WQ0045756_Application (FTSE)_20240827

K? 1 RECENED/NCDECl/DWR
KAN AUG 2 7 2024
Engineering woRos
MOORESVILLE REGIONAL OFFICE
August 22, 2024
North Carolina Department of Environmental Quality
Mooresville Regional Office —Water Quality Section
610 East Center Avenue, Suite 301
Mooresville, North Carolina 28115
Re: Emerson Glen Subdivision Phase 2
City of Kannapolis —Cabarrus County
Dear Sir or Madam:
Please find attached for your review and approval the original and one (1) copy of the permit
application along with a $600 processing fee for the subject project.
Also enclosed is the flow acceptance letter from the Water and Sewer Authority of Cabarrus
County (WSACC) stating they will accept and treat the additional wastewater at the Rocky River
Regional Wastewater Treatment Plant.
Phase 2 of the subject project includes construction of 43 single-family homes and associated
infrastructure. The lots included in Phase 2 are 17-50 and 78-86, respectively.
The wastewater generated by this project will be conveyed through a proposed 8-inch sanitary
sewer extension that will connect to the existing 18-inch Kannapolis sanitary sewer system which
extends to the WSACC Rocky River Interceptor.
The Water and Sewer Authority of Cabarrus County Standard Specifications for Wastewater
Collections Systems were approved by your office and are being maintained by the Division of
Environmental Management. This project will be installed in accordance with these standard
specifications.
Please email me with questions at bhassenfritz(a)-kannapolisnc.gov.
Sincerely,
""�ak �
Beth Hassenfritz, PE
401 LAUREATE WAY, KANNAPOLIS, NC 28081
704-920-4202 / WWW.KANNAPOLISNC.GOV

State of North Carolina
Department of Environmental Quality
Division of Water Resources
DWR A,
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23&SUPPORTING DOCUMENTATION
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Application Number: be completed byDWR}; ���EIVEDIvCDEQiDt Fs
.all items must be completed or the application will be returned AUC 2. 7 2122^
I. APPLICANT INFORMATION: WQ.ROS
1. Applicant's name: City of Kannapolis(company,municipality,HOA,utility,etc.) MOORESVILLE REGIONAL OFFICE
2. Applicant type: ❑Individual ❑Corporation ❑General Partnership ❑Privately-Owned Public Utility
❑Federal ❑ State/County ®Municipal ❑Other
3. Signature authority's name:Alex Anderson per 15A NCAC 02T.0106(b)
Title:Director of Water Resources
4. Applicant's mailing address:401 Laureate Way
City:Kannapolis State:NC Zip:28081-0005
5. Applicant's contact information:
Phone number:[phone] Email Address:aanderson(a),kannapolis.gov
II. PROJECT INFORMATION:
1. Project name:Emerson Glen Subdivision-Phase 2
2. Application/Project status: ®Proposed(New Permit) ❑Existing Permit/Project ❑ARPA funded
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:Cabarrus
4. Approximate Coordinates(Decimal Degrees):Latitude: 35.449425' Longitude:-80.744625'
5. Parcel ID(if applicable): 46820340840000 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer:Edwin Suddreth License Number:044570
Firm: W.K.Dickson&Co.
Mailing address: 1213 W.Morehead St.,Suite 300
City:Charlotte State:NC Zip:28208-
Phone number:[phone] Email Address:EsuddrethgWKDickson.com
IV. WASTEWATER TREATMENT FACILITY(WWTF)INFORMATION:
1. Facility Name:Rocky River Regional Wastewater Treatment Plant Permit Number:NCO036269
Owner Name:Water and Sewer Authority of Cabarrus County
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s):WQ
2. Downstream(Receiving)Sewer Information: 18 inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s)(if applicable):WQCS
Owner Name(s):City of Kannapolis
FORM:FTA 10-23 Pagel 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 0%Commercial 0%Industrial(See 15A NCAC 02T.0103(20))
If Industrial,is there a Pretreatment Program in effect?❑Yes ❑No
6. Has a flow reduction been approved under 15A NCAC 02T.0114(f) ❑Yes ®No
➢ If yes,provide a cony of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type(see 02T.0114(f)) Daily Design Flow'•b No.of Units Flow
Residential 4-bedroom homes 300 gal/day 43 12,900 GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
Tolal 12,900 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
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: 12,900 GPD(per 15A NCAC 02T.0114 and G.S. 143-215.1)
➢ 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 10-23 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA(If Applicable)-02T.0305& MDC(Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size(inches) Length(feet) Material
8 373 PVC
8 324 DIP
➢ Section II&III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA(If Applicable)—02T.0305&MDC(Puma 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: 0Longitude:- °
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.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).
➢ 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 10-23 Page 3 of 5

