WQ0044457_Application (FTSE)_20230606

DWR
Division of Water Resources
�&-eAved (r 5 -2aZ3
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:.; �144q 5_7 (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: City of Graham (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ® Municipal
3. Signature authority's name: Aaron Holland per 15A NCAC 02T .0106(b)
Title: City Manager
4. Applicant's mailing address: P.O. Box 257, 201 South Main Street
City: Graham State: NC Zip: 27253-
5. Applicant's contact information:
Phone number: [phone] Email Address: aholland@cit�ofcraham.com
11. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
1. Project name: Rogers Spring— Phase 3
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.
If new construction, but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Alamance
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.0258' Longitude:-79.40870
5. Parcel ID (if applicable): 8872989158 (or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
1. Professional Engineer: Joseph V. O'Buch License Number: 29999
Firm: Green Mountain En ing eerin
Mailing address: 1 A Wendy Ct.
City: Greensboro State: NC Zip: 27409-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: South Burlington WWTP Permit Number: NCO023876
Owner Name: City of Burlington
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): W00041821
2. Downstream (Receiving) Sewer Information: 42 inch ❑X Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00065
Owner Name(s): City of Burlington
FORM: FTA 06-21 Page] of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
[:]Yes ❑ No ® N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑ No ® N/A
3. If the Applicant is a Home/Property Owners' Association, has an HOA/POA Operational Agreement (FORM: HOA) 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) ❑ Car Wash
❑ Residential (Leased) ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool/Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic % Commercial % Industrial (See 15A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ❑ No
➢ If Yes, 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 a,b
No. of Units
Flow
Dwelling unit-3 bedrooms
360 gal/day
50
18,000 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
18,000 GPD
a See 15A NCAC 02T .0114(b), (d), (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0I 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 18,000 GPD (per 15A NCAC 02T .01 14)
➢ 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

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
3,465
PVC
8
1,473
DIP
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VII1. 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: 0Longitude: - °
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 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 (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 2.01 C.1.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - 15A NCAC 02T.0305(h)(1)(B)_
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility 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:
➢ Include documentation that the portable source is owned or contracted by the applicant and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 06-21 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(f) & (g)? ® Yes ❑ No
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
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), B, SA, ORW, HQW, 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
➢ If noncompliance with 02T.0305(f) or (g), see Section X.1 of this application
* 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) 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 webpage
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
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ 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: Big Alamance Creek ❑ No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑ Yes ® No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0 I 05(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, etc.).
Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes ® No
Per 15A NCAC 02T.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 interference/conflict boxes require a variance approval.
➢ 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

X. CERTIFICATIONS:
k Does the submitted system comply with 1 tiA_NCAC 02'1, the iblininluin Dcsien Criteria for the Perniittint, of Pump Stations
and 1-orce Mains latest version . and the Grav�iLy SONTI' Minimum. Design Criteria (latest versior2) as applicable?
® Yes ❑ No
tf 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 proiects requiring a variance approval may be subject to longer
review times. For proiects 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:
I, 6 1f , /) &o , attest that this application for _R04pli -�nm '/ r/-3
(Professional largineer's name from Application Item 111.1.) (fro.ject Nanrc from Application Ilan 11.1)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications, engineering calculations, and all other supporting documentation to the best of my knowledge. 1 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_Desien Criteria for the Fast-1'rack Permitting
of 17ump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
havejudged 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
inCILide a fine not to exceed $ 10,000, as well as civil penalties up to S25,000 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:
i......... ...................... •.........................•.........•..................;
Applicant's Certification per 15A NCAC 02T .0106(b):
attest that this application for Fows- 9�1 ro 3
(Signahire Authnrily Namo from Application item 1.3.)—(ProActt—Name from Applteatinn Item II.I)
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, 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 nle as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-21 i.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 nlay
include a fine not to exceed $ 10,000 as well as civil penalties up to $25,000 per violation.
Signature:
Dare:
s- 3
FORM: FTA 06-21 Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: City of Graham
Project Name for which flow is being requested: Roger Springs - Phase 3
[Vlore than one FTSE pray be requiredfor a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: City of Graham Collection System
b. WWTP Facility Permit #: WQCS 00065
All flows are in MGD
c. WWTP facility's permitted flow 0.500 Allocation to COB
d. Estimated obligated flow not yet tributary to the WWTP .129 to COB
e. WWTP facility's actual avg. flow 0.2102 to COB
f. Total flow for this specific request 018
g. Total actual and obligated flows to the facility 0.357 to COB
h. Percent of permitted flow used 71.4%
I1. 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. MOD MOD Flow, MOD MOD Flow Capacity***
* 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): Burlington - Great Alamance Outfall
Downstream Permit Number: N/A
Page i of 6
FTSE 10-18

