WQ0043349_More Information (Received)_20220411

Strickland, Bev
From: Brian Crafford <[e-mail]>
Sent: Monday, April 25, 2022 10:26 AM
To: Lowe, Alexander
Subject: RE: [External] RE: FTSE Application Received - Novant Health Critical Care Tower
Attachments: CoWS Flow Tracking.pdf; CCT FTA - Updated Page 1 of 5.pdf
Follow Up Flag: Follow up
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Alex,
Thanks for the follow-up. I have been in contact with the City and they have indicated that the Archie Ellefge WWTP is
correct but the project name was incorrect on the FTSE 10-18. The revised page 1 of the FTA and updated Cows Flow
tracking form is attached. Are these revisions sufficient? And do you need the FTA resigned by Novant for this
revision? I would prefer to not have to track down Matt Stiene for another signature if at all possible.
If the attached is sufficient then I can have the documents mailed to you this week.
Thanks for your time and I look forward to hearing from you.
Sincerely,
Brian Crafford, PE Project Engineer / Project Manager
336.723.1067 x1112
From: Lowe, Alexander <[e-mail]>
Sent: Monday, April 11, 2022 11:23 AM
To: Brian Crafford <[e-mail]>
Subject: RE: [External] RE: FTSE Application Received - Novant Health Critical Care Tower
Good morning Brian:
I have taken a closer look at the application packet, and there are a few inconsistencies between form FTA 06-21 and
form FTSE 10-18. Neither the project name ("12558,Novant Health FMC New Chiller") nor the receiving WWTP ("Archie
Elledge, Permit no. NC0037834") listed on the FTSE match the information provided on the FTA form. It seems to me
that the FTSE is the one that is incorrect, but I'd like you to confirm with Ms. Driver at WS/FC and have her place a new
signature on a revised FTSE.
Please make sure that item 11.1 on the FTA matches the "Project Name for which flow is being requested" on the FTSE,
and item IV.1 on the FTA matches the WWTP information listed in sections 1 and 11 of the FTSE. Once 1 receive these
revisions 1 should be able to move forward with your application.
i

Thank you for your help!
Best Regards,
Environmental Specialist II
Division of Water Resources
Department of Environmental Quality
Winston-Salem Regional Office
450 W. Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
Cell: [phone]
Office: [phone]
From: Brian Crafford <[e-mail]>
Sent: Friday, April 8, 2022 4:35 PM
To: Lowe, Alexander <[e-mail]>
Subject: [External] RE: FTSE Application Received - Novant Health Critical Care Tower
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Thanks Alex — We look forward to hearing from you.
Sincerely,
Brian Crafford, PE Project Engineer / Project Manager
336.723.1067 x1112
From: Lowe, Alexander <[e-mail]>
Sent: Friday, April 8, 2022 4:26 PM
To: Brian Crafford <[e-mail]>
Subject: FTSE Application Received - Novant Health Critical Care Tower
Good afternoon Mr. Crafford:
I have received the application packet for the Critical Care Tower project, and at first glance the information included
and signatures appear to be sufficient. I will have more time on Monday morning to review it in depth, and will reach
out to you if any revisions or additional information are required. If nothing else is needed, I will move immediately into
drafting the permit and elevating it to my supervisor for review and signature.
Best Regards,
Alex Lowe (he/him)
Environmental Specialist II
2

Division of Water Resources
Department of Environmental Quality
Winston-Salem Regional Office
450 W. Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
Cell: [phone]
Office: [phone]
3

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: Novant Health Inc.
Project Name for which flow is being requested: 12582Novant Health Critical Care Tower
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: Archie Elledge
b. WWTP Facility Permit #: NC0037834
All flows are in MGD
c. WWTP facility's permitted flow 30.000000
d. Estimated obligated flow not yet tributary to the WWTP 2.052116
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
21.280000
0.002880
23.360916
77.9%
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***
* 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): Archie Elledge
Downstream Permit Number: WQCS00003
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Courtney Driver, P.E. 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.
*/(2/g:)-
Sighing Official Signature Date
ccx,77.-
Title of Signing Official
Page 2 of 6
FTSE 10-18

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: Novant Health Inc. (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: Matt Stiene per 15A NCAC 02T .0106(b)
Title: Senior Vice President
4. Applicant's mailing address: 2085 Frontis Plaza Blvd
City: Winston-Salem State: NC Zip: 27103-
5. Applicant's contact information:
Phone number: [phone] Email Address: mhstiene@u,novanthealth.org
II. PROJECT INFORMATION:
1. Project name: Novant Health Critical Care Tower
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: WQ00
3. County where project is located: Forsyth
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.075186° Longitude: -80.298525°
5. Parcel ID (if applicable): 6814-68-8340 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Brian CraffordLicense Number: 044053
Firm• Stimmel Associates
Mailing address: 601 N. Trade Street, Suite 200
City: Winston-Salem State: NC Zip: 27101-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Archie Elledge WWTP Permit Number: NC0037834
Owner Name: Winston-Salem/ Forsyth County Utilities Commission
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQCS00003
2. Downstream (Receiving) Sewer Information: 18" inch Z Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00003
Owner Name(s): Winston-Salem/ Forsyth County Utilities Commission
FORM: FTA 06-21
Page 1 of 5