WQ0043821_Application (FTSE)_20221007

• • •
TIMMONS GROUP
YOUR VISION ACHIEVED THROUGH OURS.
TRANSMITTAL
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TO: NCDEQ DWR — Fayetteville Regional Office Date: 09/26/2022 Job #: 47049
225 Green Street, Suite 714
Fayetteville, NC 28301
ENCLOSED PLEASE FIND:
WE ARE SENDING UNDER SEPARATE COVER:
Project: Raeford Commons Phase II
Reference:
Copies Sent To:
COPIES
DATE
NUMBER
DESCRIPTION
1
1
Fast Track Sewer Application (Incl. Flow Acceptance Form/
Certification Statement)
1
2
Check for $480
1
3
Project Narrative
1
4
USGS map
1
5
Vicinity Map
THESE ITEMS ARE TRANSMITTED:
If enclosures are not as noted, please notify us at once.
COMMENTS:
Feel free to contact me with any questions at 919-866-4936 or colie.crosby©timmons.com.
Thank you,
Colie Crosby
Project Manager
SIGNED:
Fax [phone]
Site Development 1 Residential 1 Infrastructure j Technology
www.timmons.com

•
TIMMONS GROUP
YOUR VISION ACHIEVED THROUGH OURS.
PROJECT ENGINEERS' REPORT
Project Name: Raeford Commons Phase 2
Location: Raeford, Hoke County, NC
PIN: 694241001001
Owners:
Developer:
Consultant:
FIG Raeford Commons, LLC
7858 Clinard Farms Road
High Point, NC 27265
Forge Investment Group, LLC
709 Croswell Ct.
Whitsett, NC 27377
Timmons Group
Mike Zaccardo, PE
5410 Trinity Road, Suite 102
Raleigh, NC 27607
Phone: [phone]
PROJECT DESCRIPTION AND NARRATIVE:
D
OE• J G
S E P 7••-2bZZ
The proposed development is located approximately 837 LF SE from the intersection of Thomas Drive and
Lemont Drive in Raeford, NC. The project proposes the construction of 37 single-family lots in Phase 2.
The project is anticipated to generate the following wastewater flows:
Phase 2:
37 (4-BEDROOM) UNITS AT 480 GPD = 17,760 GPD
TOTAL = 17,760 GPD
The proposed gravity sanitary sewer system will consist of approximately 363 LF of 8" Ductile Iron, 1,988
LF of 8" PVC.
The new gravity sanitary sewer system and the pump station will be owned, operated, and maintained by
the City of Raeford, NC.
5410 TRINITY ROAD SUITE 102 • RALEIGH NC 27607 • PHONE [phone] • FAX [phone] • WWW.TIMMONS.COM

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
INSTRUCTIONS FOR FORM: FTA 06-21 & SUPPORTING DOCUMENTATION
This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of 15A NCAC 02T and the Division's
Minimum Design Criteria (Gravity Sewer & Pump Stations/Force Mains) and that plans, specifications and supporting documents
have been prepared in accordance with 15A NCAC 02T, 15A NCAC 02T .0300, Division policies, and food en2ineerin2 practices.
While no upfront engineering design documents are required for submittal, in accordance with I5A 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 I5,<A NCAC 02T .0305 and the applicable minimum design criteria. These
documents shall be immediately available upon request by the Division.
Projects that are deemed permitted (do not require a permit from the Division) are explained in 15A NCAC 02T.0 303.
Projects not eligible for review via the fast track process (must be submitted for full technical review):
Projects that do not meet any part of the minimum design criteria (MDC) documents;
Projects that involve more than one variance from the requirements of 15A NCAC 02T;
Pressure sewer systems utilizing simplex septic tank -effluent pumps (STEPs) or simplex grinder pumps;
Simplex STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains);
• Vacuum sewer systems.
General — When submitting an application, please use the following instructions as a checklist in order to ensure all required items are
submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the
amount of requested additional information. Failure to submit all required items will necessitate additional processing and review
time, and may result in return of the application. Unless otherwise noted, the Applicant shall submit one original and one copy of
the application and supporting documentation.
A. One Original and One Copy (second copy may be digital) of Application and Supporting Documents
® Required unless otherwise noted. Signatures on original must be "wet ink" or secure digital signatures.
Please do not submit engineering design plans with the application unless specifically requested.
B. Cover Letter/Narrative Description (Required for All Application Packages):
® List all items included in the application package, as well as a brief description of the requested permitting action.
Be specific as to the system type, number of homes served, flow allocation required, etc.
Include the permit number/status of any other required sewer permits (downstream/upstream)
If necessary for clarity, include attachments to the application form.
C. Application Fee (All New and Modification Application Packages):
® Submit a check or money order in the amount of $480.00, dated no more than 90 days prior to application submittal.
Payable to North Carolina Department of Environmental Quality (NCDEQ)
D. Fast Track Application (Required for All Application Packages, Form FTA 05-21):
® Submit the completed and appropriately executed application.
If necessary for clarity or due to space restrictions, attachments to the application may be made.
❑ If the Applicant Type in Item 1.2 is a corporation or company, provide documentation it is registered for business with the
North Carolina Secretary of State.
® If the Applicant Type in Item 1.2 is a partnership or d/b/a, enclose a copy of the certificate tiled with the Register of Deeds in
the county of business.
® The Project Name in Item II.1 shall be consistent with the project name on the flow acceptance letters, agreements, etc.
® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North Carolina
licensed Professional Engineer.
Z The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 02T .010(0). Per
15A NCAC 02T .0106(c), an alternate person may be designated as the signing official ifa delegation letter- is provided from
a person who meets the criteria in 15A NCAC 02T .0106(b).
INSTRUCTIONS FOR FORM: FTA 06-21 & SUPPORTING DOCUMENTATION Page I of 3