III. Certification Statement:
I Aaron Holland certify to the best of my luiowledge 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 1
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.
Signing OfficiallSignaten-e Date
Afjj�--41,f- CJ�
Title of Signing Official
Page 2 of 6
PTSC 10-18

State of North Carolina
Department of Environmental Quality
Division of Water Resouces
r
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: City of -Graham
Project Name for which flow is being requested: Rogers Spring - Phase 3
More than one FTSE niq be required for a single project f the owner of the WiVTP is not responsible,for till punip
stations along Cite route ofthe proposed ►uastewaterylniv.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: City of Graham Collection System
b. WWTP Facility Permit #: WQCS 0a065
All fi'o ws are in. MGD
c. WWTP facility's permitted flow 0.500 Allocation to COB
d, Estimated obligated flow not yet tributary to the WWTP
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
0.018
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)
(0) (C) (D)=(B+C)
(E)=(A-D)
Design
Obligated,
Pump Purnp 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, MOD MOD
Flow, MOD MOD Flow
Capacity***
* 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 plow 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): Great Alamance Creek OF,
Downstream Permit Number N/A
Page I of 6
T'"tSE 10- 18

III. Certification Statement:
I �� &JJCJ 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 tt 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.
SigKing C)f ficicrl Signature' � Dale
A5-f(*J+&-4 c_i �t Hee
Title of ;Signing Q/ficia! ---
Page ? of 6
FT'I� ttiI

State of North Carolina
T)epa •trnent of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: City of Burlington
Project Name for which flow is being requested: Rogers Spring - Phase 3
Xfoi-e than one F7S'E may be requh-ed,for it single project if'the owner of the 1' IJITY is not responsible fur all pump
stations along the route of the proposed IvrtstewiterJluiv.
1. Complete this section only if you are the owner oFthe wastewater* treatment plant.
a. WWTP Facility Name; South Burlington WWTP
b. WWTP facility Permit#: NCO023876
All flows are its MGD
c. WWTP facility's permitted flow 12
d. Estimated. obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
C. Total flow for this specific request 0.018
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
I1. Complete this section for each pump station you are responsible for along theroute of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A)
(B)
(C)
(1))-(B+C)
(E)=(A-i))
Design
Obligated,
Pump
Punip
Average
Approx.
Not Yot
Total Current
Station
Station
Firm Daily Flow"
Current
Tributary
Flow Plus
(Name or
Permit
Capacity, * (Fivni l pf),
Avg. Daily
Daily Flow,
Obligated
Available
Number)
No.
MOD MOD
Flow, MOD
iviOD
Flow
Capacity***
* The Firm Capacity (design flow) of auy pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
h Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pt) not less than 2.5, per Section 2.02(A)(4)(c) of the ivlinirnum 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): Great Alamance OF
Downstream Permit Number: N/A
Pagc 1 of 6
FTST 10-18

TTT. Certification Statement:
gC'►� ('O `� certify to the best of my knowledae that the addition of
the volume of wastewater to be peinitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the now from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station cn route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identitied in the planning assessment ,vhere applicable. This analysis has been perroi7med in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections T and 11 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
worics has adequate capacity to transport and treat the proposed new wastewater.
S'ignirrg D�%icia! Signature
Title ol�Signinq Offleial
Dwe
Page 2 of 6
FTSl 1 U-18

