WQ0039121_Regional Office Historical File Pre 2018

Water Reources
QUALUY
March 29, 2017
Mr. Marshall :Jones, Registered Agent
Killian Creek Development, LLC
18339 Old Statesville Road, Suite G
Cornelius, North Carolina 28031
ROY COOPER.
Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
pirect©r
Subject: Permit No. WQ0039121
Killian Creek Development, LIE
Killian Creek Subdivision
Wastewater Collection System Extension Permit
Cabarrus County
Dear Mr, Jones:
In accordance with your application received March 28, 2017, we are forwarding herewith Permit No.
WQ0039121. dated March 29, 2017 to the Killian Creek Development, LLC (Permittee) for the
construction and operation upon certification of the subject wastewater collection system extension. This
permit shall be effective from the date of issuance until rescinded and shall be subject to the conditions and
limitations as specified therein.. This cover letter shall be considered a part of this permit and is therefore
incorporated therein by reference.
Please, pay particular attention to the following conditions contained within this permit:
Condition 11.1: This permit shall not be automatically transferable; a request must be made and approved.
Condition 11.4: Requires that the wastewater collection facilities be properly operated and maintained in
accordance with 15A NCAC 2T .0403 or any individual system -wide collection system
permit issued to the Permittee.
It shall be the responsibility of the Permittee to ensure that the as -constructed project rneets the appropriate
design criteria and rules. Failure to comply may result in penalties in accordance with North Carolina
General Statute §143-215.6A through §143-215.6C, construction of additional or replacement wastewater
collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing
board.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit This
request must be in the form of a written petition, conforming. to Chapter 150B of North Carolina General
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are made, this permit shall be final and binding.
State of North Carrilina Environmental Quality Water Resources Water Quality Regional Operatioe
Mooresville Regional Office 610 East Center Avenue, Suite 301 Mooresville, North Carolina 28115
704 663 1699

If you need additional information concerning this matter, please contact Ori Tuvia at [phone] or
via e-mail at ori,tuviadncdenr,gov.
Sincerely,
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
cc: Dan Brewer (PE) (E-copy)
Mooresville Regional Office Files
Water Resources Central Files
PERCS (E-copy)
Page 2 of 8

Environmental
Quality
STATE OF NORTH C.AROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
Killian Creek Development, LLC
Cabarrus County
for the construction and operation of approximately 3,640 linear feet of 8-inch gravity sewer to serve
59 single family homes as part of Killian Creek Subdivision development, and the discharge of
14,160 gallons per day of collected wastewater into the Lincoln County's existing sewerage system,
pursuant to the application received March 28, 2017, and in conformity with 15A NCAC 2T; the
Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the
Division's Minimum. Design Criteria for the Fast -Track. Permitting of Pump Stations and Force Mains
adopted June 1, 2000, as applicable; and other supporting data subsequently filed and approved by the
Department of Environment and Natural Resources and considered a part of this permit.
This permit shall be effective from the date of issu
conditions and limitations contained therein.
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
c
until rescinded and shall be subject to the specified
By authority of the Environmental. Management Commission.
Permit Number: WQ0039121
Permit Issued: March 29, 2017.
Page 3 of 8

SUPPLEMENT TO PERMIT COVER SHEET
Killian Creek IDeve1opment, LLC is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension. The
sewage and wastewater collected by this system shall be treated in the Lincoln County Sewer system
Killian Creek Regional Wastewater Treatment Facility in accordance with Permit Number NC0084573.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as
applicable; and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000, as applicable, unless specifically mentioned herein. Division
approval is based on acceptance of the certification provided by a North Carolina -licensed Professional
Engineer in the application. It shall be the Permittee's responsibility to ensure that the as -constructed
project meets the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
. SPECIAL, CONDITIONS
1) No flow in excess of the quantity permitted herein, 14,160 GPD, shall be made tributary to
the subject sewer system until an application for permit modification for an increase in flow
has been submitted to and approved by the Division. [15A NCAC 02T.0304 (1)1
II. STANDARD CONDITIONS
This permit is not transferable, In the event there is a desire for the wastewater collection facilities
to change ownership, or there is a name change of the Permittee, a formal permit request shall be
submitted to the Division accompanied by documentation from the parties involved, and other
supporting materials as may be appropriate. The approval of this request shall be considered on its
merits and may or may not be approved. [15A NCAC 02T.0104; G.S 143-215.1(d3)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer
Minimum Design Criteria adopted February 12, 1996, as applicable; the Division's Minimum Design
Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as
applicable; and other supporting materials unless specifically mentioned herein. [15A NCAC
02T.0110]
3, This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T .0110]
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required, the following performance criteria shall be met: [15A NCAC 02T ,0108(b)]:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or surface
water standards.
Page 4 of 8

b. A map of the sewer system shall be developed and shall be actively maintained,
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e. 365
days per year). Pump stations that are connected to a telemetry system shall be inspected at least
once per week.
e. High -priority sewer lines shall be inspected at least once per every six months and inspections
documented.
g.
A general observation of the entire sewer system shall be conducted at least once per year.
Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by
North Carolina General Statute §143-215.1C.
h. A Grease Control Program is in place as follows:
For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
perrnittee or its representative.
3 Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimumof
three years with exception of the map, which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Mooresville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours
following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility
incapable of adequate wastewater transport, such as mechanical or electrical failures of
pumps, line blockage or breakage, etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Page 5 of 8

Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part I of Form CS-SSO (or the most current Division approved form) within five days following first
knowledge of the occurrence. This report must outline the actions taken or proposed to be taken to
ensure that the problem does not recur. Part II of Form CS-SSO (or the most current Division
approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-
215.1C(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification form attached to this permit shall be submitted with the required supporting
documents to the address provided on the form. A complete certification is one where the form is
fully executed and the supporting documents are provided as applicable, Any wastewater flow made
tributary to the wastewater collection system extension prior to completion of this Engineer's
Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, eclarations/CovenantstRestrictions, and Bylaws that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted
with the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summay form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
number/type of connections), regulations, or the Minimum Design Criteria. Requested modifications
or variances to the Minimum Design Criteria will be reviewed on a case -by -case basis and each on
its own merit. Please note that variances to the Minimum Design Criteria should be requested and
approved during the permitting process prior to construction. After -construction requests are
Page 6 of 8

discouraged by the Division and may not be approved, thus requiring repacement or epair prior to
certification & activation. [15A NCAC 02T .0116]
Gravity sewers installed greater than ten percent below the minimum required slope per the Division's
Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified until
corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case -by -case basis. Resolution of such request shall be evident prior to completing and
submitting the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities, [15,A NCAC 02T ..0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996, as applicable; the Division's
.Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted
June 1, 2000, as applicable; and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General. Statutes §143-215.6A
through §1.43-215.6C, construction of additional or replacement wastewater collection facilities.,
and/or referral of the North Carolina -licensed Professional Engineer to the licensing board. [15A
NCAC 02T .0104; 1.5A NCAC 02T ,0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including those
as may be required by this Division, such as the construction of additional or replacement facilities.
[15ANCAC 02T .0110; 15A. NCAC 02T .0108(b)]
12, The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal, State, of Local government agencies. [G.S. 143-215,1(1)1
Page 7 of 8

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: KILLIAN CREEK DEVELOPMENT, LLC
PERMIT #: WQ0039121
PROJECT: KILLIAN CREEK SUBDIVISION
ISSUE DATE: MARCH 29, 2017
This project shall not be considered complete nor allowed to operate in accordance with standard
Condition 7 of this permit until the Division has received this Certification and all required supporting
documentation. It should be submitted in a manner that docurnents the Division's receipt. Send the
required documentation to the Regional Supervisor, Water Quality Regional Operations Section at the
address noted in the page footer.
Any wastewater flow made tributaryto the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received by the Division. A Final Certification shall be a complete set of
record drawings and design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Perrnittee, hereby state that this project has been constructed pursuant to
the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain the
wastewater collection system permitted herein or portions thereof.
Printed Name, Title
Signature
ENGINEER'S CERTIFICATION
Date
, as a duly registered Professional En • neer in the State of North Carolina,
having been authorized to observe (0 periodically, E weekly, LJ full time) the construction of the
project name and location as referenced above for the above Permittee hereby state that, to the best of my
abilities, due care and diligence was used in the observation of the construction such that the construction
was observed to be built within substantial. compliance of this permit; 15A NCAC. 02T; the Division of
Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as.
applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1. , 2000, as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
0 Final 0 Partial (include description)
Certification Comments/Qualifiers (attach if n
ary
NC DWR — Water Quality Regional Operations Section 610 East Center Avenue, Suite 301, Mooresville, NC 28115
Mooresville Regional Office Phone: [phone] FAX: [phone]

