WQ0042965_Application_20211108

KANN
Engineering
October 20, 2021
North Carolina Department of Environmental Quality
Mooresville Regional Office - Water Quality Section
610 East Center Avenue, Suite 301
Mooresville, North Carolina 28115
Re: Pine Street Sewer Extension
Sewer Extension
City of Kannapolis — Cabarrus County
Dear Sir or Madam:
DEQ/DWR
5 2021
QROS
MOORESVIL E REGIONAL OFFICE
RECEIVED/NCDEO/DWR
NOV - 8 2021
WOROS
MOORESVILLE REGIONAL OFFICE
Please find attacheeg or your review and approval the original and one copy of the permit application, a
digital copy (pdfs) on of the permit application and plans, along with the $480 processing fee for the
above referenced project. Also enclosed is the flow acceptance letter from the Water & Sewer
Authority of Cabarrus County stating they will accept and treat the additional wastewater at the Rocky
River Regional Wastewater Treatment Plant.
The proposed extension will connect to the existing Kannapolis sewer system which extends to the
WSACC Irish Buffalo Creek Interceptor. This wastewater collection system will serve the proposed
Pine Street Sewer Extension project.
The Water and Sewer Authority of Cabarrus County Standard Specifications for Wastewater
Collections Systems were approved by your office and are being maintained by the Division of
Environmental Management. This project will be installed in accordance with these Standard
Specifications.
Please call me at 704-920-4219 if you have any questions.
Sincerely,
Mistly L. TiJtt, PE
401 LAUREATE WAY, KANNAPOLIS, NC 28081
704-938-1519 WWW.KANNAPOLISNC.GOV

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: fAl"L-)9q)dto be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1.
Applicant's name: City of Kannapolis (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ' ❑ State/County ® Municipal
\
W tit Mer
3. Signature autho ity' name: Alex Andcr3on per 15A NCAC 02T .0106(b)
ss�s 0. C.a� MA,n
TitIe:..Aar
4. Applicant's mailing address: 401 Laureate Way
City: Kannapolis State: NC Zip: 28081-0005
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
EIVED/NCDE
VOQS
MOORESVILL REGIONAL OFFICE
❑ Privately -Owned Public Utility
❑ Other
RECEIVED/NCDEQ/DVVR
NOV - 8 2021
WORDS
MOORESVILLE REGIONAL OFFICE
II. PROJECT INFORMATION:
1. Project name: Pine Street Sewer Extension
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: Cabarrus
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.498°Longitude: -80.651°
5. Parcel ID (if applicable): 5604-80-7225
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Jonathan A Carter License Number: 30916
Firm: Bluestone Land Management, LLC
Mailing address: 470 N. Broad Street, Suite A
City: Mooresville State: NC Zip: 28115-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Rocky River WWTP Permit Number: NC0036269
Owner Name: Water and Sewer Authority of Cabarrus Count (WSACC)
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): City of Kannapolis
FORM: FTA 04-16 Page 1 of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ®N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEN') been attached?
❑ Yes ❑No ®N/A
3. if the Applicant is a Ilome'Propert\ Owners' Association, has an Operational Agreement (FORM: 1-IOA) been attached?
❑ Yes ❑No ZN/A
4. Origin of wastewater: (check all that apply):
® Residential Owned
❑ Residential Leased
❑ School / preschool / day care
❑ Food and drink facilities
0 Businesses / offices / factories
❑ Retail (stores, centers, malls)
❑ Retail with food preparation/service
❑ Medical / dental / veterinary facilities
❑ Church
❑ Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
E Swimming Pool /Clubhouse
E Swimming Pool/Filter Backwash
E Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic/Commercial % Commercial
% Industrial (See 15A NCAC 02T .0103(20))
>Is there a Pretreatment Program in effect? ❑ Yes ® No
6. Has a flow reduction been approved under 15A NCAC 02T .01 14(f)? ❑ Yes 0 No
➢ If ves, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow a,b
No. of Units
Flow
Residential
360 gal/per day
4
1,440 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
1,440 GPD
a See 15A NCAC 02T .01 14(b), (d), (e)(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 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.01 14] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 1,440 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:
0 Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16
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
356
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 requirement is not allowed and a violation of the MDC
VI II. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B)_
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(1)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (g)
D. 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
®Yes No
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
24 inches
Water mains (vertical -water over sewer including in benched trenches)
18 inches
Water 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
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top 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
D. 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
D. **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
D. If noncompliance with 02T.0305(f) or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation)
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
D. As built documents should reference the location of areas effected
3. Does the project comply with all setbacks found in the river basin rules per 15A NCAC 02B .0200?
D. This would include Trout Buffered Streams per 15A NCAC 2B.0202
® Yes ❑ No
®Yes No
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ No
➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ® No
D. If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is required prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
1, Jonathan A. Carter, P.E.
(Professional Engineer's name from Application Item III.1.)
attest that this application for
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best
of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, 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. eM
*,pengiy
North Carolina Professional Engineer's seal, signature, and date: �` 0 ,+
zC
41rat
;A/SONS
�� a
3. Applicant's Certification per 15A NCAC 02T .0106(b):
Amer Me,.livn 1\s's was er
attest that this application for
(Signature Authority's name & title from Application Item 1.3.)
2.2I
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. 1 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: 7^ as -
FORM: FTA 04-16
Page 5 of 5

