WQ0039251_Application (FTSE)_20240422

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRUCTIONS FOR FORM: FTA 10-23 & 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 I SA NCAC 02T and the Division's
Minimum Design Criteria (Gravity Sewer & Pum i nsiForce klains) and that plans, specifications and supporting documents
have been prepared in accordance with 15A NCAC 02T, 15A NCAC 02T .0300. Division policies, and good engineering practices.
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design
documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design
calculations, and project specifications referenced in 15A NCAC 02T .0305 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 SA N A ' WTpW.
Projects not eligible for review via the fast track process (must be submitted for full technical review):
➢ 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;
➢ 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. Unless 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 may be digital) of Application and Supporting Documents
® Required unless otherwise 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.
➢ Include the permit numberistatus of any other required sewer permits (downstream,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 $600.00, dated no more than 90 days prior to application submittal.
➢ Payable to North Carolina Department of Environmental Quality (NCDIQ)
D. Fast Track Application (Required for All Application Packages, Form FTA 10-23):
® 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 1.2 is a corporation or company, provide documentation it is registered for business with the
North C'aroIi,ia Secretary of S ks'e.
❑ If the Applicant Type in Item 12 is a partnership or d/b;a, enclose a copy of the certificate filed with the Register of Deeds in
the county of business.
ID The Project Name in Item ll.I shall be consistent with the project name on the flow acceptance letters, agreements, etc.
® The Professional Fngineer'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 02T .0106(b). Per
I5A 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 criteria in I SA NCAC 02T .0106(b)_
INSTRUCTIONS FOR FORM: FTA 10. 23 & SUPPORTING DOCUMENTATION Page I of 3

E. Flow Tracking/Acceptance Form (Form: FTSE 10-23) (If Applicable):
❑ Submit the completed and executed FTSE form from 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 (t.S_ 143-21 S_b7(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 I l-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 street names or latitude. -'longitude) so that Division staff
can easily locate it in the geld.
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 15A NCAC 02T .0 +05(h)(I 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, indepcndently-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 .01 15(a)(I) provide the Certificate of Public Convenience and Necessity from the North Carolina 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 Commission's Water and Sewer Division Public Staff stating an application
for a franchise has been received and that the service 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):
❑ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .01 15(c), submit the properly executed Operational Agreement_(FORM: HOA).
❑ Per 15A NCAC 02T .01 15(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 Operational Agreement (FORM: DEW
For more information, visit the Division's collection systems website
INSTRUCTIONS FOR FORM: FTA 10-23 & SUPPORTING DOCUMENTATION Page 2 of 3

State of forth Carolina
DW
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
141vislon of Wither Resotrces PTA 10-23 & SUPPORTING DOCUMENTATION
Application Number: (to be completed by DWR)
All Items must be c m leted or the a lic tion it
I. APPLICANT INFORMATION:
I. Applicant's name: Old North State WaterCompgny. Inc (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: John Mcdonald per 15A NCAC 02T .0 t 06tb1
Title: iden
4. Applicant's mailing address: RO., Box 10127
City: Birmingham State: AL Zip: 2 2-0127
5. Applicant's contact information:
Phone number: [phone] Email Address: jmcdonaldQonswc.com
H. PROJECT INFORMATION:
I. Project name: Briar Chatil - SD Earl
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project ❑ ARPA funded
If a modification, provide the existing permit number. WQ0039251 and issued date: 6/2/2017_ x 2018 013 l +"�
For modifications, also attach a detailed narrative description as described in Item G of the checklist. PIV
If new construction, but part of a master plan, provide the existing permit number: WQ00
3. County where project is Iocated: Chatham
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.8086° Longitude:-79.0904°
5. Parcel ID (if applicable): 0018911 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer -
Firm:
Mailing address:
City: State:
Phone number: (_) _ .
License Number:
Zip:
Email Address:
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Briar ChWl QtiliticaWo-tewator Treatment Fagility PhasesA and B Permit Number: W 0OC 028552
Owner Name: Old North State Water QQpa Iy. Inc
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ002�867 (Pump_Station "�)
2. Downstream (Receiving) Sewer Information: 14 inch ❑ Gravity ® Force Main
3. System Wide Collection System Permit Numbers) (if applicable): WQCS
FORM: FTA 10-23 Page I of 5

