WQ0040961_Application (FTSE)_20190510

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dlvlslon of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: W 0 �d f (to he completed by MR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
I. Applicant's name: Orange Water and Sewer Authority (company, municipality, FIOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State County ❑ Municipal ® Other
3. Signature authority's name: Ed Kerwin per 15A NCAC 02T .0106(b)
Title: Executive Director
4. Applicant's mailing address: 400 Jones Ferry Road 14C Dept of Environmental Quality
City: Carrboro State: NC Zip: 27510-
5. Applicant's contact information: v� to MAY 10 2019
Phone number: (2_L9) 537-4240 Email Address: dberger rr otvasa.org �-�►' � l
Raleigh Regional Office
I1. PROJECT INFORMATION:
I. Project name: Prince Street Sanitary Sewer Replacement
2. ApplicatioNProject status: ® Proposed (New Permit) ❑ Existing Permit/Project
If modification, provide the existing permit number: WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Orange
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.908 Longitude:-79.078
5. Parcel ID (if applicable): 9778656276
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Michael fenny
Firm: McKim & Creed
Mailing address: 1730 Varsity Drive
City: Raleigh State: NC
Phone number: [phone]
License Number: 046994
Zip: 27606-.
Email Address: mmoennyamckimcreed.com
1V. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Mason Farm Wastewater Treatment Plant Permit Number: NC 0025241
Owner Name: OWASA
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ Downstream (Receiving) Sewer Size: 10 inch
System Wide Collection System Permit. Numbers ifa licable : WQCS00031
Owner Name(s): Orange Water and Sewer Authority
FORM: FTA 04-16 Page 1 of5

V1. GENERAL REQUIREMENTS
!. 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 Deve! is Onerationai Agreement (FORM: DEV] been attached?
❑ Yes [:]No ®NSA
3. Ifthe Applicant is a HomerProperty Owners' Association, has an Operational Agreement (FORM: HOA1 been attacled?
❑ Yes []No ®NIA
4. Origin of wastewater: (check all that apply):
® Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparationlservice ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical i dental / veterinary facilities ❑ Swimming Poo! rClubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool?Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic.'Commercial _ _ % Commercial
% Industrial (See 15A NCAC 02T .0103(20))
'Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114 ? ❑ Yes ❑ No
Ifyes. provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01140
Daily Design Flow
No. of Units
Flow
gal?
GPD
gall
GPD
gall
GPD
gall
GPD
gall
GPD
gala
GPD
T7,,
0 GPD
a See l5A NCAC 02T .01 f4tbl, t& feg I arod (tM 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 .01 14(c), design flow rates for establishments not identified f in table 15A NCAC 02T.01 141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per.15A NC A'.92T .0114)
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 existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04.16 page 2 of 5

VI 1. GRAVITY SEINER DESIGN CRITERIA (If Applicable) - 03T .0305 & MDC (Gray it% Seµer%):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 250 DIP
Section II &. HI ofthe MDC for Permitting of Gravity Seers contains information related to design criteria
Section III contains information related to minimum slopes for gravity se%4er(s)
Oversizing lines to meet minimum slope requirement is Rol allowed and a violation ofthe tINIDC
Vlll. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & hIDC (Pump StationslForce Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Dearees); Latitude: LonL-itude: -T
3. Design flow ofthe pump station: millions gallons per day (firm capacity)
4. Operational point(s) ofthe pump(s): !gallons per minute at feet total dynamic head (I DI 1)
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)(I ):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02 r .0305(h)(1)(B)_
Required forall pump stations %Nitlt 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 Ilou less than 15,000 gallons per day:
❑ Portable power source %with manual activation. quick -connection receptacle and telemetry - 15A NCAC 021'
.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 o%%;ned or contracted by the applicant (draft agreement)
and is compatible with the station.
i 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 po%wr outage.
FORM: FTA 01-16 Page 3 of

