WQ0042462_Application Attachment_20210421 (2)

WASTEWATER FLOW ACCEPTANCE FORM
FOR THE
WATER AND SEWER AUTHORITY OF CABARRUS COUNTY
Jurisdiction Requesting Flow Acceptance: Date: 01-05-2021
❑ City of Concord ❑City of Kannapolis ❑Town of Harrisburg ❑Town of Mt. Pleasant
®Charlotte Water
Project Title, Description, and Number of Lots/Unit:
Project Title: Eastfield and Prosperity Daycare and Retail—Proiect #202134
Description: The Eastfield and Prosperity Daycare and Retail engineering plans and specifications, as prepared, by
Michael A. Theberge, Bohler Engineering, NC, PLLC, for wastewater sewer laterals to serve Eastfield and Prosperity
Daycare and Retail located on 12917 Eastfield Road, Charlotte, NC, with a wastewater discharge of 4,475 GPD.
*Number of Lots: OR *Number of Units: 179 persons x 25 gpd/person *Must be included in request.
Where will the new line be connected:
• Directly into a WSACC Interceptor
❑ Into the Jurisdiction's existing collection system
❑ Into a private line
Describe the location of the tie-in line to which the new sewer line will connect: The proposed sewer laterals will tie-
in to the existing 8-inch sanitary sewer system, which extends to the 15-inch RCP material WSACC Highland Creek
Interceptor — Phase 1
Which WSACC Interceptor will the flow ultimately be discharged into: 15-inch RCP WSACC Highland Creek
Interceptor — Phase 1.
What is the WSACC manhole number that the flow will be discharged into? +/- Node 018848
What is the quantity of flow that will be discharged? 4,475 GPD
Flow type:
❑ Domestic % ® Commercial 100 % ❑ Industrial
Name of wastewater treatment facility (WWTF) receiving wastewater:
® Rocky River Wastewater Treatment Facility — Permit #NC0036269
Muddy Creek Wastewater Treatment Facility — Permit #NC0081621
Design drawings of new lines will be submitted to WSACC with the request for acceptance. Drawings can be submitted
as a digital file (DWG) or distance and bearing starting with the tap on existing infrastructure.
If the new line is to connect directly into a WSACC interceptor, detailed drawings including specification of the tap, will
be required before flow acceptance will be provided.
Mark Lomax at 704-786-1783, ext. 231, must be notified 48 hours in advance of a connection into a WSACC interceptor.
WSACC will inspect connection before, during, and after completion.
If construction is not started within two (2) year from the date of approval of the flow acceptance for this project, the
approval is rescinded and a second request and approval will be required for the project.
WSACC USE ONLY: DATE:
❑ Current sewer model shows an Interceptor as being surcharged south of the manhole in question.
❑ Approved ❑ Not Approved
❑ Current Sewer Model shows:

State of North Carolina
OG Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE —10/07)
(JURISDICTION USE ONLY)
Jurisdiction Requesting Flow Acceptance for Collection System:
❑City of Concord ❑City of Kannapolis DTown of Harrisburg DTown of Mt. Pleasant
®Charlotte Water
Project Title, Description, and Number of Lots/Unit:
Project Title: Eastfield and Prosperity Daycare and Retail, Project# 202134
Description: The Eastfield and Prosperity Daycare and Retail engineering plans and specifications, as prepared by Michael
A. Theberge, Bohler Engineering NC, PLLC, for wastewater sewer laterals to serve Eastfield and Prosperity Daycare and
Retail located on 12918 Eastfield Road, with a wastewater discharge of 4,475 GPD.
What is the quantity of flow that will be discharged? 4,475 GPD
Flow type:
❑ Domestic % ® Commercial 100 % ❑ Industrial
Section I - List the Jurisdiction's pump stations located between the project connection point and the WSACC
Interceptor connection point.
Pump Station
(Name or Number)
Firm Capacity *
MGD
(A)
Design Average Daily Flow **
(Firm/pf)
MGD
(B)
Approx. Current
Average Daily Flow
MGD
(C)
Obligated, Not Yet
Tributary Daily Flow
MGD
(D) = (B+C)
Total Current Flow
Plus Obligated Flow
MGD
(E)=(A-D)
Available
Capacity***
MGD
* 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 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 Available Capacity is < O.
Section II. Jurisdiction's Certification Statement:
I, Keri Cantrell , certify that, to the best of my knowledge, the addition of the volume of wastewater to be
permitted in this project has been evaluated along the route to the receiving WSACC interceptor; and the flow from this project
is not anticipated to cause any capacity related sanitary sewer overflows or overburden on any downstream pump station in
route to the receiving WSACC interceptor 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 Section I plus all
attached planning assessment addendums for which, to the best of my knowledge, will not adversely affect the downstream
sewer capacity. Signature of this form indicates acceptance of this wastewater flow.
$ate
Digitally signed by Keri B Cantrell
Date: 2021.01.25 16:15:04 -05'00'
Adobe Acrobat version: 2018.011.20040
1/25/2021
Jurisdiction 's Signing Official Signature Date
Revision Date: 08/09/13

