WQ0045097_Application (FTSE)_20240123

TO:
vMlivers
6 ASSOCIATES. INC-
SION OF WATER RESOURCES
ETTEVILLE REGIONAL OFFICE
GREEN STREET, SUITE 714
ETTEVILLE, NC 28301-5095
GENTLEMEN:
WE ARE SENDING YOU
[ ] Shop Drawings
[ ] Copy of letter
ENGINEERS PLANNERS SURVEYORS LANDSCAPE ARCHITECTS
LETTER OF TRANSMITTAL
Dare 1/19/2024
Job No. 2022146
ATTENTION:
SUBJECT:
TOWN OF LILLINGTON NC 210 FIRE STATION SANITARY
SEWER MAIN EXTENSION
SANITARY SEWER FAST TRACK APPLICATION
[X ] Attached [ ] Under separate cover via
[ ] Prints [ ] Plans [ ] Samples
[ ] Change order [ ] Other
[ ] Specifications
the following items:
COPIES
DATE
No.
DESCRIPTION
2
FAST TRACK SEWER APPLICATION (ORIGINAL + 1 COPY)
2
COVER LETTER / NARRATIVE
1
CHECK - $600
2
FLOW TRACKING/ACCEPTANCE FORM (ORIGINAL + I COPY)
2
USGS MAP
2
AERIAL MAP
I
TRANSMITTAL
THESE ARE TRANSMITTED as checked below:
[X ] For approval
[ ] For your use
[ ] As requested
[ ] For review and comment
REMARKS:
[ ] Approved
[ ] Approved as noted
[ ] Disapproved
[ ] Other
[ ] Resubmit
_ copies for approval
[ ] Submit
copies for distribution
[ ] Return
corrected prints
Please approve the sanitary sewer permit for this project and send us documentation of approval. If you
have any questions or concerns, then please email me at sballentine@riversaTlet�6P)EUm
DEQIDWR
JAN 13 2u a4
WQROS
9YFT=1ml1 c0c74nN&1- EE[CF
COPY TO
If enclosures are not as noted, kindly notify us at once
Thank You,
Stephen Ballentine, PE
sballentinena,riversandassociates.com
Six Forks Place III • 353 E. Six Forks Road, Suite 230 • Raleigh. NC 27609 • Phone: [phone]
NCBELS Uc. No. F-0334 www.riversandassoclates.com NCBOLA Lic. No. C-312

00pt vers
6 A980CIATEB. INC
1/19/2024
ENGINEERS PLANNERS SURVEYORS LANDSCAPE ARCHITECTS
NCDEQ - Division of Water Resources
Fayetteville Regional Office
Water Quality Section
225 Green Street, Ste 714
Fayetteville, NC 28301-5095
RE: Sanitary Sewer Fast Track Application for
Town of Lillington NC210 Fire Station
Sanitary Sewer Main Extension
NCDEQ,
The Town of Lillington Fire Department Sewer Main Extension project includes a new sewer main to serve the
future fire department, to be located in Lillington off NC210. The project will include the public gravity sewer
main extension to serve the anticipated calculated flow of 500 GPD of wastewater, which shall pass through the
existing Town of Lillington system.
Flow Calculation for fire station = 10 employees X 50gal/person/day = 50�d.
Items Included in Submittal Package:
• 2 Copies of SS Fast Track Application (FTA 10-23)
• Application Fee Cehck for $600.00
• Flow Tracking Acceptance Form (FTSE 10-23)
• Site Maps
• Transmittal
If you have any questions or concerns, then please email me at [e-mail]
Sincerely,
RIVERS & ASSOCIATES
Stephen Ballentine, PE
HL-LL-1V
LJ
08Q/DWR
JAN.Z3- ,,Ozq
Six Forks Place III - 353 E. Six Forks Road, Suite 230 • Raleigh, NC 27609 - Phone: [phone]
NMELS Lr. No. F-0334 www.riveisandasseciates.com NC80 A Lic. No 0-312

