WQ0041988_Application (FTSE)_20200918

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .0300 -- FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: W o �0 tY (to be completed by DWR)
All items must be completed
or the aRplication will be returneq
I. APPLICANT INFORMATION: r Gef VC -t19�Q)o—
I. Applicant's name: Town of Angier Public Utilities (company, municipality, HOA, utility, etc.) C (f -
2. Applicant type: El Individual ❑ Corporation ❑ General Partnership ❑Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal
❑ Other
3. Signature authority's name: Jimmy Coo per 15A NC:., [)21_:t}IU6fi�j
Title: Public Utilities Director
4. Applicant's mailing address: PO Box 278/ 5 N. Broad Street W
est
City: n ier State: NQ Zip: 27501-
NCDept Of Environmental Quality
5. Applicant's contact information:
Phone number: (919) M-6708 Email Address: icook _ angier.org SEP 18 2020
11. PROJECT INFORMATION: IO+ok
I. Project name: Coble Farms Weit Subdivision Ralcigh Regional Office
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00_ and issued date:
If new construction but pan of a master plan, provide the existing permit number: WQ00
3, County where project is located: Barnell and Wake
4. Approximate Coordinates (Decimal Degrees). Latitude: .5 94 = Longitude: -78,2656790
5, Parcel ID (if applicable): 0468594 Wake County Parcel ID); 040674 0 me11 CountyPa
rcel ID
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Tom 5vaulding. PE License Number: 19375
Firm: TheSpaulding Group,PA
Mailing address: 1611 Jones Franklin Road. quite 101
City: Raleigh State: VAC Zip; 27606
Phone number: L.i.4)15g-12LO Email Address. torn r s auldi
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name. North Harnett Regional WWTP Permit Number: NCO021636
Owner Name. Harnett County -Public Utilities
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: 16 inch
S34 -M—W—WSQk94M 5=11emit —N mWds 11%I QN1 : WQCS00183
Owner Name(s): Town of Angier
FORM: FTA 04-16
Page 1 of 5

%71. GENERAL REQUIREMENTS
I . If the Applicant is a Privately -Owned Public Utility. has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ®NIA
2. If the Applicant is a Developer of lots to be sold. has a (k' clop*-/ r }rrt,tinn:d A ,4rme�tt fi (Ii Ai: Ill:\- I been attached?
❑ Yes ❑No ®NIA
3. if the Applicant is a ILlnt ut�q rt+ e}►s net: A4h11{ 1 4+{}#t, IIU% s►n Irtuti,IMIl Agtrc,ncatl! ultM. I It fAl been attached'?
❑ Yes ❑No IOWA
4. Origin of wastewater: (check all that apply):
® Residential Owned ❑ Retail (stores, centers. rnallsl ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparationNervice ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church
❑ Swimming Pool/Filler Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other ( Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
%Industrial (bs,. I I A Nt At (12'l
Its there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under LSA Nt AC if -'I UI_ 40V Yes j$�,No
� If Yes provide a co of floK reduction approval letter /
7. Summarize wastewater generated by project:
Establishment Type (see 1t27.0114t j)
Daily Design Flow
No. of Units
Flow
Single -Family Residence
360 gal/day
gab
199
71,640 GPD
GPD
gal/
gal/
GPD
GPD
GPD
gal,
gal/
GPD
Total
71.640 GPD
a See ._ 4L I( V iF21 it l 1.4(bL Idy tr 9 _ j_j j1 t it XQ 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 t, S 4 i (�A ),
b Per I5A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15 NILA( o2 t m I i-i] shall be
determined using available flow data, water using fixtures. occupancy or operation patterns, and other measured data.
R. Wastewater generated by p)ject: 71,h4D GPD (per ILA �( l( 021 o] [4)
P Do not include future flows or previously permitted allocations
If permitted flow is zero. indicate why:
❑ Pump Station or Gra%ity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flou 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

