HomeMy WebLinkAboutWQ0022231_Application_20050110f -
FAST -TRACK APPLICATION for GRAVITY'SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 1
pc�p� W A rF9QG D E N P —FRO State of North Carolina
Department of Environment and Natural Resources
r JAN 10 2005 Division of Water Quality
o - c Ol FAST -TRACK APPLICATION
PoiPRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
(Pressure sewers systems are not to be included as part of this application package)
INSTRUCTIONS: Indicate that you have included the following list of required application package items by checking the
space provided next to each item. Failure to submit all required items will lead to your application being returned as
incomplete or additional processing and review time. This form may be photocopied for use as an original.
01. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. Any changes to this form will result in the application being returned. The Division of Water Quality
(Division) will only accept application packages that have been fully completed with all applicable items
addressed. You do not need to submit detailed plans and specifications unless you respond NO to Item B(12Z
oil. Application Fee - Submit a check in the amount of $400 made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR).
❑ Ill. Certificates of Public Convenience and Necessity — If the application is being submitted in the name of a
privately -owned public utility, submit two copies of the Certificate of Public Convenience and Necessity (CPCN)
which demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the
sewer extension. If a CPCN has not been issued, provide two copies of a letter from the North Carolina Utilities
Commission's Public Staff that states that an application for a franchise has been received, that the service area
is contiguous to an existing franchised area, and/or that franchise approval is expected. The project name in the
CPCN or letter must match that provided in Item A(2a) of this application.
❑ IV. Operational Agreements — Submit one original and two copies of a properly executed operational agreement if
the sewer extension is permitted by a private applicant and will be serving residential or commercial lots (e.g.,
houses, condominiums, townhomes, outparcels, etc.) that will be sold to another entity. If the applicant is a
homeowners' association, use Form HOA 02/03. If the applicant is a developer, use Form DEV 02/03. EVEN IF
THE PROJECT WILL BE TURNED OVER TO A MUNICIPALITY, FORM DEV 02/03 IS REQUIRED.
❑ V. Flow Acceptance Letters — If the owner of the downstream sewers and/or WWTF is different from the applicant,
submit two copies of a flow acceptance letter from the owner of the downstream sewers and WWTF, if different.
Flow acceptance letters must contain the following minimum information: applicant and project name, amount of
flow accepted, and name and permit number of the receiving sewersA/VWTF. The flow acceptance must not
expire prior to permit issuance and must be dated less than a year prior to the application date.
Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific flow acceptance
letter.
® VI. Map — Submit an 8.5-inch by 11-inch COLOR copy of the portion of a 7.5-minute USGS Topographic Map along
with this form. The map should identify the entire project area location as well as the closest downslope surface
waters as clearly as possible. Each map portion must be labeled with the map name and number, the identified
location of the sewer line and pump stations, and be of clear and reproducible quality. For instance, if the project
involves 4 miles of interceptor sewer that traverses over or near several different waterbodies (or counties,
basins, etc.), the map should have location ID's shown for each different waterbody (where the sewer line is within
100 feet of such waterbody - see Instruction VII). This location ID is self chosen and used to cross reference the
location in Section C of the permit application.
❑ VII. Stream Classifications — Section C
• If any portion of the project is within 100 feet of any down slope surface water, Section C must be completed
for the pertinent sections.
• If the entire project area is a minimum of 100 feet away from any down slope surface waters BUT there is a
pump station involved where a history of power outage is to be used to provide adequate design storage
instead of dual feed or permanent or portable generator, Section C must be completed to demonstrate that
the closest down slope surface water is Class C (see 15A NCAC 2H .0219(h)(3)(D)).
• Use the guidance document entitled, "Determining Watershed Classifications for Form FTA 02/03 (Fast -Track
Sewer Systems)" available from http://h2o.enr.state.nc.us/ndpu or by contacting the appropriate regional
office.
FTA 02/03 - Rev. 2 04/04
FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 2
❑ VIII. Environmental Assessments — If this project is subject to an Environmental Assessment (EA) [15A NCAC
01C .0500], this application can not be used. Send the project application on Form PSFMGSA 10/99 to the
Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. Applications can not be
processed until a Finding of No Significant Impact (FONSI) or Environmental Impact Statement (EIS) has been
issued. A copy is to be submitted with that permit application.