STATE OF NORTH CAROLINA
COUNTY OF LINCOLN
This AGREE
Commission, an agency of
KILLIAN CREEK DEVE
business in the State of North
W1TNES S ETH:
Permit No.
DEVELOPER'S OPERATIONAL AGREEMENT
71---
ade pursuant to G.S. 143-215.1 (di) and entered into this 2- day of
by and between the North Carolina Environmental Management
the State of North Carolina, hereinafter known as the COMMISSION; and
, a corporation/general partnership registered/licensed to do
Carolina, hereinafter known as the DEVELOPER.
L The DEVELOPER is the owner of the certain lands lying in LINCOLN County, upon
which it is erecting and will erect dwelling units and other improvements, said development to be known
as KILLIAN CREEK SUBDIVISION
(hereinafter the Development),
The DEVELOPER desires, to construct a wastewater collection system with pumps, wastewater treatment
works, and/or disposal facilities (hereinafter Disposal System) to provide sanitary sewage disposal to serve
the Development on said lands.
The DEVELOPER has applied to the COMMISSION for the issuance of a permit pursuant to G.S. 143-
215.1 to construct, maintain, and operate the Disposal System.
4. The DEVELOPER has created or shall create unit ownership in said dwellings units, other improvements
and lands through filing of a Declaration of Unit Ownership (hereinafter Declaration), pursuant to Chapter
47C or 47F of the North Carolina General Statutes.
The DEVELOPER has caused to be formed or will cause to be formed at the time of filing of the
Declaration, the (Unit Owners' Association) (hereinafter
Association), a non-profit corporation organized and existing under and by the virtue of the laws of the
State of North Carolina, for the purpose, among others, of handling the property, affairs and business of
the Development; of operating, maintaining, re -constructing and repairing the common elements of the
lands and improvements subject to unit ownership, including the Disposal System; and of collecting dues
and assessments to provide funds for such operation, maintenance, re -construction and repair.
6. The COMMISSION desires to assure that the Disposal System of the Development is properly
constructed, maintained and operated in accordance with law and permit provisions in order to protect the
quality of the waters of the State and the public interest therein.
NOW, THEREFORE, in consideration of the promises and the benefits to be derived by each of the parties
hereto, the COMMISSION and DEVELOPER do hereby mutually agree as follows:
1. The DEVELOPER shall construct the Disposal System in accordance with the permit and plans and
specifications hereafter issued and approved by the COMMISSION, and shall thereafter properly operate
and maintain such systems and facilities in accordance with applicable permit provisions and law.
2. The DEVELOPER shall not transfer ownership and/or control of the Disposal System to the Association
until construction has been completed in accordance with the permit and approved plans, and the staff of
the Division of Water Resources has inspected and approved of the facilities. In order to change the name
of the permit holder, the DEVELOPER must request that the permit be reissued to the Association. The
request must include a copy of the Association Bylaws and Declaration.
3 The DEVELOPER shall not transfer, convey, assign or otherwise relinquish or release its responsibility
for the operation and maintenance of its Disposal System until a permit has been reissued to the
DEVELOPER's successor.
FORM: DEV 08-13 Page 1 of 2

4. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System and
appurtenances thereto are part of the common elements and shall thereafter be properly maintained and
operated in conformity with law and the provisions of the permit for construction, operation, repair, and
maintenance of the system and facilities. The Declaration and Bylaws shall identify the entire wastewater
treatment, collection and disposal system as a common element which will receive the highest priority for
expenditures by the Association except for Federal, State, and local taxes and insurance.
5. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System will
be maintained out of the common expenses. In order to assure that there shall be funds readily available to
repair, maintain or construct the Disposal System, beyond the routine operation and maintenance
expenses, the Declaration and Association Bylaws shall provide that a fund be created out of the common
expenses. Such fund shall be separate from the routine maintenance funds allocated for the facility and
shall be part of the yearly budget.
6. In the event the common expense allocation and separate fund are not adequate for the construction,
repair, and maintenance of the Disposal System, the Declaration and Association Bylaws shall provide for
special assessments to cover such necessary costs. There shall be no limit on the amount of such
assessments, and the Declaration and Bylaws shall provide that such special assessments can be made as
necessary at any time.
7. If a wastewater collection system and wastewater treatment and/or disposal facility provided by any city,
town, village, county, water and sewer authorities, or other unit of government shall hereinafter become
available to serve the Development, the DEVELOPER shall take such action as is necessary to cause the
existing and future wastewater of the Development to be accepted and discharged into said governmental
system, and shall convey or transfer as much of the Disposal System and such necessary easements as the
governmental unit may require as condition of accepting the Development's wastewater.
8 Recognizing that it would be contrary to the public interest and to the public health, safety and welfare for
the Association to enter into voluntary dissolution without having made adequate provision for the
continued proper maintenance, repair and operation of its Disposal System, the DEVELOPER shall
provide in the Association Bylaws that the Association shall not enter into voluntary dissolution without
first having transferred its said system and facilities to some person, corporation or other entity acceptable
to and approved by the COMMISSION by the issuance of a permit.
9. The agreements set forth in numbered paragraphs 1, 2, 3, 4, 5, 6, 7, and 8 above shall be conditions of any
permit issued by the COMMISSION to the DEVELOPER for the construction, maintenance, repair and
operation of the Disposal System.
10. A copy of this agreement shall be filed at the Register of Deeds in the County(ies) where the Declaration is
filed and in the offices of the Secretary of State of North Carolina with the Articles of Incorporation of the
Association.
IN WITNESS WHEREOF, this agreement was executed in duplicate originals by the duly authorized
representative of the parties hereto on the day and year written as indicated by each of the parties named below:
FOR THE ENVIRONMENTAL
MANAGEMENT COMMISSION
S. Jay Zimmerman, P.G.
Director, Division of Water Resources
(Date)
KILLIAN CREEK DEVELOPMENT, LLC
(Signature)
DI‘c. ait tbr4A—, {41\04
Print Name and Title
0 -
(Date)
FORM: DEV 08-13
Page 2 of 2

