WQ0041946_Application (FTSE)_20200901

Soto 6f >I%r akrofta
Dewtmgnt offt-d" 0000ty
Mbb* Of Waiter WWXCO
0"lon, ef""Waietlexcurces
At M*_WuA§e completed or fheaenlieatlun Rfit iWftfirfted;
I, APPLICANT 11000"TION:
1. Applicants name: East W_1qcI-DeveIMmenfCwq=vU (company, ,etc�)
1 Appli type: 0 whrA Pu Utility Icant ofindividiml 0, Corporation 01fivat ly-Q blio
QjFederil 0 Stato/Connty 0 Municipal Mer,
Titles. PrgjgpL�aeef
4. APpIkot'g tomfingAddrtsk 500-DState'
ciry:'Qeras boro State: NC Zip-, 2—,7405-,,
5. AppfiriotI , 's contact hiflonqation'.
Phqrrctwmbet:MO.01»�4_13 Entail Mdresw JMMO�W�&p—m
U. PROJECT INFORMUOM,
1, Pr6jectnanim.TheAfteatAt
2, Application/Projeefstatwc ®'Proposed (New, Permit) Q Existingper
If a modification, provide the existing permit number: WW— and issued dares
If new construction but partoft master plan, provide the existing permit, number jWQ00-
3. County where projeot'is loodtad:
4: Approximate Coordinates (Decimat Degrees): Latitude, I&M'Longitudw. -29..2-67'
5. parcel,11) (if applicable)-, 1414103. 78175628
M. CONSULTANT INFOAMkT16X'.
I' Professional Engine= Qwle A-L LicenseNumber.14994
Firm: cot Engineering & Sur-yeAnn. Inc.
Mailing addrpss:4400
City:, Hijigh State: NC Zip: 27285t
phononumber. , , =,,812-8 Email Addroas.,johnbQWtM& ine
IV. WASTFWATEItTIMATbWM:fACJLITYCWWT$)XNF09MAUOr4..
1. Facility Name.'TZ-Qabgme- PermitNumber-,�
'OvimerName, The C* of-teea*2M
V, RECMMGDOWNSTPXAMSFW=INF09MATIOIN(Ifdiffirenk *n WWTF):
� I '
1, PermitNumber(s). WQ— DWwV0,m(fteeeivWg)Sewer $i;e: —,In(;'b
swe-M 3fte QAk*nSwM permit Ngowd (if anAgAl :WQC$—,
ownerName(a),—
FOW FTA04,16 frs-

, OFNERAL RFgpIREMMNTrY
1, if tNe Applicant) is a Privately-tiwnod Public Utility,, has a irertifteate ofPublic conventance and 1+Tetessityh�n attaeNed
0 3t'es �I+io ®N!A
2. If the Applicant isaDeveloperoflotadkbesold,has beenattacbb
0 Yes IINO MN/zl
lfthe Applicant is aHonrErde} Elwneis' 4satseation. Nas:arr iQ!{a, a iFIJRhI 13dAlbeen altuebecl
4� O dginof wastewater: (cheakall tbat apply);:
[}Residential,Owned ® Retail {stores, centers, malls) 0 Car wash
M`Resiilential Leased © R lkwith OrVsprWce Q Bate) and/oF lvlatels
0 Schaob/presehoolt/ day cats 0: ivkadtcal;I dental / veterinary f litiew Q w�mniing Fatr1(CIu$Y nse
© tood[ and drmk facilities 0 charelt El�t lag PooliFilte l3ackwasii
11 Busiomes / offftces / X'acWes ET Nursing Home Q Othq (Explaitt in Attachment)'
5. I+amreofwastewater:lb0%Clomostic%Fotumoroial[ _YoCommercial
_%Industrial(feeIlk' bat'.0163tJO
"Is therea Pretreatment Program tit effect? ❑ Yes ❑ Na
6. Hasa flow reduction been ap ed under 1.52A IIGA 0":lll 4t7 ©Yes ❑
L£7*Io
ties..prnslde.a ¢arty ow reducfionataroval>etler,
S.
b per 15A NCAG 02T .0114(c), designflow rates'r-fi
determmdd:usmg avaiiableflow data, waterwing
> Do not idol44O fature flows, orpreviousfypermifted allocations
if permitted flow is zero, Wicate whys
[] Pamp Station or Gravity°Sewer where flow will be Permitted in subsequentpemtiis that comectto this line'
QFlow has already been+aliooated in Permit Number:
❑;Rehabilitation or replacement o£ezistlug sewer with no new flow expected'
El other(Explam):
FORM: PTA 04-16 Page 2 of S'

