WQ0036966_Sewer Extension_20140218

State of North Carolina
Department of Environment and Natural Resources
DW-R' Fr; Ecoo I 2J* Division of Water Resources
FAST -TRACK APPLICATION (FTA 08-13)
On Division of Water Resources for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
General — When submitting this 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.
For more information, visit the Surface Water Section's Collection Systems website or;
contact the Regional Office serving your county
Unless otherwise noted, the Applicant shall submit one original and one copy of the application and supporting
documentation to the appropriate Regional Office (see page 6).
A. Cover Letter:
® Include a brief project narrative describing the final design (i.e system and/or pump station to ultimately
serve 500 homes, but flow for only 100 homes being requested now). For modifications, clearly explain
the reason for the modification (i.e. adding another phase, changing line size, length, etc).
B. Application Form (FTA 08-13):
® Submit the completed and appropriately executed Fast -Track (FTA 08-13) Application. Any unauthorized
content changes to this form shall result in the application being returned. If necessary for clarity or due
to space restrictions, attachment to the application may be made, as long as the attachments are
numbered to correspond to the section and item to which they refer. You do not need to submit detailed
plans and specifications unless you respond NO to item B(13).
® The Professional Engineer's Certification of the application shall be signed, sealed and dated by a North
Carolina licensed Professional Engineer.
® The Applicant's Certification of the application shall be signed in accordance with 15A NCAC 02T
.0106(b). Per 15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if
a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T .0106(b).
C. Application Fee:
® Submit a check in the amount of $480 to: North Carolina Department of Environment and Natural
Resources (NCDENR).
➢ Checks shall be dated within 90 days of application submittal.
D. Certificate of Public Convenience and Necessity (For Privately -Owned Public Utilities Only):
❑ Per 15A NCAC 02T .0115(a)(1), provide two copies of 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 two copies of 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.
❑ The project name in the CPCN or letter must match that provided in Item A(2)a of this application.
E. Operational Agreements (For Home/Property Owners' Associations and Developers of lots to be sold):
➢ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (HOA 08-13).
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
➢ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (DEV 08-13).
Even if the project may be turned over to a municipality upon completion, Form DEV 01-12 is required.
INSTRUCTIONS FOR APPLICATION FTA 08-13 & SUPPORTING DOCUMENTATION Page 1 of 6

F. DQwnstteam Sewer, WWTF Capacity and Flow Tracking/Acceptance Form (FTSE 08-13)
® Submit the completed and appropriately executed Flow Tracking/Acceptance for Sewer Extension Permit
(FTSE 08-13) Form for all applications.
➢ The applicant (and owners of downstream sewers, pump stations and/or treatment facilities submitting
form FTSE 08-13 certifies that the addition of the volume of wastewater to be permitted in this project
has been evaluated along the route to the receiving treatment plant, and that the flow from this project
will not cause capacity related sanitary sewer overflows or overburden any downstream pump station en
route to the receiving wastewater treatment plant.
➢ Where the applicant is not the owner of the downstream sewer, submit two copies of form FTSE 08-13
from the owner of the downstream sewer and owner of the WWTF, if different.
)o- The flow acceptance indicated in form FTSE 08-13 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 08-13 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 08-13.
G. Site Map (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 and closest surface waters. Each map must include at''a minimum:
➢ The location of the sewer line and pump stations and be of reproducible quality.
➢ Downstream connection points and the permit number for the receiving sewer (if known)
➢ Pump Station Locations and the longitude and latitude for each pump station (if applicable)
® Include a street level map showing all relevant project areas.
H. Stream Classification (WSCAS 08-13)
❑ Submit the completed and appropriately executed Watershed Classification Attachment form
(WSCAS 08-13) if any portion of the sewer system project is within 100 feet of any surface water or
wetlands.
➢ A variance must be requested for encroachment within required setbacks or buffers pursuant to 15A
NCAC 02T .0305(f)
I. Environmental Assessments (Projects subject to an Environmental Assessment (EA)):
➢ Projects involving an Environmental Assessment per 15A NCAC 01 C .0408, must be submitted for a full
technical review and must be submitted to the PERCS Unit on application forms provided by the Division.
J. Alternative Sewer Systems
➢ Projects involving low pressure sewer systems, vacuum sewer systems and other alternative sewer
systems must be submitted for a full technical review and must be submitted to the PERCS Unit on
application forms provided by the Division.
K. Flow Direction
➢ Many wastewater treatment systems are entering into agreements for regionalization efforts and
emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be
directed to more than one treatment facility. If this is the case with the project, please indicate in B(12)
and give the permit number of the second facility.
L. Certifications — Section C
➢ The application must be certified by both the applicant and the design engineer who is 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 Chapter
2T, The Gravity Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria
for the Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project.
INSTRUCTIONS FOR APPLICATION FTA 08-13 & SUPPORTING DOCUMENTATION Page 2 of 6

