WQ0033360_Application (FTSE)_20200921

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: ] 00 jc6 be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Avden (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ® Municipal
3. Signature authority's name: Steven L. Harrell per 15A NCAC 02T .0106(b)
Title: Town Manager
4. Applicant's mailing address: PO Box 219, 4144 West Avenue
City: Avden State: NC Zip: 28513-
5. Applicant's contact information:
Phone number: [phone] Email Address: sharrellp_gyden.com
II. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
1. Project name: Country Club Creek Subdivision
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: WQ0033360 and issued date: August 22, 2008
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Pitt
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.4582' Longitude:-77.3934'
5. Parcel ID (if applicable): 77031
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: J. Dwight Vernelson License Number: 13055
Firm: Rivers & Associates, Inc.
Mailing address: 107 E. Second Street
City: Greenville State: NC Zip: 27858-
Phone number: [phone] Email Address: dvemelsonng,riversandassociates.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Contentnea Collection S, sy tem Permit Number: NC 0032077
Owner Name: Contentnea Metropolitan Sewage District
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00080
Owner Name(s): Contentnea Metropolitan Sewerage District
FORM: FTA 04-16 Pagel of 5

VI. GENERAL REQUIREMENTS
1. 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 Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a Home/Properiy Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
® 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 0 % Commercial
0 % Industrial (See 15A NCAC 02T .0103(20))
Its there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ❑ No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow','
No. of Units
Flow
3 bedroom home
360 gal/day
127
45,720 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
45,720 GPD
a See 15A NCAC 02T .0114(b), (d), (e)(1) 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. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 45,720 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: W00033360
❑ Rehabilitation or replacement of existing sewer with no new flow expected
® Other (Explain): Originally approval was for Phase 1: 46 lots (a 360gpd/lot = 16,560 gpd. This modification will be for
the entire subdivision 027 lots), in lieu of pernitting by phases 027 lots (a, 360gpd/lot = 45,720gnd).
FORM: FTA 04-16 Page 2 of 5

V l 1. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
5,832
PVC
8
135
DIP
Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
r 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
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. 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)(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 4 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T.0305(f) & (g) ® Yes ❑ No
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
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 lines vertical - reclaimed over sewer
18 inches
Reclaimed water lines 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-1 or WS-V), B, SA, ORW, HQW, or SB from normal
high water or tide elevation and wetlands see item IX.2
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305(Q) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpaae
➢ If noncompliance with 02T.0305(f) orfa see Section X of this application
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 02B .0200? ® Yes ❑ No ❑ N/A
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ® Yes [:]No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(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 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 5 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) as 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 request is required prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
1,
(Professional Engineer's name from Application Item III.1.)
attest that this application for
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 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 — 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 $25,000 per violation.
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3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, c2+ayc^ L 6 r ci (D W n MA 11 A 4 Q Y attest that this application for
(Signature Authority's name & title from Application Item I.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 $10,000 as well as civil penalties up to $25,000 per violation.
Signature: � Date: -wqo
FORM: FTA 04-16 Page 6 of 5

• C
Pl
hers ENGINEERS PLANNERS
,-4
& ASSOCIATES, INC.
September 2, 2020
Mr. Robert Tankard — Assistant Regional Supervisor
NCDEQ — Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Phone: [phone]
Email: [e-mail]
Subject: Country Club Creek Subd.
Permit No. WQ0033360 (dated August 22, 2008)
Ayden, NC
Dear Mr. Tankard:
SURVEYORS LANDSCAPE ARCHITECTS
Country Club Creek Subdivision in Ayden, NC was originally permitted for public
sanitary sewer on August 22, 2008. Since the economy was in the midst of economic downturn,
the original developers (Compass Partners, Inc.) decided to not construct the subdivision. The
original permit was for Phase 1 only (46 lots out of a 99 lot subdivision).
Since that time, the property has been purchased by Vicus Development, LLC (Garris-
Evans Lumber Company). The project was revised to increase the total number of lots from 99
lots to 127 residential, 3 bedroom lots.
Attached please find copy of the sewer permit modification, which increases the total
number of lots to 127. It should be noted that the street and sanitary sewer layout did not
change. Town of Ayden's new Unified Development Ordinance allowed a reduction in lot
frontage, thus the total number of lots was increased, by shifting lot lines and adding new lots.
We have also included a copy of the approved sewer permit.
On behalf of Vicus Development, LLC we would like to request approval of the sewer
permit modification for the entire subdivision: 127 lots. The submittal package is attached.
Please contact me with any questions or comments. Thanks for your help.
With best
J/Dwfght Vernelson, PE
Rivers & Associates, Inc.
P:LandDev/GarrisEvans-Vicus-CountryClubCreek-2018026/Admin/D-Pemitting/SanitarySewerICovrLtrTo NCDEQ_SewerMod
107 E. Second Street, Greenville, NC 27858 ■ PO Box 929, Greenville, NC 27835 ■ Phone: [phone] ■ Fax: [phone]
NCBELS Lic. No. F-0334 www.riversandassociates.com NCBOLA Lic. No. C-312

