WQ0037867_Application_20150610

CJE( cEi LiUIjEjii'c D Pr►`,R State of North Carolina
-DWRWaterQuQl'e"al Department of Environment and Natural Resources
JUN 10 2015 Division of Water Resources
(yNvcatiojisl.aection FAST -TRACK APPLICATION (FTA 10-14)
Division of Water Resources r,gvat+sef.11eRenl0n1110fBf& GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
General — When submitting this application, please use the following instructions as a checklist in order to
ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will
help produce a quicker review time and reduce the amount of requested additional information.
For more information, visit the Surface Water Section's Collection Systems website or;
contact the Regional Office serving your county
Unless otherwise noted, the Applicant shall submit one original and one copy of the application and supporting
documentation to the appropriate Regional Office (see page 3).
A. Cover Letter:
® Include a brief project narrative describing the final design (i.e system and/or pump station to ultimately
serve 500 homes, but flow for only 100 homes being requested now). For modifications, clearly explain
the reason for the modification (i.e. adding another phase, changing line size, length, etc).
B. Application Form (FTA 10-14):
® Submit the completed and appropriately executed Fast -Track (FTA 10-14) Application. Any
unauthorized content changes to this form shall result in the application being returned. If necessary
for clarity or due to space restrictions, attachment to the application may be made, as long as the
attachments are numbered to correspond to the section and item to which they refer. You do not need
to submit detailed plans and specifications unless you respond NO to item B(13).
® The Professional Engineer's Certification of the application shall be signed, sealed and dated by a
North Carolina licensed Professional Engineer.
E The Applicant's Certification of the application shall be signed in accordance with 15A NCAC 02T
.0106(b). Per 15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if
a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T .0106(b).
C. Application Fee:
® Submit a check in the amount of $480 to: North Carolina Department of Environment and Natural
Resources (NCDENR).
➢ Checks shall be dated within 90 days of application submittal.
D. Certificate of Public Convenience and Necessity (For Privately -Owned Public Utilities Only):
❑ Per 15A NCAC 02T .0115(a)(1), provide two copies of the Certificate of Public Convenience and
Necessity from the North Carolina Utilities Commission demonstrating the Applicant is authorized to
hold the utility franchise for the area to be served by the sewer extension, or
❑ Provide two copies of a letter from the North Carolina Utilities Commission's Water and Sewer Division
Public Staff stating an application for a franchise has been received and that the service area is
contiguous to an existing franchised area or that franchise approval is expected.
❑ The project name in the CPCN or letter must match that provided in Item A(2)a of this application.
E. Operational Agreements (For Home/Property Owners' Associations and Developers of lots to be sold):
➢ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (HOA 08-13).
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
➢ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (DEV 08-13).
Even if the project may be turned over to a municipality upon completion, Form DEV 08-13 is required.
INSTRUCTIONS FOR APPLICATION FTA 10-14 & SUPPORTING DOCUMENTATION Page 1 of 6

F. Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance Form (FTSE 08-13)
® Submit the completed and appropriately executed Flow Tracking/Acceptance for Sewer Extension
Permit (FTSE 08-13) Form for all applications.
➢ The applicant (and owners of downstream sewers, pump stations and/or treatment facilities submitting
form FTSE 08-13 certifies that the addition of the volume of wastewater to be permitted in this project
has been evaluated along the route to the receiving treatment plant, and that the flow from this project
will not cause capacity related sanitary sewer overflows or overburden any downstream pump station
en route to the receiving wastewater treatment plant.
➢ Where the applicant is not the owner of the downstream sewer, submit two copies of form FTSE 08-13
from the owner of the downstream sewer and owner of the WWTF, if different.
➢ The flow acceptance indicated in form FTSE 08-13 must not expire prior to permit issuance and must
be dated less than one year prior to the application date.
➢ Submittal of this application and form FTSE 08-13 indicates that owner has adequate capacity
and will not violate G.S. 143-215.67(a).
➢ Intergovernmental agreements or other contracts will not be accepted in lieu of a project -
specific FTSE 08-13.
G. Site Map (All Application Packages):
® Submit an 8.5-inch x 11-inch color copy of a USGS Topographic Map of sufficient scale to identify the
entire project area and closest surface waters. Each map must include at a minimum:
➢ The location of the sewer line and pump stations and be of reproducible quality.
➢ Downstream connection points and the permit number for the receiving sewer (if known)
➢ Pump Station Locations and the longitude and latitude for each pump station (if applicable)
® Include a street level map showing all relevant project areas.
H. Stream Classification (WSCAS 08-13)
® Submit the completed and appropriately executed Watershed Classification Attachment form
(WSCAS 08-13) if any portion of the sewer system project is within 100 feet of any surface water or
wetlands.
➢ A variance must be requested for encroachment within required setbacks or buffers pursuant to 15A
NCAC 02T .0305(f)
Environmental Assessments (Projects subject to an Environmental Assessment (EA)):
➢ Projects involving an Environmental Assessment per 15A NCAC 01 C .0408, must be submitted for a
full technical review and must be submitted to the PERCS Unit on application forms provided by the
Division.
Alternative Sewer Systems
➢ Projects involving low pressure sewer systems, vacuum sewer systems and other alternative sewer
systems must be submitted for a full technical review and must be submitted to the PERCS Unit on
application forms provided by the Division.
K. Flow Direction
➢ Many wastewater treatment systems are entering into agreements for regionalization efforts and
emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be
directed to more than one treatment facility. If this is the case with the project, please indicate in B(12)
and give the permit number of the second facility.
L. Certifications — Section C
➢ The application must be certified by both the applicant and the design engineer who is a North Carolina
Registered Professional Engineer (PE). The applicant signature must match the signing official listed in
Item A(1 b). The PE should NOT certify the application if he/she is unfamiliar with 15A NCAC Chapter
2T, The Gravity Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria
for the Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project.
INSTRUCTIONS FOR APPLICATION FTA 10-14 & SUPPORTING DOCUMENTATION Page 2 of 6