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23 & SUPPORTING DOCUMENTATION
Application Number: 00. (o be completed by DWR)
All items must be completed or the annlication will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Old North State Water Company, Inc (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: John Mcdonald per I5A.NCAC 02T .0106fb)
Title: President
4. Applicant's mailing address: PO Box 10127
City: Birmingham State: AL Zip: 35202-0127
5. Applicant's contact information:
Phone number. [phone] Email Address: imcdonald@,onswc.com
11. PROJECT INFORMATION:
1. Project name: Briar Chapel - SD East
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project ❑ ARPA funded
If a modification, provide the existing permit number: WQ0039251 and issued date: 6/2/2017, x Zol$ O (3 t
For modifications, also attach a detailed narrative description as described in Item G of the checklist. j
If new construction, but part of a master plan, provide the existing permit number: WQ00 rays,. C , SaA+M sTV
3. County where project is located: Chatham ?V2+*+ (g 3
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.8086° Longitude:-79.0904"
5. Parcel ID (if applicable): 0018911 (or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
l . Professional Engineer: Grant Livengood License Number: 28419
Firm: McKim & Creed. Inc.
Mailing address: 4300 Edwards Mill Road, Suite 200
City: Raleigh State. NC Zip: 27612-
Phone number: 919 233-8091 Email Address: alivengoodAmckimcreed.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Briar Chapel Utilities Wastewater Treatment Facility Phases A and B Permit Number: W 0028552
Owner Name: Old North State Water Company, Inc
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
l . Permit Number(s): WQ0029867 (Pump Station "A")
2. Downstream (Receiving) Sewer Information: 14 inch ❑ Gravity ® Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS
FORM: FTA 10-23 Pagel of 5

DWIR
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
O� °f W�°r Resources FAST
I0-23 & SUPPORTING DOCUMENTATION
Owner Name(s): Old -North State Weter Company. Inc
FORM: F rA 10-23 Page 2 of 5

Y1. GENERAL REQUIREMENTS
L If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
®Yes [:]'No ❑ NIA
2. If the Applicant is a Developer of lots to be sold, has a pevelQR9's OXMIiocal ASMrne v t FORM: DEV) been attached?
❑ Yes ® No ❑ NIA
3. If the Applicant is a Home/Property Owners' Association, has an HoAfMA Qwrali!qnal Az=em O and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
❑ Yes ®No ❑ N/A
4. Origin of wastewater: (check all that apply):
❑ Residential (Individually Owned) ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential (Leased) ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / 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 : % Domestic 100 % Commercial % Industrial (See 1 SA NCAC 021,Q 103(201)
If Industrial, is there a Pretreatment Program in effect? El Yes[] No
b. Has a flow reduction been approved under 15A N C ,A C 02T , 01 14(t)? ® Yes ❑ No
D I es rovide a copy of flow reduction appmval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(t))
Daily Design Flow
No. of Units
Flow
gay
GPD
gav
GPD
gay
GPD
gay
GPD
gall
GPD
gay
QPD
Total
GPD
a See 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 1SA NCAC 92T, LU4 shali be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
Wastewater generated by project: 0 GPD (per 15A NCAC O,)TTO114-nd GA. 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 3 of 5
0
n b
u

VIL, GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T.0305 & MDC Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
1451
PVC
8
446
DIP
j($9-7 tr
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
D 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
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump 5todpnl ff-2M Mains):
PROVIDE A SEPARATE COPY OF IMS PAGE FOR EACH PUMP STATION INCLUDED M 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 relied 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
EF
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01C.1.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A Ww 02T ,0305 f hN I):
❑ Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - 15A NCAC 02T.0305(hx1)(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 10-23 Page 4 of 5

