WQ0042359_Application (FTSE)_20210310

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Division
MAR 0 2 2021
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State of North Carolina
Department of Environmental Quality
Division of Water Resources
— FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
S 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 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 1C .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
El 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.
7
C. Application Fee (All New and Major Modification Application Packages):
El 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):
❑ 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.
❑ The Project Name in Item LI.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 .01 06(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 1 of 3

E. Flow Tracking/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-
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):
® Submit an 8.5-inch x II -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 (Ali Modification Packages):
O 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):
O Per 15A NCAC 02T .0305(h)( I ), 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 .01 15(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 HOAIPOA 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
Swannanoa, North Carolina 28778
[phone]
[phone] Fax
Avery, Buncombe, Burke, Caldwell, Cherokee,
Clay, Graham, Haywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania, Yancey
Water Quality Section
Fayetteville Regional Office
225 Green Street Suite 714
Fayetteville, North Carolina 28301-5094
[phone]
[phone] Fax
Anson, Bladen, Cumberland, Harnett, Hoke,
Montgomery, Moore, Robeson, Richmond,
Sampson, Scotland
Water Quality Section
Mooresville Regional Office
610 E. Center Avenue
Mooresville, North Carolina 28115
[phone]
[phone] Fax
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
Stanly, Union
Water Quality Section
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
[phone]
[phone] Fax
Chatham, Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
Northampton, Orange, Person, Vance, Wake,
Warren, Wilson
Water Quality Section
Washington Regional Office
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
Beaufort, Bertie, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Water Quality Section
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
Brunswick, Carteret, Columbus, Duplin, New
Hanover, Onslow, Pender
Water Quality Section
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Winston-Salem, North Carolina 27105
[phone]
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford. Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
Water Quality Section
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 3 of 3

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number:
(to be completed by DWR)
All items must be completed or the application will be returned
I, APPLICANT INFORMATION:
1. Applicant's name: Old North Utility Services, Inc. (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation 0 General Partnership 0 Privately -Owned Public Utility
0 Federal 0 State/County 0 Municipal 0 Other
3. Signature authority's name: Timothy Loughman per 15A NCAC 02T .0106(b)
Title: Utility Manager
4. Applicant's mailing address: 2941 Logistics St., Bldg. N-6307
City: Fort Bragg State: NC Zip: 28310-
5. Applicant's contact information:
Phone number: [phone] Email Address: Adam.Loughman(rr?,asusinc.com
IL PROJECT INFORMATION:
1. Project name: PN 80774 SOF SERE Training Complex
2. Application/Project status:
® Proposed (New Permit) 0 Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Scotland County and Richmond County
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.0355.° Longitude:-79.4617°
5. Parcel ID (if applicable):
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Rachelle Roberge License Number: 42922
Firm: American States Utility Services, Inc.
Mailing address: 903 Armistead Street
City: Fort Bragg State: NC Zip: 28307-
Phone number: [phone] Email Address: Rachelle.Roberge(a,asusinc.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Moore County Water Pollution Control Plans Permit Number: NC 0037508
Owner Name: Moore County Public Works
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) if applicable): WQCS
Owner Name(s):
FORM: FTA 04-16 Page 1 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/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No BJN/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned 0 Retail (stores, centers, malls)
0 Residential Leased ❑ Retail with food preparation/service
❑ School / preschool / day care 0 Medical / dental / veterinary facilities
❑ Food and drink facilities ❑ Church
❑ Businesses / offices / factories ❑ Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool /Clubhouse
❑ Swimming Pool/Filter Backwash
® Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic/Commercial % Commercial
0 % Industrial (See ISA NCAC 02T .0103(202)
>ls there a Pretreatment Program in effect? ❑ Yes ® No
6. Has a flow reduction been approved under I5A NCAC 02T .01 14(f)? 0 Yes ® No
Y If ves, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f9
Daily Design Flow a'b
No. of Units
Flow
Training Facility
90 gal/day/person
120
10,800 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
10,800 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 I SA NCAC 02T.01 14] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 10,800 GPD (per 15A NCAC 02'T .0114)
Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
0 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 .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
410
PVC
8
93
DUCTILE IRON
• 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
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: SERE LIFT STATION
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.0355° Longitude:-79.4617'
3. Design flow of the pump station: 0.176 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 122 gallons per minute at 175 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
4
1,340
FUSIBLE PVC
4
8,297
PVC
4
20
DUCTILE IRON
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
® Standby power source or pump with automatic activation and telemetry - I SA 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.
i> If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(0):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(fl & (g)
Yes ❑ No
> 15A NCAC 02T.0305(f) contains minimum separations that shall be proviueu iur sewer syswills:
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-I or WS-V), B, SA, ORW, HOW, 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(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
> **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
> If noncompliance with 02T.0305(1) or (g), 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 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
individual permits or 401 Water Quality Certifications?
> Information can be obtained from the 401 & Buffer Permitting Branch
❑ Yes
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per ISA 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 1 5A 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 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravitv 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.
Professional Engineer's Certification:
I, Rachelle Roberge attest that this application for
(Professional Engineer's name from Application Item III.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 drily 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 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
Digitally signed by
,JJe�,,,, Rachelle Roberge
"t Date 2021.0226 13.03:10
-08'00'
r?,
This item has been digitally signed and
sealed by Rachelle D. Roberge P.E. on
the date provided above. Printed copies
of this document are not considered
signed and sealed and the signature
must be vended on any electronic
copies.
.
pplicant's Certification per 15A NCAC 02T .0106(b):
I, Timothy Loughman, Utility Manager attest that this application for
(Signature Authority's name & title from Application Item 1.3.)
A
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:
6%�94 (
Date: .�
FORM: FTA 04-16 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: Old North Utilities Services
Project Name for which flow is being requested: PN 80774 SOF SERE Training Complex
More than one ETSE may he requiredfor a single project if the owner of the [ I VTP is not responsible Jar 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:
1
b. WWTP Facility Permit #:
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
0.0108
11. 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
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity, * (Firm / pf), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
SERE LS
0.1728 0.0432
0 0.0108 0.0108 0.0324
* 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 < O.
Downstream Facility Name (Sewer): Old North Utilities Services
Downstream Permit Number: WQCS 00029
Page 1 of 6
FIST 04-16

