WQ0044138_Application (FTSE)_20230309

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: o be completed b\ DA'R)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Angier (company, municipality, HOA, utility.. etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name:.limmy Cook per 15 <t N'CA (�-
- - ---_
Title: Public Works Director
4. Applicant's mailing address: PO Box 278
City: Angier State: NC Zip: 27501-
5. Applicant's contact information:
Phone number: [phone] Email Address: icon o-,(&gngier.ora
II. PROJECT INFORMATION:
1. Project name: Sherri Downs
2. App I ication� Project status: ® Proposed (New Permit) ❑ Existing Perrnit/Project
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: Harnett
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.537378 Longitude:-78.761614
5. Parcel ID (if applicable): 0675-00-1074, 0674-09-9914 0674-19-9447, 0674-19-9549, 0674-29-0547, and 0675-10-3670 or
Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1 PrnfPcc,innal FnainPpr C'lav T) C)IivPr I ir..ncrher• 0') 7A1) 1)
Lennar Corporation CHECK 70-2322
Lennar Carolinas, LLC 719 5
Raleigh/Durham Division NUMBER 1958170
1100 Perimeter Park Dr Ste 112
Morrisville, NC 27560 January 26, 2023
*** VOID AFTER 180 DAYS **
PAY NCDEQ
TO THE %DIVISION OF MITIGATION SERVICES
ORDER OF: 1652 MAIL SERVICE CENTER '
RALEIGH, NC 27699-1652 CHECK AMOUNT
$480.00
EXACTLY *********480 DOLLARS AND 00 CENTS IncWded
Ucled�`�as
" 11 DDetail.o.n back
'Morgan Chase Bank, N.A.
iicago, IL
U RL
Authorized Signature

•••000
TIMMONS GROUP
YOUR VISION ACHIEVED THROUGH OURS.
TRANSMITTAL
TO: NCDEQ DWR — Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 28301
ATTN: SS Fast Track Permitting personnel
® ENCLOSED PLEASE FIND:
❑ WE ARE SENDING UNDER SEPARATE COVER:
FEB 17 2023
.Ug/Irv'
pEQ-FAYETTTEVILLE REQtONAL OFFICE
RD*4 1 I
Date: 02/16/2023 Job #: 52239
Project: Sherri Downs
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 ma
1
5
Vicinity Ma
1
6
Town of Angier Standard Specifications
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 984-222-1613 or @ [e-mail]
Thank you,
Clay Oliver, PE
Project Manager
SIGNED:
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PROJECT NARRATIVE
nF,0,-FAYFT F_V1L1_r REQ�0- NAI.. OF-FIGI�
Project Name: Sherri Downs
Location: Town of Angier, Harnett and Wake Counties, NC
PIN: 0675-00-1074, 0674-09-9914, 0674-19-9447, 0674-19-9549, 0674-29-0547, and
0675-10-3670
Owners: KLLB AIV LLC
6900 East Camelback Road, Suite 1090
Scottsdale, AZ 85251
Developer: Lennar Homes
1100 Perimeter Park Drive, Suite 112
Morrisville, NC 27560
Contact: Tucker Ennis
Consultant: Timmons Group
Mike Zaccardo, PE
5410 Trinity Road, Suite 102
Raleigh, NC 27607
Phone: [phone]
PROJECT DESCRIPTION AND NARRATIVE:
The proposed project is inside the Town of Angier jurisdictional limits and is located on the north side of
Rawls Church Road, between Jarrett Bay Lane to the west and Kennebec Church Road to the east. The
scope of this project will include the construction of 225 single-family homes (116 four -bedroom and
109 five bedroom) on 104.54 acres. The project is anticipated to generate 480 gallons per day (gpd) of
wastewater flows per four -bedroom unit and 600 gpd per five -bedroom unit for a total development flow
rate of 121,080 gpd.
The proposed gravity sanitary sewer system will consist of approximately 10,860 LF of 8" PVC and
183 LF of 8" DIP.
A 404 Nationwide 29 permit for residential developments from the US Army Corps of Engineers (Action
ID: SAW-2021-01320) and a 401 Water Quality Certification from NCDEQ Division of Water Resources
(DWR #20221303) have been approved for this project.
The new gravity sanitary sewer system will be owned, operated, and maintained by the Town of Angier.