\'11. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02'1 .0305 & SID t;r +It 4c4�rra
I. Summarize gravity sewer to be permitted-.
Size (inches)
Length (feet)
Material
8
8.249
PVC
8
645
DIP
.(PA
i- Section I1 $ Ill of the MDC for Permitting of Gravity Sewers contains information related to design criteria
Section Ill 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
\'111. PUMP STATION DESIGN CRITERIA (If Applicable)-027 -0305 & 91DC 11um Stationsrl,urcc l Ins
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
3. Design flow of the pump station: millions gallons per day (first capacity)
4. Operational points) of the pump(~): _ gallons per minute at — feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station)
Size (inches) Length (feet) Material
6. Power reliability in accordance with 1 SA.NCAt 21 -lilts t 1 }:
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(13):
Y Required for all pump stations with an average daily flow greater than or equal to 15.000 gallons per day
r 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)(I )(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.
r 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: 1TA 04-16
Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
I . Does the project comply with all separations found in 15A Nt At}' t1..:l�S}3tft 1 ® Yes [--]No
r 1_ A,_NI A t' ,t►1t. _ p5tcl contains alternatives where separations in 02 ,0 0 l cannot be achieved.
"Stream classifications can be identified using the Division's Nj Surface 1_yakf (Inti.i i at' �r� uVl c
r if noncompliance with (1" 1.{t tt5 t car }, see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No ❑ NIA
% 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. Nt. ,-'fit: U_'!i ,02Ol I' ®Yes ❑ No ❑ NfA
% This would include Trout Buffered Streams per I5.� N[ ; C. 3B.U242
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 sutler a uiltii, liranclr
5. Does project campy with JSA hlt_Nt ( 1 04-OLD) (additional permits�certificationsy, ® Yes ❑ No
Per I is tit- AC tl? .0l o5 c to , 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 15,1 (Ai t121 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: F'1 A 04-16
Page 4 of 5

X.
CERTIFICATIONS:
L Does the submitted system comply with 15A NcA( 021. the Afinununt Design c ntena fior the Ile iuine (If fungi Stab{,
and I �orc Afatqs it tc,t �ri,uu�} and the (�rtvit% Se%►cr i4linimunit
t Ih�ien Criteria (Intcst ►ersrunl 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 reguest is required rior to submittal of the Fast Track ADD11COU011 and supporting documents.
2. Professional Engineer's Certification:
r�
1 — l` . '`��-�- ��cf�— _ —attest that this application far
{Prate, nal Engineer's name from Application Item 111.1,)
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 S 10.000, as well as civil penalties up to $25.000 per violation.
North Carolina Professional Engineer's seal. signature, and date:
3. Applicant's Certification per 15A NCAC 021 .0106(b);
I. Sa>~ - orr-� uF 13n i.cr
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. 1 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. 1 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 143-21x5 hA and I43�?15,h1i, 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 S 10,000 as well as civil penalties up to S25,000 per violation.
Signature: _ Date:
FORM: FTA 04-Ih
Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Town of Angier, NC
Project Name for which flow is being requested: Coble Farms West Subdivision
Mare than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: North Harnett WWTP
b. WWTP Facility Permit #: NCO021636
A11 flows are in MGD
c. WWTP facility's permitted flow 1.008
d. Estimated obligated flow not yet tributary to the WWTP .2476
e. WWTP facility's actual avg. flow .568
f. Total flow for this specific request .07164
g. Total actual and obligated flows to the facility .887
h. Percent of permitted flow used 88.0%
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 i pf),
Number)
MGD MGD
(13}
(C)
(D)-=(B+C)
(E)=(A-D)
Obligated,
Approx.
Not Yet
Total Current
Current Avg.
Tributary
Flow Plus
Daily Flow,
Daily Flow,
Obligated
Available
MGD
MGD
Flow
Capacity***
* 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 (po 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.
Downstream Facility Name (Sewer): Town of Angier, NHRWWTP
Downstream Permit Number. W S00183. NCO021636
Page 1 of 6
FTSE 04-16

III. Certification Statement:
1 Henry James Cook 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 11 plus all
attached planning assessment addendums for which I am the responsible party. Signature of this
form indic#tes acceptance of this wastewater flow.
Official
Page 2 of 6
Dale
1+TSE 04.16

