WQ0042804_Application (FTSE)_20210901

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c i v i l
August 31, 2021
NCDEQ Winston Salem Regional Office
Water Quality Section
450 W. Hanes Mitt Road, Suite 300
Winston Salem, NC 27105
RE: 1502 Cotton Grove Road Redevelopment
Commercial Development
fast Track Sewer -'System Extension Application Package
City of Lexington Davldson`County
1502 Cotton Grove Road, Lexington, NC
design
C NDepartment
mt
n enalQ•
ualty
Received
SEP 01 2021
Winston-Salem
Regional Office
Please see attached permit submittal package for the above referenced project. See list below for documents and
plans included in this submittal.
Items Included in Submittal
• Transmittal Letter (This document)
• One (1) Fee Check for $480.00 made payable to NCDEQ
• Two (2) Project Narrative Description Cover Letters
• Two (2) Fast Track Application Checklists
• Two (2) Fast Track Applications with secure digital signatures
• Two (2) Flow Tracking for Sewer Extension Applications
• Two (2) Site Location Maps
Please feel free to contact me ([e-mail] or 864-326-4205) if you have any comments or questions
concerning this submittal.
Regards,
Bluewater Civil Design, PLLC
Christopher L. Price, P.E.
Partner
Office: [phone]
BLUEWATER CIVIL DESIGN, PLLC • 718 Lowndes Hill Road ♦ Greenville, SC 29607
[phone] • [e-mail] • www.bluewatercivil.com

blue a E
civil d e s i g n
1502 Cotton Grove Road Redevelopment
Project Narrative Description
The project includes demolition of an existing Church building that is currently on a
septic system. New construction includes 2 commercial buildings with a total daily
design flow of 2,585 GPD. An 8" gravity sewer of approximately 267 LF with 3
manholes is proposed to serve the new buildings. The proposed main extension will
be owned and maintained by the City of Lexington. The property address is 1502
Cotton Grove Road, Lexington, NC 27292. Site location maps are enclosed for
reference.
BLUEWATER CIVIL DESIGN, PLLC ♦ 718 Lowndes Hill Road • Greenville, SC 29607
[phone] ♦ [e-mail] ♦ www.bluewaterciviLcom
•

