WQ0043549_Application (FTSE)_20241023

Luckman, Debbie
From:
Luckman, Debbie
Sent:
Wednesday, October 23, 2024 3:36 PM
To:
Crystal Panico
Cc:
Greeson, Mason
Subject:
Old Town Village
Acknowledgement of Complete Application Received
This email is acknowledgment that your Fast Track Sewer Extension (FTSE) permit application for Old Town Village
has been received bythe Mooresville Regional Office on October 23, 2024. An administrative reviewwas
conducted, and the permit application is deemed complete. Per 15A NCAC 02T .0107(2)(e), "If an application is
accepted and later found to be incomplete, the applicant shall be advised how the application or accompanying
supporting information may be modified to make it complete. The staff shall advise the applicant." As of the date
of this email, per Session Law 2024-49 Senate Bill 166 (Section 4.3), the 45-day technical review period has
started. If additional information is deemed necessary, the date of the additional information request will pause
the 45-day reviewtechnical review period. Additional information must be received within 30 days of the date of
the request, orthe application will be returned to the applicant, however the fee will not be returned. If you have
any questions regarding the permit, please reference the following application number WQ0043549 Mod. When
sending correspondences regarding your FTSE permit please include the application number in the subject line.
Deborah Luckman
Administrative Assistant, Mooresville Regional Office,
Division of Environmental Assistance and Customer Service
North Carolina Department of Environmental Quality
Office: [phone]
[e-mail]

Transmittal
To: NC Department of Environmental Quality
Division of Water Resources - Mooresville Regional Office
610 East Center Avenue
Mooresville, N.C. 28115
U
UNIONCOUNTY
WATER
RECEIVED/NCOEQ/DWR
OCT 2 3 2024
..........................
WQ.POS
MOORESVIL-LE REGIONAL OFFICE
. .................. ................
Attention: Date: October 18, 2024
Regarding: Sanitary Sewer to serve OLD TOWN VILLAGE
Modification to Permit No. WQ0043549
..........................
We are sending you: ❑ Copy of letter ❑ Prints ® Other
............................................. _.... _.._..............................
❑ Plans ❑ Shop Drawings
Copies
Date
No.
Description
1
02/08/24
Cover Letter
1
02/21/24
Fast Track Application
1
02/21/24
Copy of Fast Track Application
1
LISGS Topo Map
1
Street Level Map
1
02/21/24
Flow Tracking Form (FTSE 10-23)
1
06/23/19
Revised Residential Flow Reduction Approval Letter
1
06/24/24
Copy of Permit No. WQ0043549
1
10/07/24
102018
$600.00 Check (Application Fee)
These are transmitted and checked below:
For approval ❑ For your ❑ As requested ❑ For review and comment
use
Remarks:
Signed: Bill Recher
Received by: Date:
Union County Water
500 N. Main Street
Monroe, NC 28112
T 704.296.4210
unioncountync.gov/water

February 8, 2024
State of North Carolina Department of Environmental Quality
Division of Water Resources
Mooresville Regional Office
610 E. Center Avenue
Mooresville, NC 28115
To Whom it may Concern:
Subject: Old Town Village
CEC Project 335-040
Civil & Environmental Consultants, Inc.
a 5CEIVE7/NCDEa/D1h'R
AUG 19 2024
WO.ROS
MOORESVILLE REGIONAL OFFICE
We respectfully submit the following documents as a part of our request for permit modification of Old
Town Village Development Permit number WQ0043549 issued on June 24, 2022. The modification
requested is the reduction of unit count from 63 Townhomes to 61 Townhomes. The project has not installed
any infrastructure to date and no portions of the sewer have been certified to date. No other modifications
to the original permit are requested. The project remains as an 8" sanitary sewer system to serve the
proposed residential community comprising of townhomes and single family homes. The proposed change
will reduce the anticipated flow to add a total of 17,920 GPD of wastewater to the existing system and
connects to existing sanitary sewer system under permit number WQ003943.
• Cover Letter
• Original Fast Track Application Form
• Copy of Fast Track Application
• GIS Map
• Street Level Map
• Application Fee of $600.00
• Flow Tracking Form
• 401/404 Permit
• Flow Reduction Approval
It is noted in Section IX. (3) of the Fast Track Application that this project does not meet the 50 feet of
separation requirement from existing wetlands. Due to the existing features of this site, there are locations
around the existing wetlands where the sanitary sewer could not be relocated to meet the 50 ft requirement.
In accordance with 15A NCAC 2T .0305(f), the proposed sanitary sewer is designed to maintain maximum
feasible separations when a 50 foot separation could not be met. The design has been reviewed and approved
by Union County Public Works. If you have any questions on this application or require any additional
information, please don't hesitate to contact me at 704-900-4755 or by email at m reg eson a cecinc.com
Sincerely,
Mason Greeson, P.E.
Principal
CIVIL & ENVIRONMENTAL CONSULTANTS, INC.
3701 Arco Corporate Drive, Suite 400 1 Charlotte, NC 28273 1 p: 980-237-0373 f: 980-237-0372 1 www.cecinc.com