DL SETBACKS & SEPARATIONS — (02B .0200 & 1 SA NCAC 02T .0305(f)):
1. Does the project comply with all separations/altematives found in 15A NCAC 0ZI .0305(f) & (tt)? ® Yes [--]No
15A NCAC 02T.0305(f) contains minimum senaratinns that shall he nmvided fnr server ava r-ma-
Setback Parameter*
Separation Required
Stone 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 Q 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
a it noncompliance with 02T.0305(lj or (g , see Section X.l of this application
+15A NCAC 02T.0301(g) contains alternatives where separations in 027_0305( 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 Surfacg Water gimsificatiom webpM
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.
➢ Seethe Division's 4aft 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 .020LI ® Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC B=0202
5. Does the project require coverageJauthorization 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 coveragelauthorization is required.
6. Does project comply with 1 S.A, NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 0210I05(e)(6l, 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 15ANCAC 02T.Q , "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 permitiee 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 5 of 5

X CERTMCATIONS:
1. Does the submitted system comply with j AS NCAC 02T. the
and Fame Mkinsfh= 3NO101 and the 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 Oflioe. Agna al of the rasoW still bo Issued
2, Profesakaml EngineWs. CCartificatiioon:
I �tV �^'v � t'' E, attest that this application for C � SD �T
(Profiesriooel Fatsht fs tame ltom Appikatim Item HL 1.) (Pro)ect Alum ftm ApplWatim Item 11.1)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications, engineering calculations, and A other supporting docnmeetation to the best of my knowledge. I fnr&w
attest that to the best of my kmowlekge the proposed design has been prepared in accordance with the applicable regulntioas,
and the
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 acooftm with de=M Statutes 143-215.6A and 143-215.613, any person who knowingly makes any fibs
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 M,000 per violation. Misrepreaentadon ofthe applicadon
infotmatian, including failure to disclose any design non-compliance with fire 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 and, signature, and date: 3
I
f
t
3. Applicants Certification per I5A NCAC 02T .0106(b):
I,MOO&� JV ,attest that this application for Briar Chapel SD East
Mrmftm ty Name eom App ica" Item 1.3.) (Pmjw Nam fmm Appti odm Item 1I.I)
attest that this appkatiion has been reviewed by me and is accurate and complete to the best of my knowledge.
I tmderstand 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 Dom this aon-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 proucution. I will make no claim agahrat the Division
of Water Resources should a condition of this pemeit be violated. I also understand that if all required pugs 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 L -23 15.6A and 143-215.66 any person who knowingly snakes any false
atmment, 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 U5,000 per violation.
s�a�: Date: 42
DORM: k"I'A 10-23 Page 6 of 5

Briar Chapel— SD East (Permit Modification WQ0039251)
Notes to File 20240421
S Wilson
This project was for the rerouting of approximately 1897 LF of gravity sewer (only increased the
previously permitted amount of gravity sewer by 3 LF). They were required to re-route this length to
put the sewer into the road (see color coded detail), as opposed crossing the building property.
The original engineer (A Mendenhall) for this application left the company, so the permit application
had to be signed/sealed by another engineer.
They also had the wrong iteration of the previous permit listed on the application (should be the
modification issued 20180131). This version had an allocated flow amount of 13,800 gpd.
After consultation with the project manager (Chris Seamster) — they did want to retain that
allocated flow. See email dated 20240418 for clarification. I did not make them correct the
application for this.

