WQ0041906_Application (FTSE)_20200720

Sate of North Carolina
Department of Environmental Quality
.
,WV R Division of Water Resourees
15A NCAC 42T' .t1300 -- FAST' TRACK SEWER SYSTEM EXI' NSiON APPLICATION
ilivtslose of Water Resources Fi'A 04-16 & SUPPORTING DOCUNiEN11T-ATION
Application Number (to be-mPlrtrd by MR)
All items trust be commleted or the a ninliration wnl be returned
I. AP1>UC_k3TIWORM�A o154.5-rldne- JZ'fivie., s Z_ C
I. Appucaursname: (cOmp*mY, mnnicipality, HOA, utility; etc.)
2. Applicant tvpe: ©Individual
❑ Corporation ❑ General Partnership ❑ Privately -Owned Public (Juhty
❑ Fcderal ❑ StaWCounty ❑ Municipal C1 other
3. Sipartaeauthority'sname: per]5:A 'C
Title:=�r'}�'
4. Applicant's mailing address: BC1 SG-. -
cltr- State: !'t , Zip:
S. Applicant's contact infonoation:
Phone number 3yLl� �'1 ° f5
(� _- EinallAddress- . f"_ � L tS .S 1;wJ 3 �
M PROJECT I FORMATION: �.,. j
1. Projectname: V� iD'l s�S iL:3I dC-- tr4e, 7�
2- Application/project status: [ Proposed Permit a
Pod (New ? � Existing, Permit/Project
If a Modification, proNdde the existing permit number: WQ90 and issued date:
1f new construction but part of a master plan,,ovide rice existing permit number: WQ00
3 _ County where project is .located: / `-'
d Approximate 36.15 a7 D 90 � 059 ' f7
_5q 6
Ap mate Coordinaies (Decimal Degrees): Latitude: a Longitude: - °
s_ Parcel ID (if appucable): �c ! co ai3cc] CQ '? c 0
for Parcel ID to closest donmstream sewer)
IIL CONSULTANT INF
1. Professional Engineer License Number:
Fir.: La le-2 E�A 17e__�afq t r
f
Ciry : State: i(� zip: � y-
one n
(_) Email Address: _k F
IV. WASTEWATER TREATMENT
iEA"1`MENT FACILITY (WWTT) INFORMATION,
1. Facility Name: 1 1 E C­45 ['. Permit Number. 1V C-. , 0 ✓� 78•3Z/
OntlerName: yd Jr fj+� ��i����j (}
V"_ RECEIVING DOWNSTPEAM SEWERINF'ORMATION (if different titan WWTF):
L Permit Number(s):WQ-�'OC'0'03 Downstre2m %eceiving) Sewer Size-
. g inch
SzsteIi iVidz C oiicc ion System?ernq ?+i:tra� — fif ? sp3ifiairle�: RTQCS�
OwnerName(s): LQI FC_ �*g f'iij §f9�*itl jF f`}
FOPUM: FTA 04-16 Page 1 of 3

VI. GENE", QUIREMENTS
L If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
[:]Yes ❑No ®NIA
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational_ Agreement FORM: DEX) been attached?
❑ Yes ❑No P,N/A
3. If the Applicant is a IIome'PronertX Owners' Association, has an Operaticinal_A<(reement (FORM:IIOA) been attached?
❑ Yes ❑No KN/A
4. Origin of wastewater: (check all that apply):
9 Residential 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 % Commercial
% Industrial Lee 1.5A NCAC 02T .010(2p�)
�Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 1.5A NCAC 02T.- 0 - I - 14f ? ❑ Yes ❑ No
Z If es rovide a co of flow reduction a royal lettr
7. Summarize wastewater generated by project:
Establishment Type (see 02"I".0114
Daily Design Flow a,b
No. of Units
Flow
— . '0'ed roo in MC&I ee pq),,
5 1,10 gait
/60
38 qcO GPD
57 ,al/
gal/
,� � 'PD
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total L �,' uPD
a See 15A NCAC 02.14.0114th), Ud , (e)(11and (eJC2 for 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 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-
6 , Y0-6
8. Wastewater generated by project: _GPD (per 15A_NCAC 02T _0114)
� Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity 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 (Explain):
FORM: F'TA 04-16 Page 2 of 5