V11. rRAVrTYS)KWFRI)E$IC*NCMTMA(II Applicable) -=4M&$DC (i�t -
I., Summorize,gravity sewer tDbi,�Lp%iWtted:
VIM
> sec00#rI&I1Tothe MDC-fbt , 11brittiftigg of Govity $"wers ' hforam o , �cnutaiqsux tio4 related to design 0
Section Illcontains b immun, sl gravity acwot(s)
ii - a 04,t in ojoesfiOr g
J jOversizingithosjdmoetra it #.,,v uluift a -.Oufoaqtajjowedau tolatt0gofilieWC
PUMP STATION DESIGN CRITERIA (If Appgooble)—&2T.030 M M a f ft-- -6 i N U S I Lff—ot 1 —v U0 k t i 6. M A i a
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
Pump -station number or ua=:,_
Appro-Numite Cpordmates(Decimal Dqgree4k Latitude'.. Longitude -
Design flow of1hc,,p4mp station-, _ millions gaffonspeuday (Tuv&capacky)
Oper4rjonalpoint(s) of the,]pwrip(s): _ gallons perm ute at feet total head (TDII
Summarize the force, main to bepexmittcd (for this Pump -Siation):
I '$k6(iftoes) I Length (feel) [ Material I
6. Power reliability iii,4cor4acewith t&ANCAC?biT.03L5MQl', I
E[ $ttmdby power source orpunip with mitomatio activationand uilviiictrY -l1ANCA'CQ2T.0305(h)(J)(R);'!
> 'Roquired'bir all pumpatations with an average daily flow groaterthart or equa ,to t5,000 gallons, per day
Or if tlio puml station has an averac daily flotvless.fhan g 110 r a nser da P,
❑ portable powetWuropWithimanual-activafion, quick-comeotimireceptacle and telemetry,. 15ANCACO2T
or•
P0#4* pumping unit, witu plugged emergency jamiliconfiebtion aml telemetry - 15A KCAC 02T M05(h)(1)(C).'
> It shall be, deMobstratad totftei Vivisiantbat the portable source is owned or.contiacted by the applicant (draft agreement)
travel tfinefiames,
FORM- FTA 04-16' page 3 of 5

IX. 9ETBAC"-4$tPAR-ATION$—(02B,,020A & ESA NCACOZT,03WJ).,
t. Dods the projddt c0uipty with 011,4eparations found in I MMAC. OZT. Yes Ci No
> ISA NCAC 02TM05M whighsifthfiratim q6haratinns that shall hftnmvirlM ffirgewerw"tatns,
$024ariob Roildihed
24 inches
Mater-MaAs WcaPwater over sewer i!clud'Mm benched trenches)
lainches'
Water nudus (horizontal)
MOO
� eYscwer
A2S!aft water Linos tLe�al, -reclaimed
19, inches
Reclaimed water lines Lhc!E!?�,qnW - reclaitnedoyStsewer)
244et
urce, including any wells, W9-1 waters of Clms,l or
;�==:=sovrco offtkft water
100 feet'
**Watemclasgified WS (except-W94or'N19N), 9, SA, ORW,,, HQW, otm ' 'mn 1:
ft,
h!awater (or tide elevation) and wetlands (see item I_XI)
5D, Loot
poundment, orgroUnd WaW lowering and a
"Amy otherstroatn. lake, hn surfhoo-diant go
ditches
10 feet'
A' m y. building fmjn�;aft
5 feet
Anybasoxnent
IMAppe, of dmbArikmoat or cats oft feet or m6rovertical height
tafeet
Drainage systmis oM interceptor drum
5 feet
A*±wi P6915
to
Final earth grade (Vertical )36
itches
2. Does the project comply with separation requirements for wetlands? (50 fbetafseparation) 0 Yes [I No 0 NIA
*, See the DimisioW4,.draft separation, reqpirearents for situations where, separation carmotberneet
> Novariance isrequWJf the alternative design criteria specified is utilizeddo,designaird construction
3. 1)oes the projectcomply with,sef4acksfoundia. the nver basin rules per45AJqO�.C--,'CIIB'LO20Q! MYes E]Np ON/A
> This would include TroutBuffered.Strems per tSA 14CAC 2t
4. Doeg the project requite, coverage/authorization under -a 404'Nationwide or E[Yeg C) No
individual pertain; or 401 Water Quality Certifications?
>
S. Does prcjeQfcomp1ywUh (additional pennitskeriAcations)? 0 yes ONO
6i hoes this project include any saver collection linesthat are deemed "high-pnotity?"
surface waters, siphon, or sewer
E) TOis O:No [3 NtA
> If yes, include an attachment with details for each J*, moluding'type (aerial fine, site, material, =4 location).
FORM; TTA 04-16 Page 4 of 5

