WQ0042872_Application (FTSE)_20230120

DocuSign Envelope ID: 10A57E14-55414D47-9851-97CC7DD571CA
State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: Al o w q �ftication
17-2 0o he comedpletby DWR)
All items must be completed or will be returned
1. APPLICANT INFORMATION:
i. Applicant's name: Town of Holly S rin s (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Kendra D. Parrish, PE per 15A JtiCAC 02T .0106(h)
Title: Executive Director of Utilities & Infrastructure Services ualtity
4. Applicant's mailing address: 128 South Main Street PO Box 8
C pelt of Enviro'ental Q
City: Holly Sprite State: NC Zip: 27540- N
5. Applicant's contact information:
Phone number: [phone] Email Address: Kendra Parrish a,hollyspringsnc,gov
11. PROJECT INFORMATION: Raleigh Regional (%ice
I. Project name: Oakview Innovation Park
2. Application/Projcct status: ❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: WQ0042872 and issued date: November 17, 2021,
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 (Dccitnal Degrees): Latitude: 35.6569' Longitude:-78.8664`
5. Parcel 1D (if applicable): (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Walter Blake Hall License Number: 38616
Firm: Timmons Group
Mailing address: 5410 Trinity Road, Suite 102
City: Raleigh State: NC Zip: 27607-
Phone number: [phone] Email Address: blake.hall(a),timmons.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Utley Creek Water Reclamation Facility, Permit Number: NCO063096
Owner Name: Town of (lolly Springs
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
I. Permit Number(s): WQ0031620
2. Downstream (Receiving) Sewer Information: 24 inch l] Gravity U Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00192
Owner Name(s): Town of Holly prings
FORM: FTA 06-21 Page 1 of 5

DocuSign Envelope ID: 10A57E14.5541-4D47-9851-97CC7DD571CA
V1. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No ® NiA
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agrcement.CFORM-. DEV) been attached?
❑ Yes ❑ No ® N.-A
3. If the Applicant is a I lome/Property Owners' Association, has an I IOAIPOA Operational Attaehment ( FOR, t;. I JOA) and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
❑ Yes [-]No ®N.'A
4. Origin of wastewater: (check all that apply):
❑ Residential (individually Owned) ® Retail (stores, centers, malls) ❑ Car Wash
❑ Residential (Leased) ® Retail with food preparation/service ❑ Hotel and/or Motels
❑ School i preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool/Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
® Businesses / offices I factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: % Domestic 24 % Commercial 76 % Industrial (See 15A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ® Yes El No
6. Has a flow reduction been approved under I SA NCAC 02T .0114111? ®Yes ❑ No
y If Yes, provide a covy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow a.b
No. of Units
Flow
Oakview Phase I - Crescent
1500 gal/acre
25.2
38.250 GPD
Shopping centers wr & w.:o food services
115 gal?1000 sf
148,000
33,200 GPD
FUJI Film site
gall
400,000 GPD
Future Development
1500 gal/acre
197.2
295,800 GPD
gal;'
GPD
gal.'
GPD
Total
767,250 GPD
a See .15A NCAC 021' .01 14(b)ti{dJ,.1vX I )and { ()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 l 5A NCAC 0, L01 141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 767,250 GPD (per 15A NCAC 02T .01.14)
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 Page 2 of 5