TIDE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778
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 28301-5094
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
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
585 Waughtown Street
Alamance, Alleghany, Ashe, Caswell, Davidson,
Water Quality Section
Winston-Salem, North Carolina 27107
Davie, Forsyth, Guilford, Rockingham, Randolph,
[phone]
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone] Fax
INSTRUCTIONS FOR APPLICATION FTA 08-13 & SUPPORTING DOCUMENTATION Page 3 of

USE'THE TAB KEY TO MOVE FROM FIELD TO FIELD Application Number: �. )
(to be completed by DWR) VV (S%� 003 � 1G�
�
1. Owner/Permittee:
1a. City of Rockingham
Full Legal Name (company, municipality, HOA, utility, etc.)
Z
1b.
Monty R. Crump, City Manager
0
Signing Official Name and Title (Please review 15A NCAC 2T .0106
(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.
514 Rockingham Road 1 e.
Rockingham
LL
Mailing Address
City
Z
1f.
NC 1g.
28379
Z
State
Zip Code
0
1 h.
910-997-5546 1 i. 910-997-6617 1j.
~Q
Telephone Facsimile
E-mail
U
2.
Project (Facility) Information:
J
2a.
Fountain Pointe 2b.
Richmond
a
Brief Project Name (permit will refer to this name)
County Where Project is Located
a
Q
3.
Contact Person:
Q3a.
Bryan C Welborn -Neal Smith Engineering, Inc.
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 910-695-8825 x309 3c. bwelborn@nser
Phone Number E-mail
1. Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.:
2. Owner is ® Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
ineerina.com
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 D)
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3)) ❑ Homeowner Assoc./Developer (Instruction E)
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
5a. City of Rockingham 5b. 8" ®Gravity 5c.
0 Owner of Downstream Sewer :Receiving Sewer Size':❑ Force Main ' Permit # of Downstream Sewer (Instruction F)
LL 6. The origin of this wastewater is (check all that apply):
Z
❑Residential Subdivision ❑ Retail (Stores, shopping centers) 100% Domestic/Commercial
® Apartments/Condominiums ❑ Institution %Industrial
❑ Mobile Home Park IX i❑ Hospital
LJ.I
❑ School El Church
LU (Attach Description)
❑ Restaurant ❑ Nursing Home ® o Office /° Other
O ❑ Other (specify):_
i
(Attach Description)
7. Volume of wastewater to be allocated or permitted for this particular project: 12,120 gallons per day
*Do not include future flows or previously permitted allocations
8. If the permitted flow is zero, indicate why:
❑ Pump Station, Outfall or Interceptor Line where flow will be permitted in 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
(see 15A NCAC 02T .0303 to determine if a permit is required)
FTA 08-13 APPLICATION Page 4 of 6

9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item B(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f).
19 2-Bedroom Units x 240 + 20 3-Bedroom Units x 360 + 1 Community Building x 360 = 12,120 GPD
i
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet) New Gravity or Additional
Force Main
8 832 New Gravity
LLI
Z
I H 11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
� Z
Q Pump Station Location ID: (self chosen - as shown on plans/map for reference)
Longitude: Latitude:
Z
O
Design Flow Operational Point Power Reliability Option
Q (MGD) GPM @TDH 1 -permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
O
LL
Z Pump Station Location ID: (self chosen - as shown on plans/map for reference)
f
Longitude: Latitude:
LLJ
Design Flow Power Reliability Option
a (MGD) Operational Point 1 -permanent generator w/ATS; Force Main Size Force Main Length
GPM @TDH 2 - portable generator w/MTS
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
® Yes ❑ No If Yes, permit number of 2nd treatment facility :
(RO — if "yes" to 13,12 please contact the Central Office PERCS Unit)
13. Does the sewer system comply with the Minimum Design Criteria for the Permitting of Pump Stations and Force Mains
(latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as applicable?
® Yes ❑ No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
FTA 08-I3 APPLICATION Page 5 of 6