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State of North Carolina
Department of Environniental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Town of Angier
Project Name for which flow is being requested
Coble Fanns West at Rawls Church Rd.
1'
dlure thus unr F7NE nuiv he required for it single p ?ivt t it the mvner ul the li71TP is fot tr.%pomihle.lot till prortp
stations flung the route of the pt-uposeel w(INldu•uter.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 4: NCO021636
AlIflows are in MGD
c. WAITP facilitv's permitted flow 7.5 MGD
Fuquay-Varina Allocated Flow 2.60 MGD
Lillington Allocated Flow 1.20 MGD
Angier Allocated Flow 1.008 MGD
d- Estimated obligated flow not yet tributary to the WWTP 1.325 AIGD
FV Obligated Flow NYT
0.625 MGD
Lillington Obligated Flow NYT
0.113 MGD
HC Obligated Flow NYT
0.339 MGD
Angier Obligated Float, NYT
0.248 MGD
e. WW'111 facility's actual avg. flow
4.682 MGD
FV Actual Flow
1.216 MGD
Lillington Actual Flow
0.7I4 MGD
HC Actual Flow
2.169 MGD
Angier Actual Flow
0.583 MGD
f. Total flow for this specific request
0.072 MGD
g. Total actual and obligated flows to the facility
6.079 NIGD
FV Actual Avg. + Obligated Flow
1.841 MGD
Lillington Actual Avg. + Obligated Flow
0.827 MGD
HC Actual Avg. + Obligated Flow
2.508 MGD
Angier Actual 4. Obligated Flow
0.903 MGD
h. Percent ofpennitted flow used 81.05%
11. C'ompletc this section fior each pump station you are responsible fbr along, the route ofIli is
proposed wastewater flow.
List pump stalions located between the project connection point and the WWTP:
Page 1 ol'4
I.ISI-06 10

Pump
Station
Firm
(Name or
Capacity
Number)
MGD
CON7 ACT
TOA
(A)
(a)
(C)
(D)=(B+Q
(E)=(A-D)
Design
Obligated.
A%-erage Daily
Approx.
Not Yet
Total Current
Flow**
Current AvV_
Tributary
t-Inw. Plus
(Firm? PR
Daily Flow.
Daily Flow.
Obligated
A%ailable
MGD
MGD
N16D
Flow
Capacity***
FOR
UPSTREAM
SLS
CAPACITY
INFO
SLS 120 14.4 5,76 3.021 1.284 4.307 1.453
* 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 Flo% 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 V«1'TP %where the Available Capacity is t 0.
Downstream Facility Name (Sewer): North Harnett Re ional WWTP
Downstream Permit Number: NCO021636
111. Certification Statement:
1 Steve Ward certify to the hest 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 sewver 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 perfonned in accordance wvith local established policies and procedures using the best
available data. This certification applies to those items listed above in Sections I and 1I plus all
attached planning assessment addendutns for which I am the responsible party. Signature of this
form indicates acce tance I this wastewater flow.
Signing OJJicral Signature — — - - - � -- -- � Dale - -
Page 2 ol'4
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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-I6 & 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 11 N( AL ()-'I and the Division's
Minimum Design Criteria and that plans, specifications and supporting documents have been prepared In accordance with, 15:1
NCA(: 021, T 4:5 \( .f,C 02-1 .0300, DII-Ision policit, and -trod t-n tneerijt 3ractirt-i.
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 021 .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 15A L A( (+21 A13115 and the applicable minimum design criteria. These
documents shall be available upon request by the Division.
Projects that are deemed permitted Ido not require a permit from the Division) are explained in I SA-N('A( 021-u3(13.
Projects not eligible for review via the fact track process (must be submitted for full technical review):
r Projects that require an environmental assessment in accordance with I5A NCAC 1C .0100:
i 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
N Required unless otherwise noted
B. Cover Letter (Required for AH 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.
r 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$480.00 dated within 90 days of application submittal.
i- 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.
y 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 L'amling Ste tars of 5lute,
❑ 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 II.I 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 Norih
C`urulinn lic�nscd Professional Ialefll�t.
® The Applicant's Certification on Page 5 of The application shall be signed in accordance with 15A N( AV 021 _010tr 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 I of

