WQ0044833_Application (FTSE)_20231019

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division aF Water Resources FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: � � (tr bi completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Franklin COuntN (company, municipality, HOA, utility: etc)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partrershi p ❑ Privately —Owned Public l.;tility
❑ Federal ® State/County ❑ Municipal ❑ Other
3. Signature aulhoril%'s name: Chris Doherty per 15A. NCAC 021' 0106fb1
Title Public Utilities Director
4. Applicant's mailing address: 1630 US H-,%3- #I
City: Your s� State. NC 7,ip--27596
5. Applicant's contact information:
Phone number [phone] Email Address: cdohtv1(etfranlJincourmtvnc.us
IT. PROJECT INFORMATION:
1. PrQjcct nunme V'lvspering Pines
2. Application/Project status: ® Proposed (New Permit) ❑ 1:xratiimg Permit/Project
It' a modification, provide the CNisting permit number: WQ00 and issued date:
For modifications, also attach a detailed narrative description as described in Item G of the cheeldist.
If new construction, but part of a master plan, prov rde the existing permit number WQ00
3. County where project is located Franklin
4. Approximate Coordinates (Decimal Degrees): Latttude. 36.08057' Longitude:-76.44826-
5. Parcel ID (if applicable)' 1864-27-871511864-18-9601 (or Parcel ID to closest downstreanm seer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Timothy P. Nau License Number. 030339
Firm: The Nau Comnam, PLLC
Mailing address: PO BOX 810
City: Rolesvrlle State: NC Zip: 27571-�
Phone number: 9QU9 625-3090 Email Address tnau rr thenauco.com
WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1562
THE NAU COMPANY PLLC
P.O. BOX 810
ROLESVILLE, NORTH CAROLINA 27571
�. [phone]
y PA i
TO THE
ORDER OF
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DOLLARS .�.
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The Nau Company OCT 19 20ZJ ? PO Box810
Consulting Civil Engineers Rolesville, NC 27571
R��
Raletgbit .ton,, �.,, k 01"Tiee 919-435-6395
TRANSMITTAL
Deilver Sender
NCDENR - Raleigh Regional Office Jon Eakins, PE
3800 Barrett Drive 919-616-4716
Raleigh NC 27609 [e-mail]
Date 10/ 1//2023
919-791-4200 Delivery method Hand Delivered
Project name Whipering Pines 4-5
Submittal type Sanitary Sewer Permit
Project number
Quantity
Date
Description
1
Cover Letter
2
Fast Track Application (FTA)
1
Check for $600.00
1
Flow Tracking/Acceptance Form
1
USGS Quad Map
1
Aerial Map
Comments/Notes

The Nau Company
Consulting Civil Engineers
October 18, 2023
NC Department of Environmental Quality
Division of Water Resources
Raleigh Regional Office
RE: Whispering Pines - Phase 4-5 Sanitary Sewer Permit
To whom it may concern:
NC Dept of Env ir•at''11-ne::tal Qu."lay
O C T 19 2023
Raleigh Reg. {J;T:cc
Attached are the required documents for the permitting of the gravity sanitary sewer line
required for the Whispering Pines - Phase 4-5 project located in Franklin County, NC. Below is a
summary of the system to be permitted:
System Name: W eying Pis - Phase 4-5
Homes served: 128
Flow allocation required: 32,500 GP ,
Pipe data: 6, of 8" gravity sanitary sewer
The gravity sewer for this project.
If you have any questions or concerns, please let me know.
Sincerely,
The N u Company, PLLC
Timothy P. Nau, PE
mau thenauco.com
919-625-3090
PO Box 810 / Rolesville, North Carolina 27571 / [phone]

