WQ0041852_Application (FTSE)_20200724

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T.0300 �- FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
p �
Application Number: t� VO 0 (to he completed by DWR►
IL
All items must be completed or the apolication will be returned
I. APPLICANT INFORMATION: � M Q. n 'F / — 7,,
L Applicant's name: Town of Fuguav Varina NC (company, municipality, HOA, utility, etc.) #tiyh _-t a ,
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ StatorCounty ® Municipal ❑ Other
3. Signature authority's name: Jay T. Meyers, PE per 15A NCAC 02T .0106(b) �� �% I r CK/
Title: Public Utilities Director v� ✓�I
4. Applicant's mailing address: 134 N. Main Street
City: Fuguay Varina State: NC Zip: 27526-�
5. Applicant's contact information:
Phone number: (9I9) 753-1028 Email Address: imeyers@.fuguay-varina.org
c tom,
11. PROJECT INFORMATION: d 4
I. Project name: Highridge Subdivision N o
2. Application. Project status: ® Proposed (New Permit) ❑ Existing Permit/Project o
If a modification, provide the existing permit number: WQ00 and issued date: .W _J y1
If new construction but part of a master plan, provide the existing permit number: WQ00_ .4 ''
3. County where project is located: Wake
A
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.5547' Longitude:-78.7775 U
5. Parcel 1D (if applicable): 0665-56-8827
Z
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Mike Zaccardo PELicense Number: 022321
Firm: Timmons Grout)
Mailing address: 5410 Trinity Road Suite 102
City: Raleigh State: NC Zip: 27607-
Phone number: [phone] Email Address: mike.zaccardo(@,timmons.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. FaciIity Name: North Harnett Regional WWTP Permit Number: NCO021636
Owner Name: Harnett County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
Permit Number(s): WQ0039437 Downstream (Receiving) Sewer Size: 10 inch
System Wide Collection System Permit Numbers (if a licable : WQCS00193
Owner Name(s): Town of Fuguay Varina
FORM: FTA 04-16 Paue 1 of 5

VI. GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ®N?A
2. If the Applicant is a Developer of lots to be sold, has a Developer's O erutional Agreement FORM: DEV been attached?
❑ Yes [:]No ®N1A
3. If the Applicant is a Home.'Pro a Owners' Association, has an Operational Aereement (FORM: I-IOA) been attached?
❑ Yes ❑No OWA
4. Origin of wastewater: (check all that apply):
® Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation?service ❑ Motel and/or Motels
❑ School ;' preschool ? day care ❑ Medical I dental 1 veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses 1 offices / factories ❑ Nursing Home
❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % DomesticlCommercial % Commercial
% Industrial See 15A NCAC 02T .0103 20
4 Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114 ? ❑ Yes ❑ No
If yes, provide a copX of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(�f )))
Residential - 3 Bedroom
Daily Design Flow A b +No. of Units Flow
225 gaVday
78
17,550 GPD
gall
GPD
gall
GPD
gal/
GPD
gall
GPD
gall
GPD
Total
17,550 GPD
a See 15A NCAC 02T .01 14 b d e I and e 2 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. 42A4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table I SA NCAC 02T.0114 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 17,550 GPD (per 15A NCAC 02T .0114
1W 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: FTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T e0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
2,717
C900
8
3674
PVC
8
746
DIP
P, Section II & 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 lines to meet minimum slope requirement is not allowed and a violation of the MDC
VII1. PUMP STATION DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Pump Stations/Force Mains:
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: . Longitude: -_
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of 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 15A NCAC 02T .0305(h)(1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)($):
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 - I5A 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 Pase 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 8-,15A NCAC 02T .0305(1)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (g)
® Yes ❑ No
:- 15A NCAC 027.0305(e) contains alternatives where separations in 02T^ 0305(f) cannot be achieved.
*'Stream classifications can be identified using the Division's NC Surface Water Classifications web a ge
If noncompliance with 02T.0305(f) or i_, see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes []No [:IN. -'A
J_ 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 02B .0200? ® Yes ❑ No ❑ N A
:- This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project require coverage authorization under a 404 Nationwide or ® Yes ❑ No
individual permits or 401 Water Quality Certifications?
;w Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional perm its:'certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0I05 c 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 streambanks 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 least once every six -months and inspections
documented per 1SA NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Pace 4 of 5

