WQ0042669_Application (FTSE-UPDATE)_20210831

Strickland, Bev
From: John Teel <[e-mail]>
Sent: Tuesday, August 31, 2021 12:48 PM
To: Michael L. Stewart; Robinson, Jason
Cc: Cashion, Ted; [e-mail]
Subject: Re: [External] Re: Rockbridge Subdivision - Phase 2A
Attachments: Hills at Rockbridge revised FTA 06-21 form.pdf; FTSE-10-18.pdf; ROCKBRIDGE FLOW
REDUCTION.pdf
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Report Spam.
Jason,
In review, we've decided to permit for 4 bedrooms. I've revised FTA and FTSE forms with corrected
numbers. Please see attached. Let me know if you need anything else.
Thanks,
John A. Teel
STEWART-PROCTOR, PLLC
Engineering and Surveying
office 919 779-1855
On Monday, August 30, 2021, 04:48:30 PM EDT, Robinson, Jason <[e-mail]> wrote:
Thanks John,
Two more questions.
1. Will the ten house all be 3-bedroom?
2. Section VI.7 of the application form(FTA 6-21) shows a flow of 1,800 GPD (this should have also appeared
in VI.8, but that's okay).
But Item I.f of the Flow Tracking Form (FTSE 10-18) states that the total flow for this specific request is 10,920
GPD. Please explain this discrepancy.
i

Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
NC Division of Water Resources, DEQ
919-791-4200
**Subscribe to Collection System & Sewer Permitting Updates**
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality
has adjusted operations to protect the health and safety of the staff and public. Many employees are working
remotely or are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are
limiting public access to appointments only. Please check with the appropriate staff before visiting our offices,
as we may be able to handle your requests by phone or email. We appreciate your patience as we continue to
serve the public during this challenging time.
From: John Teel [mailto:jteelsp©yahoo.com]
Sent: Monday, August 30, 2021 1:45 PM
To: Michael L. Stewart <stewartpe©aol.com>; Robinson, Jason <jason.t.robinson©ncdenr.gov>
Cc: Vinson, Scott <scott.vinson©ncdenr.gov>; Manuel, Vanessa <vanessa.manuel©ncdenr.gov>; Cashion,
Ted <ted.cashion©ncdenr.gov>; Stafflandl©earthlink.net; Coco, Nick A <Nick.Coco©ncdenr.gov>;
Montebello, Michael J <Michael.Montebello©ncdenr.gov>
Subject: Re: [External] Re: Rockbridge Subdivision - Phase 2A
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Jason,
This is the same project about separation. I've attached the revised FTA 06-21 form with the corrected length of DIP line.
Please let me know if you have any questions or need anything else.
2

Thanks,
John A. Teel
STEWART-PROCTOR, PLLC
Engineering and Surveying
office 919 779-1855
On Monday, August 30, 2021, 12:18:47 PM EDT, Robinson, Jason <jason.t.robinson©ncdenr.gov> wrote:
John/Michael,
We're reviewing the sewer extension application that we received for "The Hills at Rockbridge" that we
received on 6/30.
Is this the same project that we discussed in the emails below about the separations from a private well?
The reason I ask is because in the emails below, you state that there were some changes made to the design
to meet the separation requirements. However, those emails were after we received this application we're
currently reviewing (emails on 7/7, app was received on 6/30), so I wanted to check to see if the lengths of line
in the application need to be revised due to the revisions to the plans.
(I realize that it's possible the project we discussed earlier via email and the application I'm reviewing may be
different phases, and therefore the design changes may have no effect on this current application, but I wanted
to confirm).
3

Thanks,
Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
NC Division of Water Resources, DEQ
919-791-4200
**Subscribe to Collection System & Sewer Permitting Updates**
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality
has adjusted operations to protect the health and safety of the staff and public. Many employees are working
remotely or are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are
limiting public access to appointments only. Please check with the appropriate staff before visiting our offices,
as we may be able to handle your requests by phone or email. We appreciate your patience as we continue to
serve the public during this challenging time.
From: John Teel [mailto:jteelsp©yahoo.com]
Sent: Thursday, July 8, 2021 1:31 PM
To: Robinson, Jason <[e-mail]>
Cc: Vinson, Scott <[e-mail]>; Manuel, Vanessa <[e-mail]>; Cashion,
Ted <ted.cashion©ncdenr.gov>; Stafflandl @earthlink.net; Coco, Nick A <[e-mail]>;
Montebello, Michael J <Michael.Montebello©ncdenr.gov>
Subject: Re: [External] Re: Rockbridge Subdivision - Phase 2A
4