VIL GRAVfI'Y SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MD(' {Gravity Sewers):
1. Summarize gravity sewer to be permitted:-
Size (inches)
Length (feet)
Material
8"
t®,° '.
PVC
SO
P
➢ Section 11 & 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 tines to meet minimum slope requirement is not allowed and a violation of the MDC
VIH. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stationsl]Foree Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
L Pump station number or name: ._NA
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: - °
3. Design flow of the pump station: mullions gallons per day (firm capacity)
4_ Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliability in accordance with 1.5A NCAC. 02T 030_S�h)(l1:
❑ Standby power source or pump with 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
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source 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(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station_
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations,
storage capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be
provided in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX.
SETBACKS & SEPARATIONS — (02B .0200 & l SA NCAC 02T .0305(i)):
Does the 1—iject comply with all separations found in-1-5 A NC-AC'_02T .03�t)& (g El ❑ No
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall hP nrmAch-rl fnr epwx r cwc+p, —
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
24 inches
Water mains (vertical -water over sewer including in benched trenches)
18 inches
Water mains (horizontal)
10 feet
Reclaimed water Iines (vertical - reclaimed over sewer)
18 inches
Reclaimed water Iines 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
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 (see item 1X.2)
50 feet
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
An building foundation
10 feet
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical hei t
10 feet
Drainage systems and interce for drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ 15A NCAC 02T.0305(T contains alternatives where separations in 024'.0305(t) cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC Surf_ace_Water Classifications webpame
➢ If noncompliance with 02_T.0305�f) or :_ ,see Section X of this application _
Aw
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No ❑ N/A
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 utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 0213 .0200') 0 Yes ❑ No 0 N/A
➢ This would include Trout Buffered Streams per l5A NC'AC2B,.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes 5fl No
individual permits or 401 Water Quality Certifications?
Information can be obtained from the 401 & Buffer.Perniitting Branch
5. Does project comply with 15A NCAC 02T.0 I 0 LcJ6) (additional permits/certifications)?0 Yes ❑ No
Per 15A NCAC (12T.(}IOc�(6), directly related environmental permits or certification applications are 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.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC" 02T.0402, "high priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to strearnbanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes % No ❑ N/A
➢ 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 Beast once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or.the permitee's individual System -Wide Collection permit.
FORM. FTA 04-16 Page 4 of 5

X:. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria latest version j,is applicable?
Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents
for review. Approval of the reguest is re uired prior to submittal of the Fast Track Application and su ortin
documents.
2. Professional Engineer's Certification:
I> R Cal n d cx-fl _ _ 6._ K a /t _ attest that this application for
(Professional Engineer's name from Application Item Hl.L)
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 fiuther 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 (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 1.43-2t5.6A 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.
North Carolina Professional Engineer's seal, signature, and date:
(-�� [2-6
-7 16�a c�
Applicant's Certification per I 5A NCAC 02T .0106(b):
(Signature,
name & title from Application Item I.3.)
a®gaam®s®am��"8�
10
m ar® 7e
1C7LS'
'o
m
attest that this application for
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 1,1n3-21.5.6A and 143-21.5.6B, 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.
-,
Signature:
Date: 2 a
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
i;_,;, €,a ;-4-,1je7 e €�rccG Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Basa Investments, LLC
Project Name for which flow is being requested: 12458 Somerset Mobile Home Park
More than one FTSE may be required for a singleproject if the owner of the WWTP is not responsible for allpump
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: Archie Elledge
b. WWTP Facility Permit 9: NCO037834
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
30.000000
2.063876
19.320000
0.062400
21.446276
71.5%
II. 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) (1))=(13+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 Availdble
Number) No. MGD MGD Flow, MGD
MGD Flow Capacity***
Belews Creek 1.440000 0.458599 0.279033 0.069376 0.348409 0.110190
Kernersmill 6.336000 2.184828 1.627754 0.103094 1.730848 0.453980
,South Fork 14.400000 14.400000 6.733753 0.230744 6.964497 7.435503
The South Fork Lift Station operates as a basin transfer station. Staff is capable of allowing peak flows to bypass the station and flow to the Lower
Muddy Creek WVVTP by gravity. Therefore, no peaking factor is used when determining design average daily flow.
e Firm Capacity(design ow of any pump station is defined as the maximum pumped ow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Plow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*' A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Archie Elledge
Downstream Permit Number: WQCS00003
Page 1 pf 6
FTSE 10-18