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NC Dept of Etivirotu,
Ietltal Qtlality
DW.R
Division of Water Resources
O C T 19 2023
State of North Carolina
Department of Environmental Quality
Division of Water Resources
TRACK SEWER SYSTEM EXTENSION APPLICATION
R m: FTA 06-21 & SUPPORTING DOCUMENTATION
This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of ].SA NCAC 02T and the Division's
Minimum Design Criteria Gravit k Sewer & Pump? Stations/Force Mains} and that plans, specifications and supporting documents
have been prepared in accordance with 15A NCAC 02T, 15A NCAC 02T .0300. Division policies, and good eiEeinee rinz practices.
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC: 02T .03;}5(b), design
documents must be prepared prior to submittal of a fast track permit application to the Division_ This mould include plans, design
calculations, and project specifications referenced in I r_UgLC,_Q T_,03C15 and the applicable minimum design criteria. These
documents shall be immediately available upon request by the Division.
Projects that are deemed permitted (do not require a permit from the Division) are explained in I $A NCAC 02T.0303,
Projects not eligible for review via the fast track process (must be submitted for full technical review);
Y Projects that do not meet any part of the minimum design criteria (MDC) documents,
> Projects that involve more than one variance from the requirements of 15A NCAC 02T,
v Pressure sewer systems utilizing simplex septic tank -effluent pumps (STEPs) or simplex grinder pumps,
> Simplex STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains);
> Vacuum sewer systems.
General — When submitting an application, please use the following instructions as a checklist in order to ensure all required items are
submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the
amount of requested additional information. Failure to submit all required items will necessitate additional processing and review
time, and may result in return of the application E,ntess otherwise noted, the Applicant shall submit one original and one copy of
the application and supporting documentation.
A. One Original and One Copy (second copy maybe digital) of Application and Supporting Documents
® Required unless othern-ise noted. Signatures on original must be "wet ink" or secure digital signatures.
Please do not submit engineering design plans with the application unless specifically requested.
B. Cover Letter/Narrative Description (Required for All Application Packages):
® List all items included in the application package, as well as a brief description of the requested permitting action.
> Be specific as to the system type, number of homes served, flow allocation required, etc.
`r Include the permit number/status of any other required sewer permits (downstrearn/upstream)
If necessary for clarity, include attachments to the application form.
C. Application Fee (All New and Modification Application Packages):
❑ Submit a check or money order in the amount of S480.00, dated no more than 90 days prior to application submittal.
> Payable to North Carolina Department of Environmental Quality (NCDEQ)
D. Fast Track Application (Required for All Application Packages, Form FTA 05-21):
® Submit the completed and appropriately executed application.
> If necessary for clarity or due to space restrictions, attachments to the application may be made.
❑ If the Applicant Type in Item I.2 is a corporation or company, provide documentation it is registered for business with the
Noilii Carulin}i Or Mate
❑ If the Applicant Type in Item 1.2 is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of Deeds in
the county of business,
® The Project Name in Item I1.1 shall be consistent with the project name on the flow acceptance letters, agreements, etc.
El The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North Carolina
licensed Professional Engineer.
® The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 021 .01&6 ). Per
15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if a delegation letter is provided from
a person who meets the critena in 15A NCAC 02T .0106(b).
INSTRUCTIONS FOR FORM. FTA W21 & SUPPORTING DOCUMENTATION Page I of 3

E. Flo" Tracking/Acceptance Form (Form: FTSE 04-16) (If Applicable):
® Submit the completed and executed FTSE form rrom the owners of the downstream sewers and treatment facility.
> Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different.
> The flow acceptance indicated in form FTSE must not expire prior to permit issuance and must be dated less than one year
prior to the application date.
> Submittal of this application and form FTSE indicates that owner has adequate capacity and will not violate a,$..143-215.67[a}"
> Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific FTSE.
F. Site Maps (All Application Packages):
® Submit an 8.5•inch x 11-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project area,
including the closest surface waters.
> General location of the project components (gravity sewer, pump stations, & force main)
> Downstream connection points and permit number (if known) for the receiving sewer
® Include an aerial location map showing general project area (such as scree; names or latitude/longitude) so that Division staff
can easily locate it in the field.
G. Existing Permit (Application Packages for Modifications to an Existing Permit):
❑ Submit a copy of the most recently issued existing permit.
❑ Include a descriptive and clear narrative identifying the previously permitted items to remain in the permit, items to be
added, and/or items to be modified ,the application form itself should include only include items to be added/modified). The
narrative should also include whether any previously permitted items have been certified.
❑ The narrative should clearly identify the requested permitting action and accurately describe the sewers to be listed in
the final permit.
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per 1.5A NCAC: Q21T .0305r]L)(1). submit documentation of power reliability for pumping stations.
> This alternative is only available for average daily flows less than 15,000 gallons per day
> It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible with
the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or proposed contractor,
stating that "the portable power generation unit or portable, independently -powered pumping units, associated appurtenances
and personnel are available for distribution and operation of this pump 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 In the case of a multiple station power outage. (Required at time of certification)
I. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0115t a)E 1 } provide the Certificate of Public Convenience and Necessity from the . " rolma Utilities
Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the sewer
extension, or
❑ Provide a letter from the North Carolina Utilities C mmission's Water and Sewer Division_ Public *;gaff stating an application
for a franchise has been received and that the senice area is contiguous to an existing franchised area or that franchise approval
is expected.
J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ HomelPLo.RgU, Chvners' Associations
❑ Per 15A MAC 02T .01.1_5fc , submit the properly executed OperationaI A}reement CY()iZNI: HOA}.
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws"
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .01 15(b), submit the properly executed{t]gNU6QJLal Awtae steal {1FO LM 1.)1;V).
For inone it fa7nation, visit t1w Division's collection systems webstte
INSTRUCTIONS FOR FORM- FTA 05-21 & SUPPORTING DOCUMENTATION Page 2 of 3