X. CERTIFICATIONS:
I. Does the submitted system comply with 15A NCAC 02T, the Minimum Desi >n Criteria for the Permitting of Pum2 Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If No, complete and submit the Variance'A Item ative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is re uired prior to submittal of the Fast Track Application and supporting documents.
Professional Engineers Certification:
V+ _
(PJofessiona J En�ineer:p name from Application Item I IL 1.)
attest that this application for
has been reviewed by me and is accurate, complete and consistent with the mtormation supplied Ole se plans, specifications,
engineering 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 (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 a In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to S25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per I5A NCAC 02T .0106(b):
j—;�. 3 1 I G LJ`fd�;e_s-D r.i • attest that this application for
)rity'g name & title from Application Item 1.3.)
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 143-215.6A 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 S10,000 as well as civil penalties up to S25,000 per violation.
Signature
Date: Z_0.1111V ?Q?o
FORM: FTA 04-16 Ph«e 5 of,;

�o� W A rFR
State of North Carolina
�O Q� Department of Environment and Natural Resources
00
> Division of Water Quality
0 Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE 06-13)
Project Applicant Name: Town ofFu ua-Varina
Project Name for which flow is being requested: Hi ridge Subdivision
More than one FTSE may be required for a single project if the owner of the WIVTP is not responsible far 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: North Harnett Re ional WWTP
b. WWTP Facility Permit #: NCO021636
c. WWTP facility's permitted flow All Hoops are in MGD
2.60
d. Estimated obligated flow not yet tributary to the WWTP 0.625
e. WWTP facility's actual avg. flow 1.204
f. Total flow for this specific request 0.018
g. TotaI actual and obligated flows to the facility 1.847
h. Percent of permitted flow used 71 0%
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 Average Daily Approx. Not Yet Total Current
Furn
Station Flow Current Avg. Tributary Flow Plus
(Name or Capacity,* (Firm f po, Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD
MGD MGD Flow Capacity***
IIidden
0.720 0.288 0.011 0.099 0.110 0.178
* 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.
Pagel of 6
FTSE 06-13

Certification Statement:
Jay T. Meyers, PE, Public Utilities certify to the best of my knowledge that the addition of
Director
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 indicates acceptance of this wastewater flow.
_ goo-
ignin Officirgnatiure , Date
Page 2 of G
FTSE OG-13

