WQ0043007_Application (FTSE)_20220523

DocuSign Envelope ID: 8216FED8-D56E-41B6-84F0-DABEF780FDDE
DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
F FA 06-21 & SUPPORTING DOCUMENTATION
Application Number: Vv GlOt 3001 ' - "‘(to be completed by uWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Town oil IoIIy Sprints
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Kendra D. Parrishl PE per t5A NCAC 02: f ,0106(hj
Title: Executive Director of Utilities & infrastructure Service
4. Applicant's mailing address: 128 South Main Street, P9 133x 8
City: Holly Springs State: NC Zip: 27540
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
II. PROJECT INFORMATION:
I. Project name: Regency Subdivision - Phase 1
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
Ifa modification, provide the existing permit number: WQ00 43007 and issued date: December 13, 20Z1
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: Wake
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.6524 Longitude: -78 8887
5. Parcel ID (if applicable) : 0639311837 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Jeremy V. Finch License Number: 31452
Firm: McAdams
Mailing address: 2905 Meridian Parkway
City: Durham
Phone number: [phone]
State: NC!_
Email Address: :
Zip: 27713
jf-incht mcadamsco.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Utley Creek Water Reclamation Facility Permit Number: NC0063096
Owner Name: Town of Holly Springs
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
I. Permit Number(s): WQ00 40668
2. Downstream (Receiving) Sewer information: -8 inch ® Gravity 0 Force Main
3. System Wide Collection System Permit Number(s) (if applicable):
Owner Namc(s): Town of Holly Springs
FORM: FTA 06-21
WQCS00192
Page l of 5

DocuSign Envelope ID: B216FED8-D56E-41B6-84FO-DABEF780FDDE
VI. GENERAL REQUIREMENTS
I. lithe Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No ® N/A
2. lithe Applicant is a Developer of lots to be sold, has a I)oi to cr's Opetai nIu I ermea 1 iFORM: Ili:V) been attached?
❑ Yes ❑ No ® N/A
3. If the Applicant is a Home/Property Owners' Association, has an I ()AJi'0A Operrliolial A cmca( I(M; ! IQ&) and
supplementary documentation as required by I5A NCAC 02T.0115(c) been attached?
❑Yes El No ®N'A
4. Origin of wastewater: (check all that apply):
® Residential (Individually Owned)
❑ Residential (Leased)
❑ School / preschool / day care
® Food and drink facilities
❑ Businesses / offices / factories
❑ Retail (stores, centers, malls)
❑ Retail with food preparation/service
❑ Medical / dental 1 veterinary facilities
❑ Church
El Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
® Swimming Pool/Clubhouse
® Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : 80 % Domestic 20 % Commercial % Industrial (See I5A_0103(?0))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Iias a flow reduction been approved under I5A NCA(far _01 14jj? ® Yes ❑ No
> HITS, provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow 2'b
No. of Units
Flow
Single Family Home
255 gall unit
45
11,475GPD
Amenity Site - see attached flow calcs
gall
12,302 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
23,777 GPD
a See I5A_NCAC 0?1.,0114jbj,.(d).,{e)(I),andleJ(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 15A NCAC 021.01 14] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project:....._. 23,777 GPD (per 15A NCACO2'L0I 14)
Y Do not include future flows or previously permitted allocations
If 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 timeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: ... Issuance Date:..
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: FTA 06-21
Page2of5

DocuSign Envelope ID: 8216FED8-D56E-41B6-84F0-DABEF780FDDE
VI1. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02'I' .0305 & hl DC (Grin itN. Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8-inch
4,349
PVC
8-inch
1,478
DIP
D Section lI & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
Section 111 contains information related to minimum slopes for gravity sewer(s)
Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VIIL PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains)!:
PROVIDE A SEPARATE COPYQF TI IIS PAGE FOR EACH PUMP. TATION INCLUDED IN THIS PROJEC,' I
1. Pump station number or name: Regency Subdivision Pump Station - Permitted Under Separate Applicalien
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.6489 ° Longitude: , g__"
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:
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
4-inch
1,773
PVC
feet total dynamic head (1 DH)
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 I5A NCAC 02'1 .0305111)( 11:
❑ Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - I5A NCAC 02T.0305(h)(1)(B)_
D Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
D Must be permanent to facility and may not be portable
Or lithe pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
Y 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: H'I'A 06-21 Page 3 of 5