�l'ev r s
& ASSOCIATES, INC.
TO: NCDEQ- Water Quality Section
943 Washington Square Mall
Washington, NC 27889
Phone: [phone]
ENGINEERS PLANNERS
Date
September
ATTENTION:
SURVEYORS LANDSCAPE ARCHITECTS
LETTER OF TRANSMITTAL
Job No.
2020
SUBJECT:
Country Club Creek Subd.
Modification - Previously Approved Sewer Permit
Greenville, NC
GENTLEMEN:
WE ARE SENDING YOU [X] Attached [ ] Under separate cover via US Mail the following items:
[ ] Shop Drawings [ X ] Prints [ ] Plans[ ] Samples [ ] Specifications
[ ] Copy of letter [ ] Change order [ ] Other
_ COPIES DATE No. of Sheets DESCRIPTION
1 Executed Original - Modification -Fast Track Sewer
Permit (FTA 0416)
1 Rev. #3
8/27/2020
i
1
1
1
1
1
1
THESE ARE TRANSMI
W-3134-A
MCr=WD/NCDENRM"
SEP 3 7070
Water Quality,
mal O ratirjs Section
Construction Drawings - Country Club Creek Subd.
Cover Letter
2018026
Application Fee (Check # 107807 in the amount of $480.00)
Flow Tracking/Acceptance Form from Contentnea Metropolitan
Sewerage District & supporting documents
USGS Topographic Map of Site
Aerial depicting site
Previously approved sewer permit & supporting documents
Copy of all items listed above.
( X ] For approval
[ ] Approved
[ ] Resubmit —copies for approval
[ ] For your use
[ ] Approved as noted
( ] Submit copies for distribution
[ ] As requested
[ ] Disapproved
[ ] Returncorrected prints
[ ] For review and comment
[ ] Other
REMARKS:
Please review and contact me with any questions or if you need any additional information.
With best regards,
Rivers & Associates, Inc.
COPIES TO: :SIGNED:D ght Vernelson, PE
Ifenclosures are not as noted kindly notify us at once dverneIso n � rive rsandassociates. com
107 E. Second Street, Greenville, NC 27858 ■ PO Box 929, GrVille, NC 27835 Phone: [phone] ■ Fax: [phone]
NCBELS Lic. No. F-0334 www.riversandassociates.com NC60LA Lic. No. C-312

State of North Carolina
Department of Environmental Quality
DWR 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 good 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 inc plans, design
calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum design "Via. These
documents shall be available upon request by the Division. Gil,
Projects that are deemed permitted (do not require a permit from the Division) are explained in 15A NCAJC 02T.01`00. 19i6
Projects not eligible for review via the fast track process (must be submitted for full technical review):r,°'r�g
➢ Projects that require an environmental assessment in accordance with 15A NCAC 1 C .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; ai
➢ 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
[y" Required unless otherwise noted
B. Cover Letter (Required for All Application Packages):
i K 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):
Er' Submit a check or money order in the amount of $480.00 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):
le Submit the completed and appropriately executed application.
➢ 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 I.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.
0� The Project Name in Item I1.1 shall be consistent with the project name on the flow acceptance letters, agreements, etc.
E( 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 .0106(b).
Per 15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if a delegation letter is
provided from a person who meets the criteria in 15A NCAC 02T .0106(b).
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page] of 3

