WQ0041015_Application (FTSE)_20190530

State of North Carolina
DWR
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: �V Q .01
too be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Justin Sacco (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: Justin Sacco per I SA NCAC 02T .0106 b
Title: Owner
4. AppIicant's mailing address: 3730 Hoe Valley Road
City: Durham State: NC Zip: 27707-_
5. Applicant's contact information:
Phone number: 9( 19) 884-7646 Email Address: justinsacco0,email.com
IL PROJECT INFORMATION:
I. Project name: 3730 Hope Valley Road
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a 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: Durham
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.944050' Longitude:-78.943830-
5. Parcel ID (if applicable): 124516
(or Parcel ID to closest downstream sewer) —
ie �
III. CONSULTANT INFORMATION: O'
W 4-
1. Professional Engineer: Charles N. Hill. Jr License Number: 23461 v
E Firm: Coulter Jewell Thames P.A. cvc
o e= ,o
Mailing address: I I I West Main Street >
City: Durham State: NC Zip: 27701 O
Q
Phone number: 919 682-0368 Email Address: c—hill@c*!Ra.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: U
z
1. Facility Name: South Durham Water Reclamation Facility Permit Number: NCO047597
Owner Name: City of Durham
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ _ Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00005
Owner Name(s): City of Durham
FORM: FTA 04-16 Page I of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes []No ON . --'A
2. If the Applicant is a Developer of lots to be sold, has a Develu er's Operational AP-Teement FORK t�DE )been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a I come?Pro a Owners' Association has an Operational Agreement (FOR NI: HOA been attached?
❑ Yes ❑No ®N;'A
4. Origin of wastewater: (check all that apply):
® Residential Owned ❑ RetaiI (stores, centers, malls)
❑ Car Wash
❑ Residential Leased ❑ RetaiI with food preparation/service
❑ Hotel and/or Motels
❑ School preschool.,: day care ❑ MedicaI l dental i veterinary facilities
❑ Food and drink facilities ❑ Church
❑ Swimming Pool /Clubhouse
❑ Businesses.': offices! factories ❑ Nursing Home
❑Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 °l° Domestic,'Commercial �% Commercial
% Industrial See 15A NCAC 02T .0103(2Q))
4 Is there a Pretreatment Program in effect?
❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114 ? ❑ Yes
® No
➢ If yes, provide a cony of flow reduction anoroval letter
7. Summarize wastewater generated by project:
Establishment Type (see U21.0 I140 Daily Design Flow'-'
No. of Units Flow
Single Family 120 gal/day/
4 480 GPD
gall
GPD
gall
GPD
gall
GPD
gall
GPD
gall
GAD
Tora! l 10 GPD Z.
a See I5A NCAC 02T .0114 d e 1 and e 2 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.
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114.1 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 480 GPD (per 15A NCAC 02T .0I 14
➢ Do not include future flows or previously permitted allocations LX
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
❑ FIow 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

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 a MDC Gravit Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
4 55 PVC
➢ Section 11 & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VII1. 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: y 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 1 :
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(13)_
➢ 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 I5,000 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 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 timeframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
I. Does the project comply with all separations found in SAC 02T .0305ift & fa)
® Yes ❑ No
➢ 15A NCAC 02T.0305 contains alternatives where separations in 02T.0305(f1 cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC Surface Water Classifications webaage
➢ If noncompliance with 02T.0305(f) or (Q). 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 0213.0200? ® Yes ❑ No ❑ N-A
➢ This would include Trout Buffered Streams per 15A NCAC 213.0202
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 Permitting Branch
Does project comply with 15A NCAC 02T.0105(c� (additional permitslcertifications)? ® 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. 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 I SA 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 ❑NA
➢ 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 permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with.L5A-NCAC 0f2T, the pump Ainimum DeSi�n C iteria or the Permitting of Stations
and Force Mains latest version and the G v' imu Desi Criteria LWest v ion as applicable?
ElYes ® No �JGi , ��I to ►ti •f t
r/ �q 1 � `% � , �r �
If No, complete and submit the Variance: Alternative Design Request application (VADC 10-14) �nd supporting documents for
review. Approval of the request is re wired Prior to submittal of the Fast Track Application and supportine documents. V
2. Professional Engineer's Certification:
1, �ll�f ��5 ! % attest that this application for
(Professional Engin er's name from Application Item 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 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.
..... tNA ti<< 1 I.... A. ....................
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I
(S
AUtnortty's name & title from Application Item 1.3.)
SE L
23461 —
N
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r... �.
attest 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 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 $25,000 per violation.
Signature: 4A-,7
Da
FORM: FTA 04-16
Page 5 of 5