III. C�ortification Statement:
I Courtney Driver, P.E. 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 sanitay sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumsfiances, 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 adequate capacity to transport and treat the proposed new wastewater.
Signing Official Signature
Title of Signing Official
Date
Page 2 of 6
FTSE 10-18

NORTH CAROLINA
A Department of the Secretary of State
CERTIFICATE OF EXISTENCE
(Long Form)
I, Elaine F. Marshall, Secretary of State of the State of North Carolina, do hereby certify that
SOMERSET ESTATES, LLC
is a limited liability company duly formed, and existing under the laws of the State of North
Carolina, having been organized on 7th day of March, 2016, under the name Perpetual, under the
name Somerset Estates, LLC and that the following documents have been filed since that date:
Date
Event
3/7/2016
Creation Filing
1/10/2017
Annual Report
2/16/2018
Annual Report
3/18/2019
Annual Report
1/16/2020
Annual Report
Filed Document
Articles of Organization Limited Liability
Annual Report LLC
Annual Report LLC
Annual Report LLC
Annual Report LLC
IN WITNESS WHEREOF, I have hereunto set
0 0 my hand and affixed my official seal at the City
of Raleigh, this 16th day of July, 2020.
Scan to verify online.
Certification# 107856450-1 Reference# 16392504- Page: 1 of 2 Secretary Of State
Verify this certificate online at https://www.sosnc.gov/verification

I, FURTHER certify that no record is found of other Company documents having been filed
since the 16th day of January, 2020
I FURTHER certify that, as of the date of this certificate, (i) the said limited liability company
is not dissolved under the terms of its articles of organization, (ii) the said limited liability
company's articles of organization are not suspended for failure to comply with the Revenue Act of
the State of North Carolina, (iii) that said limited liability company is not administratively dissolved
for failure to comply with the provisions of the North Carolina Limited Liability Company Act, (iv)
that this office has not filed any decree of judicial dissolution, articles of dissolution, articles of
merger, or articles of conversion for said limited liability company.
IN WITNESS WHEREOF, I have hereunto set
0 my hand and affixed my official seal at the City
of Raleigh, this 16th day of July, 2020.
Flo 1.
4;01;
Scan to verify online.
Certification# 107856450-1 Reference# 16392504- Page: 2 of 2 Secretary Of State
Verify this certificate online at https://www.sosnc.gov/verification

PROPERTY SURVEYS
CONSTRUCTION SURVEYS'
DESIGN OF ROADS AND STREETS
WATER AND SEWAGE SYSTEMS
SUBDIVISION PLANNING & LAYOUT
Mr. Justin Henderson
NC DENR
[e-mail]
Mr. Jim Gonsiewski
NC DENR
jim.gonsiewski
336-486-7584
[e-mail]
KALE ENGINEERING
3550 Vest Mill Road
WINSTON SALEM, N.C. 27103
336-768-0250
email kaleengr@bellsouth..net
August 14, 2020
MEMBERS OF
NATIONAL SOCIETY OF
PROFESSIONAL ENGINEERS
AMERICAN CONGRESS OF
SUR AND MAPPING
1 epartment of
Environmental Quality
Received
AUG 14 2020
Winston-Salem .
Regional Office
Subject: Payment of $ 480 fee for review of maps for Somerset Estates mobile home park and Somerset
Park LLC mobile home park in Forsyth Collpty near the Town o f Ken}ersviile.
References: 1. Cover letter that accompanied the origirtai submittal.
2. Check payable to North Carolina Department of Environmental Quality (NCDEQ). The
check will be hand carried to the NCDENR office.
Attached to this letter is the reference 1 cover letter and the check for $ 480.00 as requested. Thanks for
your help in this matter. It is appreciated.
KALE ENGINEERING; P.C.
33&768-0250
3650 VEST MILL RD
WINSTON SALEM, NC 27103 -
IN A
S' a ly,
andall G. Kale P.E., P.L.S.
5814
66-36/531
461
Date lao
C $CHECK PRMOR
V WirstCitiz nsBank
FOR
u•0058 i4ii' 'l:053 i003o0l:0046 i 18$3G661i'

A.