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGj() AL_QFF1CF::
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa. North Carolina 28778-8211
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Of rrce
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water guality Section
Fayetteville, North Carolina 28301-5095
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
M22resville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
3800 Barrett Drive
Chatham, Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27609
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
)yMbi(WtRp Ft jQnal qMc&
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water QualitxSection
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wiimington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston lem Regional Office
450 W. Hanes Mill Road
Suite 300
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Water Quality Section
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
[phone] Fax
INSTRUCTIONS FOR FORM: FTA 05-2I & SIJPPORTING D0C1.J1vF.NTATION Page 3 of 3

-- 1- I.i-A LJJ yup11ty
DWR
Division of Water Resources
OCT �Q23 State of North Carolina
Department of Environmental Quality
Division of Water Resources
Raleigh RekqpTlik1C SEWER SYSTEM EXTENSION APPLICATION
FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number:
(to be completed by DNR)
All Items must he completed or the application will be returned
1. APPLICANT INFORMATION:
1 Applicant's name: Franklin Count}; (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ® State/County ❑ Municipal
3 Signature authority's name: Chris Doherty per 15A NCAC 02T 0106(h}
Title: Public Utilities Director
4 Applicant's mailing address: 1630 US H«w 41
City Youngsville State: NC Zip:-27596
5 Applicant's contact information:
Phone number [phone] Email Address: cdohret a,franklincountyric.us
IL PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
1. Project name: WhisWrin Pines
2.2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number- WQ00 and issued dale:
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: Franklin
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.08057' Longitude:-76.44826
5. Parcel ID (if applicable): 1864-27-8715/1864-18-9601 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Timothy P. Nau License Number: 030339
Firm: The Nau Company, PLLC
Mailing address: PO BOX 810
City: Rolesville State: NC Zip: 27571
Phone number: 9( 19) 625-3090 Email Address: tnau(@.thenauco.com
WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Permit Number:
Owner Name:
IV. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): W IX3Q 22020
2. Downstream (Receiving) Server Information: 8 inch El Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00179
Owner Name(s): Franklin Count), Utilities
FORM: FTA 06-21 Page 1 of 5