IX. SETBACKS&SEPARATIONS—(02B.0200& 15A NCAC 02T.0305(f)):
I. Does the project comply with all separations/alternatives found in 15A NCAC 02T.0305(fl&M ®Yes [:]No
15A NCAC 02T.0305 contains minimum separations that shall be provided 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 02T.0305(fl or(g_),see Section X.1 of this application
*15A NCAC 02T.0305(g)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 webuase
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 2B.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ®Yes ❑No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0105(c)(6)(additional permits/certifications)? ®Yes ❑No
Per 15A NCAC 02T.0105(c)(6),directly related environmental permits or certification applications must be being prepared,
have been applied for,or have been obtained.Issuance of this permit is contingent on issuance of dependent permits(erosion
and sedimentation control plans,stormwater management plans,etc.).
7. Does this project include any sewer collection lines that are deemed"high-priority?" ❑Yes ®No
Per 15A NCAC 02T.0402,"high-priority sewer"means any aerial sewer,sewer contacting surface waters,
siphon,or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ If yes,include an attachment with details for each line,including type(aerial line,size,material,and location).
High priority lines shall be inspected by the permittee or its representative at least once every six-months and
inspections documented per 15A NCAC 02T.0403(a)(5)or the permittee's individual System-Wide Collection permit.
FORM:FTA 10-23 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T,the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains(latest version),and the Gravity Sewer Minimum Design Criteria(latest version)as applicable?
®Yes ❑No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the aermit, and projects requiring a variance approval may be subject to longer
review times.For projects requiring two or more variances or where the variance is determined by the Division to be a
significant portion of the project,the full technical review is required.
2. Professional Engineer's Certification:
1, Edwin Suddreth,PE ,attest that this application for Emerson Glen-Phase 2
(Professional Engineer's name from Application Item III.1.) (Project Name from Application Item II.1)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications,engineering calculations,and all other supporting documentation to the best of my knowledge. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria for Gravity Sewers(latest version),and the Minimum Design Criteria for the Fast-Track Permitting
of Pump Stations and Force Mains(latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed$10,000,as well as civil penalties up to$25,000 per violation.Misrepresentation of the application
information,including failure to disclose any design non-compliance with the applicable Rules and design criteria,may subject
the North Carolina-licensed Professional Engineer to referral to the licensing board.(21 NCAC 56.0701)
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North Carolina Professional Engineer's seal,signature,and date: vH CA
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07/12/24
3. Applicant's Certification per 15A NCAC 02T.0106(b):
I Alex Anderson ,attest that this application for Emerson Glen-Phase 2
(Signature Authority Name from Application Item I.3.) (Project Name from Application Item II.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.
,Gl� 07/27/24
Signature: Alex Anderson(Jut 29,202413:43 EDT) Date:
FORM:FTA 10-23 Page 5 of 5