X(:BRTWICATIONSV
I Do* tbe.submifted M'o
z
Yea
NOTE — In accordance, withGoneral Statutes14,ZI5.6A- and 143-215.6& anv nusbn who 'knowfimlv, mikessav false
NOtth Ckr9lina
I Applicants
Ihis applic4tion are not Wrap
application package &s4hfp:1
discharge system tosurfacev
injuneWorefic4and(brormik
*fthi&p,emW:heviolated. Is
all teq*O q4pporling mfon
incomplete:
NOTF, in accordance with
statement repros=tati cc C
mplUde 4 fine notto omce ,$l
Saxi.
14f4"
I o4ustandthat if sit
WhD knowingly makes any -Also
Class Z mkdcmeauor3 wbiGb.may,,
o
FOPM: FTA 04- 1,6 Page szfs

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation:
Project Name for which flow is being requested:
More titan one FTSE maybe 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: T.Z. Osborne Water Reclamation Facility
b. WWTP Facility Permit #: NCO047384
All flows are in MGD
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the
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
40.0
WWTP 2.66
32.69
0.071202
35.355
61.13
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)
Design
Pump
Pump
Average
Station
Station
Firm
Daily Flow**
(Name or
Permit
Capacity, *
(Firm / pt),
Number)
No.
MGD
MGD
Galimore
5.45
2.18
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Obligated,
Approx.
Not Yet
Total Current
Current
Tributary
Flow Plus
Avg. Daily
Daily Flow,
Obligated
Available
Flow, MGD
MGD
Flow
Capacity***
0.799
0.0
0.799
1.381
Guilford 1.008 0.4032 0.032 0.0 0.032 0.3712
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not 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):
Downstream Permit Number:
Page 1 of 6
FTSE 10-18

• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document
Online • Add Entity to My Email Notification List •View Filings • Print a Pre -Populated Annual
Report form
Limited Liability Company
Legal Name
East Wind Development Company, LLC
Information
Sosld: 1320262
Status: Current -Active O
Date Formed: 5/29/2013
Citizenship: Domestic
Annual Report Due Date: April 15th
Registered Agent: Isaacson, Marc L.
Addresses
Reg Office Reg Mailing
101 West Friendly Avenue, Suite 400 101 West Friendly Avenue, Suite 400
Greensboro, NC 27401 Greensboro, NO 27401
Mailing Principal Office
500-D State Street 500-D State Street
Greensboro, NO 27405 Greensboro, NO 27405
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Managing Member
Michael A. Murray
500-D State St
Greensboro NO 27405-5659

lagineering & Surveying, Inc.
To: Mr. Justin Henderson
Environmental Specialist II
Winston Salem Regional Office
Division of Water Resources
We are sending you:
x Attached ❑ Under separate cover via:
LETTER OF TRANSMITTAL
Date: 9-1-20
1 Job No1416-16
Attention: Mr. Justin Henderson
Re:
The Retreat At 68 North
the following items:
❑ Plans ❑ Diskette(s) ® For Approval ® For Review ❑ Specifications
❑ Other:
Quantity
Dw . No.
Description
Status
1
Sewer Application -Public
1
Sewer Narrative - Public
1
Sewer Application -Private -
1
Sewer Narrative - Private
1
FTSE
1
Corporate Documentation from NC Secretary of State
1
I
I Quad Maps and Street Maps
Status. Code: A. Approved D. Rejected - See Remarks G Approved - As noted
B. Sign and Return E. For your information H. As Requested
C. Amend and Resubmit F. Refer to Remarks I. Review and Comment
Remarks:
Mr. Henderson,
We are submitting applications for public and private sanitary sewer extensions associated with The
Retreat At 68 North. Per our phone discussion the developers agreement is not included with the
requirement that The City of Greensboro accepts the public portion of the sewer at the time of our
Engineer's certification.
Thanks!
John A. Butler
CPT Engineering & Surveying, Inc.
4400 Tyning Street • High Point, NC 27265 Phone: [phone] • Fax: [phone]
www.cptengineeriniz.com
F:\Projects\1416-16\Pumits-Applications\SEWER\Fast Trnk Submittal\Eulywine-8-6-20.doc

