WQ0040847_Application (FTSE)_20190402

• State of North Carolina
6WR 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
Application Number; `�� t (ti�hcc;Fiupleredhy f]IVR)
All items must be completed or the annlication will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Fitch Creations Inc. (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State -County ❑ Municipal ❑ Other
3. Signature authority's name: Roy R_ Fitch. Jr. per 15A NCAC 02'1 _0106(b) w�
Title: President
4. Applicant's mailing address: 2000 F`earringtor�i;e Center 1
Cite{ Pittsboro State: NC Zip: 27312- ��i/ )
5. Applicant's contact information: v l%
Phone number: [phone] lvrmail Address: rb c3fearrinzton_com
11. PROJECT INFORMATION: ty %, SQL f
}
1. Project name. Fearrinaton Section X Area D Phasel�'
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permi0roject
If`a modification, provide the existing permit number: WQOD and issued date:
li ne�� construction but part ofa master plan, provide the existing permit number: WQ00
3 Count) w.lere project is located: Chatham
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.7922 Longitude:-79.0866
5. Parcel I D (if applicable):
(or Parcel ID to closest downstream sewer) C':
Ill. CONSULTANT INFORMATION: qu N o
tr
1. Professional Engineer: Alan R. Keith License Number: 133711 c �, •gip
Firm: Diehl &-, Phillips, P.A. c t
Mailing address: 1500 Piney plains Road Suite 200 c C .on
Cite: Ctiry State: NC dip: 275 i 8- A
Phone number: [phone] Email Address: arkeith(opbellsouth.net
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Faciliq Name: Fearrin gton WWTP Permit Nurnber: NCO043559
O\sner Name. Fitch Creations, Inc.
V. RECEIVING DOWNSTREAM SEWER INFORMATION (i1'different than WWTF):
I. Permit Number(s): \\IQ0040057 Downstream (Receiving) Sewer Size_ 8 inch
System l\ ide Collection System Permit Number(s) (il'applicable): WQCS.00238
Owner Name(s): Pitch Creations, Inc.
FORM: l--l-A 04-16 Page I of-5

V1.
GENERAL REQUIREMENTS
I. 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 it Developer of lots to be sold, has it Developer's Operational Agreement (FORM: DEV) been attached'
❑ Yes ❑No ON . -A
3. If the Applicant is a Home/Prop2rty Owners'_ Assoc iation- has _an Operational Agreement
(FORM: 140A) been attached?
❑ Yes [—]No ON . -A
4. Origin of wastewater: (check all that apply):
® Residential Owned ❑ Retaii (stores, centers, malls)
❑ Car Wash
❑ Residential Leased ❑ Retail with food preparationservice
❑ Hotel and?or Motels
❑ School / preschool / day care ❑ Medical! dental ' veterinary i'acilities
❑ Swimming Poo! !Clubhouse
❑ Food and drink facilities ❑ Church
❑ Swimming Pool?Filter Backwash
❑ Businesses I offices I factories ❑ Nursing Home
❑ Other (Explain in Attachment)
5. Nalurc ot•wastewater : 100 % Domestic/Commercial % Commercial
% Industrial (See_15A NCAC _02T,0.103(20])
�Is there a Pretreatment Program in effect? ❑ Yes ❑ No
G. 1-1as a flow reduction been approved under I5A NCAC 02T .01 M ? ®Yes ❑ No
If ves, provide a con, of flow reduction approval letter
7. Summarize wastewater ,generated by project:
Establishmeni Type (see 02T.01 14(1))
Daily Design Flow ° t'
No. of Units
Flow
Single family residential lots
250 gal/day
21
5,250 GPD
tya11
GPD
gale
GPD
gale
GPD
gal.+
GPD
gal/
GPD
Toml
5,250 GPD
a See 1 iA NCAC 02T .01 14(b). d e I an([ e ? for caveats to uaslewater design flow rates (i.e., minimum flow per
d�►elling; 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 .01 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01 14] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 5�2 0 GPD (per I5A 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 Permit Number:
❑ Rehabilitation or replacement of existin,U sewer with no nen flo%k- expected
❑ Other (Explain):
1701ZM. 17TA 04-16 Page 2 of 5