E. Plow Tracking/Acceptance Form (Form: FTSE 04-16) (If Applicable):
M 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 (t.S, 1 d3-
215,671a).
Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific FTSE.
F. Site Maps (All Application Packages):
® Submit an 8.5-inch x I I -inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project
area and closest surface waters.
Ir 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 Relaability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per 15A NCAC' o21 _0305(1f)L [j, submit documentation of power reliability for pumping stations.
r 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 N( A( 021 .01 15 4AIJ provide the Certificate of Public Convenience and Necessity from the North L.nrt)411'
Utilities Contutissiun 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 Vurolina Pfilitim [.'uriunissit>n'� �l�Ecr�d�tieaer_ni±isic}n 1'ublie Slaf�'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/Pro ert Owners' Associations
❑ Per 15A NC'A( 0�'1 _01 15(g}, submit the properly executed [11kr~a ronul . �t cm�nt It t )Ith1 !i( .
❑ Per 15A NCAC 02T .01 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 fhMr4ti� rat •reetucnt F1)1(t►1,
For more information. visit the Division's collection st stems website
INSTRUCTIONS 1.OR FORM- F I A 04-I6 R SUPPORT ING DOCUMENTAI ION Page 2 of 3

THE COMPLETED APPLICATION PACKAGE 1NCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE API'1R0PItIX1'E RFCIONAI. OFF]CE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
h ville Re ions) Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water 9waiity §action
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
(828) 2964500
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fe ettaville Regional Qffite
225 Green Street Suite 714
Anson, Bladen, Cumberland, Hamett, Hoke,
Water Qtiaftv Section
Fayetteville, North Carolina 28301-5094
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Maoreftyrille Regional_ Offic4
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Watepr Quality Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Ralal h Ripgjonial ffic:
Water Oualltt 50§tlon
achincitor Rulonal Otfic*
Water ?U!llllty Soctlan
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
[phone]
[phone] Fax
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
Chatham, Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
Northampton, Orange, Person, Vance, Wake,
Warren, Wilson
Beaufort, Berne, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office 127 Cardinal Drive Extension Brunswick, Carteret, Columbus, Duplin, New
Water Gluality sec_ Lion Wilmington, North Carolina 28405 Hanover, Onslow, Pander
[phone]
[phone] Fax
Wine on- alem Re I nal Oiicb 450 W. Hanes Mill Road Alemance, Alleghany, Ashe, Caswell, Davidson,
Water Duality Secllari Suite 300 Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105 Stokes, Suny, Watauga, Wilkes, Yadkin
[phone]
INSTRUCTIONS FOR FORM, IJA 04-16 & SUPPORTING DOCUMENTATION Page 3 of 3

NC Dept of Environmental Quality
1 SEP 18 2020
Raleigh Regional Office
THE SPAULDING GROUP, PA
planning • civil engineering
September 6, 2020
Raleigh Regional Office - Water Quality Section
Jason Robinson
3800 Barrett Drive
Raleigh, NC 27609
RE: Coble Farms West Subdivision
Town of Angier, NC
Fast -Track Application
Dear Mr. Robinson,
Please see enclosed two (2) sets of Fast -Track Applications (FTA 04-16) and an accompanying review
fee check of $480.00 for the subject project for your review and approval.
The proposed Coble Farms West Subdivision is located at the intersection of Rawls Church Road and
Jarrett Bay Lane in the Town of Angier, Harnett County, NC. We are seeking a permit to install a
public sanitary sewer extension to serve 199 proposed single-family residences.
The proposed sanitary sewer extension consists of 8,249 LF of 8" PVC and 645 LF of 8" DIP
extending off of an existing sanitary sewer main located adjacent to the site. The proposed sanitary
sewer main will be public. The construction of this sanitary sewer extension is projected to begin in
December 2020.
If you have any questions or need any additional infonnation, please contact me at [phone].
Sincerely,
Thomas Spaulding, PE
The Spaulding Group, PA
Phone: [phone] • Faw [phone] * 1611 Jones Franklin Road Suite 101 • Raleigh, NC 27607