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Jason,
Please see attached revised utility sheet with a dimension shown for separation from manhole 6 to the existing well. Let
me know if you have any questions.
John A. Teel
STEWART-PROCTOR, PLLC
Engineering and Surveying
office 919 779-1855
On Wednesday, July 7, 2021, 07:14:20 PM EDT, Robinson, Jason <jason.t.robinson©ncdenr.gov> wrote:
Thanks Mr. Teel,
I'm glad we caught this before it was constructed. We'II be on the look -out for the revised plans.
-Jason
5

Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
NC Division of Water Resources, DEQ
919-791-4200
**Subscribe to Collection System & Sewer Permitting Updates**
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality
has adjusted operations to protect the health and safety of the staff and public. Many employees are working
remotely or are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are
limiting public access to appointments only. Please check with the appropriate staff before visiting our offices,
as we may be able to handle your requests by phone or email. We appreciate your patience as we continue to
serve the public during this challenging time.
From: John Teel [mailto:[e-mail]]
Sent: Wednesday, July 7, 2021 4:36 PM
To: Robinson, Jason <jason.t.robinson©ncdenr.gov>
Cc: Vinson, Scott <scott.vinson©ncdenr.gov>; Manuel, Vanessa <[e-mail]>; Cashion,
Ted <ted.cashion©ncdenr.gov>; Stafflandl @earthlink.net; Coco, Nick A <[e-mail]>;
Montebello, Michael J <Michael.Montebello©ncdenr.gov>
Subject: [External] Re: Rockbridge Subdivision - Phase 2A
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Jason,
The line has not been constructed yet but is staked out in the field. We did field verify the distance of the manhole and line
to be around 35-40 feet from the well. Were adjusting the manhole to stop at the property line with a 100' separation. Will
forward it to you when finished with the design.
6

John A. Teel
STEWART-PROCTOR, PLLC
Engineering and Surveying
office 919 779-1855
On Wednesday, July 7, 2021, 01:51:30 PM EDT, Robinson, Jason <jason.t.robinson©ncdenr.gov> wrote:
Mr. Teel,
We're following up on the email below. Has the line and the manhole behind the private residence been
constructed yet?
Can you confirm whether the sewerline is at least 25' from the private well, and the manhole (and any other
appurtenances) are at least 100' from the well? If the manhole s less than 100' from the private well (or the
line is less than 25' away from the well), we'll need to determine how to proceed, so the sooner we determine
the separation distances, the better. Please see the approximate location of the well on the diagram in my first
email below. The separation distances will need to be confirmed in the field.
Thanks,
-Jason

Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
NC Division of Water Resources, DEQ
919-791-4200
**Subscribe to Collection System & Sewer Permitting Updates**
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality
has adjusted operations to protect the health and safety of the staff and public. Many employees are working
remotely or are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are
limiting public access to appointments only. Please check with the appropriate staff before visiting our offices,
as we may be able to handle your requests by phone or email. We appreciate your patience as we continue to
serve the public during this challenging time.
From: Robinson, Jason
Sent: Friday, July 2, 2021 3:50 PM
To: John Teel <jteelsp©yahoo.com>
Cc: Vinson, Scott <scott.vinson©ncdenr.gov>; Manuel, Vanessa <[e-mail]>; Cashion,
Ted <ted.cashion©ncdenr.gov>; Stafflandl @earthlink.net; Coco, Nick A <[e-mail]>;
Montebello, Michael J <Michael.Montebello©ncdenr.gov>
Subject: RE: RE: RE: Rockbridge Subdivision - Phase 2A
Thanks John,
As mentioned, this was started after a complaint from the residence about the proximity of the sewerline to
their private well.
The rules require the lines to be built (and tested) according to watermain standards if it's within 100' of the
private well (but still at least 25' away).
8