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23 & SUPPORTING DOCUMENTATION
Application Number: (to be completed by DWR)
AR items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Lillington (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership fikieaW1,-Ow ed Public Utility
El Federal ❑ StatelCounty ® Municipal 1�1�'��VK91YC¢U11jYlz
3. Signature authority's name: Ashley Wimberly per 15A NCAC 02T .0106(b)
Title: Public Works Director JAN'2 $ )vay
4. Applicant's mailing address: P.O. Box 296
City: Lillin n State: NC Zip: 27546-_ ff WQR09
5. Applicant's contact information: YET7EVIll€REGI©NA! 0P1G#
Phone number: 910 993-2654 Email Address: awimberly(alillingtonnc.gM
H. PROJECT INFORMATION:
1. Project name: Town of Lillington NC 210 Fire Department Sanitary Sewer Main Extension
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
if a modification, provide the existing permit number: W000_ 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: Harnett
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.434760° Longitude:-78.795503°
5. Parcel ID (if applicable): 110661 0098 (or Parcel ID to closest downstream sewer)
M. CONSULTANT INFORMATION:
1. Professional Engineer: Stephen Ballentine License Number: 026493
Firm: Rivers & Associates
Mailing address: 353 E Six Forks Rd Ste 230
City: Raleigh State: NC Zip: 27609-_
Phone number: 919 594-1626 Email Address: sballentine(iuriversandassociates.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: North Harnett Regional W WTP Permit Number: 0021636
Owner Name: Harnett Regional Water
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ SC 00297
2. Downstream (Receiving) Sewer Information: 8 inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS_
Owner Name(s): Town of Lillington
FORM: FTA 10-23 Pagel of 5

Vl. 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 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 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.0115(c) been attached?
[-]Yes [-]No N 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 PooVFilter Backwash
N 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 N No
➢ If yes, provide a copy of flow reduction approval letter with this application
9. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(1))
Daily Design Flow 0
No. of Units
Flow
Fire Station
50 gal/persons/day
10
500 GPD
gal/
GPD
gaV
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
500 GPD
a See 15A NCAC 02T .0114(b). (d). (e)(I) and (e)(2) for caveats to wastewater design flow rates (i.e. 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 .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 500 GPD (per 15A NCAC 02T .0114 and G.S. 143-215.1)
➢ 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 10-23 Page 2 of 5

[External] Fw: Lillington Sewer outfall- State water permit reviewer questions.
Logan Frye <[e-mail]>
Thu 1/25/2024 9.16 AM
To:Moran, Sharon <[e-mail]>
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message button located on your
Outlook menu bar on the Home tab.
Sharon,
Please see the below email from Shane Cummings, Town of Lillington Engineer regarding using 500 gpd on the FTA. Please let me
know if you need me to provide you anything more.
Thanks,
Logan Frye
Design Engineer I
W: 919.594.1626 x6298
Rivers & Associates Inc
Raleigh NC 27609
l�•
ivers'08
8 ASSOCIATES, INC.
From: Shane Cummings <[e-mail]>
Sent: Tuesday, January 23, 2024 3:23 PM
To: Logan Frye <[e-mail]>
Cc: Stephen Ballentine <[e-mail]>
Subject: RE: Lillington Sewer outfall- State water permit reviewer questions.
50 gallons per person/3 persons per shift/3 shifts
5000=450... 500 gallons should be sufficient.
Shane Cummings, PE
Town Engineer
Town of Lillington
P.O. Box 296, Lillington, NC 27546
910-893-0314
scummings Iillingtonnc.org
From: Logan Frye <Ifrye@rive rsandassociates.com>
Sent: Tuesday, January 23, 2024 3:14 PM
To: Shane Cummings <[e-mail]>
Cc: Stephen Ballentine <sballentine@ rive rsa n d associates.com>
Subject: Re: Lillington Sewer outfall- State water permit reviewer questions.
Shane,
We did not receive any email comments from the reviewer. We spoke to them on the phone and they commented verbally.
Thanks,
Logan Frye
Design Engineer/
W. 919.594.1626 x6298
Rivers & Associates Inc
Raleigh NC 27609
livers lo//
& ASSOCIATES, INC.
From: Shane Cummings <scummings lillingtonnc.org>
Sent: Tuesday, January 23, 2024 3:11 PM
To: Logan Frye<Ifryel@rive rsandassociates.com>

