WQ0043437_Application (FTSE)_20220503

DocuSign Envelope ID:451275C1-2E3A-4A09-BF7D-330ED811F958
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: W UOL�ils 1(io he completed by DWR).
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Holly Springs _
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
D Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Kendra D. Parrish. PE per I 4 NCAC 02'1' .0I IA(11)
Title: Executive Director of Utilities & Infrastructure Service
4. Applicant's mailing address: 2$ Sooth Main Street,PO Box8 _ .
City: Ho11y Springs State: }C_ Zip: 27540
5. Applicant's contact information:
Phonc number: [phone] Email Address: [e-mail]
11. PROJECT INFORMATION:
1. Project name: Regency Subdivision - Phase 2
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. \�CC
If new construction, but part of a master plan, provide the existing permit number' WQ00_ \°
3. County where project is located: Wake
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.6524 Longitude:-78.8887
5. Parcel 1D (if applicable) : 0639311837 . (or Parcel ID to closest downstream
III. CONSULTANT INFORMATION:
1. Professional Engineer: Jeremy V. Finch License Number: 3,1452
Firm: McAdams
Mailing address: 2905 Meridian Parkway
City: Durham
State: NC Zip: 27713
Phone number: [phone] Email Address: : flinch a,mcadamsco.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Utley Creek Water Reclamation Facility
Owner Name: 'Town of Holly Springs
Permit Number: NC0063096
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ00 43007
2. Downstream (Receiving) Sewer Information: _ -8 inch IN Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable):
Owner Name(s): Town of Holly Springs
FORM: FTA 06-21
WQCS00I 92
Page 1 of5

DocuSign Envelope ID: 451275C1-2E3A-4A09-BF7D-330ED811F958
VI. GENERAL REQUIREMENTS
I. 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 J weltrmr's Om -rational Agreement il,(}RM: DI VJ been attached?
❑ Yes ❑ No ® N/A
3. if the Applicant is a Home/Property Owners' Association, has an 09AsstiuuttiAla 1lttc!>4. )1tM_I D'1) and
supplementary documentation as required by 15A NCAC 02T.01 15(c) been attached?
❑ Yes ❑ No ® N/A
4. Origin of wastewater: (check all that apply):
® Residential (Individually Owned) ❑ Retail (stores, centers, malls)
❑ Residential (Leased) 0 Retail with food preparation/service
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities
❑ Food and drink facilities 0 Church
❑ Businesses / offices / factories 0 Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool/Clubhouse
❑ Swimming Pool/Filter Backwash
O Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic % Commercial % Industrial (Sge_I SA_NCAC 0.2T .0_1034l))
If Industrial, is there a Pretreatment Program in effect? Ycs❑ No
6. Has a flow reduction been approved under .002I` -OJJ 1J? ® Yes 0 No
D If yes, provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by projec :
Establishment Type (see 02T.0114(f))
Daily Design Flow •,n
No. of Units
Flow
rSingle Family Home
255 gall unit
92
23,460 GPD
gal/
GPD
gal/
GPD
gal/
GPD
i
gal/
GPD
gal/
GPD
Total
23,460 GPD
a See 15A NCAC 02'1;.0I 114(b),M1110(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 I SA NirAC 0 '*0 [ )4 ] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: __... 23.460 GPD (per J5A NCAC 02 f 41 14)
Do not include future flows or previously permitted allocations
1f permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframc for permitting upstream sewers with flow.
0 Flow has already been allocated in Permit Number:._. . Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain): -
FORM: ETA 06-21
Page 2 of 5