Also, the rule still requires that all sewer appurtenances still be at least 100' from the private well. The plans
show a manhole (appurtenance) that could potentially be within 100' from the private well head. We hope to
have someone visit the site soon, but can you confirm whether the sewerline is at least 25' from the private
well, and the manhole (and any other appurtenances) are at least 100' from the well?
(2) for public or private wells, piping materials, testing methods, and acceptability standards meeting
water main standards shall be used where these separations cannot be maintained. All
appurtenances shall be outside the 1.00400t radius of the well. The separation shall however not be
less than 25 feet from a private well or 50 feet Iron a puhiie we11;
Thanks,
Jason
Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
NC Division of Water Resources, DEQ
919-791-4200
**Subscribe to Collection System & Sewer Permitting Updates**
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality
has adjusted operations to protect the health and safety of the staff and public. Many employees are working
remotely or are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are
limiting public access to appointments only. Please check with the appropriate staff before visiting our offices,
as we may be able to handle your requests by phone or email. We appreciate your patience as we continue to
serve the public during this challenging time.
9

From: John Teel [mailto:jteelsp©yahoo.com]
Sent: Wednesday, June 30, 2021 1:18 PM
To: Robinson, Jason <jason.t.robinson©ncdenr.gov>
Cc: Vinson, Scott <scott.vinson©ncdenr.gov>; Manuel, Vanessa <[e-mail]>; Cashion,
Ted <ted.cashion©ncdenr.gov>; [e-mail]
Subject: Re: [External] RE: RE: Rockbridge Subdivision - Phase 2A
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Jason,
Please see attached pdf of the construction plans.
John A. Teel
STEWART-PROCTOR, PLLC
Engineering and Surveying
office 919 779-1855
On Wednesday, June 30, 2021, 12:59:32 PM EDT, Robinson, Jason <jason.t.robinson©ncdenr.gov> wrote:
Thanks Mr. John,
Can you please send us a copy of the utility plans?
10

Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
NC Division of Water Resources, DEQ
919-791-4200
**Subscribe to Collection System & Sewer Permitting Updates**
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality
has adjusted operations to protect the health and safety of the staff and public. Many employees are working
remotely or are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are
limiting public access to appointments only. Please check with the appropriate staff before visiting our offices,
as we may be able to handle your requests by phone or email. We appreciate your patience as we continue to
serve the public during this challenging time.
From: John Teel [mailto:[e-mail]]
Sent: Wednesday, June 30, 2021 11:27 AM
To: Robinson, Jason <jason.t.robinson©ncdenr.gov>
Cc: Vinson, Scott <scott.vinson©ncdenr.gov>; Manuel, Vanessa <[e-mail]>; Cashion,
Ted <ted.cashion©ncdenr.gov>; [e-mail]
Subject: Re: [External] RE: RE: Rockbridge Subdivision - Phase 2A
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Jason,
We searched and didn't find documentation that this was finalized. It appears that our office sent the original without
keeping a copy so we submitted a new package today. The plans call for ductile iron pipe/water quality pipe near the well
which appears to be greater than 25 feet away.
11

Thanks,
John A. Teel
STEWART-PROCTOR, PLLC
Engineering and Surveying
office 919 779-1855
On Tuesday, June 29, 2021, 05:54:08 PM EDT, Robinson, Jason <jason.t.robinson©ncdenr.gov> wrote:
Mr. Teel,
Please respond as soon as possible. We'd like to get this sorted -out before the line is fully constructed.
Please let us know if you are involved in the sewerline construction in the drawing in the email below.
If so, please provide the State permit # for this project.
-Jason
Jason T. Robinson, P.E.
12