1X. SETBACKS & SEPARATIONS —(02B .0200 & 15A NCAC 02T .0305(f)):
I. Does the project comply with all separations found in 15_A NCAC 02T .0305(1,)& (a) ® Yes ❑ No
15A NCAC 02T.0305 contains minimum se arations that shall be nrovided for sewers stems:
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 Il impounded reservoirs used as a source ofdrinking 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 pools
10 feet
Final earth prade (vertical)
36 inches
15A NCAC 02T.0305te1 contains alternatives where separations in 02T.0305(f) cannot be achieved.
**Stream classifications can be identified using the Division's NC Surface Water Classifications web a �e
If noncompliance with 02T.0305{f} orf" 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 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 NCAC 02B .0200? ❑ Yes [:]No [EN. -'A
This would include Trout Buffered Streams per LSA NCAC 2B.0?0)
4. Does the project require coverage;'authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
Information can be obtained from the 401 & Buffer Permittipg Branch
5. Does project comply with .15A CAC 02T.0105c6j m.'ccrtifications)? Yes [:)No
Per 15A N{ AC 02T,0105(c)6), 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 ❑ 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 permitice 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: f TA 04-16 Page 4 of 5

X. CERTIFICATIONS:
Does the submitted system comply witty 15A NCAC 02 I , the Minimum Desi_*n Criteria I'or the Permitting 01'PUMP Stations
and Force Mains latest version). and the Gravity Se%%er iMinintum Design Criteria latest ►ersion as applicable?
D Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Annroval of the reguest is required rior to submittal of the Fnst Tract; Application and supr)orling documents.
2. Professional Engineer's Certification:
L PE iviV
Engineer's name from Application Item III. I.)
attest 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 -Tract. 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 143-215.6I3, any person %%ho kno%►ingl) 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, :end date: NA GARO
;�20Q: •F 55lpj;��'i9
046994 y
,QEL, D +
3. Applicant's Certification per 15A NCAC 021 .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 m% knowledge. I understand that if all required parts of
this application are not completed and that il'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 tton-
discharge s) stem to surface waters or the land w ill result in an immediate enforcement action that ma) 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 il'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 ►tiith General Statutes 113-215.6,1 and I43-215.613, any person "ho knowingl) makes any false
statement, representation, or certification in any application package shall be guilt) of a Class 2 misdemeanor, «hick may
include a fine not to exceed $10,000 as well as civil penalties up to $25.000 per violation.
2aku
Signature: _ _ _ Date: G`F
�ISc 4
17ORM- FTA Od- 16 Pagc 5 of` 5

DESIGN NARRATIVE
FOR
FAST TRACK SEWER APPLICATION
OWASA
ORANGE WATER AND SEWER AUTHORITY
PRINCE STREET SANITARY SEWER REPLACEMENT
Carrboro, North Carolina
M&C Project # 01519-0048
May 2018
Prepared by:
v MqCM&CREED
NNI RS
Michael Penny, PE
McKim & Creed, Inc.
1730 Varsity Drive, Suite 500
Raleigh, NC 27606
P: 919-233-8091
H CARO"
p��ssi6�;�lti,�
F
04094 -

INDEX
SECTION
Narrative....................................................
QuadMap..............................................................................
Aerial Street Map .............................................
Page #
.....................1-3
............................. 4