DWR
State of North Carolina
Department of Environmental Quality
Division of Water Resources
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 good engineering practices.
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design
documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design
calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum design criteria. These
documents shall be 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.0303.
Projects not eligible for review via the fast track process (must be submitted for full technical review):
y 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,
r 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 pen -nits (downstream/upstream)
y 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 filed with the Register of Deeds in
the county of business.
® The Project Name in Item I1.1 shall be consistent with the project name on the flow acceptance letters r tsetc.
® The Professional Engineer's Certification on Page 5 of the application shall be signed, s GFt�EQLrt�Carolina
licensed Professional Fn„ ineer.
® The Applicant's Certification on Page 5 of the application shall be signed in accordance with QMQ02T .0106(b). Per
15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if a deleletter is provided from
a person who meets the criteria in 15A NCAC 02T .0106(b).
®
INSTRUCTIONS FOR FORM: FTA 06-21 & SUPPORTING DOCUMENTATION EQ-FAYETTEVILLERE0fONALOFFICE Pagel of 3

E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (If Applicable):
® Submit the completed and executed FTSE form from the owners of the downstream sewers and treatment facility.
Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different.
The flow acceptance indicated in form FTSE must not expire prior to permit issuance and must be dated less than one year
prior to the application date.
Submittal of this application and form FTSE indicates that owner has adequate capacity and will not violate G.S. 143-215.67(a).
,- Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific FTSE.
F. Site Maps (All Application Packages):
® Submit an 8.5-inch x I I -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)
r Downstream connection points and permit number (if known) for the receiving sewer
® Include an aerial location map showing general project area (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(h)( I ), submit documentation of power reliability for pumping stations.
r This alternative is only available for average daily flows less than 15,000 gallons per day
y It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible with
the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or proposed contractor,
stating that "the portable power generation unit or portable, independently -powered pumping units, associated appurtenances
and personnel are available for distribution and operation of this pump station."
%- If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations'
storage capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall
be provided in the case of a multiple station power outage. (Required at time of certification)
I. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0115(a)(I) 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 .0 l 15(c), submit the properly executed Operational Agreement (FORM• HOA).
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b) submit the properly executed Operational Agreement (FORM: DEW
For more information, visit the Division's collection systems wehsite RECEIVED
FEB 17 2023
DEO-FAYETTEVILLE RMONAL OFFICE
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
Water Quafty Section
2090 US Highway 70
Swannanoa, North Carolina 28778-8211
Avery, Buncombe, Burke, Caldwell, Cherokee,
[phone]
Clay, Graham, Haywood, Henderson, Jackson,
[phone] Fax
Macon, Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania, Yancey
Favetteville Regional Office
Water Quality Section
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Fayetteville, North Carolina 28301-5095
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
Water Quality Section
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
Water Quality Section
3800 Barrett Drive
Raleigh, North Carolina 27609
Chatham, Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
Water Quality Section
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
Water Quality Section
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
Brunswick, Carteret,
C Columbus, Duplin, New
Hanover, Onslow, Pender
[phone]
[phone] Fax
Alamance, Alleghany, Ashe, Caswell, Davidson,
Winston-Salem Regional Office
Water Quality Section
450 W. Hanes Mill Road
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
[phone] Fax
RECEIVED
FEB 17 2023
DEQ-FAYETTEVILLE RENONAL OFFICE
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 3 of 3

State of North Carolina
•DWR Department of Environmental Quality
Division of Water Resources
Division of Water Resources FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: �(to be completed by DWR)
All items must be comuleted or the aRRlicat. n will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Angier (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership El Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal
❑ Other
3. Signature authority's name: Jimmy Cook per _15A NCAC 02T 0106(b)
Title: Public Works Director
4. Applicant's mailing address: PO Box 278
City: Angier State: NC Zip: 27501-
5. Applicant's contact information:
Phone number: [phone] Email Address: icy ook(a�,angier.org
11. PROJECT INFORMATION:
1. Project name: Sherri Downs
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
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: Harnett
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.537378' Longitude:-78.761614'
5, Parcel ID (if applicable): 0675-00-1074 0674-09-9914 0674-19-9447 0674-19-9549 0674-29-0547 and 0675-10-3670 (or
Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Clay D. Oliver License Number: 027400
Firm: Timmons Group
Mailing address: 5410 Trinity Road Suite 102
City: Raleigh State: NC Zip: 27607-
Phone number: [phone] Email Address: clay.oliver e Tmmons com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: North Harnett Regional WWTP Permit Number: NCO021636
Owner Name: Harnett Countv Public Utilities
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
RECEIVED
1. Permit Number(s): WQCS00183
2. Downstream (Receiving) Sewer Information: 15 inch ® Gravity El Force Main FEB 17 2023
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00183
Owner Name(s): Town of Angier OEQ-FAYETTEVILLE RMONAL OFFICE
FORM: FTA 06-21
Page l of 5