E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (If Applicable):
® Submit the completed and executed FTSE form from the owners of the downstream sewers and treatment facility.
Multiple forms maybe required where the downstream sewer owner and wastewater- treatment facility are different.
The flow acceptance indicated in form FTSE must not expire prior to permit issuance and must be dated less than one year
prior to the application date.
Submittal of this application and form FTSE indicates that owner has adequate capacity and will not violate G.S. 143-215.67(a).
Intergovernmental agreements or other- contracts will not be accepted in licu of a project -specific 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,
including the closest surface waters.
General location of the project components (gravity sewer, pump stations, & force main)
Downstream connection points and permit number (if known) for the receiving sewer
Z Include an aerial location map showing general project arca (such as street names or latitude/longitude) so that Division staff
can easily locate it in the field.
G. Existing Permit (Application Packages for Modifications to an Existing Permit):
❑ Submit a copy of the most recently issued existing permit.
❑ Include a descriptive and clear narrative identifying the previously permitted items to remain in the permit, items to be
added, and/or items to be modified (the application form itself should include only include items to be added/modified). The
narrative should also include whether any previously permitted items have been certified.
❑ The narrative should clearly identify the requested permitting action and accurately describe the sewers to be listed in
the final permit.
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per 15A NCAC 02T .0305(111(1), submit documentation of power reliability for pumping stations.
This alternative is only available for average daily flows less than 15,000 gallons per day
• It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible with
the station. The Division will accept a letter signed by the applicant (sec 15A NCAC 02T .0106(b)) or proposed contractor,
stating that "the portable power generation unit or portable, independently -powered pumping units, associated appurtenances
and personnel are available for distribution and operation of this pump station."
;= If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations'
storage capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall
be provided in the case of a multiple station power outage. (Required at time of certification)
I. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .01 15(a)(1) provide the Certificate of Public Convenience and Necessity from the North Carolina Utilities
Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the sewer
extension, or
❑ Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an application
for a franchise has been received and that the service area is contiguous to an existing franchised area or that franchise approval
is expected.
J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .01 15(c), submit the properly executed Operational Agreement (FORM: IIOrj.
❑ Per 15A NCAC 02T .01 15(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .O1 I5(b), submit the properly executed Operational Agreement (LORM: DEN)
For more information, visit the Division 's collection systems rrehsitc
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 2 of 3

