WQ0041157_Application (FTSE)_20190905

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-51 1 State of North Carolinadj((i �� Department of Environmental Quality
DWR Division of Water Resources
I5A NCAC 02T.0300-- FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number:y QI}0 J /' (to be completed byDWR)All items must be c2mulefed or the allaicstlion YAII be returned
I. APPLICANT INFORMATION:
1. Applicant's name:: Town of ifolly_Snrines (company, municipality. IIOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ Gcncral Partnership ❑ Privately -Owned Public l'tiliq
❑ federal ❑ StateCounty ® Municipal ❑ Other
3. Signature authority's name: Kendra D. Parrish_ P_1. per I iA NCA C 021' .01(60)
Title. Director ofFnginccrin�
4. Applicant's mailing address' 128 South Main Street
City: Holly Spring State: hK Zip: 27540-
5. Applicant's contact in formation;
Phone number: (9L) ,477- r)3 Grail Address: kerldn. a� .hollyspringsnc.us CL-_J
S4"r g co �NALAS 1 " nC, li$
11. PROJECT INFORMATION:
I. Project name: Steeplechase Phase 1
2. Application! Project status- ❑x Proposed (New Permit) ❑ Existing Permit. -Project
If a modification, provide the emsting permit number: WQOO and issued date:
If new construction but part of master plan, provide thec�asting permit number: WQ00
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3. County where project is located: Wake
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4. Approximate Coordinates (Decimal Degrees): Latitude_ 35'37'04"N Longitude: 78'61'30"W
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5. Parcel ID (if applicable): 0648101232, 0647194601. 0648203307
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(or Parcel ID to closest downstream sewer)
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III. CONSULTANT INFORMATION:
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1. Pro lcssional Engin eer:Curti%Blaxicr, PE 1_icense Number: 033840
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firm. McAdams Company
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Mailing address; 2905 Mendian Parkway
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City: Durham State' NC Zip: 27713
Phone number: 919.361-5000
1. - , _ Gntall Address' 6latier(ri1mcaJamsca cam
1V. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. facility Name: Utley Creek Wastc%vatcr Treatment Plan Permit Number: NCO063096
Owner Name- Tmw _ofl-lolly Sorines
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ0 4 05 Downstream (Receiving) Sewer Sire: _L inch
System Wide Collection System Permit Number(s) (if applicable): WQCS—12—
(honer Name(s):
I: O RM : FTA 04-16 Pape I o f 3

VL GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate ol'Public Convenience and Necessity been attached'?
❑ Yes ❑ No ❑x N'A
2. If the Applicant is a Developer of lots to be sold, has a Operational Agreement f['()RM� D been attached?
❑ Yes ❑No XIN. A
3. If the Applicant is a flhv ' ti i • n tl 1 =O I ()A been attached?
❑ Yes ❑ No [9 N.-'A
4. Origin ofwaslewater: (check all that apply):
BX Residential Owned El Retail (stores, centers, malls) ❑ Car Wash
Residential Leased ❑ Retail with food preparation/service ❑ Ilo(el and/or Motels
❑ School / preschool / day can; ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink [aeilitics ❑ Church ❑ Swimming PooUl-ilter Backwash
❑ Businesses /ofiiccs / factories ❑ Nursing [ionic: ❑ Other (lExplain in Attachment)
5. Nature of wastewater: t00 %Donxstic/Commercial °•oCommercial
% Industrial (See, 15A NCAC 02T .0103120))
:Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a [low reduction been approved under I5A NCAC 021- .01140 ? R Yes ❑ No
D If yes. providen com of flow rt&
wtion. apMoval IStler
7. Summarize wastewater generated by project:
Fatablishment Type (see 02T.0114(i1)
Daily Resign Flow'-'
No. of Units
Flow
SINGLE FAMILY HOME
255 gaV UNIT
30
7,650 C PD
gav
GPD
gal/
GPD
gav
GI'D
gall
GPD
gav
GPD
Total
7,65D GPD
a See I A NCAC 021-0114(b). (d), (e111) Lind (e)(2) fbr caveats to wastewater design flow rates (i.e., minimum flow per
dwelling: proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south oreastofthc Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in CLS. 42A4).
b Per 15A NCAC 021' .0114(c), design flow rates for establishments not identified tin table 15A NCAC 027 01141 shall be
determined using available flow data. water using l areas, occupancy or operation patterns, and other measured data.
8. Wastewater generated by pmjcct:7,650GPD (per 15A N['.\(' 02f .0114) /
i Do not include lbturc flows orprc:viously permitted allocations VVV
If permitted flow is zero. indicate why:
❑ Pump Station orCGavity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (E.,plain):
FORM: FTA 04-16 Page 2 oF5

