WQ0040910_Application (FTSE)_20190919

I)WR
Dlvlslon 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
o av Cl f o veto
Application Number: {to a completed by DWR)
AR items must be completed or the application will be returned
L APPLICANT INFORMATION:
1. Applicant's name: CITY OF $ANFORD (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ® Municipal
3. Signature authority's name: PAUL M WEEKS JRPE per 15A NCAC 02T.0106fh1
Title: CITY ENGINEER
4. Applicant's mailing address: PO -BOX 3729
City: SANFORD State: NC Zip: 27331-3129
5. Applicant's contact information:
Phone number: 9( l9) 775-$010 Email Address: [e-mail]
H. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
1. Project name: SANFORD COMMONS
2. Application/Project status: oposed (New Permit) `� Ex si ting Permit/Project
7t _31_
If a modification, provide the existing permit number: WQ00_Lt&and issued date:
If new construction but part of a maser plan, provide the existing permit number: WQ00_
3. County where project is located: LEE
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.458 Longitude:-79.144
5. Parcel ID (if applicable): 965272323100
(or Parcel ID to closest downstream sewer)
III, CONSULTANT INFORMATION:
1. Professional Engineer: JOHNEDWARDS License Number: 10078
Firm: JOHN A EDWARDS CO
Mailing address: 333 WADE AVE
City: RALEIGH State: hK Zip: 27605-_
Phone number 9( 1, 828-4428 Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
L Facility Name: BIG BTIFFALQE WWTP Permit Number: NC 0024147
Owner Name: CITY OF SANFORD
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: 8 inch
Svstcm Wide Collection Svste_m_Permit Number(s) (if applicable: WQCSJ�
Owner Name(s): CITY OF SANFORD
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 ®NIA
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement FORM: DEV been attached?
❑ Yes [-]No ®NIA
3. If the Applicant is a Home/Pr gperty 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 I preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ 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
bIs there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under I5A NCAC 02T .0114 ? ❑ Yes ❑ No
➢ If yes, provide a cony of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
RESTAURANT, FULL SERVICE
Daily Design Flow'
gal/.SEAT
gal/
gal/
gal/
gall
gal/
No. of Units
Flow
110
44W GPD
GPD
GPD
GPD
GPD
GPD
Total
4400 GPD
a See 15A NCAC 02T .0114(b). (d), (e)(l) 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. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table _ISA 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: 4400 GPD (per 15A NCAC 02T .0l 14)
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

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 1 375 I DIP
➢ Section II & 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)
➢ 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 .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 Iess 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) & ta)
➢ 15A NCAC 02T.0305 contains minimum se arations that shall be rovided for sewers stems•
C
�] Yes ❑ No
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
I0 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 H 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 0210305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ *'"Stream classifications can be identified using the Division's NC Surface Water Classifications weh a e
➢ If noncompliance with 02T.0305(f) or (M. see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes [:]No ® NIA
D 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 .02007 ❑ Yes ❑ No ® NIA
➢ 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 Permittina Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC _02T.0I05tc)(61, 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 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 hiinimutn Dcsi&n Criteria rar_the i emiiltiny. or Pump S.tatinrLs
and F=orc4 NIEdris (latest versinAh and the Gravit Sewer Mininkum 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. Apnroval of the reauest is re uired Prior to submittal of the Fast Track Application and supportine
documents.
2. Professional Engineer's Certification:
�+� _ attest that this application for
_
(Professional Engineer's name from kpplication Item III.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 sea[ 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 $ I0,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer':
3. Applicant's Certification per 15A NCAC 02T .0106(b):
(Signature Authority's name &
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 Ski,000 per violation.
Signature: = Date:
FORM: FTA 04-16 Page 5 of 5

IP

Mate of North Carolina
Department of Eavirr,=Ler.ta€ Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Emtensie•n Applications
(FTSE 04-16)
Entity Requesting Allocation: -Cam?--- ^^ T r C f�/S ZG G
Project Name for which flow is being requested: Cameron Commons
More than one FTSE may be required for a single project if the owner of the brit?P is not responsible for all pump
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. VvJ VTP Facility Name: Big Buffaloe IV\TJTP
b. WWTP Facility Permit n: NC 0024147
All Paws are in MCD,
c. WWTP facility's permitted flow
12.0
d. Estimated obligated flow not yet tributary to the 1.18895
e. WIVTP facility's actual avg. flow
4.616
f. Total flow for this specific request
0.0044
g. Total actual and obligated flows to the facility
5.80935
h. Percent of permitted flow used
48.41 %
a. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located betwdelen the project connection point
ttland the V%r�VrT��P:
(A) ice)
//��' ( tr��,
(C) (D)=(B+C) (E)—\A-�+)
Design
Obligated,
Pump Average Daily Approx.
Not Yet Total Current
Station Firm Flow" Current Avg.
Tributary Flow Plus
(Name or Capacity, " (Firm / pf), Daily Flow,
Daily Flow, Obligated Available
Number) MGD MGD MGD
MGD Flow Capacity' —
Little
3.60 1.44 1.041
0.31363 1.35463 0,08537
—*—The Firm Capacity of any pump station is defined as the ma)dmum prsmped flow that
can be achieved with the largest pump taken out of serAce.
** Design Average Daffy Flow is the firm capacity of the pump station divided by a pet:ldng
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pomp station located
between the project connection point and the 147VT,? where the Available Capacity is < 0.
Downstream Facility Name (Sewer):
Downstream Permit Number:
Page 1 of 6
FTSE 04-16