Wilson, Susan A
From: Chris Seamster <[e-mail]>
Sent: Thursday, April 18, 2024 3:20 PM
To: Wilson, Susan A
Subject: [External] RE: Briar Chapel - SD East
Follow Up Flag: Follow up
Flag Status: Flagged
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.
Hi Susan,
think I have finally gotten to the bottom of everything. Sorry it took me a few days. Ashley listed some incorrect
permit numbers in the narrative. Nothingwe are doing here is intended to change anyflowthat was permitted
previously. All of that stays the same. The original permits were all issued with zero flow as we were installing dry
sewer lines as we were setting up the roads and utilities and lots so that Briar Chapel could later sell the lots to
developers and then they would get their own sewer permits to connect to the overall system.
The modification we are seeking is to move the existing sewer line that was approved as part of WQ0039251. That
permit was issued first on 6/2/2017 for zero flow, and was later modified on 1/31/2018 when Liberty ASSISTED
LIVING bought one of the parcels. That 1/31/2018 modification added 13,800 GPD as part of the permit.
On 5/4/2021 we got Liberty SENIOR APARTMENTS permitted via WQ0042442 for 38,150 GPD. That was to allow the
Apartments to connect to the existing gravity sewer built under WQ0039251. It is that gravity sewer that we are
trying to modify to shift the existing gravity pipe further away from the apartment building.
The PE Cert you attached for WQ0039251 dated 6/11 /2019 was accurate because that was the initial sewer that
got installed in the roadway and it connected to the pump station in SD East. The section of that gravity sewer that
is south of the internal roadway is what we were seeking the modification to relocate.
So bottom line, and to answer your last question from the email below, yes I think we are going with the
modification to WQ0039251 for pipe relocation only and that permit would keep the Liberty Assisted Living flow of
13,800 GPD per the 1/31/2018 modification to that permit. Then everything else stays the same.... including the
WQ0042442 permit for Liberty Senior Apartments with 38,150 GPD approved on 5/4/2021.
Let me know if this makes sense. Sorry this has so many tentacles. It is sort of like a puzzle as you go back through
time. Let me know if you have questions or need any other documents. Thank you!
Chris Seamster, PLA I Regional Manager
McKim & Creed, Inc.
T 919.233.8091 1 M 919.539.5464
From: Wilson, Susan A <[e-mail]>
Sent: Friday, April 12, 2024 11:35 AM

To: Chris Seamster <[e-mail]>
Subject: Briar Chapel - SD East
Chris -here's a copy of the permit issued 1/31/2018, alongwith the application (with language statingthis
essentially voids the permit issued 6/2/2017). The main difference is this accommodates for flow from an assisted
Living facility 13,800 gpd
believe the Liberty Apts flow is accounted for in permit WQ0042442 (38,150 gpd)
I've also attached a PE cert we received 6/11/19 (the cert submitted was based on the 6/2/17 permit - don't know
if that was intentional or not).
Ashley had attached the copy of the 6/2/17 permit as part of the application, so I assume you've got that
Let me know how we should proceed - if we go forward with the modification with 0 gpd, as submitted -then the
13, 800 gpd flow and associated approval for the assisted living facility will be eliminated. But -if that needs to be
included later -they would need to submit anew application or modify this application in the future.
Respectfully,
Susan Wilson
Environmental Engineer (Part Time, Temporary)
Water Quality Regional Operations - Raleigh Regional Office
NC Department of Environmental Quality
Office: 919-791-4240
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized
state official.
Disclaimer
This e-mail and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they
are addressed. If you have received this e-mail in error please notify the system manager. Please note that any views or opinions
presented in this e-mail are solely those of the author and do not necessarily represent those of the company. Finally, the recipient
should check this e-mail and any attachments for the presence of viruses. The company accepts no liability for any damage caused
by any virus transmitted by this e-mail.

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FAST TRACK SEWER APPLICATION NARRATIVE
Briar Chapel Development
SD East
Chatham County, North Carolina
April 28, 2017
REV: November 10. 2023
Prepared for:
BRIAR CHAPEL'S
Newland commum-nu
NNP Briar Chapel, LLC
16 Windy Knoll Circle
Chapel Hill, North Carolina 27516
Prepared By:
v MCKIM&CREED
1730 Varsity Drive, Suite 500
Raleigh, North Carolina 27606
Phone: [phone]
Fax: [phone]
M&C Project No. 02735-0187
NOV 22 03
CA
y= " 054706 = _,
N 11/10/202 s —J
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$�''yy MEND 4;'..