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Section
Fayetteville, North Carolina 28301-5094
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Alamance, Alleghany, Ashe, Caswell, Davidson,
Water Quality Section
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
INSTRUCTIONS FOR APPLICATION FTA 10-14 & SUPPORTING DOCUMENTATION Page 3 of 6

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD
Application Number: ¢�O 7
(to be completed by DWR) I /() Q b0 3� p
1.
Owner/Permittee:
la.
Town of Troy
Full Legal Name (company, municipality, HOA, utility, etc.)
Z
1 b.
Greg Ze hir - Town Manager
0
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials)
1c.
The legal entity who will own this system is:
❑ Individual ❑ Federal ® Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify):
IX
O
1 d.
315 North Main Street
le. Troy
Mailing Address
City
LL
Z
1f.
North Carolina
1g. 27371
State
Zip Code
Z
O
1 h.
910-572-3661
11.
1 j. [e-mail]
Telephone
Facsimile
E-mail
V2.
Project (Facility) Information:
J
a.
Bilhen Pump Station
b. Montgomery
a
a
Brief Project Name (permit will refer to this name)
County Where Project is Located
Q
3.
Contact Person:
_
Q
3a.
Michael Koser, PE
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b.
336-605-3009
3c. [e-mail]
Phone Number
E-mail
1.
Project is'Q New AV Modification (of an existing permit) If Modification, Permit No.: NEED NUMBER FROM BENNY
Owner is ® Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
2a.
If private, applicant will be:
2b. If sold, facilities owned by a (must choose one
❑ Retaining Ownership (i.e. store, church, single office, etc.) or
❑ Public Utility (Instruction D)
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3))
❑ Homeowner Assoc./Developer (Instruction E)
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
Z
3.
Town of Troy
0
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
~
4a.
TroyWWTP
4b. NCO028916
Name of WWTF
WWTF Permit No.
O�
a.
Town of Troyb. 12-inch ® Gravity c. WQCS00134
LL
Owner of Downstream Sewer Receiving Sewer Size ❑ Force Main Permit # of Downstream Sewer (Instruction F)
The origin of this wastewater is check all that apply):
_Z
Residential Subdivision
® Retail (Stores, shopping centers)
_
75% Domestic/Commercial
® Apartments/Condominiums
❑ Institution
25% Industrial
❑ Mobile Home Park
❑ Hospital
LIJ
® School
® Church
(Attach Description)
a
® Restaurant
❑ Nursing Home
% Other
® Office
❑ Other (specify):
m
Attach Description)_
7.
Volume of wastewater to be allocated or permitted for this particular project: 0 gallons per day
`Do not include future flows or previously permitted allocations
8.
If the permitted flow is zero, indicate why:
® Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit No.
❑ Rehabilitation or replacement of existing sewer with no new flow expected
j
(see 15A NCAC 02T .0303 to determine if a permit is required)
FTA 10-14 APPLICATION Page 4 of 6

Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item B(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (0.
The purpose of the project is to replace the existing 20 year old 350 gpm Bilhen Pump Station with a new 440 gpm pump
station. The increase in pumping rate was requested by the Owner due to increase of existing infustrial flow and future
potential development in the area of the pump station site. Potential estimated flow increase = 25,000 gpd + 30ac * 880
gpdpa = 51,400 gpd or 36gpm * 2.5 pf = 89gpm. 350 pgm + 89 gpm = 439 gpm
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
Length (feet)
New Gravity or Additional
Force Main
0
W
D
Z
F,
11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
Z
0
Pump Station Location ID: Bilhen Pumo Station (self chosen - as shown on plans/map for reference)
c")
...
Longitude: 79D 54' 16.9" W Latitude: 35D 21' 32.7"N
Z
O
F.
Design Flow
Operational Point
Power Reliability Option
Q
(MGD)
GPM a@TDH
1 - permanent generator w/ATS;
Force Main Size
Force Main Length
M
2 - portable generator w/MTS
W
0
0.228 an d
440 m 128'TDH
1
6-inch(existing)
2,200
LL
—
Z
PumpStation Location ID: (self chosen - as shown on plans/map for reference)
F-
Longitude: Latitude:
W
Design Flow
Operational Point
Power Reliability Option
MGD
( )
GPM �TDH
1 -permanent generator w/ATS;
p g
Force Main Size
Force Main Length
m
2 - portable generator w/MTS
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
❑ Yes ® No If Yes, permit number of 2"d treatment facility :
(RO — if "yes" to B,12 please contact the Central Office PERCS Unit)
13. Does the sewer system comply with the Minimum Design Criteria for the Permitting of Pump Stations and Force Mains
(latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chaoter 2T as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request (VADC 10-14) application and supporting
documents for review. Approval of the request is required prior to submittal of the Fast Track Application and
supporting documents.
FTA 10-14 APPLICATION Page 5 of 6

14. Have the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes ❑ No ® N/A
Sedimentation and Erosion Control Plan? ❑ Yes ❑ No ® N/A
Trout Buffer Waiver? ❑ Yes ❑ No ® N/A
Stormwater? ❑ Yes ❑ No ® N/A
15. Does this project include any high priority lines (15A NCAC 02T .0402 (2)) involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes: ❑ and provide details:
�1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1, Greg Zephir, attest that this application for Bilhen Pump Station Replacement 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. Note: In accordance with North Carolina General Statutes 143-215.6A and 143-
215.6B, any person who knowingly makes any false statement, representation, or certification in any application 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.
1a.
Signing Official Signature Patef
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
i TO OTHER UTILITIES, DESIGN CALCULATIONS, ETC. REFER TO 15A NCAC 02T .0305
Z
_O
F"
Q
Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
Lei
1, Micheal Koser. PE attest that this application for _Bilhen Pump Station Replacement has been
reviewed by me and is accurate, complete and consistent with the information in the engineering plans, calculations, and
all other supporting documentation to the best of my knowledge. 1 further attest that to the best of my knowledge the
W
proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer Minimum Design
V
Criteria for Gravity Sewers adopted February 1 Z 1996, and the Minimum Design Criteria for the Fast -Track Permitting of
Pump Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with Division
V
guidance. 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 NC General Statutes 143-215.6A and 143-215.6B, any person who
knowingly makes any false statement, representation, or certification in any application 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.
�a. Michael Koser, PE
RytO�r
,.ACA
O FESSJp�ti�
Professional Engineer Name
b. Withers & Ravenel
Engineering Firm
SEAL L
033427
c. 7011 Albert Pick Road, Suite G
Mailing Address
iC 4,G
2d. Greensboro
2e. Ni
f. 27409
I N —
City
State
Zip
PL R•��`*��
�g. 336-605-3009
h. 919-467-6008
i. [e-mail]
�m�nata�'
j- , �• Zo I S
Telephone
Facsimile
E-mail
NC PE Seal, Signature & Date
FTA 10-14 APPLICATION Page 6 of 6

State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
'division of Water Resourt C:„ Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 08-13)
Project Applicant Name: Town of Troy
Project Name for which flow is being requested: Bilhen PS Replacement
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 wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name:
b. WWTP Facility Permit #
:)y POTW
NCO028916
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
A11 flows are in MGD
1.2
0.4564
0.433
0
0.8894
74
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
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* * *
Johnson
Road PS
1.512
0.605
0.201
0
0.201
1.311
Main Steet
PS
'( k{'CS 4
�/ O �uH r'
�k1 T-1 oN S
0 2 k
1 /�} rt►tyc-� ('L 50
-ram i A i> t ko(A C AP4 c t T't t 6
,=-F-t-(-(-t= -►- ",)D
* 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.
Page 1 of 6
FTSE 08-13

* 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.
III. Certification Statement:
I &')"102r)n!s 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.
sa-� 70-W, OIr
Signature
2
5--3- / 5�
Date

