WQ0041105_Application_20190814

W WEST_
CONSULTANTS Puc
August 6, 2019
405 South Sterling Street, Morganton, NC 28655
828 433 5661 / fax [phone] / [e-mail]
Water Quality Section
NCDEQ — Division of Water Resources
Mooresville Regional Office
610 E. Center Avenue
Mooresville, NC 28115
Re: Alexander County
Stony Point Elementary School Wastewater Project
CDBG-I 12-D-2947
To Whom It May Concern:
The Fast -Track application submitted is for a project that proposes to install approximately 820 LF of 8"
gravity sanitary sewer and 2,160 LF of 4" force main for Alexander County. The County will be
installing a new pump station at Stony Point Elementary School. Included in this submittal is the Fast -
Track Application, Flow Tracking/Acceptance form, calculations, maps and a check for $480.00. Please
let me know if you have questions or comments.
Sincerely,
WEST CONSULTANTS, PLLC
ON
&a44W 10 ®mac
David W. Poore, PE, CPESC
DP/bbt/kj
Enclosures

Divlslon of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: q0L
completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Alexander County (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ® State/County ❑ Municipal
3. Signature authority's name: Rick French per 15A NCAC 02T .0106(b)
Title: County Manager
4. Applicant's mailing address: 621 Liledoun Road
City: Taylorsville State: NC Zip: 28681-
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
11. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
1. Project name: Stony Point Elementary School Wastewater Project
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: Alexander
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.869344' Longitude:-81.016635'
5. Parcel ID (if applicable): 0014109
(or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
1. Professional Engineer: David W. Poore License Number: 27780
Finn: West Consultants, PLLC
Mailing address: 405 South Sterling Street
City: Morganton State: NC Zip: 28655-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Taylorsville W WTP Permit Number: NCO026271
Owner Name: Town of Taylorsville
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
FORM: FTA 04-16 Page 1 of 5

V1. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a 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 � Vgrational Agreement (FQRM, DEV been attached?
[I Yes E]No MNiA
3. If the Applicant is a Home' rpp been attached?
Vitas n n 4D a Ogg mi ngi
[:1 Yes CJNo, NNA
4. Origin of wastewater: (check all that apply):
M Residential Owned 0 Retail (stores, centers, malls) M Car Wash
M Residential Leased [I Retail with food preparation/service El Hotel and/or Motels
Z School;' preschool .' day care El Medical `dental,, veterinary Facilities 0 Swimming Pool "Clubhouse
El Food and drink facilities El Church El Swimming Pool'Filter Filter Backwash
0 Businesses I offices Ifactories E] Nursing Home 0 Other (Explain in Attachment)
5. Nature of wastewater: 100 % domestic: Commercial _% Commercial
% Industrial (See 15A NCAC 02T.0 103(20)
L------*Is there a Pretreatment Program in effect? E] Yes Z No
6. Has a flow reduction been approved under 1,5A NCAC 0 2 ,0 _I _41 I ? E]Yes S No
If Tfj
es. provide a cogy or flow reducti��'allproi,ai"letter
7. Summarize wastewater generated by project:
Establishment Type (see Daily Design Flow No. of Units Flow
School - students 12 gal/dayistudent 290 3,480 GPID
School - staff 25 gal/employee 48 1,200 GPI?
. . . . ... ..... . . .......
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
Total 4,680GPD
a See 11A JN, C A C_O,)l JQ Ll 4 dlJ LWL eX_lLand e CJ21 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 cast of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T.0 I 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0 114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 4,680 GPD (per JJA__N_CAC _02T ,O 114)
i, Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
0 Pump Station or Gravity Sewer where now will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number,.
0 Rehabilitation or replacement of existing sewer with no new flow expected
()�n S
E] Other (Explain): I r1N
FORM: FTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
780
PVC
8
40
DIP
➢ Section II & 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
VIH. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Puma Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
l . Pump station number or name: Stony Point Elementary School Wastewater Project
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.869344' Longitude:-81.046635'
3. Design flow of the pump station: 0.122 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 85 gallons per minute at 45 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
4
2,180
PVC
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)(B)_
➢ 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)(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)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (g) ® Yes ❑ No
➢ 15A NCAC 02T.0305 contains minimum separations that shall be provided 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 II impounded reservoirs used as a source of drinking 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 grade vertical
36 inches
➢ 15A NCAC 02T.0305fe) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
➢ If noncompliance with 02T.0305(f, or Ls). 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 ®N/A
➢ This would include Trout Buffered Streams per 15A NCAC 2B.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
5. Does project comply with 15A NCAC 02T.0 I 05(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0 I 05(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 undennines 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 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 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer 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. Approval of the request is required prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
I, David W. Poore attest that this application for
(Professional Engineer's name from Application Item III.1.)
Stony Point Elementary School Wastewater Project 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.
North Carolina Professional Engineer's seal, signature, and date:
= SEAL -
- 27 ri10
=
O, , `�'�CINE
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, Rick French, County Manager attest that this application for
(Signature Authority's name & title from Application Item 1.3.)
Stony Point Elementary School Wastewater Project 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, C! Date:
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Alexander County
Project Name for which flow is being requested: Stony Point Elementary School Wastewater
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for allpump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Taylorsville WWTP
b. WWTP Facility Permit #: NC0026271
All flows are in MGD
c. WWTP facility's permitted flow 0.830
d. Estimated obligated flow not yet tributary to the WWTP 0
e. WWTP facility's actual avg. flow 0.473
f. Total flow for this specific request 0.005
g. Total actual and obligated flows to the facility 0.478
h. Percent of permitted flow used 58%
I1. 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 Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity, * (Firm / po, Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
Shurtape 0.360 0.144 0.018 0.005 0.023 0.121
Pierpoint 0.230 0.092 0.024 0.005 0.029 0.063
Lewittes 0.230 0.092 0.025 0.005 0.030 0.062
PaulPayne 0.130 0.052 0.031 0.005 0.036 0.016
StsvlPallet 0.137 0.055 0.024 0.005 0.029 0.026
* 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): Taylorsville WWTP
Downstream Permit Number: NCO026270
Page 1 of 2
FTSE 04-16

III. Certification Statement:
I David Odom 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 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 II
plus all attached planning assessment addendums for which I am the responsible party.
Signature of this form indicates acceptance of this wastewater flow.
Signing Official Signature
Date
Page 2 of 2
FTSE 04-16

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TOPOGRAPHIC MAP PROJECT NO: 18125
ALEXANDER COUNTY DATE: AUGUST 8, 2019
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IdFax (82organton, 33-5661
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STONY POINT ELEMENTARY DRAWN BY: JTC (628) 3433-5662
WASTEWATER PROJECT NC License No. P-0210

STREET LEVEL MAP
ALEXANDER COUNTY
STONY POINT ELEMENTARY
WASTEWATER PROJECT
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PROJECT NO: 18125 (��� +
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DATE: AUGUST 8, 2019 �Y�%L5 405 South Sterl
Idorganton, Nc 2ssss
DRAWN BY: JTC Aw s20 433-5661
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NG License No. P-0210