PRS2021 -03782 Emerson Glen Phase 2 COK
Sewer Flow FTA 10-23
Final Audit Report 2024-07-29
Created: 2024-07-26
By: Elizabeth Hassenfritz([e-mail])
Status: Signed
Transaction ID: CBJCHBCAABAAWI-71zjXIR5u9TNGEIRtYfXTgwxZT2xJ
"PRS2021 -03782 Emerson Glen Phase 2 COK Sewer Flow FTA
10-23" History
Document created by Elizabeth Hassenfritz ([e-mail])
2024-07-26-2:59:49 PM GMT
Document emailed to Alex Anderson ([e-mail]) for signature
2024-07-26-2:59:55 PM GMT
Email viewed by Alex Anderson ([e-mail])
2024-07-29-5:43:38 PM GMT
do Document e-signed by Alex Anderson ([e-mail])
Signature Date:2024-07-29-5:43:46 PM GMT-Time Source:server
® Agreement completed.
2024-07-29-5:43:46 PM GMT
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State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRUCTIONS FOR FORM:FTA 10-23&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):
➢ Projects that do not meet any part of the minimum design criteria(MDC)documents;
➢ Projects that involve more than one variance from the requirements of 15A NCAC 02T;
➢ Pressure sewer systems utilizing simplex septic tank-effluent pumps(STEPs)or simplex grinder pumps;
➢ Simplex STEP or simplex grinder pumps connecting to pressurized systems(e.g.force mains);
➢ Vacuum sewer systems.
General—When submitting an application,please use the following instructions as a checklist in order to ensure all required items are
submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the
amount of requested additional information. Failure to submit all required items will necessitate additional processing and review
time,and may result in return of the application. Unless otherwise noted,the Applicant shall submit one original and one copy of
the application and supporting documentation.
A. One Original and One Copy(second copy may be digital)of Application and Supporting Documents
® Required unless otherwise noted.Signatures on original must be"wet ink"or secure digital signatures.
Please do not submit engineering design plans with the application unless specifically requested.
B. Cover Letter/Narrative Description(Required for All Application Packages):
® List all items included in the application package,as well as a brief description of the requested permitting action.
➢ Be specific as to the system type,number of homes served,flow allocation required,etc.
➢ Include the permit number/status of any other required sewer permits(downstream/upstream)
➢ If necessary for clarity,include attachments to the application form.
➢ If the project is funded by American Rescue Plan Act(ARPA)funds,please include the ARPA project number in the cover
letter and in parentheses under Project Name(Section 1I.1.of the application).
C. Application Fee(All New and Modification Application Packages):
® Submit a check or money order in the amount of$600.00,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 10-23):
® 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 Secretary of State.
❑ If the Applicant Type in Item I.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 II.1 shall be consistent with the project name on the flow acceptance letters,agreements,etc.
® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North Carolina
licensed Professional Engineer.
INSTRUCTIONS FOR FORM:FTA 10-23&SUPPORTING DOCUMENTATION Pagel of 3

® The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 02T.0106(b). 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).
E. Flow Tracking/Acceptance Form(Form: FTSE 10-23)(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 11-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project area,
including the closest surface waters.
➢ General location of the project components(gravity sewer,pump stations,&force main)
➢ Downstream connection points and permit number(if known)for the receiving sewer
® 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)(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 .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)(1)provide the Certificate of Public Convenience and Necessity from the North Carolina Utilities
Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the sewer
extension,or
❑ Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an application
for a franchise has been received and that the service area is contiguous to an existing fi-anchised 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.0115(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: DEV).
For more information, visit the Division's collection systems website
INSTRUCTIONS FOR FORM:FTA 10-23&SUPPORTING DOCUMENTATION Page 2 of 3

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE ADDRESS COUNTIES SERVED
Asheville Regional Office 2090 US Highway 70 Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section Swannanoa, North Carolina 28778-8211 Clay, Graham, Haywood, Henderson, Jackson,
[phone] Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax Rutherford, Swain, Transylvania,Yancey
Fayetteville Regional Office 225 Green Street Suite 714 Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Section Fayetteville, North Carolina 28301-5095 Montgomery, Moore, Robeson, Richmond,
[phone] Sampson, Scotland
[phone] Fax
Mooresville Regional Office 610 E. Center Avenue Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section Mooresville, North Carolina 28115 Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone] Stanly, Union
[phone] Fax
Raleigh Regional Office 3800 Barrett Drive Chatham, Durham, Edgecombe, Franklin,
Water Quality Section Raleigh, North Carolina 27609 Granville, Halifax,Johnston, Lee, Nash,
[phone] Northampton, Orange, Person, Vance,Wake,
[phone] Fax Warren,Wilson
Washington Regional Office 943 Washington Square Mall Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section 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 127 Cardinal Drive Extension Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section Wilmington, North Carolina 28405 Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office 450 W. Hanes Mill Road Alamance,Alleghany, Ashe, Caswell, Davidson,
Water Quality Section Suite 300 Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105 Stokes, Surry,Watauga, Wilkes,Yadkin
[phone]
[phone] Fax
INSTRUCTIONS FOR FORM: FTA 10-23& SUPPORTING DOCUMENTATION Page 3 of 3