Cc: Stephen Ballentine<[e-mail]>
Subject: RE: Lillington Sewer outfall- State water permit reviewer questions.
Please send me the original email from NCDEQ.
Thanks,
Shane Cummings, PE
Town Engineer
Town of Lillington
P.O. Box 296, Lillington, NC 27546
910-893-0314
scummingslillingtonnc.org
From: Logan Frye <[e-mail]>
Sent: Tuesday, January 23, 2024 3:10 PM
To: Shane Cummings <[e-mail]>
Cc: Stephen Ballentine <[e-mail]>
Subject: Lillington Sewer outfall- State water permit reviewer questions.
Shane,
We received comments from the state on the sewer permit application for the fire station sewer outfall. Please reply line by line to
answer the following questions.
How many shifts per day for this fire station?
How many employees per shift for this fire station?
Does this fire station have onsite staff or not?
Are there any other water demands for the fire trucks which need to be tabulated on the permit application?
After we received your answers to the above questions then we will respond to the state.
The state reviewer is hoping for a quick response in order to avoid delays in their review. We would appreciate if you could respond to
the above items within 24 hours.
Fire, rescue and emergency response facilities
Fire or rescue stations without on site staff 25 gallperson
Fire or rescue stations with on -site staff 50 gallpersottlshift
7. Sutmrtarixe wastewater generated by project:
F,0al0lishrnenI Type (see 112T.0114(1))
Daily Design Flow 2-11
No. of l:;nits
Flow
Fire Station
5{1 gal/petsonslday
10
500 OPD
gall
GPD
gall
GPI]
gall
GPD
gal/
GPD
gal/
GPD
Total
500 CPD
Thanks,
Logan Frye
Design Engineer i

VH. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewersl:
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
64
DIP
8
466
PVC
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section M 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
VIH. 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 point(s) per pump(s): _ gallons per minute (GPM) at _ feet total dynamic head (TDM
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.Lb. ❑ 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
D Most 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 10-23 Page 3 of 5

1X. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations/altematives found in 15A NCAC 02T .0305(f) & (g)? ® Yes ❑ No
15A NCAC 02T.0305 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
2Water 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 11 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(¢) 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 weboaee
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: Caoe Fear ❑ 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 coveragetauthorization is required.
6. Does project comply with 15A NCAC 02T.0105(c)16) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(cM 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 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 10-23 Page 4 of 5

THIS PAGE WAS
REVISED ON 1/24/24
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 contains minimum separations that shall be provided for sewers stems:
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
2Water 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(a) contains alternatives where separations in 02T.0305(fl 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: Cape Fear ® 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.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, etc.).
7. 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 10-23 Page 4 of 5