VII. GRAVITV SEWER DESIGN CRITERIA (II'Applienble) - 02T.0305 S MDC (Gravity Sewers):
1. Summarize graviq- sewer to be permitted;
Size (inches)
T
Length (feet)
Material
8
554
PVC
8
119
DI
3
Section ll & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
Section III contains information related to mininiu n slopes For gravity sewer(s)
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 s MDC (Pump SlatioiWForce 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 Ilow of the pump station; millions gallons per day (firm capacity)
4. Operational point(s) ofthe pump(s)' gallons per minute tit— __ feet total dynamic head (TDI-I)
5. Summarize the lorce main to be permitted (for this Pump Station):
Size (inches) Length (feel) Material
h. Power reliability in accordance with 15A NCAC 02T .0305(h)(l ):
❑ Standby power source or pomp with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(l3)_
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)(I )(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 ofthe portable power source or pump. including travel timeframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 0 4-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
I. Does the project comply with all separations found in 15A NCAC 02T .0305 I &
I5A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
L►RMNIM
Setback Parameter*
Se aration Required
Storm sewers and other utilities not listed below (vertical)
24 incites
Water maids vertical -water over sewer including in benched trenches
18 incites
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-1 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 -round water lowering and surtace drainage
ditches
10 feet
Anv building foundation
5 feet
Anv 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
Anv swimming pools
10 feet
Final earth grade (vertical)
36 inches
i I5A NCAC 02T.0305(R) contains alternatives where separations in 02T.03050 cannot be achieved.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webPag_e
If noncompliance with 021'.0305(t) or(g). see Section X ofthis application
Does the project comply with separation requirements far wetlands? (50 feet ol'separation) ® Yes ❑ No
See the Division's draft separation requirements for situations where separation cannot be meet
e 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 %vith all setbacks found in the river basin rules per 1 SA NCAC 02B .0200? ® Yes ❑ No
This would include Trout Buffered Streams per I5A NCAC 213.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ No
Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
lnfanrtation can be obtained from the 401 & Buffer Permittim-, Branch
5. Does project comply with I5A NCAC 021'.0105(c)(6) (additional perntitsicertitications)?
® Yes []No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied I'or, or have been obtained. issuance of this pert -nit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwaler management plans, etc_).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per I5A NCAC 02T.040?, "high -priority server" means "any aerial sewer, settler contacting surtace waters, siphon, or sewer
positioned parallel to streanibanks that is subject to erosion that undermines or deteriorates the sewer.
[:]Yes ® No
It yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by (fie permittee or its representative at least once every six -mouths and inspections
documented per 15A NCAC 02T.0403(a)(5) or the peruiitee's individual System -Wide Collection permit.
DORM: PTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
I. Does the submitted system comply with 15A NCAC 021', the tylininmum Desi m Criteria for the Permitting of Pump Stations
and I"orce Mains (latest version), and the Gravity Sewer Minimum Design Criteria fittest version) as applicable?
® Yes ❑ No
II -No, complete and submit the Variance.Ahernative Design Request application (VADC 10-14) and supporting documents for
review. Approi'al of the request is required prior to submittal of the Fast Track AnWication and supporting documents.
2. Professional Engineer's Certification:
I, _ _ .'✓_ Q--/<�_ _ �_ _--attest that this application for
(Professional Engineer's name from Application Item Ill.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 Desi+_n Criteria Ior Gravity Sewers (latest version), and the Minimum Design Criteria for the fast -Track Permitting
of Pump Stations and Force Mains (latest version). Althauglt other professionals may have developed certain portions ofthis
submittal package. inclusion of these materials under my signature and seal signifies that I have reviewed this [material and
!rave judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and I43-215.613, 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 S 10,000, as %%ell 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):
(SiL41atut'e Authority's name & title from Application Item 1.3.)
.................
_ �I pFESS/0
SEAL C.
13371
i H R VCE �
2.�l����
�
3lc�'!iq
that this application for
has been rerie+ved 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 ►vill 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 143-2) 15.6A and 143-215.6I3, any person \%ho knowingly makes any false
statement, representation, or certification to any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as ►\ ell as civil penalties up to S25,000 per violation.
i�
Signature - - - Date:
CORM, VTA 04-16 Page 5 of