Corpora tons I i ision
c
k He
To:
Elaine
Secretary
View Document Filings File an Annual Report Amend a Previous Annual Report
Print a Pre -Populated Annual Report form
orporate Nam
Legal: Killian Creek Development, LLC
Limited Lability Company inform on
North Carointa
OF THE
T OF T
P a Box 29822 Raleigh, NC 7 2 a 22 (9199107-2000 Account
Login
Create,
e
Account
Sasld:
Status:
Annual Report Status:
Citizenship:
Date Formed:
Fiscal Month:
Registered Agent:
Corporate Addresses
Mailing:
Principal Office:
Reg Office:
Reg Mailing:
1510734
Current -Active
Current
Domestic
4/13/2016
January
Jones, David Marshall, Jr
18339 Old Statesville Road, Unit G
Cornelius, NC 28031
18339 Old Statesville Road, Unit
Cornelius, NC 28031
18339 Old Statesville Road, Unit O
Cornelius, NC 2 031
18339 Old Statesville Road, Unit C
Cornelius, NC 28031
ompany Officials
ACI LLCs are managed by their managers pursuant to N,C,6, 7D-3-20.
https:// .sos c.goloSearchiprokorpi 213 7 5 3/2 / :01'"

State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300— FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: i11/b()
(to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Killian Creek Development, LLC (company, mwiicipality, HOA, utility, etc.)
2. Applicant type: 0 Individua1 i4 Corporation El General Partnership El Privately -Owned Public Utility
Ej Federal EJ State/County DI Municipal 0 Other
3. Signature authority's name: Marshall Jones per 15A NCAC 02T .0106(b)
Title: Registered Agent
4. Applicant's mailing address: 18339 Old Statesville Road, Suite G
City: Cornelius State: NC Zip: 28031-
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
II. PROJECT INFORMATION:
1, Project name: Killian, Creek Subdivision
2. Application/Project status:
Proposed (New Permit) r] Existing Permit/Project
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: WQ00
3. County where project is located: Lincoln
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.4831° Longitude: -81.0238°
5. Parcel ID (if applicable): 02631 & 02630
(or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
1. Professional Engineer: Dan E Brewer License Number: 17582
Firm: ESP Associates, P.A.
Mailing address: 20484 Chartwell Center Drive, Suite D
City: Cornelius State: NC Zip: 28031-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1, Facility Name: Killian Creek WWTP Perrnit Number: NC 0088722
Owner Narne: East Lincoln Sewer District
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: inch
System Wide Collection System Pen -nit Number(s) (ifapplicable): WQCS
Owner Name(s):
FORM: FTA 04-16 Page 1 of 5

GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
El Yes 0No N/A
2. If the Applicant is a Developer of lots to be sold, has a QorOertiona1Ag
Yes 0No ON/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
0 Yes DNo N/A
4. Origin of wastewater: (check all that apply):
Residential Owned
El Residential Leased
El School / preschool / day care
0 Food and drink facilities
0 Businesses / offices / factories
11 Retail (stores, centers, malls)
0 Retail with food preparation/service
Medical / dental / veterinary facilities
El Church
Nursing Home
OR
DEV been attached?
El Car Wash
0 Hotel and/or Motels
0 Swimming Pool /Clubhouse
O Swimming Pool/Filter Backwash
O Other (Explain in Attachment)
5, Nature of wastewater : 100 % Domestic/Commercial % Commercial
% Industrial (See 15A NCAC 02T .0103(20))
[----)P-Is there a Pretreatment Program in effect? 0 Yes El No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(f)? 0 Yes 0 No
yes, provide a copv of flow reduction approval letter
7, Summarize wastewater generated by project:
Establishment Type (see 02T.0114(.0)
Daily Design Flo
No. of Uni
Single Family, 2 Bedroom
240 gal/day
59
Flow
gal/
4,160 GPD
GPD
gal/
GPD
GPD
gal/
gall
GPD
GPD
Total 14,160 GPD
a See 15A NCAC 02T .0 4 b and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use
areas; and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals
as defined in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 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 14,160 GPD (per 15A NCAC 02T .0114)
Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
0 Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
0 Flow has already been allocated in Permit Number:
0 Rehabilitation or replacement of existing sewer with no new flow expected
O Other (Explain):
FORM: FTA 04-16 Page 2 of 5

. VH. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1, Summarize gravity sewer to be permitted:
> 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
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Fo e Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
0
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: - 0
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
5. Summarize the force main to be permitted (for this Pump Station):
6. Power reliability in accordance with 15A NCAC 02T .0305
0 Standby power source or purnp 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)
feet total dynamic head (TDH)
Or
0 Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
> It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
> If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations'
storage capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be
provided in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX, SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f));
I. 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*
Storm sewers and other utilities not listed below (vertical)
Water mains (vertical -water over sewer including in benched trenches)
Water mains horizontal
Reclaimed water lines vertical - reclaimcd over se
Reclaimed water lines (horizontal - reclaimed over sewer)
**My private or public water supply source, including any wells, WS-I waters of Class I or
Class 11 impounded reservoirs used as a source of drinking water
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, IIQW, or SB from normal
high water (or tide elevation) and wetlands (see item IX.2)
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
Yes 0 No
Separation Required
24 inches,
18 inches
10 feet
2 feet
100 feet
50 feet
10 feet
Any building foundation 5
Any basement
Top slope of embankment or cuts of 2 feet or more vertical hei t 10 feet
Drainage systems and interceptor drains
Any swimming pools
Final earth grade (vertic
5 feet
10 feet
36 inches
A 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
A **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
A If noncompliance with 02T.0305(f) or (g)., see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) Z Yes J No
A 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
A 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 El 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
'A Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(cX6) (additional permits/certifications)? Yes 0 No
Per :15ANCAC 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 15,A NCAC 02E0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to strearnbanks that is subject to erosion that undermines or deteriorates the sewer.
Yes No
A If yes, include an attaclument 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. CERT FICATIONS:
1. Does the submitted system comply with 15A NCAC 02L the Minimum Design criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the a Sewer Minimum Design Criteria (latest version) as applicable?
4Yes DNo
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents
for review. Approval of the request is reutdred Prior to submittal of the Fast Track Application and supporting
documents.
2. Professional Engineer's Certification:
r e 1,-"Cf
(Professional Engineer's name from Application Item
attest that this application for
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best
of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain
portions of this submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this
material and have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, 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):
sJ pe\ At_ SA.1/4 WU-, 5.04 ET'S f•A p.r.1
(Signature Authority's name & title from Application Item 1.3.)
1,
7
attest that this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 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, andfor 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 imcomplete.
NO 1 E 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:
Date: to
FORM: A 04-16
Page 5

