WQ0042071_Application (FTSE)_20201026

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02 C.030o-1,AST'1'RACK SMVER Sl'STENI EXTENSION API'I.ICATION
Division of Water Resources INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUtViENTATION
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, lA
NCAC 021', 15A NCAC 021'.0300, Division 11olicies and good engineering wactices.
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) arc explained in 15A NCAC 02T.0303
Projects not eligible fix review via the fast track pn)ccss (must be submitted for full technical r ew
Projects that require an environmental assessment in accordance with 15A NCAC I C. . 0 ept of lrrtvironmerltai Qoalitx Pro,jects 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 utili7ing septic tank -effluent pumps (STFPs) or simplex grinder pumps; M'T 7 c iff?ff
1 STFP or simplex grinder pumps connecting to pressurized systems (e.g. lorce mains);
S Vacuum sewer systems_
i2:t1:•i�'lt I'
General — When submitting an application, pie. -Ise use the following instructions asa eheeklist in order to ensure: all required items
are submitted_ Adherence to these instructions and checking the provided boxes will help produce it 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, thiless otherwise noted, the Applicant shall submit
one; original and one copy of the :application and supposing documentation.
A. One Original and One Copy of Application and Supporting Documents
® Required unless otherwise noted
B. Cover better (Required for All Application Package):
® List all items included in the application package, as well as a brief descHption of the requested permitting action.
Be specific as to the systern type, number of'IR>mes served, flow allocation required, etc.
If necessary ('or 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 ofapplication submitial.
.- Payable to North Carolina Department of Environmental Quality (NCDEQ)
D. Fast Track (Form: FTA 04-16) Application (Required for All Application Packages):
M Submit the completed and appropriately cxcculed application.
i If necessary for clarity or due to space restrictions, attachments to the application may be made.
❑ If the Applicant Type in Item 1.2 is a corporation or company, provide documentation it is registered for business with
the North Carolina Secretary_ ofStatc.
❑ If the Applicant Type in Item 1.2 is a partnership or d/b/a, enclose a copy of the certilicate filed with the Register of
Deeds in the county of business.
® The Project Name in Item 11,1 shall be consistent with the project name on the Ilow acceptance letters, agreements, etc.
® 'llte Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a Notllt
Carolina licensed Professional Engineer.
® The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 02T .010G h .
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 021' .0106(b).
INSTRUCTIONS FOR FORIM: FTA 04-16 & SUPPORTING DOCUMENTATION Page I of 3

E. Flow Tracking/Acceptance Form (Form: FrSG 04-16) (If Applicable):
I@ Submit the completed and executed FTSE form from the owners ofthe 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 FTSF 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-
215.67La).
Intergovernmental agreements or other contracts will not be accepted in lieu of a project-specitic FTSE.
F. Site Maps (All Application Packages):
® Submit an 8.5-inch x 1 1-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project
area and closest surface waters.
:- Location of the prpject (gravity sewer, pump stations & force mairi)
Downstream connection points and permit number (if known) for the receiving sewer
® include a street level map (aerial) showing general project area so that Division staff c;tn easily locate it in the field.
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 Di%kiun to address during the perntit
modification (i.e., permit description, flow allocation, treatment facility, etc.).
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per _1.5A NCAC 021' .0305(h)(I }, submit documentation of power reliability for pumping stations.
:- This alternative is only available for average daily flows less than 15,000 gallons per day
Y It shall he 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 propoked
contractor, slating that "the portable power generation unit or portable, independently-puwered pumping units, associated
appurtenances and personnel are available for distribution and operation of this pump station."
v !bite 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 he provided in the case of a multiple station poet er 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.01 15(a)(I ] provide the Certificate ul' Public Convenience and Necessity from the North Carolina
Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise fur the arcs to be served by
the sewer cxtcnsian, or
❑ Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public StafT slating an
application for a franchise has been received received and that the service area is contiguous to an existing franchised area or that
franchise approval is expected.
.I. Operational Agreements (Applications from 1-10AII10A and Developers for lots to he sold):
❑ Home/Property Owners' Associations
❑ Per .]5A NCAC 02'r.oI 15(c), submit the properly executed Operational_ Agreement (FORM: 1-I0A).
❑ Per 15A NCAC 02T .01 15(c), submit a copy of the Articles of Incorporation, Declarations and lay -laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .0l 15(b), submit the properly executed Operational Agreement FORM: DEV .
For mote infoi-nwliaa, visit the Divisions collection sys'lems websrte
INSTRUCTIONS FOR FORM: i:TA 04-16 do SUPPORTING DOCULN11L.'NTATION Page 2 of

THE COMPLETED APPLICATION PACKAGE INCLDINC ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD HE 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,
(828) 2964500
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
Rath 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_Reaional 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 FORM: FTA 04-16 & SUPPOR'1 ING DOCUMENTATION Page 3 of 3