State of North Carolina
Department of En% ironmental Qualit}
Dig isiou of Water Resources
Flow Track inl;lAcceptance for Seiver Extension Applications
(FTSF 04-1 h)
EIltlty RCl uc,;ting Allocation: 1 e wll elf Flu 11t11' Va1-ina
Project Name fior which 110W 1S bUbW IL'elileSiccl: Hiul1rlduc Subdivis1e111
11u,,' 11rNr. urr,' !'T3'li'rrru hr n yrrir�'J lu, a +iu I, p+,,j, rr ifilic own, r-r,l rin It tl Tf' i� uu! r,'.y,r+n,il�li 1:n ullltturrl,
,rrurn+rti rrlunr 11rc' 1'f,rrlr nJ dw 1)i'r pa%t'cl it rr,lcrl wo..11ou•,
I. C11mpicte this `ection only it �e►lI ,i['e the mviie1' clt'tlie wastc%%tiler ti-eatment plant.
a. WWTP Facilily Name: Nnl•tli Harriett. Rc-,ioii i] NVW'I'P
b. " W F P Facility Permit : N{ O02 1636
:411 f ows- are in MGD
C. WWII' facility's perrllittecl Il,iw 7.5 IIGD
Fuquav-Varina Allocated How , 60 A1GD
L11lim1ton Allocated Flow L20 MGD
Am,ier Allocated HoNN LOOS N-IM
cl. Estimated obligated floc not vet It-ibtnary to the: WWTP 1.397 I1GD
FV Obligated Flow NYT
0.625 \,IGD
I.illington Obligated HoIw NY I'
0.113 ,NIGD
HC Obligated Flo%k NYT
0 339 ,MGD
Angier ObHLated Flow NYT
0.320 NrlCiD
e. "" 11' fidllt�,'"ti ICRial avg. flow
4.682 IIGD
FXI Actual Floe'
1.210 MGD
I illlngton ACILIa1 I-ILM
t}.714 NIGD
HC Actual Flow
1161i ,NIGD
Angier Actual Flow
0.583 MGD
I. 1 otal llo« l-or this specific rcclucst
0.018 IIGD
L. Total actual and obligaled Ilows to the lacllily
6.097 MGD
FV Actual A\'L. -t Obligated Flow
1.859 IIGD
Ltllinoton Actual Avu,. 1 OhIlLied Flow
0.527 MGD
HC Actual AN—. Ohligatccl FILVIV
1508 MGD
Angier Actual + Obligated Flow
0,903 NIGD
h. Percent elf per11111ted flow used
f3F,29°�
11. Complete this section fin- each pump Station }ou are responsible Ii61. along the route oftlli,
proposed wastcwater flow.
List p11111p sldtiolv1 located betweell the prl)jCCI L'e11111CCO011 point and the \111'-1 P:
Page I .oi 4

(A)
D��:eft
Pump
%wragr D.iil+
Stamm
Firm
Flnrr•*
Gantt tir
C-apa, il%- '
(Firm
Nuntbet-)
NIGD
MOD
c0\ t M. I
1'01"k,"
FOR
flit
(C)
(t))=(B+C)
(E)=(A-I))
f_11)1i2.kIed.
Apprm.
Mir i ei
Total Current
( urTellt Al g.
Tributary
I:Imr Mus
Dalk I tort.
Daik Flow.
Obligated
Available
NIC,D
MC,D
Flom
C'apacit��**
l-IPSTRCA\-I
SLS
CAPACITY
INFO
SLS 120 14.4 5.76 3.021 1.3(}2 4.323 1.437
*The Firm Capacity of any pump station is defined as the maximum pumped MOH that
can be achieved pith the lar-gest pump taken out of ser%ice.
* Desil;n A%erag;e Daily Flm% is the firm capacitN of the pump station divided by a peaking!
factor (pf) not less than 2.5.
*'* A Planning Assessment addendum shall be attached 1'm- each pump station located
betHeen the project connection point and the NNAN--I P where the Available Capacit-is < 0.
Downstream Facility Name (Sewer ): North Harnett Regional \V\VTP
Dwwnstream Permit Number: NC0021636 "
III. Certification Statement:
I Steve Ward _ certli'v to the best of my knowledge that the addition of
the volun)C of waste«vater to be permitted in this project has been et aluated along the roule to the
receiving %k astewatel• lrealment t;tcihty and that the flow Crum this project Is not anticipated to
cause any capacity related sanitai-v jewel' overflows or overburden any d(m nslream pump station
en rook to the recemnb treatment plant ul)der norlllal circumstances. gm en the implementation of
the planned impi-mcl]]ct)ts identified In the planning assessim t where applicable. This analysis
has been pearl imied in accordance: %tits, I,sc01 established policies and proccilures using the hest
available data- This certification applieS to these itCnlS listed abOVC In SCCt1O S I and II I)ILIS al]
Attached planning assessment adde,ulumS f0l. whidl I all] the re.SpunSlble pails. Signature o) this
fora] indicate; acceptance ofthis, Nvatewatcr low.
Stgni , ( t ic•ial Signeltmv — Date — —
Page 2 ot'4
I ICI W.-I;