E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (If Applicable):
p� 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-
215.67 a .
➢ Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific FTSE.
F. Site Maps (All Application Packages):
Y Submit an 8.5-inch x I 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
p"'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):
p' Submit the most recently issued existing permit.
p� 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 15,000 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 .0115(a)(1) 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 HOA/POA and Developers for lots to be sold):
❑ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (FORM: HOA).
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (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
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Section
Fayetteville, North Carolina 28301-5094
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Alamance, Alleghany, Ashe, Caswell, Davidson,
Water Quality Section
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 3 of 3

ORIGINAL SEWER PERMIT
-AND-
SUPPORTING INFORMATION
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CEnturyl.ink Webmail
Country Club Creek Subd.
From : Dwight Vernelson
<[e-mail]>
Subject : Country Club Creek Subd.
To : [e-mail]
Hello Mr. Chuck:
[e-mail]
Wed, Jul 29, 2020 04:07 PM
Thanks for speaking with me earlier today. Attached please find copy of the letter we had
in our file regarding the sewer acceptance for this project (the letter references Country
Club Acres Subdivision, Section 3, but we have always referred to this project as Country
Club Creek).
As you can see, the letter references a total wastewater flow of 35,640 gpd (99 lots at 360
gpd per lot). However, in April, 2020, the Ayden Board of Commissioners approved a new
Preliminary Plan which increased the total number of lots to 127, for a revised total flow of
45,720 gpd (127 lots at 360 gpd per lot).
Not sure if this helps, but the subdivision was originally designed for the Venters family.
We are currently working for the Evans family (Garris - Evans Lumber Company) who
purchased the property in late 2018, or early 2019. Please let me know if you have any
questions or if we can help with anything.
Thank you much - jdv
J. Dwight Vernelson, PE
Rivers & Associates Inc
PO Box 929
Greenville NC 27835
P: 252-752-4135
F: 252-752-3974
littps://webmail.centuiylink.net/h/printmessage?id=51193 & 1 7/3 0/2020

Wastewater Flow Tracking
Flow Not Tributary to WWTP-Ayden January 2020
Ayden
# Lots Point of
Subdivision
#Lots Platted
#Lots w/Construction
Remaining Entry
Flow Not Tributary
Springdale Townes
60
0
60 Hwy 11
21,600
Springdale Apart.
96
24
72 Hwy 11
25,920
Bel -Mar PI. Ph 2
37
9
28 S Edge
10,080
Pineview Sub.
5
3
2
720
The Arbors
128
20
108 Hwy 11
38,880
Stanfield Sub.
30
0
30 Hwy 11
10,800
Country Club Acres
99 _ _
11
88 S Edge
31,680'
Ayden CC(pool/clubh)
53
10
43 S Edge
15,480
Pineview Sub. Sec 2
32
21
11 Hwy 11
3,960
Camdyn Place Sub
32
0
32 S Edge
11,520
Arbors (1 bedrm unit)
32
0
32 Hwy 11
7,680
Arbors (2 bedrm unit)
32
0
32 Hwy 11
7,680
Arbors (clubhouse)
Hwy 11
360
South Country Sub
Hwy 11
35,280
Allen Park Sub
43
0
43 S Edge
20,640
Montevallo(Sec1, Ph1)
18
0
18 S Edge
6,480
Leagacy Park
144
0
144 Hwy 11
34,560
Allen Park Sub. Sec 2
22
0
22 S Edge
7,920
Total Flow Obligated but
Not Tributary to WWTP
Ayden 291,240
Winterville 241,560
Total 532,800
291,240
*South Country Subdivision flow was approved by the CMSD on April 3, 2002. Currently there are six (6) duplexes on this site
*This document was revised May 23, 2017 to add South Country Subdivision
Date CMSD
Accepted
Yr/Month
2002-Apr
2004-Apr
2006-May
2011-Nov
2007-Mar
2007-May WQ 0C) 3 33
2006-Feb
2008-Jan
2009-Apr
2002-Apr
2018-Aug
2020-May
2020-July
2020-Aug