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: City of Lexington (company, municipality, HOA, utility, etc.)
2. Applicant type: 0 Individual 0 Corporation 0 General Partnership ❑ Privately -Owned Public Utility
0 Federal ❑ State/County 0 Municipal 0 Other
3. Signature authority's name: Roger Jones per 15A NCAC 02T .0106(b)
Title: Public Services Manager
4. Applicant's mailing address: 28 W Center St
City: Lexington State: NC Zip: 27292-_
5. Applicant's contact information:
Phone number:. (336)-248-3931) Email Address: RDJones(a,LexingtonNCgov
II. PROJECT INFORMATION:
1. Project name:.1502 Cotton Grove Road Redevelopment
2. Application/Project status: 0 Proposed (New Permit) 0 Existing Permit/Project
If a modification, provide theexisting permit number:. W000_ and issued date: ,
For modifications, also attach a detailed narrative description as described in Item G of the checldist.
If new construction, but part of a master plan, provide the existing permit number: W000_
3. County where project is located: Davidson
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.7829° Longitude: -80.2599°
5. Parcel ID (if applicable): 6724-04-62-4206 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Christopher L Price License Number: 029755
Firm: Bluewater Civil Design, PLLC
Mailing address: 718. Lowndes HillRoad
City: Greenville State: SC. Zip: 29607-_
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (W WTF) INFORMATION:
1. Facility Name: Lexington Regional Wastewater Treatment Plant Permit Number: NC0055786
Owner Name:City of Lexington
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. PermitNumber(s): WQ_
2. Downstream (Receiving) Sewer Information: _ inch
❑ Gravity 0 Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS_
Owner Narne(s):
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 0 No ®N/A
2. If the Applicant is. a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes 0 No ®N/A
3. if the Applicant is a Home/Property Owners' Association, has an HOA/POA Operational Agreement (FORM: HOA) and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
❑ Yes 0 No ®N/A
4. Origin of wastewater: (check all that apply):
0 Residential (Individually Owned) ® Retail (stores, centers, malls)
❑ Residential (Leased) ® Retail with food preparation/service
❑ . School / preschool / day care ® Medical / dental / veterinary facilities
Food and drhik facilities 0 Church
0 Businesses / offices / factories 0 Nursing Home
❑.Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool/Clubhouse
❑ Swimming Pool/Filter Backwash
❑.Other (Explain in Attachment)
5. Nature of wastewater : % Domestic 100 % Commercial _ % Industrial. (See I SA NCAC 02T .0103(201)
If Industrial, is there a Pretreatment Program in effect? 0 Yes❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114M? 0 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(t))
Daily Design Flowa'b
No. of Units
Flow
Restaurant, full service
40 gal/seat
30 seats
1,200 GPD
Store without food service
100 gal/1000 SF
3,850 SF
385 GPD
Dental Office
250 gal/practitioner/shift
4
practitioners
1,000 GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
2,585 GPD
a See 15A NCAC 02T_0114(b). (d). (e)(1) and (e)(21 for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilties 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 establishtnents not identified [in table ISA 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: 2.585 GPD (per 15A NCAC 02T 0114).
➢ Do not include.future flows or previously permitted allocations
If permitted flowis zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits thatconnect to this. line.
Please provide supplementaryinformation 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 withnonew flow expected
❑ Other (Explain):
FORM: FTA 06-21
Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
267
D.I.P.
➢ Section. II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section Ill contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violationof 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 INCLUDEDIN 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 (TDH).
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFMSection 2.01C.1.b.❑Grinder Pump 0 Mechanical Bar Screen 0 Other (please specif')
6. Power reliabilityin accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or 0 Standby pump
➢ Must have automatic activation and telemetry - I5A 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
S. 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:
➢ Includedocumentation that the portable source is ownedor contracted by the applicant and is compatible with the station.
➢ If the portable power source or pump is dedicatedto multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including traveltimeframes, 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(0):
1. Does the project comply with all separations/alternativesfound in 15A NCAC 02T .0305(f) & (g)?
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)
18 inches
'Water mains (vertical - water over sewer preferred, includingin benched trenches)
18 inches
2Water mains (horizontal)
10 feet
Reclaimed water lines. (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontat - 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 ormore vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
> If noncompliance with02T.0305(f) or (g) see SectionX.1 of this application
*15A NCAC 02T.0305(n).contains alternatives where separations. in 02T.0305(fl 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 webnage
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ N/A
> If no, please refer to 15A NCAC 18C.0906(0 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 withseparation requirements for wetlands? ❑ Yes ❑ No ❑ N/A
> Please provide supplementary information identifying the areas of non-conformance.
➢ See the Division's draft separation requirements for situations where separation cannot be met.
S. 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: Yadkin Pee Dee ® No
If yes, does the project comply with setbacks found in the river basin rules per ISA NCAC 02B .0200? ❑ Yes ❑ No
)0 This includes Trout Buffered Streams per 15A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404.Nationwide/individual permits 0 Yes ® No
or 401 Water Quality Certifications?
• Please provide the permit number/permitting status in the cover letterif coverage/authorization is required.
6. Does project comply with I5A NCAC 02T.0105(c)(6) (additional permits/certifications)? ❑ Yes ❑ No
Per 15A NCAC 02T,0105(c)(61, 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 attachmentwith 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 permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submittedsystem 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 proiects 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
significantportion of the project. the full technical review is required.
2. Professional Engineer's Certification:
I, Christopher L. Price. PE attest that this application for 1502 Cotton Grove Road Redevelopment
(Professional Engineer's name from Application Item 111.1.) (Project Name from Application Item ILI)
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 signatureand sealsignifies. that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE— In accordance with General Statutes 143-215.6A. and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. 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 referralto the licensing board. (21 NCAC 56.0701)
ItttUllHHlllin
0
'Pt
Wa
North Carolina Professional Engineer's seal, signature, and date:
Digitally signed by Christopher L
Price, PE.
E=chris@bluewaterciviicom,
OfeBluewater Civil Design, LLC", =
Christopher L. Price, PE CN="Christopher L. Price, PE Ei
Location: Greenville, SC i
Reason: Digital Signature 1.
Contact Into: �j'F>
[e-mail]
Dale: 2021.08.31 09:56:53-04100'/
30t�`N CARr//�///i.
3. Applicant's Certification per 15A NCAC 02T .0106(b):
2
No. 029755
08/3112021
r�—
I, Roger Jones , attest that this application for _1502 Cotton Grove Road Redevelopment _
(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 hest of my knowledge.
I understand that if all required parts of this application are not completed and that if all required supporting documentation
andattachments 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 thisapplication
package are not completedand 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 inany 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:
Dlgitallyslgned by Roger Jones
Roger ./ O n e, S Resources, emr ail RDIo els�Lexingt nNCAov =U5
Date:2021.08.1118:12:51 -0400'
Date: 8/11/2021
FORM: FTA 06-21 Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: City of Lexington
Project Name for which flow is being requested: 1502.Cotton Grove Rd` Redevelopment
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: Lexington Regional WWTP
b. WWTP Facility Permit #: NC0055786
All flows are in MGD
c. WWTP facility's permitted flow 6.5
d. Estimated obligated flow not yet tributary to the WWTP .1673
e. WWTP facility's actual avg. flow 2.8
f. Total flow for this specific request 0.0026
g. Total actual and obligated flows to the facility 2.970
h. Percent of permitted flow used 45.7
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:
(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. MGD MGD Flow, MGD MGD Flow Capacity***
Swearing
(Brown
5.91 2.36 1.8 .167 1.97 .393
* 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):
Downstream Permit Number:
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Roger Jones 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 causeany 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.
Digitally signed by Roger Jones
Roger .1ones
Resources, emall RD10 es@Lex ngtonNC.gov,c=US
DN: cnr-Roger Jones, or -City of Lexington, ou=ter
Date: 2021.08.11 18:10.08 -04'00'
8/11/2021
Signing Official Signature Date
Public Services Manager
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 SectionlI 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 justificationtoallow
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)
Sections
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, vet 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 pretreatmenfprogram, 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 fowsto 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. = 0.015 MGD
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 currentaverage 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 5 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) (C) (D)=(B+C) (E)=(A-D)
Obligated,
Design Approx. Not Yet Total Current
Firm Average Current Avg. Tributary Flow Plus
Pump Station Capacity Daily Flow Daily Flow, Daily Flow, Obligated Available
(Name or Number) MGD (Firm/pf) MGD MGD Flow Capacity*
Kaw Creek PS 0.800 0.320 0.252 0.080 0.332 -0.012
Valley Road PS 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 thesystem 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:
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 nlan contain recommended scone and funding for a capital project entitled
Kaw Creek Pump Station upgrade with funding planned in Julv 2014. This nroiect is planned to add 0.100 MGD
to the firm capacity of the pump station by October 2015. Inclusion of this proposed capital nroject as a condition
of this Flow Tracking/Acceptance for Sewer Extension Permit Application elevates this nroject's priority for
funding and construction to be implemented ahead of the activation of obligated. not vet 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

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