Raleigh Regional Office
Water Quality Regional Operations
NC Division of Water Resources, DEQ
919-791-4200
**Subscribe to Collection System & Sewer Permitting Updates**
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted operations to protect the health and safety of the staff and public. Many employees are working remotely or are
on staggered shifts. To accommodate these staffing changes, all DEQ office locations are limiting public access to
appointments only. Please check with the appropriate staff before visiting our offices, as we may be able to handle your
requests by phone or email. We appreciate your patience as we continue to serve the public during this challenging time.
From: Stafflandl @earthlink.net [mailto:Stafflandl @earthlink.net]
Sent: Monday, June 28, 2021 12:01 PM
To: 'Tom Spaulding' <[e-mail]>; Robinson, Jason <jason.t.robinson©ncdenr.gov>;
[e-mail]
Cc: Vinson, Scott <[e-mail]>; Manuel, Vanessa <vanessa.manuel©ncdenr.gov>; Cashion, Ted
<[e-mail]>
Subject: [External] RE: RE: Rockbridge Subdivision - Phase 2A
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
I am forwarding the emails over to John Teel for him to review.
Thanks,
From: Tom Spaulding <[e-mail]>
Sent: Monday, June 28, 2021 11:47 AM
To: Robinson, Jason <jason.t.robinson©ncdenr.gov>; [e-mail]
Cc: Vinson, Scott <[e-mail]>; Manuel, Vanessa <vanessa.manuel©ncdenr.gov>; Cashion, Ted
<[e-mail]>
Subject: RE: RE: Rockbridge Subdivision - Phase 2A
13

Bob Stafford is the developer so I am sure he knows but I would guess it would be Rockbridge phase 4? Or John teel
should know.
Tom Spaulding, PE, CFMIPrincipal Engineer
PLEASE NOTE MY NEW MAIL ADDRESS
5318 Burning Oak Ct., Raleigh, NC 27606
Office: 919-854-7990 Mobile [phone]
1
THE SPAULDING GROUP, PA
planning - rte•rrenginerrr,,,q
From: Robinson, Jason <jason.t.robinson©ncdenr.gov>
Sent: Monday, June 28, 2021 11:21 AM
To: Tom Spaulding <tom©spauldinq-group.com>; stafflandl©earthlink.net
Cc: Vinson, Scott <scott.vinson©ncdenr.gov>; Manuel, Vanessa <vanessa.manuel©ncdenr.gov>; Cashion, Ted
<ted.cashion©ncdenr.gov>
Subject: RE: RE: Rockbridge Subdivision - Phase 2A
Thanks for the quick response Tom! You wouldn't happen to know the name or permit number of the construction we're
looking at would you?
Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
NC Division of Water Resources, DEQ
919-791-4200
**Subscribe to Collection System & Sewer Permitting Updates**
14

E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted operations to protect the health and safety of the staff and public. Many employees are working remotely or are
on staggered shifts. To accommodate these staffing changes, all DEQ office locations are limiting public access to
appointments only. Please check with the appropriate staff before visiting our offices, as we may be able to handle your
requests by phone or email. We appreciate your patience as we continue to serve the public during this challenging time.
From: Tom Spaulding [mailto:tom©spauldinq-group.com]
Sent: Monday, June 28, 2021 10:50 AM
To: Robinson, Jason <jason.t.robinson©ncdenr.gov>; stafflandl©earthlink.net
Cc: Vinson, Scott <scott.vinson©ncdenr.gov>; Manuel, Vanessa <vanessa.manuel©ncdenr.gov>; Cashion, Ted
<ted.cashion©ncdenr.gov>
Subject: [External] RE: Rockbridge Subdivision - Phase 2A
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Jason, Please see attached sheet that shows the 20 lots associated with the permit you sent. The area you are
concerned about is not part of the phase 2A and I believe was design by John Teel. Please see his contact information
below.
John A. Teel
STEWART-PROCTOR, PLLC
Engineering and Surveying
office 919 779-1855
John Teel jteelsp©yahoo.com
Tom Spaulding, PE, CFMIPrincipal Engineer
PLEASE NOTE MY NEW MAIL ADDRESS
5318 Burning Oak Ct., Raleigh, NC 27606
Office: 919-854-7990 Mobile [phone]
15

THE SPAULDING GROUP' PA
planning - civil engineering
From: Robinson, Jason <jason.t.robinson©ncdenr.gov>
Sent: Sunday, June 27, 2021 2:25 PM
To: Tom Spaulding <tom©spauldinq-group.com>; stafflandl©earthlink.net
Cc: Vinson, Scott <scott.vinson©ncdenr.gov>; Manuel, Vanessa <vanessa.manuel©ncdenr.gov>; Cashion, Ted
<ted.cashion©ncdenr.gov>
Subject: Rockbridge Subdivision Phase 2A
Importance: High
Mr. Spaulding & Mr. Stafford,
We (NCDWR) recently received a complaint about the proximity of a sewerline that is being constructed close to a private
well.
I think that I was able to determine what sewer extension permit covered this ongoing sewerline construction. I believe it's
WO0037943 — Rockbridge Subdivision — Phase 2A issued in August 2018. The application was certified by Mr.
Spaulding, and the permit was issued to Stafford Land Company, Inc. I've attached the permit.
I've attached a site -plan of the area. Can you confirm if the attached permit covers the project shown on the site
plan?
Please provide us the actual utility drawings that shows the sewerline with the plan/profile.
Please respond as soon as possible.
(see clip of site map below)
-Jason
16

Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
NC Division of Water Resources, DEQ
919-791-4200
**Subscribe to Collection System & Sewer Permitting Updates**
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted operations to protect the health and safety of the staff and public. Many employees are working remotely or are
on staggered shifts. To accommodate these staffing changes, all DEQ office locations are limiting public access to
appointments only. Please check with the appropriate staff before visiting our offices, as we may be able to handle your
requests by phone or email. We appreciate your patience as we continue to serve the public during this challenging time.
17

0 Virus -free. www.avast.com
18

DWR
Division of Water Resources
State of North Carolina
Department of Environmental. Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
INSTRUCTIONS FOR FORM: FTA 06-21 & 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 (Gravity Sewer & Pump Stations/Force Mains) 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 15A NCAC 02T .0305 and the applicable minimum design criteria. These
documents shall be immediately available upon request by the Division.
Projects that are deemed permitted (do not require a permit from the Division) are explained in 15A NCAC 02'1..0303.
Projects not eligible for review via the fast track process (must be submitted for full technical review):
➢ Projects that do not meet any part of the minimum design criteria (MDC) documents;
> Projects that involve more than one variance from the requirements of 15A NCAC 02T;
➢ Pressure sewer systems utilizing simplex septic tank -effluent pumps (S'I'EPs) or simplex grinder pumps;
> Simplex 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 (second copy may be digital) of Application and Supporting Documents
El Required unless otherwise noted. Signatures on original must be "wet ink" or secure digital signatures.
Please do not submit engineering design plans with the application unless specifically requested.
B. Cover Letter/Narrative Description (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.
> Include the permit number/status of any other required sewer permits (downstream/upstream)
> If necessary for clarity, include attachments to the application form.
C. Application Fee (All New and Modification Application Packages):
® Submit a check or money order in the amount of $480.00, dated no more than 90 days prior to application submittal.
➢ Payable to North Carolina Department of Environmental Quality (NCDEQ)
D. Fast Track Application (Required for All Application Packages, Form FTA 05-21):
® 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.
El If the Applicant Type in Item 1.2 is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of Deeds in
the county of business.
El The Project Name in Item 11.1 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 .E 5A NCAC 02T .0106(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 06-21 & 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 11-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project area,
including the closest surface waters.
> General location of the project components (gravity sewer, pump stations, & force main)
➢ Downstream connection points and permit number (if known) for the receiving sewer
® Include an aerial location map showing general project area (such as street names or latitude/longitude) so that Division staff
can easily locate it in the field.
G. Existing Permit (Application Packages for Modifications to an Existing Permit):
® Submit a copy of the most recently issued existing permit.
El Include a descriptive and clear narrative identifying the previously permitted items to remain in the permit, items to be
added, and/or items to be modified (the application form itself should include only include items to be added/modified). The
narrative should also include whether any previously permitted items have been certified.
❑ The narrative should clearly identify the requested permitting action and accurately describe the sewers to be listed in
the final permit.
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per 15A 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)
I. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
® Per 15A NCAC 02T .0115(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 HOA/POA and Developers for lots to be sold):
❑ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(e), 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 05-21 & 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 28778-8211
[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 28301-5095
(910) 433--3300
[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
3800 Barrett Drive
Raleigh, North Carolina 27609
[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, Pander
Water Quality Section
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Winston-Salem, North Carolina 27105
[phone]
[phone] Fax
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
Water Quality Section
INSTRUCTIONS FOR FORM: FTA 05-21 & SUPPORTING DOCUMENTATION Page 3 of 3