BRIAR CHAPEL DEVELOPMENT
SD East
November 10, 2023
PROJECT NARRATIVE
The purpose of the project is to construct basic utility infrastructure to support future
commercial developments within the SD East section of Briar Chapel in Chatham County, NC.
The improvements installed in this phase are internal to the SD East parcels and connect to
previously designed infrastructure (WQ0038847). All flows in the system will ultimately tie to
an existing pump station that was approved through previous permits (WQ0033227).
The project was originally approved under permit WQ0039251 on 6/2/2017. The Final
Certification and record drawings were submitted to NCDEQ on 6/10/2019.
The sewer utility provider, Old North State Water Company LLC, requested alterations to the
gravity sewer system alignment due to maintenance concerns on one of the outparcels. We are
seeking to modify the existing permit (WQ0039251) and have been working with NCDEQ
representative, Susan Wilson.
Below is a summary of the items being removed from the original permit and items being
added:
• Items included in the original permit:
0 1,462 LF of 8" PVC Gravity Sewer pipe
0 432 LF of 8" DIP Gravity Sewer pipe
• Original Permit items to be removed:
0 185 LF of 8" PVC Gravity Sewer pipe
0 282 LF of 8" DIP Gravity Sewer pipe
• Original Permit items to remain in place:
0 1,277 LF of 8" PVC Gravity Sewer pipe
0 150 LF of 8" DIP Gravity Sewer pipe
• New Items being added to permit:
0 174 LF of 8" PVC Gravity Sewer pipe
0 296 LF of 8" DIP Gravity Sewer pipe
• Items included in final permit:
0 1451 LF of 8" PVC Gravity Sewer pipe i a 9 rt
0 446 LF of 8" DIP Gravity Sewer pipe
Preliminary modeling for anticipated future sewer flows has provided an appropriate sizing for
the gravity sewer system to serve future development needed. A table calculating future
estimated flows has been included with this submittal. The system will gravity to a pump
station located onsite and in operation.

The sewage and wastewater collected by this system will be treated in the on -site wastewater
treatment facility:
WWTP Facility Name: Briar Chapel Utilities, LLC
WWTP Facility Permit #WQ0028552

Summary of future anticipated sewer flows to be permitted:
Briar Chapel — SD East
Anticipated Sewer Flows
Per 15A NCAC 02T.0114 Guidelines
Anticipated Tenant
Daily Flow
Rate
Anticipated
Multi tier
Anticipated Flows
Office Building
0.15 GSF
50,000 SF
7,500 GPD
Out -Parcel
4,000 GPD
2 parcels
8,000 GPD
Skilled Nursing
120gal/day
141 beds
16,920 GPD
Assisted iving
56gal/day
120 beds
6,720 GPD
Total Anticipated Flows:
39140 GPD
Flow for Assisted Living parcel was approved under permit WQ0042442 on 5/4/2021. There
have been no changes to the anticipated flow for this project.

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4geWCKIM&CREED
1730 Varsity Drive, Suite 500
Raleigh, North Carolina 27606
0.919.233.8091 F:919.233.8031
Briar Chapel - SD East
USGS Map
Scale: 1 "=2,000'
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Date:
November 8, 2023

WQ0039251 PERMIT
DOCUMENTATION

STATE OF NORTH CAROLINA
UTILITIES COMMISSION
RALEIGH
DOCKET NO. W-1300, SUB 9
DOCKET NO. W-1230, SUB 1
BEFORE THE NORTH CAROLINA UTILITIES COMMISSION
In the Matter of
Application by Old North State Water Company,
LLC, and Briar Chapel Utilities, LLC, for Authority to
Transfer Sewer Utility Franchise in Briar Chapel
Subdivision in Chatham County, North Carolina, to
Old North State Water Company, LLC, and for
Approval of Rates
ORDER ALLOWING
RECOMMENDED
ORDER TO BECOME
EFFECTIVE AND FINAL
BY THE COMMISSION: On April 20, 2015, Hearing Examiner Ronald D. Brown
issued in the above -captioned docket a Recommended Order Approving Transfer,
Granting Franchise, Approving Rates, and Requiring Customer Notice. The parties have
jointly requested that the Commission adopt the Recommended Order as a Final Order.
Based upon the foregoing, the Commission is of the opinion that the request that
the Recommended Order be adopted as the Final Order should be granted.
IT IS, THEREFORE, ORDERED that the Recommended Order entered in this
docket on April 20, 2015, is hereby adopted as the Final Order of the Commission.
ISSUED BY ORDER OF THE COMMISSION.
This the 20th day of April , 2015.
NORTH CAROLINA UTILITIES COMMISSION
A6L l.'('(loum*
Gail L. Mount, Chief Clerk
Commissioners Susan W. Rabon and ToNola D. Brown -Bland did not participate.