V1. GENERAL REQUIREMENTS
I. If the Applicant is a Privately-O%%med Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No ® NIA
2. If the Applicant is a Developerof lots to be sold, has a vc 's ati 1 Agp=ent(FORM: DE been attached?
❑ Yes ❑ No ®N/A
3. if the Applicant is a Home/Property O-,vneis' Association, has an HW A Otx:rational Agtecameo[ (FORM ;10A and
supplementary documentation as required by 15A NCAC 02T,0115(c) been attached?
❑ Ycs ❑ No ® NIA
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 (', I `tA.1xfC A 02T .(�1031201)
If Industrial, is there a Pretreatment Program in effect? ❑ Yes❑ No
6. Hasa flow reduction been approved under 15A NCAC 02';; .01141 fl? ®Yes ❑ No
7 Ifyes, provide a coo' of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow'"
No. of Units
Flow
262 Single Family Homes
250 gal/day
128
32,000.00 GPD
gall
GPD
gall
GPD
gall
GPD
gall
GPD
gal/
GPD
Total
32,000.00GPD
a See 15A NCAC 02_T 01141bL td), Cel{ I)and_ felt?) 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.A).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC €y2T.01 141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 65.500.00 GPD (per ISA NCAC 021` _0114)
Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or GraNity Sewer when: 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 Gravi • SgAers :
1. Summarize graN-ity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
6,020
PVC
8
655
DIP
> Section it & 11I 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)
,e Oversizing lines to meet minimum slope requirements is not allowed and a Violation of the MDC
VIE. 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 PROTECT
I. 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 point(s) per pump(s): gallons per minute (GPM) at feet total dynamic head (fDH)
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. Lb. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NC11�_02'I' .010ag l ):
❑ Standby power source or ❑ Standby pump
> Must have automatic activation and telemetry - 15A NCAC 02T.0305(h)(1)(B)i
> 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 separationslaltematives found in 15A.NCAC QU .03f,5011 Lg ? ® Yes ❑ No
15A NCAC 02T.0305(t) 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
'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-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 021 0305(i j or (y), see Section X.1 of this application
*15A NCAC 02T.0305(g) contains alternatives where separations in027-0305f 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 JjC Surface Water Classifications weboave
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 ❑ NIA
> Please provide supplementary information identifying the areas of non-conformance.
> See the Division's draft separation requiremeo.s 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: Tar -Pamlico ❑ 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 213.0202
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 pemmitslcertifications)? ❑ Yes ® No
Per LSA l y(�i- I' QI (!5 c'K6), directly related environmental permits or certification applications must be being prepared,
have been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion
and sedimentation control plans, stormwater management plans, etc.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes ® No
Per 15A b1C6C 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 ky 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:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum DemM Criteria for the Permitting of Pump Stations
And Force Maim{atqg yep iolt}, and the avily Scwcr intmurn Design CTnte� (latest version) as applicable?
® yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request pill be issued
concurrentl • with the approval of the permit, and Brojects reguiring a variance aplaroval ma • be sub'ect to lop er
review times. For protects requirine two or more variances or where the variance is determined bt,the Division to be a
slenificant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:
I, M %� t 1 'T attest that this application for w b :5fygf,_,�4" —'—
(Professional Engineer's name f4fim Applica ion Item 1II.1.) (Project game from Application Item it. I )
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications, engineering calculations, and all other supporting documentation to the best of my knowledge- I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Dzs tena for Gravity Sewer( latest version,,, and the MLrumum Desigtl Criteria fur the Fast -Track Permritirt
o4f_PL;Q1a.St8fi,Q,JL1 9tld Force Mains {)attest vs rs ar Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
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: .�`�N CARO4���'•,
t SEALk,/.
:, R.•
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i.......................................................................................
Applicant's Certification per 15A NCAC 02T .0106(b): 10/18/2023
Christopher Doherty Whipering Pines Phase 4-5
attest that this application for
(Signahne Authority Name from Application Item 13.) (Project Name from Application Item 11.1)
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. 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 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.
Signature: Date: 10-16-23
FORM- FTA 06-21 Page 5 of 5

NC Dept
State of North Carolina
0CT 19 2923 Department of Environmental Quality
DWI% Division of Water Resources
Raleigh Rational 0
Division of Water Resources Plow Tr aeftnglAcceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Franklin County
Project Name for which flow is being requested: Whispering Pines - Phase 4-5
,Dore than one FTSE mm, be required for a single project if the ou-ner of the IVIVTP is not responsible for all pump
stations along the route of the proposed waste►eater flow_
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Franklin County Waste Water Treatment Plant
b. WWTP Facility Permit k NCO06931
All flows are in MGD
c. WWTP facility's permitted flow 3.00
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
0.0145
11. 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
A%-erage Daily
Approx.
Not Yet
Total Current
Station
Finn
Flow**
Current M-g.
Tributary
Flow Plus
(Name or
Capacity, *
(Finn / pf),
Daily Flow,
Daily Flow,
Obligated
Available
Number)
MGD
MGD
MGD
MGD
Flow
Capacity***
On -Site
0.04208
0.01683
0.0145
NIA
0.0145
0.00233
* 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 firm capacity of the pump station 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 is < 0.
Downstream Facility Name (Sewer):
Downstream Permit Number:
Page 1 of 6
FTSE 04-16

Downstream Permit Number:
III. Certification Statement:
I Christopher Doherty _ 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.
k�c1 $C►lC.�i"�tr lTt E S 3� ( rte_ GTo z______
Title of Signing Official
Page 2 of 9
17TSE 10-23

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section II 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.
Sighing Official Signature
Date
Page 3 of 6
FTSE 04-16