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ire, unpt ul Envirouurcntnl Qualuy
APR — 2 44019 State of North Carolina
Department of Environmental Quality
Raleigh Regional Office Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Fitch Creations, Inc.
Project Name f'or which flow is being requested: Fearrington Section X Area D Ph. 2 & 3
Ahwe than um FTSE nrn}, be required jbr ashqle prc jevi if the owmr of fhe 11117P is not respotzsihle jor all pump
stations abing the rut,te a 'the prupused ti�>ustclrcrter j1u��.
Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Fearrington WWTP
b. WWTP Facility Permit:`#: NC0043559
All floivs rrre in MGD
c. WWTP facility's permitted flow
0.50 (0.270 constructed)
d. Estimated obligated flow not yet tributary to the WWTP
0.0499
e. WWTP facility's actual avg. flow
0.165
f. Total flow for this specific request
0.005
g. Total actual and obligated flows to the facility
0.2149
h. Percent of permitted flow used
79.59
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:
(A)
(B)
(C)
(D)=(B+C) (E)=(A-D)
Design
Obligated,
Average Daily
Approx.
Not Yet
Total Current
Pump Station Firm Flow**
Current
Tributary
Flow Plus
(Name or Capacity, ^ (Firm.1 po,
Avg. Daily
Daily Flow,
Obligated Available
Number) MGD MGD
Flow, MGD
MGD
Flow Capacity***
Weathersfield 0.90 0.36 0.14 0,019 0.155 0.205
* 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 sen•ice.
** 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
beiMeeu the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Fearrington Section X
Downstream Permit Number: WQ0040057
Page 1 of 6
FTSL 04-16

III. Certification Statement:
I _Roy B. Fitch _ 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 now 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 Nvith local established policies and procedures using the best
available data. This certification applies to those items listed above in Sections I and I1 plus all
attached planning assessment addendums for which I am the responsible party. Signature of this
Form indicates acceptance of this wastewater flow.
Si�mlr7�f�1f frc•icr] Si��r7cr1
zZ
Date
Page ? of 6
FTSF 04-16

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North Carolina
DEPARTMENT OF THE
SECRETARY OF STATE
PO Box M22 Raleigh. NO 2762"6M [phone]
Corporation Names
Name
Fitch Creations, Inc,
Business Corporation Information
SOSI D: 0053322
Status: Current -Active
Date Former[: 4/10/1961
Citizenship:'Domestic
State of Inc.: NC
Duration: Perpetual
Registered Agent
Agent Name:
Registered Office
Address:
Registered Mailing
Address:
Date: 7/1012002
Document Filings
N(
NC Dept of Environmental Quality
APR - 2 2019
Raleigh Regional Office
Principal Offi
Fitch Jr. Roy B Address:
2000 Fearrington Principal Mai
Village Center Address:
Pittshoro NC 27312
2000 Fearrington
Village Ctr
Pittsboro NC 27312
Bar -Coded Forms
For questions or comments about the North Carogna Secretary of State's web site, please send e-mail to Wei
For questions or comments conceming the Corporatians Divtslon, please send e-mail to CoMotations
http://www secretary.state.nc.us/Corpo tions/soSWCorp.asp?4652064 07/10/2002

.NORTH CARoLwA
PUBLIC STAFF
UTrI MES COMMISSION
January 16, 1996
r
Mr. Allen Keith
219 E. Chatham Street
Cary, Forth Carolina 27511
Re: Fearrington Village
Chatham County
Dear Sir:
NC -Dept of
Enylro�men,�+ pub
APR - 2 ZQ19 r,
Raleigh Regio"I off -
le
This lettbr is to certify that Fearrington Utilities has been granted a
Certificate or. Public Convenience and Necessity to Provide sewer utility
service in the above subdivision under Docket No. W-661, Sub 3. This utility
company is under.the jurisdiction of and subject to the requirements of the
North Carolina Utilities Commission.
If we can, be of further assistance to you, please do not hesitate to
contract this office.
AL: sw
Sincerely,
io),db A iZ-)
Andy Lee, Director
Public Staff - Water Division
nay cam ex==xRemuch 7334" ma ma 733-2M � 0 7 a°
A=wn ft abrtssmarSMV&= E3=We NA=d rM faux
733-�279 733-M7 M2t67 7 -AM 733WI0.
P.O. Box 2MO - Mcigk North &m1iM 2762 ZM - F= (9t9) �133-StSG -
4