GRAPHIC SCALE
0 500' 1,000' 2,000'
( IN FEET )
HORIZONTAL 1 inch=1,000ft.
1 510 000 FEET
BLUESTONE
LAND MANAGEMENT, PLLC
470 NORTH BROAD STREET, SUITE A
MOORESVILLE, NC 28115
[phone]
bluestonelandmanagement.com
NC License #: P-1444
PINE STREET SEWER EXTENSION
KANNAPOLIS, NC
PROJECT #: 2020-0027 DATE: 12/6/202o
DRAWN BY: JAC CHECKED BY: JAC
TITLE
USGS/STREET MAP
SHEET
1OFi

FORM WSCAS 08-13
WATERSHED CLASSIFICATION ATTACHMENT
FOR SEWER SYSTEMS
Applicant Name
I Project Name
City of Kannapolis
Pine Street Sewer Extension
Professional En ineer Name
Engineering Firm Name
Jonathan A. Carter, P.E.
Bluestone Land Management, PLLC
Location
ID
Name of Waterbody'
County
River
Basin
Waterbody
Stream Index No.
Waterbody
Classification
A
Irish Buffalo Creek
Cabarrus
Yadkin
Pee -Dee
13-17-9-(2)
C
1 If unnamed, indicate "unnamed tributary to X", where X is the named waterbody to which the unnamed tributary joins.
I certify that as a Registered Professional Engineer in the State of
North Carolina that I have diligently followed the Division's
instructions for classifying waterbodies and that the above
classifications are inclusive of the stated project, complete and
correct to the best of my knowledge and belief
PE Seal, Signature and Date
*** END OF FORM WSCAS 08-13 ***
FORM: WSCAS 08-13
Page 1 of 1