DocuSign Envelope ID: 6216FED8-D56E-41 B6-84F0-DABEF780FDDE
IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
I. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0:105(1)Algr ® 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 fisted below (vertical)
18 inches
2Water mains (vertical - water over sewer preferred, 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, and associated wetlands.
100 feet
**Waters classified WS (except WS-I or WS-V),13, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (sec 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 WI..
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
10 feet
Drainage systems and interceptor drains
5 feet
_ _ _
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ If noncompliance with 021.0305(B or ), see Section X.1 of this application
*15A NCA_ 02TA305( contains alternatives where separations in 021'.0305(j) cannot be achieved. Please check "yes"
above if these alternatives are used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Water Classifications wwbpage
2. Does this project comply with the minimum separation requirements for water mains? ® Ycs ❑ No ❑ N/A
D If no, please refer to 15A NCAC 18C.0906(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.
➢ See the Division's drall separation requirements for situations where separation cannot be met.
• 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 1 ._N AG 02B .0200? ❑ Yes ❑ No
D This includes Trout Buffered Streams per 15A 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 15A NCAC 02T,O1US(06) (additional permits/certifications)? ® Ycs ❑ No
Per A NCAC 021 :OIQ5(16), 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.).
?. Does this project include any sewer collection lines that arc deemed "high -priority?" 0 Yes ® No
Per I SA NCAC 021.0402, "high -priority sower" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
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 I5A NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

DocuSign Envelope ID: 8216FED8-D56E-41 B6-84FO-DABEF78OFDDE
X. CERTIFICATIONS:
I . Docs the submitted system comply with I SA.NC On, the hrl nimuni Design Criteria for the Permitting of Pump Stations
and ForcjMaills tlatest versionj, and the Gravity Sewer Mittintwn I)esigri Criteria (latest ver_s_ita 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 requct will be issued
concurrently with the approval of the permit, and nroiccts requiring a variance approval may be subject to longer
review times. For nroiccts requiring two or more variances or where the variance is determined by the Division to be a
significant portion of the project, the full technical review is required.
2. Professional Engineer*s Certification:
Jeremy V_Finch , attest that this application for Regency Subdivision - Phase 1
(Professional Engineer's name from Application item III 1) (Project Name from Application Ilcm IL l )
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,
Mirtimum I)yrsig` CAitcria IorGravity Sew rs;I vvrsi tj, and the !4jpimum Design Criteria roc the fast.rtirck ivolittiag
of Piimp Slatiop pad Forelmains f[cs+t version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that 1 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 I43-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. Misrepresentation of the application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board. (21 NCAC 56.0701)
North Carolina Professional Engineer's scal, signature, and date:
Apr 720229:O6AM ,,
3. Applicant's Certification per ISA NCAC 02T .0106(b):
1, Kendra D. Parrish. PE , attest that this application for Regency Subdivision - Phase 1
(Signature Authority Name from Application Item 1.3-) (Project Namc from Application Item II I)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
I understand that if ail 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. I 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 I43-215.6A and I43-215.6B, 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:
Docusigned by:
!J
03C05B69FC34440
Date: 5/2/2022
FORM: F" FA 06-2I Page 5 of 5

DocuSign Envelope ID:8216FED8-D56E-41B6-84F0-DABEF780FDDE
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: Town of Holly Springs
Project Name for which flow is being requested: Regency Subdivision - Phase 1
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: Utley Creek Wastewater Treatment Plant
b. 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
0.024
4.404
73.4%
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***
Regency PS WQ0043014 0.238 0.095 0 0.047 0.047 0.048
HS Business Pk PS WQ0031620 2.506 1.002 0.095 0.847 0.942 0.060
* 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): Regency Subdivision Pump Station
Downstream Permit Number: WQ0043014
Page 1 of 6
FTSE 10-18

DocuSign Envelope ID• 8216FLD8-D56E-41B6 84F0.DABEF780FDDE
III. Certification Statement:
I Kendra Parri sh 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.
DocuSigned by.
5/2/2022
Signing O/ W'tu a Date
Exec Director of Utilities and infrastructure
Title of Signing Official
Page 2 of 6
FTSE 10-18

