WQ0042548_Application (FTSE)_20210503

State of North Carolina
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 04-16 & 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 92T and the Division's
Minimum Design Criteria and that plans, specifications and supporting documents have been prepared in accordance with, ILA
NCAC 02T. 15A NCAC 02T .0300. Division policies and good eneineerine 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 ISA 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 _I SA 1 AC 011,03Q3.
Projects not eligible for review via the fast track process (must be submitted for full technical review): of Environmental Quality
➢ Projects that require an environmental assessment in accordance with 15A NCAC 1C .0100; 144
�y
➢ Projects that do not meet any part of the minimum design criteria (MDC) document; 2021
➢ Projects that involve a variance from the requirements of 15A NCAC 2T;
➢ Pressure sewer systems utilizing septic toe of systems
pumps(STEP ( or simplex grinder
er purr fit high Kegione!
➢ STEP or simplex grinder pumps connectingto pressurized stems e.. force mains); 0 fce
➢ 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
® 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.
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.
➢ 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 I.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 11 is a partnership or dlb/a, enclose a copy of the certificate filed with the Register of
Deeds in the county of business.
® The Project Name in Item [I.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 North
Carolina licensed Professional Engineer.
® The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 02T .0 1 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 farm 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.
D Submittal of this application and form FTSE indicates that owner has adequate capacity and will not violate G.S. 143-
215.67(M).
➢ 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.
➢ Location of the project (gravity sewer, pump stations & force main)
➢ Downstream connection points and permit number (if known) for the receiving sewer
H Include a street level map (aerial) showing general project area so that Division staff can easily locate it in the Feld.
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 Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per I SA NCAC 02T 0305(h)(1), submit documentation of power reliability for pumping stations.
➢ This alternative is only available for average daily flows less than 15,000 gallons per day
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible
with the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or proposed
contractor, stating that "the portable power generation unit or portable, independently -powered pumping units, associated
appurtenances and personnel are available for distribution and operation of this pump station."
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump
stations' storage capacities and the rotation schedule of the portable power source or pump, including travel
timeframes, shall be provided in the case of a multiple station power outage. (Required at time of certification)
L Certificate of Public Convenience and Necessity (Ali Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 2T .0115 a 1 provide the Certificate of Public Convenience and Necessity from the North Carolina
iilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by
the sewer extension, or
O Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an
application for a franchise has been received and that the service area is contiguous to an existing franchised area or that
franchise approval is expected.
J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ HQwaronerty Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement FORM: HOA .
❑ Per 15A NCAC 02T .01 l 5(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 1 SA NCAC 02T .0115(b), submit the properly executed Operational Agreement WORM., DE
For more information, visit the Division's collection systems websile
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 Realonal Offive
Water Quality Section
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
(828) 2964500
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Renfona! Office
225 Green Street Suite 714
Anson, Bfaden, Cumberland, Hamett, Hoke,
yvalff-Qu*111ty Sectiou
Fayetteville, North Carolina 28301-5094
Montgomery, Moore, Robeson, Richmond,
(910) 4334300
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
R !2]ah Rer lonal ONice
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Water Quality Sq2tion
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington I Qfte
943 Washington Square Mall
Beaufort, Berlfe, Camden, Chowan, Craven,
Water_Quality Section
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water coon
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Mriston-SaIlm Regional OMce
450 W. Hanes Mill Road
Alamance, Alleghany, Ashe, Caswell, Davidson,
Water Quality Section
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
INSTRUCTIONS FOR FORM: FTA 04- ld & SUPPORTING DOCUMENTATION Page 3 of 3

State of North Carolina
Department of Environmental Quality
�. Division of Water Resources
15A NCAC 02T .0300 -- FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
DWWon of Water ltesourtes FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: 1 'l Z " 8 (to W completed by DWR)
All items must be completed or the application will lie returned
1. APPLICANT INFORMATION:
1. Applicant's name: Old North State Water QQmpany, LLC (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: ,[ohn McDonald per 15A NCAC 02T .0106(b)
Title: Owner
4. Applicant's mailing address: 3212 61 Avenue South, Suite200
City: Birmingham State: AL Zip: 35222-
5. Applicant's contact information:
Phone number: 2U) 32 54 Email Address: JMcDonald inte mwater.com
Il. PROJECT INFORMATION:
I. Project name: Cruizers -Briar Cha
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 part of a master plan, provide the existing permit number. WQ00
3. County where project is located: Chatham
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.811564° Longitude:-71.484623°
5. Parcel ID (if applicable): 91728
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Joseph M. Craig License Number. 034332
Firm: CE Group, Inc.
Mailing address: 301 Glenwood Avenue, Suite 220
City: Raleigh Stale: NQ Zip: 27603-
Phone number: (ZW MZ-8790 Email Address: Mitch(R EGrounlnc.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Briar Chanel W WTP Permit Number: W 0029552
Owner Name: Old North State Water m n LLC
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ003� Downstream (Receiving) Sewer Size: 8 inch
SY8qm Wide Collection System Permit Number(s) (if applicable): WQCS00372
Owner Name(s): Old North State Water ComMy.LLC
2i
FORM: FTA 04-16 Page l of