Received 6-29-2023
State of North Carolina
DWR
Department of Environment and Natural Resources
Division of Water Resources
Mvlsion of water Resources Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE 10-18)
Entity Requesting Allocation City of Burlington
Project Name for which flow is being requested: Roger Springs - Phase 3
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: South Burlington WWTP
b. WWTP Facility Permit #: N00023876
All flows are in MGD
c. WWTP facility's permitted flow 12.00
d. Estimated obligated flow not yet tributary to the WWTP 1.460249
e. WWTP facility's actual avg. flow 6.330000
f. Total flow for this specific request (018) Graham Allocation
g. Total actual and obligated flows to the facility 7.790249
h. Percent of permitted flow used 64.92%
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
Average Daily
Pump Station Firm Flow**
(Name or Capacity, * (Firm/pf),
Number) GPD GPD
None
(B)
Approx.
Current Avg.
Daily Flow,
GPD
(C)
(D)=(B+C) (E)=(A-D)
Obligated,
Not Yet
Total Current
Tributary
Flow Plus
Daily Flow,
Obligated Available
GPD
Flow Capacity***
* The Firm Capacity 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 fine capacity of the pumpstation divided by a
peaking factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity <_ 0.
Downstream Facility Name (Sewer)
Downstream Permit Number:
Great Alamance Outfall
1 of 6 FTSE 10-18

III. Certification Statement:
I, W. Todd Lambert, P.E. certify to the best of my knowledge that the addition of the
volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any
capacity related sanitary sewer overflows or overburden any downstream pump station en route to the
receiving treatment plant under normal circumstances, given the implementation of the planned
improvements identified in the planning asssessment 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.
i--- _z (9-Z� .
Signing Official Signature
City Engineer _
Title of Signing Official
Date
2 of 6 FTSE 10-18

MV*
To Whom It May Concern:
Green Mountain Engineering, PLLC
Civil Engineering Consultants
Land Surveyors
Project Narrative
For
Rogers Spring — Phase 3
Located in Graham, NC
January 6, 2023 €
Environmental QG: 1(;�
Received
Regionai v ce
Rogers Spring is a proposed 166 unit +/- single family subdivision. The Project is being
phased into multiple parts. The sewer outfall serving Phase 3 of this subdivision will tie
into an existing 42" sewer main known as the Great Alamance Sanitary Sewer Outfall..
Approximately 4,938 linear feet of new 8 inch sewer mains with 50 new services will
connect to the existing 42" sewer outfall. For Phase 3, a total of 50 new residences are
planned for this subdivision.
The design and plan review was done in accordance with NCDEQ's Gravity Sewer
Minimum Design Criteria and the City of Graham's standards and specifications. Work
on the sewer installation is planned to begin once the permit has been obtained.
Please contact me if you require additional information. You can reach me via email
[e-mail] or by telephone [phone] at your convenience.
Respectfully submitted,
e */
Joseph V. O'Buch, P.E.
Green Mountain Engineering, PLLC
1A Wendy Court - Greensboro, NC 27409 - [phone]
Page 1 of 1

�9
Transmittal
To: NCDEQ — Water Quality Section
Green Mountain Engineering, PLLC
Civil Engineering Consultants
Land Surveyors
Address: 450 W. Hanes Mill Rd. — Suite 300, Winston-Salem, NC 271
From: Joseph V. O'Buch, PE, Green Mountain Engineering, PLLC
Date: 2023 — June 1
Re: Rogers Spring — Ph3
Messages
t of
Env', r ::mentaI Quality
U21 U � 2023
V,,';:li J,Or1-Salm
Regicn.-:;l Office
Attached please find application package for sanitary sewer extension off Rogers Rd.,
near Lacy Holt Rd., to serve the residential housing proposed by Rogers Spring
Subdivision — Phase 3.
Included are one(1) original and one (1) copy of the Application Package, and one (1)
check for $480.00.
Please let us know if you have any questions, or require additional information. I can be
reached via email [e-mail] or by phone [phone] at your
convenience.
Best Regards,
Joseph V. O'Buch, PE,
1A Wendy Court - Greensboro, NC 27409 - [phone]
Page 1 of 1