WQ0042089_Application (FTSE)_20201104

AFI
NC JAIDepartment of
Environmental Quality
a<k Received
'JXtNOV 0 4 2020
J. S. Beck Engineering, PLLC Winston-Salem
License No. P-1388
5537 Autumn Harvest Drive, Kernersville, NC 27284 Regional Office
Quaker Field Subdivision
Archdale, North Carolina
Randolph County
Gravity Sewer Fast Track Application
Project # 11818
October 30, 2020
North Carolina Department of Environment & Natural Resources
Water Quality Section
450 West Hanes Mill Road, Suite 300
Winston Salem, NC 27105
Enclosed is the gravity sewer application and supporting documents for Quaker Field Subdivision in
Randolph County. Should you have any additional questions or comments, please do not hesitate
to send me an email or call using the information below.
Sincerely,
Joshua Beck, PE
Enclosures:
Review Fee
(2) - FTA 14-16
(2) — FTSE 04-16 from City of Archdale
(2) — FTSE 04-16 from City of High Point
(2) - Project Narrative
(2) - USGS Topographic Map
(2) - Street View Map
Review Fee Check
E-Mail: [e-mail] Cell: 336-420-4807

State of North Carolina
Department of Environmental Quality
DWRO' Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION
This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of 15A NCAC 02T and the Division's
Minimum Design Criteria and that plans, specifications and supporting documents have been prepared in accordance with, 15A
NCAC 02T, 15A NCAC 02T .0300, Division policies and good engineering practices.
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design
documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design
calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum design criteria. These
documents shall be available upon request by the Division.
Projects that are deemed permitted (do not require a permit from the Division) are explained in 1.5A NCAC 02T.0303.
Projects not eligible for review via the fast track process (must be submitted for full technical review):
➢ Projects that require an environmental assessment in accordance with 15A NCAC 1C .0100;
➢ Projects that do not meet any part of the minimum design criteria (MDC) document;
➢ Projects that involve a variance from the requirements of 15A NCAC 2T;
➢ Pressure sewer systems utilizing septic tank -effluent pumps (STEPS) or simplex grinder pumps;
➢ STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains);
➢ Vacuum sewer systems.
General — When submitting an 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. Failure to submit all required items will necessitate additional
processing and review time, and may result in return of the application. Unless otherwise noted, the Applicant shall submit
one original and one copy of the application and supporting docmnentation.
A. One Original and One Copy of Application and Supporting Documents
® Required unless otherwise noted
B. Cover Letter (Required for All Application Packages):
® List all items included in the application package, as well as a brief description of the requested permitting action.
➢ Be specific as to the system type, number of homes served, flow allocation required, etc.
➢ If necessary for clarity, include attachments to the application form.
C. Application Fee (All New and Major Modification Application Packages):
® Submit a check or money order in the amount of $480.00 dated within 90 days of application submittal.
➢ Payable to North Carolina Department of Environmental Quality (NCDEQ)
D. Fast Track (Form: FTA 04-16) Application (Required for All Application Packages):
® Submit the completed and appropriately executed application.
➢ If necessary for clarity or due to space restrictions, attachments to the application may be made.
❑ If the Applicant Type in Item I.2 is a corporation or company, provide documentation it is registered for business with
the North Carolina Secretary of State.
❑ If the Applicant Type in Item L2 is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of
Deeds in the county of business.
® The Project Name in Item II.1 shall be consistent with the project name on the flow acceptance letters, agreements, etc.
® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North
Carolina licensed Professional En ig neer.
® The Applicant's Certification on Page 5 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).
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Pagel of 3