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1730+0 ft E
173+ ft E
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Mapetic
Declination
SCALE 1:24000
0 MILES
0 KILOMETER
8'W
IN
I 1A
M
M
17250bO ft E
Name: TROY
Date: 11 /7/2014
Scale: 1 inch equals 2000 feet
17300�0 ft E 17350�0 ft Eft E 17350�0 ft E
Location: 584451 ft. N 1730550 ft. E NAD83
Caption: Town of Troy
Bilhen Pump Station Replacement
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Datum: NAD83 Coovriaht (C) 1

YADKIN•RIVER BASIN
Name of Stream
Subbasin
Stream Index Number
Map Number Class
Warner Creek
YAD15
13-25-30-2
F19SW6
C
Warrior Creek
YAD01
12-15
D12NE2
C;Tr
Warrior Creek
YAD01
12-29-(0.3)
C13SE2
C
Warrior Creek
YAD01
12-29-(0.7)
C13SE6
WS-IV
Water Branch
YAD14
13-17-36-18
G17SE2
C
Watery Branch
YAD09
13-2-23-1
F19NW7
WS-IV
Watery Branch
YAD16
13-40-3-1
H19SE2
C
Watson Creek
YAD14
13-17-36-13
G17SW2
C
Waxhaw Branch
YAD14
13-17-40-6
H17NW8
WS-V
Weathers Creek
YAD06
12-108-21-3-1
E15NE7
C
Weightman Creek
YAD07
12-113-1
D17SE2
C
Wesley Dean Branch
YAD15
13-25-9
E19SE8
C
West Branch
YAD09
13-2-20-1
F18NE5
WS-IV
West Branch Lick Creek
YAD08
12-126-1
E18NE4
C
West Branch Rocky River
YAD11
13-17-3
E15SE8
C
West Camp Branch
YADO1
12-46-2-2-3-1
B14NW8
C;Tr,ORW
West Double Creek
YAD02
12-67-1
B16SW6
C
West Fork Little River
YAD15
13-25-15
E19SWG
C
West Prong Hamer Creek
YAD15
13-25-37-2-1
G18NEG
C
West Prong Little Yadkin
River
YAD02
12-77-1-(1)
B17SW3
C
West Prong Little Yadkin
River
YAD02
12-77-1-(2)
B17SW3
WS-IV
West Prong Moravian Creek
YAD01
12-39-1
C14SW4
C
West Prong Roaring River
(North)
YAD01
12-46-1-(1)
B14SW2
C;Tr
West Prong Roaring River
(North)
YAD01
12-46-1-(5)
B14SW3
C
West Swan Creek
YADO1
12-51-1-(1)
C15NW5
C
West Swan Creek
YAD01
12-51-1-(2)
C15NW5
WS-IV
Westfield Creek
YAD16
13-46
H18SE6
C
Westmoreland Creek
YAD06
12-108-21-3-1-4
E15NE5
C
White Oak Creek
YAD15
13-25-14
F19NES
C
White Oak Creek
YAD15
13-25-22-3
F19SE2
C
Whites Creek
YAD01
12-32
C14SW1
WS-IV,B;Tr
Whortleberry Creek
YAD16
13-44
H19SW5
C
Wicker Branch
YAD14
13-17-40-4
H17NW7
WS-V
Wide Mouth Branch
YAD14
13-17-40-14
H17NE2
C
Widows Creek
YAD01
12-46-4-4
B14NE7
C;Tr,ORW
Wildcat Branch
YAD01
12-46-2-2-1
B14NW5
C;Tr,ORW
Wildcat Creek
YAD01
12-26-3-1
C12NE3
C;Tr
Wiley Branch
YAD12
13-17-17-2
G16NE2
C
Wilkes Lake
YAD01
12-42-8
C14NE1
C
Williams Creek
YAD02
12-61
C15NE3
C
Willow View Lakes
YAD12
13-17-9-4-6-1
F16NE3
C
Willowbrook Lake
YAD02
12-59
B15SE8
C
Wingler Creek
YAD01
12-40-4-3-1
B13SE5
WS-II;Tr,HQW
Winters Branch
YAD01
12-19-9-1
C12SE5
C;Tr
Withrow Creek
YAD06
12-108-21-3
E15NE6
C
Wolf Branch
YAD01
12-46-3-1
B14SE7
B
Wolf Meadow Branch
YAD11
13-17-6-7
F16NE7
C
Wolfden Branch
YAD01
12-19-1
C12NE7
C;Tr
Wolfpen Creek
YAD01
12-12-4
C12SE7
C;Tr
Wood Branch
YAD02
12-62-13-2
B15SW3
C
Wood Fork
YAD02
12-63-10-4-1
B15NE3
C
Wood Run
YAD08
13-7-(1)
F18SE5
WS-IV
Wood Run
YAD08
13-7-(2)
F18SE5
WS-IV;CA
Page 26
of 28
2013-12-19 11:17:52