X. CERTIFICATIONS:
I. Does the submitted system comply with 15A NCAC 021', the Minimum Design. Criteria for the Permitting of Puma Stations
and Force Mains ilatest version), and the Gravity Sewer Minimum Design Criteria, littlest version] as applicable?
E Yes ❑ No
If no. for projects requiring a single variance, complete and submit the Variance/Altemative 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 hermit. and oraiects reauiring 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 protect, the full technical review Is required.
2. Professional Engineer's Certification:
Town of Lillington Fire Station
I, Stephen Ballentine attest that this application for Sanitary Sewer Main Extension.
(Professional Engineer's name from Application Item rll.I.) (Project Name from Application Item 11.11
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 Gravies Sewers hates[ version, and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains littlest versions. Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials tinder 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 143-215.6B, any person who knowingly makes any false
statement: representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. Misrepresentation of the application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board. (21 NCAC 56.0701)
.......................................................
North Carolina Professional Engineer's seal, signature, and date: ,,.��""��"�.
'•.
0 CAq�4
. F
zr�as
3. Applicant's Certification ,, Lper 15A NCAC 02T .0106(b)r Town of Lillington Fire Station
1, A14e L.,14 , attest that this application for Sanitary Sewer Main Extension._
(Sigma c Authority Nam from Application Item I.3.) (Project Name from Application Item ILI)
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.
'.VOTE — In accordance with General Statutes 143-2.15.6A and 143-21515=6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: Date:
FORM: FTA 10-23 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: Town of Lillington
Project Name for which flow is being requested: Town of Lillington 210 Fire Station
More than one FTSE maybe 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: North Harnett Regional WWTP
b. WWTP Facility Permit #; 0021636
All flows are in MGD
c. WWTP facility's permitted flow 1.2
d. Estimated obligated flow not yet tributary to the WWTP 0.373
e. WWTP facility's actual avg. flow 0.673
f. Total flow for this specific request 0.0005
g. Total actual and obligated flows to the facility 1.0465
h. Percent of permitted flow used 87.2%
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP.-
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design
Average Approx. Obligated,
Pump Pump Daily Current Not Yet Total Current
Station Station Firm Flow** Avg. Daily Tributary Flow Plus
(Name or Permit Capacity, * (Firm / p fl, Flow, Daily Flow, Obligated Available
Number) No. MGD MGD MGD MGD Flow Capacity***
* McKinney 1.015 0.406 0.105 0.335 0.440 -0.034
*Hwy 210 WW Project is under construction with an estimated completion date Summer 2024. See further
information in PAA below.
* 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): Town of Lillington
Downstream Permit Number: WQCS00297
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Ashley Wimberly 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.
Signature
Public Works Director
Title of Signing Official
Date
M
Page 2 of 6
FTSE 10-18

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
_82.5% and 0.335 MGD of the Available Capacity (E) in Pump
Station at McKinney
and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
0.030 MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
Hwv 210 WW Project is in design or under construction with
planned completion in S u m m e r 2024 ; and/or
d. The following applies:
Approximately 0.272 MGD will be transferred to HRW system upon construction
completion and LOI fulfillment and made available in the McKinney Basin. These
projects currenty include: Dry Creek Village(29,280gpd), Powell
Townhomes(81,500gpd), Nathan's Ridge(35,640gpd), Dry Creek Ranch(126,000gpd).
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.
Official Signature
/-/Y- 2,, 2
Date
Page 3 of 6
FTSE 10-18

Division of Water Resuurars
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-23)
Entity Requesting Allocation: Town of Lillington
Project Name for which flow is being requested: Town of Lillington NC 210 Fire Station
More than one FTSE maybe 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: North Harnett Regional WWTP
b. WWTP Facility Permit #: NCO021636
All flows are in MGD
c. WWTP facility's permitted flow 7.5
d. Estimated obligated flow not yet tributary to the WWTP 3.332
e. WWTP facility's actual avg. flow 5.339
f. Total flow for this specific request 0.0005
g. Total actual and obligated flows to the facility 8.6725
h. Percent of permitted flow used 115.63%*
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm / pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
SLS-120 14.4 5.76 3.367 2.383 5.750 0.010
* 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): North Harnett Regional WWTP
Downstream Permit Number: NCO021636
Page 1 of 8
FTSE 10-23

III. Certification Statement:
I Steve Ward, Utilities Director 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.
Signing Official Signature
Title of Signing Official
r- a -"
Date
*A PER and design to expand the NHRWTTP treatment capacity have been completed, bidding on 11/9/23,
and construction of the expansion is to begin in early 2024.
Page 2 of 8
FTSE 10-23

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