NC0063096_Other Correspondence_20221128

DocuSign Envelope ID:E8AB7BEA-014A-4263-B696-85A386C135D4
vIN GS Town of Holly Springs
Utilities&Infrastructure
J• ITIP Box 8 1128 S.Main St.
t Holly Springs,NC 27540
9 .r/ LQ [phone]
ft� a{� utilities-infrastructure®hollyspringsnc.gov
! Ci •www.hollyspringsnc.gov
North
October 20, 2022
North Carolina Department of Environmental Quality
Division of Water Resources
Municipal Permitting Unit
1617 Mail Service Center
Raleigh,NC 27699-1636
Re: Application for Local Program Sewer Delegation (Public Gravity Sewer and Public
Pump Stations &Force Mains)
Town of Holly Springs
Utley Creek Water Reclamation Facility
WWTF permit# -NC0063096
Collection System Permit # -WQCS000192
Dear Sir/Madam:
The Town of Holly Springs (Utley Creek Water Reclamation Facility) is requesting local
program sewer delegation approval for Public Gravity Sewer and Public Pump Stations &
Force Mains. Private and other non-standard requests, as outlined in the application,will
continue to be sent to the state for permitting.
Please find enclosed the following items in application for local program sewer delegation for
the Town of Holly Springs.
A. Cover Letter (this document)
B. No Application Fee Required for Local Delegation Request
Exhibit B1. Fee Schedule
C. Local Program Sewer Delegation Application
Exhibit C1. Application LSPD 11-21
D. Program Administration
Exhibit D1. Utilities and Infrastructure Organizational Chart
Exhibit D2. Development Services Organizational Chart
Exhibit D3. Town of Holly Springs Organizational Chart
Exhibit D4. Sewer Permitting Process Flow Chart

DocuSign Envelope ID:E8AB7BEA-014A-4263-B696-85A386C135D4
E. Sewer Use Ordinance
Exhibit El. Town of Holly Springs Code of Ordinances Chapter 16 -
Revisions (submitted digitally)
Exhibit E2. Town of Holly Springs Code of Ordinances Chapter 16 -
Public Enterprises (submitted digitally)
F. Minimum Design Criteria
Exhibit Fl. Engineering Design and Construction Standards (submitted
digitally)
G. Local Program Permit Application
Exhibit Gl. Local Program Sanitary Sewer Extension Application
(Form: TOHS LPSSEA 06.22)
H. Local Program Permit Template
Exhibit H1. Authorization to Construct Template
I. Inspection and Certification Procedures
Exhibit I1. Inspection and Certification Procedures -Gravity Sewer
Inspection SOP
Exhibit 12. Inspection and Certification Procedures - Force Main&
Pump Station Inspection SOP
Exhibit I3. Inspection and Certification Procedures -Verification for
Certification
J. Downstream Capacity Assurance -Flow Tracking
Exhibit J1. Flow Tracking
Information was not included for Wastewater Treatment Authorization (K.) because it is not
applicable to the Town of Holly Springs.
Feel free to contact Rachel Ingham at [e-mail] or 919-567-3985 if
you have any questions or need additional information in order to process this application.
Sincerely,
�DS
Dn•sia••a erg
Lfr
o 00LMUSEMFC34440
Kendra D. Parrish, P.E., CFM Rachel Ingham
Executive Director of Utilities and Infrastructure utility Engineer
KP/tr
cc: Rachel Ingham; Engineering Manager
Seann Byrd; Deputy Director -Water Resources
Drew Johnson,Development Construction Manager
Project file/Correspondence #42000

DocuSign Envelope ID:E8AB7BEA-014A-4263-B696-85A386C135D4 Hitting - Local Program Sewer Delegation
B.No Application Fee Required for Local Delegation Request
Exhibit 1 -Fee Schedule
c;a
Qiol Town of
_i.......
w= HOLLY
I
SPRINGS
North Carolina
Fee 1
Schedule
Exhibit B1 Page 1

DocuSign Envelope ID:E8AB7BEA-014A-4263-6696-85A386C135D4
'=m
This page left intentionally blank
Exhibit B1 Page 2