Town of Ayden
OFFICE OF THE PLANNING DIRECTOR
4061 EAST AVENUE
P.O. BOX 219
AYDEN, NORTH CAROLINA 28513
April 30, 2007
Chuck Smithwick, District Manager
CMSD
P.O. Box 477
Grifton, NC 28530
Dear Mr. Smithwick:
E-MAIL: CPADGETT AYDEN.COM
TELEPHONE: [phone]
FAX: [phone]
VISIT us: http://www.ayden.com
Honorable Mayor
Stephen W. Tripp
Board of Commissioners
Mary Alice Davenport
Gloria Dixon
Leonard Gibson
Louise Pritchard
Donald Sldnner
Town Manager
Adam G. Mitchell, MBA
Planning Director
Christopher N. Padgett, AICP
Re: Flow Acceptance Letter
Country Club Acres Subdivision, Section 3
The purpose of this letter is to request sanitary sewer flow acceptance for a residential subdivision
proposed to be constructed within the Town of Ayden. The development, known as Country Club Acres
Subdivision, Section 3, is proposed to be located on the west side of Ayden Golf Club Road, south and
west of Fairway Road. it consists of 99 single-family home lots, thus the total flow acceptance requested
is 35,640 gallons per day (360 gallons per house per day).
It should be noted that the town will not be able to provide Sanitary Sewer Service to this property until its
Infrastructure Improvement Project is completed. The town will open bids related to this project in May,
2007 and will then finalize a construction schedule for the project.
If any further information is needed for the purpose of securing sanitary sewer flow acceptance for this
project please contact me at your earliest convenience.
Sincerely,
Christopher N. Padgett, AICP
Planning Director
Cc: Adam Mitchell, Town Manager
Leo Venters, Property Owner
Ayden, North Carolina
N.C: Smai/ Town Main Street Community
FoRENC Creative Community
N. C. Public Po wer Community
"Tree City USA"Community

C`' n&jz&ma �'tez`iopo� irL �S'eroezaye ���tuc�
CHARLES M. SMITHWICK, JR.
DISTRICT MANAGER
CMSD
POST OFFICE BOX 477
GRIFTON, NORTH CAROLINA 28530
May 2, 2007
Christopher Padgett, Planning Director
Town of Ayden
P.O. Box 219
Ayden, NC 28513
RE: Country Club Acres Subdivision, Section 3
Dear Mr. Padgett,
By authority of this letter the CMSD hereby accepts the additional 35,640 GPD of wastewater flow to be
generated by this project. Please be advised that the Impact & Access fee of $500.00 per single-family
dwelling is due before any tap is made to the collection system.
Please contact me if you need additional information in this matter.
S' e ,
Stephen R. Berry
Pretreatment Coordinator

REVISED FLOW ACCEPTANCE LETTER
-AND-
SUPPORTING INFORMATION

POST OFFICE BOX 477
GRIFTON, NORTH CAROLINA 28530
CHARLES M. SMITHWICK, JR.
DISTRICT MANAGER
September 2, 2020
Stephen Smith, CFM
Planning Director
Town of Ayden
PO Box 219
Ayden, NC 28513
Re: Flow Acceptance/FTSE
Country Club Creek Subdivision
Pitt County Parcel # 77031
Dear Mr. Smith:
A�c�r�o
'N
,S cp N
rLes6, 0, Q �U
n9r0n� �s
I am in receipt of your request for the additional wastewater flow that will be generated by this project.
After reviewing our records and speaking with Mr. Dwight Vernelson of Rivers and Associates, it appears
that the CMSD accepted flow for this project in May 2007. The project was originally named "Country
Club Acres Subdivision, Section 3", had 99 single-family home lots and a requested flow of 35,640
gallons per day (99 lots x 360 gpd). NCDENR issued permit # WQ0033360 for this project. Our records
also indicate that 11(eleven) lots currently have construction on them. I have attached correspondence
which verifies this.
It appears that this project has been renamed to "Country Club Creek Subdivision" and the Town of
Ayden Board of Commissioners approved a revised Preliminary Plan in April 2020 of 127 lots forth is
project. With a net increase of 28 lots, the CMSD will accept the additional flow of 10, 080 gpd (28 lots x
360 gpd = 10,080 gpd).
Please be advised that the CMSD requires an Impact and Access Fee of $1,000 per single-family dwelling.
If additional information or assistance is needed in regards to this project, please advise.
Sinc ely,
�V/
Charles M. Smithwick, Jr.
District Manager, CMSD
Enclosure
Cc: J. Dwight Vernelson, PE (Rivers and Associates)