WITHERS ~ RAVEN EL
ENGINEERS I PLANNERS i SURVEYORS
June 2, 2015
Fayetteville Regional Office
Water Quality Section
225 Green Street, Suite 714
Fayetteville, North Carolina 28301-5094
RE: Bilhen Pump Station Replacement
W&R No. 6140320.00
Dear Fayetteville Regional Office:
On behalf of the Town of Troy, we have enclosed two (2) copies of the subject Fast -Track
Application (FTA 08-13), including a USGS based Site Map, Watershed Classification Attachment
(WSCAS 08-13), a Flow Tracking/Acceptance for Sewer Extension Permit Application (FTSE 08-13)
and the application fee of $480.00.
The purpose of the project is to replace the existing 20 year old 350 gpm Bilhen Pump Station with
a new 440 gpm pump station. The increase in pumping rate was requested by the Owner due to
anticipated future development in the area of the pump station site. The main components of the
project consist of the construction of a new 10'e precast wetwell, new precast valve vault, new
emergency generator, new electrical controls, new valves and associated pump station piping,
connection to the existing force main and the removal or abandonment of the existing pump station
and components. The new pump station is designed to collect previously permitted flows to the
station and discharge them to the same force main as the existing. Therefore, no new or additional
flows are being permitted as part of this project. Additional flows will be permitted as part of
increased discharge allocation to existing connections or as part of permitting new connections.
Please feel free to contact me, should you have any questions or require further information.
Sincerely,
WITHERS &-RAVENEL, INC.
Michael Koser, PE
Attachments
111 MacKenan Drive I Cary, NC 275111 tel.: [phone] fax: [phone] www.withersravenel.com I License No. C-0832
1410 Commonwealth Drive I Suite 1011 Wilmington, NC 28403 1 tel: [phone] fax: [phone]
7011 Albert Pick Road I Suite G I Greensboro, NC 27409 1 tel: [phone] fax: [phone]

RECEIVED/DNit
1:
Owner/Permittee:
1
a.
Town of Troy
Full Legal Name (company, municipality, HOA, utility, etc.)
Z 1
b.
Greg Ze hir - Town Manager ra ions Section
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing o
Q
1 c.
The legal entity who will own this system is: o
El Individual ❑ Federal ® Munici ali El State/County❑ Private PartnershipElCorporation ❑ Othe sec
0
1d.
315 North Main Street 1e. Tro
LL
Mailing Address City
Z
if.
North Carolina
1g. 27371
Z
State
Zip Code
2
1 h.
910-572-3661
1 i.
1 j. mans er tro .nc.us
Facsimile
E-mail
QTelephone
U
2.
Protect (Facility) Information:
J
CL
2a.
Bilhen Pump Station
2b. Montgomery
County Where Project is Located
Brief Project Name (permit will refer to this name)
C'
3.
Contact Person:
Q
Q
3a.
Michael Koser, PE
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b.
336-605-3009
3c. mkoser withersravenel.com
Phone Number
E-mail
1.
Project is ❑ New ® Modification (of an existing permit) If Modification, Permit No.: NEED NUMBER FROM BENNY
® Public (skip to Item B(3))❑ Private (go to Item 2(a))
2b. If sold, facilities owned by a (must choose one)
te, applicant will be:
Fis
ining Ownership (i.e. store, church, single office, etc.) or
❑ Public Utility (Instruction D)
sing units (lots, townhomes, etc. - skip to Item B(3))
❑ Homeowner Assoc./Developer (Instruction E)
ng units (lots, townhomes, etc. - go to Item B(2b))
r
TOWN OF TROY FIRST BANK This instrument has been preaudited in
[phone] 315 NORTH MAIN STREET TROY, NC the manner required by the Local Government
Fiscal Control Act
TROY, NORTH CAROLINA 27371 66-456/531
115993
Four Hundred Eighty Dollars and 00 Cents
DATE
05/21 /2015
OTHE NC DENR
)RDER 1634 MAIL SERVICE CENTER
)F
RALEIGH NC 27626-0536
(see 15A NCAC 02T .0303 to determine if a permit is required)
FTA 10-14 APPLICATION Page 4 of 6
115993
AMOUNT
$480.00
NP
��—
AUTHORIZED SIGNATURE NP
r0