DocuSign Envelope ID:E8AB7BEA-014A-4263-B696-85A386C135D4
1 P°Ncs Fee Schedule
V :Yorth Coro i:na
Finance/Utility Fees
Approved Fee FY2022-23
would "
Water In-Town Rates(see below for access fee per meter size)
0-2,000 Gallons $4.03 per 1,000 Gallons
2,001-5,000 Gallons $5.24 per 1,000 Gallons
5,001-9,000 Gallons $6.45 per 1,000 Gallons
9,001-14,000 Gallons $7.66 per 1,000 Gallons
14,001 Gallons and over _$8.87 per 1,000 Gallons
Water Out-of-Town Access Fees and Volume Rates are two times the In-Town Rates
Sewer In-Town Rates($12.66 Monthly access fee per unit)
0-2,000 Gallons $5.51 per 1,000 Gallons
2,001-5,000 Gallons $5.51 per 1,000 Gallons
5,001-9,000 Gallons $5.51 per 1,000 Gallons
9,001-14,000 Gallons $5.51 per 1,000 Gallons
14,001 Gallons and over $5.51 per 1,000 Gallons
Sewer Out-of-Town Access Fees and Volume Rates ore two times the In-Town Rotes
Meter Size(Inches) (Multi-Unit Dwellings will be charged the monthly access fee per unit)
3/4(Includes multi-unit dwellings) $12.14
1 $20.24
1 1/2 $40.48
2 $64.76
3 $129.50
4 $202.34
6 $404.68
8 $647.48
10 $1,699.60
Industrial Water/Sewer Rate(In-Town Rate for Monthly Access Fee per unit) In-Town 0-2,000 Gallons Rate
Government Rate(Internal only)Water/Sewer(In-Town Rate for Monthly Access Fee per unit) In-Town 0-2,000 Gallons Rate
All water users:$8.06 per 1,000 Gallons based on actual gallons used,plus a$12.14 monthly access fee
Residential/Commercial Reuse:$4.03 per 1,000 Gallons based on actual gallons used,plus a$6.07 monthly access fee
Bulk/Industrial Reuse:$2.69 per 1,000 Gallons based on actual gallons used,plus a$6.07 monthly access fee
Garbage fee $10.58
Recycling fee $4.74
Exhibit B1 Pa•e 3
ANNUAL BUDGET FOR 2022-2023 FISCAL YEAR TOWN OF HOLLY SPRINGS,NORTH CAROLINA 187

DocuSign Envelope ID:E8AB7BEA-014A-4263-B696-85A386C135D4
> HOLLY
Fee Schedule ` �—�� SPRINGS
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Finance/Utility Fees (continued)
Description Approved Fee FY2022-23
Yard Waste Fees
Yard Waste Fee $4.50
Additional Monthly Yard Waste Cart Service(per cart) Additional Yard Waste Monthly Fee(Per Cart)+Actual Cart Cost
Additional Yard Waste Cart Delivery(per trip) $20
Bulk Yard Waste Fee(Based on estimated volume) Level I:$40,Level II:$80,Level III:$120
-Stormwater Management Progra r Fe s(Monthly Feel
Residential(single family&townhomes) $5.20
Multi-Family Units $5.20 per unit
Non Residential
(0-10,000 sq.ft.of impervious surface) $5.20 per ERU
(10,001-75,000 sq.ft.of impervious surface) $5.20 per ERU
(75,001 and up of sq.ft.of impervious surface) $5.20 per ERU
- e;
Water Meter Deposit(with letter of intent to purchase or closing statement) $0
Water Meter Deposit(without letter of intent to purchase or closing statement) Owner:$45
Rental:$80
Commercial:$70
Some Day Water Service $75
Utility Set-up Administrative Fee $5
Meter Reading Fee $35 per trip if no fault of the Town
(Leak/Plumbing problem)
$0 if the problem is on the Town's side
Meter Data Reading $50
New Meter Installation Revisit $15 each additional trip
Hydrant Meter Rental $25/per day
$350/per month
Hydrant Meter Rental Deposit $1,500
Hydrant Meter Set-up Fee(initial or relocation) $75
Hydrant Meter Reading Fee $35
Hydrant Meter Damage Fee(plus actual repair or replacement cost) $55
Hydrant Meter Bill Late Payment Charge $10
Utility Bill Late Payment Charge $10.00
Water Meter"Cut Off Status"Delinquent Fee $35.00
Exhibit B1 Pa•e 4
188 TOWN OF HOLLY SPRINGS,NORTH CAROLINA WWW.HCLLYSPFINGSNC.GOV

