WQ0044619_Application (FTSE)_20230830

July 24, 2023
NCDEQ, DWR, Raleigh Regional Office
Water Quality Section
1628 Mail Service Center
Raleigh, NC 27699-1628
Re: Sewer Relocation for West Lake Downs— Lot 19
HE#: SF2210
Please find enclosed the following:
HILLIARD
ENGINEERING
NC Dept of Environmental Quality
JUL 2 6 2023
Raleigh Regional Office
1. One (I) -Original and One (1)-Copy of Fast -Track Application and Supporting Documents
2. Check #: 2860 in the amount of $480.00 for application fee
This project is being submitted for gravity sewer extension approval. The project required an
approximate 168 If relocation of the existing gravity sewer system, with the majority being outside of
the original easement. No additional flow is proposed for the project.
If you have any questions, or require additional information related to the aforementioned
project, please do not hesitate to contact me at this office.
ely,
Jarrod E. Hilliard, PE, CFM
Hilliard Engineering, PLLC
Copy to: File: SF2103
Page 1
P.O. Box 249, Sanford. NC 27331 NC License No.: P-0836
phone: [phone] jhilliard0hilliardengineering.com

DowSign Envelope ID: EC41EDFF-1CAA-40F5-8023- BCAABA9
ept of Environmenta I Quali State of North Carolina
tY Department of Environmental Quality
DWR Division of Water Resources
IUL 2 6 k:'§T TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRUCTIONS FOR FORM: FTA 06-21 & SUPPORTING DOCUMENTATION
Ice
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 ISA NCAC 02T and the Division's
Minimum Design Criteria (Gravity Sewcr & Pump Stations/Force Mains) and that plans, specifications and supporting documents
have been prepared in accordancewith 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 I SA 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):
> 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 I SA 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 I.2 is a corporation or company, provide documentation it is registered for business with the
North Carolina ScLvWarvofState.
❑ If the Applicant Type in Item I.2 is a partnership or d/bia, enclose a copy of the certificate filed 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, scaled and dated by a North Carolina
licen5rd Professional Engineer.
® The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 02T .0106Ib). Per
15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if a delegation letter is provided from
a person who meets the criteria in 15A NCAC 02T .0106(b).
INSTRUCTIONS FOR FORM: FTA 06-21 & SUPPORTING DOCUMENTATION Page l of 3

Dovlign Envelope ID: EC41EDFF-I CAA-4CF5-8023-92761oCAABA9
E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (If Applicable)-
0 Submit the completed and executed FTSE ibrm 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(al.
> 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 1-inch color copy of a 1JSGS Topographic Map of sufficient scale to identify the entire project area,
including the cloLest 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
® 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 addedimodified). 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 NgAC 02T .0305(h)(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 (see 15A NCAC 02T .0I06(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)
1. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0I 15(a)(1) provide the Certificate of Public Convenience and Necessity from the i ortll C'1TVJ jM Utilitics
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 Uilities.Commission's Wag anjSewer Divisbn 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 AC' 02'f..01.15(cj, submit the properly executed Operational Agreement(FORM: HOA).
❑ 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 .01 l5(b). submit the properly executed Operational Agreement CFORM: DEVI_
For more information, visit the Division's collection systems ivehsrre
tr I Pt5Ux-D R - Z.0. "aTt'4)
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 2 of 3