M iter <
April 25, 2007
Mr. Roy B. Fitch, President
Fearrington Utilities
2000 Fearrington Village
Pittsboro, NC 27312
Subject: Fearrington Utilities WV\/TP
Permit No. NCO043559
Adjusted Daily Sewage Flow Design Rate
Chatham County
Dear Mr. Fitch:
Michael F. Easley, Governor
William G Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W Klimek, RE Director
Division of Water Quality
��D�ptoFE�ylro
APB h���t8' ouarlty
2019
Raleigh Rcgfcnaf Office
c
On January 19, 2007, the Division of Water Quality (Division) received a request from your
consulting engineer, Diehl & Phillips, for an adjustment to the daily sewage flow design rates.
This adjustment would apply to all permitted but not yet tributary connections and all future
connections tributary to this facility in accordance with 15A NCAC 02T .0114(f). A flow
adjustment to 70 gallons per day per bedroom was requested. The information provided was
reviewed by the Division's Raleigh Regional Office, and additional information was provided by
your engineer to the Raleigh Regional Office dated February 23, 2007 and March 28, 2007.
In accordance with 15A NCAC 02T .0114(f)(2), the Raleigh Regional Office has evaluated all
the submitted data and considered other factors including weather conditions during the data
period of November 2005 through October 2006, monitoring data for this facility and an
analysis of flow reduction data for other facilities comparable to Fearrington. Based on the
data submitted, the Division hereby approves the use by Fearrington Utilities for the collection
system described in Permit No. WQCS00238, and the treatment plant described in Permit No.
NC0043559, an adjusted daily sewage design flow rate of 250 gallons per day per 1 to 3
bedroom single family dwelling, with an additional 70 gallons per day per each bedroom
over 3 bedrooms, effective immediately.
In granting this flow reduction, please be advised that the Division will not reissue any
outstanding permits made prior to this flow reduction request. If reissued permits are desired,
a permit modification request with the appropriate fee must be submitted for each permit to be
so modified. Flow allocation and tracking files maintained by the Raleigh Regional Office will
be updated for any flow being shown as not yet tributary to the WWTP.
Future sewer extension applications should be made using the reduced flow amounts stated
above. All other aspects of the permitting process remain unchanged, and all applications
l ,oM,� Carolina
North Carolina Division of Water Quality 1628 Mail Service Center Raleigh, NC 27699-1628 Phone [phone] Customer Service
Internet vmu ncwaterquality.org location. 3800 Barrett Drive Raleigh, NC 27609 Fax [phone]
An Equal Opportunity/Afnnative Action Employer— 50%RecydedllD% Post Consumer Paper

y Mr. Roy B. Fitch
'Fearrington Utilities
Page 2
must be in compliance with the statutes, rules and regulations, and minimum design criteria as
certified by the owner and engineer. Without regard to this or any other flow reduction either
requested or granted, at no time shall the flow to this wastewater treatment facility
exceed the limits defined in the NPDES permit for this facility, nor exceed the capacity
of the sewers downstream of any new sewer extension or service connection.
If you have any questions regarding this adjustment to the daily sewage flow design rates, or
require any additional information, please contact Barry Herzberg at (919) 7914249, or by e-
mail to [e-mail].
Sincerely,
for Alan W. Klimek, P.E., Director
Division of Water Quality
by Charles Wakild, P.E.
Surface Water Quality Supervisor
Raleigh Regional Office
Cc: John F. Phillips, PE; Diehl & Phillips, 219 East Chatham Street, Cary, NC 27511
Chatham County Health Department
RRO SWP, SL, SB, BH
RRO, Fearrington WWTP File, NC0043559
Deborah Gore, PERCS Unit
Jim McKay, NPDES East

DIEHL & PHILLIPS, P.A.
CONSULTING ENGINEERS
1500 Piney Plains Road Suite 200
Cary, North Carolina 27518
Telephone [phone] Fax [phone]
March 29, 2019
WILLIAM C. DIEI IL, P.E,
JOI IN r. PI IILLIPS, P.C.
ALAN R. KEITH, P.E.
Non -Discharge Permitting Unit NC Dept of Environmental Quality
Division of Water Quality
NC DENR APR r 2 206
1628 Mail Service Center
Raleigh, NC 27699-1617 Rdeigh Regional Office
Re: Fast Track Sewer System Extension Application
Gravity Sewer Extensions to serve Section X Area D Phase 2 & 3 Fearrington P.U.D.
Chatham County
Dear Reviewer:
Enclosed for your review are the following for the referenced project:
1. Original and one copy of Gravity Sewer Extension Form
2. Flow Tracking Form (FTSE)
3. $480.00 Review Fee
We request that you approve the proposed permit application. There are 21 residential units
associated with the project. The flow associated with the project is 5,250 gallons per day.
Should you have questions or require further information, please contact our office.
Sincerely,
Diehl & Phillips, P.A.
Alan R. Keith, P.E.
Cc: R.B. Fitch