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of waiter Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Ayden
Project Name for which flow is being requested: Country Club Creek Subdivision
More than one FTSE ntay be required for a single project if the owner of the WWTP is not responsible for oil pump
stations along tite route of the proposed tvasteivater flow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Contentnea Metropolitan Sewerage District
b. WWTP Facility Permit #: NC0032077
Allflows are in IIGD
c. WWTP facility's permitted flow 3.5
d. Estimated obligated flow not yet tributary to the WWTP .533
e. WWTP facility's actual avg. flow 1.891
f. Total flow for this specific request .01
g. Total actual and obligated flows to the facility 2.43
h. Percent of permitted flow used 69.43%
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
Average Approx. Obligated, Total
Pump Pump Daily Current Not Yet Current Flow
Station Station Firm Flow* * Avg. Daily Tributary Plus
(Name or Permit Capacity, * (Firm / pf), Flow, Daily Flow, Obligated Available
Number) No. MGD MGD MGD MGD Flow Capacity***
S. Edge WQCS00080 2.4 .962 .462 .104 .566 .396
Hwy 11 WQCS00080 7.5 3 1.288 .533 1.821 1.179
* 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): Contentnea Metropolitan Sewerage Distr.
Downstream Permit Number: NC0032077
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Charles M. Smithwick , Jr. 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.
ing Official -Signature / Date
0/6�1'T
Title of Signing Official
Page 2 of 6
FTSE 10-18

Wastewater Flow Tracking
Flow Not Tributary to WWTP-Ayden January 2020
Ayden
Subdivision
#Lots Platted
Springdale Townes
60
Springdale Apart.
96
Bel -Mar PI. Ph 2
37
Pineview Sub.
5
The Arbors
128
Stanfield Sub.
30
Country Club Acres
Ayden CC(pool/clubh)
Pineview Sub. Sec 2
Camdyn Place Sub
Arbors (1 bedrm unit)
Arbors (2 bedrm unit)
Arbors (clubhouse)
South Country Sub
Allen Park Sub
Montevallo(Sec1, Phl)
Leagacy Park
Allen Park Sub. Sec 2
Total Flow Obligated but
Not Tributary to WWTP
Ayden 291,240
Winterville 241,560
Total 532,800
99
53
32
32
32
32
43
18
144
22
#Lots w/Construction
0
24
9
3
20
0
11
10
21
0
0
0
16
Date CMSD
# Lots
Point of
Accepted
Remaining
Entry
Flow Not Tributary
Yr/Month
60
Hwy 11
21,600
2002-Apr
72
Hwy 11
25,920
2004-Apr
28
S Edge
10,080
2006-May
2
720
2011-Nov
108
Hwy 11
38,880
30
Hwy 11
10,800
2007-Mar
88
S Edge
31,680
2007-May
43
S Edge
15,480
2006-Feb
11
Hwy 11
3,960
2008-Jan
32
S Edge
11,520
2009-Apr
32
Hwy 11
7,680
32
Hwy 11
7,680
Hwy 11
360
Hwy 11
35,280 *
2002-Apr
43
S Edge
20,640
2018-Aug
18
S Edge
6,480
2020-May
144
Hwy 11
34,560
2020-July
22
S Edge
7,920
2020-Aug
291,240
*South Country Subdivision flow was approved by the CMSD on April 3, 2002. Currently there are six (6) duplexes on this site
*This document was revised May 23, 2017 to add South Country Subdivision