Docw9gn Envelope ID: EC41 EDFF-1 CAA-40F5-8023-92761 OCAABA9
DWR
Division of Water Resources
NC Dept of Environmental Quality
State of North Carolina
Department of Environmental Quality
Division of Water Resources
JUL 2 G 202" FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 06-21 & SUPPORTING DOCUMENTATION
Me* Regi al Officc
Application umber:00(o I (to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: City of Sanford (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ® Municipal
3. Signature authority's name: Paul M. Weeks, Jr., PE per k 5A 'N'C AC 02T .0 L06(b
Title: Utilities and Engineering_ Director
4. Applicant's mailing address: 225 E. Weatherspoon Street
City: Sanford State: NC Zip: 27331-
5. Applicant's contact information:
Phone number: (219) 777-1 1 19 Email Address: [e-mail]
I1. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
. Project name: Sewer Relocation for Westlake Downs - Lot 19
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: Lee
4. Approximate Coordinates (Decimal Degrees): Latitude. 35.49157': Longitude:-79.23218'
5. Parcel ID (if applicable): 9633-03-8983-00 (or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
I . Professional Engineer: Jarrod E. Hilliard License Number: 035670
Firm: Hilliard Engineering, PLLC
Mailing address: PO Box 249
City: Sanford State: NC Zip: 27331-
Phone number: 4(_19) 352-2834 Email Address: ihilliard(@,hilliardengineering.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Big Buffalo Waste Water Treatment Plant Permit Number: NCO024147
Owner Name: City of Sanford
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ34106
2. Downstream (Receiving) Sewer Information: 8 inch ® Gravity © Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00047
Owner Name(s): City of Sanford
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) ❑ 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. Nature 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(1)? ❑ 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))
F Daily Design Flow','
No. of Units
Flow
Residential
0 gal/day/bedroom
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.01141 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: moving sewer line out from under a wooden deck
❑ 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

DocuSign Envelope10: EC41EDFFACAA-40F5-8023-927610CAABA9
VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
I . Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 168 Cl. 50 DIP
> Section If & 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 (low 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. I .b. ❑ Grinder Pump ❑ Mechanical Bar Screen Ll Other (please specify)
6. Power reliability in accordance with 15.q.NCAC 02T .L-19jtlxlW:
❑ Standby power source or ❑ Standby pump
> Must have automatic activation and telemetry - l 5A 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(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305M A 40? ® Yes ❑ No
15A NCAC 02T.0305 contains minimum separations that shall be DrOVided for sewers stems:
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 M.0305 t os f &L see Section X.1 of this application
* 15A NCAC 02T.0305(a) 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 vvewgr
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 ❑ NIA
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ See the Division's draft separation re uirements 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: Cane Fear ❑ No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 0213 .0200 ® Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC 23_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 Q2T_010%W) (additional permitsicertifications)? ® 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

DocuSign Envelope ID: EC41EDFF-ICAA-40F5-6023-927610CAABA9
X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the in' . m Design Criteria fnr khe Fle ig in f Pgmp Stations
and Force Mains tlatest versions, and the <irayity Sewer MinimuTr, Desigp.Criteria (latest versianj as applicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variancer'AItern ative 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. Forproiects 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, Jarrod E. Hilliard , attest that this application for Sewer Relocation for Westlake Downs - Lot 19
(Professional Engineer's name from Application hem III I ) (Project Name from Applicat.on 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. 1 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 Scwcrs (latest Ycrsiun), and the Minimum Design C'ritcria for the Fasl-Track Permitting
of PumpStations 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 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. 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)
North Carolina Professional Engineer's seal, signature, and date:Ap,
• .......
SS
;.. 35�3/7/23
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1, Paul M. Weeks, Jr. PE , attest that this application for Sewer Relocation for Westlake Downs - Lot 19
(Signature Authority Name from Application :x.n 1.3 1 (Project Name from Application Item I 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, andlor 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.
Signature:
Docu8lgned by;
f A&+ a .'S Y.
. 7/20/2023
Ir AeacWseeeaerea 139.. Date:
FORM: FTA 06-21 Page 5 of 5