STATE OF NORTH CAROLINA
UTILITIES COMMISSION
RALEIGH
APPENDIX A
DOCKET NO. W-1300, SUB 9
BEFORE THE NORTH CAROLINA UTILITIES COMMISSION
OLD NORTH STATE WATER COMPANY, LLC
is granted this
CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY
to provide sewer utility service
IP
BRIAR CHAPEL SUBDIVISION SERVICE AREA
(including HERNDON WOODS SUBDIVISION)
Chatham County, North Carolina
subject to any orders, rules, regulations,
and conditions nor or hereafter lawfully made
by the North Carolina Utilities Commission
ISSUED BY ORDER OF THE COMMISSION.
This the loth day of April , 2015.
NORTH CAROLINA UTILITIES COMMISSION
AQ1L �-fnawr', -
Gail L. Mount, Chief Clerk

FAST TR8gK SEWER ENGINEERING CERTIFICATION
PERMiTTEE: Old North State Water Company, LLC
PERMIT #:
WQ0039251
PROJECT:
Briar Chapel —SD East
ISSUE DATE:
June 2, 2017
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation. It
should be submitted in a manner that documents the Division's receipt. Send the required documentation
the Regional Supervisor, Water Quality Regional Operations Section at the address at the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMirrEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name, Title Signature Date
ENGINEER'S CERTIFICATION
IGareth Avant as a duly registered Professional En ineer in the State of North Carolina,
having been authorized to observe (periodically; ❑ weekly, (] full time) the construction of the
project name and location as referenced above for the above Permittee hereby state that, to the best of
my abilities, due care and diligence was used in the observation of the construction such that the
construction was observed to be built within substantial compliance of this permit; 15A NCAC 02T; the
Division of Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12,1996
and updated March 2008, as applicable; the Division's Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains adopted June 1, 2000 and updated March 2008, as
applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date: \```" '�H��� Cf O%,/Z
tJESSiQ,k
© Final ❑ Partial (include description) _
;36
P,.T�NCINE�
H C.
1100
Certification Comments/Qualifiers (attach if necessary):
Division of Water Resources, Raleigh Regionut Office. Water Quality Operiations Section www.newaterquafity.org
. ram.... ... — n , - . ..—ny % , •­ I71........ ill 111\ 701 A711f1

SEWER MODIFICATION
EXHIBIT

Ki•.__
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" a.
Water Resources
ENVIRONMENTAL QUALITY
June 2, 2017
Michael J. Myers, President
Old North State Water Company, LLC
4700 Homewood Court, Suite 108
Raleigh, NC 27609
Subject: Permit No. WQ0039251
Old North State Water Company, LLC
Briar Chapel --SD East
Wastewater Collection System Extension Permit
Chatham County
Dear Mr. Myers:
ROY COOPER _
Governor
MICHAEL E. REGAN
Secretary
S. JAY ZIMMERMAN
In accordance with your application received May 4, 2017, we are forwarding herewith Permit No.
WQ0039251 dated June 2, 2017, to the Old North State Water Company, LLC (Permittee) for the
construction and operation upon certification of the subject wastewater collection system extension. This
permit shall be effective from the date of issuance until rescinded and shall be subject to the conditions
and limitations as specified therein. This cover letter shall be considered a part of this permit and is
therefore incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition 11.1: This permit shall not be automatically transferable; a permit modification request for a
name change must first be approved by this office.
Condition 11.4: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T ,0403 or any individual system -wide collection system
permit issued to the Permittee.
it shall be the responsibility of the Permittee to ensure that the as -constructed project meets the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North
Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to
the licensing board.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150B of North Carolina General
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are made, this permit shall be final and binding.
Division of Water Resources, Ralei.gh Regional office, Water Quality Operations Section www.newaterquality.org
1628 Mail Service Ccnter, Raleigh, NC 27699-1628 Phone_ [phone]