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 06-21 & 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: KRJ INC., a N.C. Corporation d/b/a KRJ Utilities (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: Robert Stafford per 15A NCAC 02T .0106(b)
Title: Owner
4. Applicant's mailing address: 246 Valley Field Lne
City: Southern Pines State: NC Zip: 28387-
5. Applicant's contact information:
Phone number: [phone] Email Address: staffland1(&earthlink.net
II. PROJECT INFORMATION:
1. Project name: The Hills at Rockbridge
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of a master plan, provide the existing permit number: W00024320
3. County where project is located: Wake
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.7390' Longitude: -78 .458202'
5. Parcel ID (if applicable): 1762056136 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Michael Stcwart License Number: 22024
Firm: Stewart -Proctor
Mailing address: 319 Chapanoke Road
City: Raleigh State: NC Zip: 27603-
Phone number: [phone] Email Address: stewartpe(p aol.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Rockbridge WRF Permit Number: W00024320
Owner Name: KRJ INC.
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): W00024320
2. Downstream (Receiving) Sewer Information: 8 inch
M Gravity Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): KRJ INC.
FORM: FTA 06-21
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 I )eweloper's Operational AZrrement (FORM • I )TALI been attached?
Yes No ®N/A
3. If the Applicant is a Home/Property Owners' Association, has an HOA/POA Operational Aoreenn'nLjFORM• HOA) and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
❑ Yes ❑ No ® N/A
4. Origin of wastewater: (check all that apply):
® Residential (Individually Owned) ❑ Retail (stores, centers, malls)
❑ Residential (Leased) ❑ Retail with food preparation/service
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities
❑ Food and drink facilities ❑ Church
111 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 % Industrial (See 15A NCAC 021 .0103f20))
If Industrial, is there a Pretreatment Program in effect? ® Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02"f .01 14(f)? ® Yes ❑ No
> If yes, provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(0)
Daily Design Flow a,b
No. of Units
Flow
Residential
240 gal/per lot
10
2,400 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
2,400 GPD
Total
a See 15A NCAC 02T .0114(b), (d), (e)(11 and (e)('R) for caveats to wastewater design flow rates (i.c., 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 15A NCAC 02T.0114} shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project:2,400GPD (per 15A NCAC 02T
.0114)
Do not ' Jude future flows or evi usl ermitted allocations
If permiter now is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where Clow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: FTA 06-21
Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC iGravity Sewers;
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
667
PVC
8
1,075
DIP
> 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 requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (_Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: - .
3. Total number of pumps at the pump station:
3. Design flow of the pump station: millions gallons per day (firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): gallons per minute (GPM) at feet total dynamic head (TDII)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
If any portion of the three main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01C.1.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or ❑ Standby pump
> Must have 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 and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant 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
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 06-21 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(f) & (g,)'?
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
ElYes ❑ No
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
'Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
2Water 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, and associated wetlands.
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 associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
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
> If noncompliance with 02T.0305(f) or (g), see Section X.1 of this application
*15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved. Please check "yes"
above if these alternatives are used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webpagc
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ NIA
> If no, please refer to 15A NCAC 18C.0906(f) for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ❑ Yes ❑ No ❑ N/A
> Please provide supplementary information identifying the areas ofnon-conformance.
> See the Division's draft separation requirements for situations where separation cannot be met.
> No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? ❑ Yes Basin name: ❑ No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes ❑ No
> This includes Trout Buffered Streams per i5A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑ Yes No
or 401 Water Quality Certifications?
> Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications must be 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.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" ® Yes ❑ No
Per 15A NCAC 02T.0402, "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
> 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 perutittee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 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 Gravity Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the permit, and projects requiring a variance approval may be subject to longer
review times. For projects requiring two or more variances or where the variance is determined by the Division to be a
significant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:
I, MCf{,¢C(_ L_ 51 9itiai , attest that this application for' HELLS fr eAcklg¢(1)6,6--
(Professional Engineer's name from Application Item HI. .) (Project Name from Application Item II. I)
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,
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 1 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. Misrepresentation of the application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board. (21 NCAC 56.0701)
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per I5A NCAC 02T .0106(b):
I, go artZ r Si Aef as , attest that this application for{NE 1-MI4e,S A7 ' RpUC 811I0
(Signature Authority Name from Application Item I.3.) (Project Name from Application Item 11.1)
attest that this application 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. 1 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:
Date: 06.29.2021
FORM: FTA 06-21
Page 5 of 5

