WQ0043425_Application_20220422

V"Q OIj 43 4s RECEIVED/NCDENR/DWR
AMEREEmEzi MAY 2 2022
—1111 = .mem Water Quality
Ren
Hassell & Folkes, P.C. Washington
gton Rl egional
Office
Washington Regional Office
Engineers Surveyors Planners
S.Grey Folkes,Jr.,P.E.
Leigh Anne Folkes,P.E. T.Ray Hassell,III,L.S.
Stuart W.Bonnell,P.E. (1932-1984)
Lynn D.Evans,L.S. Stradford G.Folkes,P.E.
(1927-2007)
April 22, 2022
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
Washington Regional Office
Water Quality Section
943 Washington Square Mall
Washington, NC 27889
Via Fed-Ex Ground
Phone: [phone]
Reference: Proposed Moyock Commons Subdivision
Sewer System Extension Application
Moyock Township, Currituck County, NC
For processing the above referenced Fast Track Sewer System Extension Application, please find one original
and one copy of application and supporting documents as follows:
o Application fee of$480.00
o Completed form, FTA 04-16
o Completed form, FTSE 10-18
o Site map
Should you have any questions or comments regarding this project, please contact me.
Very truly yours,
HASSELL& FOLKES, PC
Stuart Bonnell, PE
Enc.
Swb
eEC Ye.
30.4 84 325 Volvo Parkway.Chesapeake.VA 23320(757)547-9531 •FAX[phone]

RECEIVED/NCDFNII/DWI;
DVVR MAY 2 2022 State of North Carolina
Department of Environmental Quality
Water Quality Division of Water Resources
ra
ns Section
15A NCA gnligroa 5 ►CK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRUC IONS OR FORM: FTA 04-16&SUPPORTING DOCUMENTATION
This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of I5A NCAC 02T and the Division's
Minimum Design Criteria 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 1SA 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 available upon request by the Division.
Projects that are deemed permitted(do not require a permit from the Division)are explained in 15A NCAC 02T.0303.
Projects not eligible for review via the fast track process(must be submitted for full technical review):
➢ Projects that require an environmental assessment in accordance with 15A NCAC IC .0100;
➢ Projects that do not meet any part of the minimum design criteria(MDC)document;
➢ Projects that involve a variance from the requirements of 15A NCAC 2T;
➢ Pressure sewer systems utilizing septic tank-effluent pumps(STEPs)or simplex grinder pumps;
➢ 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 of Application and Supporting Documents
® Required unless otherwise noted
B. Cover Letter(Required for All Application Packages):
® List all items included in the application package,as well as a brief description of the requested permitting action.
➢ Be specific as to the system type,number of homes served, flow allocation required,etc.
➢ If necessary for clarity, include attachments to the application form.
C. Application Fee(All New and Major Modification Application Packages):
® Submit a check or money order in the amount of$480.00 dated within 90 days of application submittal.
➢ Payable to North Carolina Department of Environmental Quality(NCDEQ)
D. Fast Track(Form: FTA 04-16)Application (Required for All Application Packages):
10 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.
❑ 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.
❑ The Project Name in Item II.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 15A NCAC 02T.0106(b).
Per I5A NCAC 02T .0106(c), an alternate person may be designated as the signing official if a delegation letter is
provided from a person who meets the criteria in 15A NCAC 02T.0106(b).
INSTRUCTIONS FOR FORM: FTA 04-16&SUPPORTING DOCUMENTATION Page 1 of 3

E. Flow Tracking/Acceptance Form(Form: FTSE 04-16)(If Applicable):
® Submit the completed and executed FTSE 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 1 1-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project
area and closest surface waters.
➢ Location of the project(gravity sewer,pump stations& force main)
> Downstream connection points and permit number(if known)for the receiving sewer
O Include a street level map(aerial)showing general project area so that Division staff can easily locate it in the field.
G. Existing Permit(All Modification Packages):
El Submit the most recently issued existing permit.
❑ Provide a list of any items within the permit the Applicant would like the Division to address during the permit
modification(i.e.,permit description, flow allocation,treatment facility, etc.).
H. Power Reliability Plan(Required if portable reliability option utilized for Pump Station):
❑ Per 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)(I) 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
O Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an
application for a franchise has been received and that the service area is contiguous to an existing franchised area or that
franchise approval is expected.
J. Operational Agreements(Applications from HOA/POA and Developers for lots to be sold):
❑ Horne/Property Owners' Associations
❑ Per 15A NCAC 02T.0115(c),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.
El 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 04-16& SUPPORTING DOCUMENTATION Page 2 of 3