Division of Water Resources
C A.I. 1 1 KAI. C► �L' W L' fC .� Y A 1 L' 1Vl L�l\ l L' 1V .71V1\ HrrLll,A 11 V1\
FTA 10-23 & SUPPORTING DOCUMENTATION
MA Application Number: ' �41 (to be completed by DWR) RECEIk NCDE�,'DVVR
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Union County (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ® State/County ❑ Municipal
3. Signature authority's name: Crystal O. Panico, P.E. per 15A NCAC 02T .0106(b)
Title: New Development Program Manager
4. Applicant's mailing address: 500 North Main Street, Suite 400
City: Monroe State: NC Zip: 28112-
5. Applicant's contact information:
Phone number: [phone] Email Address: crystal.panicona,unioncountync.gov
11. PROJECT INFORMATION:
AUG `k V2024
REGIONAL OFFICE
❑ Privately -Owned Public Utility
❑ Other RECEIVEI3/NCDEQ/DWR
OCT `, 3 2024
WQP,OS
MOORESVILLE REGIONAL OFFICE
1. Project name: Old Town Village
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project ❑ ARPA funded
If a modification, provide the existing permit number: WQ0043549 and issued date: June 24, 2022,
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: Union
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.927685' Longitude:-80.743096'
5. Parcel ID (if applicable): 05112087 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Mason Greeson, P.E. License Number: 043168
Firm: Civil and Environmental Consultants, Inc.
Mailing address: 3701 Arco Corporate Drive, Suite 400
City: Charlotte State: NC Zip: 28273-
Phone number: [phone] Email Address: mm reeson0kecinc.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Twelve Mile WWTP Permit Number: NCO085359
Owner Name: Union County Water
V RF('FIVIN/ n"WNCTRFAM CFWFR INPnPN4ATInN-

❑ 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 VN 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 % Commercial % Industrial (See 15A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(t)? ®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 a,b
No. of Units
Flow
Single Family Attached Homes
280 gal/day
-2
-560 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
-560 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: -560 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

➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: 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. Lb. ❑ 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

15A NCAC 02T.0305(fl contains minimum separations that shall be provided for sewer systems:
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(f) 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 webpaae
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,

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® 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 protects requiring a variance approval may be subiect 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 proiect the full technical review is required.
2. Professional Engineer's Certification:
1, — Mason Greeson, PE , attest that this application for
(Professional Engineer's name from Application Item III.1.)
Old Town Village
(Project Name from Application Item II. 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 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�701)
North Carolina Professional Engineer's seal, signature, and date:
f�i�9cS'..�VGINE� �g0\�
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I Crystal Panico, PE , attest that this application for Old Town Village
(Signature Authority Name from Application Item I.3.) (Project Name from Application Item II.1)
Z-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
,n ten., n. 1;ratinn nnrlraaP cl,all hi- anilty of a Class 9 misdemeanor. which may

Mate of i'Norm q—arouna
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-23)
Entity Requesting Allocation: Union County
Project Name for which flow is being requested: Old Town Village
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Twelve Mile Creek WWTP
b. WWTP Facility Permit #: NCO085359
All flows are in MGD
c. WWTP facility's permitted flow 7.5* Does not include 3
MGD diversion to 6 Mile
d. Estimated obligated flow not yet tributary to the WWTP 1.5944
e. WWTP facility's actual avg. flow 5.177
f. Total flow for this specific request-0.0006
g. Total actual and obligated flows to the facility 6.7708
h. Percent of permitted flow used 90.28
11. 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 / pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow that can be
achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor (pf) not

