WQ0015144_Application_20220825

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 06-21 & SUPPORTIN.G DOCUMENTATION
14 06b)5lye (
Application Number: (toto be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Stanley (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation
❑ Federal ❑ State/County
❑ General Partnership
® Municipal
3. Signature authority's name: Craig Roseberry per 15A NCAC 02T .0106(b)
Title: Public Works Director
4. Applicant's mailing address: 416 Highway 27 S.
City: Stanley State: NC Zip: 28164-
5. Applicant's contact information:
Phone number: [phone] Email Address: croseberryAtownofstanley.org
II. PROJECT INFORMATION:
1. Project name: Springwood Pump Station Modification
2. Application/Project status:
RECEIVED/NCDE0/DlNlr3
AUG 2 2 2022
WQROS
MOORESVILLE REGIONAL OFFICE
❑ Privately -Owned Public Utility
❑ Other
❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: WQ0015144 and issued date: June 24, 1998,
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Gaston
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.349209° Longitude: -81.080980°
5. Parcel ID (if applicable): 17-53-83 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Andrew P. Grant, PE
Firm: BGE, Inc.
Mailing address: 1111 Metropolitan Ave Suite 250
City: Charlotte State: NC Zip: 28204-
Phone number: [phone] Email Address: [e-mail]
License Number: 044291
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Long Creek WWTP Permit Number: NC0020184
Owner Name: Two Rivers Utilities
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ
2. Downstream (Receiving) Sewer Information: 8 inch
El Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): Town of Stanley
FORM: FTA 06-21
Page 1 of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No ® 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 Home/Property Owners' Association, has an HOA/POA Operational Agreement (FORM: HOA) and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
❑ Yes ❑ No ® N/A
4. Origin of wastewater: (check all that apply):
® Residential (Individually Owned)
❑ Residential (Leased)
❑ School / preschool / day care
❑ Food and drink facilities
® Businesses / offices / factories
❑ Retail (stores, centers, malls)
❑ Retail with food preparation/service
❑ Medical / dental / veterinary facilities
❑ Church
® Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool/Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : 97 % Domestic 3 % Commercial % Industrial (See 15A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ® No
➢ If yes, provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow a,b
No. of Units
Flow
No additional flow
0 gal/
0
0 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
0 GPD
a See 15A NCAC 02T .0114(b), (d), (e)(1) 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: 0 GPD (per 15A NCAC 02T .0114)
Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: Issuance Date:
® Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: FTA 06-21
Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
• 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 requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
PROVIDE A SEPARA 1 E COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Springwood Pump Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.351398° Longitude:-81.082998°
3. Total number of pumps at the pump station: 2
3. Design flow of the pump station: 0.3024 millions gallons per day (firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): 210 gallons per minute (GPM) at 214 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
Prop. 4"
1,408
PVC
Exist. 4"
2,892
PVC
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01 C.1.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with I5A NCAC 02T .0305(h)(1):
® Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - 15A NCAC 02T.0305(h)(1)(B)1
➢ 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 and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
• Include documentation that the portable source is owned or contracted by the applicant 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
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 06-21 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(f) & (g)?
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
®Yes No
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
2Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
2Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ If noncompliance with 02T.0305(f) or (g), see Section X.1 of this application
*15A NCAC 02T.0305(0 contains alternatives where separations in 02T.0305(f) cannot be achieved. Please check "yes"
above if these alternatives are used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ N/A
➢ If no, please refer to 15A NCAC I8C.0906(f) for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ❑ Yes ❑ No ® N/A
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ See the Division's draft separation requirements for situations where separation cannot be met.
➢ No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? ® Yes Basin name: Catawba ❑ No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑ Yes ® No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications must be 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.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes ® No
Per 15A NCAC 02T.0402. "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ 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 permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the permit, and projects requiring a variance approval may be subject to longer
review times. For projects requiring two or more variances or where the variance is determined by the Division to be a
significant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:
I, _Andrew P. Grant , attest that this application for Springwood Pump Station Modification
(Professional Engineer's name from Application Item III.1.) (Project Name from Application Item II.1)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications, engineering calculations, and all other supporting documentation to the best of my knowledge. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
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. Misrepresentation of the application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board. (21 NCAC 56.0701)
CA
Si
<, S
SEAL .11
044291
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Ce .3� per 15A NCAC 02T .0106(b):
I, / /-4 . , attest that this application for ;, z‘/aoo/g-,,, s��'�,� e ^f ,,v j,,,.,
OPP—T pP1.3.) }� �tiK1 L
• e Au � � � om A 'cation Item (Pr ct Name from A plication Item IL 1)
.,;nR%\i,f1'
6'W' P.���Ge. �.1
a this application as been reviewed by me and is accurate and complete to the best of my knowledge.
I understand that if all requ ed parts of this application are not completed and that if all required supporting documentation
and attachments are not i • luded, this application package is subject to being returned as incomplete. I understand that any
discharge of wastewater from this non -discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division
of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application
package are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in an plication package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as w s civ' penalties up to $25,000 per violation.
Signature:
FORM: FTA 06-
Date: 27
Page 5 of 5