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SVSTE�M EXTENSION APPLICATION
Division of Water Resources ETA 04-16 & SUPPORTING DOCUMENTATION
Application NumlkL-r: _. a q; so lie campleied by DWR) r "�
All items must be completed or the a fication will be returned
1. APPLICANT INFORMATION:
Applicant's name: Tativn of Fu ua -Varina (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: !ay T. Mcyers, PAC. per 15A NCAC 02T .0106(b)
Title: Public Utilities Director
4. Applicant's mailing address: 134 N. Main Street
City: Fu ua -Varina State: NC Zip: 27526-
5. Applicant's contact information:
Phone number: (919) 567-391 1 Em::il Address: 'mc ers a fu ua-varina.ar
H. PROJECT INFORNIATION:
I . Project name: Judd Place Sewer
2. Application/Project status:
© Proposed (New Permit) ❑ Existing PernitlProject
If a modification, provide the existing permit number: WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit number' WQ()0
3. County where project is located: Wake
4. Approximate Coordinates (Decimal Degrees)_ Latitude: 35.588866 Longitude:-78.778912
5. Parcel ID (if applicable): NSA
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFOICNI A"rION:
I. Professional Engineer: Stephen Leitch License Number: 029995
Firm. CJS Conveyance. PLLC
kfailing address: 320 S. Academy Street
City: Cates+ State: NC lip: 27511-�--
Phone number. [phone] lanai: Address: sleitch a cisconve ance.corn
1V. WASTFWATEIt TREATMENT FACILITY (_NVNVTF) INFORMATION:
1. Facility Name: Harnett County WWTP Permit Numbcr; 0021636
Owner Narne: Harnett County 4
V, RECEIVING DOWNSTREAM SENVER INFORMATION (ifdifferent than WWTF):
1. Permit Number(s): WQunlcnown Downstream (Receiving) Sewer Size: 8 inch
System Wide Coilcction System Permit Numbers of a> nlicable : WQCS00193 '
Owner Nante(s): Town of Fu ua -Varina
FORM. f TA 04- l6
n,�_ 4 -47r

VI. GENERAL REQUIREMENTS
I. 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's_ Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑No ®N/A
3. if the Applicant is a I-lotne/ProertOwners' Association has an O Derational Agreement FORM: I IOA been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Rash
❑ Residential Leased ❑ Retail with food preparation/service ❑ I lute! and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash® Businesses / olfices / factories ElNursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: % Domestic/Commercial % Commercial
_ % Industrial (Sc_c_15A NCAC 02T .0103(201)
bIs there a Pretreatment Program in effect? ❑ Yes ❑ No
6. 1 [as a flow reduction been approved under 15A NCAC 02'r,.01 14(—? ❑ Yes ❑ No
Ify", provide a_copy of flow reduction annrov»l letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.01 Ij[i))
Daily Design Flow "•1
No. of Units
Flow
N/A - rem flow added
gall
GPD
gall
GPD
gal/
GPD
gal?
GPD
gal!
GPD
gal!
GPD
Total
GPD
a See ISA NCAC 02'r .0f I4(b), (d), (c)(I I and (c)(2) for caveats to wastewater design flow rates (i.e., nainirnum 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 ofthe Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0 f 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.011,11 shall be
determined using available flow data, water using fixtures- occupancy or operation patterns, and other measured data.
R. Wastewater generated by project: 0 GPD (per 15A NCAC 021` .0114)
Do not include fuhire flows or previously permitted allocations
If permitted flow is zero, indicate why;
❑ Purnp 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): Project is for existing 13S Abandonment. Flow is being redirected to a GS with unk. Knifit number.
FORNI: FTA 04-16 Page 2 of 5