WSACC
WATER & SEWER AUTHORITY
OF CABARRUS COUNTY
IS014001;2015 • NC Star Public Sector • ONUS 18001:2001
October 1, 2021
Mr. Michael Legg
City Manager
City of Kannapolis
401 Laureate Way
Kannapolis, NC 28081
Subject: Flow Acceptance Request — City of Kannapolis
Pine Street Sewer Extension
Dear Mr. Legg:
232 Davidson Hwy.
Concord, NC 28027
704.786.1783 + 704.795.1564 Fax
www.wsacc.org
This is a notice of capacity for the flow acceptance request received by the Water and Sewer Authority of
Cabarrus County (WSACC) from the City of Kannapolis on September 22, 2021. WSACC has or will have
capacity at the Rocky River Regional Wastewater Treatment Plant and appropriate sewer interceptors to
transport and treat the domestic wastewater from the proposed project entitled Pine Street Sewer Extension,
located along Pine Street. The referenced project will serve a residential development with 4 three -bedroom
homes, with a projected wastewater flow of 1,440 gallons per day (gpd). The wastewater generated by this
project will be conveyed through a proposed gravity system, through the existing gravity system, and then enter
WSACC's system at the existing 48-inch Irish Buffalo Creek Interceptor. WSACC acknowledges it has or will
have capacity for wastewater from the proposed development based on information provided by Bluestone Land
Management, PLLC (Civil Engineer for the project) using North Carolina Department of Environmental Quality
(NCDEQ) wastewater flow guidelines.
If construction of this project does not commence within two (2) years of the date of this notice, the notice is
rescinded and a second request and notice will be required before flow capacity is accepted. Please notify
WSACC, in writing, when construction of this project is initiated. This sewer capacity allocation may also be
cancelled pursuant to the conditions set forth in the WSACC Sewer Allocation and Commitment Policy.
Please note that the final commitment to service to provide wastewater treatment services shall occur upon
application for a building permit for the project and when system development fees are paid pursuant to
N.C. G.S. §162A, Article 8.
If you have any questions, please call me at [phone], exterl�lo 114.
SincerSiV./
Michael ilson
Executive Director
cc: Misty Tutt, PE/Kannapolis
Scott J. Kaufhold, PE/Kannapolis
Wilmer Melton/Kannapolis
Jonathan A. Carter, PE/Bluestone Land Management, PLLC
Chad VonCannon, PE/WSACC
Thomas Hahn, PE/WSACC
Mark Lomax/WSACC
Trent Gobble/WSACC

WASTEWATER FLOW ACCEPTANCE FORM
FOR THE
WATER AND SEWER AUTHORITY OF CABARRUS COUNTY
Jurisdiction Requesting Flow Acceptance: Date:
City of Concord ®City of Kannapolis ❑Town of Harrisburg ['Town of Mt. Pleasant
❑Charlotte Mecklenburg Utilities
Project Title, Description, and Number of Lots/Unit:
Project Title: Pine Street Sewer Extension
Description: The Pine Street Sewer Extension engineering plans and specifications, as prepared and sealed by Jonathan
A. Carter, NCPE, with Bluestone Land Management, PLLC, for the wastewater collection system extension consisting
of approximately 356 linear feet of 8-inch sanitary sewer with 2 manholes and other appurtenances to serve4-single
family lots located off/on of Pine Street in Kannapolis, with a wastewater discharge of 1,440 GPD.
*Number of Lots: 4 OR *Number of Units: *Must be included in request.
Where will the new line be connected:
❑ Directly into a WSACC Interceptor
❑ Into the Jurisdiction's existing collection system
❑ Into a private line
Describe the location of the tie-in line to which the new sewer line will connect: The proposed 8-inch sanitary
sewer extension will tie-in to the existing 8-inch sanitary sewer system, which extends to the 48-inch RCP WSACC
Irish Buffalo Creek Interceptor
Which WSACC Interceptor will the flow ultimately be discharged into: 48-inch RCP WSACC Irish Buffalo Creek
Interceptor
What is the WSACC manhole number that the flow will be discharged into? # 011173
What is the quantity of flow that will be discharged? 1,440 GPD
Flow type:
❑ Domestic 100%
❑ Commercial
❑ Industrial
Name of wastewater treatment facility (WWTF) receiving wastewater:
® Rocky River Wastewater Treatment Facility — Permit #NC0036269
n Muddy Creek Wastewater Treatment Facility — Permit #NC0081621
Design drawings of new lines will be submitted to WSACC with the request for acceptance. Drawings can be submitted
as a digital file (DWG) or distance and bearing starting with the tap on existing infrastructure.
If the new line is to connect directly into a WSACC interceptor, detailed drawings including specification of the tap, will
be required before flow acceptance will be provided.
Mark Lomax at 704-786-1783, ext. 231, must be notified 48 hours in advance of a connection into a WSACC interceptor.
WSACC will inspect connection before, during, and after completion.
If construction is not started within two (2) year front the date of approval of lire flow acceptance for this project, the
approval is rescinded and a second request and approval will be required for the project.
WSACC USE ONLY:
❑ Current sewer model shows an Interceptor as being surcharged south of the manhole in question.
❑ Approved ❑ Not Approved
❑ Current Sewer Model shows: SufFt(„►Enri Ext ss LAP/kr-tilt Fij.. I l HH® frtJ
AT totEAAVE OA t Or P-ow C0ND4'TLora
E-2 APPENDIX E