Downstream Permit Number: WQ0028832
III. Certification Statement:
I Crystal O. Panico, PE certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and 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 adegy4 capacity to transport and treat the proposed new wastewater.
- V _•c,-.,
Signing Official6Yiknatdre Date
Nv-w 'Df--vr—LvPmy—u4-- Bicc pAm N ANne: 4=tz-
Title of Signing Official

rLEi1r1IN11NV t- 33naaMniN i k1 L�tJ
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:
rVJ
no
The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
% and MGD of the Available Capacity (E) in Pump Station
; and that
The rate of activation of this obligated, not yet tributary capacity is currently approximately
MGD per year; and that
A funded Capital Project that will provide the required planned capacity, namely
is in design or under construction with
planned completion in ; and/or
The following applies:
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow
this flow to be permitted, without a significant likelihood of over -allocating capacity in the system
infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste disposal
system.
Signing Official Signature Date

WASTEWATER TREAl'MENT SYSTEM EXYANJIVINN BEY Vtr1J EAV511n4_7 Hi.LV� r�iiv�.
Complete this form and submit applicable supporting documentation if the proposed project is subject to
overallocation allowances outlined per G.S. 143-215.1(6).
Receiving WWTP Name:
Receiving WWTP Permit Number:
Provide a copy of the active NPDES permit for the receiving WWTP.
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 permit 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 permitted 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.
i. 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
.. I „-. 11.1 - r_- i_- _...l:r]_­.,.... ,.F._.,.«l. „a ,,.,A1 +1,n

o. 1JOes Lne overanocjauun 1uG11L111cu az, auvwau-,
permitted projected capacity after expansion? ❑ Yes or ❑ No.
a. If yes, overallocation is not allowable for this construction.
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.
a. 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.
Does the overallocation identified as allowable under item 5 result in a WWTP flow rate greater than 90% of
the permitted projected capacity after expansion? ❑ Yes or ❑ No.
a. 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.
Signing Official Signature Date

Instructions for Flow Tracking form (N' 1 SE) and rtannmg Assessment Aaaenaum trtiti)
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 yet tributary to the WWTP, MGD: This includes flows allocated to other
construction projects not yet contributing flow to the collection system. Flows allocated through interlocal
agreements or other contracts not yet contributing flow to the collection system are also included. For POTWs
that implement a pretreatment program, include flows allocated to industrial users who may not be using all of
their flow allocation. Please contact your Pretreatment Coordinator for information on industrial flow tributary
to your WWTP.
As of January 15, 2008 the POTW should have reviewed flow allocations made over the last two years and
reconciled their flow records, to the best of their ability, so it is known how much flow has been obligated and
is not yet been made tributary to the WWTP, in accordance with local policies and procedures employed by the
reporting entity.
e. WWTP facility's actual avg. flow, MGD: Previous 12 month average.
f. Total flow for this specific request, MGD: Enter the requested flow volume.
g. Total actual and obligated flows to the facility, MGD Equals [d + e + f]
h. Percent of permitted flow used: Equals [(g / c)* 100]
For example:
On January 15 a POTW with a permitted flow of 6.0 MGD, reported to the Regional Office that there is 0.5
MGD of flow that is obligated but not yet tributary. The annual average flow for 2007 is 2.7 MGD. There is a
proposed flow expansion of 0.015 MGD.
The first Form FTSE submitted after January 15, 2008 may have numbers like this:
c. = 6.0 MGD
d. = 0.5 MGD
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 %

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 / pfl
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

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 Pub Station upgrade with funding planned in July 2014 This project is planned to add 0100 MGD
to the firm capacity of thepumpstation by October 2015 Inclusion of this proposed capital project as a condition
of this Flow Tracking/Acceptance for Sewer Extension Permit Application elevates this project's priority for
funding and construction to be implemented ahead of the activation of obligated not vet tributary flows in amounts
that exceed the firm pump station capacities identified in Section II above.
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow this flow
to be permitted, without a significant likelihood of over -allocating capacity in the system infrastructure.

