WQ0044628_Application (FTSE)_20240409

EJ
to
14-4 0
Ijivers ENGINEERS
& ASSOCIATES, INC.
TO:
NCDEQ
DIVISION OF WATER RESOURCES
FAYETTEVILLE REGIONAL OFFICE
225 GREEN STREET SUITE 714
FAYETTEVILLE, NC 28301-5095
PLANNERS SURVEYORS LANDSCAPE ARCHITECTS
LETTER OF TRANSMITTAL
Date 7/18/2023 .lob No. 2021113
ATTENTION:
rSUBJECT: WHITE OAK CREEK CROSSING
SEWER PERMIT APPLICATION
GENTLEMEN:
WE ARE SENDING YOU [X ] Attached [ ] Under separate cover via
[ ] Shop Drawings [ ] Prints [ ] Plans [ ] Samples
[ ] Copy of letter [ ] Change order [ ] Other
[ ] Specifications
the following items:
COPIES
DATE
No.
DESCRIPTION
2
2
FAST TRACK SEWER APPLICATION (ORIGINAL + I COPY).. ;r
COVER LETTER / NARRATIVE
I
CHECK - $480 JUL
(J 2 V 9023
C�
2
FLOW TRACKING/ACCEPTANCE FORM (ORIGINAL + I COPY) i � /
lJ
2
USGS MAP OF-IFAYFTTE ILLS �: "10iNAL OFFir,
2
AERIAL MAP
THESE ARE TRANSMITTED as checked below:
[ X ] For approval
[ ] Approved
[ ] For your use
[ ] Approved as noted
[ ] As requested
[ ] Disapproved
[ ] For review and comment
[ ] Other
[ ] Resubmit copies for approval
[ ] Submit copies for distribution
[ ] Return corrected prints
REMARKS:
Please approve the water permit for this project and send us documentation of approval. If you have any
questions or concerns, then please email me at [e-mail]
Thank You,
COPY TO File
Ifenclosui-es are not as noted. kind1v notifi7 its at once B rlE Edwards, PE
bedwards(?riversandassociates.com
Six Forks Place III ■ 353 E. Six Forks Road, Suite 230 ■ Raleigh, NC 27609 ■ Phone: [phone]
NCBELS Lic. No. F-0334 www.riversandassociates.com NCBOLA Lic. No. C-312

