WQ0042437_Application (FTSE)_20210427

Permit Number WQ0042437
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
dean. hunkele
Coastal SWRule
Permitted Flow
Facility
Central Files: APS _ SWP
4/8/2021
Permit Tracking Slip
Status
Project Type
In review
New Project
Version
Permit Classification
A
Individual
Permit Contact Affiliation
Facility Name Major/Minor Region
Jackeys Ridge Minor Wilmington
Location Address County
Brunswick
Owner
Owner Name
Brunswick Regional Water and Sewer H2go
Dates/Events
Facility Contact Affiliation
Owner Type
Government - County
Owner Affiliation
Robert Walker
PO Box 2230
Leland NC 2845122:
Scheduled
Ong Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
4/8/2021

Coastal Land Desian. PLLC
Civil Engineering/Landscape Architecture
Land Planning/Construction Management
P.O. Box 1172 Phone: [phone]
Wilmington, NC 28402 Fax: [phone]
w .cldeng.com
To:
NCDEQ-DWR
127 Cardinal Drive Extension
Wilmington, NC 28405
[phone]
Attn:
'Rilll -010
❑ As Requested
❑ Sent via Mail
❑ For Your Files
❑ Sent via Courier
APR 0 8 2021
Date: April 8, 2021
File: 170-07
Subject:
Fast Track Sewer Applications
Jackevs Ridae Subdivision
❑ For Distribution ® For your Review / Action / Approval
Quantity
Drawing No.
Description
1
Original
Submittal Cover Letter
1
Copy
Revised Fast Track Sewer System Extension Application (FTA-04-16)
1
Copy
Revised Flow Tracking/Acceptance for Sewer Extension Application (FTSE 10-18)
Signed by Brunswick Regional Water and Sewer
1
Copy
Revised Flow Tracking/Acceptance for Sewer Extension Application (FTSE 10-18)
Signed by Brunswick County
1
Copy
All Items Listed Above
Remark Please contact our office should you have any questions or concerns. Thank you.
CC: File C a rfp Design, PLLC
Client
Signed �'�'
Jay R. Carmine, PE

Coastal Land Design, PLLC
Civil Engineering/Landscape Architecture
Land Planning/Construction Management
April 8, 2021
NCDEQ - DWR
1617 Mail Service Center
Raleigh, NC 27699-1636
(919) 807 — 6312
Re: Fast Track Sewer System Extension Application for the Jackeys Ridge Subdivision
Jackeys Ridge was originally submitted for zero flow due to Brunswick County's hold on allocation at the
Northeast Regional WWTP (NC 0086819) until the planned upgrades were completed. However, through
conversations with the NCDEQ, Brunswick County, and Brunswick Regional Water and Sewer (1-12GO), the full
flow allocation of 12,390 gallons per day (59 three -bedroom single-family residences at 210 gallons per day) was
granted for this project.
Included with this submittal are provided below. The application fee was submitted with the original submittal.
• Submittal Cover Letter (This Sheet)
• Revised Fast Track Application (Form: FTA 04-16) for the full flow
• Revised Flow Tracking/Acceptance Form: FTSE 10-18) — Signed by H2GO for the full flow
• Revised Flow Tracking/Acceptance Form: USE 10-18) —Signed by Brunswick County for the full flow
If you have any questions or need any additional information, please feel free to contact our office.
Very Respectfully,
�PttUI11 � urgrir
SS/py9�'y
SEAL
033196
Jay Carmine, P.E.
Project Manager
cc: File
P.O. Box 1172 Wilmington, NC 28402
P h o n e : 9 1 0 - 2 5 4 - 9 3 3 3 F a x : 9 1 0 - 2 5 4 - 0 5 0 2 www.CLDeng.com

D WR
'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: W)GUaMI (tobCwtnpletedbyDWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Brunswick Regional
Water and Sewer (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual
❑ Corporation
❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal
❑ State/County
❑ Municipal ® Other
3. Signature authority's name: Bob
Walker. per 15A NCAC
02T .0106 b(b)
Title: Executive Director
4. Applicant's mailing address: P.O. Box 2230
City: Leland State: NC
Zip: 28451-_
5. Applicant's contact information:
Phone number: (2 10 171-9949
Email Address: bwalker(nn,h2eoonline.com
II. PROJECT
1. Project name: Jacket's Ridge Subdivision
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000_ and issued date: _
If new construction but part of a master plan, provide the existing permit number: W000_
3. County where project is located: Brunswick
4. Approximate Coordinates (Decimal Degrees): Latitude: 34,2238 Longitude:-78.0618'
5. Parcel ID (if applicable): 0460006004
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Jason R. Carmine License Number: 033196
Firm: Coastal Land Design, PLLC
Mailing address: P.O. Box 1172
City: Wilmington
Phone number: "254- 3�33
State: NC Zip: 28402-_
Email Address: jcatmine(alcldeng.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Northeast RegionalWWTP
Owner Name: Brunswick County
Permit Number: NC 0086819
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): W00030062 Downstream (Receiving) Sewer Size: IS inch
System Wide Collection System Permit Number(s) (if applicable): WQCS_
Owner Name(s): Brunswick Regional Water and Sewer (112GO)
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 NN/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 NN/A
3. If the Applicant is a Home/Propery Owners' Association has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No NN/A
4. Origin of wastewater: (check all that apply)
N 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 % Commercial
_ % Industrial (See 15A NCAC 02T .0103(20))
►,Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f)?. N Yes ❑ No
➢ If yes, provide a cony of flow reduction annroval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.01140
Daily Design Flow'-b
No. of Units
Flow
Single -Family Residential Lots
210 gal/day
59
12,390 GPD
gay
GPD
gall
GPD
gay
GPD
gay
GPD
gay
GPD
Total
I2,390 GPD
a See 15A NCAC 02T 0114(b). (d). (e)(U 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 .01 14(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: 12390 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:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain): Downstream sewer cnacity moratorium
FORM: FTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 2,445 PVC
➢ 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 AMC
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 3 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) & (e)
D 15A NCAC 02T.0305(fl contains minimum separations that shall be provided for sewer systems:
® Yes ❑ No
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
IS inches
Water mains horizontal
10 feet
Reclaimed water lines vertical - reclaimed over sewer
IS inches
Reclaimed water lines horizontal - reclaimed over sewer
2 feet
**Any private or public water supply source, including any wells, WS-1 waters of Class I or
Class 11 impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I 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 sloe 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 021.030560 contains alternatives where separations in 02T.0305(f) cannot be achieved.
D **Stream classifications can be identified using the Division's NC Surface Water Classifications wgbpage
➢ If noncompliance with 02T.0305(f) or (e). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes [:]No
D Seethe 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 all setbacks found in the river basin rules per ISA NCAC 02B .02002 ® Yes ❑ No
D This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ No
➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
➢ information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(61(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
➢ 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 Pennittin¢ 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/Altemative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the rearrest is required prior to submittal of the Fast Track Application and supportive documents.
2. Professional Engineer's Certification:
name from Application Item III.1.)
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 143-215.6E, 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
3. Applicant's Certification per 15A NCAC 02T .0106(b):
that this application for
(Signature Authority's name & title )`rom 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 143-215.6E 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�-/ Date: -J — ;? q— 2 I
FORM: FTA 04-16 Page 5 of 5