DocuSign Envelope ID: 10A57E14-5541-4D47-9851-97CC7DD571CA
V11. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & \1DC (Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
774.4
Ductile Iron
12
446.3
PVC
12
552
Ductile Iron
16
758.3
PVC
16
1719.9
Ductile Iron
20
1521.2
Ductile Iron
➢ 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)
Y Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS 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)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational points) per puimp(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 (feet) Material
If any portion of the force main is less than 4-inches in diameter, please identify the method 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 NCAC 02T .0305(h1( I ):
❑ Standby power source or ❑ Standby pump
Y 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
Y 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 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.
Y 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 timeframcs, 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: 10A57E14-5541-4D47-9851-97CC7DD571CA
1X. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations/altcmatives found in 15A NCAC. 027�_0305Lt)AA ? ® Yes ❑ No
15A NCAC 02T.0305(0 contains minimum senarations that shall hn nrnviciprl far Qi-wPr cvctrmc-
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
'Water 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-1 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), B, 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
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
y if noncompliance with 02'f.03051t? or(g), see Section X.1 of this application
* 15A NCAC' 02:f.01051 n contains alternatives where separations in 02T.0305M cannot be achieved. Please check "yes"
above if these alternatives arc used and provide narrative information to explain.
"Stream classifications can be identified using the Division's NC Surface Water Classifications webp .9c
2. Does this project comply with the minimum separation requirements for water mains? ® Yes [:]No ❑ N A
➢ 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
Y Please provide supplementary information identifying the areas of non-conformance.
Y See the Division's draft 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 15A NCAC, 02H 0200? ❑ Yes ❑ No
➢ This includes Trout Buffered Streams per 15A N 'A
5. Does the project require coveragelaulhorization under a 404 Nationwidoindividual permits ® Yes ❑ No
or 401 Water Quality Certifications?
Y Please provide the permit numbcrlpermitting status in the cover letter if coverage;'authorization is required.
6. Does project comply with 15A NCAC 02T,0.105(c,X ) (additional permits?certifications)? ® Yes ❑ No
Per 15A NCAC 02T,0105 c 6 , 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, ctc.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes ® No
Per l SA NCAC 021.0402, "high -priority sewer" 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 interferencelconnict boxes require a variance approval.
Y 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 permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

DocuSign Envelope ID: 1 OA57E 1 4-5541-4D47-9851-97CC7DD571 CA
X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Dcs�Ltt Criteria for the Perniittigg of Pump Stations
and Force Mains llatest version and the Gravity Sewer Minimum Design Criteria flatcsas applicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the VariancelAhernative 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 anprovall of the Rermit, and ro'ects requiring a variance approval may be subject to longer
review times. For erojects reguiring two or more variances or where the variance is determined by the Division to be a
si nificant portion of the proiect. the full technical review is required.
2. Professional Engineer's Certification:
1, Walter Blake Hall _ , attest that this application for _ Oakview Innovation Park
(Professional Engineer's name from App'.icatton Item III.I.) (Project Name from Application Item II. 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,
-Minimum Design Criteria for Gravity Sewers latest version), and the Minimum Design t Criteria for the Fast -Track Permittint~
of Ptylip Stations and Force Mains latest versionl. 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 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. 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 seal, signature, and date:
�J
_ 4 5 f
asru2ce.AO..e2`
oe�us+q�. .... .. ..
3. Applicant's Certification per 15A NCAC 02T .0106(b):
Kendra Parrish
1, , attest that this application for oakvi ew Innovation Park modification
(Signature Authority Name from Application Item I.3.) (project Name from Application Item H.1)
attest that this application 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. 1 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 the as incomplete.
NOTE In accordance with General Statutes 143-215.6A and 143-215.6I3, 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.
f70—Sg.ed by
Signature:` " Dale, 1/17/2023
0365B6OFC34440
FORM: FTA 06-21 Page 5 of 5

DocuSign Envelope ID: 10A57E14-5541-4D47-9851-97CC7DD571CA
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: Gakview Innovation Park
More than one FTSE may be required for a single project if lire 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 arc the owner of the wastewater treatment plant.
a. WWTP Facility Name: Utley Creek Wastewater Treatment Plant
b. WWTP Facility Permit 9: NC 0063096
A11 flows are in MGD
c.
WWTP facility's permitted flow
6.0
d.
Estimated obligated flow not yet tributary to the WWTP
1.119
c.
WWTP facility's actual avg. flow
2.913
f.
Total flow for this specific request
0.767
g.
Total actual and obligated flows to the facility
4.799
h.
Percent of permitted flow used
$0.0
H. 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)
Design
Pump
Pump
Average
Station
Station
Firm
Daily Flow**
(Name or
Permit
Capacity, *
(Firm / pl),
Number)
No.
MGD
MGD
HS BUSINESS
PARK WQ0031620
PA
2.506
1.002
(B)
(C)
(D)=(B+C)
(E)—(A-D)
Obligated,
Approx.
Not Yet
Total Current
Current
Tributary
Flow Plus
Avg. Daily
Daily Flow,
Obligated
Available
Flow, MGD
MGD
Flow
Capacity***
0.095
0.837
0.932
0.095
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): Holly Springs Business Park Pump Station
Downstream Permit Number: WQ0031620
Page 1 of 6
1- PSE 10-1 S