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Swannanoa, North Carolina 28778-8211
[phone]
[phone] Fax
Avery, Buncombe, Burke, Caldwell, Cherokee,
Clay, Graham, Haywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell. Polk,
Rutherford, Swain, Transylvania, Yancey
Water Quality Section
Fayetteville Regional Office
225 Green Street Suite 714
Fayetteville, North Carolina 28301-5095
[phone]
[phone] Fax
Anson, Bladen, Cumberland, Harnett, Hoke,
Montgomery, Moore, Robeson, Richmond,
Sampson, Scotland
Water Quality Section
Mooresville Regional Office
610 E. Center Avenue
Mooresville, North Carolina 28115
[phone]
[phone] Fax
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
Stanly, Union
Water Quality Section
Raleigh Regional Office
3800 Barrett Drive
Raleigh, North Carolina 27609
[phone]
[phone] Fax
Chatham, Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
Northampton, Orange, Person, Vance, Wake,
Warren, Wilson
Water Quality Section
Washington Regional Office
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
Beaufort, Bertie, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Water Quality Section
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
Brunswick, Carteret, Columbus, Dublin, New
Hanover, Onslow, Pender
Water Quality Section
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Winston-Salem, North Carolina 27105
[phone]
[phone] Fax
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
Water Quality Section
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 3 of 3

DWR
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 & SUPPORTING DOCUMENTATION
Application Number: Ne
completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: City of Raeford (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other R : --I D
3. Signature authority's name: Dennis Baxley per 15A NCAC 02T .0106(b) oEoinviiiR
Title: City Manager
4. Applicant's mailing address: 315 N. Main Street
City: Raeford State: NC Zip: 28376-
5. Applicant's contact information:
FAVPIdT)1
Phone number: [phone] ext. 228 Email Address: dbaxley@rae?ordnc.org
II. PROJECT INFORMATION:
1. Project name: Raeford Commons Phase II
2. Application/Project status: ® Proposed (New Permit)
❑ Existing Permit/Project
S E P 2 7 7 2.7_
IJ
If a modification, provide the existing permit number: WQ00 and issued date:
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: Hoke
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.976389° Longitude: -79.253333°
5. Parcel ID (if applicable): 694241001001 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Mike Zaccardo License Number: 022321
Firm: Timmons Group
Mailing address: 5410 Trinity Road, Suite 102
City: Raleigh State: NC Zip: 27607-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: City of Raeford POTW Permit Number: NC0026514
Owner Name: Dennis Baxley
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ
2. Downstream (Receiving) Sewer Information: 8 inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00074
Owner Name(s): City of Raeford POTW
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
If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement ( FORM: DEV) been attached?
❑Ycs No ®N/A
3. If the Applicant is a Home/Property Owners' Association, has an HOA/POA Operational Agreement (FORM: FTOA) and
supplementary documentation as required by 15A NCAC 02T.01 15(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
U Retail (stores, centers, malls)
❑ Retail with food preparation/service
❑ Medical / dental / veterinary facilities
❑ Church
❑ Nursing Horne
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool/Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Naturc of wastewater : 100 % Domestic % Com mcrcial % Industrial (Sec 15A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Ycs ❑ No
6. Has a flow reduction been approved under l 5A NCAC 02T .0114( I)? ❑ 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(1))
Daily Design Flow a,b
No. of Units
Flow
Residential (4-bedrooms)
480 gal/day
37
17,760 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
17.760 GPD
a See 15A NCAC 02T .01 14/jijjd), (e)(1) and (c)(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 I5A NCAC 02T.01 14] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 17,760 GPD (per 15A NCAC 02T .()114)
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 2of5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
1,988
PVC
8
363
DIP
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 SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
3. Total number of pumps at the pump station:
3. Design flow of the pump station: millions gallons per day (firm capacity)
i This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s):
gallons per minute (GPM) at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
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 1 5A NCAC 02T .0305(h)(1):
❑ Standby power source or ❑ Standby pump
Must have 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 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(1)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(t) & (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
'Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
'Water- mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water, 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 02-1.0305(t) or (g). see Section X.1 of this application
*15A NCAC 02T.0305(g) 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 webpagc
Does this project comply with the minimum separation requirements for water mains?
®Yes El No ❑N/A
If no, please refer to 15A NCAC 18C.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.
r 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 Statc buffer rules? ® Ycs Basin name: Lumber ❑ No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200'? ® Ycs ❑ No
r= 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, stormwatcr management plans, etc.).
7. Does this project include any sewer collection lines that arc deemed "high -priority?" ❑ Ycs ® No
Per 15A NCAC 02 1,.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: LTA 06-21
Page 4 of 5