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Entity Requesting Allocation:
Justin Sacco
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sever Extension Applications
(FTSE 10-18)
Project Name for which flow is being requested: 3730 Hope Valley Road
Marethan one FTSE may be required for a single project if the nxwer of the 017P is trot responsible for all pump
stations along the route of the proposer! wasterralerflog.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: South Durham WRF
b. WWTP Facility Permit #: NCO047597
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
Ali flo►twv are in MGD
?0
QRWW
IM
360 gpd
14.06
.70
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 Pump Average Approx.
Not Yet Total Current
Station Station Finn Daily Flow** Current
Tributary Flow Plus
(Name or Permit Capacity, # (Firni i pt). Avg. Daily
Daily Flow, Obligated
Available
Number) No. IviGD MGD 171mv- MGD
MGD Flow
Capacity***
* The Firm Capacity (design flow) 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 pealdug factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the NVNVTP where the Available Capacity- is < 0.
Downstream Facility Name (Sewer); Hope Valley Road SeNver
Downstream Pen -nit Number: unknown; installed in 1973 by City
Page I of
FTSE 10-18

Ill. Certification Statement:
certify to the befit of my knowled�,,e that the addition of
the volume of wastewater to be permitted in this project has been eValuWted along the route to the
receiving wastewater treatment facility and that tl_.e f[w% from this project is not anticipated to cause any
capacity related sanitary sewer overflows or overburden any dowr.stream pump station en route to the
receiving treatment plant under normal circumstances, given the i[Tlplelnentation of the planned
improvements identified in the planning assessment «-here applicable, This analysis has been performed
in accordance with local established policieti and procedures using the best available data. This
certification (IpplICS to tIlOSC 1[Cm5 listed abo%a in Sections I and II plus all attached planning assessment
addendums for which I am the responsible party. Signature of this Harm certifies that the receiving,
collection system or treatment works has adequate capacity to transport and treat the proposed new
wastewater.
Sigrri�tg Q.1 cial Signatw-e / IfL,
?rifle ofsigaiug Uffcial
Page 2 of 6
I-"fSE 10-I8

A CoulteriJewell 'Thames, PA
MAIN OFFICE
III WEST MAIN STREET
DURHAM, NC 27701
p919.682.0388 (919.680 5646
Planning for the _.�.
May 22, 2019
NCDENR - Division of Water Resources
Raleigh Regional Office Water Quality Section
1628 Mail Service Center
Raleigh, NC 27699-1628
Re: 3730 Hope Valley Road
Dear Sir,
PIease find attached one (1) original and one (1) copy of Form FTA 04-16 and supporting documentation.
This request is to permit an existing 4" PVC gravity sewer service to be utilized as a sewer main to service
the existing house and a proposed garage apartment. The garage apartment is lower than the existing sewer
service line, such that a private pump station will be connected with a private 2" force main to serve the
garage apartment. The 2" force main has already been installed and inspected by the City of Durham
Plumbing Inspector (Permit No. 18301557).
The Variance request is attached for the approval of the existing 4" sewer to be utilized as a "main".
If you have any questions regarding this matter, please do not hesitate to call me at [phone].
Sincerely,
*tx� AX
Chuck Hill P.E.
Project Engineer
Ae- W- - 1I4 L.w n L . S,4 y

Robinson, Jason
From: Robinson, Jason
Sent: Thursday, June 06, 2019 11:35 AM f
To: Justin Sacco; 'Chuck Hill' /
Cc: Cashion, Ted ,V �✓AV be -
Subject: RE:Re: #19100513 - 3730 HOPE VALLEY Road JJJ
Justin/Chuck,
G
We received the fast -track application for the sewerline at 3730 Hope Valley Rd..
Through a cursory review, we have the following questions/comments:
I. Was a variance request application sent to our central office (the address on the form)? The package we
received in the regional office says the variance application is attached, but it's not.
2. The sewer extension application we received in the regional office requires a flow -tracking sheet to be attached
(Instruction E). This needs to be signed by a representative of the WWTP that will be receiving the flow from
this project.
Thanks,
Jason
------------
Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
Division of Water Resources, DEQ
919-791-4200
**Subscribe to Collection System & Sewer Permitting U dates**
E-mail correspondence to ondfrom this address may be subject to the North Carolina Public Records Low and may be disclosed to
third parties.
From: Robinson, Jason
Sent: Monday, April 01, 2019 3:59 PM
To: Justin Sacco <[e-mail]>
Subject: RE: [External) Re: #i19100513.3730 HOPE VALLEY Road
Sounds good Mr. Sacco
------------
Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
Division of Water Resources, DEQ
919-791-4200
"Subscribe to Collection System & Sewer Permitting Updates*"
1