DocuSign Envelope ID:E8AB7BEA-014A-4263-B696-85A386C135D4
ro,.n of
' HOLLY
SPRINGS Fee Schedule
Finance/Utility Fees (continued)
Description Approved Fee FY2022-23
Bulk Water Fee(no charge for reclaimed) $25+$8.06/1,000 gals
Late/No Show Fee $25
Reclaimed Bulk Account Setup(inc.up to 4 train/trans cards) $100
Reclaimed Bulk Training(per person) $50
Replacement Transaction Card (if lost) $10
Line Flushing Fee/Reclaimed at 50% $25+$8.06/1,000 gals
$12.50+ 4. 1 0$ 03/ , 00 gals
Water Meter(3/4") $355.00
Water Meter(1") $470.00
Water Meter(1 1/2") $945.00
Water Meter(2") $1,150.00
Water Meter 3"Octave w/Allegro Pit Mount $2,700.00
Water Meter 4"Octave w/Allegro Pit Mount $3,625.00
Water Meter 6"Octave w/Allegro Pit Mount $5,300.00
Water Meter 8"Octave w/Allegro Pit Mount $6,600.00
Water Meter 10"Octave w/Allegro Pit Mount $9,935.00
Water Meter 12"Octave w/Allegro Pit Mount $13,100.00
Allegro Register for Meter Only $250.00
Pit Mount Only $655.00
Water Meter Removal $25
Unauthorized Meter Connection Up to$1,000
Return Check Fee $25
Motor Vehicle Fee $25
Exhibit B1 Pa.e 5
ANNUAL BUDGET FOR 2022-2023 FISCAL YEAR TOWN OF HOLLY SPRINGS,NORTH CAROLINA 189

DocuSign Envelope ID:E8AB7BEA-014A-4263-B696-85A386C135D4
r, } HOLLY
Fee Schedule �� SPRINGS
No rlh Corolinn
Development Services Fees
Description Approved Fee FY2022-23
`Zone Ma 'Amendrtletits *Round acreage to the nearest tenth;ex.(0.0 acres)
Zone Map Amendment $900+$10/acre*
(double fee for part parcel)
Zone Map Amendment—Additional Public Hearing $350
PUD Master Plan—Major Amendment(fee includes 4 reviews $1500+$10/acre*
PUD Master Plan—Minor Amendment(fee includes 4 reviews) $500
ei - 'cite:Fees include 3 reviews unless otherwise noted.
"Roundacreagetothene3 estytenth;ex.,(0.0 acres) _
._.---------_-----
Major Subdivision New&Major Amendment $100+$5/lot
Dev Plan for Multi-Family—New&Major Amendments(includes 3 reviews) $1,500+$5/lot(+each dwelling unit if multiple units on a single lot)
(double fee for part parcel)
Dev Plan—New or Major Amendment $1,000 +$5/acre*
Appeal of Adminisitrative Decision '/ Original Fee
*�.�'.,, te" a m ra ro �,,. •n Y .a�}, �-.,�a � t R�, sr rrs�° A"^�Ac 3t`�' �:a
�{Jr 4�.� . .... .. ut�t'3$`d,�t? C}'t0�� a'� „'.vim• - �' rd3°.KG.,.... r.. �. 1�_._..__._.� �_,�_. _..�
Final Plat $300+$10/lot
Exempt Plat $200
Minor Residential Plat $200
Amendment to Recorded Plat $200
. -
,. .,.., �+,:i�t rrr'�'r,.frwtr ,y.re r,�,.a. _...y;t-�L�^�_.,t�a�..�,.u:. �.3:.�sd�✓.. ,..._ ,.,.':;,,_. .. �• -: -
Accessory Use/Building or Structure $75
Temporary Use/Building or Structure $75
Laying Hens $75
Wireless Telecom Facilities(plus Special Use permit fees when applicable) $1,000
Wireless Small Cell Telecom Co-Location on existing utility pole in Town Right-of-Way $100/each(first 5 in a batch)+
(Max.25 permits per batch) $50/each additional(max.20 additional)
+$500 technical consulting fee
Total fee not to exceed$2,500
UDO Permit-After the Fact Double Permit Fee
UDO Permit with Residential Bldg Permit Review $75
UDO Permit with Non-Residential Bldg Permit $100
Sign Permit(permanent/temporary) $75/$50
Temporary Family Healthcare Home $100
Temporary Family Healthcare Home Annual Renewal $50
Exhibit B1 Pa•e 6
190 TOWN OF HOLLY SPRINGS,NORTH CAROLINA WWW.HOLIYSPRINGSNC.GOV