Vl. GENERAL REQUIREMENTS
1. 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 Developer's ODerational A rem e F V been attached?
❑ Yes []No ®N/A
3. If the Applicant is a HomdProperty Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ®NIA
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ® Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: % Domestic/Commercial J 00 % Commercial
% Industrial Sec 15A NCA.0O2T .0 103 28
4-'Is there a Pretreatment Program in effect? ❑ Yes ®No
6. Hasa flow reduction been approved under 15A NCAC 02T .0l 14(a? ❑ Yes ®No
> If ym urovide a cony of flow reduction aooroval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021` 01_ 140
Convenience Store with Food Prep
Daily Design Flow'b ,No. of Units Flow
60 gal/100 sf
5,000
3,000 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
3,000 GPD
a See 15A NCAC 02T .0114(b). (d), (g)(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 new 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 MACT 1141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
I. Wastewater generated by project: 3.000 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):
FORM: FTA 04-16 Page 2 of 5

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 640 DIP
4 340 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)
D Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0 & MDC (Pump Stations/Force Mains):
COMPLETE —FOR EACH PUMP STATION INCLUDED IN THIS PRgJECT
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 . h I
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(13):
D Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
D 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 - l5A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(l XC):
D 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.
D If the portable power source or pump is dedicated to multiple pump stations, an evaluation of ail 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- l 6 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (0213.0200 & 1SA NCAC 02T.0305(f)):
1. Does the project comply with all separations found in 15A NCAC 2T . ® Yes ❑ No
➢ 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 webriage
➢ 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 ® NIA
D 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 Q2B .0200? ❑ Yes ❑ No ® NIA
➢ This would include Trout Buffered Streams per 15A NCAC ?,B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ® Yes ❑ No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the Q& Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0I05 , 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 l SA NCAC 02T.04 "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 ❑ NIA
➢ 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(ax5) 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 1�5,6 UCAC 02T, the 14t' ' Desi n Criteria For the rnnitting of PgrUM slations and Nice —Mains 11 test version) and the Gravity Sewer Minimum (latest versionj as applicable?
® Yes ❑ No
If No, complete and submit the variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Aeffeval or the regulat is Eunksip—ri—or to submittal of 116L. FRSLIMdLApplication gad supportingu.
2. Professional Engineer's Certification: w,t p
1� '� l' G r attest that this application for
(Professional Engineer's name from -Application item Ill.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 oFmy 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 muterials under my signature and seal signifies that l 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 143-215.65, 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,o0D per violation.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1,
/lea+-r
title from Ap cation item
\titk C Afff o
X`+
�4-�Zlv�ZI
that this application for
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 arc 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 14 -12 t 611 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 S25,000 per violation.
Signature: Dam: �l
FORM: FTA 04-16 Page 5 of

State of North Carolina
nWR
Department of Environmental Quality
Division of Water Resources
Division of Water esources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Old North State Water, Company _
Project Name for which flow is being requested: _ Cruizers - Briar Chapel
More than one ME 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 wastewaterflow.
.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Briar Chapel WWTP _
b. WWTP Facility Permit #: w WQ0028552
AIIJrows are in MGD
c. WWTP facility's permitted flow 0.217/0.36
(Const/Permitted) n
d
d. Estimated obligated flow not yet tributary to the WWTP 0.119
e. WWTP facility's actual avg. flow 0.205
f. Total flow for this specific request 0.003
g. Total actual and obligated flows to the facility 0.327
h. Percent of permitted flow used 1510/0/91% �.
a
11. Complete this section for each pump station you are responsible for along the route of this opos-a p
wastewater flow.
r
CD
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 / po, Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD 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 Aunimum 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): w Briar Chapel - SD West Watermain Relo.
Downstream Permit Number: WQ0038847
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I John McDonald 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.
Official
Title of Signing
Date
Page 2 of 6
1~TSE 10-18

May 3, 2021
NCDEQ/DWR
Water Quality Section
Fast Track Unit
3800 Barrett Drive
Raleigh, NC 27609
Re: Mosaic at Chatham Park
Sanitary Sewer Extension Modification
NC Dept Of Environme"la 1
fEnvironmenla1 Uualn,
MAY - 3 2D21
Raleigh Regional of
Please find attached the following information for the requested extension permit:
- Application Fee: $480
- Fast Track Sewer System Extension Application (FfA 04-16)
- Flow Tracking/Acceptance Form (Form: FTSE 10-18)
- USGS Topographic Map
- Vicinity Map
- Existing Downstream Permit (WQ0038847)
- NC Secretary of State Business Registration
- Electronic CD (Above Info)
This information is provided as required for processing of the requested permit application for the r Private
Sanitary Sewer Extension for the Cruizers Convenience Store in Chatham County, North Carolina, consisting of a
5,000 square foot convenience store with food and a service for an adjacent undeveloped lot. Immediately
downstream of this project is a gravity sanitary sewer system that flows to the Briar Chapel Forcemain Lift
Station. The project will connect to the Briar Chapel Wastewater Treatment Plant (WQ0028552). The total
estimated Daily Design Flow is listed in the calculations as 3,000 GPD.
Respectfully Submitted,
CE Group, Inc.
Mitch Craig, PE
Principal/Project Manager
301 Glenwood Avenue I Raleigh. NC 27G03 1 (919) 3G7-8790 I www.ceoroupinc.com

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