DWR
Dh vlslOn of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE —10/18)
(WSACC USE ONLY) Pine Street Sewer Extension
Section I. Name of wastewater treatment facility (WWTF) receiving wastewater:
® Rocky River Wastewater Treatment Facility — Permit #NC0036269
Muddy Creek Wastewater Treatment Facility — Permit #NC0081621
WWTP facility's permitted flow, MGD
26.500
Estimated obligated flow not yet tributary to the WWTP, MGD 3.850
WWTP facility's actual avg. daily flow, MGD
Total flow for this specific request, MGD
Total actual and obligated flows to the facility, MGD
Percent of permitted flow used
21.947 (82.82% of permit)
0.001
25.798
97.35%
Section II. Pump stations along the route from the Jurisdiction's connection point to the WWTP.
PumpStation
(Name or
Number)
PumpStation
Permit No.
Firm
Capacity *
MGD
(A)
Design Average
Daily Flow **
(Firm/Pf)
MGD
x.(B
Approx. Current
Average Daily
Flow
MGD
(C)
Obligated, Not Yet
g
Tributary Daily Flow
MGD
(D) = (B+C)
Total Current Flow
Plus Obligated Flow
MGD
E = A-D
() ( )
Available
Capacity***
MGD
RRRWWTP
NC0036269
55.440
22.176
13.373
0.963
14.336
7.840
MPS
* 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 Available
Capacity is < 0.
Section III. WSACC Certification Statement:
I, Michael Wilson, 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 from the connection to the WSACC interceptor 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 pl under normal circumstances, given the implementation of the planned
improvements identified in the planning assessme here applicable. This analysis has been performed in accordance with local
established policies and proc- 1 re sing the best ailable data. This certification applies to those items listed above in Section I and
Section II plus all attached ' . _ assessment endums for which I am the responsible party. Signature of this form indicates
WSACC's guarantee of c... ' .r this ste ter flow. Notwithstanding the guarantee of capacity, WSACC does not make a
commitment to servic- �% wat r w u it a building permit is requested through the Cabarrus,, Couyity Building Inspections
Departme :�l W�' es p ent the System Development Fee. AD ��
//
WSACC's Signing ffficial Signature
Dcfte