III. Certification Statement:
I Timothy Loughman 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 1 am the responsible party. Signature of this
forrn indicates acceptance of this wastewater flow.
ram.
Signing Of pa Signa•
ture
Page 2 o f 6
Date
F 1 S 1_: 04-16

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Division of Water Resouurces
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Moore County Public Works
Project Name for which flow is being requested: PN 80774 SOF SERE Training Complex
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for allpump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Moore County Water Pollution Control Plant
b. WWTP Facility Peiiiiit #: NC 0037508
Allflows are in MGD
c. WWTP facility's permitted flow 10.0000
d. Estimated obligated flow not yet tributary to the WW"I'P 0.70325
e. WWTP facility's actual avg. flow 5.09300
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
.0.01080
5.80705
58.0705
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm / p f), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
C.Mackall 0.25344 0.10137 0.02918 0.01080 0.03998 0.06139
* 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
(p f) 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): Moore County Public Utilities
Downstream Permit Number: WQCS00034
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Randy G. Gould, P.E. certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related 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 ham dequate capaci to transppt-af l treat the pr posed new wastewater.
Signing Offici Signature
1.)
Title of Signing Official
Page 2 of 6
FTSE 10-18

•
••
•••
' '•'•'• Fort Bragg
Serving Those Who Serve
ASUS
Wastewater Lift Station Force Main
Design Calculations
otutmitio,i
- ......... ti `z
.4 v
. SEAL :
42922
i ; <E D. RQ�
��t�1111Nt�
Digitally signed by
'' Rachelle Roberge
l` Date: 2021.02.26
13:28:35 -08'00'
This item has been digitally signed and
sealed by Rachelle D. Roberge P.E. on
the date provided above. Printed copies
of this document are not considered
signed and sealed and the signature
must be verified on any electronic
copies.
Project Name: SOF SERE Training Complex
Location: Camp Mackall
Designed By: Rachelle Roberge
Date: February 26, 2021
Project/GWO No.: PN-80774

Wastewater Lift Station Force Main
Project Summary
Project Name: SOF SERE Training Complex
Average Daily Flow (gpd): 10,800
Pump Operational Point No. 1 (flow@tdh): 122gpm @ 175 ft
Pump Manufacturer: Barnes
Model Number: XGVHH150N2
Impeller Diameter: 7.625 in
Horse Power: 15
Voltage: 480 V
Force Main Diameter (in): 4
Force Main Length (ft): 9,650