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE ADDRESS COUNTIES SERVED
Asheville Regional Office 2090 US Highway 70 Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section Swannanoa, North Carolina 28778 Clay, Graham, Haywood, Henderson,Jackson,
[phone] Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax Rutherford, Swain, Transylvania,Yancey
Fayetteville Regional Office 225 Green Street Suite 714 Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Section Fayetteville, North Carolina 28301-5094 Montgomery, Moore, Robeson, Richmond,
[phone] Sampson, Scotland
[phone] Fax
Mooresville Regional Office 610 E. Center Avenue Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section Mooresville, North Carolina 28115 Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone] Stanly, Union
[phone] Fax
Raleigh Regional Office 1628 Mail Service Center Chatham, Durham, Edgecombe, Franklin,
Water Quality Section Raleigh, North Carolina 27699-1628 Granville, Halifax, Johnston, Lee, Nash,
[phone] Northampton, Orange, Person, Vance,Wake,
[phone] Fax Warren,Wilson
Washington Regional Office 943 Washington Square Mall Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section Washington, North Carolina 27889 Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone] Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax Perquimans, Pitt, Tyrrell, Washington,Wayne
Wilmington Regional Office 127 Cardinal Drive Extension Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section Wilmington, North Carolina 28405 Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office 450 W. Hanes Mill Road Alamance, Alleghany,Ashe, Caswell, Davidson,
Water Quality Section Suite 300 Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105 Stokes, Surry,Watauga, Wilkes, Yadkin
[phone]
INSTRUCTIONS FOR FORM: FTA 04-16& SUPPORTING DOCUMENTATION Page 3 of 3

State of North Carolina
DWR Department of Environmental Quality
Division of Water Resources
15A NCAC 02T.0300—FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16& SUPPORTING DOCUMENTATION
Application Number:VO Q004 2Sto be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Currituck County(company,municipality, HOA,utility,etc.)
2. Applicant type: ❑ Individual ❑ Corporation El General Partnership ❑ Privately-Owned Public Utility
❑Federal ® State/County ❑ Municipal ❑Other
3. Signature authority's name: Mr. Ike McRee per 15A NCAC 02T.0106(b)
Title: Interim County Manager/County Attorney
4. Applicant's mailing address: 153 Courthouse Road,Suite 204
City: Currituck County State:NC Zip:27929-
5. Applicant's contact information:
Phone number:[phone] Email Address: [e-mail]
II. PROJECT INFORMATION:
1. Project name:Construction Plan of Major Subdivision for Movock Commons,Tax Parcel I.D.#: 001500000790000Dovock
Township,Currituck County,North Carolina
fj�
2. Application/Project status: ®Proposed(New Permit) ❑ Existing Permit/Project 4
If a modification,provide the existing permit number: WQ00 and issued date: 'tt/ �-- Ka
1
If new construction but part of a master plan,provide the existing permit number: WQ00 .—, Lr
3. County where project is located:Currituck
4. Approximate Coordinates(Decimal Degrees): Latitude: 36.514753' Longitude:-76.173420° 2-7
5. Parcel ID(if applicable): TP: 001500000790000
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Stuart Bonnell License Number: 019907
Firm: Hassell&Folkes,P.C.
Mailing address: 325 Volvo Parkway
City:Chesapeake State: Va Zip:23320-
Phone number:[phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY(WWTF)INFORMATION:
1. Facility Name:Moyock Commons WWTP High Rate Infiltration Permit Number: W00015053
Owner Name:Currituck County
V. RECEIVING DOWNSTREAM SEWER INFORMATION(if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving)Sewer Size: inch
System Wide Collection System Permit Number(s)(if applicable): WQCS
Owner Name(s):
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 ElNo ©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 ❑No ❑x N/A
3. If the Applicant is a Home/Property Owners'Association,has an Operational Agreement(FORM: HOA)been attached?
El Yes ❑No EIN/A
4. Origin of wastewater:(check all that apply):
® Residential Owned 0 Retail(stores,centers,malls) El Car Wash
❑ Residential Leased El Retail with food preparation/service El Hotel and/or Motels
❑ School/preschool/day care El Medical/dental/veterinary facilities El Swimming Pool/Clubhouse
El Food and drink facilities ❑Church El Swimming Pool/Filter Backwash
❑ Businesses/offices/factories El Nursing Home ❑Other(Explain in Attachment)
5. Nature of wastewater: 100%Domestic/Commercial 0%Commercial
0%Industrial(See 15A NCAC 02T.0103(20))
)Is there a Pretreatment Program in effect? El Yes ®No
6. Has a flow reduction been approved under 15A NCAC 02T.0114(f)? ❑Yes ®No
➢ If yes,provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type(see 02T.0114(f)) Daily Design Flow A•'' No.of Units Flow
16,3-bedroom dwelling units 120 gal/bedroom 16*3 48 5,760 GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
lotat 5.760 GPD
a See I5A NCAC 02T.0114(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.01 14(c),design flow rates for establishments not identified [in table I5A 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: 5,760 GPD(per 15A NCAC 02T.0114)
> Do not include future flows or previously permitted allocations
If permitted flow is zero,indicate why:
El Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑Other(Explain):
FORM: FTA 04-16 Page 2 of 5

