WQ0045439_Application (FTSE)_20240516

CD ConoePI% PA
Transmittal
Date: May 15, 2024
Project Name: Charlie Brown Rd. Lift Station
CDC Project: 12309
Permit #: TBD
To: Asheville Regional Office — Water Quality Section
2090 US Highway 70
Swannanoa, North Carolina 28778-5095
[phone]
[phone] Fax
�\- MAY 151029
Water Quality Regional Operations
Asheville Regional %)i lCE
Via: ❑ Mail ❑ Overnight © Hand Delivered ❑ Pick up @ CDC Office ❑ Digital
Copies
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Remarks:
Description
Cover Letter
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DWQ Fast Track Application
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DWQ Flow Track Form
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Engineer's Report ( Narrative, Supporting Calcs, USGS Topo Map, and
Street Level (aerial) Vicinity Map)
Review Fee ($600) (to be sent under separate cover)
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D. Harry Luzius r., P.E.
Mailing Address: P.O. Box 5432, Asheville, NC 28813
168 Patton Avenue Asheville, NC 28801 52 Walnut Street — Suite 9, Waynesville, NC 28786
Phone[phone] Fax [phone] Phone: [phone] Fax: [phone]

C UC Civil
Design
Concepts, PA
May 15, 2024
Asheville Regional Office
Water Quality Section
2090 US Highway 70
Swannanoa, North Carolina 28778-821 1
[phone]
[phone] Fax
RE: Charlie Brown Road Lift Station
CDC Project No.: 12309
NCDEQ No.: TBD
Dear Reviewing Agent,
MAY 7 5 AN
Water Quality Regional Operations
Asheville Regional Office
On behalf of Yancey County, we are requesting your review and approval of a sewer submittal
for the subject project. The proposed project consists of, constructing a regional sewer lift station
with a six-foot concrete wet well and a valve box, an electromagnetic meter, eight inch gravity
sewer line, four -foot diameter manholes, 8" and 4" SDR 21 PVC force main piping, 2
submersible waste water pumps, approximately 50'X50' lift station site, a stand-by generator, a
yard hydrant, water service line, a water meter, a 12' gravel drive, and other appurtenances
located across the street at 568 W US Hwy 19E in the Town of Burnsville.
Please find enclosed the following items for your review and approval:
• Fast Track Application
• Flow Track Form
• Engineer's Report (Narrative, Supporting Calcs, USGS Topo Map, and
Street Level (aerial) Vicinity Map)
• Review Fee ($600) (to be sent under separate cover)
If you should have any questions or need any additional information during your review, please
do not hesitate to call our office.
Sincerely,
" -
41
a -
D. arry Luzius r.
Civil Design Concepts, P.A.
hluziusAcdcjzo.com
Mailing Address: P.O. Box 5432, Asheville, NC 28813
168 Patton Avenue Asheville, NC 28801 52 Walnut Street — Suite 9, Waynesville, NC 28786
Phone [phone] Fax [phone] Phone: [phone] Fax: [phone]

57
State of North Carolina
4D DWRDepartment of Environmental Quality Nl� '
Division of Water Resources
MAY 3 5 2a2�AST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23 & SUPPORTING DOCUMENTATION
Applibt)&Aitin gional Office (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
I . Applicant's name: Yancey County (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: Lynn Austin per 15A NCAC 02T .0106(b)
Title: County Manager
4. Applicant's mailing address: 110 Town Square
City: Burnsville State: NC Zip: 28714-
5. Applicant's contact information:
Phone number: [phone] Email Address: Lynn.Austin ct,yanccycountyne.gov
11. PROJECT INFORMATION:
l . Project name: Charlie Brown Rd. Lift Station (SRP-W-ARP-0197)
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project ® ARPA hauled
If a modification, provide the existing permit number: WQ00 and issued date:
For modifications, also attach a detailed narrative description as described in Itein 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: Yancey
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.9130 , Longitude:-82.3212"
5. Parcel ID (if applicable): 081004533833000 (or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
l . Professional Engineer: D. Harry Luzius Jr. License Number: 013102
Firm: Civil Desian Concepts, PA
Mailing address: 168 Patton Ave.
City: Asheville State: NC Zip: 28801-
Phone number: [phone] Email Address: Itluziush%cdcgo.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I . Facility Name: Burnsville Wastewater Treatment Plant Permit Number: NCO020290
Owner Name: Town of Burnsville
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
I. Permit Number(s): WQ
2. Downstream (Receiving) Sewer Information: 8 inch ❑ Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00143
Owner Name(s): Town of Burnsville
FORM: FTA 10-23 Page I of 5