Wastewater Flow Calculations
Establishment
Unit Value
(Gal/Day
/Unit)
Unit Type
# of Units
Discharge
GPD
Residential (To NEWWTF)
360
210
Residence
0
0
Residential (all other Treatment Facilities)
Residence
0
0
Barber Shops
50
Chair
0
0
Beauty Shops
125
Booth or Bowl
0 1
0
Business - General & Office
25
Employee per shift
0
0
Business - Factories Excluding Industrial Waste
25
Employee per shift
0
0
Business or Factories w/showers or food preparation
Business - Warehouse
35
100
Employee per shift
Loading bay
0
0
0
0
Business - Warehouse Self Storage (not including Caretaker Residence)
1
3
Unit
0
0
Churches without kitchens, day care, or camps
Seat
0
0
Churches with kitchens
5
Seat
0
0
Churches providing day care or camp
25
Person (child+employee)
0
0
0
0
Fire or Rescue without on -site staff
25
Person
0
0
Fire or Rescue with on -site staff
50
Person per shift
Food & Drink - Banquet Dining Hall
30
Seat
0
0
Food & Drink - Bars, Cocktail Lounges
20
Seat
0
0
Food & Drink - Caterers
50
40
20
100 sf floor space
0
0
0
Food & Drink - Restaurants, Full Service
Seat
0
Food & Drink - Restaurants, Single Service Articles
Seat
0
0
Food & Drink - Restaurants, Drive-in
50
car space
0
0
Food & Drink - Restaurants, Carry out only
50
5
100 sf floor space
0
0
Food & Drink - Institutions, Dining Halls
T meal
0
0
Food & Drink - Deli
40
100 sf floor space
0
0
Food & Drink - Bakery
Food & Drink - Meat Dept., Butcher, Fish Market
10
75 1
100 sf floor space
100 sf floor space
0
0
0
0
0
Food & Drink - Specialty Food Stand or Kiosk
50
120
100 sf floor space
0
Hotels/Motels/B&B without in -room cooking facilities
Room
0
0
Hotels/Motels/B&B with in -room cooking facilities
175
200
Room
0
0
Hotels/Motels- Resort Hotels
Room
0
0
Hotels/Motels- Cottages, Cabins
200
Unit
0
0
Laundries (Self -Service)
500
Machine
0
0
Medical or Dental offices
250
250
Practitioner per shift
0
0
0
Medical - Veterinary offices without boarding
Practitioner per shift
0
Medical - Veterinary, Kennels, with boarding
20
Pen, Cage, Kennel, Stall
0
0
Medical - Medical Hospitals
300
Bed
0
0
Medical - Mental Hospitals
150
Bed
0
0
Medical - Convalescent, Nursing, Rest Homes without Laundry
60
120
60
Bed
0
0
Medical - Convalescent, Nursing, Rest Homes w/ Laundry
Bed
0
0
_I
Medical - Residential Care Facilities
Person
0
0
Parks & Rec. - Campgrounds w/comfort station but without water & sewer hookup
75
100
50
60
Campsite
0
0
0
0
Parks & Rec. - Campgrounds with water & sewer hookup
Parks & Rec. - Campground Dump Station facility
Campsite
Space
0
0
Parks & Rec. - Construction, Hunting, or Work camps with flush toilets
Person
0
0
7