VIL GRAVITY SEWER DESIGN CRITERIA (lf Applicable) - 02T.0305 & 3IDC (Gravity Se%%yrs):
I. Summarize gravity serer to be permitted:
Size(inches)
Length (feet)
Material
8
2,451
PVC
8
788
DIP
t
i Section II & III of the MDC for Permitting of Gravity Severs contains information related to design criteria
:- Section III contains information related to minimum slopes for gravity scwcr(s)
> Oversizing lines to meet minimum slope requirement is not allowed and a Iiolation of the MDC
Vllfl. PUMP STATION DESIGN CRITERIA (1fApplicable)—02T,0305& !
COMPLETE FOR EACH PUMP STATION INCIAMED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of thcpump(s): —gallons perminuteat fcettotaldynamichcad(fDII)
5. Summarize the lbrec main to be permitted (for this Pump Station)-
Size(inches) Length (feet) Material
6. Power reliability in accordance with 15A NCAC 021' .010ifli)f 1):
❑ Standby power sourccorpump with autorrrttic activation and telemetry - 15A NCAC 02* .0305ftl)(B).
i Required for all pump stations with an averagedaily flow greater than or equal to 15,000 gallons per day
i Must be permanent to I'acility
Or if the pump station has an average daily flow less than 15.000 gallons per day:
❑ Portable powersource with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C )
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(hx1)(C):
It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (drali ag.rccment)
and is compatible with the station.
D If the portable powersourecor pump is dedicated to multiple pump stations,an evaluation ofall the pump stations'stoWc
capacities and the rotation schedule ofthe portable power sourecor pump, including travel timeframes. shall be provided
in the case ol'a multiple station power outage.
FORM: FTA 04-16 Page 3 ol'5

IX. SEFBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(I)):
1. Does the project comply with all separations found in 15A NCAC 021' .010911 &fUl
15A NCAC 02T.0305(f) contains minimum separations that shall be provided 1br sewer systems:
] Yes ❑ No
Setback Parameter*
Separation Required
Storm sewers andother utilities not listed below (vertical)
24 inches
Watermains vertical -water over sewer including in benched trenches)
18 inches
Watermains (horizontal)
10 feet
Reclaimed waterlines (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. W S-1 waters ofClass I or
Class iI impounded reservoirs used as a sourccof drinking water
100 feet
**Waters class ified WS (except WS-1 or WS-V), B, SA,ORW, 1-iQW, or SB from normal
high water (or tide elevation) and wetlands (sec item IX.2)
50 feet
* *Any utherstream, lake, impoundment, or ground water lowering and surface drainage
ditches
to sect
Any building foundation
5 feet
Any bus cment
10 feet
Top slnpcofcmbankmcnt orcutsof2leetormore vertical height
IO Icet
Drainage systems and interceptor drains
5 feet
Anyswimminp pools
10 feet
Final earth grade (vertical)
36 inches
i 15A -W'AC 02T.(ti05(Lt contains alternatives where separations in 011'.0305(f cannot be achieved.
**Strcam classifications can be identified using the Division's NC StIrfaCe N%r: ierClassificarions weboage
> if noncompliance with 02T.030511) or (ILL see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) X❑ Yes ❑ No
". See the Division's draft separation requirements for situations where separation cannot be meet
> No variance is required if the alternative design criteria specified is utilimd in design and construction
:- As built documents should reference the location of areas of ected
3. Does the project comply with all setbacks found in the river basin rules per 15A NCAC 02B .0200? x❑ Yes ❑ No
This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project comply with an individual 404 Permit orany 401 Certifications? Q Yes ❑ No
Wetland -related permits shall be requested, obtained, and adhered to Ibr projects that impact wetlands or surface waters
D Information can be obtained from the 401 & Buffer Permittino Branch
5. Does project comply with 15A NCAC 02r.0105(c)(6) (additional permits rcertifications)? D Yes ❑ No
Per I5A NCAC 02T.0105(c1(5), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance ofthis permit is contingenton issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines thalarc deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any acrial sewer, sewer contacting surface waters, siphon, or server
positioned parallel to streambanks that is subject to erosion that undermines ordeteriorates the sewer.
DYes ❑ No
i 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 leastonce every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the permilec's individual S)xtem-Wide Collection permit.
FORM: I -TA 04-16 Page 4 o f 5