COUNTY OF LINCOLN NORTH CAROLINA
I 1 5 WEST MAIN STREET, 2,d, FLOOR CITIZENS CENTER, LINCOLNTON, NORTH CAROLINA
28092
DEPARTMENT OF PUBLIC WORKS
PHONE [phone]
FAX [phone]
'wvwv liNCOLNCDUNTY.ORG
.March 13, 2017
Killian Creek. Development, [,LC
Attn: Marshall Jones
18339 Old Statesville Road, Suite G
Cornelius, NC 28031
RE: Killian Creek Subdivision
rsvir, .Jones,
This letter is provided in response to your request, dated October 07, 2016,.for flow acceptance of the
wastewater treatment infrastructure (the "System") for the Killian. Creek Development (the -Project"),
Lincoln County (the "County") has the actual average daily flow capacity at its Killian Creek Wastewater
Treatment Plant to treat- the domestic wastewater as requested, and does conditionally grant approval for
the Project„vubjeci, however, to the terms and conditions below:
1.. The amount of flow requested for the entire Project (No Phases) is for 49 lots with a total flow
of 14,1.60 gallons per day of additional flow at the NCDFNR. approved reduced flow rate of 240
gallons per day per home into LS-37: and
2„ For the NCDEN R. Permits, the receiving sewer treatment facility is the Killian Creek WWTP,
Permit 4NC 0088722, The sewer ,collections facility is the East Lincoln County Water and Sewer
District, Permit #WQCS 00149; and
3. The County shall not be named as the Permittee on NC.DENR. system applications. You must
make the application to NCDENR in your own name for the System: and.
4. Acceptance of the System and transferal of the System to the County is subject to the
'following:
a, A complete final inspection and approval of the System by the County, and receipt of other
applicable documentation requested by the County; and
b. Approval of the System by NCDENR, and proof provided to the County of a valid permit:
issued by NCDENR with an Authorization to Construct (ATC); and
c. Initiating construction of the Project within two years of the date of this conditional approval.
You must notify the Lincoln County Public Works Department in writing when construction of
the Project is initiated; and
(I, The County continuing to have actual average daily flow capacity to treat the domestic
wastewater as requested at the time all other conditions precedent have been satisfied.

wptance and all°cation of"flc w shall only he eff ct ve upon
e above terra' and conditions itions and the County pro
ali t t£ e above terms and conditions„
Included itr this
Ap lieati ns FTp _..0 /16)
If' a have an que
ding an aekno led ment tha
all f'
ct mplied
Flow "Frackin /Aeceptanee for Sev4,.er E:xtei ;icon perm
he "aunty's portion completed.
p
use do not 1
icer"ely,,
Chris l 1c ndLrsnn
Engineering Associate
n rc at (J46 497.

Water Resources
Ertvironrnemal Quality
February 1, 2017
Chris Henderson
Engineering Associate
Lincoln County Public Works
115 West Main Street
Lincolnton, NC 28092
Subject: Killian Creek WWTP, NPDES # NC0088722
Residential Flow Reduction
Lincoln County
Dear Mr. Henderson:
ROY COOPER
MICH AEI„ S. REGAN
se, ,0,1,
S. JAY ZIMMERMAN
iNccro,
On January 29, 2007 the Division of Water Quality (now Division of Water Resources) granted a
flow reduction for residential flow to Middle Forney Creek WWTP (NC0074012). Middle Forney
Creek has been decommissioned and the NPDES permit rescinded. The flow previously being
treated at Middle Forney Creek WWTP is now being treated at Killian Creek WWTP. All areas
currently served by Killian Creek WWTP and conveyed through pump stations # 15 and # 37
were included in the analysis done for the flow reduction granted in 2007.
Based upon the data provided by the County for the 2007 flow reduction, the Division of Water
Resources hereby approves the use of 80 GPD per residential bedroom, with a minimum of 160
gpd for one and two bedroom units in all applicable non -discharge permit applications to Killian
Creek WWTP (NC0088722). Flow shall be incremented by 80 gpd for each bedroom above two.
Regardless of the adjusted design daily wastewater flow rate, at no time shall the wastewater
flows exceed the effluent limits defined in the NPDES permit for the treatment facility of exceed
the capacity of the sewers downstream of nay new sewer extensions or service connection(s).
The granting of this flow reduction does not prohibit the Division from reopening, revoking,
reissuing and /or modifying the flow reduction as allowed by the laws, rules, and regulation
contained in 15A NCAC 02T, NCGS 143-215.1, or as needed to address changed in State and/or
Federal regulations with respect to wastewater collection systems, protection of surface waters
and/or wastewater treatment.
--- Not hiog (1.1'ompare..s
State af North Carolina Environmental Quality
16'1 7 Mail SerViCC Center Raleigh, North CaTolina 2?699- I 617
9 0 9-701-9000