verENGINEERS
11-4pjis
& ASSOCIATES, INC.
NCDEQ
DIVISION OF WATER RESOURCES
Fayetteville Regional Office
225 Green Street Suite 714
Fayetteville, North Carolina 28301-5095
PROJECT: White Oak Creek Crossing
1251 N Raleigh Street
Angier, NC
Dear Sir/Mam,
PLANNERS SURVEYORS LANDSCAPE ARCHITECTS
.:?UL 2' 0 2023
IDE&FAYETTEVILLE RrGIONAL OFFICL
We are requesting a fast -track sanitary sewer permit for a gravity sanitary sewer main extension. This
project includes 78 proposed single-family residents and 148 proposed townhomes. See attached
application and supporting documents.
If you have any questions or concerns, then please email me at bedwardskriversandassociates.com
RIVERS AND ASSOCIATES
Brian K Edwards, PE
Six Forks Place III ■ 353 E. Six Forks Road, Suite 230 ■ Raleigh, NC 27609 ■ Phone: [phone]
NCBELS Lic. No. F-0334 www.riversandassociates.com NCBOLA Lic. No, C-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 06-21 & SUPPORTING DOCUMENTATION
Application Number: W U (h yi-A(9 Zg (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Angier (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: Jimmy per 15A NCAC 02T .0106(b)
Title: Director of Public Utilities
4. Applicant's mailing address: PO Box278
-- VC. L)
City: Angier State: NC Zip: 27501- N� 20 12 0 13
5. Applicant's contact information: !/ 1 / / ,r1
• 7 /
Phone number: [phone] Email Address: j cook@angier . org 0EQ-FAYETTEVILLE REGIONAL OFFICE
II. PROJECT INFORMATION:
1. Project name: White Oak Creek Crossing
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date: ,
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Harnett
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.525376" Longitude:-78.749906'
5. Parcel ID (if applicable): 0406740254, 040674002203 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
l . Professional Engineer: Brian Edwards License Number: 043152
Firm: Rivers and Associates, Inc.
Mailing address: 107 E 2nd Street
City: Greenville State: NC Zip: 27858
Phone number: [phone] Email Address: bedwards(a�riversandassociates.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: NHRWWTP Permit Number: NCO021636
Owner Name: Harnett Regional Water
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ
2. Downstream (Receiving) Sewer Information: 12 inch © Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS 00183
Owner Name(s): Town of Angier
FORM: FTA 06-21 Pagel of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
[:]Yes [:]No ® N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑ No ® N/A
3. If the Applicant is a Home/Property Owners' Association, has an HOA/POA Operational Agreement (FORM: HOA) and
supplementary documentation as required by 15A NCAC 02T.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
❑ Businesses /offices /factories El Swimming Pool/Filter Backwash
❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic % Commercial % Industrial (See 15A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ®No
y If yes, provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow a,b
No. of Units
Flow
Single Family Houses
225 gal/day
78
17,550 GPD
Townhouses
225 gal/day
148
33,300 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal!
GPD
Total
50,850 GPD
a See 15A NCAC 02T .0114(b) (d) (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
Wastewater generated by project: 50,850 GPD (per 15A NCAC 02T .0114)
Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: FTA 06-21 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8"
4,013
PVC
8"
588
DIP
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
2. Appfea . ems} -Degree)
3. Total pump stat'i'ew
-)0- This sheald r-ePeet the total GPM for- the riamp statiefi with the jar-gest r
ump eiat of s
Size Length gt1, (fee*) Material
- 0
Mmn= rr!� N_
7
> j Shall be pfevide
FORM: FTA 06-21 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(f & W? ® Yes [—]No
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ If noncompliance with 02T.0305(fl or (g), see Section X.1 of this application
* 15A NCAC 02T.0305(g) 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: ® 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(cX6j, 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 06-21 Page 4 of 5

X. CERTIFICATIONS:
I. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stati�,rls
AMA Force MaitL_(�test v rsic�tl and the Gr vit ' ewer M�ni� m Design Criteria (,latest v___ �rsi as applicable?
® Yes No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
co view
times
with the a roval of thepermit..and ro'ects re uirin a variance a roval ma be subject to longer
review times. For ro'ects reguiring two or more variances or where the variance is determined by the Division to be a
significant portion of the project
° the full technical review is required
2. Professional Engineer's Certification:
1, Brian K Edwards attest that this application for White Oak Creek Crossin
(Professional Engineer's name from Application Item I11.1.) (Project Name from Application 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 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,
Minitnu�n _Des- inn Criteria for Gravity Sewers rlatest versionl, and the Minimum Design Criteria for the cast -Track i'ermittina
��f Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. Misrepresentation of the application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to to licensing board. (21 NC 05 ry70p),,e
North Carolina Professional Engineer's seal, signature, and date: ° ®'®
SEAL
r
�ii6!'rl'rt
I Applicant's Certification per 15A NCAC 02T .0106(b):
1, Jimm Cook , attest that this application for White oak Creek Cros_
(Signature Authority Name from Application Item 1.3.) sing
(Project Name from Application Item 11.1)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
I understand that if all required parts of this application are not completed and that if all required supporting documentation
and attachments are not included, this application package is subject to being returned as incomplete. I understand that any
discharge of wastewater from this non -discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties, injunctive relief, and!or criminal prosecution. I will make no claim against the Division
of Water Resources should a condition of this pen -nit be violated. I also understand that if all required parts of this application
package are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-2_ _ . , any person who knowingly makes any false
statement, representation, or certification in any application package shall a guilty of a Class 2 misdemeanor, which m
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation. may
Signature:
FORM: FTA 06-21
o,,. �7-1733
Page 5 of 5

USGS MAP

NOT FOR LEGAL USE .