Q3&R
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: KRJ INC.
Project Name for which flow is being requested: The Hills at Rockbridge
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Rockbridge WRF
b. WWTP Facility Permit #: WQ0024320
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP 0
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
67,420
43,949 (6-mo avg)
2,400
46,349
68.7
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:
Pump Pump
Station Station
(Name or Permit
Number) No.
Influent
Firm
Capacity, *
MGD
0.494
(A)
Design
Average
Daily Flow**
(Firm / p f),
MGD
0.20
(B) (C) (D)=(B+C) (E)=(A-D)
Obligated,
Approx. Not Yet Total Current
Current Tributary Flow Plus
Avg. Daily Daily Flow, Obligated
Flow, MGD MGD Flow
0.05 0.0 0.05 0.15
Available
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 WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Rockbridge WRF
Downstream Permit Number:
WQ0024320
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Robert R. Stafford 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.
Signing Official Signature
President
Title of Signing Official
06.29.2021
Date
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
% and MGD of the Available Capacity (E) in Pump Station
; 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, namely
is in design or under construction with
planned completion in ; and/or
d. The following applies:
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.
Signing Official Signature Date
Page 3 of 6
FTSE 10-18

Instructions for Flow Tracking form (FTSE) and Planning Assessment Addendum (PAA)
Section I
a. WWTP Facility Name: Enter the name of the WWTP that will receive the wastewater flow.
b. WWTP Facility Permit #: Enter the NPDES or Non -Discharge number for the WWTP receiving the
wastewater flow.
c. WWTP facility's permitted flow, MGD: From WWTP owner's NPDES or Non -Discharge permit.
d. Estimated obligated flow not yet tributary to the WWTP, MGD: This includes flows allocated to other
construction projects not yet contributing flow to the collection system. Flows allocated through interlocal
agreements or other contracts not yet contributing flow to the collection system are also included. For POTWs
that implement a pretreatment program, include flows allocated to industrial users who may not be using all of
their flow allocation. Please contact your Pretreatment Coordinator for information on industrial flow tributary
to your WWTP.
As of January 15, 2008 the POTW should have reviewed flow allocations made over the last two years and
reconciled their flow records, to the best of their ability, so it is known how much flow has been obligated and
is not yet been made tributary to the WWTP, in accordance with local policies and procedures employed by the
reporting entity.
e. WWTP facility's actual avg. flow, MGD: Previous 12 month average.
f. Total flow for this specific request, MGD: Enter the requested flow volume.
g. Total actual and obligated flows to the facility, MGD Equals [d + e + f]
h. Percent of permitted flow used: Equals [(g / c)*100]
For example:
On January 15 a POTW with a permitted flow of 6.0 MGD, reported to the Regional Office that there is 0.5
MGD of flow that is obligated but not yet tributary. The annual average flow for 2007 is 2.7 MGD. There is a
proposed flow expansion of 0.015 MGD.
The first Form FTSE submitted after January 15, 2008 may have numbers like this:
c. = 6.0 MGD
d. = 0.5 MGD
e. = 2.7 MGD
f. = 0.015MGD
g. = 3.215 MGD
h. = 53.6%
The next Form FTSE may be updated like this with a proposed flow expansion of 0.102 MGD:
c. = 6.0 MGD
d. = 0.515 MGD
e. = 2.73 MGD
f. = 0.102 MGD
g. = 3.349 MGD
h. = 55.8 %
Each subsequent FTSE form will be updated in the same manner.
Page 4 of 6
FTSE 10-18

Section II
List the pump station name or number and approximate pump station firm capacity, approximate design average
daily flow (A) approximate current average daily flow (B), and the obligated, not yet tributary flow through the
pump station (C) for each pump station that will be impacted by the proposed sewer extension project. Calculate
the total current flow plus obligated flow (D=B+C) and the available capacity (E=A-D). Include the proposed flow
for this project with other obligated flows that have been approved for the pump station but are not yet tributary
(C).
Firm capacity is the maximum pumped flow that can be achieved with the largest pump out of service as per the
Minimum Design Criteria.
Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor (pf) of not less than
2.5.
If the available capacity (E) for any pump station is < 0, then prepare a planning assessment for that pump station
if the system has future specific plans related to capacity that should be considered in the permitting process.
(A) (B)
Design
Firm Average
Pump Station Capacity Daily Flow
(Name or Number) MGD (Firm / pf)
Kaw Creek PS 0.800 0.320
Valley Road PS
Approx.
Current Avg.
Daily Flow,
MGD
(C) (D)=(B+C) (E)=(A-D)
Obligated,
Not Yet Total Current
Tributary Flow Plus
Daily Flow, Obligated Available
MGD Flow Capacity*
0.252 0.080 0.332 -0.012
1.895 0.758 0.472
0.135 0.607 0.151
Page 5 of 6
FTSE 10-18