State of North Carolina
Department of Environment7
and Natural Resources 1 •
•
Division of Water Quality _ f
Michael F. Easley, Governor
William G. Ross Jr., Secretary NCDENR
Gregory J. Thorpe, Ph.D., Acting Director NORTH CAROL-INA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
November 7, 2001
Mr. Michael A. Allway, Assistant Town Manager
Town of Fuquay-Varina
401 Old Honeycutt Road
Fuquay-Varina, North Carolina 27526
Dear Mr. Allway:
'RECEIVIM
UM of l VttW
Subject: Town of Fuquay-Varina
Flow Reduction Approval
Wake County
On September 10, 2001, the Division of Water Quality Non Discharge Permitting Unit received your
flow reduction request for future and present, but not yet tributary, single-family dwellings in the Town of
Fuquay-Varina. The letter requests approval of a residential flow value of 220 GPD/residence for these
dwellings.
The information provided water use information for 2000 and actual daily waste water flow recordings
for their peak month of May. Other supporting data was provided. The evaluation covered 90 homes that are
representative of the subdivisions in Fuquay-Varina in accordance with 15A NCAC 2H .0219(1)(3).
Based on the information submitted, the Division hereby approves the use of 75 GPD per bedroom
per dwelling for residential units (225 GPD per three bedroom home) in all applicable non -discharge permit
applications for future sewer line extensions and present, but not yet tributary projects for the Town of Fuquay-
Varina. The Division did note that the average flow per residence in February 2000 was 271 GPD. Regardless
of the adjusted desio daily wastewater flow rate at no time shall the wastewater flows exceed the effluent
limits defined in the Town's NPDES permit for the treatment facilit or exceed thity of the sewers
downstream of ani new sewer extension.
Please submit a separate letter to the Raleigh Regional Offce that requests flow reductions for
specific previously permitted projects (indicate permit number, project name, permitted flow, new flow
under reduction and the difference between them). If you have any questions or comments regarding this
matter, please contact Marie Doklovic at [phone] ext. 371.
Since ,
L�
Gregory J. Thorpe, Ph.D.
cc: Raleigh Regional Office
Flow Reduction File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax 9I9-715-6048
An Equal Opportunity Affirmative Action Employer 701:,� recycled110% post -consumer paper

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TIMMONS GROUP
YOUR VISION ACHIEVED THROUGH OURS
PROJECT ENGINEERS' REPORT
Project Name: Highridge Subdivision
Location: Fuquay-Varina, Wake County, NC
PIN: 0665-56-8827
Owner: Randy & Kathy Dickens
6520 Dornoch Place
Fuquay-Varina, NC 27526
Developer: First Capital Investments, LLC
201 Commonwealth Ct., Ste. 260
Cary, NC 27511
Consultant: Timmons Group
Mike Zaccardo, PE
5410 Trinity Road, Suite 102
Raleigh, NC 27607
Phone: [phone]
PROJECT DESCRIPTION AND NARRATIVE:
The proposed development is located at 8900 Purfoy Road, inside the Fuquay-Varina jurisdictional limits.
The scope of this project will include the construction of 78 single-family lots. The project is anticipated
to generate the following wastewater flows:
78 (3-BEDROOM) UNITS AT 225 GPD=17,550 GPD
TOTAL=17,550 GPD
The proposed gravity sanitary sewer system will be comprised of approximately 3,674 LF of PVC,
approximately 2,717 LF of C900 and approximately 746 LF of DIP.
The new gravity sanitary sewer system will be owned, operated, and maintained by the Town of Fuquay-
Varina, NC.