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MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
„ M^a
�aw+vuN
NORTH CAROLINA
Environmental Quality
June 23, 2019
Crystal Outlaw Panico, P.E., New Development Program Manager
Union County Public Works
500 N. Main Street, Suite #500
Monroe, NC 28112
Subject: Twelve Mile (NC0085359) & Crooked Creek WWTP (NC0069841)
Revised Residential Flow Reduction Approval
Union County
Dear Ms. Panico:
On March 29, 2019, the Division of Water Resources (Division) received a revision request for the
previously approved adjusted daily sewage flow rate (flow reduction) that would apply to all permitted
but not yet tributary residential connections and all future residential connections within the Twelve
Mile WWTP and Crooked Creek WWTP service areas.
In accordance with 15A NCAC 02T .0114(f)(2), the Division has evaluated the revision request as well as
additional information received on June 19, 2019, and based on the data submitted and the Division of
Water and Infrastructure (DWI) guidance, the Division hereby approves for use by Union County Public
Works a revised adjusted daily sewage design flow rate with the following conditions:
• The flow reduction is applicable to residential single family dwellings only.
• The minimum flow for 1 and 2 bedroom dwellings shall be 140 gallons per day.
• Each additional bedroom above two bedrooms shall increase the volume by 70 gallons per day
per bedroom.
• This flow reduction shall not apply to sewer extension applications and/or permits for any other
public or private organizations whose wastewater flows are or might become tributary to the
Union County collection system (WQCS00054).
• For permitting purposes, allocations may be permitted utilizing a flow of 280 gallons per day
per lot based on a service -area average of 4 bedrooms per lot. If a residential development is
anticipated to have a limited number of bedrooms OR is anticipated to exceed an average of
4-bedrooms per lot, permitted flows shall be calculated based on the per -bedroom reduction.
o Union County shall evaluate the average number of bedrooms per lot on an annual basis
and shall submit this information to the PERCS Unit by June 30`h annually. Should the
average number of bedrooms constructed during the preceding calendar year exceed
the average of 4 bedrooms per lot, this approval must be reevaluated by the State prior
to continuing to use the approved permitting allocation of 280 gallons per lot.

with the statues, rules, regulations ana minimum aebjrlI IL-9 a 4, -
_� _ ��..-.._..�.......+or fIMA, rate at no time shall'
exceed the effluent limits defined in the NPDES Permit Tor
of the sewers downstream of any new sewer extension or service connection s .
The granting of this flow reduction does not prohibit the Division from reopening, revoking, reissuing
and/or modifying the flow reduction as allowed by the laws, rules, and regulations contained in 15A
th
NCAC 02T, NCGS 143-215.1, or as needed torelection of surface wdress changes in taters and/or wastewater treatmeate and/or Federal regulations lnt.
respect to wastewater collection systems, p
If you have any questions, please contact Christyn Fertenbaugh, P.E., at [phone], or via email at
Christyn..Fertenbaugh(@ncdenr.gov.
Sincerely,
.,,,,
for Linda Culpepper
Director, Division of Water Resources
by Deborah Gore, Supervisor
Pretreatment, Emergency Response and Collection Systems Branch
Cc: Mooresville Regional Office, Water Quality Regional Operations
Twelve Mile (NC0085359) and Crooked Creek (NC0069841)
PERCS (electronic copy)

ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS. JR.
Director
NORTH CAROLINA
Environmertfal Quality
June 24, 2022
Crystal Panico, New Development Program Manager
Union County
500 N. Main Street, Suite 400
Monroe, NC 28112
Subject: Permit No. WQ0043549
Union County
Old Town Village
Wastewater Collection System Extension Permit
Union County
Dear Ms. Panico:
In accordance with your application received June 21, 2022, we are forwarding herewith Permit No.
WQ0043549 dated June 24, 2022, to Union County (Permittee) for the construction and operation upon
certification of the subject wastewater collection system extension. This permit shall be effective from
the date of issuance until rescinded, and shall be subject to the conditions and limitations as specified
therein. This cover letter shall be considered a part of this permit and is therefore incorporated therein
by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition 1.1: In Accordance with the Revised Residential Flow Reduction Approval, dated June 23,
2019, for permitting purposes, allocations may be permitted utilizing a flow of 280 GPD
per lot. The number of total bedrooms shall be stated in the permit, 264 bedrooms (66
lots * 4 bedrooms), based on the indicated average of 4-bedrooms per lot. Union County
shall evaluate the average number of bedrooms per lot on an annual basis and shall
submit this information to the PERCS unit by June 30th.
Condition 11.1: This permit shall not be automatically transferable; a request must be made and
approved.
Condition 11.4: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T .0403 or any individual system -wide collection system
permit issued to the Permittee.

completed Engineering Certification form with checklist attached to this permit shall be
submitted with the required supporting documents to the address provided on the form.
Permit modifications are required for any changes resulting in non-compliance with
this permit, regulations, or the Minimum Design Criteria. [15A NCAC 02T.0116]
It shall be responsibility of the Permittee to ensure that the as -constructed project meets the appropriate
design criteria and rules. Failure to comply may result in penalties in accordance with North Carolina
General Statute §143-215.6A through §143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to
the licensing board.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150B of North Carolina General
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are made, this permit shall be final and binding.
If you need additional information concerning this matter, please contact Ori Tuvia at [phone] or
via e-mail at [e-mail].
Sincerely,
DocuSigned by:
4. w H PU*."
F161FB69A2D84A3...
for Richard E. Rogers, Jr.
Director, Division of Water Resources
forW. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
cc: Mason Greeson (P.E.) (electronic copy)
Mooresville Regional Office Files (Laserfiche)
Water Resources Central Files (Laserfiche)
Municipal Permitting Unit (electronic copy)

NORTH CAROLINA
Environmental Quality
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina
as amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to
the
Union County
Union County
For the construction and operation of 2,322 linear feet of 8-inch gravity sewer to serve 66 homes,
as part of Old Town Village development, and the discharge of 18,480 gallons per day of collected
wastewater into the Union County existing sewerage system, pursuant to the application
received June 21, 2022, and in conformity with 15A NCAC 2T; the Division's Gravity Sewer
Minimum Design Criteria adopted February 12, 1996, as applicable; the Division's Minimum
Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1,
2000, as applicable; and other supporting data subsequently filed and approved by the
Department of Environmental Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
specified conditions and limitations contained therein.
EDocuSigned by:
Ar.� H P4444
F161F1369A2D84A3...
for Richard E. Rogers, Jr.
Director, Division of Water Resources
forW. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
By authority of the Environmental Management Commission
Permit Number: WQ0043549
Permit IssuedAune 24, 2022

Union County is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension. The
sewage and wastewater collected by this system shall be treated in the Union County Twelve Mile Creek
Waste Water Treatment Facility in accordance with Permit Number NC0085359.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division approval
is based on acceptance of the certification provided by a North Carolina -licensed Professional Engineer in
the application. It shall be the Permittee's responsibility to ensure that the as -constructed project meets
the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
SPECIAL CONDITIONS
1. 1. In Accordance with the Revised Residential Flow Reduction Approval, dated June 23, 2019,
for permitting purposes, allocations may be permitted utilizing a flow of 280 GPD per lot. The
number of total bedrooms shall be stated in the permit, 264 bedrooms (66 lots * 4 bedrooms),
based on the indicated average of 4-bedrooms per lot. Union County shall evaluate the
average number of bedrooms per lot on an annual basis and shall submit this information to
the PERCS unit by June 30th.
2. No flow in excess of the quantity permitted herein 18,480 GPD shall be made tributary to the
subject sewer system until an application for permit modification for an increase in flow has
been submitted to and approved by the Division. [15A NCAC 02T.0304(b)]
II. STANDARD CONDITIONS
1. This permit is not transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit
request shall be submitted to the Division accompanied by documentation from the parties
involved, and other supporting materials as may be appropriate. The approval of this request
shall be considered on its merits and may or may not be approved. [15A NCAC 02T.0104; G.S
143-215.1(d3)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed
in accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer
Minimum Design Criteria adopted February 12, 1996, as applicable; the Division's Minimum
r,.;+,,,.; f-,+k- C:ncr_TrnrL, Permittina of Piimn rtatinns and Force Mains adopted June