?ECEIVED/NCDEQ/DWR
AU 2 2 ?DV.
MOORESVILL,E REGIONAL OFFICE
August 19, 2022
W. Corey Basinger, Regional Supervisor
NCDEQ Division of Water Resources
Mooresville Regional Office
610 E. Center Avenue
Mooresville, NC 28115
RE: Springwood Pump Station Modification — Fast Track Sewer System Extension Application
Dear Mr. Basinger:
Enclosed is the application and supporting documentation for the Fast Track Sewer System Extension
Application for the Springwood Pump Station Modification. The Springwood pump station is located
on tax parcel #17-53-83 at the southern end Springwood Lane in the Town of Stanley, Gaston County,
NC. The Springwood pump station will continue to be owned and operated by the Town of Stanley
after the modification. This Springwood Pump Station Modification will be installed in conjunction
with the Harper Landing Subdivision pump station and sanitary sewer system (NCDEQ Permit
#WQ0043396) since the Harper Landing Subdivision is being constructed on top of a portion of the
existing Springwood Pump Station force main (tax parcel #30-70-02).
The Springwood pump station was last permitted by NCDEQ under Permit #WQ0015144. The
proposed Springwood Pump Station Modification proposes to increase the operating point from the
permitted 85 GPM to 210 GPM by swapping the pumps, modifying the force main route, and bringing
the existing Springwood Pump Station into compliance with NCDEQ regulations. The Springwood
Pump Station Modification proposes to install 1,408 LF of force north along Springwood Lane and
connect to the previously abandoned 4" force main on the north side of Old Mount Holly Road. The
existing 2,892 LF of previously abandoned force main will be reactivated with the Springwood Pump
Station Modification and outfall into the existing gravity sewer system in McLurd Drive. This existing
abandoned force main has been visually inspected and pressure tested in the presence of the Town of
Stanley representatives and found to be in good repair. The Springwood Pump Station and all 4,300
LF of force main (1,408 LF proposed and 2,892 LF existing) will be certified as a part of the completion
of the Springwood Pump Station Modification.
With this Springwood Pump Station Modification and the installation of the Harper Landing Pump
Station and sanitary sewer system (NCDEQ Permit #WQ0043396), approximately 1,620 LF of the
existing Springwood Pump Station force main will be abandoned and removed. The remaining
approximately 960 LF of the existing Springwood Pump Station force main will remain in place and
operational as the point of connection for the Harper Landing Pump Station. The measured lengths of
the Springwood Pump Station force main (+/-2,580 LF) based on surveyed and GIS information differs
slightly from the permitted length of 2,720 LF from Permit #WQ0015144.
The proposed Springwood Pump Station Modification is being permitted as a zero flow permit because
no new flow is being directed to the Springwood Pump Station. Upon completion of the Springwood
Serving. Leading. Salvia
t! L 1 Metro lean Avvenue, Suite 250 Charlotte, North Caroline 28244 •98!}-2 0-2

W. Corey Basinger
August 19, 2022
Page 2
Pump Station Modification, the force main will discharge into an existing gravity sewer system owned
and operated by the Town of Stanley. Upon construction and acceptance, the Springwood Pump
Station and force main will be owned, operated, and maintained by the Town of Stanley.
Please contact me at [e-mail] or [phone] if you require any additional
information for this application.
Sincerely,
Andrew P. Grant, PE
Director, Land/Site