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T I M M O N S GROUP NCDeptofnvironmental Qaalit
YOUR VISION ACHIEVED THROUGH OURS. JUL 2 4 2020
TRANSMITT Raleigh Regional officeAL
TO: NCDEQ DWR - Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
❑ ENCLOSED PLEASE FIND:
❑ WE ARE SENDING UNDER SEPARATE COVER:
Date: 07/24/2020 Job #: 43316
Project: Highridpe Subdivision
Reference:
Copies Sent To:
COPIES
DATE
NUMBER
DESCRIPTION
1
1
Fast Track Sewer Application
1
2
Project Narrative
1
3
USGS ma
1
4
Vicinity Ma
1
5
Flow Acceptance Form/ Certification Statement
1
6
Check for $480
1
7
NCDENR Letter Dated Nov. 8 2001 — Flow Reduction
THESE ITEMS ARE TRANSMITTED:
if enclosures are not as noted, please notify us at once.
COMMENTS:
Feel free to contact me with any questions at 919-866-4944 or [e-mail].
Thank you,
Dexter Howell
Project Manager
SIGNED;
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State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 - FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION
This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of 15A NCAC 02T and the Division's
Minimum Design Criteria and that plans, specifications and supporting documents have been prepared in accordance with, 15A
NCAC 02T, 15A NCAC 02T .0300, Division policies and mod engineering practices.
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design
documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design
calculations, and project specifications referenced in I5A NCAC 02T .0305 and the applicable minimum design criteria. These
documents shall be available upon request by the Division.
Projects that are deemed permitted (do not require a permit from the Division) are explained in 15A NCAC 02T.0303
Projects not eligible for review via the fast track process (must be submitted for full technical review):
Projects that require an environmental assessment in accordance with 15A NCAC IC .0100;
Projects that do not meet any part of the minimum design criteria (MDC) document;
Projects that involve a variance from the requirements of 15A NCAC 2T;
Pressure sewer systems utilizing septic tank -effluent pumps (STEPS) or simplex grinder pumps;
STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains);
Vacuum sewer systems.
General -. When submitting an 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. Failure to submit all required items will necessitate additional
processing and review time, and may result in return of the application. Unless otherwise noted, the Applicant shall submit
one original and one copy of the application and supporting documentation.
A. One Original and One Copy of Application and Supporting Documents
❑ Required unless otherwise noted
B. Cover Letter (Required for All Application Packages):
❑ List all items included in the application package, as well as a brief description of the requested permitting action.
Be specific as to the system type, number of homes served, flow allocation required, etc.
If necessary for clarity, include attachments to the application form.
C. Application Fee (All New and Major Modification Application Packages):
❑ Submit a check or money order in the amount of S480.00 dated within 90 days of application submittal.
Payable to North Carolina Department of Environmental Quality (NCDEQ)
D. Fast Track (Form: FTA 04-16) Application (Required for All Application Packages):
❑ Submit the completed and appropriately executed application.
r If necessary for clarity or due to space restrictions, attachments to the application may be made.
❑ If the Applicant Type in Item 1.2 is a corporation or company, provide documentation it is registered for business with
the North Carolina Secretary of State.
❑ If the Applicant Type in Item 1.2 is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of
Deeds in the county of business.
❑ The Project Name in Item 11.1 shall be consistent with the project name on the flow acceptance letters, agreements, etc.
❑ The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North
Carolina licensed Professional Engineer.
❑ The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 02T .0 106b .
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).
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page I of')

