WQ0038131_Application (FTSE)_20190514

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
ISA NCAC 02T.0300 FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
DIVIsIon of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: U Q (to becompletedbyDWR)
II items ed or the agglication will be refuMSd
I. APPLICANT INFORMATION:
1. Applicant's name: Orange Water & Sewer Authority (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Parmershi p El Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ® Other
3. Signature authority's name: Ed -Kerwin per 15 A NCAC 02 106 b
Title: Executive Director
4 Applicant's mailing address: 400 ]cmes FcaX Road
City: Carrboro State: 1), C Zip: 27510
5. Applicant's contact information.
Phone number: (M 537-4201 Email Address: [e-mail]
IL PROJECT INFORMATION:
1. Project name: Shelta0-Station
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: WQ00Jg l31 and issued date: I I/1Mgj5
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Oran ¢c
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.9138410 Longitude:-79.0720930
5. Parcel ID (if applicable): 9778877556
(or Parcel ID to closest downstream sewer)
M. CONSULTANT INFORMATION:
1. Professional Engineer: duck Hill License Number: 23.4b1
Firm: Coulter Jewell Thames
Mailing address: i I I West Main Smeet
City: Durham State: NQ Zip: 01-�
Phone number: (20 682-0368 Email Address chill citna.com
1V. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: MasonFarm Wastewgter Treatment Plant Permit Number. NC 0025241
Owner Name: 4WASA
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different thatt W It
1. Permit Number(s): WQ Downstream ((teceiving) Sewer Size: inch
System Wide Collection System Permit Numbcr(s) (if applicable): WQCS000 I
Owner Name(s): rQ ngs Water & Sewr_Authority
t
FORM: FTA 04-16
Page I of 5

V1. GENERAL REQUIREMENTS
I_ If the Applicant is a Privately -Owned Public Utility, has it 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 DF V been attached^
❑ Yes ❑No ©NIA
3_ If the Applicant is a Ilome!Pronern Owners' Association. has an_Oyerational Agre,:niemt0K11: 1!OA been attached?
❑ Yes ❑No ®N'A
a_ Origin of wastewater: (check all that apply):
® Residential Owned ❑ Retail (stores, centers. tttalls) ❑ Car Wash
® Residential I -eased ❑ Retail with food preparation/service ❑ I fotel and/or Motels
❑ School r preschool ! day care ❑ Medical f dental I veterinary facilities ❑ Swimming Pool !Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming PoollFilter Backwash
❑ Businesses 'offices/ factories ❑ Nursing IIome ❑ Other (Explain in Attachment)
5. Nature of wastewater: 1C0 % Domestic -Commercial °b Commercial
Industrial (See I M NCAC 0J' .f110?l_20
a,Is there a Pretreatment Program in effect" ❑ Yes []No
6. Has a flow reduction been approved under 1 iA NCAC 02T .01140 ❑ Yes ® No
tr ves, provide a copy or flow reduction unproval letter
7. Summarize wastewater generated by project:
Establishment Type (sec U'_T.UI 14ft1)
Daih Design Flow'b
No. of Units
Flow
I- and 2-Bedroom
A artmentslCondominiums
''-40 galrUnit
94
22,560 GPD
ual'
GPD
gal'
GPD
emir
GPD
sal.r
GPD
�alr
GPD
Toyed
22.560 GPD
a See I M NCAC; 021 .01 14(h), (d). fe)t 1) and (Of2) 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 ! M NCAC 02 1.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns. and other measured data.
8. Wastewater generated by project: 22,560 GPD (per 15n. NC_1C U2T .01 la)
�- Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pomp Station or Gravity Sewer Where flow will he permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number-
[] Rehabilitation or replacement of existing sewer w ith no new flow expected
❑ Other (Explain).
FORM: UTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC !Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 114.31 DIP
➢ Section 11 & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section Ill contains information related to minimum slopes for gravity sewcr(s)
A Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
Vlll. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump StationslFarce Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PRO. ECT
I Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: O 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 15A NCAC 02T .0305(h)(11:
❑ Standby power source or pump with automatic activation and telemetry - J 5A NCAC 02T .0305(h)(I XB)_
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(hx1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(hX I XQ
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

X.
CERTIFICATIONS:
I. Does the submitted system comply with ISA NCAC 027, the Minimum Design Criteria for the Permitting of PumpStations
and Force Mains -{latest version), and the Gravity wcr 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. Appmal of the rectue3i is required Prior to submittal of the Fa Track Application and su rtin u ents.
2. Professional Engineer's Certificaition-
1, — � V t,� ` I _ attest that this application for
(Professional Engineer's name from Application Item 11I. I.)
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 1 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 S10,000, as well as civil penalties up to S25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1J V
s name & title from
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 inciude civil penalties,
irdunetive 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 pans of this application package are not completed and that if
all required supporting inforrmation 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 application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed S 10,000 as well as civil penalties up to $25,000 per violation.
t Signature: '9S L4�
Date4', 3 6
FORM: FTA 04-16 Page 5 of 5

FAMR.
61
CoulterlJewel IlThames,
April 22, 2019
Nick Parker
Orange Water and Sewer Authority
400 Jones Ferry Road
Carrboro, NC 27510
RE: Shelton Station
Wastewater Permit Project Narrative (for Permit Modification)
Mr. Parker,
The Shelton Station project is located at 500 North Greensboro Street in Carrboro, North
Carolina, on the east side of North Greensboro Street across from the eastern end of Shelton
Street. The proposed project includes the construction of an office/retail building (approximately
22,700 S.F., already constructed and in service) and a residential building (approximately
110,500 S.F.).
Public Utilities, including Public Sewer, are proposed to be extended as a part of this project to
serve the proposed residential building. The original sewer design has changed because of local
regulatory issues and to achieve cost savings. The proposed design now serves the residential
building from the rear of the site, with a Public Manhole in the railroad right-of-way.
Approximately 115 linear feet of 8" DI sewerline in a 16" steel encasement is proposed.
As per OWASA requirements, all of the proposed lines and appurtances will be constructed in
accordance with the NCDENR and OWASA standards and specifications.
Sincerely,
Chuck Hill P.E.
Project Engineer

COWASQ-AlORANGE WATER AND SEWER AUTHORITY
A public, non profit agency providing water, sewer and reclaimed water services
to the Carrboro-Chapel Hill community.
May 13, 2019
Raleigh Regional Office
Water Quality Permitting
1628 Mail Service Center
Raleigh, NC 27699-1628
SUBJECT: Permit Modification for Shelton Station, Carr boro, NC
DWR Staff,
Enclosed are the following items for your review and approval. The project includes extension of
OWASA's sanitary sewer system in order to serve the residential component of a mixed use
development.
Fast -track Application form FTA 04-16 (original and copy)
Check in the amount of $480.00
Project Narrative —description of revision
Copy of Permit No. WQ0038131 dated November 18, 2015
Please note that the wastewater discharge (24,920 gallons per day) was previously and is currently
approved for the entire project. Construction for the residential building was delayed.
Please contact me, by telephone at 919 537-4201 or email ton arker owasa.or , if you have any
questions or comments.
Respectfully,
44," � Q-
Nicholas L. Parker
Engineering Associate
cc: Jessica Godreau, PE, Roy Blackwood — OWASA
Chuck Hill, PE —.Coulter Jewell Thames
400 Jones Ferry Road Equal opporrunit), Employer Voice [phone]
Carrboro, NC 27510.2001 Printed on Recycled Paper iynw,onata.Pro