DocuSigr l7int,elope ID: 9F--668236-474E4908-89,kkC-0B92F-5605551
CERTIFIC2)..,T0iNS:,
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ee
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attest that this tipiittiLialiOb roc
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•0(2111;:••iiial.-1CiTI... C•061l0ati011. in an,,7 aoplication package shaIl Li.iftilty ofr (.l.lass .72 rhistiemeanor w•hich
include a not to eitotrteed 0,000, as well as ei till penalties hp to 325,000 peic vicetation, ivilsitc„pite.„:•,;nLnion appfication
00c0d13i114 rare to ,Tfiscrileisc any deSi,,Tit nop„-corripFtanc: applicabie Rules Std."),:k'et
the >forth 1."..lart.t.)linti-lieensed Protessiforial Enone.::: referral to fhe licerifsing. board. (21 3002.7,,Cll 56.0701)
FtieaL, late:
attest that this application for
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iiThag 00oa reoiop. p aol .a aCC1,1fraie 007/ krAn't,l.Cd&e.,
[ uhdChShand that if iRai21,1 :1' 113s appliCatiOn are nOt completed and thal if.' ail ii,t,fluireitl supporting doctnyteittuai ion
duacliiinchas this applicaLion packagr,c-: is .--Albjeci p:ftwnecil a:-! iv-icon-11)6;21,c, f thiclei-stand that any
eischaite ',,vask,y,/q- Iran': riert-discharfile system to surface waters pi- the land ie inflinecliaie eniorceincht
,tft:lion ',hat rflay 1111:111Ce pCnak iCiliyaCti,, C.* Cellar, 0110/01- prOSCCLii.i01•1. ",01-; visic,,r;
(1.1. RC•SOLINCS hc disc; undei-stind pains cll. this .Applicinic-ni
5 oi

puekiagi: are hot compleuixi arid that if all rcquipill supporting infortriation Lfliattachirtents arc not included, this apphcation
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State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10- 1 8)
Entity Requesting Allocation: City of Raeford
Project Name for which flow is being requested: Raeford Commons Phase II
More than one FTSE may he required for a single project if the owner of the WWTP is not responsible for allpunmp
stations along the route of the proposed wastewater flow.
1. Complete this section only if you are the owncr of the wastewater treatment plant.
a. WWTP Facility Name: City of Raeford POTW
b. WWTP Facility Permit #: NC0026514
All flows are in MGD
c. WWTP facility's permitted flow 3.0
d. Estimated obligated flow not yet tributary to the WWTP 1.39
e. WWTP facility's actual avg. flow 1.52
f. Total flow for this specific request .09168
g. Total actual and obligated flows to the facility 3.0
h. Percent of permitted flow used 100%
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Finn / pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow 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 < O.
Downstream Facility Name (Sewer):
Downstream Permit Number:
Page 1 of 6

eiatn Staemerit.:
fiennis Baxey, Manager t..:;ert:f-,f kt-i,'D'Aitedge that adtaition
the -;Atiturne wastewater to be t.-.rtnit-d ;,;(-1 ;;)rojebt hasjre;,;,;alu.mted along te rout tu the
:,-ceiving waste -water treatment. faciilty .;and tIteLIJV HO1T1 'ims ;s :or anticipated to cause ar;
t-eliated,1a eviier co; overiTturcier d();;Aii2.sit,;eari., prunlp station 21:1
p;,aril-.. under i2,31;--mial ; 1-11&;:ars ii-n.ir_i!;-2,,i,-;;,(e-ritation of the planned
iroprovernzents 1.c;tent-lt;li in the pi:311ring assessment anal-;i7sis has been periormed
aceorclaiice \kith estabhshe, j policies ancl using titit- best; a.vaUlabitt': ',Mils
zertlf;catlityn ap-plies to those items listed above in, Sect:ons 1 and .11 plus attaci-ied riffarining
at:idenclurris for ,iNilnich am the reslponsible party. Sl,igrlatuti-t-L. cylf this ft:Ayr certifies that the rei-..-,eiving
collection system ;;T:_;:z ffeatment -,,,,,forks has adequate capacit7;1: tratisporir tre,mt, the proposed ne‘,-
-\;;v3sti;:.;,,xater.
2711C
Page of (7)

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section II where Available Capacity is <
0.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
% and MGD of the Available Capacity (E) in Pump Station
; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
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:
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.
I understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste disposal
system.
Signing Official Signature
Date
Page 3 of 6