!liFirlf you have any questions, please contact me at [phone], or via email at
[e-mail].
Sincerely,
for S. Jay Zimmerman
Director, Division of Water Resources
by Deborah Gore, Supervisor
Pretreatment, Emergency Response and Collection Systems Branch
Cc: Mooresville Regional Office, Water Quality Regional Operations
Central Files: NC0088722
PERCS (electronic copy)

October 6, 2016
ESP Associates, P.A.
NCDEQ/DWR.
Water Quality Section — Wastewater Branch
PERCS UNIT
1617 Mail Service Center
Raleigh, NC 27699-1636
SUBJECT: Killian. Creek Subdivision
Application for Sewer Extension.
Lincoln County, NC
Ladies and Gentlemen,
ESP Associates has prepared the attached Fast -Track Application for Gravity Sewer and
Force Main. Included in the application is a check for the application fee of $480, the
operational agreement (DE 08-13), the downstream sewer form (FTSE 08-13), the
Lincoln County flow acceptance letter, the site map, and the stream classification
(WSCAS 08-13).
In summary, the project involves proposed 8-inch gravity sanitary sewer to serve 59-lot
subdivision. The proposed sewer will discharge into the existing County's gravity sewer
trunk line along Killian Creek. The proposed flow for the project is 14,160 gpd.
Please do not hesitate to contact me if you have any questions or comments.
Sincerely,
P Associates
P.A.
Dan Brewer, P.E.
Senior Project Manager
R

Department o
State of North Carolina
nvironment and. Natural Resources
Division of Water Resources
Watershed Classification Attachment (WSCAS 08-13)
The Division of Water Resources (Division) will not consider this attachment form to be
complete unless all the instructions are followed. Failure to follow the instructions or to
submit all of the required items will lead to additional application processing and review
time,
For more information or for an electronic version of this form, visit our web site at:
http://portal.ncdenr.orQwebiwt lswplt s/cs/ext
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ If the sewer system project area is a minimum of 100 feet from any surface water or wetlands, this
classification is NOT necessary. If any portion of the sewer system project is within 100 feet of any
surface water or wetlands, this form must be completed if there are proposed design conflicts with
setbacks or buffers as listed in 2T 0305 (f)..
if Do not submit this attachment form for review without a corresponding permit application (Form
FTA 08-13) unless requested by the Division.
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare the attachment form with the requested information for each portion or location of the
sewer system that is In conflict with a waterbody or wetlands.
✓ Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS
FOR FORM WSCAS 08-13 (SEWER SYSTEMS)" to collect the stream classification data. This
document is available from our web site at the address shown above or by contacting the
appropriate Division of Water Resources regional office.
✓ The same Professional Engineer who certified the permit application form should seal this form.
Different Professional Engineering seals may be accepted from engineers within the same firm.
✓ Submit an 8.5-inch by 11-inch COLOR copy of a USGS Topographic Map of sufficient scale to
identify the entire project area and the closest surface waters. Each map or maps must show the
location of the sewer line and pump stations and be of reproducible quality. For instance, the
project involves 4 miles of interceptor sewer that traverses over or near several different
waterbodies (or counties, basins, etc.). The map should have location ID's for each different
waterbody (where the sewer line is within the setback/buffer) and corresponding classifications
should be recorded.
C. Include the attachment form and the map portions with the permit application for submittal to
the appropriate regional office.
✓ A list of the Division's regional offices, their county coverage, and their contact information may be
downloaded from the web site at: http://portal.ncdenr.orglwe-b/wo/hamelro
***THESE INSTRUCPIONS DO NOT NEED TO BE SUBMITTED***
INSTRUCTIONS FOR FOWSCAS 08-13

FORM WSCAS 08-13
WATERSHED CLASSIFICATION A11ACIIMIENT
FOR SEWER SYSTEMS
Professional Engineer Name
River Waterbody Stream Waterbody
County asin Index No. Classification
,"4tt:1.1,4vi
4\4
med butary to r, where Xis the named walettody to Which the unnamed tributary joins.
certify that as a Registered Professional Engineer in the State of
North Carolina that I have diligently followed the Division's instructions
for classifying waterbodies and that the above classifications are
inclusive of the stated project, complete and correct to the best of my
knowledge and belief.
PE Seal, Signature and Date
*** END OF FORM WSCAS 08-13 ***
FORM: WSCAS 08-13
Page i of 1

PROPOSED SANITARY SEWER TO SERVE KILLIAN CREEK SUBDIVISION
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HORI7ON1 AI4 1 inch 4, 1000 ft.