Old Korth State Water Company, LLC
Permit Ng. WQQ039251
If you need additional information concerning this matter, please contact Ted Cashion at [phone]
or via e-mail at [e-mail].
Sincerely,
'50-7
for S. Jay Zimmerman, P.G.
Director, Division of Water Resources
by S. Daniel Smith, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
cc: Gareth Avant, P.E., McKim & Creed, Inc.,1730 Varsity Drive, Suite 500, Raleigh, NC 27606
Chatham County Health Department
Raleigh Regional Office Files
Water Resources Central Files
Page 2of8

North Carolina Department of Environmental Quality
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
Old North State Water Company, LLC
Chatham County
for the construction and operation of approximately 1,894 linear feet of 8-Inch gravity sewer to serve
future commercial development as part of the Briar Chapel — SD East project, and the discharge of no
additional gallons per day of collected wastewater (flow will be permitted in subsequent permits) into the
Old North State Water Company, LLC's existing sewerage system, pursuant to the application received
May 4, 2017, and in conformity with 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria
adopted February 12, 1996 and updated in March 2008, as applicable; the Division's Minimum Design
Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 and updated
March 2008, as applicable; and other supporting data subsequently filed and approved by the Department
of Environmental Quality and considered a part of this permit.
This permit shall be effective froM the daikd issuance until rescinded and shall be subject to the specified
conditions andiimitations ained tilfw6in.
47
S. Jay Zimmerman, P.G.
Director, Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number: WQ0039251
Permit Issued: June 2, 2017
Page 3 of 8

SUPPLEMENT TO PERMIT COVER SHEET
Old North State Water Company, LLC is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension. The
sewage and wastewater collected by this system shall be treated in the Briar Chapel Utilities Wastewater
Treatment Facility Phases A and B in accordance with Permit Number WQ0028552.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 and
updated March 2008, as applicable; and the Division's Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains adopted June 1, 2000 and updated March 2008, as
applicable, unless specifically mentioned herein. Division approval is based on acceptance of the
certification provided by a North Carolina -licensed Professional Engineer in the application. It shall be the
Permittee's responsibility to ensure that the as -constructed project meets the appropriate design criteria
and rules.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
1. SPECIAL CONDITIONS
NONE
II. STANDARD CONDITIONS
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by documentation from the parties involved, and
other supporting materials as may be appropriate. The approval of this request shall be considered
on its merits and may or may not be approved. [15A NCAC 02T.0104; G.S 143-215.1(d3)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer Minimum
Design Criteria adopted February 12, 1996 and updated March 2008, as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted
June 1, 2000 and updated March 2008, as applicable; and other supporting materials unless
specifically mentioned herein. (15A NCAC 02T.01101
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T .0110]
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required, the following performance criteria shall be met: [15A NCAC 02T .0108(b)]:
Page 4 of 8

a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or surface
water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e. 365
days per year). Pump stations that are connected to a telemetry system shall be inspected at
least once per week.
e. High -priority sewer lines shall be inspected at least once per every six -months and inspections are
documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in accordance
with 15A NCAC 2B .0506(a), and public notice shall be provided as required by North Carolina
General Statute §143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of three
years with exception of the map, which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Raleigh Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours,
following the occurrence or first knowledge of the occurrence of either of the following:
Page 5 of 8

a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable
of adequate wastewater transport, such as mechanical or electrical failures of pumps, line
blockage or breakage, etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part I of Form CS-SSO (or the most current Division approved form) within five days following first
knowledge of the occurrence. This report must outline the actions taken or proposed to be taken to
ensure that the problem does not recur. Part II of Form CS-SSO (or the most current Division approved
form) can also be completed to show that the SSO was beyond control. [G.S.143-215,1C(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. 115A NCAC 02T.0108(b)]
Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification form attached to this permit shall be submitted with the required supporting
documents- tathe address provided on the form. A 4Qmptete certification is one where the form is
fully executed and the supporting documents are provided as applicable. Any wastewater flow made
tributary to the wastewater collection system extension prior to completion of this Engineer's
Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the Articles
of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been appropriately
filed with the applicable County's Register of Deeds office shall be submitted with the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines & force
mains) of the wastewater collection system extension. Final record drawings should be clear on
the plans or on digital media (CD or DVD disk) and are defined as the design drawings that are
marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing, velocity,
pump cycle times, and level control settings, pump station buoyancy, wet well storage, surge
protection, detention time in the wet well, and force main, ability to flush low points in force
mains with a pump cycle, and downstream sewer capacity analysis. If a portable power source or
pump is dedicated to multiple 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.
Page 6 of 8