-rnail correspondence to and from this address may be subject to the North Carolina Public Records tour and may be disclosed to
third parties.
From: Justin Sacco <iustinsacco@ mg ail.com>
Sent: Monday, April 01, 2019 3:54 PM
To: Weist, Justin <[e-mail]>
Cc: Robinson, Jason <'ason.t.robinson ncdenr. ov>; Handel, Rachel <[e-mail]>; Joyner, Robert
<[e-mail]>; Adcock, Laura <Laura.Adcock durhamnc. ov>; Read, John
<iohn.read durhamnc. ov>; Cashion, Ted <[e-mail]>
Subject: Re: [External] Re:1#19100513 - 3730 HOPE VALLEY Road
�Y= E mal a Do nt;t e u links or open -attachments unless yob verify. Send alf suspicious email as an of acl. runt to
�m`�nc.r�yv
Great, thank you -
Jason, I will give you a call.
On Mon, Apr 1, 2019 at 3:52 PM Weist, Justin <[e-mail]> wrote:
Correct, work directly with Jason on this, for the variance and they permit.
Justin D. Weist, PE
Engineering Manager
City of Durham
Department of Public Works
Engineering Division
919 560 4326 ext 30278
From: Justin Sacco [mailto:'ustinsacco maii.com]
Sent: Monday, April 01, 2019 3:50 PM
To: Weist, Justin
Cc: Robinson, Jason; Handel, Rachel; Joyner, Robert; Adcock, Laura; Read, John; Cashion, Ted
Subject: Re: [External] Re: #19100513 - 3730 HOPE VALLEY Road
OK, thank you. Justin, can you please describe the procedure I will need to follow to apply, or does this effectively skip
your team and go straight to the state for review? If so I will work directly with Jason on this.
On Mon, Apr 1, 2019 at 2:56 PM Weist, Justin <[e-mail]> wrote:
Yes sir, that is correct.

Justin D. Weist, PE
Engineering Manager
City of Durham
Department of Public Works
Engineering Division
919.560 4326 ex130278
From: Robinson, Jason [ma !Ito: jason.t. robinson(@ncdenr.gov]
Sent: Monday, April 01, 2019 12:42 PM
To: Justin Sacco
Cc: Weist, Justin; Handel, Rachel; Joyner, Robert; Adcock, Laura; Read, John; Cashion, Ted
Subject: Re: [External] Re: #19100513 - 3730 HOPE VALLEY Road
I am currently out of the office and will need to confirm, but if a variance request is made for a 4" line instead of a 6",
then both the variance and the permit application both need to come to the state for approval and issuance...
Sent from cell phone
On Apr 1, 2019, at 12:34 PM, Justin Sacco <iustinsacco(aDsmail.com> wrote:
• ternaternall. Ddnot cli iinksbrg n:atta�irriehts ual6kydu verify.. Send 411pici
susousernajias" atta mtt�ottsamnc:v
Justin and Jason,
Jason and I had a chance to connect mid -last week, and he was very helpful in describing the states
position on ADU's and exceptions in regards to this type of need / project.
To summarize, the state will allow a single line to service two structures, although typically a 6"
minimum gravity pipe is required (we have a 4"). The state will also allow the permit applicant to
submit for a permit and variance from the typical required 6" gravity sewer line if stamped engineered
drawings can be provided vetting the soundness of the design. As we will only have 31/2 baths on the
existing 4" line, one of which will be fed via 2" pipe from an ejector pump, we are confident that we
can meet the engineered plan requirement. Jason was, hypothetically, fine with this approach.
The catch here is that according to Jason, the state has delegated approval of this to the City of
Durham, by which the Durham building inspections department can approve the installation without

going to the State for an individual permit. That said, Justin - if we provide engineered drawings for
this to the City, will the city approve us to go forward with our original plan? We would be willing to
provide the affidavit / deed restriction certifying that we will not subdivide the parcel.
I'm available to arrange a three way conference call if that would be helpful.
Thank you all for your assistance with this,
Justin Sacco
919-884-7646
3730 Hope Valley Road
On Mon, Mar 25, 2019 at 9:08 AM Weist, Justin <Justin.Weist durhamnc. ov> wrote:
Hi Justin... see attached email from the State... thanks.
Justin D. Weist, PE
Engineering Manager
City of Durham
Department of P��iic Works
Engineering Djws�on
919 560 4326 ex! 30278
From: Justin Sacco [maiito:[e-mail]]
Sent: Monday, March 25, 2019 8:49 AM
To: Weist, Justin
Cc: Handel, Rachel; Joyner, Robert; Adcock, Laura
Subject: Re: #19100513 - 3730 HOPE VALLEY Road
Justin,