11
III. Certification Statement:
I Paul M. WeeIcs Jr., P.E. certify to the best of my Imowledge 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 1 and II plus all
attached planning assessment addendums for which I am the responsible party. Signature of this
form indicates acceptance of this wastewzTur-P-ow.
Signing Official Signature VJy Date
Page 2 of 6
P SE 0'i-16

JOHN A. ED ARD
& COMPANY
i Consulting Engineers
And Land Surveyors
333 Wade Avenue
Raleigh, NC 27605
(919) 828- 428
[phone] fax
[e-mail]
www.jaeco.com
�r
DATE:
FROM:
TO:
SEPTEMBER 18, 2019
JOHNNY EDWARDS
STATE OF NORTH CAROLINA
NC Dept f Environmental Quality
� U � SEP l� 20�9 �
a°s 01i
Me�onal0 1�0
DEPARTMENT OF ENVIROMENTAL QUALITY YLJ
DIVISION OF WATER RESOURCES -Tr
CITY OF SANFORD — FAST TRACT APPLICATION FTA 04-16
This sewer application is to relocate 300 L.F. of existing 6" PVC private sewer with 375 L.F. of 8" 13.1.
public sewer to allow for new construction of two restaurants in an existing shopping center. The flow
allocation requested is for the two new restaurants with a total of 110 seats. This permit will void the
previous permit #WQ0040910.
Included with this application - previously submitted
1. Two sets of plans
2. AppIication fee $480.00
3. FTA-04-16 application
4. Flow tracking acceptance form
5. Site Map
Ted Cashion spoke to me on the phone regarding this permit application on September 17, 2019.
This application is changing the applicant from Sanford Commons, LLC to the City of Sanford. No
changes are being made to the plan.
Because he had not started his review there will be no additional fee required.

Cashion, Ted
q 0 0 4 dgJ0 `thy
From: Johnny Edwards <[e-mail]>
Sent: Tuesday, October 01, 2019 8:25 AM
To: Cashion, Ted; Paul Weeks
Cc: Robinson, Jason
Subject: [External] RE: Sanford Commons fast track sewer application
email Do not dick limos or open attar nent5 unless you verify. 5 nd ail susp1dous email as an attachmentto
Ted
Sorry for the oversight . That box for Item IX.1 should be "YES"
Johnny Edwards, PE, PLS
CEO - John A. Edwards & Company
333 Wade Ave
Raleigh, NC 27605
919-828-4428 phone
919-828-4711 fax
www.jaeco.com
From: Cashion, Ted [mailto:[e-mail]]
Sent: Monday, September 30, 2019 3:16 PM
To: Johnny Edwards; Paul Weeks
Cc: Robinson, Jason
Subject: Sanford Commons fast track sewer application
Johnny and Paul,
We are reviewing the subject application. Item IX.1 of the application was not marked. To expedite issuance of the
permit, tell us which box to mark and we'll mark it for you.
ted
Ted Cashion
Water Quality Regional Operations
Division of Water Resources
NC Department of Environmental Quality
Raleigh Regional Office
919-791-4254
[e-mail]
1628 Mail Service Center
Raleigh, NC 27699-1628
3800 Barrett Drive
Raleigh, NC 27609
1

Cashion, Ted
From:
Cashion, Ted
Sent:
Monday, September 30, 2019 3:16 PM
To:
Johnny Cohn [e-mail]); Paul Weeks
Cc:
Robinson, Jason
Subject:
Sanford Commons fast track sewer application
Johnny and Paul,
We are reviewing the subject application. Item IX.1 of the application was not marked. To expedite issuance of the
permit, tell us which box to mark and we'll mark it for you.
ted
Ted Cashion
Water Quality Regional Operations
Division of Water Resources
NC Department of Environmental Quality
Raleigh Regional Office
919-791-4254
[e-mail]
1628 Mail Service Center
Raleigh, NC 27699-1628
3800 Barrett Drive
Raleigh, NC 27609
DE
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