14. Have the following permits/certifications been submitted for approval for the system or project to be served?
U)
Z
_0
F-
U_
M
F-
W
W
C)
i
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes ❑ No ® N/A
Sedimentation and Erosion Control Plan? ® Yes ❑ No ❑ N/A
Trout Buffer Waiver?
Stormwater?
❑ Yes ❑ No ® N/A
❑ Yes ❑ No ® N/A
15. Does this project include any high priority lines (15A NCAC 02T .0402 (2)) involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes: ❑ and provide details:
1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1 a.
1, M e } %, R. ctu ,n p , attest that this application for Fe uAA* ,. N i A e has been reviewed
by me and is accurate arld 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 son who knowingly makes any false statement, representation, or certification in any application
shall be �Ity of a lass isdemeanor, which may include a fine not to exceed $10,000 as well as civil penalties up to
$25, 00 per viola on.
Signing Official Signature
Z - 3- Iy
Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
TO OTHER UTILITIES, DESIGN CALCULATIONS, ETC. REFER TO 15A NCAC 02T .0305
2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
1, attest that this application for has been reviewed
by me and is accurate, complete and consistent with the information in the engineering plans, 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, Gravity Sewer Minimum Design Criteria for Gravity
Sewers adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000 and the watershed classification in accordance with Division guidance. 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 NC 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 to $25, 000 per violation. A
2a. Neal E Smith, PE
Professional Engineer Name
2b. Neal Smith Engineering, Inc.
Engineering Firm
2c. 139 Pinehurst Ave, Suite C
Mailing Address
2d. Southern Pines
City
j 2g. 910-695-8825
Telephone
FTA 08-13 APPLICATION
2h. 910-695-8832
Facsimile
2e. NC 2f. 28387
State Zip
2i. [e-mail]
E-mail
Page 6 of 6
NC PE Seal, Signature & Date

NARRATIVE
FOR EXTENSION OF
CITY OF ROCKINGHAM SEWER SYSTEM
TO SERVE
FOUNTAIN POINTE APARTMENTS
The system is designed to serve five apartment buildings and one community
building. There are 19 2-bedroom units and 20 3-bedroom units planned. The
maximum daily flow is calculated at 12,120 gallons per day. The flow for all
units and the community building is being requested at this time.
Neal Smith Engineering, Inc. — Southern Pines, NC

GRAPHIC SCALE
1000 0 500 1000 2000 4000
( IN FEET )
1 inch = 1000 ft.

ME 'Jil x
AV- -
4 6,
, �41

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 08-13)
Project Applicant Name: City of Rockingham
Project Name for which flow is being requested: Fountain Pointe
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: C;+ y of fock.-�1hrim Wgslew.+e►- Treafr►tent
b.
WWTP Facility Permit #: N C o o z o y2 7
All flows are in MGD
c.
WWTP facility's permitted flow
q MG0
d.
Estimated obligated flow not yet tributary to the WWTP
.440 MS.
e.
WWTP facility's actual avg. flow
3, Z MG
f.
Total flow for this specific request
.01212
g.
Total actual and obligated flows to the facility
3. G J 2 IVC
h.
Percent of permitted flow used
IV 0/0
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 / pfl,
Daily Flow,
Daily Flow,
Obligated
Available
Number)
MGD MGD
MGD
MGD
Flow
Capacity***
+►1 074;01
20 M60 8 MG 0
J.0 AG
- y004 0
y MOP
tiles MGD
* 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.
Page 1 of 6
FTSE 08-13

III. Certification Statement:
I Monty R. Crump 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 improvci-nents 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 plannin J assessment addcndums for which I am the responsible party. Signature of this
form Indic s acc ptance this wastewater flow.
__2-�- .Z - 3 - 1 q
Signing Official Signature
Dale
Page 2 of 6
FTSE 08-13

FTSE PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section 11 where Available
Capacity is < 0.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet "Tributary Daily Flow (C) accounts for
% and MGD of the Available Capacity (C) in Pump Station
; and that
b. The rate ofactivation of this obligated, not yet tributary capacity is currently approximately
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
The following applies:
; and/or
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 roI *bits the introduction of any waste in excess of the capacity of the waste
disposals • n. \
Official Signature
2 - 3-1
Date
Page 3 of 6
F'I'SE 08-13

Instructions for: Flow Tracking/Acceptance for Sewer Extension Permit Applications (FTSE) and
Planning Assessment Addendum (PAA)
Section I
a. WWTP Facility Name: Enter the name ol' the WWTII 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 Mow 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.
The obligated flow not yet tributary plus actual flow will be reconciled annually for systems at less than
60% of' permitted flow used. Annual updates shall be submitted to the appropriate Regional Office by
January 15 of'cach year and cover the previous calendar year.
Semi -Annual updates shall be required when the percent of permitted flow used reaches 60%. Semi-
annual time period are defined as January I through .lone 30 and July I through December 31. Semi-
annual updates shall be submitted to the appropriate Regional Office by July 15 and January 15 of each
year.
Quarterly updates shall be required when the percent of permitted flow used reaches 80%. Quarters
are defined as Qtrl (Jan -Feb -Mar); Qtr2 (Apr -May -Jun); Qtr3 (Jul -Aug -Sep); Qtr4 (Oct -Nov -Dec).
Quarterly updates shall be submitted to the appropriate Regional Office by April 15, July 15, October
15 and January 15 of each year.
e. WWTP facility's actual avg. flow, MGD: Previous 12 month average.
f. 'rotal 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 j
h. Percent of permitted flow used: Equals [(g / c)* 1001
Page 4 of 6
FTSF' 09-1 3