WASTEWATER FLOW ACCEPTANCE FORM
FOR THE
WATER AND SEWER AUTHORITY OF CABARRUS COUNTY
Jurisdiction Requesting Flow Acceptance: Date:
['City of Concord ®City of Kannapolis ['Town of Harrisburg ['Town of Mt. Pleasant
['Charlotte Mecklenburg Utilities
Project Title, Description, and Number of Lots/Unit:
Project Title: Pine Street Sewer Extension
Description: The Pine Street Sewer Extension engineering plans and specifications, as prepared and sealed by Jonathan
A. Carter, NCPE, with Bluestone Land Management, PLLC, for the wastewater collection system extension consisting
of approximately 356 linear feet of 8-inch sanitary sewer with 2 manholes and other appurtenances to serve 4-single
family lots located off/on of Pine Street in Kannapolis, with a wastewater discharge of 1,440 GPD.
*Number of Lots: 4 OR *Number of Units: *Must be included in request.
Where will the new line be connected:
❑ Directly into a WSACC Interceptor
❑ Into the Jurisdiction's existing collection system
❑ Into a private line
Describe the location of the tie-in line to which the new sewer line will connect: The proposed 8-inch sanitary
sewer extension will tie-in to the existing 8-inch sanitary sewer system which extends to the 48-inch RCP WSACC
Irish Buffalo Creek Interceptor
Which WSACC Interceptor will the flow ultimately be discharged into: 48-inch RCP WSACC Irish Buffalo Creek
Interceptor
What is the WSACC manhole number that the flow will be discharged into? # 011173
What is the quantity of flow that will be discharged? 1,440 GPD
Flow type:
❑ Domestic 100% ❑ Commercial % ❑ Industrial
0/0
Name of wastewater treatment facility (WWTF) receiving wastewater:
® Rocky River Wastewater Treatment Facility — Permit #NC0036269
n Muddy Creek Wastewater Treatment Facility — Permit #NC0081621
Design drawings of new lines will be submitted to WSACC with the request for acceptance. Drawings can be submitted
as a digital file (DWG) or distance and bearing starting with the tap on existing infrastructure.
if the new line is to connect directly into a WSACC interceptor, detailed drawings including specification of the tap, will
be required before flow acceptance will be provided.
Mark Lomax at 704-786-1783, ext. 231, must be notified 48 hours in advance of a connection into a WSACC interceptor.
WSACC will inspect connection before, during, and after completion.
If construction is not started within two (2) year from the date of approval of the flow acceptance for this project, the
approval is rescinded and a second request and approval will be required for the project.
WSACC USE ONLY: DATE:
❑ Current sewer model shows an Interceptor as being surcharged south of the manhole in question.
❑ Approved ❑ Not Approved
❑ Current Sewer Model shows:
E-2
APPENDIX E

Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE—01/14)
(JURISDICTION USE ONLY)
Jurisdiction Requesting Flow Acceptance for Collection System:
['City of Concord ®City of Kannapolis ❑Town of Harrisburg ['Town of Mt. Pleasant
['Charlotte Mecklenburg Utilities
Project Title, Description, and Number of Lots/Unit:
Project Title: Pine Street Sewer Extension
Description: The Pine Street Sewer Extension engineering plans and specifications, as prepared and sealed by Jonathan A.
Carter, NCPE, with Bluestone Land Management, PLLC, for thewastewater collection system extension consisting of
approximately 356 linear feet of 8-inch sanitary sewer with 2 manholes and other appurtenances to serve 4 single family
lots located on of Pine Street in Kannapolis, NC, with a wastewater discharge of 1,440 GPD.
What is the quantity of flow that will be discharged? 1,440 GPDFIow
type:
® Domestic 100% ❑ Commercial
❑ Industrial
Section I - List the Jurisdiction's pump stations located between the project connection point and the WSACC
Interceptor connection point.
Pump Station
(Name or Number)
Firm Capacity *
MGD
(A)
Design Average Daily Flow **
(Finn/pf)
MGD
(B)
Approx. Current
Average Daily Flow
MGD
(C)
Obligated, Not Yet
Tributary Daily Flow
MGD
(D) = (B+C)
Total Current Flow
Plus Obligated Flow
MGD
(E)=(A-D)
Available
Capacity***
MGD
* The Firm Capacity of any pump station is defined as the maximum pumped flow that can be achieved with the largest pump taken out of service.
**Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor not less than 2.5.
***A Planning Assessment Addendum shall be attached for each pump station located beMveen the project connection point and the WWTPwhere Available Capacity is < O.
Section II. Jurisdiction's Certification Statement:
KO Ivw Me f -ton Ntcma r•
I,- ^ 1 " , ;�i>iz`srn-ar vv a 1 n>✓av�,n ems, cify that, to the best of my knowledge, the addition of the volume
of wastewater to be permitted in this project has been evaluated along the route to the receiving WSACC interceptor; and the
flow from this project is not anticipated to cause any capacity related sanitary sewer overflows or overburden on any
downstream pump station in route to the receiving WSACC interceptor normal circumstances, given the implementation of the
planned improvements identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to those items listed above
in Section I plus all attached planning assessment addendums for which, to the best of my knowledge, will not adversely affect
the dower capacity. Signatuj of this orm indicates acceptance of this wastewater flow.
7-a? -al
Jurisdiction's Signing (°Ifficial ignature
Date
Revision Date: 08/09/13