WQ0041096_Application (FTSE)_20190801

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 112T .0301E — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number:
Ito be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: Oranttc County (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ® State/County ❑ Municipal
3. Signature authority's name: Travis Mvren per 15A NCAC (LT .0106(h)
Title: Denut rLCounty Manage
4. Applicant's mailing address: 200 South Cameron Street, PO Box 8181
City: Hillshorough State: NC Zip: 27278-
5. Applicant's contact information:
Phone number: (2L9) 245-23fM1 Email Address: [mvrcnC�urangecuuntync.t,oy
H. PROJECT INFORMATION
2
❑ Privately -Owned Public Utility
❑ Other
1. Project name: Orange County Northern Cam us Public
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 pan of a master plan, provide the existing permit number: WQ00
3. County where project is located: Orange
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.08304 - Longitude:-79.12153
5. Parcel ID (if applicable):
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Tony M. Whitaker PE License ,Number: 14999
Firm: Civil Consultants Inc
Mailing address: 3708 Lvckan Parkwav, Suite 201
City: Durham State: NC Zip: 277I17-_
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Town of Hillshorouch Permit ,Number: NCO026433
Owner Name: Eric Peterson, Town Manager
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ00023736 Downstream (Receiving) Sewer Size: 8 inch
SVStettl Wide Collection Stem Permit Number(s) (il'anrlicable): WQCS00077
Owner Name(s): Town of Hillsborough
FORM: FI'A 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 ®N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer!. []�erational A�reet�sent t E'Ct12M: l�l_V) been attached?
❑ Yes ❑No ®NSA
3. If the Applicant is a HomerPronerty Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ®NIA
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool 1 day care ❑ Medical i dental r veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
® Businesses 1 offices 1 factories ❑ Nursing Home ® Other (Explain in Attachment)
5. Nature of wastewater: 1100 % Domestic!Commercial % Commercial
% Industrial (See JSA 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(fl? ❑ Yes ® No [[i ' 14
➢ If yes, provide a cony of flow reduction approval letter Z6� 1p 5
7. Summarize wastewater generated by project: 1
Establishment Type (see 02T.0114(0
Daily Design Flow *.b
No. of Units
Flow
Detention Center
60 gat/JaiI Cell
150
9000 GPD
Office (Two Buildings)
25 gaVemployeelshift
64
1600 GPD
gat/
GPD
gat/
GPD
gat/
GPD
gat/
GPD
Total
10,600 GPD
a See 15A NCAC 02T .01 14(b). (dL(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. 42A4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15 NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 10.600 GPD (per 15A NCAC 02T .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

VII. GRAVITY SEWER DESIGN CRITERIA (if Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 633 PVC
D Section 11 & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
D Section III contains information related to minimum slopes for gravity sewer(s)
D Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. 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: 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 ,03QS(h).(l ):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B)_
D 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):
D 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 & ® Yes ❑ No
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
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-1 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
➢ I.IANCACO2T.0305W, contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC Surface WatcrClatisi_ficaticins webp,aze
➢ if noncompliance with 02T.0305(f) or (e). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes []No ❑ MA
➢ 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 213.0202
4. Does the project require coverageiauthorization 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.0I 05(c)(6) (additional penmits/certifications)? ® 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 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 ❑ NIA
➢ 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 Desi an Criteria for the P ' ijag of Pump Stations
and ] c)rcr NCLipsj 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
(Pr fessional Engineer's name from Application Item I11.1.)
_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 -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.-.01w1101F..
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
.,e;MAH
149JJ _ =
~ J
'�► M. H
j�' j�� J�%{/l A attest that this application for
Signatu Autho s na e & ti a from ADDllcation Item IJ.
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:
_ Dare:
FORM: FTA 04-16 Page 5 of

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Orange County, North Carolina
Project Name for which flow is being requested: Orange County Northern Campus
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewaterJlow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Town of Hillsborough WWTP o
b. WWTP Facility Permit #: NCO026433
cZn
All flows are in MGD
c. WWTP facility's permitted flow 3.0 ,C%J
o
d. Estimated obligated flow not yet tributary to the WWTP .50 +
�;
e. WWTP facility's actual avg. flow 1.24 C
f. Total flow for this specific request 0.0106 °
g. Total actual and obligated flows to the facility 1.75.06
_
h. Percent of permitted flow used 58 ca
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,
Pump
Pump
Average
Approx.
Not Yet
Total Current
Station
Station
Firm Daily Flow**
Current
Tributary
Flow Plus
(Name or
Permit
Capacity, * (Firm / po,
Avg. Daily
Daily Flow,
Obligated Available
Number)
No.
MGD MGD
Flow, MGD
MGD
Flow Capacity***
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped now
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 pealing 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 Iocated
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Town of Hillsborough WWTP
Downstream Permit Number:
Page 1 of 6
FTSE l 0-18