DocuSign Envelope ID: 8216FED8-056E-41 B6-84FO-DABEF78OFDDE
The John R McAdams
Company, Inc.
Raleigh ! Durham, NC
2905 Meridian Parkway
Durham North Carolina 27713
(9191361.5000
Charlotte, NC
11301 Cannel Commons Blvd
Suite 111
Charlotte North Carolina 28226
(7041527-0800
!11J MCADAMS
April 7, 2022
NCDENR - DWR
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
Cbept ofEavironmental Quality
MAY
Raleigh Regional Office
Re: Regency Subdivision — Phase 1 Modification
Holly Springs, North Carolina
TOL-20030
The accompanied Fast -Track Application (FTA 06-21) is to request a
modification to the existing sanitary sewer permit previously issued for
Regency Subdivision Phase 1 (Regency Subdivision Phase 1 — WQ0043007)
to permit the wastewater flow generated by the proposed Regency Subdivision
Amenity site located off New Hill Holly Springs Road in Holly Springs, NC.
The wastewater flow generated by the proposed Regency Subdivision
Amenity site will enter a previously permitted gravity sanitary sewer main
system (Regency Subdivision Phase 1 — WQ0043007) that is a public system
owned and operated by the Town of Holly Springs. There are no new sanitary
sewer mains proposed as part of the Regency Subdivision Amenity site but
rather service lines only. The Amenity Site will consist of a clubhouse and
pool along with other recreational courts and amenities. The total wastewater
flow generated by the Regency Subdivision Amenity is 12,302 GPD. Please
find the following attached information in support of this permit request:
• Cover letter with project narrative
• 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,
THE JOHN R. A MS COMPANY, INC.
V. Finch, P.E.
Group Manager, Residential
Enclosures
McAdamsCo.com
Designing Tomorrow's infrastructure & Communities

DocuSign Envelope ID: 8216FED8-D56E-41 B6-84F0-DABEF780FDDE
Regency Amenity - Wastewater Flow Calculations
Given.
549 SF Fitness Center
1315 5F Restaurant
1781 SF Pool (assumed all 5 feet deep or Tess)
22 Public Restroom Fixtures
Calculate Average Daily Flow from Fitness Center
Reference: Fitness center wastewater flow is calculated using 50 gal per 100 square feet per 2T Rules.
549 SF Fitness Center
0.5 gal per square foot
275 gpd average daily flow
Calculate Average Daily Flow from Restaurant
Reference: Restaurant wastewater flow is calculated using 50 gal per 100 square feet per 2T Rules (for carry -out restaurants)
1315 SF Restaurant
0.5 gal per square foot
658 gpd average daily flow
Calculate Average Daily Flow from Pool
Reference: Wastewater flow from pool areas is calculated using 10 gal per person per 2T Rules.
Pool user loading is 15 square feet of water surface area per person in areas 5 ft. deep or Tess (15A NCAC 18A .2529)
1781 Square feet of water surface per person
422 Pool User Loading
10 wastewater gallons per person per day
4,220 gpd average daily flow
Calculate Average Daily Flow from Public Restrooms
Reference: Wastewater flow from public restrooms is calculated using 325 gal per plumbing fixture per 2T Rules.
Pool user loading is 15 square feet of water surface area per person in areas 5 ft. deep or less (15A NCAC 18A .2529)
22 Public Restroom Fixtures
325 wastewater gallons per fixture
7,150 gpd average daily flow
Calculate Total Average Daily Wastewater Flow
Category ADF
Fitness Center 275 gpd
Restaurant 658 gpd
Pool 4,220 gpd
Public Restrooms 7,150 gpd
Total ADF 12,302 gpd

DocuSign Envelope ID: 8216FED8-D56E-41B6-84F0-DABEF780FDDE
[
A
REGENCY
SITE AERIAL MAP
0 300 600 1,200 PROJECT #: TOL-20030
=iniiimEFeet
1 inch -- 600 feet HOLLY SPRINGS, NORTH CAROLINA
MCA DAMS