c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting in
non-compliance with this permit (including pipe length increases of 10% or greater, increased flow,
pump station design capacity design increases of 5% or greater, and increases in the number/type of
connections), regulations, or the Minimum Design Criteria. Requested modifications or variances to
the Minimum Design Criteria will be reviewed on a case -by -case basis and each on its own merit.
Please note that variances to the Minimum Design Criteria should be requested and approved during
the permitting process prior to construction. After -construction requests are discouraged by the
Division and may not be approved, thus requiring replacement or repair prior to certification &
activation. [15A NCAC 02T .0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope perthe Division's
Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified until
corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case -by -case basis. Resolution of such request shall be evident priorto completing and submitting
the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of
the wastewater collection facilities. [15A NCAC 02T .01161
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the Division's
Gravity Sewer Design Criteria adopted February 12, 1996 and updated March 2008,
as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Station
and Force Mains adopted June 1, 2000 and updated March 2008 as applicable; and other supporting
materials may subject the Permittee to an enforcement action by the Division, in accordance with
North Carolina General Statutes §143-215.6A through §143-215.6C, construction of additional or
replacement wastewater collection facilities, and/or referral of the North Carolina -licensed
Professional Engineer to the licensing board. [15A NCAC 02T .0104; 15A NCAC 02T .0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including those
as may be required by this Division, such as the construction of additional or replacement facilities.
[15A NCAC 02T .0110; 15A NCAC 02T .0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or Local
government agencies which have jurisdiction or obtaining other permits which may be required by
the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
PaaP 7 of 8

NC N-pt of Erw;ronnm-.ta: Qwdity
State of North Carolina
Department of Environmental Quality
NOVDWR 2 2 2023 Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
'01D11vlslon of Water Resources Raleigh IyLg FTA 10-23 & SUPPORTING DOCUMENTATION
Application Number:) 17 2- 7 M04 (to be completed by DW R)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1,
Applicant's name: Old North State Water Company, LLC (company, municipality, HOA, utility, etc.)
2.
Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State -County ❑ Municipal ❑ Other
3.
Signature authority's name: Erica Cochran per 15A NCAC 02T .0106(b)
Title: Development &Construction Manager
�
1
z
4.
Applicant's mailing address: PO Box 10127
N
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City: Birmingham State: AL Zip: 35202-0127
5.
Applicant's contact information:
5:
D
Phone number: [phone] Email Address: ecochran(a),onswc.com
Z
II. PROJECT INFORMATION:
I .
Project name: Briar Chapel - SD East
i
V
zt-,
2.
Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
o
�
If a modification, provide the existing permit number: WQ0039251 and issued date: 6/2-2017,
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
N n
If new construction, but part of a master plan, provide the existing permit number: WQ00
3.
County where project is located: Chatham
[I
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/�y
4,
Approximate Coordinates (Decimal Degrees): Latitude: 35,8086 Longitude:-79.0904 w '
<7
5.
Parcel ID (if applicable): 00 18911 (or Parcel ID to closest downstream sewer)
c
III. CONSULTANT INFORMATION:
.1
1. Professional Engineer: Ashley Mendenhall License Number: 54706
Firm: McKim & Creed
Mailing address: 1730 Varsity Drive, Suite 500
City: Raleigh State: NC Zip: 27606-
Phone number: [phone] Email Address: AMendenhal]Omckimcreed.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Briar Chapel Utilities Wastewater Treatment Facility Phases A and B Permit Number. W00028552
Owner Name: Old North State Water Company,
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
I, Permit Number(s): WQ0029867 (Pump Station "A")
2. Downstream (Receiving) Sewer Information: -14 inch (-1 Gravity ® Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS
FORM: FTA 10-23 Pagel of 5