DocuSign Envelope ID: 451275C1-2E3A-4A09-BF7D-330ED811F958
VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .113115 & M1)(.' (Gravity Sewer*
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8-inch
835
PVC
8-inch
809
DIP
D Section 11 & 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)
Y Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
Vlll. PUMP STATION DESIGN CRITERIA (If Applicable) 02"f .0305 & MDC (Pinup Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN TIIIS 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)
D 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 (feel) Material
If any portion of the force main is less than 4-inches in diameter, please identify the me hod of solids reduction per
MDCPSFM Section 2.01C.1.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A_NC'C' o2'C
❑ Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - 15A NCAC 02T.0305(h)(1)(B):
Y Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2f_0305(h)(1)(C)-
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant and is compatible with the station.
➢ lfthe portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 06-21 Page 3 of 5

DocuSign Envelope ID: 451275C1-2E3A-4A09-BF7D-330ED811F958
IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(1));
I . Does the project comply with all separations/alternatives found in 15A NCAC (gi? ® Yes ❑ No
15A NCAC_ 02T.0305(I) contains minimum separations that shall be_provided for sewer systems;
Setback Parameter* Separation Required
Storm sewers and other utilities not listed below (vertical) 18 inches
2Water mains (vertical - water over scwer preferred, including in benched trenches) 18 inches
'Water mains (horizontal)
Reclaimed water lines (vertical - reclaimed over sewer)
I O feet
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!' impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
**Waters classified WS (except WS-1 or WS-V),13, SA, ORW, IiQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2) 50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL. 10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal) 10 feet
Top slope of embankment or cuts of 2 feet or more vertical height I0 feet
Drainage systems and interceptor drains 5 feet
Any swimming pools 10 feet
Final earth grade (vertical) 36 inches J
D If noncompliance with 02 f,0,1O5 Q pr"(g), see Section X.I of this application
* I$A NCAC 021%0304W contains alternatives where separations in I T.Q00. L) cannot be achieved. Please check "ycs"
above if these alternatives arc uscd and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Wtitsr(.'hlssiifications webpage
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No 0 N/A
D If no, please refer to 15A NCAC 18C.0406(f) for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ® Yes ❑ No ❑ N/A
D Please provide supplementary information identifying the areas of non-conformance.
D See the Division's draft separation mu:names for situations where separation cannot be met.
D No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? ❑ Yes Basin name: ® No
If yes, does the project comply with setbacks found in the river basin rules per I5A NCAC 02B .0200'? 0 Yes ❑ No
Y This includes Trout Buffered Streams per I5A NCAC 213.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ® Yes ❑ No
or 401 Water Quality Certifications?
D Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with ISA ,CAtr.'.O t.tIQ51,c)j6) (additional permits/certifications)? ® Yes ❑ No
Per I5A NC'M.'*2T.0I05fci({Gl, 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 lints that arc deemed "high -priority?" ❑ Yes ® No
Per I5A NCAC 02T.049.1, "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that arc subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
If ycs, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permtticc or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permittce's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

DocuSign Envelope ID: 451275C1-2E3A-4A09-BF7D-330ED811F958
X. CERTIFICATIONS:
I, Does the submitted system comply with 15A 1CACO2T, the 1Nininiunt Design Criteria for the Permitting of Pump Stations
and Force Mins.tlatest vcrsiexi}, and the , v' -S .weg_lk iii IIWnr l CDjteria (Iasi ycrsion) 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 protects requiring a variance approval may be subject to longer
review times. For protects requiring two or more variances or wltere the variance is determined by the Division to be a
sittnifcant portion of the protect, the full technical review is required.
2. Professional Engineer's Certification:
1, Jeremy V. Finch , attest that this application for Regency Subdivision - Phase 2
(P'.oressional l•:rginccr's name ?rum Application Item 111 I ) (Protect Name from Application Item tl I)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications, engineering calculations, and all other supporting documentation to the best of my knowledge. 1 further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
ivIininnan I sign Criteria for Gravity Sewep 1latest version , and the (.riteria.lor ihe_t_ast:I rack.P.rm
of Pump $tatituis and Force Maiiis (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.
1`l0l'E — In accordance with General Statutes 143 215.6A and 143-215.6B, any person who knowingly makes any fals.c
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 $25,000 per violation. Misrepresentation ofthe application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board. (21 N('AA$litletlO )a
Ciyi�QJ1"o
North Carolina Professional Engineer's seal, signature, and date: , ""'••
•
3. Applicant's Certification per 15A NCAC 021 .0106(b):
IDISIOss
4/19/2022
1, Kendra D. Parrish. PE , attest that this application for Regency Subdivision.- Phase 2
(Signature Authority Name Crum Applicat on Item 13) (Protect Name from Application Item II 1 )
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
1 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, andror criminal prosecution. I will make no claim against the Division
of Water Resources should a condition of this permit be violated. t also understand that if all required parts of this application
package are not completed and that if all required supporting information and attachments arc not included, this application
package will he returned to me as incomplete.
NOTE In accordance with General Statutes 143_2I5AA and 143-215_613, 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:
DocuSipned by:
c
03C05B65FW4440
Date: 4/19/2022
FORM: VIA 06-21 Page 5 of