E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (If Applicable):
® Submit the completed and executed FTSE form from the owners of the downstream sewers and treatment facility.
➢ Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different.
➢ The flow acceptance indicated in form FTSE 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 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.
F. Site Maps (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.
➢ Location of the project (gravity sewer, pump stations & force main)
➢ Downstream connection points and permit number (if known) for the receiving sewer
® Include a street level map showing general project area.
G. Existing Permit (All Modification Packages):
❑ Submit the most recently issued existing permit.
❑ Provide a list of any items within the permit the Applicant would like the Division to address during the permit
modification (i.e., permit description, flow allocation, treatment facility, etc.).
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per 15A NCAC 02T .0305(h)(1), submit documentation of power reliability for pumping stations.
➢ This alternative is only available for average daily flows less than 15,000 gallons per day
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible
with the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or proposed
contractor, stating that "the portable power generation unit or portable, independently -powered pumping units, associated
appurtenances and personnel are available for distribution and operation of this pump 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. (Required at time of certification)
I. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0115(a)(1) provide 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 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.
J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (FORM: HOA).
❑ 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 (FORM: DEV).
For more information, visit the Division's collection systems website
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 2 of 3

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
Raleiah 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 Reaional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Fender
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Alamance, Allegheny, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Water Quality Section
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 3 of 3

State of North Carolina
Department of Environmental Quality
DWR 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: (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: City of Archdale. NC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ® Municipal
3. Signature authority's name: Zeb Holden per 15A NCAC 02T .0106(b)
Title: City Manager
4. Applicant's mailing address: PO Box 14068
City: Archdale State: NC Zip: 27263-_
5. Applicant's contact information:
Phone number: (3� 431-9141 Email Address: zholden archdale-nc.gov
❑ Privately -Owned Public Utility
❑ Other
II. PROJECT INFORMATION:
1. Project name: Quaker Field Subdivision
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000_ and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Randolph
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.877781' Longitude:-79.95581 V
5. Parcel ID (if applicable): 7717657655
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Joshua Beck License Number: 038556
Firm: J.S. Beck Engineering, PLLC
Mailing address: 5537 Autumn Harvest Drive
City: Kernersville State: NC Zip: 27284-_
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Eastside W WTP Permit Number: NCO024210
Owner Name: City of High Point
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than W WTF):
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

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 NN/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement FORM: DEV) been attached?
❑ Yes ❑No NN/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes []No NN/A
4. Origin of wastewater: (check all that apply):
N Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / 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 0 % Commercial
0 % Industrial (See 15A NCAC 02T .0103(20))
l,Is there a Pretreatment Program in effect? ❑ Yes N No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(fl? ❑ Yes N No
➢ If yes, nrovide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f)l
Daily Design Flow e,b
No. of Units
Flow
Single Family Residential Homes 4 BR
480 gal/day
15
7200 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
7200 GPD
a See 15A NCAC 02T .0114(b), (d). (e)(1) and (en 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 15A NCAC 02T.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 7200 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 pennitted 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
1450
PVC
8
60
Ductile Iron
➢ 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
VIIL 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 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 timeftames, 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)
➢ 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-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
An swimming pools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(fl cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
➢ If noncompliance with 02T.0305(f) or (a), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No
➢ 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 all setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ No
➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)?
// M
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
➢ 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, SC& 1+0 � S eat attest that this application for
(Professional Engineer's name from Application Item III.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 143-215.6B, 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.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
CARO��ii
•
SSAL
038556 =
AI S;®�\��
,/ g::�j + Oe—� --4 ✓-4 attest that this application for
title from Application Item I.3.)
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: //� �e!!�i''�' Date:
FORM: FTA 04-16 Page 5 of 5