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(F. [SF 04i6)
Entity Requesting Allocation: KiUian Creek Development, EEC
Project Name for which flow is being requested: IOWAN CREEK SUBDIVISION
i,fore than one ETSE may he required far a single proleci if the owner of the WRIP is 170i responsible fOr a
staiions along the route of the proposed wasiewaler flow,
I. Complete this section only if you are the owner of the wastewater treatment pia
a. WW-IP Facility Name: Killian CreekW \VIP
b. WWTP Facility Permit #: NC0084573
Allflows are in MGD
WWTP facility's permitted flow 3.35
d. Estimated obligated flow not yet tributary to the WWI' 0.842
e. WWTP facility's actual avg. flow 1.000
Total flow for this specific request 0.014
g. Total actual and obligated flows to the facility 1,856
h. Percent of permitted flow used
11. (..,:omplete this section for each pump station you are responsible for along the route of this
proposed ,,vastewater flow,
List pump stations located between the project connection point and the WWTP:
(A) (R) (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 Capa.city***
#37 7.776 3:1.10 1.618 0.856 2.474
0.636
* The Firm. Capacity of any pump station is defined as the max.imum 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 peakn
'.factor (p0 not less than 2.5.
*** A Planning .Assess ent Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < O.
Downstream Facility Name (Sewer): Lincoln County Sewer System
Downstream Permit Number: WQCS00149
g
Page 1 of 6
HF
01-16

Tn Statement
i rrrraid V.. hanablee, ir® eertit try the best dge that the addition of
the volume of wastewater tc be permitted in this project has been valuated along the route to the
lvinn astev titer treatment tacility and that the tiler . ctrxn this project is not anticipated to
e any capacity related sanitary sewer overflow's or r
cat
erburden any dcwnstream putnp station
co the receiving treatment plant under notarial circumstances, given the implementation
planned nned improvements identified in the planning assessment where applicable, ' `his
anal sis has been performed in accordance vi k local established policies and procedures using
best available data. 'l`his eer°titication applies t those items listed above in Sections E and 11
plus all attached planning sessrrent addendum rs for la rtr the responsible party.
igr atrrre f this form indicates rtc:ee tance ofthis e aste at
t i naatur
ge cat'

planned completion
The following applies:
Submit a plannit
Capacity is < 0.
a
LANN1NG ASSESSMENT ADDENDU (PAA)
ent addendum for each pi station listed in ectirtn I[ vvhct°L Available
p tatitact (Nat c or Nub r)
Given that:
1°he pr portion a td anto tnt of()bli ,ated„ Not
Ass and MGD of th
id that
1`rihutary [fail
Available (apt
of aetk'ation of obligated, not yet tributary
JD per year: and that
ded C spiral Project that will provide the r ui ed plat reed capacity; namely
design or under constrctcti rt with
author
ore:
reasonably expected conditions and plant
his flow to be pertnitted, without a sit°
the system infrastructure.
(C 1 aec ants f r
in F uTip Station.
pac ity s currently app •ctvitt at l)
cant likelihood of cave
I understated that this does not relieve the collection sy sten ctvvt r fr
1 =21 mti7(al which prohibits the- introduction of any waste its excess
waste disposal system,
ffif lent titled n
capacity in
ing vvith;.tl
l' the

Instructions for Flow Tracking/Acceptance. form (FTSE) and Planning Assessment Addendum (PAA)
Section I.
a. WWTP Facility Name: Enter the name of the WWTP that will receive the wa.stewater flow.
h. WWFP Facility Permit #: Enter the NPDES or Non -Discharge number for the WWFP receiving the
wastewater flow,
c. WWTP facility's .permitted ti JVlGI): From W\VTP owner's NPDES or Non -Discharge perrnit.
d. Estimated obligated flow not yet tributary to the WWTP MGD; This includes flows allocated to
other construction projects not yet contributing flow to the collection system. Flows allocated through
interlocal agreements or other contracts not yet contributing flow to the collection system are also
included. For PO'f-Ws that implement a pretreatment program, include flows allocated to industrial
users who may notbe using all of their flow allocation, Please contact your Pretreatment Coordinator
for information on industrial flow tributary to your WWTP.,
As of tary 15, 2008 the POTW should have reviewed flow allocations made over the last two
years and reconciled their flow records, to the best of their a.bility, so it is known how much flow has
been obligated and is not yet been made tributar:,,,to the WWTP, in accordance with local policies and
procedures employed by the reporting entity.
e. WWTP facility's actual avg,_ flow, MGD: Previous 12 rnonth a 'erage,
Total flow for this specific request, .MGD: Enter the requested flow volume.
g. Total actual and obligated flows to the facility, MGD Equals [d e +ti
h. Percent of permitted flow used: Equals Rg c)*1.00]
For example:
On January 15 a PG:FW with a permitted flow of 6,0 MGD, reported to the Regional Office that there
is 0.5 MGD of flow that is obligated but not yet tributary, The annual average 'flow for 2007 is 2.7
MGD. 'fhere is a proposed flow expansion of 0.015 MGD.
The first Form ['ISE submitted after January 15. 2008 may have numbers like this:
c, — 6,0 M.GD
d. - 0,5 MGD
e. = 2,7 MGD
f. 0.015 MGD
g. = 3.215 MGD
h.
The next Form FTSE may be updated like this with a proposed flow expansion of O. 102 MGD:
c. — 6.0 MGD
d. — 0.515 MGD
e. 2,73 MGD
11 0.102 MGD
g. — 3,349 MGD
h. = 55.8 'A
Each subsequent FTSE: form. ,ill be updated in the same manner.
Page 4 of 6