VI1. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
1 8 1 216 1 PC350 Ductile Iron
➢ 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
Vill. 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: NIA
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)(I)(B);
Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
D 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(hxl)(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) & ®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
I8 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 11 impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal
high water for tide elevation and wetlands see item IX.2
50 feet
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
Any building foundation
10 feet
5 feet
Any basement
10 feet
Top sloe of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade(vertical)
36 inches
➢ 15A NCAC 02T.0305W contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC Surface Water Classifications webnage
➢ 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 ® NIA
➢ 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 0213 .0200? ® Yes ❑ No ❑ N;'A
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or [:]Yes ® No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with ISA NCAC 02T.0105 c 6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(cX6}, 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 Design Criteria for the Perm itting of Pumn Stations
and Force (latest version), and the Gravity Sewer Minimum Design Criteria (latest vcrsionl as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Allemahve Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is required prior to submittal of the Fast Tract Application and supporfine documents,
2. Professional Engineer's Certification.
t, ✓-fC f"G "/ attest that this application for
(Professional Engineer's name from
pApplliicati[onn Item M.1.)
has been reviewed by me nd is accui� coy mp tc�and oifnsiscnt 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 tie 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 Geneml Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, —:si.r • r e ►i; Fi.Lbw i G Tl f l •tf LS D t r • attest that this application for
(Signaturf Authority's nanz6 & title from Application Item 1.3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand flint 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 143-2I5.613. 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 S10,000 as well as civil penalties up to $25,000 per violation.
ignatu Date:2
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
F ` x Department of Environmental Quality
1't+ Division of Water Resources
tlttilsion of Wairr Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Town of Fuquay Varina
Project Name for which flow is being requested: Judd Place Sewer
Alore than one FTSE maY he required.for a single project if the on•ner• of the INI TP is not responsible for all pump
stations along the route ojthe proposed it-asteirater.Jlow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: North Harnett Regional WWTP
b. WWTP Facility Permit #: NCO021636
All flows are in MGD
c. WWTP facility's permitted flow 7.5 MGD
Fuquay-Varina Allocated Flow 2.60 MGD
Lillington AIlocated Flow 1.20 MGD
Angier Allocated Flow I.008 MGD
d. Estimated obligated flow not yet tributary to the WWTP 1.430 MGD
FV Obligated Flow NYT
0.684 MGD
Lillington Obligated Flow NYT
0.113 MGD
HC Obligated Flow NYT
0.339 MGD
Angier Obligated Flow NYT
0.320 MGD
e. WWTP facility's actual avg. flow
4.682 MGD
FV Actual FIow
1.216 MGD
Lillington Actual Flow
0.714 MGD
HC Actual Flow
2.169 MGD
Angier Actual Flow
0.583 MGD
f. Total flow for this specific request
0.000 MGD
g. Total actual and obligated flows to the facility
6,172 MGD
FV Actual Avg. + Obligated Flow
1.934MGD
Lillington Actual Avg. + Obligated Flow
0.827 MGD
HC Actual Avg. + Obligated Flow
2.508 MGD
Angier Actual + Obligated Flow
0.903 MGD
h. Percent of permitted flow used 82.29%
if. 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:
Page 1 of 4
VI -SE 06-13

(A)
(B)
(C)
(D)=(D+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, *
(Firni - pl),
Daily Flow,
Daily Flow,
Obligated
Available
Number)
MGD
MGD
MGD
MGD
Flow
Capacity***
CONTACT
TOFV
FOR
UPSTREAM
SLS
CAPACITY
INFO
SLS 120 14.4 5.76 3.021 1.302 4.323 1.437
* 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 WI VTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): North Harnett Regional WWTP
Downstream Permit Number: NCO02I636
III. Certification Statement:
1 Steve Ward 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 o tis wastewater flow.
/0-/r- )-0
Sighing dfficial Signature Date
Page 2 of 4
1-TS1= 06-I

OF WArF9 State of North Carolina
`O� QG Department of Environment and Natural Resources
eon r Division of Water Quality
4 Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE 06-13)
Project Applicant Name: Town of Fuquay-Varina
Project Name for which flow is being requested: Judd Place Sewer
More than one FTSE s:ay be required for a single project if the owner of the WWTP is not responsible far all pump
stations along the roule of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: North Harnett Regional WWTP
b. WWTP Facility Permit #: NCO021636
All flows are in MGD
c. WWTP facility's permitted flow 2.60
d. Estimated obligated flow not yet tributary to the WWTP 0.654
e. WWTP facility's actual avg. flow 1.204
f. Total flow for this specific request 0.000
g. Total actual and obligated flows to the facility I.888
h. Percent of permitted flow used 72.59%
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations Iocated 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 i p f), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
* 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 l of 6
FTSI ~ 06-13

Certification Statement:
I Jay T. Meyers, PE, Public Utilities certify to the best of my knowledge that the addition of
Director
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.
Page 2 of 6
I~TSE 46-13

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Waps makes every effort io produce and publish
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Carp, NC 27511
ii 919-M90-3876
Conveyance. PLLC
-- www.ciscometi ance.com
October 21, 2020
Raleigh Regional Office
Water Quality Section
Division of Water Resources
NC Department of Environmental Quality
1628 Mail Service Center
Raleigh, NC 27699
"CDept0fEnvironinew.,11 (►�ialitS,
Re: Town of Fuquay-Varina — Judd Place Sever Improvements
Raleigh Re,inlltll U1f'tc
We respectfully submit an application package for a Fast Track Sewer System Extension Permit on behalf
of the Town of Fuquay-Varina.
The former Town I-iall building, which is located at 401 Old Iloncycutt Road, is being repurposed as a
new police facility_ Currently the building is provided sewer service %is a dedicated pump station which
conveys wastewater to a public gravity sewer main north of the property. The Town wishes to eliminate
this small pump station by redirecting flow to an existing gravity sewer south of the property. To
accomplish this, they propose a connection to the existing gravity sewer, a new gravity sewer main tip
Judd Place, and a gravity server service through the property to the existing pump station location. This
extension will allow the pump station to be abandoned. There will be no change in flow discharged, only
a redirection. 1 lowever, the existing pump station discharge and the proposed sewer main extension
ultimately drains to the same downstream sanitary sewer infrastructure.
Please do not hesitate to contact me should you have any questions or concerns. I can be reached at
(919)-890-3877. We appreciate your time and consideration regarding this matter.
Sincerely,
�- (:fD,
Stephen Leitch, PE
Project Manager