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.=3.215MGD
h. = 53.6 %
I'he 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
c.
= 2.73
MGD
f.
= 0.102
MGD
g.
= 3.349
MGD
h.
= 55.8 %
Each subsequent Form FTSE- will be updated in the same manner.
Section 11
List the pump station name or number and approximate pump station firm capacity, approximate design
average daily flow (A) approximate current average daily now (B), and the obligated, not yet tributary flow
through the pump station (C) l-or 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 fir 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.
Pump Station
(Name or Number)
Kaw Creek PS
Valley Road PS
(A)
Design
Firm Average
Capacity Daily Flow
MGD (Firm / pf)
0.800 0.320
1.895 0.758
(B)
Approx.
Current Av,.
Daily Flow,
MGD
0.252
0.472
Page 5 of 6
(C)
(D)=(B+C)
(E)=(A-D)
Obligated,
Not Yet
Total Current
Tributary
Flow Plus
Daily Flow,
Obligated
Available
MGD
Flow
Capacity*
0.080
0.332
-0.012
0.135
0.607
0.151
11"l'SI 08-1

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 ofactivation 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 finding for a capital project
entitled Kaw Creek Pump Station upgrade with funding planned in July 2014. This project is planned to
add 0.100 MGD to the firm capacity of the pump station by October 2015. Inclusion of this proposed
capital project as a condition of this Flow Trackin UAcceptance for Sewer Extension Permit Application
elevates this proiect's priority for funding and construction to be implemented ahead of the activation of
obligated, not yet tributary flows in amounts that exceed the firm pump station capacities identified in
Section 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.
Page 6 of 6
FTSE 08-13

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD
Application Number: "`r VIP r
(to be completed by - - ** - -)((( ��^
1.
Owner/Permittee:
1a.
City of Rockingham
Full Legal Name (company, municipality, HOA, utility, etc.)
Z_
1 b.
Monty R. Crump, City Manager
..... ..............
O
Signing Official Name and Title (Please review 15A NCAC 2T
.0106 (b) for authorized signing officials)
a
1c.
The legal entity who will own this system is:
❑ Individual ❑ Federal ® Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify):
O
1d.
514 Rockingham Road
le. Rockingham
LL
Mailing Address
City
Z
Z
1f.
NC
1g. 28379
Z
State
Zip Code
_
1 h.
910-997-5546 1 i. 910-997-6617
...._................ ..... ............
1j.
Q
Telephone Facsimile
E-mail
-. .. ....
U
2.
Project (Facility) Information:
J
2a.
Fountain Pointe
2b. Richmond
(L
Brief Project Name (permit will refer to this name)
County Where Project is Located
a
3.
_. _ _ _
Contact Person:
_ _ _ ...... .._..._.....
Bryan C Welborn -Neal Smith Engineering, Inc.
Q3a.
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b.
910-695-8825 x309
3c. [e-mail]
Phone Number E-mail
...... . _.. -............... ............ _ .... _..
1. Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.:
2. Owner is ® Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
2a. If private, applicant will be:
❑ Retaining Ownership (i.e. store, church, single office, etc.) or
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3))
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
2b. If sold, facilities owned by a (must choose one)
❑ Public Utility (Instruction D)
❑ Homeowner Assoc./Developer (Instruction E)
3. City of Rockingham
Z Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a.
a
Name of WWTF
Connelly Development LLC
125 Old Chapin Rd
Lexington SC 29072
PAY TO THE
ORDER OF
FusT K wr
BANK
MEMO AJia'�s
4b.
WWTF Permit No.
DATE / /S—�
❑ Rehabilitation or replacement of existing sewer with no new tlow expected
(see 15A NCAC 02T .0303 to determine if a permit is required)
1063
67-8001532
DOLLARS 8lncluded.Securiry'eatures
Details on back.
FTA 08-13 APPLICATION Page 4 of 6

Central Files: APS _ SWP
2/21/2014
Permit Number Permit Tracking Slip
Program Category
Status Project Type
Non -discharge
Active New Project
Permit Type
Version Permit Classification
Gravity Sewer Exten:
1.00 Individual
Primary Reviewer
trent.allen
Coastal SWRule
Permitted Flow
12,120
Facility
Permit Contact Affiliation
Facility Name Major/Minor Region
Fountain Pointe Minor Fayetteville
Location Address County
Richmond
Owner
Owner Name
City of Rockingham
Facility Contact Affiliation
Owner Type
Government - Municipal
Owner Affiliation
Monty R. Crump
514 Rockingham Rd
Oates/Events Rockingham NC 28379
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
2/21/2014 2/18/2014 2/21/2014 2/21/2014
Regulated Activities Requested /Received Events
Wastewater collection Additional information requested
Additional information received
Outfall
Waterbody Name Streamindex Number Current Class Subbasin