Ii Id 11ON11fO&M
1. Does the submitted syslcmcomply with 15A N(AC_OZ'[', the 141ininxrnm i?es'gFo i Criteria r floc I'crtnitting of Pummp SlaEions
and Farce Mnirms (latest version!. and thr%,ivily ~Crier klininuini. Design Cntena (latest venimm] as applicable'
x� Yes ❑ No
If No,compicic andsubmit the VariaricciAlternative Design Request application (VADC 10-14) and supportingdocumentsfor
review. Approval of the reguest is recruired REiQr1 ti 1 t of lite Fast Track AVOicalion. and-supMriting documents
2. Professional E ngineces Certification.
Curti, Vila-iur, PF attest that tilts application for
(Professional Engineer's name! from Appltcalion Item IILI )
has been reviewed by = and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting docurnentationto the bestof my knowledge. 1 further aticstthatto the best
of my knowledge the proposed design has been prepared in accordance with the applicable regulations. Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Dcsign Criteria for the EastA rack Pennitting
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 1 have reviewed this rvalcrial and
have judged it to be consistent with the proposed design.
NOTL - In accordance with General Statutes 143-2:5.6A 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, %hich may
include a fine notto exceed $10,000, as wc:l as civil penalties up to S25,000 per violation
Forth Carolina Professional F}tgineer's seal, signature, and date: NtCAR OZ�'',�
' a o SEAL 9�
033840
\46-
Applicant's Certrficati p/eyr�liA�N}CAC 2•h .0106(b) r
1, V4I i ! f!I / jVh* uttest that this application for
(5ibnaturc Authonty s name & titre from Appiion Item 1.3.)
has been irviewed by rrx: and is accurate and complete to the best oi' 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 systenito surface waters orthc land %ill result in an immediate enforcement action that may include civil penaltic s,
injunctive relief, and orcrinnnal prosecution. I will make no claim against the Division of Water Resources should acondition
of this permit be violated. l also understand Ihatif all required parts of this application package are not completed and t hat if
all required supporting inforrrmation and attachment.~ are not included, this application package will be returned to = as
incomplete.
NOTE [n 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 he guilty of a Class 2 nusdem:anor, which tr><ty
include a fine not to exceed $10,000 as well as civil penalties up to S25,000 per violation.
Signature: i6�qco_��
Date 012,710
FOIUYI : F TA 04-I6 Page 5 of 5

W
ty.ipk. a w+.. r.. m
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Town Of Holly Springs
Project Name for which flow is being requested: Steeplechase Phase 'I
More than one FTSE may be required for a single project if the owner of the IVWTP is not responsible for all pump
stations along the route of the proposed icaste►rater flow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Utley Creek Wastewater Treatment Plant
b. WWTP Facility Permit #: NC 0063096
All flows are in MGD
c. WWTP facility's permitted flow 6.0
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow 05
f. Total flow for this specific request 0.00
g. Total actual and obligated flows to the facility 3, cl
h. Percent of permitted flow used rj(p . 1 • j.
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
Average Daily
Approx. Not Yet Total Current
Station
Firm
Flow"
Current Avg. Tributary Flow Plus
(Name or
Capacity, *
(Firm / po,
Daily Flow, Daily Flow, Obligated
Available
Number)
MGD
MGD
MGD MGD Flow
Capacity***
.-'
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer); Un ! ih )Qf �PU.ru 064-yip
Downstream Permit Number: RAQ OD /may Iq
Page 1 of 6
FTSE 04-16

III. Certification Statement:
I O�Cfl certify to the best of my knowledge that the addition of
the vo ume �of waste ater 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 11 plus all
attached planning assessment addendums for which I am the responsible party. Signature of this
form indicates acceptance of this wastewater flow.
V1
Page 2 of 6
I;TSE 04-16