in the application and other supporting data. i15H iv( -A(- uZ i .ullul
4. The wastewater collection facilities shall be properly maintained and operated at all times.
The Permittee shall maintain compliance with an individual system -wide collection system
permit for the operation and maintenance of these facilities as required by 15A NCAC 2T
.0403. If an individual permit is not required, the following performance criteria shall be met:
[15A NCAC 02T .0108(b)]:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and to prevent any contravention of groundwater
standards or surface water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency,
preventative maintenance schedule, spare parts inventory and overflow response has
been developed and implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every
day (i.e. 365 days per year). Pump stations that are connected to a telemetry system
shall be inspected at least once per week.
e. High -priority sewer lines shall be inspected at least once per every six months and
inspections documented.
f. A general observation of the entire sewer system shall be conducted at least once per
year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required
by North Carolina General Statute §143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at
least biannual distribution of educational materials for both commercial and
residential users and the legal means to require grease interceptors at existing
establishments. The plan shall also include legal means for inspections of the grease
interceptors, enforcement for violators and the legal means to control grease
entering the system from other public and private satellite sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at
least bi-annual distribution of grease education materials to users of the collection

sewer overflows.
Right-of-ways and easements shall be maintained in the full easement width for
personnel and equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a
minimum of three years with exception of the map, which shall be maintained for the
life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Mooresville
Regional Office, telephone number [phone], as soon as possible, but in no case more
than 24 hours following the occurrence or first knowledge of the occurrence of either of the
following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility
incapable of adequate wastewater transport, such as mechanical or electrical
failures of pumps, line blockage or breakage, etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as
the initial verbal report. Overflows and spills occurring outside normal business hours may
also be reported to the Division of Emergency Management at telephone number (800) 858-
0368 or [phone]. Persons reporting any of the above occurrences shall file a spill
report by completing and submitting Part I of Form CS-SSO (or the most current Division
approved form) within five days followingfirst knowledge of the occurrence. This report must
outline the actions taken or proposed to be taken to ensure that the problem does not recur.
Part 11 of Form CS-SSO (or the most current Division approved form) can also be completed
to show that the SSO was beyond control. [G.S. 143-215.1C(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as
not to interrupt service by the existing utilities nor result in an overflow or bypass discharge
of wastewater to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities, the
completed Engineering Certification form with checklist attached to this permit shall be
submitted with the required supporting documents to the address provided on the form. A
complete certification is one where the form is fully executed and the supporting documents
are provided as applicable. Any wastewater flow made tributary to the wastewater collection
system extension prior to completion of this Engineer's Certification shall be considered a
violation of the permit and shall subject the Permittee to appropriate enforcement actions.

A complete certification is one where the form is fully executed and the supporting
documents are provided as applicable. Supporting documentation shall include the
following:
a. One copy of the project construction record drawings (plan & profile views of sewer
lines & force mains) of the wastewater collection system extension. Final record
drawings should be clear on the plans or on digital media (CD or DVD disk) and are
defined as the design drawings that are marked up or annotated with after construction
information and show required buffers, separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump
sizing, velocity, pump cycle times, and level control settings, pump station buoyancy,
wet well storage, surge protection, detention time in the wet well, and force main,
ability to flush low points in force mains with a pump cycle, and downstream sewer
capacity analysis. If a portable power source or pump is dedicated to multiple stations,
an evaluation of all the pump stations' storage capacities and the rotation schedule of
the portable power source or pump, include travel timeframes, shall be provided.
c. Changes to the project that do not result in non-compliance with this permit,
regulations, or the Minimum Design Criteria should be clearly identified on the record
drawings, on the certification in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes
resulting in non-compliance with this permit (including but not limited to pipe length
changes of 10% or greater, increased flow, pump station design capacity design increases
of 5% or greater, and increases in the number/type of connections), regulations, or the
Minimum Design Criteria. Requested modifications or variances to the Minimum Design
Criteria will be reviewed on a case -by -case basis and each on its own merit. Please note
that variances to the Minimum Design Criteria should be requested and approved during
the permitting process prior to construction. After -construction requests are discouraged
by the Division and may not be approved, thus requiring replacement or repair prior to
certification & activation. [15A NCAC 02T .0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be
certified until corrected. If there is an unforeseen obstacle in the field where all viable
solutions have been examined, a slope variance can be requested from the Division with firm
supporting documentation. This shall be done through a permit modification with fee. Such
variance requests will be evaluated on a case -by -case basis. Resolution of such request shall
be evident prior to completing and submitting the construction certification. [ 15A NCAC
n?T flimnll