® IX. Certifications — Section D
The application must be certified by both the applicant and a North Carolina Registered Professional Engineer
(PE). The applicant signature must match the signing official listed in Item A(1 b). The PE should NOT certify the
application if he/she is unfamiliar with 15A NCAC 2H .0200, the Gravity Sewer Minimum Design Criteria (most
recent version) and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
(most recent version), as applicable to the project. Certification by a PE who is unfamiliar with these documents
is subject to NC Board referral.
THE COMPLETED FTA 02/03 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING DOCUMENTS AND $400
FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
Avery, Buncombe, Burke, Caldwell,
2090 US Highway 70
Cherokee, Clay, Graham, Haywood,
Swannanoa, North Carolina 28778
Henderson, Jackson, Macon,
(828) 296-4500
Madison, McDowell, Mitchell, Polk,
(828) 299-7043 Fax
Rutherford, Swain, Transylvania,
Yancey
Fayetteville Regional Office
225 Green Street Suite 714
N
Fayetteville, North Carolina 28301
Fayetteville,
Faye
Anson, Bladen, Cumberland, Harnett,
48
Hoke, Montgomery, Moore, Robeson,
(910) 486-0707 Fax
Richmond, Sampson, Scotland
Mooresville Regional Office
919 N Main Street
Mooresville, North Carolina 28115
Alexander, Cabarrus, Catawba,
(704) 663-1699
Cleveland, Gaston, Iredell, Lincoln,
(704) 663-6040 Fax
Mecklenburg, Rowan, Stanly, Union
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe,
Raleigh, North Carolina 27699-1628
Franklin, Granville, Halifax, Johnston,
(919) 571-4700
Lee, Nash, Northampton, Orange,
(919) 571-4718 Fax
Person, Vance, Wake, Warren,
Wilson
Washington Regional Office
Beaufort, Bertie, Camden, Chowan,
943 Washington Square Mall
Craven, Currituck, Dare, Gates,
Washington, North Carolina 27889
Greene, Hertford, Hyde, Jones,
(252) 946-6481
Lenoir, Martin, Pamlico, Pasquotank,
(252) 975-3716 Fax
Perquimans, Pitt, Tyrrell, Washington,
Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
Brunswick, Carteret, Columbus,
(910) 395-3900
Duplin, New Hanover, Onslow,
(910) 350-2004 Fax
Pender
Winston-Salem Regional Office
585 Waughtown Street
Alamance, Alleghany, Ashe, Caswell,
Winston-Salem, North Carolina 27107
Davidson, Davie, Forsyth, Guilford,
(336) 771-4600
Rockingham, Randolph, Stokes,
(336) 771-4631 Fax
Surry, Watauga, Wilkes, Yadkin
For more information, visit our web site at: http://h2o.enr.state.nc.us/ndpu/
FTA 02/03 - Rev. 2 04/04
FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 3
USE THE TAB KEY TO MOVE FROM FIELD TO FIELDI Application Number:
(to be completed by DWO)
1.
Owner.
1 a.
Town of Aberdeen
Full Legal Name (company, municipality, HOA, utility, etc.)
Z
1 b.
Bill Zell, Town Manager
O
Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!)
....... .
1 c.
The legal entity who will own this system is
❑ Individual ❑ Federal ® Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify):
...
0
'1 d.
115 N. Poplar Street 'l e. Aberdeen
LL_
Street Address City
_..._. __ .........
Z
1f.
North Carolina 1g. 28315-0785
Z
State Zip Code
-
1 h
910/944-1115 1 i 910/944-7459 1,. i
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Telephone Facsimile E-mail
_.__.. _ _ _.. _.. . .. _.. .. ........ i
j
2.
Project (Facility) Information: f
CL2a.
a.
Berkley Sanitary Sewer Improvements 2b. Moore
a
Brief Project Name (permit will refer to this name) County Where Project is Located
%3.
.
._......... ._........... . ............... ._..._ ...... .. .
Contact Person:
......... ... . _ ........ ..... _. .._. _ ._ . _... ...... ... .......
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3a.
Bill Lester, Jr., P.E. Hobbs, Upchurch & Associates, P.A.
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b.
910/692-5616 3c. blesterahobbsupchurch.com !
Phone Number E-mail
1.