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23&SUPPORTING DOCUMENTATION
Application Number: (to be completed by DWR)
All items must be completed or the application Neill be returned
I. APPLICANT INFORMATION:
1. Applicant's name: City of KannUoolis(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:Alex Anderson per 15A NCAC 02T.0106(b)
Title:Director of Water Resources
4. Applicant's mailing address:401 Laureate Way
City:Kannapolis State:NC Zip:28081-0005
5. Applicant's contact information:
Phone number:[phone] Email Address:[e-mail]
II. PROJECT INFORMATION:
1. Project name:Emerson Glen Subdivision-Phase 2
2. Application/Project status: ®Proposed(New Permit) ❑Existing Permit/Project ❑ARPA funded
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:Cabarrus
4. Approximate Coordinates(Decimal Degrees):Latitude: 35.449425' Longitude:-80.744625'
5. Parcel ID(if applicable): 46820340840000 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer:Edwin Suddreth License Number:044570
Firm:W.K.Dickson&Co.
Mailing address: 1213 W.Morehead St.,Suite 300
City:Charlotte State:NC Zip:28208-
Phone number:[phone] Email Address:Esuddreth c(i)e,WKDickson.com
IV. WASTEWATER TREATMENT FACILITY(WWTF)INFORMATION:
1. Facility Name:Rocky River Regional Wastewater Treatment Plant Permit Number:NCO036269
Owner Name:Water and Sewer Authority of Cabarrus County
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s):WQ
2. Downstream(Receiving)Sewer Information: 18 inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s)(if applicable):WQCS
Owner Name(s): City of Kannapolis
FORM:FTA 10-23 Pagel 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.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%Domestic 0%Commercial 0%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(fl? ❑Yes ®No
➢ If yes,provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type(see 02T.0114(f)) Daily Design Flow No.of Units Flow
Residential 4-bedroom homes 300 gal/day 43 12,900 GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
Total 12,900 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
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: 12,900 GPD(per 15A NCAC 02T.0114 and G.S. 143-215.1)
➢ 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 10-23 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA(If Applicable)-02T.0305& MDC(Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size(inches) Length(feet) Material
8 373 PVC
8 324 DIP
➢ Section II&III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA(If Applicable)—02T.0305&MDC(Puma 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: 0Longitude:- °
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 2.01C.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)_
➢ 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 10-23 Page 3 of 5

IX. SETBACKS&SEPARATIONS—(02B.0200& 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T.0305(fl&M ®Yes ❑No
15A NCAC 02T.0305 contains minimum separations that shall be provided for sewers stems:
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-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water,and associated wetlands. 100 feet
"Waters classified WS(except WS-I or WS-V),B,SA,ORW,HQW,or SB from normal
high water(or tide elevation)and wetlands associated with these waters(see item IX.2) 50 feet
**Any other stream,lake,impoundment,or ground water lowering and surface drainage
ditches,as well as wetlands associated with these waters or classified as WL. 10 feet
Any building foundation(horizontal) 5 feet
Any basement(horizontal) 10 feet
Top slope of embankment or cuts of 2 feet or more vertical height 10 feet
Drainage systems and interceptor drains 5 feet
Any swimming pools 10 feet
Final earth grade(vertical) 36 inches
➢ If noncompliance with 02T.0305(fl or(g).see Section X.1 of this application
*15A NCAC 02T.0305(e)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 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 15A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ® Yes ❑ \o
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0105(c)(6)(additional permits/certifications)? ®Yes ❑No
Per 15A NCAC 02T.0105(c)(6),directly related environmental permits or certification applications must be being prepared,
have been applied for,or have been obtained.Issuance of this permit is contingent on issuance of dependent permits(erosion
and sedimentation control plans,stormwater management plans,etc.).
7. Does this project include any sewer collection lines that are deemed"high-priority?" ❑Yes ®No
Per 15A NCAC 02T.0402 "high-priority sewer"means any aerial sewer,sewer contacting surface waters,
siphon,or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ If yes,include an attachment with details for each line,including type(aerial line,size,material,and location).
High priority lines shall be inspected by the permittee or its representative at least once every six-months and
inspections documented per 15A NCAC 02T.0403(a)(5)or the permittee's individual System-Wide Collection permit.
FORM:FTA 10-23 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T,the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains(latest version),and the Gravity Sewer Minimum Design Criteria(latest version]as applicable?
®Yes ❑No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the permit and proiects requiring a variance approval may be subject to longer
review times For proiects 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:
1, Edwin Suddreth,PE ,attest that this application for Emerson Glen-Phase 2
(Professional Engineer's name from Application Item III.1.) (Project Name from Application Item 1I.1)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications,engineering calculations,and all other supporting documentation to the best of my knowledge. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria for Gravity Sewers(latest version),and the Minimum Design Criteria for the Fast-Track Permitting
of Pump Stations and Force Mains(latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, 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: ��H CAR44 •,��
ESS/p�91,9
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07/12/24
3. Applicant's Certification per 15A NCAC 02T.0106(b):
I Alex Anderson ,attest that this application for Emerson Glen-Phase 2
(Signature Authority Name from Application Item 1.3.) (Project Name from Application Item II.I)
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.
07/27/24
Signature: Alex Anderson(Jul 29,2024 13:43 EDT) Date:
FORM:FTA 10-23 Page 5 of 5