III. Certification Statement:
1 K. Marie Strandwitz, PE 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 11 plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
IP�I w l
Signing Official Signature Date
Title of Signing Official
Page 2 of 6
FTSE 1 D-18

Civil consultants
LAND DEVELOPMENT CONSULTANTS
July 26, 2019
State of North Carolina
Dept. of Environmental Quality
Division of Water Resources
1628 Mail Service Center
Raleigh, NC 27699-1628
COVER LETTER
25012
NC Dept of Fnvironineiatal Quality
RE: Fast Track Sewer System Extension Permit — Public Sewer
Hillsborough, NC (Orange County)
Orange County Northern Campus
p�,
Ja -1 2019
Raleigh Regional of ice
Please find attached a Fast Track Sewer Extension Permit application for the subject
project. See the attached transmittal letter for a listing of application materials submitted.
The new public sewers will serve a governmental services campus containing a detention
center, an office building, and an operations center for parks -related maintenance
equipment and activities. This application is submitted with a companion application for
private collection sewer extension, serving the same project. The public portion of the
sewer extension is located offsite, and the private portion is located on the property being
developed. All flow allocation for the project has been assigned to the public sewers.
One building component of the project does not have a design flow designation in the
02T rules. By agreement with Raleigh Regional staff in a prior phone conversation, a
design value of 60 gpd per bed has been used for the detention center.
The sewer extension covered by this Fast Track Sewer System Extension Permit will be
applied for and built with Orange County as the applicant/owner. Orange County will
transfer ownership of the sewer extension to the Town of Hillsborough's public sewer
system after construction and final approval and acceptance by the Town.
Please let me know if additional information is needed for review and approval.
Attachments
Regards,
- 0,-
'A.0 O'el
Tony M. Whitaker, PE
LAND PLANNERS + CIVIL ENGINEERS
3708 LYCKAN PARKWAY, SUITE 201 DURHAM, NC 27707, PHONE: [phone]
WWW.CIVIL-CONSULTANTS.COM LIC. 0-1030

civilconsultants
LAND DEVELOPMENT CONSULTANTS
LETTER OF TRANSMITTAL
To: North Carolina DEQ
Division of Water Resources
Water Quality Section
Date: 7126/2019 Job No: 25012
Attn:
Re: Orange County Northern Campus
(Public)
® I st Review ® For Review & Comment
❑ 2' Review ❑ For Approval
❑ 31 Review ❑ For your Use
❑ For Approval Signoff/ Stamping ❑ For your Files
❑Other ❑ As Requested
WF ARF RF.Nn1NC YntI T14F FOI I nWINr; ITFMQ VTA delivered
Copies
Date
No.
Description
2
7/26/2019
Cover Letter
1
6/21/2019
Check in the amount of $480
2
7/26/2019
Fast Track Application Form FTA 04-16
2
7/26/2019
Fast Tracking for Sewer Extension Application Form
2
USGS Site Map
2
Aerial Site Map
lie tePt ot Quality
•_nvironmental
A I ilk f • 04 A.Y
• .-.. Lull
Ralci rig
REMARKS;
COPY TO: FILE
SIGNED: -i no f —A- �.
LAND PLANNERS + CIVIL ENGINEERS
3708 LYCKAN PARKWAY, SUITE 201 DURHAM, NC 27707, PHONE: [phone]
WWW.ClVtL-CONSULTANTS.COM LIC. C-1030

Cashion, Ted
From: Tony Whitaker <[e-mail]>
Sent: Wednesday, August 07, 201910:59 AM
To: Cashion, Ted
Cc: Randy Akin
Subject: (Externall FW: Orange County Project
Attachments: 25012 - Fast Track Permit - Public Revised.pdf
1=1111118198.External email: no not dick,links or open attachments unless you verify. Send all suspicious email as an attachment to
Ted,
Please find attached the revised first page of the Public sewer extension application, with Orange County listed as the
applicant instead of the Town of Hillsborough.
Thank you.
Tony M. Whitaker, PE
Civil Consultants, Inc.
919-490-1645 (office)
919-943-8418 (cell)
http://www.civil-consultants.com
From: Tony Whitaker
Sent: Wednesday, August 07, 2019 8:54 AM
To: Cashion, Ted <[e-mail]>
Subject: Orange County Project
Ted,
I got your voice mail and appreciate you catching the mistake. I will email you a revised page with the correct applicant
name (Orange County).
Thanks,
Tony M. Whitaker, PE
Civil Consultants, Inc.
919-490-1645 (office)
919-943-8418 (cell)
http://www.civil-consultants.com