DocuSign Envelope ID 451275C1-2E3A-4A09-13F7D-330ED811F958
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Holly Springs
Project Name for which flow is being requested: Regency Subdivision - Phase 2
More than one FTSE inay 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 Namc: Utley Creek Wastewater Treatment Plant
h. WWTP Facility Permit #: NC 0063096
All flows are in MGD
c. WWTP facility's permitted flow 6.0
d. Estimated obligated flow not yet tributary to the WWTP 1.552
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
2.828
0.023
4.403
73.4%
11. Complete this section for each pump station you are responsible for along thc route of this proposed
wastewater flow.
List pump stations located between the project connection point and thc WWTP:
(A) (B) (C) (D)=(B+C) (E)-(A-D)
Design
Average Approx. Obligated,
Pump Pump Daily Current Not Yet Total Current
Station Station Finn Flow** Avg. Daily Tributary Flow Plus
(Name or Permit Capacity, * (Firm I p0, Flow, Daily Flow, Obligated Available
Number) No. MGD MGD MGD MGD Flow Capacity***
Sf65mci
PS WQ0043014 0.238 0.095 0 0.034 0.034 0.061
I+S 0.1.5w6 J
PAQvc WQ0031620 2.506 1.002 0.095 0.834 0.929 0.073
* 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 ofservice.
** 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): Regency PS
Downstream Permit Number: WQ0043014
Page 1 of6
FTSE 10-18

DocuSign Envelope ID. 451275C1-2E3A-4A09-BF7D-330ED811F958
III. Certification Statement:
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.
DocuSYpned by:
PiffOffklal Signature
Exec Director of utilities and Infrastructure
Title of Signing Official
Page 2 of 6
4/19/2022
Date
FTSE 10-18

DocuSign Envelope ID: 451275C1-2E3A-4A09-BF7D-330ED811 F95B
The John A. McAdams
Company, Inc.
Raleigh 1 Durham, NC
2905 Meridian Parkway
Durham, North Carolina 27713
0919) 351-5000
Charlotte, NC
11301 Carmel Commons BNd.
Suite 111
Charlotte North Carolina 28226
[phone]
McAdamsCo.ccm
JJ MCAIAMS
April 5, 2022
NCDCNR - DWR
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
Re: Regency Subdivision - Phase 2
Holly Springs, North Carolina
TOL-20030
The accompanied Fast -Track Application (FTA 06-21) includes 835 lineal
feet of 8" PVC and 809 lineal feet of 8" DIP of gravity sanitary sewer system
for the proposed Regency Subdivision - Phase 2 development located off New
Hill Holly Springs Road in Holly Springs, NC. The gravity sewer system will
be publicly owned and operated by the Town of Holly Springs. Phase 2 of the
project will consist of approximately 92 residential units. The total wastewater
flow generated by Phase 2 of the project is 23,460 GPD. Please find the
fiAlowing attached information in support of this permit request:
• Cover letter with project narrative
• 401 permit #WQC004484 / 404 permit #SAW-2019-01637
• Fast Track Sewer System Extension Application (FTA 06-21)
• Flow Tracking for Sewer Extension Application (FTSE 10-18)
• USGS Topo Map
• Aerial Photo Map
• NRCS Soils Map
• FEMA Firm Map
Sincerely,
TI,lE JOHN R. A MS COMPANY, INC.
V. Finch, P.E.
Group Manager, Residential
Enclosures
Designing Tomorrow's Infrastructure & Communities