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J. S. Beck Engineering, PLLC r Ft°�` �`
License No. P-1388
N``a'o'�
5537 Autumn Harvest Drive, Kernes ville, NC 27284
Project Narrative
For Quaker Field Subdivision
In Archdale, North Carolina
Quaker Field Subdivision is a proposed single phase, 15 lot single family residential subdivision off
Robbins Country Road in Archdale, North Carolina. Located south of downtown Archdale, this 11.46 acre
tract of land is partially split by Deaton Road with 4 lots to the south of Deaton Road and 11 lots to the north
Quaker Field Subdivision is also bordered to the west by Oak Forest Subdivision completed during the mid-
1980s. All proposed houses within the project are slated to be 4-bedroom single family homes.
As part of the construction of Oak Forest Subdivision, a sewer line runs along the center line of
Whisper Oak Drive. Utilizing this manhole and sewer access, we will extend the sewer service to this project.
This permit will cover the new construction of sewer mains throughout this project and consists of 1450
linear feet of 8" PVC and 60 linear feet of 8" ductile iron pipe. The piping listed and installed under this permit
will meet or exceed today's design standards and regulations for both the City of Archdale and NCDENR.
The proposed sewer lines or services will tie to an existing manhole located directly in the center of
Whisper Oak Drive's ribbon pavement. Based on the size of this project, the sewer line has more than
sufficient capacity to handle the expected demand from proposed housing and the additional capacity of the
adjacent properties, if extended and utilized in the future. A total of 7,200 gals/day is expected at full build
out of the proposed subdivision using a daily flow of 120 gals/day per bedroom. This total daily flow was
calculated using a breakdown of 15 4-bedroom homes.
At the completion of construction, the City of Archdale has agreed to take over maintenance of the
sewer mains and streets within the project since the utilities will be installed within a public right of way or
utility easement. The water mains within the area and this project will also be owned and operated by the
City of Archdale.
E-Mail: [e-mail] Cell: 336-420-4807

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State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
Division of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: City of Archdale
Project Name for which flow is being requested: Quaker Field Subdivision
More than one FTSE maybe 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 #:
All flows are in MGD
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 (j.007 Z.
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
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 / pfl, Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
Weant
na 3.600 1,440 1.009 0.064 1.073 0.367
Oak 0.209 0.084 0.027 0.0072 0.034 0.050
* 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 peaking 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 WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): City of High Point
Downstream Permit Number: NC0024210
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Zeb Holden 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 certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Signature
Title of Signing
/C-7,
Page 2 of 6
FTSE 10-18

Public Services Department
Terry L. Houk
DIRECTOR
NORTH CAROLINNS INTERNATIONAL C1Tr
October 30, 2020
NCDENR
Winston-Salem Regional Office
450 W. Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
Project: Quaker Field Subdivision
City of Archdale
Applicant: City of Archdale
Dear Sir or Madam:
This is to acknowledge that the City of High Point will accept for treatment in the Eastside
Wastewater Treatment Plant (Permit #NC0024210), wastewater flow from the above referenced
project in the amount of 7,200 GPD, which will be discharged to facilities operated and
maintained by the City of Archdale, then to the City of High Point facilities.
Flows from this area will be deducted from the City of Archdale's current capacity allotment in
the Eastside Treatment Plant.
If further information is needed, please let me know.
Very truly yours,
Z.
Terry Qvouk
Director of Public Services
TLH/tab
City of High Point, P.O. Box 230, 211 South Hamilton Street, High Point, NC 27261 USA
Fax:[phone] Phone:336,883.3215 TDD:336.883.8517

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Tlow Tracking for Sewer Extension Applications
0100on of Water Itr mur<es (FTSE 10-18)
Application Number. 12020457
Entity Requesting Allocation: City of Archdale
Project Name for which flow is being requested: Quaker Field Subdivison
Allow than one ME rung, he requhed for a slugleprojecl lf0ue owner of the 11TITP Is not responsible for roll pwlgi
stations along lire route of thoprolvored wrisfelvnterflolp,
1. Complete this section only if you are the owner of the wastewater treatment plant.
a.
WWTP Facilitynalne: Eastside WWTP
b.
WWTP Facility Permit tk NC-0024210
All flonty are hi MGD
c.
WWTP facility permitted flow:
26.0000
d.
Estimated obligated flow not yet tributary to the WWTP:
0.8210
e.
WWTP facility's actual average flow:
15.8250
f.
Total flow for tills specific request:
0.0072
g.
Total actual and obligated flows to the facility:
16.6532
If.
Percent of permitted flow used:
64.05%
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)
(0)
(C)
(D)—(n+C)
(F,)-(,1-D)
Pump
Pump
Plan
Design
Approx.
obligated,
Total Current
Available
Station
Station
Cnpneltyl
Average
Current
Not Yet
plow Pins
Capacity)
(Name or
Permit
Daily Flow"
Avg. Daily
Tributary
Obligated
Number)
Number
(Fimi/pp,
Flow,
Daily plow,
Flow
111Gn
MGD
MGD
AIGD
MGD
Moo
E.olde WWtp
N0024210
26.0008
26.0008
16.8241
0.8210
16. O
9.3047
0
NWA
NNIA
NNIA
MIA
MA
NWA
MIA
NNIA
W/A
MA
NWA
NNIA
NN/A
NNIA
AMA
MA
NNIA
NN/A NNIA NWA NNIA NNIA MA
The Firm Capacity (design flow) of any prop station Is de0ned as lira maximum pumped flow flint
can be achieved with file largest pump fallen milt of service,
Design Average Flow Is tire arm capadly argue ,,,,,,is stnlion divitial by file pealsing factor (p0 not
less fhnn 2.51 per Section 2.02(A)(4)(e) of file Minimum Design Criteria.
*"" A Planning Assessment Addendum stall be alluded for each pump station located between the
Project connection point and fire WWTP whera the Available Capacity is 5 0.
Downstream Facility Nanic (Sewer):
Downstream Permit Number:
NNIA MIA
NWA N.WA
NNIA NNIA
NN/A NNIA
Page 1 of 6 FTSE 10.10