F WArF
Q�Q �QQG Michael F. Easley, Governor
William G. Ross Jr., Secretary
CO
> r North Carolina Department of Environment and Natural Resources
p Alan W. Klimek, P.E., Director
Division of Water Quality
July 28, 2005
Ron Hargrove, PE, Deputy Utilities Director
City/County Utilities
Utilities Administration
PO Box 2511
Winston-Salem, NC 27102
— Subject. - - Ctty o Wtriston- a em
Residential Flow Reduction Approval
Forsyth County
Dear Mr. Hargrove:
On June 29, 2005, the Division of Water Quality received a flow reduction request for residences
connecting to the Winston-Salem collection system. The letter requests an allowable flow rate of 240 GPD per
single-family residential unit (three bedroom) based on the evaluated data for the current service area. As you
are aware, the issue of an approved flow reduction has been outstanding for quite some time. We appreciate
your assistance and patience in the matter and are pleased to offer a resolution.
The methodology and data evaluated for this request was discussed with you and your staff, regional
office staff and central office staff during a meeting on June 14, 2005. The evaluation included data collection
From tax records (age and bedrooms) and utility billing (water consumption) and DMR records for the treatment
plants. Based upon this data and with concurrence from our Winston-Salem Regional Office, the Division
hereby approves the use of 240 GPD per single-family residential unit (up to three bedrooms) in all applicable
non -discharge permit applications whether issued by the Division or through your delegated sewer extension
permit program. This value shall be incremented by 80 gpd per additional bedroom above three.
Regardless of the adjusted design daily wastewater flow rate, at no time shall the wastewater flows
exceed the effluent limits defined in the NPDES�ermits for the treatment facilities or exceed the capacity of the
sewers downstream of any new sewer extension or service connection(s).
If you have any questions or comments regarding this matter, please contact Marie Doklovic at
[phone] ext. 371.
P.E.Ian W. Klimek,
cc: Steve Tedder, Winston-Salem Regional Office
Charles Weaver, NPDES West Progam
PERCS Flow Reduction File
One 1 1 Pretreatment, Emergency Response and Collection Systems Unit Internet http://h2o.enr,nc,state,us/ndpu
Noft CarOhna 1617 Mail Service Center, Raleigh, NC 27699-1617 An Equal Opportunity Action Employer
a'aturia//' / Telephone [phone] Fax [phone]% recycled/10% post -consumer paper