Project is ❑ New ® Modification (of an existing permit) If Modification, Permit No.: W00022231
For
modifications, attach a separate sheet clearly explaining the reason for the modification (i.e. adding another
phase, changing line sizellength, etc.). Only include the modified information in this permit application - do not
duplicate project information in 13(7) and B(10-11) that has already been included in the original permit.
2.
Owner is ® Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
2a.
If private, applicant will be: 2b. If sold, facilities owned by a (must choose one
❑ Retaining Ownership (i.e. store, church, single office, etc.) or ❑ Public Utility (instruction 111)
Z
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3)) ❑ Homeowner Assoc./Developer (Instruction IV) !
0
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
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3.
Moore County
—
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
0
4a.
—
Moore County Water Pollution Control Facility 4b. NCO037508
LL
Name of WWTF WWTF Permit No.
Z
5a.
Town of Aberdeen
115b. 8-inch mac. W00022231
Owner of Downstream Sewer
Receiving Sewer Size Permit Number of Downstream Sewer (if known)
6.
_
The origin of this wastewater is (check all that apply):
W®
Residential Subdivision ❑ Car Wash
a
❑ Apartments/Condominiums ❑ Institution 100 % Domestic/Commercial
❑ Mobile Home Park ❑ Hospital
m
❑ School ❑ Church % Industrial
❑ Restaurant ❑ Nursing Home °
❑ Office ❑ Other(specify):/o Other (specify):
7.
Volume of wastewater to be permitted in this project: 10,800 gallons per day !
---......... _
8.
..... --- -- .._...-..... .... _.._...... ....
If the permitted flow is zero, indicate why:
❑ Interceptor Line - Flow will be permitted is subsequent permits that connect to this line
❑ Flow has already been allocated in Permit No.
.._ . ..............
_............ .................
❑ Rehabilitation or replacement of existing sewer with no new flow expected
_...... __......... .............. _....... _.._................_.................... ..._.... ................. -..... _.._........................_.......... _._......
FTA 02/03 - Rev. 2 04/04
FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 4
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9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
.0219(I) for Item B(7) or the design flow for line or pump station sizing if zero flow in the space below. Values other than
that in 15A NCAC 2H .0219(1)(1-2) must be approved prior to submittal of this application. Submit a separate request to
the Division of Water Quality, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 in
accordance with 15A NCAC 2H .02190)(3).
Residential 30 residents @ 360 gpd / resident=10,800 gpd
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet)
8" 3,750
......... ...
Gravity or Force Main
(use the pull down menu)
Gravity Sewer
........................ . .. .. .-1- ........... __...__ ..
SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
13. Have the following permits/certifications been submitted for approval?
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes ❑ No ® N/A
Sedimentation and Erosion Control Plan?
❑ Yes
® No
❑ N/A
Stormwater?
❑ Yes
® No
❑ N/A
FTA 02/03 - Rev. 2 04/04
FAST -TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 5
1. Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02/03
(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as�
necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality
ZO regional office (see instructions for addresses) OR indicate the following:
.... _
® A Stream Classification is not needed because all parts of the project are at least 100 feet away from any down slope
QwaterbodY; AND, _
(� ® A Stream Classification is not needed because the design does not depend on wet well storage as a power reliability
option for any pump station near a Class C down slope waterbody.
_._............
Location ID on Map `
(self chosen - as shown on Name of Waterbody Stream Waterbody
map for cross-reference) Waterbody County River Basin Index Classification
c.i
W............ .... ._... _ .............
H_ _........
t � �
Submit the 8.5" x 11" COLOR topographic map as required in Instruction VI
regardless of whether a classification is provided!
1. Applicant's Certification: -
1, Bill Zell, Town Manager, attest that this application for Berkley Sanitary Sewer Improvements 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. Note: In accordance with North Carolina General Statutes 143-
215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any
application shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed $10,000 as well as civil
penalties up _1 Ito $25,000 per violation
........ _. ..... _.._ ........ ..._
1a. I -\A /— _ //7/0L'
Signing O%di'al Signature Date
2. Professional Engineer's Certification:
Z I Bill Lester, Jr., P.E. attest that this application for Berkley Sanitary Sewer Improvements has been reviewed by me and is
0 accurate, complete and consistent with the information in the engineering plans, calculations, and all other supporting
F— documentation to the best of my knowledge. I further attest that to the best of my knowledge the proposed design has
Q been prepared in accordance with the applicable regulations, Gravity Sewer Minimum Design Criteria for Gravity Sewers
V adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force
M Mains adopted June 1, 2000 and the watershed classification in accordance with Division guidance. Although certain
portions of this submittal package may have been developed by other professionals, inclusion of these materials undermy
signature and seal signifies that I have reviewed this material and have judged it to be consistent with the proposed design.