DocuSign Envelope ID:E8AB7BEA-014A-4263-B696-85A386C135D4
} HOLLY
SPRINGS Fee Schedule
:Va rrh Cnru linr
Development Services Fees (continued)
Description Approved Fee FY2022-23
Other Permits and Procedures
Special Use Permit or Quasi Judicial Case $500+other required applications/fees
Special Use Permit After-the-Fact Double Fee
Minor Development Petition Amendment $200(includes 3 reviews)
additional review$200/each
Additional Review Fee(PUD,Subdivision,Development Plan,and Platting) 1/2 Original Fee
Master Sign Plan New or Amendment $200+applicable waiver and/or Variance Fees
Voluntary Annexation Petition Recording Fee Only
Historic Property Verification/Inspection Meeting—Capital Area Preservation(CAP) Actual CAP Cost
Home Occupation Registration $35
Zoning Verification Letter $100+Inspection Fee
ABC Permit Review/Inspection Fee $75
Planning Inspection/Re-Inspection Fee $75
Amendment to Comp Plan or UDO $700(double fee for part parcel)
Zoning Citation Fee As set forth in Town's UDO
Zoning Vested Rights $400
Development Agreement Public Hearing Fee Actual Cost
Incomplete Petition Processing Fee $50
UDO/DPM Waiver or Alternate Compliance $100
Development Petition Expiration Extension $100
Land Use Advisory Committee(LUAC)Request&Communications Item $100/$200 for each
subsequent meeting
Administrative Appeal $250
Variance of Development Standards $350
Variance—After the Fact $500
Variance of Development Standards—Town Council $100
Unified Development Ordinance Town's Reproduction Cost
Development Procedures Manual Town's Reproduction Cost
Comprehensive Plan Town's Reproduction Cost
Exhibit B1 Pa•e 7
ANNUAL BUDGET FOR 2022-2023 FISCAL YEAR TOWN OF HOLLY SPRINGS,NORTH CAROLINA 191

DocuSign Envelope ID:E8AB7BEA-014A-4263-B696-85A386C135D4
HOLLY
Fee Schedule er__,, „ SPRINGS
YoreF C r&inn
Development Services Fees (continued)
Description Approved Fee FY2022-23
GIS Maps
8.5x11 $2 each
l 1x11 $3 each
18x24 $5 each
24x36 $10 each
30x42 $12 each
36x48 $15 each
Photographic Copies(B&W)
8.5x11 and 8.5x14 $0.10 per page
l l xl1 $0.20 per page
18x24 $4 per page
24x36 $8 per page
30x42 $10 per page
36x48 $12 per page
Photographic Copies(Color)
8.5x11 $2 per page
Files on Disk
Flash Drive or CD $10 each
Design&Construction Standards Manual
Purchased $95 per copy
Mailed $110 per copy
Exhibit B1 Pa•e 8
192 TOWN OF HOMY SPRINGS,NORTH CAROLINA WWW.HOLLYSPRINGSNC.GOV