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 1.105 pvc
➢ Section II& III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. 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(fine 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 (feel) 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)(I)(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)(I)(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(f)):
1. Does the project comply with all separations found in 15A NCAC 02T.0305(f)&(g) ®Yes ❑No
D. 15A NCAC 02T.0305(f)contains minimum separations that shall be provided for sewer systems:
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
➢ 15A NCAC 02T.0305(g)contains alternatives where separations in 02T.0305(f)cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications weboage
➢ 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) ❑Yes ❑No ®N/A
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
> As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes ❑ No ® N/A
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑Yes ®No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 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 l5A 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 ❑N/A
> 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 l5A NCAC 02T, the Minimum Design Criteria for ttie 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, t lc on: _-- ----
I attest that this application for
ofessio ngineer's name from Application Item 111.1.)
has been reviewed by me and is accurate,complete and consistent with the information supplied in the plans,specifications,
engineering calculations,and all other supporting documentation to the best 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 I43-215.6A 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.
North Carolina Professional Engineer's seal,signature,and date: ,\`\ N, CART)
''
$j/1 0'9907 4,
.2021 1'30
3. Applicant's Certification per 15A NCAC 02T.0106(b):
1 Ct t Y�t-tS'u_t ,Lyt�Lt iYl�^ Okrj tt/t cp�12� /r"-__ attest that this application for
(Signature Authority's name&title frbm Appli ti n Item 1.3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief,and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition
of this permit be violated. I also understand that if all required parts of this application package are not completed and that if
all required supporting infonnation and attachments arc 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.
Date.
Signature: '� D ylVZ-e)
- --------__.
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
DWR Department of Environmental Quality
Division of Water Resources
Division of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Currituck County
Project Name for which flow is being requested:Major Subdivision for Moyock Commons
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: Moyock Commons WWTP High Rate Infiltration System
b. WWTP Facility Permit#: WQ0015053
All flows are in MGD
c. WWTP facility's permitted flow 0.04
d. Estimated obligated flow not yet tributary to the WWTP 0.00
e. WWTP facility's actual avg. flow 0.006095
f. Total flow for this specific request 0.005760
g. Total actual and obligated flows to the facility 0.011855
h. Percent of permitted flow used 29.6
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***
Moyock Commons 0.246240 0.098496 0.006095 0.005760 0.011855 0.234385
*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<O.
Downstream Facility Name (Sewer): Moyock Commons WWTP High Rate Infiltration System
Downstream Permit Number: WQ0015053
Page 1 of 6
FTSE 10-18

III. Certification Statement:
,
I EKG s CIpp -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.
7A-C/a,
Sr g Official Signature Date
rik47 444(4 11, Meg 11,1k.j -thk/tt�-C
Title of Signing Official (/ I
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. = 0.015 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 he 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) (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 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

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