State of North Carolina
OG Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE —10/07)
(WSACC USE ONLY)
Section I. Name of wastewater treatment facility (WWTF) receiving wastewater:
Rocky River Wastewater Treatment Facility — Permit #NC0036269
❑ Muddy Creek Wastewater Treatment Facility — Permit #NC0081621
WWTP facility's permitted flow, MGD
6.00
Estimated obligated flow not yet tributary to the WWTP, MGD 1.129
WWTP facility's actual avg. daily flow, MGD
Total flow for this specific request, MGD
Total actual and obligated flows to the facility, MGD
Percent of permitted flow used
4.855
0.004475
5.984
99.7%
Section II. Pump stations along the route from the Jurisdiction's connection point to the WWTP.
Pump Station
(Name or Number)
Firm Capacity *
MGD
(A)
Design Average Daily Flow **
(Firm/pf)
MGD
(B)
Approx. Current
Average Daily Flow
MGD
(C)
Obligated, Not Yet
Tributary Daily Flow
MGD
(D) = (B+C)
Total Current Flow
Plus Obligated Flow
MGD
(E)=(A-D)
Available
Capacity***
MGD
* 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 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 Available Capacity is < 0.
Section III. WSACC Certification Statement:
I, u , certify that, to the best of my knowledge, the addition of the volume of wastewater to be
permitted in this project has been evaluated along the route from the connection to the interceptor to the receiving
wastewater treatment facility; and the flow from this project is not anticipated to cause any capacity related sanitary sewer
overflows or overburden on any downstream pump station in 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 Section I and Section II plus all attached planning
assessment addendums for which, to the best of my knowledge, will not adversely affect the downstream sewer capacity.
Signature of this form indicates acceptance of this wastewater flow.
WSACC's Signing Official Signature Date
Revision Date: 08/09/13

State of North Carolina
OG Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE —10/07)
FTSE PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a Planning Assessment Addendum for each pump station located between the project
connection point and the WWTP listed in section 1 or 2 where Available Capacity is < 0.:
Pump Station Name (Number):
Pump Station Address:
Given that:
a.
The proportion and amount of Obligated, Not Yet Tributary Daily Flow
% and MGD of the Available Capacity (E) in
(C) accounts for
Pump Station (name) and that;
b.
The rate of activation of this obligated, not yet tributary capacity is currently approximately
MGD per year; and that
c.
A funded Capital Project that will provide the required planned capacity, through CIP
project (name)
is in design or under construction with a planned completion date of ; and/or
d.
The following applies:
Therefore:
Given
to allow
the
I understand
143-215.67(a),
waste
reasonably expected conditions and planning information, there is sufficient
justification
-allocating capacity in
with G.S.
the capacity of the
this flow to be permitted, without a significant likelihood of over
system infrastructure.
that this does not relieve the collection system owner from complying
which prohibits the introduction of any waste in excess of
disposal system.
Signing Official Signature
Date
Revision Date: 08/09/13