10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996, as applicable; the
Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force
Mains adopted June 1, 2000, as applicable; and other supporting materials may subject the
Permittee to an enforcement action by the Division, in accordance with North Carolina
General Statutes §143-215.6A through §143-215.6C, construction of additional or
replacement wastewater collection facilities, and/or referral of the North Carolina -licensed
Professional Engineer to the licensing board. [15A NCAC 02T .0104; 15A NCAC 02T .0108(b-
c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including
the creation of nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of additional or
replacement facilities. [15A NCAC 02T .0110; 15A NCAC 02T .0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all
statutes, rules, regulations, or ordinances that may be imposed by the Division any other
Federal, State, or Local government agencies which have jurisdiction or obtaining other
permits which may be required by the Division or any other Federal, State, of Local
government agencies. [G.S. 143-215.1(b)]

�.ca.nrnb ugncc.
Certification Review Date:
Project Name:
WQ00
Project County:
1) Has permittee information changed since the permit was issued (or last modified): change of mailing address,
change of ownership, transfer from developer to HOA/POA, etc. ❑ Yes ❑ No
• If yes, please provide either a change of ownership form or new contact information. Note that transfer of
permits from the developer to the HOA/POA must occur with the first certification.
2) Have the as -built drawings have been signed, sealed, and dated by an N.C. PE? ❑ Yes ❑ No
3) Final Engineering certification? ❑ Yes ❑ No
• If Partial Engineering certification, provide detailed narrative including what is being certified in the current
phase, what was previously certified (if applicable), and what is left to be certified.
4) Adequate information related to sewer lines: ❑ Yes ❑ No ❑ N/A
• Three feet minimum cover has been provided for all sewers unless ferrous pipe was installed.
• Minimum diameters for gravity sewers are 8-inches for public lines and 6-inches for private lines.
• Manholes have been installed: At the end of each line, at all changes in grade, size, or alignment, at all
intersections, and at distances not greater than 425 feet; minimum diameter shall be 4 feet (48-inches).
5) Adequate information related to pump stations: ❑ Yes ❑ No ❑ N/A
• Ensure power reliability option was selected per 15A NCAC 02T.0305(h).
6) Was project construction completed in accordance with all of the following: ❑ Yes ❑ No ❑ N/A
• 15A NCAC 02T, Minimum Design Criteria (MDC) for the permitting of Gravity Sewers (latest version), and MDC
for the Permitting of Pump Stations and Force Mains (latest version)?
If not, a variance approval is required in accordance with 15A NCAC 02T.0105(b), prior to certification and operation.
• Contact the Central Office to discuss the variance to determine a course of action.
• Applicant must submit two copies of the variance request form, plans, specifications, calculations, and any other
pertinent information to the Central Office (one hard copy, one digital copy).
• The central office will review the variance request, and if approvable, specific language regarding the variance
will be incorporated into the permit, either via a special condition or a supplementary letter. A copy of the
reissued permit with variance language or the variance letter must be maintained with the original documents.
7) Does the project contains high priority lines (15A NCAC 02T .0402(2))? ❑ Yes ❑ No
• If yes, ensure that the permit already contains the necessary condition related to high priority lines 15A NCAC
02T.0403 (a)(5). If the permit does not include this language, the Fast Track reviewer will reissue the permit with
the appropriate language.
8) Are Permit modifications are required for any changes resulting in non-compliance with this permit (including but not
limited to pipe length changes of 10% or greater, change in flow, pump station design capacity design change of 5% or
greater, and/or change in the number/type of connections)? ❑ Yes ❑ No