N
STEEPLECHASE
USGS TOPO MAP
0 415 830 1,660 PROJECT #: PLT-18000
Feet
1 inch =833,333333Icut HOLLY SPRINGS, NORTH CAROLINA MCADAM

ccT
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
March 31,1995
Stepanie L. Sudan, P.E., Town Engineer
Town of Holly Springs
Post Office Box 8
Holly Springs, North Carolina 27540
RE: Town of Holly Springs
Request for Adjusted Daily Wastewater Flow
Wake County
Dear Ms. Sudn:
On March 15,1995, the Division received your wastewater flow reduction request and supporting
documentation concerning wastewater flows associated with present residences within the Town of Holly
Springs. Your letter requested the Division allow the reduction of wastewater flows from 120 GPD per
bedroom as required in required by North Carolina Administrative Code to 255 GPD per household for
single family residential units. In support of your request, water consumption data and wastewater
information was supplied from households located in Holly Springs.
An evaluation was completed by the Division in accordance with 15A NCAC .02190)(3) using the
water consumption. data submitted, twelve (12) months of data starting from January 1994. The peak
month was determined to be January 1994 based on average wastewater generated per customer. Using
the upper 10% of the water consumption data for the month of January, eliminating industries, commercial
properties and several inaccurate residential readings, Division staff verified the flow rate of 255 GPD per
household.
In view of the information submitted, the Division of Environmental Management hereby approves
the use of 255 GPD per single family residence in all applicable non -discharge permit applications for
future wastewater collection extensions which will be made tributary to the Town of Holly Springs
Wastewater Treatment Plant (Permit No. NC0063096). This consideration applies to any applicable future
projects submitted to this Division as well as any projects which are presently under review. Wastewater
flows presently tributary to the wastewater treatment facilities can be adjusted upon negotiations between
the Town of Holly Springs and the Raleigh Regional Office.
If you have any questions or comments regarding this matter, please contact Mr. Michael D. Allen
at [phone] ext. 547.
Since y,
A. Preston Howard, Jr., P.E.
cc: Raleigh Regional Office, Water Quality Section
State Engineering Review Group
P.O. BOX 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX,919-733-2496
An Equal opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

J M(ADAMS
July 12, 2019
NCDENR — DWR
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
RE: Steeplechase Phase 1
Sanitary Sewer System Extension Application
Holly Springs, North Carolina
PLT-18000
1 81100 1 I AS i 'i TAU— Cs_ W.f; Li I i L:R
NC Dept of Environmental Quality
sEP - 5 2019
Raleigh Regional Office
The accompanied Fast -Track Application (FTA 04-16) includes 2,451 lineal feet of 8" PVC and 788 lineal feet of 8" DIP
associated with the proposed Steeplechase Phase 1 development located at 5836 Cass Holt Road in Holly Springs,
NC. The gravity sewer will be a public system owned and operated by the Town of Holly Springs. Phase 1 of the
project will consist of approximately 30 residential units. The total wastewater flow generated by Phase 1 of the
project is 7,650 GPD.
Sincerely,
MCADAMS
Curt Blazier, PE
Assistant Project Manager, Residential
CB/md
creating experiences through experience 2905 Meridian Parkway, Durham, N[ 27713 1919- 361. 5000

9 M('Al)AMS
July 12, 2019
NCDENR — DWR
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
I 3 r,� ic�i • I-A5 f-TRACK Ak_RIAL SEWER Ll T71»!%
RE: Steeplechase Phase 1
Sanitary Sewer System Extension Application — Aerial Sewers
Holly Springs, North Carolina
PLT-18000
NC Dept of Environmental Quality
SEP - 5 2019
Raleigh Regional Office
The accompanied Fast -Track Application (FTA 04-16) includes 2,451 lineal feet of 8" PVC and 788 lineal feet of 8" DIP
associated with the proposed Steeplechase Phase 1 development located at 5836 Cass Holt Road in Holly Springs,
NC. Two (2) aerial crossings are proposed in the off -site sanitary sewer outfall to the west of the development. The
first aerial crossing is approximately 126 lineal feet of 8" RJ DIP from proposed SSMH-103 at Sta. 11+09 to proposed
SSMH-104 at Sta. 12+35. The span from bank to bank of the existing stream will be approximately 80 lineal feet and
will include two (2) piers. This aerial crossing is shown on Sheet CS.07 of the Construction Plan set. The second
aerial crossing is approximately 131 lineal feet of 8" RJ DIP from proposed SSMH-107 at Sta. 20+55 to proposed
SSMH-108 at Sta. 21+86. The span from bank to bank of the existing stream will be approximately 68 lineal feet and
will include two (2) piers. This aerial crossing is shown on Sheet C5.08 of the Construction Plan set.
Sincerely,
MCADAMS
Curt Blazier, PE
Assistant Project Manager, Residential
CB/md
creating experiences through experience 2905 Meridian Parkway. Durham, NC 27723 / 919. 361. SOW