DocuSign Envelope ID 451275C1-2E3A-4A09-BF7D-330ED811F958
!y`-iLiFof, f s tt-idr:i4 ;fi,;:irurkutt[t ok6.1q c
A
0 300 600
1,200
I incIh - 600 feet
Feet
REGENCY
SITE AERIAL MAP
PROJECT #: TOL-20030
HOLLY SPRINGS, NORTH CAROLINA
J .
M C A D)A M'

DocuSign Envelope ID: 451275C1-2E3A-4A09-BF7D-330ED811F958
PROJECT BOUNDARY
y
A
REGENCY
SOIL MAP
0 275 550 1,100 PROJECT #: TOL-20030
Feet
I inch . 550 feet HOLLY SPRINGS, NORTH CAROLINA
'J
Mc7\DAMS

DocuSign Envelope ID. 451275C1-2E3A-4A09-BF7D-330E0811F958
1011.01 FRU
.v 4
n }born

DocuSign Envelope ID: 451275C1-2E3A-4A09-BF7D-330ED811F958
fit 11// — I ILMIrril 1 /14.1//'
r
•
• tit
N
[0 1,000 2,000
i inch 2.000 feet Feel
HOLLY SPRINGS, NORTH CAROLINA
REGENCY
USGS TOPO MAP
4,000 PROJECT #: TOL-20030
IA]
MCA 1)A M

DocuSign Envelope ID: 451275C1-2E3A-4A09-BF7D-330ED811 F958
THE TOWN OF
3/31/2022
Director, Division of Water Resources
Raleigh Regional Office
Water Quality Operation Section
3800 Barrett Drive
Raleigh, NC 27609
Re: Application for Sewer Extension Permit
Project: Regency Phase 2
Dear Sir or Madam:
eYprings
00u30 leuoi2011g5lals1
Please find enclosed the following items in application for a sewer extension permit to the Town
of Holly Springs existing sewer distribution system:
o One original and one copy cover letter including a project narrative
o A check in the amount of $480.00
o One original and one copy of the State of North Carolina Fast Track Sewer System
Extension Application (FTA 04-16)
o Two copies of FTSE 04-16 Flow Tracking/Acceptance Form
0 Two color copies of a 8.5-inch by 11-inch portion of a 7.5 minute USGS Topographic
Map showing project area
o Two copies of a street level map showing all relevant project areas
0 One copy of the locally -required Design and Application Certification
Feel free to contact me at 919-577-3150 should you have any questions or need additional
information in order to process this application.
Sincerely,
DocuSigned by:
�� f, lV�jfJ,Ja�.
03C05809FC34440
Kendra D. Parrish, P.E., CFM
Executive Director of Utilities and Infrastructure
KP/tr
OS
cc: Project Consultant Engineer, Jeremy Finch
Rachel Ingham, Utility Engineer
Drew Johnson, Development Construction Manager
Theresa Randall, Utility Permitting Specialist
Project file/Correspondence #41975
3002
04.17 2015
e—OS
Vi
Utilities and Infrastructure Services
P.O. Box 8 • 128 S. Main Street • HolIy Springs, NC 27540 • www.hollyspringsnc.gov