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 Angier
Project Name for which flow is being requested: White Oak Creek Crossing
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 wastewaterflow. -
I. Complete this section only if you are the owner of the wastewater treatment plant. V E Ur""
a. WWTP Facility Name: North Harnett WWTP
JUL 2 0 2023
b. WWTP Facility Permit #:
NC0021636 ��-�_
FAYFTTFuILLE RE':
QFFI�;c.
All flows are in MGD
c. WWTP facility's permitted flow 1.008
d. Estimated obligated flow not yet tributary to the WWTP .870
e. WWTP facility's actual avg. flow .634
f. Total flow for this specific request .050
g. Total actual and obligated flows to the facility 1.55
h. Percent of permitted flow used 154%
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, * (Finn / pf),
Avg, Daily Daily Flow, Obligated Available
Number) No. MGD MGD
Flow, MGD MGD Flow Capacity***
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pi) 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 Angier, NHRWWTP
Downstream Permit Number: WQCS00183, NCO021636
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Henry J. Cook 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.
cial Signature
(A,�U lY-
tle of Signing Official
-as-a
Date
Page 2 of 6
FTSE 10-18

State of North Carolina
Department of Environmental Quality
Division of Water Resources
r; Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Harnett Regional Water
Project Name for which flow is being requested: White Oak Creek Crossin.:, (Amaer r
Afore than one FTSE may he required -for a singleprojeet if the owner of the 4"K'TP is not responsible for till pump
stations along the route of the proposed-wtistewater floe-.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name:
b. WWTP Facility Permit #
North Harnett Re,;ional WWTP
: NCO021636
All flows are in MGD
c. WWTP facility's permitted flow 7.5 MGD
Fuquay-Varina Allocated Flow 2.60 MGD
Lillington Allocated Flow 1.20 MGD
Angier Allocated Flow 1.008 MGD
d. Estimated obligated flow not yet tributary to the WWTP 3.154 MGD
FV Obligated Flow NYT
0.459 MGD
Lillington Obligated Flour NYT.
0.372 MGD
HC Obligated Flow NYT
1.453 MGD
Angier Obligated Flow NYT
0.870 MGD
e. WWTP facility's actual a<<,,g. flow
5.292 MGD
FV Actual Flow
1.493 MGD
Lillington Actual Flow
0.597 MGD
HC Actual Flow
2.568 MGD
Angier Actual Flow
0.634 MGD
f. Total flow- for this specific request
0.050 MGD iAnaler
g. Total actual and obligated bows to the facility
$.496 MGD
FV Actual Avg. + Obligated Flow
1.952 MGD
Lillington Actual Avg. + Obligated Flow
0.969 MGD
HC Actual Avg. + Obligated Flow
4.021 MGD
Angier Actual + Obligated Flow
1.554 MGD
h. Percent of permitted flow used 113.28%"
*A PER to expand the NI RWTTP treatment capacity has been completed and design of the
expansion is currently underway.
Page 1 of 3

l ` 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
Average Daily
Approx.
Not Yet
Total Current
Station
Firm Flow**
Current Avg.
Tributary
Flow Plus
(Name or
Capacity, * (Firm / pf),
Daily Flow,
Daily Flow,
Obligated Available
Number)
MGD MGD
MGD
MGD
Flow Capacity***
SLS-120 14.4 5.76 3.209 3.191 6.400 -0.640
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): North Harnett Regional WWTP
Downstream Permit Number: N00021636
III. Certification Statement:
I � t 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 indicates acceptance of this wastewater flow.
Signing Official Signature 1 Date
Page 2 of 3
FTSE 06-13

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section H where Available
Capacity is < 0.
Pump Station (Name or Number): SLS-120
Given that:
is The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
55.40 %nd; 3.191 MGD of the Available Caaci (E) in Pump Station j
- .
SLS-120 and that
• The rate of activation of this obligated, not yet tributary capacity is currently approximately
0.3 1 MGD per year; and that
• A funded Capital Project that will provide the required planned capacity, namely__________
TBD is in desi or under construction with
Tanned com letion in TBD ; and/or
• The following applies:
I HRW is currently- reconciling, actual and not -yet -tributary flows to
accurately assess available capacity. The reconciliation is expected to be completed in
i July 2023. Given the size of the pump station, the
---- - _
-- percentage of not -yet -tributary. and the rate of activation, this will be the first step to
determine if potential ClP project is needed and timeline for any capacity increase.
-
__ _---
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to
allow this flow to be permitted, without a significant likelihood of over -allocating capacity in the
system infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste
disposal system.
Signing O, ff icial Signature
'`-�* "013
Date
Page 3 of 3
FTSE 06-13