Planning Assessment Addendum Instructions
Submit a planning assessment addendum for each pump station listed in Section II where available capacity is < 0.
A planning assessment for Kaw Creek PS (see example data above) may be performed to evaluate whether there is
significant likelihood that needed improvements or reductions in obligated flows will be in place prior to activating
the flows from the proposed sewer extension project.
If the system decides to accept the flow based on a planning assessment addendum, it is responsible to manage the
flow without capacity related sanitary overflows and must take all steps necessary to complete the project or control
the rate of flow to prevent sanitary sewer overflows.
The planning assessment may identify a funded project currently in design or construction, or a planned project in
the future not yet funded but in a formal plan adopted by the system. The system should carefully weigh the
certainty of successful timely project completion for any expansion, flow management diversion or infiltration and
inflow elimination projects that are the foundation of a planned solution to capacity tracking and acceptance
compliance.
For example:
Given that:
a. The proportion and amount of obligated, not yet tributary flow accounts for 24 % and 0.080 MGD of the
committed flow in Pump Station Kaw Creek; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately 0.01 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 master plan and ten year capital plan contain recommended scope and funding for a capital project entitled
Kaw Creek Pump Station upgrade with funding planned in July 2014. This project is planned to add 0.100 MGD
to the firm capacity of the pump station by October 2015. Inclusion of this proposed capital project as a condition
of this Flow Tracking/Acceptance for Sewer Extension Permit Application elevates this project's priority for
funding and construction to be implemented ahead of the activation of obligated, not yet tributary flows in amounts
that exceed the firm pump station capacities identified in Section II above.
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.
Page 6 of 6
FTSE 10-18

Water Resources
Enviroumcnlnl Quality
February 14, 2017
James R Butler, PE
Management Group of NC, Inc.
P.O. Box 2369
Swansboro, NC 28584-2369
Subject: Rockbridge WRF, Permit # WQ0024320
Residential Flow Reduction
Wake County
ROY COOPER
n rirrunr
MICHAEL S. REGAN
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S. JAY ZIMMERMAN
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Dear Mr. Butler:
Based upon the data provided by the Management Group of NC, Inc., on behalf of KRJ, Inc. (dba KRJ
Utilities), the Division of Water Resources hereby approves the use of 60 GPD per residential bedroom,
with a minimum of 120 gpd for one and two bedroom units in all applicable non -discharge permit
applications to Rockbridge WRF (WQ0024320). Flow shall be incremented by 60 gpd for each bedroom
above two.
Regardless of the adjusted design daily wastewater flow rate, at no time shall the wastewater flows
exceed the effluent limits defined in the non -discharge permit for the treatment facility or exceed the
capacity of the sewers downstream of any new sewer extensions or service connection(s).
The granting of this flow reduction does not prohibit the Division from reopening, revoking, reissuing
and /or modifying the flow reduction as allowed by the laws, rules, and regulation contained in 15A
NCAC 02T, NCGS 143-215.1, or as needed to address changed in State and/or Federal regulations with
respect to wastewater collection systems, protection of surface waters and/or wastewater treatment.
if you have any questions, please contact me at [phone], or via email at
[e-mail].
Sincerely,
&s:L4,\ ,D„
for S. Jay Zimmerman
Director, Division of Water Resources
by Deborah Gore, Supervisor
Pretreatment, Emergency Response and Collection Systems Branch
Cc: Raleigh Regional Office, Water Quality Regional Operations
Non -Discharge Unit (WQ0024320)
PERCS (electronic copy) • - NotI-Ong Compares ---
State of North Carolina I Environmental Quality
1617 Mail Service Center I Raleigh. North Carolina 27699-16i 7
919-707-9000