LU Note: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
V statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor which may include a
0 fine not to exceed $10, 000 as well as civil penalties up to $25, 000 per violation.
2a. Bill Lester, Jr., P.E.
Professional Engineer Name��
2b. Hobbs, Upchurch & Associates, P.A.
Engineering Firm
Q
2c. PO Box 1737
Address
2d. Southern Pines 2e. NC 2f. 27376
City State Zip'^
29. 910/692-5616 2h. 910/692-4795 2i. blester@hobbsupchurch.com �� +
Telephone Facsimile E-mail Seal.
CAap��a�;
SE AL
17551
P',-4-J)5
Date
FTA 02/03 - Rev. 2 04/04
Town of Aberdeen, Moore County, NC
Berkley Sanitary Sewer Improvements
Permit Modification to Permit No. WQ0022231
Original Permit 4,567 LF 8" Gravity Sewer 14,400 gpd
Modification 3,750 LF 8" Gravity Sewer 10, 800 gpd
Total Revised 8,317 LF 8" Gravity Sewer 25,200 gpd
Modification is being requested to include an additional phase for sewer service to the area.
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s
Name: PINEBLUFF Location: 035° 07' 39.6" N 079' 25' 52.1" W
Date: 1/2/2003 Caption: Berkley Revitalization - Phase II Project Area
Scale: 1 inch equals 2000 feet Town of Aberdeen, Moore County, NC
Copyright (C) 1997, Maptech, Inc
01/07/2005 12:27 910-947-19.92 .- MOORE CO. PUB. UTIL
PAGE 02/03
County of Noore .
2',udtic: Works Department
P. O. Box 1927
Carlhage, Worth. Ca.rnrna 28327
OaMs� of Mp0
lutitities + Solid -Waste
910-947.63i5 (Telepfimw) 9Z0-947-3637 MCC9PhOne)
910-947-1992 (YacsimiCe) T l fl 910-947-i992 (facsimiCe)
January 7, 2005
Mr. Bill Lester, Jr., PE
Hobbs, Upchurch & Associates, P.A.
P O Box 1737
Southern Pines, NC 28388
Dear Mr. Lester,
RE: Flow Acceptance letter for Sanitary Sewer Improvements to serve additional flow
for the Town of Aberdeen's Berkley Revitalization — Phase H project
HUA No. AB0203.300
The Moore County Water Pollution Control Facility, NPDES # NC 0037508, presently
has sufficient capacity available to conditionally accept an additional 10,800 gallons per
day from the above referenced project.
January 6, 2003, Moore County Public Utilities approved 14,400 gallons per day for this
project. This additional 10,800 gallons per day modification will total 25,200 gallons per
day approved flow acceptance for the above referenced project
Upon completion of the referenced project, the applicant's engineer is to provide our
office with the following items:
1. Certification of Completion.
2. Complete set of As -Built drawings.
01/07/2005 12:27 910-947-15.92 MOORE CO. PUB. UTIL
PAGE 03/03
If you have any questions or comments please call me at (910) 947-63 IS.
Sincerely,
MOORE COUNTY PUBLIC WORKS
Ernie Black
Engineering Project Technician
Cc: Mr. Phillip Boles, Director
Mr. Delmo Frye, WWT,P Superintendent
Mr. Ben Vaughn, Operations Manager
Mr. Ricky Monroe, Public Works Director, 'town of Aberdeen
Mr. Giles Hopkins, Planning Director, Town of Aberdeen
Hobbs, Upchurch & Associates, P.A.
Consulting Engineers
300 S.W. Broad Street • Post Office Box 1737 Southern Pines, NC 28388
sti;'d i U 2005
January 6, 2005 ;'k') VV
Mr. Mike Lawyer
NCDENR — Fayetteville Regional Office
Division of Water Quality
225 Green Street, Suite 714
Systel Building
Fayetteville, North Carolina 28301
Re: Berkley Sanitary Sewer Extension
Town of Aberdeen, Moore County, NC
HUA No. AB0203.320
Dear Mike:
p
Please find enclosed three (3) copies of the Fast -Track Application for Gravity Sewers,
Pump Stations, and Force Mains, Watershed Classification Attachment, and a check for
the permit fee in the amount of $400.00 on the ab223referenced project. This request is
a modification to existing Permit Number W0002
If you should have any additional questions regarding this project, please do not hesitate
to contact this office.