VI. 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 Operational Agreement (FORM: HOA) and
supplementary documentation as required by 15A NCAC 02T.0I 15(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 °o Domestic % Commercial % Industrial (See 15A NCAC 02T .0103(20))
If industrial, is there a Pretreatment Program in effect? ❑ Yes❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Ycs ® No
if ves, provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow a.b
No. of Units
Flow
Residetial
400 gal/Unit
70
28,000 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
GPD
a See 15A NCAC 02T .0114(b), (d), (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e. proposed unknown
nun -residential development uses: public access facilities located near high public use areas: and residential property
located south or cast 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.
S. Wastewater ;cnerated by project: 28,000 GPD (per 15A NCAC 02T .0114 and G.S. 143-215.1)
i 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 10-2 3 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
I . Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 637 PVC
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 sewcr(s)
i 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: Charlie Brown Rd. Lift Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.9130' Longitude:-82.3212'
3. Total number of pumps at the pomp station: 2
3. Design flow of the pump station: 0.028 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): 85 gallons per minute (GPM) at 53.5 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
4
1900
SDR 21 PVC
8
1900
SDR 21 PVC
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01 C.l.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)_
i 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)(l)(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 timefrantes. shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 10-23 page 1 of

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations/alternatives found ill ISANCAC 02T.0305(f) & (g)? ® Yes ❑ No
15A NCAC 02T.0305(f) contains minimum separations that shall he nrnvided fnr ce.vt�r cvcti-mc-
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
ZWater mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
ZWater 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-1 waters of Class I or
Class II impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ If noncompliance with 02T.0305(f) or l see Section X. l of this application
*I 5A NCAC 02T.0305(s) 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 webnase
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 ISA 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/pennitting 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, storm water 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.
[f ves, 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 10-2 3
Page 4 0 l' S

N. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the permit and projects requiring a variance approval may be subject to longer
review times. For projects requiring? two or more variances or where the variance is determined by the Division to be a
si2niticant portion of the vroiect, the full technical review is required
2. Professional Engineer's Certification:
I D. Harry Luzius, Jr., P.E. , attest that this application for Charlie Brown Rd. Lift Station, SRP-W-ARP-0197
(Professional Engineer's name from Application item III.1.) (Project Name from Application Item It. I)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications, engineering calculations, and all other supporting documentation to the best of my knowledge. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria for Gravity Sewers (latest version) and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that i have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 14 3-2 l 5.613, 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 S 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:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I. Lynn Austin, County Manager attest that this application for Charlie Brown Rd. Lift Station, SRP-\\'-ARP-0197
(Signature Authority Nance from Application Item 1.3.) (Project Name from Application item 11.1)
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 arc 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 arc not completed and that if all required supporting information and attachments arc not included, this application
package will be returned to me as incomplete.
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 S 10,000 as well as civil penalties up to $25,000 per violation.
Shy natur : Date: FORM: FTA Io-23 Page 5 of

D k
i 5eT�L
nK 2 State of North Carolina
MAY 5024 Department of Environmental Quality
WaterQuality Regional Operatioi-I: Division of Water Resources
Division of «atcr Rcsoull E Asheville RegionalFft%Tracking for Sewer Extension Applications
(FTSE 10-23)
Entity Requesting Allocation: Yancey County
Project Name for which flow is being requested: Charlie Brown Rd. Lift Station (SRP-W-ARP-0197)
More than one FTSE may be requiredfor a single project if the owner of the IVIVTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Town of Burnsville
b. WWTP Facility Permit #: NCO020290
All flows are in MGD
c. WWTP facility's permitted flow
.800 MGD
d. Estimated obligated flow not yet tributary to the WWTP
.0708 MGD
e. WWTP facility's actual avg. flow
.527 MGD
f. Total flow for this specific request
0.028 MGD
g. Total actual and obligated flows to the facility
0.6258 MGD
h. Percent of permitted flow used
78.2%
I1. 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, * (Firm i pf), Avg. Daily
Daily Flow. Obligated Available
Number) No. MGD MGD Flow, NiGD
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 NNAN TP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Town of Burnsville
Downstream Permit Number: WQCS00143
Page 1 of 8
FTSE 10-23

III. Certification Statement:
I Lynn Austin 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 tinder normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and II plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity t ansport and treat the proposed new wastewater.
4 64f,� 5 N-z1
cial Signature Date
County Manager
Title of'Siglring Official
Page 2 of K
FTSE 10-23

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section 11 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 MOD 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
MOD 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 infortnation, 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.
Page 3 of 8
FTSE 10-23