DocuSign Envelope ID: 8216FED8-D56E-4186-84F0-DABEF780FDDE
PROJECT BOUNDARY
A REGENCY
SOIL MAP
0 275 550 1,100 PROJECT #: TOL-20030
iimmFeet
I inch = 550 feet HOLLY SPRINGS, NORTH CAROLINA

DocuSign Envelope ID: 8216FED8-056E-41B6-84FO-DABEF780FDDE
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DocuSign Envelope ID: 8216FED8-D56E-41 B6-84F0-DABEF780FDDE
A
1,000 2,000
1 inch - 2,000 feel
4,000
Feet
REGENCY
USGS TOPO MAP
PROJECT #: TOL-20030
HOLLY SPRINGS, NORTH CAROLINA
McA DAMS

DocuSign Envelope ID: 8216FED8-D56E-41B6-84F0-DABEF780FDDE
4/27/2022
Director, Division of Water Resources
Raleigh Regional Office
Water Quality Operation Section
3800 Barrett Drive
Raleigh, NC 27609
bily prings
C Dept of Environmental Quality
3 2612
Raleigh Regional Office
Re: Application for Sewer Extension Permit Project:
Regency Subdivision — Phase 1 Modification
Dear Sir or Madam:
Please find enclosed the following items in application for a sewer extension permit to the Town
of Holly Springs existing sewer distribution system:
0 One original and one copy cover letter including a project narrative
o A check in the amount of $480.00
0 One original and one copy of the State of North Carolina Fast Track Sewer System
Extension Application (FTA 04-16)
0 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
0 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,
DocuSIgn•d by:
ti 03C0SB69FC34440
Ds DS
Kendra D. Parrish, P.E., CFM
Executive Director of Utilities and Infrastructure
KP/tr
cc: Project Consultant Engineer, Jeremy Finch
Rachel Ingham, Utility Engineer
Drew Johnson, Development Construction Manager
Theresa Randall, Utility Permitting Specialist
Project file/Correspondence #41983
3002
04.17.2018
RECEIVED
MAY 12 2022
NCPWS
Utilities and Infrastructure Services
P.O. Box 8 • 128 S. Main Street • Holly Springs, NC 27540 • www.hollyspringsnc.gov

DocuSign Envelope ID• 8216FED8-D56E-41136-84F0-DABEF78DFDDE
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 the Town of
Holly Springs Sewer System
Project: Regency Subdivision Phase 1 Modification
Design Engineer: Jeremy Finch
Address: 2905 Meridian Parkway Durham. NC 27713
Phone Number: 919-361-5000 Email: jfanch(gt eadamscn.cn1_
Date Complete Application Package Received by Town: 5/2/2022
Date Approved:
F
(by RI) (by KDP) 1)4 _. (by DJ)
As design engineer for this project, I certify the following (please check (x) each applicable box):
11.J That the 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:
❑ One original and one copy of a cover letter that includes a project narrative
o A check in the amount of $480.00 to NC DEQ
o A check in the amount of $200.00 to the Town of Holly Springs
0 One original and one copy of the State of North Carolina form FTA 04-16
Fast Tract Sewer System Extension Application
0 Two copies of form FTSE 10-18 Flow Tracking for Sewer Extension
Applications
0 Two color copies of an 8.5-inch by 11-inch portion of a 7.5-minute USGS
Topographic Map showing project area
0 Two copies of a street level map showing all relevant project areas
0 One copy of the locally -required Design and Application Certification (This
form)
fTLrt.$1
OocuSlpnW byDesign Engineer's SignatureT FIIA L Date 5/2/2022
2E3F884F0C054B1
Please contact Theresa Randall at [phone] or thcresa.randalltiihollvspringsnc.gov if you
have any questions.
2003 Sewer Design Applicalion Cerlificalion
01.14.21
Utilities and Infrastructure Services
P.O. Box 8 • 128 S. Main Street • Holly Springs, NC 27540 • www.hollyspringsnc.gov

GCT
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. Sudano, 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. Sudano:
AWA
R
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 consumption data 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 Permit No. NC00063096). 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
Sinner
y,
1__A. Preston Howard, Jr., P.E.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal opportunity Affirmative Action Employer 60% recycled/ 10% post -consumer paper