Section II
List the pump station name or number and approximate pump station firm capacity', approximate design
average daily flow (A) approximate current average daily flow (B), and the obligated, not yet tributary
flow through the pump station (( ) for each pump station that will be impacted by the proposed sewer
extension project. Calculate the total current flovy plus obligated flow (D—B+C) and the available
capacity (E=A-D).lude the proposed flow for this project with other obligated flows that have been
approved for the pump station but are not yet tributary (C),
Firm capacity is the maximum pumped flow that can be achieved with the largest pump out of sets ice as
per the Minimum Design Criteria.
Ilesign Average (laity Flow is the firm capacity of the pump station ilivrided by a peaking factor loll of
not less than 2.5
If the available capacity (E) for any pump station is < 0, then prepare a planning assessment for that pump
station if the system has future specific plans related to capacity that should be considered in the
permitting process.
(A) (Bl (D)=(B+( ) (E)=(AD)
Design Approx,
Finn Average Current Av g,
Pump Station Capacity Daily Flow Daily Flow,
( \tante or Number) MOD (Firm pf) M(d)
Ka w Creek PS 0.80() 0.320 0,252
Obligated,
Not Yet Total Current
Tributary Floss Plus
Daily Flow, Obligated
MOD How
()80 0.332
Valley Road PS 1,895 0,758 0,472 0 135
Available
Capacity*
0,607 (1.151
Page 5 of 6

Planning .Assessment Addend um Instructions
Submit a. planning assessment addendum for each pump station listed in Section 11 where available
capacity is - 0,
A planning assessment for Ka w Creek PS (see example data above ma.y be performed to evaluate
whether there is significant likelihood that needed improvements or reductions in obligated flows Will be
in place prior to activating the flows from the proposed sewer extension project.
If the system decides to accept the flow based on a planning assessment addendum, it is responsible to
manage the flow without capacity related, sanitary overflows and must take all steps necessary to
complete the project or control the rate of flow to prevent sanitary sewer overflow's,
The planning assessment may identify a .funded project currentlyin design or construction, or a planned
project in the future not yet funded but in a formal plan adopted by the system. The system should
carefully weigh the certainty of successful timely project completion for any expansion, flow
management diversion or infiltration and inflow elimination projects that are the foundation of a planned
solution to capacity tracking and acceptance compliance.
For example:.
Given that:
a. 'fhe proportion and amount of .obligated, not yet tributary —flow accounts for 24. % and 0,080
MG,D of the committed flow in Punip Station Ka w Creek; and that
b, The rate of activation of this obligated, not yet tributary capacity is currently approximately 0.01,
MGD per year; and that
c. A funded capital project that will provide the required planned capacity', namely
is in design or under construction with
planned completion in, ; and/or
d.. The following applies:
-1 master plan and ten year capitaTplan contain recommended scope Lind. fundiagfhr a capitalproject
entitled Ka w Creek Purnp Station upgrade with funding planned in July 2014. This project isplanned to
add 0.100 MGD to the firm capacity of the_pump station by". October 2015. Inclusion of this proposed
capital project as a condition of this How 'IrackinglAcceptance for Sewer Extension Permit Application
elevates thisproiect's priorit for funding and construction to be implemented ahead of the activation of
obligated, not vet tributary 1- ‘VS in amounts that exceed the -firm_pump_station capacities identified in
Section 11 above.
Therefore:
Given reasonably expected conditions and planning .information, there is sufficient justification to allow
this flow to be permitted, without a significant likelihood of over -allocating capacity in the system
infrastructure.
Page 6 of 6
1

Central 11e; A
Permit Numbt
Prcaagrd
i n-dl cttwrg
POSTS! Type
Gravity Sewer Extolsic>rak Pt
Primaly
n.tuvta
Coastal ;S Rute>
Permitted Flew
14
Facility
Y
0021
p Staff
Permit Tracking Shp
Vet
Project Type
New Project
Permit Classihc on
Individual
Perna' Cent ct Atlilietion,
17
Fee Rli y Nam
Killian Creek Subdivis
rrtirat) Address
tcllrty Cor
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KIlli
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David Marshall
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NC
Ong Isscasl
3/29/2017
Regulated Ac
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App'Nee eivrld Draft ira i ter1 Issuance
312812017
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017 3/2
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