Kid IA6faV{TYf 00�
MhMSRAVITY'6EHM
PPOPEMY SOLWAO.tr
$CA I �414-iwoi

m
THE, RETREAT AT
68 NORTH
PRIVATE SANITARY SEWER WtNSIGN
GUILFORD COUNTY
GREENSBORO, NORTH CAROLINA,
,Augost3.1 20 220
OVMWDEVELOPEA1
",tVio'd vovol6poient Compaityg-MC
Contact: Michael Murray
500-D State Street
Grocusboro, North, Carolina 27405
[phone]
CPT Engineering and &ELeXhity. bmi
44-00 ]Wng Street High Mot, Nc 27265
Pbove (330 912,0$00 * Fax (3$6) 64247W

PAQJIEC-
JDEgCRIrnON�
The project is, located on an approximately 50,7 4= tract in GUilfDrd County,,
Grecnsboro,'NC.. The purpose of the project is to obtistua,264 apartment units, total with,
a clubhouse end pool, and a 1$,550 SP retail fox spaceIbut d Al i4,Z incidental paved drives
and parbug areas, and, the extension. of'existingwater and sewer utilities.
The ,wastewater flow rate from the apartments is 240 gpd/unWfior I and 2 bedroom units
and 360 OMmit fi5k 3 bedtooln, units TheffoW rate 6m Aht clubhouse/cabana/""Podl,lis,
based on•oocupaniq, at 10 GPD/Pergoo., Theflawticird the rct4l building is based ft,
1 flour co
$0 of, ace. The total , qtnihgtory Aqw roqy0sted in fts; permit is,
71,202 GPD,
This application covets the private,' gravity lines "for this; Rrq'Je&t and the total project,
w4siew flow generate
sior, 4'hy"the uses cited. Public, gravity linos, and -a,pn6lio I& station
a '11 be cation W and force main will , appli with 0 ft , permitted in a separate I I
"SITE DESCRIPTION'
The site eposists of 50,7 acres more or less -with the majority ofthe site being W0040,44
ADJACENT PROPERTY
Laud use in, the vicinity is currenfly single A"i tY residemi 01. The site fronts along Nt
Highway'69, north. This is the only site frontage withue-wAriveway access.
INFQRMATIDN
The Soil
r the, project area is mapped as PoB, PoC, and PoE. per the NRCS Web, Soil
Survey.

GREEN5BORO
DATE: September 15, 2020
TO: Mr. Justin Henderson, Environmental Specialist II, Division of Water Resources
FROM: Mrs. Jana Stewart, P.E., Engineering Supervisor
DEPARTMENT: Water Resources
SUBJECT: Planning Assessment Addendum for Flow Tracking for Sewer Extension
Applications: T.Z. Osborne Expansion Plan Information
The City of Greensboro operates T.Z. Osborne Water Reclamation Facility (NC0047384.) A
capital improvement project is underway for upgrades and expansion of T.Z. Osborne. The
original plant was rated at 40 MGD and is being upgraded to 56 MGD. The project was divided
into four phases or packages. Each package is summarized below.
Package One - address current and future hydraulic capacity issues at North Buffalo. The specific
improvements for Package One included conversion of an existing aeration basin at North Buffalo
into a flow equalization basin and added increased transfer pumping capacity. The improvements
at T.Z. Osborne were necessary to receive the pumped flow from North Buffalo and to include a
new flow equalization basin, equalization diversion structure and flow control/metering vault. The
North Buffalo Treatment Facilities downstream of the influent pump station were demolished or
abandoned. Engineer's Certification August 7, 2013 (Permit No. WQ0036639)
Package Two - hydraulically expanded T.Z. Osborne for treating up to 56 million gallons per day
under the current nutrient limits and included improvements to pass the peak future flow with
North Buffalo decommissioned. The improvements for Package two included new membrane -
diffuser grids in the existing aeration basins, two new single stage blowers, three new 160-foot
diameter clarifiers with associated distribution and return activated sludge pumping, new yard
piping for increased flow and electrical improvements including a new generator. Engineer's
Certification October 10, 2014 (ATC No. 047384A04)
Package Three - increased final discharge and filtering capacity to complete expansion of T.Z.
Osborne to 56 million gallons per day. The improvements for Package three include new tertiary
filters, two new chlorine contact tanks, modifications to the existing chemical feed facilities, and
an additional outfall pipeline. Engineer's Certification March 21, 2018 (ATC No. 047384A05
Corrected)
PO BOX 3136 • GREENSBORO NC 27402-3136 • WWW.GREENSBORO-NC.GOV • 336-373-CITY (2489)