Instructions for Floor Tracking/Acceptance form (FTSE) and Planning Assessment Addendum (PAA)
Section I
a. WWTP_ Facility_ Name: Enter the name of the WWTP that will receive the wastewater flow.
b. WWTP Facilitv Permit #: Enter the NPDES or Non -Discharge number for the WWTP receiving the
wastewater flow.
c. WWTP facili ?'s permitted flow. MGD: From WWTP owner's NPDES or Non -Discharge permit.
d. Estimated obligated flow not yet tributary to the WWTP, MGD: This includes flows allocated to other
construction projects not yet contributing flow to the collection system. Flows allocated through
interlocal agreements or other contracts not yet contributing flow to the collection system arc also
included. For POTWs that implement a pretreatment program, include flows allocated to industrial
users who may not be using all of their flow allocation. Please contact your Pretreatment Coordinator
for information on industrial flow tributan, to your WWTP.
As of January 15, 2008 the POTW should have reviewed flow allocations made over the last two years
and reconciled their flow records, to the best of their ability, so it is known how much flow has been
obligated and is not yet been made tributary to the WWTP, in accordance with local policies and
procedures employed by the reporting entity.
e. WWTP facility's actual avg. flow, MGD: Previous 12 month average.
f. Total flow for this specific request, MGD: Enter the requested flow volume.
g. Total actual and obli ated flows to the facifily, MGD Equals [d + e + fl
h. Percent of permitted flow used: Equals [(g / c)* 100]
For example:
On January 15 a POW with a permitted flow of 6.0 MGD, reported to the Regional Office that there
is 0.5 MGD of flow that is obligated but not yet tributary. The annual average flow for 2007 is 2.7
MGD. There is a proposed flow expansion of 0.015 MGD.
The first Form FTSE submitted after Januan, 15, 2008 may have numbers like this:
c. = 6.0 MGD
d. = 0.5 MGD
e. = 2.7 MGD
f. = 0.015 MGD
g. = 3.215 MGD
h. = 53.6 %
The next Form FTSE may be updated like this with a proposed flow expansion of 0.102 MGD:
c.
= 6.0 MGD
d.
= 0.515 MGD
e.
= 2.73 MGD
f.
= 0.102 MGD
g.
= 3.349 MGD
h.
= 55.8 %
Each subsequent FTSE form will be updated in the same manner.
Page 4 of 6
FTSE 04-16

Section II
List the pump station name or number and approximate pump station firm capacity, approximate design
average daily flow (A) approximate current average daily flow (B), and the obligated, not yet tributary flow
through the pump station (C) for each pump station that will be impacted by the proposed sewer extension
project. Calculate the total current flow plus obligated flow (D=B+C) and the available capacity (E=A-D).
Include the proposed flow for this project with other obligated flows that have been approved for the pump
station but are not yet tributary (C).
Firm capacity is the maximum pumped flow that can be achieved with the largest pump out of service as
per the Minimum Design Criteria.
Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor (pf) of not
less than 2.5.
If the available capacity (E) for any pump station is < 0, then prepare a planning assessment for that pump
station ifthe system has future specific plans related to capacity that should be considered in the permitting
process.
(A)
{B)
(C)
(D)=(B+C)
(E)=(A-D)
Obligated,
Design
Approx.
Not Yet
Total Current
Firm
Average
Current Avg.
Tributary
Flow Plus
Pump Station
Capacity
Daily Flow
Daily Flow,
Daily Flow,
Obligated
Available
(Name or Number)
MGD
(Finn / pf)
MGD
MGD
Flow
Capacity*
Kaw Creek PS
0.800
0.320
0.252
0.080
0.332
-0.012
Valley Road PS
1.895
0.758
0.472
0.135
0.607
0.151
Page 5 of 6
FTSE 04-16

Plannine Assessment Addendum Instructions
Submit a planning assessment addendum for each pump station listed in Section 11 where available capacity
is < O.
A planning assessment for Katy Creek PS (see example data above) may be performed to evaluate whether
there is significant likelihood that needed improvements or reductions in obligated flows will be in place
prior to activating the flows from the proposed sewer extension project.
If the system decides to accept the flow based on a planning assessment addendum, it is responsible to
manage the flow without capacity related sanitary overflows and must take all steps necessary to complete
the project or control the rate of flow to prevent sanitary sewer overflows.
The planning assessment may identify a funded project currently in design or construction, or a planned
project in the future not yet funded but in a formal plan adopted by the system. The system should carefully
weigh the certainty of successful timely project completion for any expansion, flow management diversion
or infiltration and inflow elimination projects that are the foundation of a planned solution to capacity
tracking and acceptance compliance.
For example:
Given that:
a. The proportion and amount of obligated, not yet tributary flow accounts for 24 % and 0.080
MGD of the committed flow in Pump Station Kaw Creek; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately 0.01
MGD per rear; 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:
The masterl2lan and ten year capital plan contain recommended scope and funding for a capital project
entitled Kaw Creek Pump Station upgrade with finding planned in July 2014. This project is planned to
add 0.100 MGD to the firm capacity of the pump station by October 2015. Inclusion of this proposed
capital project as a condition of this Flow Trackin&Acceutance for Sewer Extension Permit Application
elevates this project's priority for funding and construction to be implemented ahead of the activation of
obligated, not vet tributan, flows in amounts that exceed the firm pump station capacities identified in
Section 11 above.
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.
Page 6 of 6
FTSE 04-16