Wastewater Flow Tracking
Flow Not Tibutary to WWTP-Winterville January 2020
Winterville
Date CMSD
# Lots Point of
Accepted
Subdivision
# Lots Platted
# Lots w/Construction
Remaining Entry
Flow Not Tributary
Yr/Month
Canterbury Sec.6
63
60
3 Reedy Br
1080
2002-Feb
Brookestone
74
18
56 Church St
20160
2006-Sept
Summerwinds
68
68
0 Mag Rid.
0
2006-Dec
Denali Sub
68
66
2 Reedy Br
720
2008-Mar
Blackstone
27
16
11 Reedy Br
3960
2014-Oct
Brookfield
76
73
3 Church St
1080
2008-Mar
Cooper's Pointe Sec 8
23
23
0 Church St
0
2015-July
Villa Grande Ph 1 & 2
36 3 Bedroom
0
36 Reedy Br
12960
Permit
72 4 Bedroom
35
37 Reedy Br
17760
Revision
13 5 Bedroom
0
13 Reedy Br
7800
2019-Sept
Holly Grove Sub
62
0
62 Church St
29760
2018-July
Copper Creek
40
0
40 Mag. Rid
14400
2018-May
Brookfield Sec. 4
57
0
57 Church St
20520
2018 Oct
Eli's Ridge
232
0
232 Church St
111360
2019-Aug
Total Flow Not Tributary
241660
Note: Winterville Town Council "de -obligated" Laurie Meadows Ph. 3 (duplicate-10,800) gpd and Chapman Court (10,080 gpd)

CMSD Wastewater Flows (September 2019 thru August 2020)
2019 September
October
November
December
2020 January
February
March
April
May
June
July
August
Total/Average
South Edge PS
Total
Average
14.579
0.486
7.488
0.242
8.125
0.271
9.622
0.311
11.573
0.373
22.288
0.769
18.21
0.587
15.597
0.52
20.789
0.671
18.18
0.606
9.559
0.308
12.243
0.395
168.253
0.46158
Hwy 11 PS
Total
Average
37.202
1.24
28.431
0.917
29.517
0.984
32.416
1.046
36.045
1.163
53.851
1.857
46.649
1.505
40.596
1.353
48.965
1.58
45.435
1.514
32.352
1.044
38.971
1.257
470.43
1.28833
Main Plant
Total
Average
54.02
1.801
39.007
1.258
41.151
1.372
46.396
1.497
51.478
1.66
77.347
2.667
66.123
2.133
57.996
1.933
74.813
2.413
70.45
2.348
47.941
1.546
64.093
2.068
690.815
1.89133

TOWN OF AYDEN, NC
INCORPORATED 1891
WWW.AYDEN.COM
August 27, 2020
Charles M. Smithwick, Jr.
District Manager
Contentnea Metropolitan Sewerage District
PO Box 477
Grifton, NC 28530
Re: Flow Acceptance Letter
Country Club Creek Subdivision
Pitt County Parcel # 77031
Dear Mr. Smithwick:
OFFICE OF COMMUNITY AND
ECONOMIC PLANNING
The purpose of this letter is to request sanitary sewer flow acceptance for a residential
subdivision proposed to be constructed within the Town of Ayden. The development,
known as Country Club Creek Subdivision, is proposed to be located on the west side of
Ayden Golf Club Road — NCSR 1723, south and west of Fairway Road. It consists of 127
single-family lots, thus the total flow acceptance requested is 45,720 gallons per day
(360 gallons per house per day).
If any further information is needed for the purpose of securing sanitary sewer flow
acceptance for this project, please contact me at your earliest convenience.
*ncerely,
4
ith, CFM
Planning Director
"ONE OF AMERICA S BEST SMALL COMMUNITIES TO RAISE A FAMILY" - U.S. MEDIA GROUP, 2013
P.O. BOX 219 1 AYDEN, NORTH CAROLINA 28513-0219 1 TELEPHONE [phone] FACSIMILE [phone]

Club Creek
Ayden, Pitt County, NC
Ayden
Map # 35077