
I. Complete this section only if you are the owner of the wastewater treatment plant. p,
a. WWTP Facility Name: Utley Creek Wastewater Treatment Plant
b. WWTP Facility Permit #: NC 0063096
A11 floors are in MGIE
C. WWTP facility's permitted flow 6.0
d. Estimated obligated flow not yet tributary to the WWTP (]ems
e. WWTP facility's actual avg. flow
f. Total flow for this specific request pt��
g. TotaI actual and obligated flows to the facility 2-ul _
h. Percent of permitted flow used qG Z,
11. 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:
(A)
(B) (C)
(D)=(B+C)
(E)=(A-D)
Design
Obligated.
Pump
A%erage Daily
Approx. Not Yet
Total Current
Station Firm
Flow**
Current Avg,. Tributary
Flow Plus
(Name or Capacity. *
(Firm t p1).
Daily Flow, Daily Flow,
Obligated
Available
pNutnber) MGD
L (q
MGD
�{.�
MGD
MGD /MGD
V Q Z
Flow
�
V�/2-2
Capacity***
* 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): AooeqtAw %00yn S
Downstream Permit Number, A Ljp1fiaJOd7
Page I o f 6
P-1
FTSF 04-16

Ill. Certification Statement:
I 6 ��� certify to the best of my knowledge that the addition of
v the I me of wastewater to be a itted 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 lI plus all
attached planning assessment addendums for which I am the responsible party. Signature of this
form indicates acceptance of this wastewater flow.
Sign ng Official Signa r e
Page 3 of 6
Z l
19
I
bdie
FTS C 04-16

�JI McADAMS
January 4, 2019
NCDENR - DWR
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
Re: Honeycutt Farm Phase 8
Holly Springs, North Carolina
MIH-16010
WC Dept ofEnvironmental Quality
MAR 2 0 2019
Raleigh Regional Office
The accompanied Fast -Track Application (FTA 04-16) includes 1,355 lineal
feet of 8" PVC and 283 lineal feet of 8" DIP associated with the proposed
Honeycutt Farm Phase 8 development located off Honeycutt Road in Holly
Springs, NC. The gravity sewer will all be a public system owned and
operated by the Town of Holly Springs. Phase 8 of the project will consist of
approximately 39 residential units. The total wastewater flow generated by
Phase 8 of the project is 9,945 GPD.
Sincerely,
THE JOHN R. MCADAMS COMPANY, INC.
q,,P, a ,
John C. Martin, P.E.
Technical Manager, Residential
Enclosures
The Jahn R. McAdams
Company, Inc.
Raleigh f Durham, NC
2905 Meridian Parkway
Durham, North Carolina 27713
[phone]
Charlotte, NC {
11301 Carmel Commons Blvd
Suite I I I
Charlotte North Carolina 28226 i
[phone]
MCAdamsCo.cem Designing Tomorrow's Infrastructure & Communities

DO NOT SUBMIT SEWER EXTENSION APPLICATIONS UNTIL
CONSTRUCTION DRAWINGS HAVE BEEN APPROVED BY STAFF!911'
Sewer Design and Application Certification
Note: This form must be submitted with the Fast -Tract Application for Gravity Sewers, Pump
Stations and Force Mains for extension to the Town of Holly Springs Sewer System Vol c
G
Project: Honeycutt Farm - Phase 8
r � �
John C. Martin
Design Engineer: O
Address: 2905 Meridian Parkway, Durham, NC 27713
Phone Number: 919-361-5000 Email: [e-mail]
Date Complete Application Package Received by Town: 01 . 1,.P) a 11 _
Date Approved: Rx, 3{51l! (by RLC) yj (by KDP)
As design engineer for this project, I certify the following (please check (.r) each applicable box):
0 That the design of the project is in complete conformance with Town of Holly Springs
Engineering Design and Construction Standards and NCDENR Sanitary Sewer Design
Regulations;
El That each of the following items are completed and enclosed for submittal to the State for
a sewer extension permit:
0 One original and one copy cover letter including a project narrative
o A check in the amount of $480.00 to DENR
o A check in the amount of $200.00 Town processing fee
0 One original and one copy of the State of North Carolina Fast Track
Application far Gravity Sewers, Pump Stations, and Force Mains
0 Two copies of FTSE 08-13 Flow Tracking/Acceptance Form
0 Two color copies of a 8.5-inch by I l-inch portion of a 7.5 minute USGS
Topographic Map showing project area
0 Two copies of a street level map showing all relevant project areas
0 One copy of the locally -required Design and Application Certification
Design Engineer's Signature (�
In addition, once your construction drawings are approd and this application is complete, you
will receive a copy of the Town's letter of transmittal to the State as your confirmation that the
application is complete and has been forwarded to the State for permitting. Please contact Sara
Emig at [phone] if you do not receive this confirmation or if you have any questions.
Engineering Department - P.O. Box 8, Holly Springs, NC 27540
919-557-3938 - 919-552-9881 (far)
2003 Saver Design Application Certtftcatiun
04-1 1201 H

070; >,
[�IRA�
Hill" .
99K
~' THE TOWN OF 011y
March 4, 2019
Director, Division of Water Resources
Raleigh Regional Office
Water Quality Operation Section
1628 Mail Service Center
Raleigh, NC 27699-1628
Re: Application for Sewer Extension Permit
Project: Honeycutt Farm, Phase 8
Dear Sir or Madam:
VC Dept of Environmental Quality
MAR 2 0 20S
Raleigh Regional Office
Please find enclosed the following items in application for a sewer extension permit to the Town
of Holly Springs existing sewer distribution system:
0 One original and one copy cover letter including a project narrative
o A check in the amount of $480.00
0 One original and one copy of the State of North Carolina Fast Track Seater System
Exlension Application (FTA 04-16)
0 Two copies of FTSE 04-16 Flow Tracking/Acceptance Form
o Two color copies of a 8.5-inch by I 1-inch portion of a 7.5 minute USGS Topographic
Map showing project area
Two copies of a street level map showing all relevant project areas
One copy of the locally -required Design and Application Certification
Feel free to contact me at 919-557-3938 should you have any questions or need additional
information in order to process this application.
SK;erel y,y,
Kendra D. Parrish, P.E., CFM
Director of Engineering
KPase
cc: Project Consultant Engineer, John C. Martin, PE, McAdams Company
Administrative Manager (for addition to sewer permit log)
Rodney Campbell, Development Administrator
Project file/Correspondence ##41719
.foot
Engineering Depar•hrtent
P.O. Box 8 - 128 S. Main Street • Holly Springs, NC 27540 • www.hollyspringsnc.us