V1. GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes [:]No ®N/A
2. If the Applicant is a Developer of lots to be sold. has a Developer's Operational Agreement (FORM DEV) been attached?
❑ Yes ❑ No ® N/A
3. If the Applicant is a Home/Property Owners' Association, has an HOA/POA O erational A reement 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) ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential (Leased) ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool/Clubhouse
❑ Food and drink facilities ❑Church
❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. 'Mature of wastewater: 100 % Domestic % Commercial % Industrial (See 15A NCAC 02T 0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T 0114(f)? ❑ Yes ®No
➢ If yes, arovide a copy of flow reduction approval letter with this applicacation
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f)) Daily Design Flow a " No. of Units Flow
Single-family — four bedrooms 480 gal/unit 116 55,680 GPD
Single-family — five bedrooms 600 gal/unit 109 65.400 GPD
gal/ GPD
gall GPD
gall GPD
gall GPD
ETota4l]21,080 GPD
a See 15A NCAC 02T 0114(bZ(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. 42A4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 021.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 121,080 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 E C I V E D
❑ Other (Explain):
FORM: FTA 06-21
DEOTAYETTEVILLE RE610NAL OFFICE
Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MUC (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 requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
PROM —EA SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
l . Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: 0 Longitude: - °
3. Total number of pumps at the pump station:
3. Design flow of the pump station: 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): 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 15A 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 p
➢ Must be permanent to facility and may not be portable RECEIVED
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 - FEB 17 2023
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
®EQ-FAYETTEVILLE RE010NAL OFFICE
➢ 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)):
Does the project comply with all separations/alternatives found in 15A NCAC 02T 0305(fl & (a)?
►ZI
M4, i .,,JV 11 v, sy_j, ,CC oect,on &. i or tnis application
* 15A NCAC 02T.0305(a) contains alternatives where separations in 02T.0305(fl 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 webpae
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ 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.
➢ 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: ® 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 213.0202
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?" REGEAffiD
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 deterio t e en
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).
fAYETTEVp.I.� RE010NAL OF CE
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

w _
X. CERTIFICATIONS: J
l . Does the submitted system comply with 15A NCAC O2T, the Min Desi>:n Criteria for the Permitting®f Pum�Stations
and T'orce Mains (latest version .and the Grav°its Se�.ver Minimum Desig,n,Crit�ria,�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 a roval of the ermit" and ro'ects re uirin a variance anprovaI may be sub'ect to longer
review times. For proiects reguiring two or more variances or where the variance is determined b v the Division to be a
senificant portion of the project, the, full technical review is required
2. Professional Engineer's Certification:
1, 4E-nneer's
��./..�� �/, attest that this application for
'
(Professional name from Application item III. I.)
(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 Grayirir Sewers (latest version, and the Minimum Design Criteria for the Fast -Track Permitting
ofof Fuzz 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 NCA(;vi6.07U1)1
North Carolina Professional Engineer's seal, signature, and date: .........�
00
T
1 E
so
"4kl
..................,���l.Jt�ii�1i
Applicant's Certification per 15A NCAC 02T .0106(b):
1 r
1, . IA,4y_ &ol4 — 1 L)Lo % AF13 a test that this application for
(Signature Authority Name from Application Item I.3.}
(Project Name from Application Item I1.1)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
I understand that if all required parts of this application are not completed and that if all required supporting documentation
and attachments are not included, this application package is subject to being returned as incomplete. I understand that any
discharge of wastewater from this non -discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division
of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application
package are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
RECEIVED
Signature: _Lvl_ VWN V4k_!j__i f�y�S)of�H 17 >$
FORM: FTA 06-21
,?- 8 as
AEQ-FAYMEVILLE RE010NAL OFFICE Page 5 Of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Town of An._,Jer
Project Name for which flow is being, requested: Vau:,._iI,,an Farm Subdivision
Adore than one ME maj, be required for a sing 11"07P is not responsible for all pump
single project �f the owner of
stations along the route of the proposed wast",aterflow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility -Name: North Harnett Regional WWTP
b. WWTP Facility Permit 4: NC0021636
c. WWTP facility's permitted flow
Fuquay-Varina Allocated Flow
Lifling
I _,ton Allocated Flow
Angier Allocated Flow
d. Estimated obligated flow not yet tributary to the WWTP
FV Obligated Flow NYT
Lillington Obligated Flow NYT
HC Obligated Flow NYT
Angier Obligated Flow NYT
e. WWTP facility's actual avg. flow
FV Actual Flow
Lillington Actual Flow
HC Actual Flow
Angier Actual Flow
f Total flow for this specific request
g. Total actual and obligated flows to the facility
FV Actual Avg. + Obligated Flow
Lillinglon Actual Avg. + Obligated Flow
HC Actual Avg. + Obligated Flow
Angier Actual + Obligated Flow
h. Percent of permitted flow used
A 11flmvs are in MGD
7.5 MGD
2.60 MGD
1.20 MGD
1.008 MGD
3.290 MGD
0.761 MGD
0.34-3 MGD
1.369 MGD
0.817 MGD
4.952 MGD
1.224 MGD
0.597 MGD
2.
568 MGD
0.563 MGD
0.042 MGD (ANG,,
8.284 MGD
1.985 MGD
0.940 MGD
3.937 M G D
1.422 MGD
110.45%*
*A PER to expand the N-HRWTTP treatment capacity has been completed and design of the
expansion is currently underway.
v IL
FED-3,, 1 02'
Page I of 3 _)T-_(-)-17:/1VFTTFVII.1_F I­;r-7G',nNIA7_
I'TSF 06-1