PRS2021 -03782 Emerson Glen Phase 2 COK
Sewer Flow FTA 10-23
Final Audit Report 2024-07-29
Created: 2024-07-26
By: Elizabeth Hassenfritz([e-mail])
Status: Signed
Transaction ID: CBJCHBCAABAAWI-71zjXIR5u9TNGEIRtYfXTgwxZT2xJ
"PRS2021 -03782 Emerson Glen Phase 2 COK Sewer Flow FTA
10-23" History
Document created by Elizabeth Hassenfritz([e-mail])
2024-07-26-2:59:49 PM GMT
r Document emailed to Alex Anderson ([e-mail])for signature
2024-07-26-2:59:55 PM GMT
Email viewed by Alex Anderson ([e-mail])
2024-07-29-5:43:38 PM GMT
&G Document e-signed by Alex Anderson ([e-mail])
Signature Date:2024-07-29-5:43:46 PM GMT-Time Source:server
Agreement completed.
2024-07-29-5:43:46 PM GMT
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WSACC
WATER&SEWER AUTHORITY
OF CABARRUS COUNTY
�eerw- 232 Davidson Hwy.
Concord,NC 28027
704.786.1783 4 704.795.1564 Fax
W 140012015•NC Shr Pubic Sechr.180 450012018 www.wsacc.org
August 02, 2024
Mr. Michael Legg
City Manager
City of Kannapolis
401 Laureate Way
Kannapolis, NC 28081
Subject: Flow Acceptance Request—City of Kannapolis
Emerson Glen Subdivision Phase 2
Dear Mr. Legg:
This is a notice of capacity for the flow acceptance request received by the Water and Sewer
Authority of Cabarrus County (WSACC) from the City of Kannapolis on July 29, 2024.
WSACC has or will have capacity at the Rocky River Regional Wastewater Treatment Plant and
appropriate sewer interceptors to transport and treat the domestic wastewater from the proposed
project entitled Emerson Glen Subdivision Phase 2, located off Jim Johnson Road. The
referenced project will serve a residential development with 43 four-bedroom homes, with a
projected wastewater flow of 12,900 gallons per day (gpd). The wastewater generated by this
project will be conveyed through a proposed and existing gravity system and then enter
WSACC's system at the existing 36-inch Rocky River Interceptor. WSACC acknowledges it
has or will have capacity for wastewater from the proposed development based on information
provided by W.K. Dickson & Co. (Civil Engineer for the project) using North Carolina
Department of Environmental Quality (NCDEQ) wastewater flow guidelines.
If construction of this project does not commence within two (2) years of the date of this notice,
the notice is rescinded, and a second request and notice will be required before flow capacity is
accepted. Please notify WSACC, in writing, when construction of this project is initiated. This
sewer capacity allocation may also be cancelled pursuant to the conditions set forth in the
WSACC Sewer Allocation and Commitment Policy.
Please note that the final commitment to service to provide wastewater treatment services shall
occur upon application for a building permit for the project and when system development fees
are paid pursuant to N.C.G.S. §162A,Article 8.
If you have any questions,please call me at (704) 788-4 xtensio 14.
Si erel
Michael • ilson
Executive Director
cc: Beth Hassenfritz, PE/Kannapolis
Wilmer Melton/Kannapolis
Edwin Suddreth, PE/W.K. Dickson& Co.
Chad VonCannon, PE/WSACC
Thomas Hahn, PE/WSACC
Mayara Arnold, PE/WSACC
Mark Lomax/WSACC
Trent Gobble/WSACC