DocuSign Envelope ID: IGA57E14-5541-4D47-9851-97CC7DD571CA
III. Certification Statement:
I Kendra Parrish 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.
oxu �gnta ey:
1/17/2023
Sign in icia Signature Date
Exec Director of utilities and Infrastructure
Title of Signing Official
Page 2 of 6
hTSC 10-1 8

DocuSign Envelope ID; 1OA57E 1 4-5541-4047-9851-97CC7DD571 CA
PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section 11 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
1/17/2023
Date
Page 3 of 6
I=TSC 10-1 9

DocuSign Envelope ID: 1OA57E14-5541-4D47-9851-97CC7DD571CA
rimer �C,
TIMMONS GROUP
5410 Trinity Road
Suite 102
Raleigh, NC 27607
P 919.866.4951
F 919.859.5663
www.timmons.com
NC Dept of Environmental Quality
Oakview Innovation Park— Permit Modification WQ0042872
Date: 01-12-22 Job #: 47135
Items included in package:
±AN 2 4 iV'
Raleigh Regional Office
COPIES
DATE
NUMBER
DESCRIPTION
1
Cover Letter
1
Sewer Design & Certification Application Form
FTA
1
FTSE
1
Checks $200 Town of HS, $480 NC DEQ
1
USGS Quad Ma
1
Street Level Ma 1 Cover Sheet
Cover Letter:
The purpose of this submittal is to request a modification to permit number WQ004872 issued November
17, 2021. The modification is required as the total length of pipe is more than ten percent less than was
show on the approved permit. After permits were issued, the alignment of the sewer line at the upper end
was adjusted to better serve future properties and a boring under Green Oaks Parkway.
The proposed project is in Town of Holly Springs, located at the intersection of New Hill Holly Springs
Road and Green Oaks Parkway. The scope of the project will include the construction of two Town of
Holly Springs roads, a water main, reclaimed water main and sanitary sewer main. The proposed sanitary
sewer system will serve the surrounding properties and run to the Town's existing pump station. The new
gravity sanitary sewer system will be owned, operated, and maintained by the Town of Holly Springs. The
sanitary sewer main is made up of:
Size (inches)
8
Length (Heet)
Material
774.4
562
D 1
DI
12
12
446.3
PVC
16
1,719.9
DI
16
24
758.3
PVC
1,521.2
DI
Associated 401/404 permits have been approved. Refer to permit numbers DWR# 20201873 and SAW-
2015-02137.
rNGINrrRING I DFSIGN i TFCHNOIOGY

DocuSign Envelope ID: 10A57E14-5541-4D47-9851-97CC7DD571CA
The sanitary sewer main is anticipated to provide capacity for the following wastewater flows below.
Future development flows and the Crescent Calculations were determined using 1500 GPD per acre.
Based on previous projects done, 1500 GPD rather than the state recommended follows more closely to
what these developments need. The Fuji Film site for phase 1 has been allocated 400,000 GPD available
per the Development Agreement with the Town of Holly Springs.
site
Method
Acres
Flow Factor
Gallons per
Peaking
Peak Flow
(GPD/ac)
Day
Factor
Rate
(GPM)
Green Oaks
1500 GPD/AC
119.0
1,500
178,500
2.5
309.9
Development/Green
Oaks Tech Center
Crescent (Life
1500 GPDIAC
25.5
1,500
38,250
3.0
82.0
Science Buildings)
Add'I Property East
1500 GPDIAC
42.0
1,500
63,000
2,13'
109.4
of Green Oaks
Pkwy
Other Properties in
1500 GPDIAC
35,2
1,50U
54.300
2.5
aq 3
Oakview Innovation
Park (West of
Green Oaks Pkwy)
Oakview Comer
02T Rules—
WA
N/A
33.200
a 5
58 0
Piece
See Below
Calculations
Fuji Film (Galaxy)
Flow shared by
NA
NIA
400,000
NIA
1150
Jacobs
Engineering
Oakview Corner Piece Calculations
Flows for the Oakview corner piece were also calculated using North Carolina 02T rules. The current plan
of development consists of 148,000 square feet of retail space and a hotel with 135 beds. State rules specify
that shopping centers with food service be designed for a daily sewage flow rate of 130 gallons (gal)/1000
square feet (sf). Because shopping centers without food service have an assumed daily flow of 100
gal/1000 sf, the average between the two values (115 gal/1000 sf) was be used. This value is conservative
because less than half of the retail space is currently planned to serve food.
Hotels without in -room cooking facilities are estimated by the 02T rules to discharge 120 gal/room.
Accounting for all the above, the estimated flow rate from the Oakvlew corner piece is as follows:
120 gal
1000 5 gretail x 148,000 sf retail + 1 room x 135 rooms — 33,220 GPD
33,220 GPD x 1 day x 2.5 PF = 58 GPM
1440 min