DESIGN NARRATIVE
1. GENERAL
This project is identified as the Prince Street Sanitary Sewer Replacement for the Orange Water
and Sewer Authority (OWASA). This project involves the design and construction of
approximately 250 LF of 8-inch ductile iron pipe (DIP) sanitary sewer to replace the 4 inch
existing common service. The project is located on the west side of the 107 and 109 Barnes
Street properties and traverses west, along the southern property line of 110 Barnes Street to a
proposed manhole Iocated at the end of Prince Street. The existing sewer is in poor condition
and does not meet OWASA material and size standards for sewer mains; the replacement of
the existing 4 inch common service is deemed a priority for the OWASA.
2. EXISTING SITE AND PROPOSED IMPROVEMENTS
The project is located in the Town of Carrboro on an existing OWASA sanitary sewer easement
located on private property. The existing 4-inch sewer provides sanitary sewer service to two
residences, is undersized, in poor condition and does not meet OWASA material and size
standards for sewer mains. The construction will take place within the OWASA easement
between Barnes and Prince Streets and in a wooded OWASA sewer easement along Prince
Street. Additional easements will not be obtained for this project. Site conditions are mostly
wooded with some areas consisting of grassy lawns. Since this project replaces an existing
sewer, additional flow will not be added to the system.
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v MCKIM&CREED
May 10, 2019
Mr. Jason Robinson, Environmental Engineer
NCDEQ PERCS Unit- Collection Systems
3800 Barrett Drive
Raleigh, NC 27609
RE: Orange Water and Sewer Authority
Prince Street Sanitary Server Replacement
Fast Track Sewer Extension Application (Form: FTA 04-16)
Dr. Mr. Robinson:
ENGINEERS
SURVEYOPS
P L A N N E R S
M&C 01 i19-0048(40)
NC Dept of Environmental Quality
MAY 10 2019
Raleigh Regional Office
We respectively submit this application for a Fast Track Sewer Extension Permit on behalf of the
Orange Water and Sewer Authority for the subject project. This project replaces an existing 4-inch
common service with a new 8-inch ductile iron main. The existing common service will be
removed and the proposed 8-inch main will be installed in the same casement. No additional flow
will be added during this project. It is McKim & Creed's understanding there is no permit number
available for the existing sanitary sewer schmiuled for replacement.
We are submitting two copies of the following documentation for your review and approval:
• One (1) M&C Check No. 13497 for 5480
• Design narrative and supporting documents, including maps
• Full sve set of plan,,
• Shects Gl-G2, Cl, D1-D3
• CD %%-ith PDF's of the entire submittal package
If you have any questions please feel free to contact meat [phone] or by email at
rnngnnyo, mckimcrecd.com.
Sincerely,
McKIM & CREED, Inc.
Venture IV Building
Michael Penny, PE
I IdU Varsity Dave
Project Engineer
Raleigh, NC 27606
Enclosures
cc: Darren Berger, OWASA
Y 19 233 809 t Jason Savage, PE, McKim & Creed
Fes: 419 233 8031
www mckilncreed cam
IXUH,.w-i'rrmIt%4;ht.%I,01-11.0oI rt4titilD1{l-I'fkL.Y.2-P19115.105,,601"MIto%C171iQ',?01905 OSI'EMPC; PermilCmcrIetterdk1i.

Cashion, Ted
From: Michael Penny <[e-mail]>
Sent: Thursday, June 20, 2019 11:27 AM
To: Cashion, Ted
Cc: Robinson, Jason; [e-mail]; [e-mail]
Subject: [External] RE: Prince Street Sanitary Sewer Replacement fast track sewer extension
application
• External email. Do.not cF kks'oibo en attachri enis unless you verify. Send all suspicious emaH as an atta&rnent-to
Ted, this does not meet the definition of a high priority sewer. "tA
KA
Please let me know if you have any questions.
Thanks,
Michael
From: Cashion, Ted <[e-mail]>
Sent: Thursday, June 20, 201910:42 AM
To: Michael Penny <[e-mail]>; [e-mail]
Cc: Robinson, Jason <[e-mail]>
Subject: Prince Street Sanitary Sewer Replacement fast track sewer extension application
Michael,
We are reviewing the subject application. Everything looks good, just 1 question: Since DIP is specified, Is this a high
priority line?
We'll continue drafting the permit and should have it out in a few days.
ted
Ted Cashion
Water Quality Regional Operations
Division of Water Resources
NC Department of Environmental Quality
Raleigh Regional Office
919-791-4254
ted.cashion(&ncdenr.gov
1628 Mail Service Center
Raleigh, NC 27699-1628
3800 Barrett Drive
Raleigh, NC 27609