NVI'doo of lvalel kw'our((":
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Seiver Extension Applications
(FTSE 10-18)
Application Number:. 2020-157
Entity Requesting Allocation: City ofArchdalc
Project Name for which flow is being requested: Quaker Field Subdivison
More Oran one FI SE nuip be reguked for a single proJeel ifthe omfer of the 11117P Is not respmisible for all pan y)
stations along file route offhe proposed ipastwpeterflow,
Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTPFacilityname: EastsideWWTP
b. WWTPFacjlilyPer•rnitll: NC-0024210
All flows are ht MGD
c.
W WTP facility permitted flow:
26.0000
d.
Estimated obligated flow not yet tributary to the W W'IP:
0.8210
e.
W WTP facility's actual average flow:
15.8250
f,
Total flow for this specific request:
0.0072
g.
Total actual and obligated flows to the facility:
16.6532
h.
Percent of permitted flow used:
64.05%
E. 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 slid the W WTP.
(A)
(D)
(C)
(D)=(a+C)
(F.)-(A•D)
Pump
runup
Finn
Design
Approx.
Obligated,
Total Current
Available
Station
Station
Capacity
Average
Current
Not Yet
Flow Pins
Cnpacayl
(Name or
Permit
Daily Flow'
Avg. Daily
Tributary
Obligated
Number)
Number
(FinNpq,
plow,
Daily plow,
Flow
AIGD
AIGD
AIGD
MOD,
MOD
\IGD
Fxufde wwrp
KC0024210
26.0008
26.0008
15,8251
0.8210
16.6161
9.3547
0 WA MWA NN/A MA MA
MA MWA NNIA MNIA MIA NWA
MNIA MA MNIA NIA MNIA NIA
MIA MNIA MWA NNIA NWA MWA
"Tire Firm Capacity (design now) of may pinup station Is deflnetl as fire ueslnturn pumped flow flint
can he achieved with lira Ia•gesl Pump taken oil of service,
*" Design Average plow Is the firm capacity of the pump station divided by the pealing factor (pi) not
less Nat 2.5, per Section 2.02(A)(4)(c) of the Minfi n1m Design Criteria.
"A flaming Assessment Addendum shall be alloched for ench pump staff lou located between fire
project connection polar and the W WTP where the Available Capacity is 50.
Downstream Facility Name (Sewer):
Downstream Permit Number:
MIA NNIA
OVA Ni/A
MA MA
MNIA MN1A
Page 1 of 0 PTSE 10.10

111. Certification Statement
1, Terry Houk 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 anticipntcd to cause any capacity related
sanitary sewcr 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 ccrfificafion applies to those items
listed above in Sections I and 11 plus all attached planning assessment addendums for which 1 am file
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.
-- � 4 ,��
Signing Ojr •f 1 Sign tra•e
Tille of Signing OJJielat
10/29/2020
Dale
Paao 2 of 0 FTSE 10.10