E. Flow Trucking/Acceptance Form (Form: FTSE 04-16) (If Applicable):
❑ Submit the completed and executed FTSE form from the owners of the downstream sewers and treatment facility.
Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different.
The flow acceptance indicated in form FTSE 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 indicates that owner has adequate capacity and will not violate G.S. 143-
15.67(a)
.- Intergovernmental agreements or other contracts will not be accepted in lieu of project -specific FTSE.
F. Site Maps (All Application Packages):
❑ Submit an 8.5-inch x 1 1-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project
area and closest surface waters.
Location of the project (gravity sewer, pump stations & force main)
Downstream connection points and permit number (if known) for the receiving sewer
❑ Include a street level map (aerial) showing general project area so that Division staff can easily locate it in the field.
G. Existing Permit (All Modification Packages):
❑ Submit the most recently issued existing permit.
❑ Provide a list of any items within the permit the Applicant would like the Division to address during the permit
modification (i.e., permit description, flow allocation, treatment facility, etc.).
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per 15A NCAC 02T .0305(h)(1), submit documentation of power reliability for pumping stations.
This alternative is only available for average daily flows less than I5,000 gallons per day
It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible
with the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or proposed
contractor, stating that • the portable power generation unit or portable, independently -powered pumping units, associated
appurtenances and personnel are available for distribution and operation of this pump 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. (Required at time of certification)
I. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .01 15a I provide 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 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.
J. Operational Agreements (Applications from HOAIPOA and Developers for lots to be sold):
❑ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .01 15(c), submit the properly executed Operational Agreement FORM: HOA .
❑ Per 15A NCAC 02T .0I 15(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 (FORM: DEV).
For more information, visit the Division's collection systems website
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 2 of 3

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
Asheville Regional Office
Water Quality Section
Fayetteville Regional Office
Water Quality Section
Mooresville Regional Office
Water Quality Section
Raleigh Regional Office
Water Quality Section
Washington Regional Office
Water Quality Section
Wilmington Regional Office
Water Quality Section
Winston-Salem Regional Office
Water Quality Section
ADDRESS
2090 US Highway 70
Swannanoa, North Carolina
[phone]
[phone] Fax
225 Green Street Suite 714
Fayetteville, North Carolina
[phone]
[phone] Fax
COUNTIES SERVED
Avery, Buncombe, Burke, Caldwell, Cherokee,
28778 Clay, Graham, Haywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania, Yancey
Anson, Bladen, Cumberland, Harnett, Hoke,
28301 5094 Montgomery, Moore, Robeson, Richmond,
Sampson, Scotland
610 E. Center Avenue
Mooresville, North Carolina 28115
[phone]
[phone] Fax
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
(919) 7914200
[phone] Fax
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
450 W Hanes Mill Road
Suite 300
Winston-Salem North Carolina 27105
[phone]
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
Stanly, Union
Chatham, Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
Northampton, Orange, Person, Vance, Wake,
Warren, Wilson
Beaufort, Bertie, Camden, Chowan, Craven
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Brunswick, Carteret, Columbus, Duplin, New
Hanover, Onslow, Pender
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 3 of

Robinson, Jason
From:
Robinson, Jason
Sent:
Friday, August 28, 2020 2:32 PM
To:
PE; [e-mail]
Cc:
Allen, Trent; Cashion, Ted
Subject:
Highridge Subdivision
Jay & Mike:
We are reviewing the sewer extension application for the referenced project.
I. This project will be going to the North Harnett Regional WWTP. Therefore, we need a Flow Acceptance Form
(FTSE) that is signed by a representative of the North Harnett Regional WWTiP.
All downstream pump stations should be shown on the FTSE. IF there are some pump stations that are owned
by F-V, and some that are owned by Harnett, then two separate FTSE forms should be submitted.
Also, the USE that was submitted shows that the "Project Name for which flow is being requested" is the
"Highridge Pump Station" (at the top of the sheet). However, this application is for the "Highridge Subdivision"
and there is no pump station included in the application. Please explain.
-Jason -7
------------
Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
NC Division of Water Resources, DEQ
919-791-4200
**Subscribe to Collection System & Sewer Permitting Updates"
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted operations to protect the health and safety of the staff and public. Many employees are working remotely or
are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are limiting public access to
appointments only. Please check with the appropriate staff before visiting our offices, as we may be able to handle your
requests by phone or email. We appreciate your patience as we continue to serve the public during this challenging
time.