GREENSBORO
Package Four - will add biological nutrient removal capacity to the plant to meet nutrient removal
requirements of the Jordan Lake Rules at the increased capacity of the plant. The improvements
for Package Four include construction of six new aeration basins, modifications to the existing
aeration basins including new baffle walls, post -anoxic zone mixing, nitrified recycle and
associated electrical improvements. Substantial Completion anticipated December 31, 2020,
Modification Request Letter dated August 27, 2020 to Mike Montebello for Final completion
date of April 30, 2021 (ATC No. 047384AO7)
JC
Attachment-FTSE for The Retreat at 68 North
cc: Mrs. Virginia Spillman, P.E., Engineering Manager
Mr. Shane Messer, Construction Coordinator
PO BOX 3136 • GREENSBORO NC 27402-3136 • WWW.GREENSBORO-NC.GOV • 336-373-CITY (2489)

QWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
EEast Wind Development Company,
Entity Requesting Allocation:
T T -I
Project Name for which flow is being requested: The Retreat at 68 North
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.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: T.Z. Osborne Water Reclamation Facility
b. WWTP Facility Permit #: NCO047384
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
40.0
1.47
34.27
0.071202
35.82
89.55
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)
(D)=(B+C)
(E)=(A-D)
Design
Obligated,
Pump
Pump
Average
Approx.
Not Yet
Total Current
Station
Station
Firm
Daily Flow**
Current
Tributary
Flow Plus
(Name or
Permit
Capacity, *
(Firm / pf),
Avg. Daily
Daily Flow,
Obligated
Available
Number)
No.
MGD
MGD
Flow, MGD
MGD
Flow
Capacity***
Galimore
5.45
2.18
0.799
0.0
0.799
1.381
Guilford 1.008 0.4032 0.032 0.0 0.032 0.3712
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not 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):
Downstream Permit Number:
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Jana Stewart certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and II plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has 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

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section II 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
89.55 % and 35.82 MGD of the Available Capacity (E) in Pump Station
T.Z. Osborne WRF ; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
0.01 MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
T.Z. Osborne Expansion is in design or under construction with
planned completion in April 2021 ; and/or
d. The following applies:
Please see attached memo with project information related to the T.Z. Osborne Expansion.
The project completion date is April 30, 2021. The upgrade of the plant will increase
capacity from the permitted 40 MGD to 56 MGD.
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow
this flow to be permitted, without a significant likelihood of over -allocating capacity in the system
infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste disposal
system.
Signing Official Signature
Date
Page 3 of 6
FTSE 10-18