DocuSign Env
elope ID:E8AB7BEA-014A-4263-B696-85A386C135D4
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HOLLY
e'`` �� PRINGS Fee Schedule
Norrh Cu rulinn
Development Services Fees (continued)
Description Approved Fee FY2022-23
+.nReview
Subdivision Covers 1st&2nd Reviews $650+$50/lot
Site Covers lst&2nd Reviews 0-5 acres$1,000
5-20 acres$1,400
>20 acres$1,750 _
Major Plan Revisions(Covers 1st and 2nd review) $1,000
Other ex.Utility or Roadway(1st&2nd Review) $1,500
Subsequent Plan Review(includes utility plan review) $450
Minor Revisions Plan Review Covers 1st&2nd Reviews $450
Revisions Subsequent Plan Reviews(Per Rev after 2nd Rev) $450
Timbering Review Per Project $500
Irrigation Well Review $200
Preliminary Pump Station Site Plan review $650(covers 1st and 2nd review)
Construction Drawing Pump Station Review $1,000(covers 1st and 2nd review)
Construction As-built Review Fee $200
Subdivision/Site Covers 1st and 2nd Review $300/acre
Subsequent Plan Reviews&Plan Revision(Per Rev after 2nd) $450
Additional Reviews after 2nd Review $450/each additional review
Environmental Variance/Waiver Reviews Per Review $300
Environmental Variance/Waiver/Appeal Review After Fact Filing Fee Per Review $500
NPDES—Subdivision Covers 1st&2nd Reviews $500+$25/lot
NPDES—Stormwater Subsequent Reviews/Revisions(per rev) $500
NPDES-Site <20 acres$850
(covers 1st&2nd Reviews)
>20 acres$1,200
(covers 1st&2nd Reviews)
Stormwater As-built/Engineer Certification Administration $200
Annual Stormwater Storm Control Measure(SCM)Inspection&Administration <5 acres drainage$150 per BMP
Late Fee >5 acre drainage$200 per BMP
Water Permit Application Review(Delegated) $480
Sewer Permit Application Review(Delegated) $480
Reclaimed Water Distribution Line Extension Permit Application Review(Delegated) $480
Water Permit Processing $200
Wastewater Permit Processing $200
Reclaimed Water Permit Processing $200
Exhibit B1 Pase 9
ANNUAL BUDGET FOR 2022-2023 FISCAL YEAR TOWN OF HOLLY SPRINGS,NORTH CAROUNA 193

DocuSign Envelope ID:E8AB7BEA-014A-4263-B696-85A386C135D4
HOLLY
Fee Schedule „_:5.99, SPRINGS
North Carol/no
Development Services Fees (continued)
Description Approved Fee FY2022-23
Hydraulic Model Update Fee Per DOE
' L S tr eD!!evu fE ti
Special Study(Flood Study,Traffic Impact Analysis,Traffic Assessment Report,Sewer,Basin, $350 Plus Actual Cost
Fire Flow/Hydraulic Analysis,Reclaimed Water Model Update,Pump Station,etc.)Covers 1st
8 2nd Reviews
Special Study Subsequent Reviews and Revisions $200 Plus Actual Cost
Special Study Verification Letter(Internal review only) $100
Environmental Development Permit $400 x acres
(yearly renewal required,fee based on remaining disturbed acreage)
I \ 4 ' t i�, :' li .t'11� i 7A..
Storm drainage pipe $2.10 per IF
Storm Control Measures(SCM) <5 acre drainage$300 each SCM
>5 acre drainage$500 each SCM
7�"'"�tlS ,ad'l. I � � f�'e ..._.._.. ..t. �U. �3��-.''n�� ��:r , 4**0•:��F�sG,l.Rtii..;.�. _u...r., _,,.,. �__�__.._�._,.�_,...�_..
Neuse River Basin—Total fee-in-lieu=number of pounds/acre/year to be offset x acres in development x 30 yrs x$18.49 per pound
Cape Fear River Basin—Total fee-in-lieu=number of pounds/acre/year to be offset x acres in impervious surface x 30 yrs x$14 per pound
Infrastructure Surety Performance New—$350 ea.
Revised/Renewal-$300 ea.
Infrastructure Surety Warranty New—$350 ea.
Revised/Renewal-$300 ea.
Stormwater SCM Surety Performance New—$350 ea.
Revised/Renewal-$300 ea.
Stormwater SCM Surety Maintenance New—$350 ea.
Revised/Renewal-$300 ea.
Erosion Control Surety Performance New—$350 ea.
Revised/Renewal—$300 ea.
UDO Compliance Surety New—$350 ea.
Revised/Renewal—$300 ea.
1, are be col ,t. ,, :'; ,,. `,I , ,,i>�� � � � ,, ova"
Fees In Lieu Of Assessment
Payment in Lieu of Street Widening Per approved engineer's estimate
Payment in Lieu Infrastructure Improvements Per approved IRA by DOE
Payment in Lieu Street Light Installation $2,000 per light
Utility Inspection Fees
Water $2.10 per LF
Wastewater $2.10 per LF
Reclaimed $2.10 per LF
Pump Station Inspection $1,500 lump sum
Exhibit B1 Pa•e 10
194 TOWN OF HOLLY SPRINGS,NORTH CAROLINA WWW.HOLLYSPRINGSNC.GOV