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)
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
Number)
MGD
MGD
MGD
MGD
Flow
SLS-120
14.4
5.76
2.819
3.254
6.073
(E)=-(A-D)
Available
Capacity***
-0.313
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is C 0.
Downstream Facility Name (Sewer): North Harnett Re.:ional WWTP
Downstream Permit Number: NCO0216-16
III. Certification Statement:
I '- . -e , � 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 assessq�elt addendums for which I am the responsible party. Signature of this
form indicates accept',''' ' � )f this wastewater flow.
r
Signing Qf cial Signature Bate
FE-3 02:
Page 2of3
I' -SE 06-1 3

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): SLS-120
Given that:
• The proi-�,ortion and amount of Obligated, Not Yet Tributar Dail:: Flow (C) accounts for
53.58 % and 3.254 MGD of the Available Capacity (E) in Pump Station
SLS-120 ; and that
• The rate of activation of this oblil2ated, not het tributary ca Tacit,,, is currently, ap;,roximately
0.3 MGD per year; and that
• A funded Cai:Aal Protect that will trovide the required planned capacit-,, namely
TBD
is in desi=. n or under construction with
}fanned comi1etion in TBD and/or
• The following applies:
HRW is curren&,v reconciling actual and not-�-et-tributary flows in Janmiry 2023 to
accurate],,. assess available capacitx- The reconciliation is expected to be comi�leted in
March 2023. Given the size of the pump station, the
percenta e of not -yet -tributary, and the rate of activation, this will be the first stet) to
determine if potential CIP project is needed and timeline for am ca,)acit increase.
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.
Si �>ning, Q Ilicial Si,ttnature Date
TnFc1.FnyF,TF=vu_LE (?;Gt, NL OFFir_.
Page 3 of 3
l"l-SE 06-13

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewver Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Toti, n of' Angier
Project Name for xvhich flow- is being requested: Sherri Downs
Jlore tluur one F7SE ni(y be required for a single project if the owner of the 14"H TP is not responsible./or till pump
stations aloe the route of the proposed wustew(iter flow.
1. Complete this section only if` you are the owner of the Nvastcx ater treatment plant.
a. WWTP Facility Name: North Harnett WWTP
b. 'A'W'I'P Facility' Permit: NC0021636
All flows are in MGD
c. WWTP facility's permitted flow 1.008
d. Estimated obligated floe- not yet tributary to the WWTP 0.696
e. \N%WTP facilit}Cs actual avg. flow- .563
f. Total flow, for this specific request .121
g. Total actual and obligated flows to the facility 1.380
h. Percent of permitted flow used 136.9%
11. C'omplete 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 W WTP:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated.
PuIIIP Pump Ayera�ge Approx. Not Yet Total CuiTent
Station Station Firm Daily Floe-*"; Current Tributary Flow Plus
(Name or Permit Capacity. (Firm pf j. Av(,. Daily Daily Flow, Obligated Available
Number) No. MGD MGD F1oI . MGD MGD Floe 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�.<t
I)ownstream Facility Name (Se«er): 1-mvri of Angier, NHR\V\VTP
Do\,N nstream Pci-mit Number- WQCS001$ 3. NC0021 636 FIB - r- t—
'age 1 of 6

111. Certification Statement:
I Henry James Cook certify to the best of my knowledge that the addition of
the VOIL11"I'le of wastewater to be permitted in this project has been evaluated along the route to the receivino
vvastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary v sewer overflows or overburden anv do\,viistrearn PLIMP station en route to the receIN1,1110 I
treatment plant under normal circumstances- given the implementation of the planned improvements
identified in the plannino assessment xviiere applicable. This analysis has been performed in accordance
Nvith local established policies and procedures using) the best available data. This certification applies to
those items listed above in Sections I and 11 Plus all attached planning assessment addendurns for which I
am the responsible party. Signature of'this form certifies that the recelvinu) collection system ortreatment
\N-orks has adequate capacity to transport and treat the proposed new wastewater.
Sign . ?(C" (�fficicll Sigl7antre
Title of'Signinc, Qfficlal
Dwe
Page o F6
r

Sherri Downs_,
- 0
RA MIL S CHURCH ROAD
VICINITY MAP
FER; T. 20"'

RECEIVED
FEB 17 2023
U.S. DEPARTMENT OF THE INTERIOR na.Nen htq, FUQUAY.VARINA QUADRANGLE
ZUSGSU.S. GEOLOGICAL SURVEYKa NORTH CAROLINA
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