PROPERTY SURVEYS
CONSTRUCTION SURVEYS
DESIGN OF ROADS AND STREETS
WATER AND SEWAGE SYSTEMS
SUBDIVISION PLANNING & LAYOUT
Mr. Justin Henderson
NC DENR
[e-mail]
Mr. Jim Gonsiewski
NC DENR
jim.gonsiewski
336-486-7584
[e-mail]
KALE ENGINEERING
3550 Vest Mill Road
WINSTON SALEM, N.C. 27103
336-768-0250
email kaleengr@bellsouth..net
July 20, 2020
MEMBERS OF
NATIONAL SOCIETY OF
PROFESSIONAL ENGINEERS
AMERICAN CONGRESS OF
SURVEYING AND MAPPING
Subject: Submittal of maps for new sanitary sewer lines to be constructed at Somerset Estates mobile home
park and Somerset Park LLC mobile home park in Forsyth County near the Town of Kernersville.
References: 1. 15A NCAC 02T .0300-Fast Track Sewer System Extension Application.
2. Set of plans consisting of plan profile sheets and one large index sheet. There are a total of
13 sheets for a full set of plans (attached).
3. Winston Salem Flow Reduction Letter (attached).
4. Portion of NCGS map showing the mobile home location.
5. Aerial photograph of the subject site.
6. Flow Tracking for Sewer Extension Application (FTSE 10-18).
7. Certificate of Existence for Somerset Estates, LLC
8. Check payable to North Carolina Department of Environmental Quality (NCDEQ). The
check will be hand carried to the NCDENR office.
Mr. Frank Basadre of Basa Investments Inc, wishes to apply for a permit to construct the new sanitary
sewer lines on the subject site as noted above and have them empty into the WS/FC Utility Commission
lines which will take the waste water to the Elledge Sewer Plant. Attached to this letter is a copy of the
reference 1 form, the reference 2 set of plans, the reference 3 Flow Reduction Letter, the reference 4 NCGS
map, the reference 5 aerial photo of the site, the reference 6 Flow Tracking For Sewer Extension
Application (FTSE 10-18) and the reference 7 certificate of existence from NC Department of the Secretary
of State. The reference 8 check will be hand carried to NCDENR.
These 2 mobile home sites are existing and are owned by one owner. Mr. Frank Basadre represents Basa
Investments Inc and will be the main contact for this site. These 2 mobile home parks are adjacent to each
other and produce residential type waste water from the mobile homes only. These mobile homes are
currently using septic tanks and drip lines to handle the waste water, and they wish to tie into the WS/FC
Utility Commission treatment plants. They plan to send the waste water to the Elledge Sewer Treatment
Plant. There are no lift stations involved. The pipes will all be 8" pvc and 8" dip and will be gravity flow.
To the best of my knowledge and ability these plans have been prepared in accordance with the NCDENR
Design Criteria for the permitting of Gravity Sewers.
This site has 160 - 2 Bedroom mobile homes and 100 - 3 Bedroom mobile homes. Please be aware that the
WS/FC Utility Commission was granted a flow reduction allowing the 3-Bedroom mobile homes to be
considered as being 240 gallons per day instead of the 360 gallons per day. This totals 62,400 gallons per
day for these 2 mobile home parks. Please see the reference 3 letter attached.

PROPERTY SURVEYS
CONSTRUCTION SURVEYS
DESIGN OF ROADS AND STREETS
WATER AND SEWAGE SYSTEMS
SUBDIVISION PLANNING & LAYOUT
KALE ENGINEERING
3550 Vest Mill Road
WINSTON SALEM, N.C. 27103
336-768-0250
email kaleengr@bellsouth..net
MEMBERS OF
NATIONAL SOCIETY OF
PROFESSIONAL ENGINEERS
AMERICAN CONGRESS OF
SURVEYING AND MAPPING
On plan profile sheet 3, the new 8" sewer line will cross above an existing 36" rcp storm drainage pipe.
The 8" pipe will be ductile iron pipe centered above the 36" rcp as shown on the plan profile sheet. On
plan profile sheet 5, the new 8" sewer line will cross under a 24" rcp storm drainage pipe. The 8" pipe will
be ductile iron pipe centered below the 24" storm drain pipe.
It will be necessary for the applicant to obtain a grading and erosion control permit from the City of
Winston Salem/Forsyth County. The erosion control inspector is being contacted and provided with an
index plan to help with the planning of the phases and techniques for the erosion control on this site.
All of this property is owned by the same owner, who will also own the new sanitary sewer lines. It will
not be necessary for an easement to be established for the new sewer lines. The existing water lines on this
site are 2" and 3" PVC private lines. They do not need easements on this site either.
There are several places where the new sewer lines will cross ditches. All new sewer lines are to be placed
under the ditches. In some places it will be necessary for the ditches to be graded and filled in with soil and
stone as shown. Ditch will still function as a ditch and maintain downhill slope in the correct direction to
allow the ditch to continue to function . If we encounter wet lands, it is our intent to bore and jack under
these locations. And, if we are called upon the get permitting from the Army Corps of Engineers, we will
begin the process immediately.
The pipe will be placed under travelways and under areas of no traffic. The depths of the pipes will vary
from 3' to 12'. According to the Department of Agriculture Soils Report for Forsyth County the soils in
this area are pacolet and cecil. There may be some chewacla soil near the first pipe coming out of existing
manhole in the sheet 1 plan profile sheet.
Thank you very much for the help you have provided for this project. Your help in this matter is very
much appreciated.
Sincerely,
Randall G. Kale P.E.
Kale Engineering
336-768-0250

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