Instructions for Flow Tracking form (FTSE) and Planning Assessment Addendum (PAA)
Section I
a. WWTP Facility Name: Enter the name of the WWTP that will receive the wastewater flow.
b. WWTP Facility Permit #: Enter the NPDES or Non -Discharge number for the WWTP receiving the
wastewater flow.
c. WWTP facility's permitted flow, MGD: From WWTP owner's NPDES or Non -Discharge permit.
d. Estimated obligated flow not vet tributary to the WWTP, MGD: This includes flows allocated to other
construction projects not yet contributing flow to the collection system. Flows allocated through interlocal
agreements or other contracts not yet contributing flow to the collection system are also included. For POTWs
that implement a pretreatment program, include flows allocated to industrial users who may not be using all of
their flow allocation. Please contact your Pretreatment Coordinator for information on industrial flow tributary
to your WWTP.
As of January 15, 2008 the POTW should have reviewed flow allocations made over the last two years and
reconciled their flow records, to the best of their ability, so it is known how much flow has been obligated and
is not yet been made tributary to the WWTP, in accordance with local policies and procedures employed by the
reporting entity.
e. WWTP facility's actual avg. flow, MGD: Previous 12 month average.
£ Total flow for this specific request, MGD: Enter the requested flow volume.
g. Total actual and obligated flows to the facility, MGD Equals [d + e + f]
h. Percent of permitted flow used: Equals [(g / c) * 100]
For example:
On January 15 a POTW with a permitted flow of 6.0 MGD, reported to the Regional Office that there is 0.5
MGD of flow that is obligated but not yet tributary. The annual average flow for 2007 is 2.7 MGD. There is a
proposed flow expansion of 0.015 MGD.
The first Form FTSE submitted after January 15, 2008 may have numbers like this:
c. = 6.0 MGD
d. = 0.5 MGD
e. = 2.7 MGD
£ = 0.015 MGD
g. = 3.215 MGD
h. = 53.6 %
The next Form FTSE may be updated like this with a proposed flow expansion of 0.102 MGD:
c. = 6.0 MGD
d. = 0.515 MGD
e. = 2.73 MGD
£ = 0.102 MGD
g. = 3.349 MGD
h. = 55.8 %
Each subsequent FTSE form will be updated in the same manner.
Page 4 of 6
FTSE 10-18

Section II
List the pump station name or number and approximate pump station firm capacity, approximate design average
daily flow (A) approximate current average daily flow (B), and the obligated, not yet tributary flow through the
pump station (C) for each pump station that will be impacted by the proposed sewer extension project. Calculate
the total current flow plus obligated flow (D=B+C) and the available capacity (E=A-D). Include the proposed flow
for this project with other obligated flows that have been approved for the pump station but are not yet tributary
(C).
Firm capacity is the maximum pumped flow that can be achieved with the largest pump out of service as per the
Minimum Design Criteria.
Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor (pf) of not less than
2.5.
If the available capacity (E) for any pump station is < 0, then prepare a planning assessment for that pump station
if the system has future specific plans related to capacity that should be considered in the permitting process.
(A)
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Obligated,
Design
Approx.
Not Yet
Total Current
Firm
Average
Current Avg.
Tributary
Flow Plus
Pump Station
Capacity
Daily Flow
Daily Flow,
Daily Flow,
Obligated
Available
(Name or Number)
MGD
(Firm / pf)
MGD
MGD
Flow
Capacity*
Kaw Creek PS
0.800
0.320
0.252
0.080
0.332
-0.012
Valley Road PS
1.895
0.758
0.472
0.135
0.607
0.151
Page 5 of 6
FTSE 10-18

Planning Assessment Addendum Instructions
Submit a planning assessment addendum for each pump station listed in Section II where available capacity is < 0.
A planning assessment for Kaw Creek PS (see example data above) may be performed to evaluate whether there is
significant likelihood that needed improvements or reductions in obligated flows will be in place prior to activating
the flows from the proposed sewer extension project.
If the system decides to accept the flow based on a planning assessment addendum, it is responsible to manage the
flow without capacity related sanitary overflows and must take all steps necessary to complete the project or control
the rate of flow to prevent sanitary sewer overflows.
The planning assessment may identify a funded project currently in design or construction, or a planned project in
the future not yet funded but in a formal plan adopted by the system. The system should carefully weigh the
certainty of successful timely project completion for any expansion, flow management diversion or infiltration and
inflow elimination projects that are the foundation of a planned solution to capacity tracking and acceptance
compliance.
For example:
Given that:
a. The proportion and amount of obligated, not yet tributary flow accounts for 24 % and 0.080 MGD of the
committed flow in Pump Station Kaw Creek; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately 0.01 MGD
per year; and that
c. A funded capital project that will provide the required planned capacity, namely
is in design or under construction with planned
completion in ; and/or
d. The following applies:
The master plan and ten ,year capital plan contain recommended scope and funding for a capital project entitled
Kaw Creek 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 Tracking/Acceptance for Sewer Extension Permit Application elevates this project's priori , for
funding and construction to be implemented ahead of the activation of obligated, not yet tributary flows in amounts
that exceed the firm Dumb station capacities identified in Section 11 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 10-18