�QF WATF�Q State of North Carolina
co O Department of Environment and Natural Resources
f Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE 06-13)
Project Applicant Name: Town ofFu ua-Varina
Project Name for which flow is being requested: Hi hrid a Subdivision
Afore 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 rottte of the proposed wasteivater flow_
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: North Harnett Regional WWTP
b. WWTP Facility Permit #: NCO021636
All flows are in MGD
c. WWTP facility's permitted flow 2.60
d. Estimated obligated flow not yet tributary to the WWTP 0.625
e. WWTP facility's actual avg. flow 1.204
f. Total flow for this specific request 0.018
g. TotaI actual and obligated flows to the facility 1.847
h. Percent of permitted flow used 71.0%
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
Average Daily
Station
Firm
Flow**
(Name or
Capacity,*
(Firm { pf),
Number)
MGD
MGD
Hidden
0.720
0.288
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Obligated,
Approx.
Not Yet
Total Current
Current Avg.
Tributary
Flow Plus
Daily Eow,
Daily Flow,
Obligated
Available
MGD
MGD
Flow
Capacity***
0.011
0.099
0.110
0.178
* 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 (pi) 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

Certification Statement:
I Jay T. tileyers, PE, Public Utilities certify to the best of my knowledge that the addition of
Director
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 It
plus all attached planning assessment addendums for which I am the responsible party.
Signature of this form indicates acceptance of this wastmN-ater flow.
000/0
igftin Offrcial , gnature Date
Page 2 of 6

Robinson, Jason
From:
Jay T. Meyers, PE <[e-mail]>
Sent:
Wednesday, September 9, 2020 3:47 PM
To:
Robinson, Jason; [e-mail]
Cc:
Allen, Trent; Cashion, Ted; Shane Cummings
Subject:
[External] Re: Re: Highridge Subdivision
Attachments:
20200909155526735.pdf
Fiternal--pmalL Do not citclinkssor open attachments, gnlessyou verify.'SiD d all -suspicious email'as an att;a4hriientto
pft. mEpnc'gov
Please find the revised FTSE for Fuquay-Varina attached. I am copying Shane Cummings with Harnett County
on this email for his own FTSE form preparation.
Jay T. Meyers, PE I Public Utilities Director
Town of Fuquay-Varina
1415 Holland Road / Mailing Address: 134 N. Main St
Fuquay-Varina, NC 27526
0mey-ersfnDfuQuav-varina.org
919-567-3911
www.fu ua-varina.or
From: Robinson, Jason <[e-mail]>
Sent: Wednesday, September 9, 2020 2:42 PM
To: Jay T. Meyers, PE <[e-mail]>; [e-mail] <[e-mail]>
Cc: Allen, Trent <[e-mail]>; Cashion, Ted <[e-mail]>
Subject: RE: Re: Highridge Subdivision
CAUTION: This email originated from outside of the organization. Do not click links or open attachments
unless you recognize the sender and know the content is safe.
Thanks Jay,
Once we get an updated FTSE sheet, we can continue review/issuance of the permit.
(The project name needs to be changed, and signed by a representative of Harnett County).
------------
Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations

NC Division of Water Resources, DEQ
919-791-4200
"Subscribe to Collection 5 stem & Sewer Permitting U dates"
E-mar! corresprndence to and from this address may be subject to the North Carol;no Public Records Low and may be disclosed to
third parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted operations to protect the health and safety of the staff and public. Many employees are working remotely or
are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are limiting public access to
appointments only. Please check with the appropriate staff before visiting our offices, as we may be able to handle your
requests by phone or email. We appreciate your patience as we continue to serve the public during this challenging
time.
From: Jay T. Meyers, PE [mailto:[e-mail]]
Sent: Wednesday, September 9, 2020 2:23 PM
To: Robinson, Jason <[e-mail]>; [e-mail]
Cc: Allen, Trent <[e-mail]>; Cashion, Ted <[e-mail]>
Subject: [External] Re: Highridge Subdivision
r o External email. Do not'dick ]Inks or open attachments unless you verify. Send all suspiciiiiis email as a a tachrnentaa
:tenor t.�pam rc�nc.F+r-..
1. This project will be going to the North Harnett Regional WWTP. Therefore, we need a Flow Acceptance Form
(FTSE) that is signed by a representative of the North Harnett Regional WWTP. (Jim, Can you all contact Shane
at Harnett County)
All downstream pump stations should be shown on the FTSE. IF there are some pump stations that are owned
by F-V, and some that are owned by Harnett, then two separate FTSE forms should be submitted. (the only
down stream pump station is the hidden valley pump station.)
2. Also, the FTSE that was submitted shows that the "Project Name for which flow is being requested" is the
"Highridge Pump Station" (at the top of the sheet). However, this application is for the "Highridge Subdivision"
and there is no pump station included in the application. Please explain. (that is my fault - should just be
highridge subdivision)
Jay T. Meyers, PIE I Public Utilities Director
Town of Fuquay-Varina
1415 Holland Road 1 Mailing Address: 134 N. Main St
Fuquay-Varina, NC 27526
'me ers fu ua-varina.or
919-567-3911
www.fuauay-varina.ora

From: Robinson, Jason <[e-mail]>
Sent: Wednesday, September 9, 20201:40 PM
To: Jay T. Meyers, PE <'mi [e-mail]>; [e-mail] <[e-mail]>
Cc: Allen, Trent <trent.allen ncdenr. ov>; Cashion, Ted <[e-mail]>
Subject: RE: Highridge Subdivision
CAUTION: This email originated from outside of the organization. Do not click links or open attachments
unless you recognize the sender and know the content is safe.
Jay & Mike,
I wanted to confirm that you received my email seeking additional information that was sent on August 28`ry (below).
-Jason
------------
Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
NC Division of Water Resources, DEQ
919-791-4200
"Subscribe to Collection System & Sewer Permitting Updates"*
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
rhird parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted operations to protect the health and safety of the staff and public. Many employees are working remotely or
are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are limiting public access to
appointments only. Please check with the appropriate staff before visiting our offices, as we may be able to handle your
requests by phone or email. We appreciate your patience as we continue to serve the public during this challenging
time.
From: Robinson, Jason
Sent: Friday, August 28, 2020 2:32 PM
To: PE <[e-mail]>; mike.zaccardoCcDtimmons.com
Cc: Allen, Trent <[e-mail]>; Cashion, Ted <[e-mail]>
Subject: Highridge Subdivision
Jay & Mike:
We are reviewing the sewer extension application for the referenced project.
I. This project will be going to the North Harnett Regional WWTP. Therefore, we need a Flow Acceptance Form
(FTSE) that is signed by a representative of the North Harnett Regional WWTP.
All downstream pump stations should be shown on the FTSE. IF there are some pump stations that are owned
by F-V, and some that are owned by Harnett, then two separate FTSE forms should be submitted.
2. Also, the FTSE that was submitted shows that the "Project Name for which flow is being requested" is the
"Highridge Pump Station" (at the top of the sheet). However, this application is for the "Highridge Subdivision",
and there is no pump station included in the application. Please explain.

-Jason
------------
Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
NC Division of Water Resources, DEQ
919-791-4200
"Subscribe to Collection System & Sewer Permittin U dates—
E moil correspondence to and from this address may be sub,ect to the Aortic Carolina Public Records Low and may be disclosed to
third parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted operations to protect the health and safety of the staff and public. Many employees are working remotely or
are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are limiting public access to
appointments only. Please check with the appropriate staff before visiting our offices, as we may be able to handle your
requests by phone or email. We appreciate your patience as we continue to serve the public during this challenging
time.