Tuvia, Ori A
From: Andrew Grant <[e-mail]>
Sent: Friday, August 19, 2022 11:49 AM
To: Tuvia, Ori A
Subject: [External] RE: springwood PS
Attachments: WQ0015144_19980624.PDF; 2022-0819 - Springwood FTA Modified Sheets.pdf;
2022-0819 - Springwood FTA Narrative Letter.pdf
Follow Up Flag: Follow up
Flag Status: Flagged
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Ori, good morning. Please see the attached updated Springwood Pump Station narrative and fast -track application
based on our discussion yesterday. Please let me know if you need any additional information to complete the permit.
Thanks,
Andrew Grant, PE
Director, Land/Site
Associate
Main: 980-220-2322
CeII: 803-322-7510
From: Tuvia, Ori A <[e-mail]>
Sent: Thursday, August 18, 2022 11:29 AM
To: Andrew Grant <[e-mail]>
Subject: springwood PS
Andrew,
Per our conversation please see attached E-copy of the permit.
Sincerely,
Ori Tuvia
Environmental Engineer
NC DEQ / Division of Water Resources
610 East Center Avenue
Mooresville, NC 28115
Direct Line: [phone] Fax: [phone]
Ori.tuviaaa,ncdenr.gov
i

RECEIVED/NCDEQ/DWR
AUG 2 2 2022
RECEIV
/NCDEQ/DWR
WQROS AUG 1
MOORESVILLE REGIONAL OFFICE
August 15, 2022
W. Corey Basinger, Regional Supervisor
NCDEQ Division of Water Resources
Mooresville Regional Office
610 E. Center Avenue
Mooresville, NC 28115
MOORESVI E RE� ONA ' S
FFICE
RE: Springwood Pump Station — Fast Track Sewer System Extension Application
Dear Mr. Basinger:
Enclosed is the application and supporting documentation for the Fast Track Sewer System
Extension Application for the Springwood Pump Station located on tax parcel 17-53-83 at
Springwood Lane extending to Old Mount Holly Road in the Town of Stanley, Gaston County, NC.
This pump station upgrade proposes 110 townhomes assumed to be 3 each, for an estimated
additional daily sewer flow of 39,600 gallons per day. The existing sewer system flows into the
existing Springwood Pump Station. The Springwood Pump Station discharges through approximately
1,408 LF of proposed relocated 4" forcemain connecting to the existing Town of Stanley forcemain
that is within Old Mount Holly Road. After the Old Mount Holly Road connection, the sewer flows
through an existing 4" forcemain to a discharge point within the existing Town of Stanley gravity
sewer system. Upon construction and acceptance, the sewer system will be owned, operated, and
maintained by the Town of Stanley.
Please contact me at [e-mail] or [phone] if you require any additional
information for this application.
Sincerely,
Andrew P. Grant, PE
Director, Land/Site
Serving. Leading. Solving.`"
1111 Metropolitan Avenue, Suite 250 Charlotte, North Carolina 28204 • 980-220-2322

DWG\Exhibit\2021-0318 - Aehai\5
OLD MOUNT HOLLY ROAD
1111 METROPOLITAN AVE, SUITE 250
CHARLOTTE, NC 28204
www.bgeinc.com
NC LICENSE #C-4397
HARPER LANDING
USGS TOPOGRAPHIC MAP
DATE: 3/18/2021
THIS DOCUMENT, TOGETHER WITH THE CONCEPTS AND DESIGNS PRESENTED HEREIN, AS AN INSTRUMENT OF SERVICE, IS INTENDED ONLY FOR THE SPECIFIC PURPOSE AND CLIENT FOR WHICH IT WAS PREPARED. REUSE
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1111 METROPOLITAN AVE, SUITE 250
CHARLOTTE, NC 28204
www.bgeinc.com
NC LICENSE #C-4397
HARPER LANDING
AERIAL MAP
DATE: 3/18/2021
THIS DOCUMENT. TOGETHER WITH THE CONCEPTS AND DESIGNS PRESENTED HEREIN, AS AN INSTRUMENT OF SERVICE, IS INTENDED ONLY FOR THE SPECIFIC PURPOSE AND CLIENT FOR WHICH IT WAS PREPARED. REUSE
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State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Stanley
Project Name for which flow is being requested: Springwood Pump Station Modifications
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name:
b. WWTP Facility Permit #:
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
Pump Pump
Station Station
(Name or Permit
Number) No.
Firm
Capacity, *
MGD
(A)
Design
Average
Daily Flow**
(Firm / p f),
MGD
(B)
Approx.
Current
Avg. Daily
Flow, MGD
(C) (D)=(B+C) (E)=(A-D)
Obligated,
Not Yet Total Current
Tributary Flow Plus
Daily Flow, Obligated
MGD Flow
Available
Capacity***
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Stanley sewer interconnect
Downstream Permit Number: WQ0037783
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and II plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has ate capacity to transport and treat the proposed new wastewater.
,/‘
nature
Title of Signing Official
S—/ r20)?
Date
Page 2 of 6
FTSE 10-18