DoctiSign Envelope ID: A9565BA7-EM-4901-9E4ZZ Dept
• �J p of Environmental Quality
State of North Carolina
Department of Environmental Quality
JUL 2 6 M3 Division of Water Resources
- Raleigh Regional W* Tracking for Sewer Extension Applications
4i 'a5 t..Y _..•
Divislon of Water Resources (FTSE 10-18)
Application Number: I FT-357
Entity Requesting Allocation: City of Sanford
Project Name for which flow is being requested: Westlake Downs
More titan one FTSE ma}, 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.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility name: Big Buffalo Wastewater Treatment Plant
b. WWTP Facility Permit #: NCO024147
All flows are in MGD
c. WWTP facility permitted flow: 12.0000
d. Estimated obligated flow not yet tributary to the WWTP: 1.5224
e. WWTP facility's actual average flow: 3,4800
f. Total flow for this specific request: 0.00000
g. Total actual and obligated flows to the facility: 5.0024
h, Percent of permitted flow used: 42%
Complete this section for each pump station you are responsible for along the route of this proposed
List pump stations located between the project connection point and the WWTP.
(A)
(13)
(C)
(D) = (a+C)
(E)=(A-D)
Pump
Pump
Firm
Design
Approx
Obligated,
Total Current
Available
Station
Station
Capacity'
Average
Current
Not Yet
Flow Plus
Capacity'
(Name or
Permit
Daily Flow'
Avg Daily
Tributary
Obligated
Number)
Number
f Firminll
Flow,
Daily Flow,
Flow
MGD
MGD
MGD
MGD
AtGD
MGD
Patterson Creek
0010
0.3166
0 1267
0.0346
0.0505
0.0651
0.0416
zBig_Buffalo
#N-A
„N.A
srRA
IIN A
#N:A
HN:A
x
sN;A
ON. -A
WNfA
MN.A
t1N:A
ON -A
x
HN:A
4N.-A
ANlA
11N A
HN A
MA
x
kN:A
iYN:A
aNIA
4N A
HN:A
4N'A
1. 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.
2. Design Average Flow is the firm capacity of the pump station divided by the peaking factor (pf) not
less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
3. 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 5 0.
Downstream Facility Name (Sewer): City of Sanford Collection System
Downstream Permit Number: WQCS00047
111. Certification Statement
Page 1 of 6 FTSE 10-18

Docu5ign Envelope ID, A9565BA7-E2B1-4901-9E42-76DB505900AC
1, Paul Weeks, Jr. PE, 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 It 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 adequate capacity to transport and treat the proposed new wastewater.
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Signing Official Signature
Utilities & Engineering Director
Title of Signing Official
071 19/23
Date
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Wilson, Susan A
From: jhilliard hilliardengineering.com <[e-mail]>
Sent: Tuesday, August 22, 2023 8:46 AM
To: Wilson, Susan A
Cc: Paul Weeks; Depina, Mary
Subject: [External] RE: Sewer Relocation for Westlake Downs Lot 19 Fast Track Sewer Application WQ0044619
Attachments: WESTLAKE DOWNS FTA-06-21-PAGE 5.pdf; WESTLAKE DOWNS FTA-06-21-PAGE 7.pdf
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Good morning Susan,
See attached revised pages of the application.
Should you have any questions, or need additional information, please don't hesitate to contact me at this office.
Respectfully,
Jarrod E. Hilliard, PE, CFM
HILLIARD
ENGINEERING
PO Box 249, Sanford, NC 27331
[phone]
From: Wilson, Susan A <[e-mail]>
Sent: Monday, August 21, 2023 5:48 PM
To: jhilliard hilliardengineering.com <[e-mail]>
Cc: Paul Weeks <[e-mail]>; Depina, Mary <[e-mail]>
Subject: Sewer Relocation for Westlake Downs Lot 19 Fast Track Sewer Application WQ0044619
Jarrod —
I think Theresa Williams in our office asked if there was an existing permit for this? I did find a very old permit — attached
here WQ0002650. If you want to take a quick look at it — not sure it applies to this section of Westlake Downs (may just
be helpful information if nothing else).
This is so minor — I'll try to get this up for signature as soon as I can.
1. As part of the application —would you state the purpose/why it is zero flow/why it is being relocated (Part VI.8)
2. Please complete Part IXA. of the application. This is in the Cape Fear Basin —Jordan Lake Buffer Rules apply (YES
there). And you may check YES that it complies.
If you want to correct those pages of the application, and if it's OK with Paul, I'll add the corrected pages to the
application that has been signed.

I'll be in the office tomorrow (Tuesday) if you have questions.
Thanks,
Susan Wilson
Environmental Engineer (Part Time, Temporary)
Water Quality Regional Operations — Raleigh Regional Office
NC Department of Environmental Quality
Office: 919-791-4240
Ems d ca nasparrderxe ro amp from this address is subfev to the Nwh
Carnh'na P ubh'c Ftecoro<s hew and may be disckmed fo third pam es
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized
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