Instructions for Flow Tracking form (FTSE) and Planning Assessment Addendum (PAA)
Section I
a. WWTP Facility Name: Enter the name of thc WWTP that will receive thc wastewater flow.
b. WWTP Facility Permit #: Enter the NPDES or Non -Discharge number- for the WWTP receiving the
wastewater flow.
c. WWTP facility's permitted flow, MGD: From WWTP owner's NPDES or Non -Discharge permit.
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 POTWs
that implement a pretreatment program, include flows allocated to industrial users who may not be using all of
their flow allocation. Please contact your Pretreatment Coordinator for information on industrial flow tributary
to your WWTP.
As of January 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 ability, so it is known how much flow has been obligated and
is not yet been made tributary 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 month average.
f. Total flow for this specific request, MGD: Enter the requested flow volume.
g. Total actual and obligated flows to thc facility, MGD Equals [d + c + f]
h. Percent of permitted flow used: Equals [(g / c)* 100]
For example:
On January 15 a POTW 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. There is a
proposed flow expansion of 0.015 MGD.
The first Form FTSE submitted after January 15, 2008 may have numbers like this:
c. = 6.0 MGD
d. = 0.5 MGD
c. = 2.7 MGD
f. = 0.015 MGD
g. = 3.215 MGD
h. = 53.6 %
The next Form FTSE may be updated like this with a proposed flow expansion of 0.102 MGD:
c. = 6.0 MGD
d.-0.515MGD
e. = 2.73 MGD
f. = 0.102 MGD
g. = 3.349 MGD
h. = 55.8%,
Each subsequent FTSE form will 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 (C) for each pump station that will be impacted by the proposed sewer extension project. Calculate
the total current flow plus obligated flow (D=B+C) and the available capacity (E—A-D). Include 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 service as per the
Minimum Design Criteria.
Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor (pf) 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) (B) (C) (D)=(B+C) (E)=(A-D)
Obligated,
Design Approx. Not Yet Total Current
Firm Average Current Avg. Tributary Flow Plus
Pump Station Capacity Daily Flow Daily Flow, Daily Flow, Obligated Available
(Name or Number) MGD (Firm / pf) MGD MGD Flow Capacity*
Kaw Creek PS 0.800 0.320 0.252 0.080 0.332 -0.012
Valley Road PS
1.895 0.758 0.472
0.135 0.607 0.151
Page 5 of 6

Planning Assessment Addendum Instructions
Submit a planning assessment addendum for each pump station listed in Section II where available capacity is < O.
A planning assessment for Kaw Creek PS (sec example data above) may 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 overflows.
The planning assessment may identify a funded project currently in 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. The proportion and amount of obligated, not yet tributary flow accounts for 24 `A and 0.080 MGD of the
committed flow in Pump Station Kaw 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:
The master plan and ten year capital plan contain recommended scope and funding for a capital project entitled
Kaw Creek Pump Station upgrade with funding planned in July 2014. This project is planned 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 Flow Tracking/Acceptance for Sewer Extension Permit Application elevates this project's priority for
funding and construction to be implemented ahead of the activation of obligated, not yet tributary flows in amounts
that exceed the firm pump station capacities identified in Section II 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

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IMIONIIMII

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 & SUPPORTING DOCUMENTATION
Application Number:
L\1 \ completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: City of Raeford (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal
❑ State/County ® Municipal
3. Signature authority's name: Dennis Baxley per 15A NCAC 02T .0106(b)
Title: City Manager
4. Applicant's mailing address: 315 N. Main Street
City: Raeford State: NC Zip: 28376-
5. Applicant's contact information:
Phone number: [phone] ext. 228
II. PROJECT INFORMATION:
1. Project name: Raeford Commons Phase II
2. Application/Project status: ® Proposed (New Permit)
If a modification, provide the existing permit number: WQ00
❑ Other
Email Address: [e-mail]
❑ Existing Permit/Project
and issued date:
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: Hoke
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.976389' Longitude: -79.253333
5. Parcel ID (if applicable): 694241001001 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Mike Zaccardo License Number: 022321
Firm: Timmons Group
Mailing address: 5410 Trinity Road. Suite 102
44fACE)9F THIS•DOCUMENT HAS r4 COLgRED :BACKGROUND:ONNHITE PAREWANDPRIGINAL:160C17 ENT1SECUR
FORGE INVESTMENT GROUP, LLC
PAY
TO THE
ORDER OF
Bank of America
MEMO A t Fth`i
pm wti (E A i
66-19/530
DATE 9J1 1l
tA- 4 r? )f
7,6zz
L/3
2030
DOLLARS
cn
AUTHORIZED SIGNATURE i