Sincerely,
HOBBS, UPCHURCH AND ASSOCIATES, P.A.
Bill Lester, Jr., P.E.
Governmental Division Manager
Southern Pines, NC • Telephone 910-692- Nabs Headx 910-692- 342 Beaufort, into@hobbsupchurch.com
MyrtleBeach 9
01 /13/05
Permit Number WQ0022231
Permit Tracking Slip
Program Category
Status Project Type
Non -discharge
In review Major modification
Permit Type Fast Track
Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer
Individual
Extensions
Primary Reviewer Permit Contact Affiliation
mike.lawyer William Zell
Permitted Flow 115 N Poplar St
25200 Aberdeen NC 28315
Facility
Facility Name Major/Minor Region
Berkley Sanitary Sewer Improvements Major Fayetteville
Location Address County
Moore
Facility Contact Affiliation
Owner
Owner Name Owner Type
Town of Aberdeen Government - Municipal
Owner Affiliation
Walter Wright
115 N Poplar St
Aberdeen NC 28315
Dates/Events
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
02/03/03 01 /10/05 /';�/ /d&O--S
Regulated Activities Requested/Received Events
Subdivision Additional information requested
Additional information received
Outfall NULL
Waterbody Name Stream Index Number Current Class Subbasin
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
Application Number:
(to be completed by trn►Q) 3
1 Owner.
1 a.
Town of Aberdeen
Full Legal Name (company, municipality, HOA,_utility, etc.)
Z
1 b.
Bill Zell, Town Mana er
15A NCAC 2H for authorized signing officials!)
0
Signing Official Name and Title (Please review .0206(b)
.__........ _... ..... .........
Q
1 c.
The legal entity who will own this system is
Federal ®Municipality 0 State/County 0 Pnvate Partnership ❑Corporation ❑Other (sl
❑ Individual
1 d.
11 e. Aberdeen
115 N. Poplar Street
0
C ity
Street Address _ ...
_.... _...._.......
Z
1f.
.........._
North Carolina 1 28315-0785
Zip Code
Z
State
0
1 h.
910/944-1115 1 i. 910/944-7459 11
T I hone Facsimile E-mail
Q
.. ep ---
_..
(�
2
..
Project (Facony) ►nformation
- - ---
'J
a
2a.
Berkley Sanitary Sewer improvements
2b. Moore
County Where Project is Located
a
Brief Project Name (permit will refer to this name)
.................. ..... _.) ._-._.......... ....
Q3.
....... ........_ ... _.
Q
3a
Bill Lester, Jr., P.E. - Hobbs, U urch & Associates, P A.
Name and Affiliation of Someone Who Can Answer Questions About this Application
.......... .... ....... .._......
._ ..................
.
3c. blester hobbsupchurc .com
3b
910/692-5616
E-mail
PhnnP Number
Al Pmi,-r-t is 11 New ® Modification (of an existing permit) If Modification, Permit No.: W00022231
For modifications, attach a separate sheet clearly explaining the reason for the modification (i.e. adding anotner
BW
HOBBS, UPCHURCH & ASSOCIATES, P.A. Branch Banking and Trust ComPany
CONSULTING ENGINEERS 66-11 V531
P.O. BOX 1737, 300 S.W. BROAD STREET
SOUTHERN PINES, NC 28388
(910)692-5616
ictly Four hundred and no / 100 Dollars DATE AMOUNT
1/7/2005 $400.00
rHE 9 AYS
)ER N . C . DENR
1628 Mail Service Center
Raleigh NC 27699-1628
AUTHORIZED SIGNATURE
u vnwc _ v vtuto kbimuly).
-............ ____
7. Volume of wastewater to be permitted in this project: 10. 000 gallons per day
8. If the permitted flow is zero, indicate why:
❑ Interceptor Line - Flow will be permitted is subsequent permits that connect to this line
❑ Flow has already been allocated in Permit No.
❑ Rehabilitation or replacement of existing sewer with no new flow expected
t..._......._.._.........:...........
........ -- -- - - - -- --
FTA 02/03 - Rev. 2 04/04