Wastewater Flow Calculations
Establishment
Unit Value
(Gal/Day
/Unit)
Unit Type
# of Units
Discharge
GPD
Parks & Rec. - Construction, Hunting, or Work camps with chemical or portable toilets
40
250
Person
0
0
Parks & Rec. - Parks with Restrooms
Plumbing Fixture
0
0
Parks & Rec. - Summer camps without food prep or laundry facilitates
30
60
10
325
25
15
Person
0
0
Parks & Rec. - Summer camps with food prep and laundry facilitates
Person
0
0
Parks & Rec. - Swimming Pools, Bath Houses, Spas
Person
0
0
0
Public Access Restrooms
Plumbing Fixture
0
Schools - Preschools & Daycares
Schools with Cafeteria, Gym, & Showers
Person (child+employee)
Student
0
0
0
0
Schools with Cafeteria
12
10
Student
0
0
0
Schools without Cafeteria, Gym, & Showers
Student
1
0
Schools, Boarding
60
Person (student+employee
0
0
Service Stations, Gas Stations
250 1
1200
50
Plumbing Fixture
0
0
Car Wash Facilities (if recycling water, see Rule .0235 of 2T regulations)
Bay
0
0
Sports Centers - Bowling
Lane
0
0
Sports Centers - Fitness, Exercise, Karate, Dance
50
100 sf floor space
0
0
Sports Centers - Tennis, Racquet ball
50
court
0
0
Sports Centers - Gymnasium
50
100 sf floor space
0
0
Sports Centers - Golf Course with only minimal food service
250 +
60
Plumbing Fixture
0
0
Sports Centers - Country Clubs
i Member or Patron
0
0
Sports Centers - Mini Golf, Putt -Putt
1 250
250
250
Plumbing Fixture
0
0
Sports Centers - Go -Kart, Motorcross
Plumbing Fixture
0
0
Sports Centers - Batting Cages, Driving Ranges
Plumbing Fixture
0
0
0
Sports Centers - Marinas without Bathhouse
10
Shp
0
Sports Centers - Marinas with Bathhouse
Sports Centers - Video Game Arcades, Pool Hats
30
250
Shp
Plumbing Fixture
0
0
0
0
Stadiums, Auditoriums, Theatres, Community Centers
5 1
Seat
0
0
Stores, Shopping Centers, Malls & Flea Markets:
Auto, Boat, RV dealerships/showrooms with restrooms
125
60
250
Plumbing Fixture
0
0
Convenience Stores, with Food Preparation
100 sf floor space
0
0
Convenience Stores, without Food Preparation
Plumbing Fixture
0
0
Flea Markets
30
130
Stall
0
0
Shopping Centers and Mats with Food Service
1000 sf
0
0
0
Stores and Shopping Centers without Food Service
100
5
1000 sf
0
Transportation Terminals - Air, Bus, Train, Ferry, Port & Dock
Passenger
0
0
Other - Training development
90
Person
120
10,800
Other -
0
Other -
0
0
Other -
From 15A NCAC 02T .0114
Average Daily Flow (gallons per day) 10,800
Actual Measured Flow Data (Source)
Average Daily Flow (gallons per day) N/A
8

Design Pumping Flow Rate
Peaking Factor Calculation
Service Area Population
Peak Factor =
18 + JP
4+JP
Calculated Peak Factor =
4.5
Design Peak Factor =
4.0
Determine Minimum Pump Rate
Average Daily Flow
10,800
GPD
Peak Flow
43200
GPD
Minimum Pumping Rate Required
60
GPM
Design Pumping Rate
122
GPM

Cycle Time & Wet Well Geometry
Target Cycles Per Hour
ADF = 15 gpm
Pumping Rate = 122 gpm
Time = 14.6 min.
Target Cycles Per Hour =
Check Cycles Per Hour:
Check Cycles Per Hour:
4.1
OK
OK
Determine Wet well Diameter
Required Volume =
193
Gallons
Pick Wet Well Diameter =
6.0
Ft
Pick Wet Well Cycle =
0.9
Vert. Ft
Volume in Cycle =
190
Gallons
Vertical Datum Used:
NAVD 88
Determine Wet Well Invert & Float Elevations
Top Elev =
Gnd Elev =
Lowest SS Invert In =
Bottom Invert Elev* =
Wet well Dia. =
269.50
269.00
259.97
254.50
6.0 Ft
Alarm = 258.90
Lag On = 257.90
Lead On :256.90
Pumps 01256.00
*As required to meet manufacturer's req'd submergence
Meets Minimum 1' Below Lowest Pipe Invert? OK
10

Force Main & Piping Design
Off -Site Force Main Data
Design Pump Rate (gpm) =
Select Force Main Size (in) =
Velocity (fps) =
Meets Minimum Velocity Requirement?
Meets Maximum Velocity Requirement?
122
4
3.1
OK
OK
Required Pump? Use Non -Clog Pump
Line Length (ft) =
Account for Minor Losses =
9,650
3%
Equiv Length (ft) = 9,940
Connection Point:
To Existing 8" PVC Forcemain
Pump Station Piping Data
Design Pump Rate (gpm) =
Pick Wet Well & Valve Vault Piping Size (in) =
Velocity (fps) =
Meets Minimum Velocity Requirement?
Meets Maximum Velocity Requirement?
122
4
3.11
OK > 2 FPS
OK < 8 FPS
Item
Number of Fittings
L/D Ratio
Equivalent Length
45 bend
90 bend
22.5 bend
Branch Tee Flow
Check valve
Plug Valve
16
0.00
2
30
20.00
9
0.00
1
60
20.00
1
135
45.00
1
17
5.67
0.00
0.00
0.00
Equivalent Fitting Length (ft) =
Wet Well & Valve Vault Piping Length (ft) =
Total Equivalent Pump Station Pipe Length (ft) =
Equivalent Off -Site Diameter Length (ft) =
91
91
91
Total Equivalent Force Main Length (ft) = 10030
11