J-1
OU
T H E TO W N OFINT i
August 19, 2019
Director, Division of Water Resources
Raleigh Regional Office
Water Quality Operation Section
1628 Mail Service Center
Raleigh, NC 27699-1628
Re: Application for Sewer Extension Permit
Project: Steeplechase, Phase I
Dear Sir or Madam:
9pri)VS
NC Dept of Environmental Quality
SEP - 5 2019
Raleigh Regional Office
Please find enclosed the following items in application for a sewer extension permit to the Town
of Holly Springs existing sewer distribution system:
0 One original and one copy cover letter including a project narrative
o A check in the amount of $480.00
0 One original and one copy of the State of North Carolina Fast Track Sewer System
Extension Application (FTA 04-16)
0 Two copies of FTSE 04-16 Flow Tracking/Acceptance Form
0 Two color copies of a 8.5-inch by I 1-inch portion of a 7.5 minute USGS Topographic
Map showing project area
0 Two copies of a street level map showing all relevant project areas
0 One copy of the locally -required Design and Application Certification
Feel free to contact me at 919-557-3938 should you have any questions or need additional
information in order to process this application.
Sin erely,
endra D. P ish, P. ., CFM
Director of En ineering
KP/se
cc: Project Consultant Engineer, Curtis Blazier, John R. McAdams Company
Administrative Manager (for addition to sewer permit log)
Rodney Campbell, Development Administrator
Project file/Correspondence 441755
3002
04.17.201 S
Engineering Deparhnent
P.O. Box 8 - 128 S. Main Street - Holly Springs, NC 27540 - www.hollyspringsnc.us

DO NOT SUBMIT SEWER EXTENSION APPLICATIONS UNTIL
CONSTRUCTION DRAWINGS HAVE BEEN APPROVED BY STAFF! E
Sewer Design and Application Certification y
Note: This farm must be submitted with the Fast -Tract Application for -Gravity Sewers, Pump c
Stations, and Force Mains for extension to the Town of Holly Springs Sewer System •�
Project: Steeplechase - Phase 1
Design Engineer: Curtis BlaZler
Address: 2905 Meridian Parkway, Durham, NC 27713 z
Phone Number: 919-361-5000 Email: [e-mail]
Date Complete Application Package Received by Town: ILM.-)to 19
Date Approved: k G Oliq (by RLC}�JV (by KDP)
As design engineer for this project, I certify the following (please check (x) each applicable box):
x❑ That the design of the project is in complete conformance with Town of Holly Springs
Engineering Design and Construction Standards and NCDENR Sanitary Sewer Design
Regulations;
x❑ That each of the following items are completed and enclosed for submittal to the State for
a sewer extension permit:
0 One original and one copy cover letter including a project narrative
o A check in the amount of $480.00 to DENR
o A check in the amount of $200.00 Town processing fee
0 One original and one copy of the State of North Carolina Fast Track
Application for Gravity Sewers, Pump Stations, and Force Mains
0 Two copies of FTSE 08-13 Flow Tracking/Acceptance Form
0 Two color copies of a 8.5-inch by 11-inch portion of a 7.5 minute USGS
Topographic Map showing project area
0 Two copies of a street level map showing all relevant project areas
0 One copy of the locally -required Pesigin and Application Certification
Design Engineer's Signature
In addition, once your construction drawings are approved and this application is complete, you
will receive a copy of the Town's letter of transmittal to the State as your confirmation that the
application is complete and has been forwarded to the State for permitting. PIease contact Sara
Emig at [phone] if you do not receive this confirmation or if you have any questions.
Engineering Department - P.O. Box 8, Holly Springs, NC 27540
919-557-3938 - 919-552-9881 (fax)
2003 Sewcr Design Application CLnification
a4 11.20t8