DocuSign Envelope ID: 10A57E14-5541-4D47-9851-97CC7DD571CA
Wrwo
USGS
science for a changing world
-79.0000-
35.7500' 681mmE
39580oanN
57
911
55
53
U.S. DEPARTMENT OF THE INTERIOR
U.S. GEOLOGICAL SURVEY
82 83
84

DocuSign Envelope ID: 10A57E14-5541-4D47-9851-97CC7DD571CA
-78.8750
35.7500-
34580D0mN
57
56
55
54
ag-USGS
science fora changing wadd
U.S. DEPARTMENT OF THE INTERIOR
U.S. GEOLOGICAL SURVEY
6930wr,E 94 95

Docuftq Envelope ID; 1QA57E14-5541-4D47-9851-97CC7DD571CA
T HE TO W N OF
January 17, 2023
Director, Division of Water Resources
%Ily Springs
NC Dept of Environmental Quality
Raleigh Regional Office �++'"4�2 0
Water Quality Operation Section
3800 Barrett Drive Raleigh Regional Office
Raleigh, NC 27609
Re: Application for Sewer Extension Permit WQ0042872 Modification
Project: Oakview Innovation Park
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,
.ft—
11e,147
Kendra D. Parrish, P.E., CFM
Executive Director of Utilities and Infrastructure
KP/tr
cc: Project Consultant Engineer, Blake Hall, PE
Rachel Ingham, Utility Engineer
Drew Johnson, Development Construction Manager
Emily Koncz, Utility Permitting Specialist
Project file/Correspondence # 42039
F'sm
Rachel Ingham
Utility Engineer
3002
04.17.2019
Utilities and Infrastructure Services
P.O. Box 8 • 128 S. Main Street • Holly Springs, NC 27540 • wvvw.hollyspringsnc.gov

DocuSign Envelope ID. 10A57Ei4-5541-4D47-9851-97CC7DD571CA
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 n
Holly Springs Sewer System
Project: _Oakview Innovation. Park — Permit Modilicatiori W 0042872 _ e 1
Design Engineer: Timmons Gropp — Waiter Blake Hall o
Address: _ 5410 Trinity Road, Suite l02_, Raleigh NC 27607_ .
Phone Number: 919-316-0126 Email: blake.hall er,timmons.com
p
Date Complete Application Package Received by Town:
Date Approved: — 2 (by RI) tF (by KDP) (by DJ)
As design engineer for this project, I certify the following [please check (x) each applicable box].
That the design of the project is in 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 complete and have been digitally submitted to the
Town via CityView for a sewer extension permit:
0 One cover letter (includes a project narrative)
One State of North Carolina form FTA 06-21 Fast Tract Sewer System
Extension Application.
C2 One FTSE 10-18 Flow Tracking for Sewer Extension Applications
Of 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 project components
One copy of the locally -required Design and Application Certification (this
form)
That each of the following items have been submitted to the Town for a sewer extension
permit:
0 A check in the amount of $480.00 to NC DEQ
A check in the amount of $200.00 to the Town of Holly Springs
Design Engineer's Signature f1(Date Z/ 2OZ 3
Please contact Emily Koncz at [phone] or [e-mail] if you
have any questions.
2003 Sewer Design Application Certification
10 26 22
Utilities and Infrastructure Services
P.O. Box 8 • 128 S. Main Street 0 Holly Springs, NC 27540 • www.hollyspringsnc.gov