DocuSign Envelope ID:E8AB7BEA-014A-4263-B696-85A386C135D4
¢ HOLLY
�V�n%9i SPRINGS Fee Schedule
No rtn Ca ro iina -..
Development Services Fees (continued)
Description,;s__,._ Approved Fee FY2022-23
Utility Inspection Fees Continued
Streets/Fire lanes $2.10 per LF
Sidewalks $2.10 per Lf
Greenway $2.10 per LF
Fiber $2.10 per LF
Re-Inspection Fee $.25/LF for any after 1st or 2nd Inspection
Non-Residential System Development Fees-Based on Meter Size(due at issuance of building permit). Fee for Multi-Unit Dwellings will be
applied as the 3/4" residential meter rate per equivalent residential unit. All other fees will follow the Non-Residential fee schedule.
Water&Sewer <3,000 sq.ft. >3,001 • >20,001 sq.ft. <3,000 sq.ft. >3,001- >20,001 sq.ft.
(charged separately) <20,000 sq.ft. <20,000 sq.ft.
Irrigation $3,200 $3,200 $3,200 $3,200 $3,200 $3,200
Irrigation (Reclaimed) $1,650 $1,650 $1,650 $1,650 $1,650 $1,650 I
3/4"meter Sewer $5,538 $6,701 $9,615 $6,701 $7,867 $10,781
3/4"meter Water $6,162 $7,459 $10,703 $7,459 $8,756 $11,999
1"meter Sewer $4,662 $7,866 $10,781 $7,284 $9,033 $11,947
1"meter Water $6,286 $8,756 $11,999 $8,108 $10,052 $13,296
11/4"meter Sewer $7,284 $9,032 $11,946 $9,032 $10,198 $13,112
11/4"meter Water $8,108 $10,054 $13,298 $10,054 $11,350 $14,594
11/2"meter Sewer $8,450 $10,197 $13,112 $10,197 $11,364 $14,278
1 '//"meter Water $9,406 $11,350 $14,594 $11,350 $12,647 $15,891
2"meter Sewer $9,617 $13,111 $15,443 $10,780 $14,278 $16,609
2"meter Water $10,703 $14,594 $17,189 $11,999 $15,889 $18,486
3"meter Sewer $10,781 $15,442 $17,774 $11,946 $16,609 $18,940
3"meter Water $12,001 $17,188 $19,784 $13,296 $18,484 $21,080
4"meter Sewer $11,941 $17,772 $20,105 $13,111 $18,940 $21,229
4"meter Water $13,298 $19,782 $22,379 $14,594 $21,079 $23,675
6"meter Sewer $23,602 $29,427 $35,255 $29,427 $35,258 $41,086
6"meter Water $26,271 $32,755 $39,244 $32,755 $39,238 $45,728
8"meter Sewer $35,258 $41,081 $46,909 $41,081 $46,912 $52,740
8"meter Water $39,245 $45,727 $52,218 $45,727 $52,210 $58,701
10"meter Sewer - - $54,745 - - $62,015
-
10"meter Water - - $60,941 - - $69,034
-
12"meter Sewer - - $64,722 - - $73,452
12"meter Water - - $72,047 - - $81,765
Exhibit B1 Pa.e 11
ANNUAL BUDGET FOR 2022-2023 FISCAL YEAR TOWN OF HOLLY SPRINGS,NORTH CAROLINA 195