WASTEWATER TREATMENT SYSTEM EXPANSIONS BEYOND EXISTING ALLOCATION
Complete this form and submit applicable supporting documentation if the proposed project is subject to
overallocation allowances outlined per G.S. 143-215.1(0).
Receiving WWTP Name:
Receiving WWTP Permit Number:
Provide a cotes of the active NPDES hermit for the receiving Vl'WTP.
Overallocation Criteria
1. Does the receiving WWTP's existing NPDES permit have an expansion flow tier? ❑ Yes or ❑ No.
a. If yes, provide the expansion flow tier: MGD; proceed to item 2.
b. If no, overallocation is not allowable for this construction until such a time that the receiving
WWTP's NPDES pennit is modified for inclusion of an expansion flow tier capable of receiving
and sufficiently treating the wastewater generated by the proposed construction.
2. Is the receiving WWTP and collection system located within either (1) a county with a projected population
growth rate above two percent annually based on a 20-year residential growth projection conducted using data
provided by the Office of State Budget and Management (OSBM) State Demographer or (2) one of the top
20% of the fastest growing counties in the State by population based on a 10-year residential growth
projection conducted using data provided by the OSBM State Demographer? ❑ Yes or ❑ No.
a. If yes, submit a residential population projection to support your claim; proceed to item 3.
b. If no, overallocation is not allowable for this construction.
3. Has the receiving WWTP received a violation for being non -compliant with any non -flow limitations
identified in the active NPDES permit in the past 5 years? ❑ Yes or ❑ No.
a. If yes, overallocation is not allowable for this construction.
b. if no, submit a limit violation report to support your claim; proceed to item 4
4. Has the receiving WWTP exceeded its monthly average flow limitation identified in the active NPDES permit
more than once in any 12-month period in the past 10 years? ❑ Yes or ❑ No.
a. If yes, overallocation is not allowable for this construction. The receiving WWTP may not
allocate more than one hundred percent (100%) of the existing system's hydraulic capacity until
the permittee complies with the pennitted monthly flow for at least 12 consecutive months.
b. If no, submit a WWTP flow report to support your claim; proceed to item 5.
5. Is completion of construction for work identified in an Authorization to Construct (ATC) permit that results in
expansion of facility to the next flow tier anticipated to occur within 24 months of the submittal date? ❑ Yes
or ❑ No.
a. if yes, allocation of one hundred ten percent (115%) of the receiving WWTP's existing hydraulic
capacity is allowable.
Provide the ATC Permit Number: ;
ii. Submit a construction timeline signed by the contactor's Project Manager;
iii. Submit a letter of agreement of timeline feasibility signed by the NC -licensed
Professional Engineer responsible for the certification of work covered under the
applicable ATC permit;
iv. Proceed to item 6.
b. If no, allocation of one hundred ten percent ( 110%) of the receiving WWTP's existing hydraulic
capacity is allowable. Proceed to item 6.
Page 4 of 8
FTSE 10-23

6. Does the overallocation identified as allowable under item 5 result in a WWTP flow rate greater than the
permitted projected capacity after expansion? ❑ Yes or ❑ No.
a. If yes, overallocation is not allowable for this constriction.
b. If no, proceed to item 7.
7. Does the overallocation identified as allowable under item 5 result in a WWTP flow rate greater than 80% of
the permitted projected capacity after expansion? ❑ Yes or ❑ No.
If yes, overallocation is allowable. Submit an engineering evaluation of the receiving WWTP's
future wastewater treatment, utilization, and disposal needs. This evaluation shall outline plans
for meeting future wastewater treatment, utilization, or disposal needs by either expansion of the
existing system, elimination or reduction of extraneous flows, or water conservation and shall
include the source of funding for the improvements. If expansion is not proposed or is proposed
for a later date, a justification shall be made that wastewater treatment needs will be met based on
past growth records and future growth projections and, as appropriate, shall include conservation
plans or other measures to achieve waste flow reductions. This shall be provided to the Division
prior to the proposed activity. Proceed to item 8.
b. If no, overallocation is allowable.
8. Does the overallocation identified as allowable under item 5 result in a WWTP flow rate greater than 90% of
the penmitted projected capacity after expansion? ❑ Yes or ❑ No.
If yes, overallocation is allowable. However, the permittee for the receiving WWTP shall obtain
all permits needed for the expansion of the wastewater treatment, utilization, or disposal system
and, if construction is needed, submit final plans and specifications for expansion, including a
construction schedule. If expansion is not proposed or is proposed for a later date, a justification
shall be made that wastewater treatment needs will be met based on past growth records and
future growth projections and, as appropriate, shall include conservation plans or other specific
measures to achieve waste flow reductions. This shall be provided to the Division prior to the
proposed activity.
b. If no, overallocation is allowable.
Page 5 of 8
FTSE 10-23

Instructions for Flow Tracking form (FTSE) and Planning Assessment Addendum (PAA)
Section I
a. WWTP Facility Name: Enter the name of the WWTP that will receive the 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 vet tributary to the WWTP MGD: This includes flows allocated to other
construction pro ects not yet contributing flow to the collection system. Flows allocated through interlocal
agreements or oter 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 the facility, MGD Equals [d + e + f]
h. Percent of permitted flow used: Equals [(g / c)* I00]
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
e. = 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. = 0.515 MGD
e. = 2.73 MGD
f = 0.102 MGD
g. = 3.349 MGD
h.=55.8°0
Each subsequent FTSE form will be updated in the same manner.
Page 6 of 8
FTSE 10-23

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 7 of 8
FTSE 10-23

Planning Assessment addendum Instructions
Submit a planning assessment addendum for each pump station listed in Section II where available capacity is < 0.
A planning assessment for Kaw Creek PS (see 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 % 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 proiect'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 11 above
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow this flow
to be permitted, without a significant likelihood of over -allocating capacity in the system infrastructure.
Pagc 8 of 8
FTSE 10-23