Pump Selection
Force Main Diameter (in) =
Equivalent Force Main Length (ft) =
Highest Point on Forcemain (ft) =
Static Head (ft) =
Hazen -Williams C Factor =
Minimum Required Pump Rate (GPM) =
Design Pumping Rate (GPM) =
4
10030
321.90
65.90
130.00
60
122
GPM
Pressure
Head at
Connection
"All On"
(feet)
Pressure Head
at Connection
"Only
Proposed
Pump Station
On" (feet)
Static
Head
(feet)
"All On"Pump
TDH
(feet)
"Only
Proposed
Pump
Station
On" TDH
(feet)
Velocity
(fps)
Head
(feet)
0
65.90
N/A
66
0.0
219
48
65.90
N/A
85
1.2
209
72
65.90
N/A
107
1.8
199
96
65.90
N/A
136
2.5
189
122
65.90
N/A
175
3.1
176
144
65.90
N/A
215
3.7
156
N/A
0
0.0
Pump Manufacturer:
Model Number:
Impeller Diameter:
Horsepower:
Voltage:
Barnes
XGVHH150N2
7.625 in
15
480 V
12

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Station Operation Check
Proposed Operational Point:
122
GPM @
175
Check Wet well Cycle Times
TDH
Wetwell Wetwell Wetwell Wetwell
Diameter Area Cycle Volume
(feet) (gal / VF) (ft) (gal)
6.0 211 0.9 190
Fill = Wetwell Volume = 12.7 minutes
ADF
Run = Wetwell Volume = 1.8 minutes
Pump Rate - ADF
Total = 14.5 minutes
Cycle Time = 4.1 Cycles / Hour
Meets Minimum Cycle Time? OK
Meets Maximum Cycle Time? OK

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February 26, 2021
NCDENR-DWQ
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 28301
RE: PN 80774 SOF SERE Training Complex
Fast Track Sewer System Extension Application
Camp Mackall, North Carolina
. •" • • . "ASUS
Fort Bragg
Serving 11- C Se /
RECEIVED
DECU WR
MAR 0 2 2021
WQROS
rAYETTE VALE REGIONAL OFFICE
We are providing the enclosed information for the permitting of new sewer infrastructure to support
the proposed SOF SERE Training Complex Near Ashemont Road on Camp Mackall, North Carolina.
The training complex will serve approximately 120 occupants per day. The project includes new 8"
gravity sewer main, a lift station, and a 4" forcemain. The new 4" forcemain will discharge to a new
doghouse manhole installed on an 8" existing gravity main.
Enclosed please find an original and one copy of the following:
• NCDENR Fast Track Application
• Flow Tracking/Acceptance for Sewer Extension Application (Old North Utility Services, Inc.)
• Flow Tracking/Acceptance for Sewer Extension Application (Moore County Public Works)
• Check for $480.00
• USGS map showing the project area
• Street Level map of the project area
• Lift Station Calculations
Thank you for your consideration in this matter. If you require further information, please do not
hesitate to call me at [phone].
Sincerely,
Digitally signed by
/-'' Rachelle Roberge
"" Date: 2021.02.26
12:08:54 -08'00'
Rachelle Roberge, PE
Senior Engineer
American States Utility Services, Inc.
903 Armistead Street, Fort Bragg, NC 28307
Tel: [phone] Fax: [phone]

Permit Number WQ0042359
Central Files: APS SWP
3/8/2021
Permit Tracking Slip
Program Category Status Project Type
Non -discharge Active New Project
Permit Type Version
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions 1.00
Permit Classification
Individual
Primary Reviewer Permit Contact Affiliation
danielle.simpson
Coastal SWRuIe
Permitted Flow
10,800
Facility
Facility Name
PN 80774 SOF SERE Training Complex
Location Address
Owner
Major/Minor Region
Minor Fayetteville
County
Scotland
Facility Contact Affiliation
Owner Name
Old North Utility Services Inc
Dates/Events
Owner Type
Non -Government
Owner Affiliation
Adam Loughman
2941 Logistic St Building N-6307
Fort Bragg NC 28310
Orig Issue
3/8/2021
App Received
3/2/2021
Draft Initiated
Scheduled
Issuance
Public Notice Issue Effective
3/8/2021 3/8/2021
Regulated Activities Requested /Received Events
Expiration
Wastewater collection Additional information requested
Additional information received
Outfall
Waterbody Name Streamlndex Number Current Class Subbasin