DocuSign Envelope ID. 451275C1-2E3A-4A09-BF7D-330ED811F958
DO NOT SUBMIT SEWER EXTENSION APPLICATIONS UNTIL
CONSTRUCTION DRAWINGS HAVE BEEN APPROVED BY STAFF!
Sewer Design and Application Certification
Note: This form must be submitted with the Fast Tract Application for extension to thc Town of
Holly Springs Sewer System
Project: Regency Sundivrston • Phase 2
Design Engineer: Jeremy Finch
Address: 2905 Meridian Parkway, Durham NC 27713
Phone Number: 919 381-5000 Email: irmcJi@mcsdamacpc;r-+
Date Complete Application Package Received by Town: 03-24-22
Date Approved:
i
(by RI) ca. (by KDP) �7 (by DJ)
As design engineer for this project, I certify the following (please check (x) each applicable box):
LI That thc design of the project is in complete conformance with the Town of Holly
Springs Engineering Design and Construction Standards and NC DEQ Sanitary Sewer
Design Regulations;
That each of the following items are completed and enclosed for submittal to the State for
a sewer extension permit:
n One cover letter that includes a project narrative
n A check in the amount of $480.00 to NC DEQ
A check in the amount of $200.00 to thc Town of Holly Springs
i Onc State of North Carolina form FTA 04-16 Fast Tract Sewer System
Extension Application
• Onc FTSE 10-18 Flow Tracking for Sewer Extension Applications
• One color copy of an 8.5-inch by 11-inch portion of a 7.5-minute
USGS Topographic Map showing project area
n One copy of a street level map showing all relevant project areas
• One copy of the locally -required Design and Application Certification
(this form)
Mar 24 2022 2:51 PM
Design Engineer's Signature
Date
Please contact Theresa Randall at [phone] or Theresa,randall{irihollvstirincinc,ltox if you
have any questions.
2003 Scwcr Dctign ApplicArion Certification
01 14.21
Utilities and Infrastructure Services
P.O. Box 8 • 128 S. Main Street • !lolly Springs, NC 27540 • www.hollyspringsnc.gov

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard,.Jr., P.E., Director
March 31,1995
Stepanie L. Sudan°, P.E., Town Engineer
Town of Holly Springs
Post Office Box 8
Holly Springs, North Carolina 27540
RE: Town of Holly Springs
Request for Adjusted Daily Wastewater Flow
Wake County
Dear Ms. Sudan:
On March 15,1995, the Division received your wastewater flow reduction request and supporting
documentation concerning wastewater flows associated with present residences within the Town of Holly
Springs. Your letter requested the Division allow the reduction of wastewater flows from 120 GPD per
bedroom as required in required by North Carolina Administrative Code to 255 GPD per household for
single family residential units. In support of your request, water consumption data and wastewater
information was supplied from households located in Holly Springs.
An evaluation was completed by the Division in accordance with 15A NCAC .0219(1)(3) using the
water consumptiondata submitted, twelve (12) months of data starting from January 1994. The peak
month was determined to be January 1994 based on average wastewater generated per customer. Using
the upper 10% of the water consumption data for the month of January, eliminating industries, commercial
properties and several inaccurate residential readings, Division staff verified the flow rate of 255 GPD per
household.
In view of the information submitted, the Division. of Environmental Management hereby approves
the use of 255 GPD per single family residence in all applicable non -discharge permit applications for
future wastewater collection extensions which will be made tributary to the Town of Holly Springs
Wastewater Treatment Plant 4Permit No. NC0063096). This consideration applies to any applicable future
projects submitted to this Division as well as any projects which are presently under review, Wastewater
flows presently tributary to the wastewater treatment facilities can be adjusted upon negotiations between
the Town of Holly Springs and the Raleigh Regional Office.
If you have any questions or comments regarding this matter, please contact Mr. Michael D. Allen
at [phone] ext. 547.
cc: Raleigh Regional Office, Water Quality Section
State Engineering Review Group
Sincer,
y,
A. Preston Howard, Jr., P.E.
P.Q. Box 29535, Raleigh, North Carolina 27.62e-oat Telephone [phone] FAX [phone]
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