WASTEWATER FLOW ACCEPTANCE FORM
FOR THE
WATER AND SEWER AUTHORITY OF CABARRUS COUNTY
Jurisdiction Requesting Flow Acceptance: Date:
❑City of Concord ®City of Kannapolis ❑Town of Harrisburg ❑Town of Mt.Pleasant
❑Charlotte Mecklenburg Utilities
Project Title,Description,and Number of Lots/Unit:
Project Title: Emerson Glen Subdivision—Phase 2 —Project#
Description: : The Emerson Glen Subdivision Phase 2 engineering plans and specifications as prepared and sealed by
Edwin Suddreth NCPE for the wastewater collection system extension consisting of approximately 697 linear feet of 8-
inch sanitary sewer with 7 manholes and other appurtenances to serve 43 lots with a wastewater discharge of 12,900 GPD.
*Number of Lots: 43 OR *Number of Units: *Must be included in request.
Where will the new line be connected:
❑ Directly into a WSACC Interceptor
® Into the Jurisdiction's existing collection system
❑ Into a private line
Describe the location of the tie-in line to which the new sewer line will connect:The proposed 8-inch Kannapolis public
sanitary sewer system will discharge into existing MH#011254 located at the round-a-bout intersection of the property
and Furlong Way.
Which WSACC Interceptor will the flow ultimately be discharged into:Rocky River Interceptor
What is the WSACC manhole number that the flow will be discharged into?MH#011806
What is the quantity of flow that will be discharged? 12, 000 GPD
Flow type:
® Domestic 100 ❑ Commercial % ❑ Industrial %
Name of wastewater treatment facility(WWTF)receiving wastewater:
®Rocky River Wastewater Treatment Facility—Permit#NC0036269
El Muddy Creek Wastewater Treatment Facility—Permit#NC0081621
Design drawings of new lines will be submitted to WSACC with the request for acceptance. Drawings can be submitted as
a digital file(DWG)or distance and bearing starting with the tap on existing infrastructure.
If the new line is to connect directly into a WSACC interceptor,detailed drawings including specification of the tap,will
be required before flow acceptance will be provided.
Mark Lomax at 704-786-1783,ext.231,must be notified 48 hours in advance of a connection into a WSACC interceptor.
WSACC will inspect connection before,during,and after completion.
If construction is not started within two (2)year from the date of approval of the flow acceptance for this project, the
approval is rescinded and a second request and approval will be required for the project.
WSACC USE ONLY: DATE: g/ /a` Q al j
❑ Current sewer model shows an Interceptor as being surcharged south of the manhole in question.
Approved ❑ Not Approved
❑ Current Sewer Model shows: Co C. r) (a,q ('tO) _c+
E-2 APPENDIX E

DWR
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE—10/23)
(JURISDICTION USE ONLY)
Jurisdiction Requesting Flow Acceptance for Collection System:
❑ City of Concord ® City of Kannapolis ❑ Town of Harrisburg ❑ Town of Mt. Pleasant
❑ Charlotte Water
Project Title, Description,and Number of Lots/Units:
Project Title: Emerson Glen Subdivision—Phase 2
Description:_ The Emerson Glen Subdivision Phase 2 engineering plans and specifications,as prepared and sealed
by Edwin Suddreth,NCPE,for the wastewater collection system extension consisting of approximately 697 linear feet of
8-inch sanitary sewer with 7 manholes and other appurtenances to serve 43 lots, with a wastewater discharge of 12,900
GPD.
What is the quantity of flow that will be discharged? 12,900 GPD
Flow type:
❑ Domestic 100 % ❑ Commercial '%t ❑ Industrial %
Section I. List the Jurisdiction's pump stations located between the project connection point and the
WSACC Interceptor connection point.
Station Firm (A) x. (C) (D)=(B+C)
Pump — -
P Design Average Approx.Current (EAD
( )
Pump Station * Obligated,Not Yet Total Current Flow
(Name or Capacity Daily Flow** Average Daily Available
Permit No. Tributary Daily Flow Plus Obligated Flow Capacity".
Number) MGD (Firn�P� Flow Tributary
MGD
INIGD MGD MGD
*The Firm Capacity(design now)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(pt)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 Jurisdiction's connection
point to the WSACC system where Available Capacity is<0.
Section II. Jurisdiction's Certification Statement:
I,Alex Anderson.Director of Water Resources.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 WSACC interceptor;and that the flow from this project is
not anticipated to cause any capacity related sanitary sewer overflows or overburden any downstream pump station in route to the
receiving WSACC interceptor 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 Section I plus all attached planning assessment
addendums for which I am the responsible party. Signature of this form certifies that the receiving(jurisdiction)collection system has
adequate capacity to transport the proposed new wastewater.
07/27/24
Ale.A-1—(A 27,2024—3 Eon
Jurisdiction's Signing Official Signature and Title Date
Revision Date: 08/09/13