PERMIT #: WQ0043549
PROJECT: OLD TOWN VILLAGE
ISSUE DATE: JUNE 24, 2022
This project shall not be considered complete nor allowed to operate in accordance with standard
Condition 7 of this permit until the Division has received this Certification and all required supporting
documentation. It should be submitted in a manner that documents the Division's receipt. Send the
required documentation to the Regional Supervisor, Water Quality Regional Operations Section at the
address noted in the page footer.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received by the Division. A Final Certification shall be a complete set of record
drawings and design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name, Title Signature Date
ENGINEERS CERTIFICATION
1, , as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the
project name and location as referenced above for the above Permittee hereby state that, to the best
of my abilities, due care and diligence was used in the observation of the following construction:
2,322 linear feet of 8-inch gravity sewer; such that the construction was observed to be built within
substantial compliance of this permit; 15A NCAC 02T; the Division of Water Resources' (Division) Gravity
Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the Division's Minimum
Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000,
as applicable; and other supporting materials.
..................................................
North Carolina Professional Engineer's Seal w/signature & date:
❑ Final ❑ Partial (include description)

1N11RUCI'IONS 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 II.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 hnsiness

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 franchised area or that franchise approval
is expected.
J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (FORM: HOA).
❑ Per 15A NCAC 02T .01 15(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
I-1 Tlevelnnare of lnte to ha a 1A

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
Washinqton 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
Suite 300
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Water Quality Section
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
[phone] Fax

Application Number:
(to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Union County (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ® State/County ❑ Municipal
3. Signature authority's name: Crystal O. Panico, P.E. per 15A NCAC 02T .0106(b)
Title: New Development Program Manager
4. Applicant's mailing address: 500 North Main Street, Suite 400
City: Monroe State: NC Zip: 28112-
5. Applicant's contact information:
Phone number: [phone] Email Address: ctystal.panico(@unioncountync.gov
II. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
1. Project name: Old Town Village
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project ❑ ARPA funded
If a modification, provide the existing permit number: WQ0043549 and issued date: June 24, 2022,
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: Union
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.927685' Longitude:-80.743096'
5. Parcel ID (if applicable): 05112087 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Mason Greeson, P.E. License Number: 043168
Firm: Civil and Environmental Consultants Inc.
Mailing address: 3701 Arco Corporate Drive, Suite 400
City: Charlotte State: NC Zip: 28273-
Phone number: [phone] Email Address: m reg_ esonnu,cecinc.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Twelve Mile WWTP Permit Number: NCO085359
Owner Name: Union County Water
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1 Permit N imhPr/cl- XX1nAA1QA1

2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
0 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
El Businesses /offices /factories ❑Swimming Pool/Filter Backwash
❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic % Commercial % Industrial (See 15A NCAC 02T .0103(20Z)
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f)? ®Yes ❑ No
➢ If Yes, provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(t))
Daily Design Flow e,n
No. of Units
Flow
Single Family Attached Homes
280 gal/day
-2
-560 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
-560 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.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: -560 GPD (per 15A NCAC 02T .0114 and G.S. 143-215.1)
➢ Do not include fixture 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

➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: - °
3. Total number of pumps at the pump station:
3. Design flow of the pump station: millions gallons per day (firm capacity)
➢ 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.I.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:

3etuacK raramererrt
16eparation Required I
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-1 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 W, see Section X.1 of this application
* 15A NCAC 02T.0305(s) 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 webpase
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.0 1 05(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 susnended thranph interfPrrnrP/rnnflirt hnvpe rPn„irP a varianrP annrn-, ]

� Yes "1Vo
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 proiect, the full technical review is required.
2. Professional Engineer's Certification:
Mason Greeson PE Old Town Village
I, _ ,attest that this application for
(Professional Engineer's name from Application Item III.1.) (Project Name from Application Item II.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 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 56A701)
North Carolina Professional Engineer's seal, signature, and date:
vl
3. Applicant's Certification per 15A NCAC 02T .0106(b):
Crystal Panico, PE
I, ,attest that this application for
Old Town Village
(Signature Authority Name from Application Item I.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.