Division of Water Rcsource4
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Brunswick Regional Water & Sewer
Project Name for which flow is being requested: Jackeys Ridge
More than one FTSE may be required for u single project if rite owner of the WWTP is not responsible for all pinup
stations along the route of the proposed wastewaterJlow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Northeast Regional WWTP
b. WWTP Facility Permit #: NC0086819
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
AU_flows are in MGD
0.01239
H. 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)
(DMB+C)
(E)=(A-D)
Design
Average
Approx.
Obligated,
Total
Pump
Pump
Daily
Current
Not Yet
Current
Station
Station
Firm
Flow**
Avg. Daily
Tributary
Flow Plus
(Name or
Permit
Capacity, *
(Firm / pt),
Flow,
Daily Flow,
Obligated
Available
Number)
No.
MOD
MOD
MOD
MOD
Flow
Capacity***
15
WQ0030062
.487
.195
.011
.062
.073
.122
12
WQ0016854M
.292
.117
.048
.086
.134
-.017
11 WQ0016854M .281 .112 .062 .121 .183 -.071
16 WQ0016854M 1.159 .464 .093 .227 .320 .144
* 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
(pt) 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): Brunswick Regional Water Sewer
Downstream Permit Number: WQ0030062
Page I of 6
FTSE 10-18

III. Certification Statement:
I Bob Walker 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.
3�z��z1
Sign ng 6fficial Signature Date
��C2Cufl✓� �l�('eC�uT
Title of Signing Official
Page 2 of 6
FTSE 10-18

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section II where Available Capacity is <
0.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
64 % and .086 MGD of the Available Capacity (E) in Pump Station
412, South Lauvale LS ; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
.01 MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
is in design or under construction with
planned completion in ; and/or
d. The following applies:
The South Lanvale LS #12 is planned for pump upgrades to add 100,000 GPD to the station
permittted capacity. Repermilling and upgrades will be complete within 6 months.
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow
this flow to be permitted, without a significant likelihood of over -allocating capacity in the system
infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste disposal
system.
3-2s-2!
Signing Official Signature Date
Page 3 of 6
FTSE 10-18

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section II where Available Capacity is <
0.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
66 % and .121 MGD of the Available Capacity (E) in Pump Station
# 11, North Lanvale LS ; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
.01 MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
is in design or under construction with
planned completion in ; and/or
d. The following applies:
The North Lanvalc LS #11 is planned for pump upgrades to add 100,000 GPD to the station
permittted capacity. Repermitting and upgrades will be complete within 6 months.
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow
this flow to be permitted, without a significant likelihood of over -allocating capacity in the system
infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste disposal
system.
Official signature
3-2s-zl
Date
Page 3 of 6
hTSE 10-18

t)iviaon of 1i4tteraesae;roes
Entity Requesting Allocation: Brunswick
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Water Sewer
Project Name for which flow is being requested: Jackeys Ridge Subdivision
More than one FTSE pray be required for a single project if the owner of the WWTP is not responsible for ali punp
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. W WTP Facility Name: NORTHEAST BRUNSWICK REGIONAL WWTF
b. W WTP Facility Permit #: WQ 0086819
c. W WTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the W WTP
e. W WTP 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
AlI flows are in MGD
2.475
1.0681
2.014
0.01239
3.0944
125.0%
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 W WTP:
(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 / pf),
Avg. Daily Daily Flow, Obligated Available
Number) No. MOD MOD
Flow, MOD MOD Flow Capacity***
* 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 W WTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer):
Downstream Permit Number:
Page 1 of 6
FTSE 10-1 R

III. Certification Statement:
I William L. Pinnix, PE 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.
nffirinl Rionnhirn
Page 2 of 6
Date
FTSF 10-12

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