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of 'Witter Resources Flow Tracking for Sewer Extension Applications
(FTSE-10/23)
(WSACC USE ONLY) Emerson Glen Subdivision Phase 2
Section I. Name of wastewater treatment facility (WWTF)receiving wastewater:
®Rocky River Wastewater Treatment Facility—Permit#NC0036269
❑Muddy Creek Wastewater Treatment Facility—Permit#NC0081621
WWTP facility's permitted flow,MGD 30.000
Estimated obligated flow not yet tributary to the WWTP, MGD 3.579
WWTP facility's actual avg. daily flow,MGD 22.218 (74.06% of permit)
Total flow for this specific request,MGD 0.013
Total actual and obligated flows to the facility,MGD 25.810
Percent of permitted flow used 86.03%
Section II. Pump stations along the route from the Jurisdiction's connection point to the WWTP.
Pum Station Firm (A) (B)
P Design Average Approx.Current ( , al _(B+C) (E)=(A-D)
(Name or Pump Station Capacity* Daily Flow** Average Daily Obligated,Not Yet Total Current Flow Available
Permit No. Tributary Daily Flow Plus Obligated Flow Ca aci ***
Number) MGD (Firm/pf) Flow MGD MGD p ty
MGD MGD MGD
Lower Rocky
River Pump NCO036269 52.000 20.800 12.426 2.924 15.350 5.450
Station
*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(pl)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 Jurisdiction's connection point and the WWTP where
Available Capacity is<0.
Section III. WSACC Certification Statement:
I,Michael Wilson,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 from the connection to the WSACC interceptor 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 in route to the receivi g treatment plant under normal circumstances,given the implementation of the planned
improvements identified in the iing assessment where applicable.This analysis has been performed in accordance with local
established policies and proce re using the best a lable data.This certification applies to those items listed above in Section I and
Section II plus all attached pl g assessment a dums for which I am the responsible party. Signature of this form indicates
WSACC's guarantee Pf cap i for this waste e flow. Notwithstanding the guarantee of capacity,WSACC does not make a
commitment to service this/w tewate flow t' building permit is requested through the Cabarrus County Building Inspections
Department A C e eives in n e System Development Fee.
'/1 ?A14
WSACC's Signing Official Signature (Executive Director) D to

PRS2021 -03782 Emerson Glen Phase 2 COK
Sewer Flow
Final Audit Report 2024-07-27
Created: 2024-07-26
By: Elizabeth Hassenfritz([e-mail])
Status: Signed
Transaction ID: CBJCHBCAABAAV8fvHWsILHbQG03t_EcgSF2ZIGRQzZJZ
"PRS2021 -03782 Emerson Glen Phase 2 COK Sewer Flow" His
to ry
Document created by Elizabeth Hassenfritz ([e-mail])
2024-07-26-3:00:31 PM GMT
E-4' Document emailed to Alex Anderson ([e-mail])for signature
2024-07-26-3:00:36 PM GMT
Email viewed by Alex Anderson ([e-mail])
2024-07-27-4:09:47 AM GMT
6a Document e-signed by Alex Anderson ([e-mail])
Signature Date:2024-07-27-4:13:49 AM GMT-Time Source:server
Agreement completed.
2024-07-27-4:13:49 AM GMT
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