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: (to be completed by DwR)
All items must be completed or the aiiiplication will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Town of And (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: Jimmy ook per 15A NCAC 02T .0.106(b)
Title: Director of Public Utilities
4. Applicant's mailing address: PO Box278
City: And State: NC Zip: 27501-
5. Applicant's contact information:
Phone number: [phone] Email Address: j cook@angi er. . org
II. PROJECT INFORMATION:
1. Project name: White Oak Creek Crossing
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date: ,
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of a master plan, provide the existing permit number: WQOO
3. County where project is located: Harnett
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.525376' Longitude:-78.749906'
5. Parcel 1D (if applicable): 0406740254, 040674002203 (or Parcel 1D to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Brian Edwards License Number: 043152
Firm: Rivers and Associates. Inc.
Mailing address: 107 E TO Street
City: Greenville State: NC Zip: 27858
Phone number: [phone] Email Address: bedwards riversandassociates.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: North Harnett Regional WWTP Permit Number: NCO021636
Owner Name: Harnett County Public Utilities
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQW,4CS00183
2. Downstream (Receiving) Sewer Information: 12 inch Z Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00183
Owner Name(s): Town of Angier
FORM: FTA 06-21 Page 1 of 5

VI. GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No ® N/A
2. If the Applicant is a Developer of lots to be sold, has a Develo er's Operational Agreement FORM: DEV been attached?
❑ Yes ❑ No ® NIA
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 ® NIA
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 1 day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool/Clubhouse
❑ Food and drink facilities ❑ Church
❑ Businesses /offices /factories El Swimming Pool/Filter Backwash
❑ 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 .01 14 ? [:]Yes ®No
➢ If yes, provide a copy of flow reduction aDDroval letter with this a lication
Summarize wastewater generated by project:
Establishment Type (see 02T,0114(f))
Single Family Houses
Townhouses
Daily Design Flow a,a JNo. of Units Flow
360 gal/day
78
28,080 GPD
360 gal/day
148
53,280 GPD
gal/
GPD
gall
GPD
gall
GPD
gal/
GPD
Total 1
81,360 GPD
a See 15A NCAC 02T .01 14(b� (d),(e)(1).,and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 81,360 GPD (per 15A NCAC 02T .0114)
7= Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain);
FORM: FTA 06-21
Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (if Applicable) - 02T .0305 & MDC(Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8" 4,013 PVC
8" 588 DIP
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
➢
.as
PCH4 of
station pewer--(�,
-of a multiple
FORM: FTA 06-21
Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305M & (e)? ® Yes ❑ No
11 11V11L V111PL1a1JUVi w«l u= i .u.su.3tr,t orif.), see Nection x. I or this application
15A NCAC 02T.0305contains 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 web a e
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(0 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 se aration re uirements for situations where separation cannot be met.
➢ No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? ❑ Yes Basin name: ® No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 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 06-21 Page 4 of 5

X. CERTIFICATIONS:
I . Does the submitted system comply with 15A NCAC 02T, the Minimum Design Cri eria for the Permitting of Punip Stations
and FOTCC Mains latest veisioli . and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Angroval of the request will be issued
concurrent)y with the a roval of the germit, and provects requiring a variance ay roval may be subject to lon er
review times. For provects rgguirinE two or more variances or where the variance is determined by the Division to be a
significant portion of the pro4ect, the full technical review is re uired.
2. Professional Engineer's Certification:
I, Brian K Edwards . attest that this application for White Oak Creek Crossing
(Professional Engineer's name from Application Item I11.1.) (Project Name from Application 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 all other supporting documentation to the best of my knowledge. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria for Gravity Sep%ers latest version, and the Minimum Design Criteria for the Fast -Track 111ennittin�
of Pump Stations and I-orce Mains latest version . Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. Misrepresentation of the application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board. (21 NCAC 56.0701)
SI:l59tNkil4
North Carolina Professional Engineer's seal, signature, and date:
110
04,
SEPAL
52
3. Applicant's Certification per 15A NCAC 02T .0106(b):
S1t4lv�
I, Jimmy Cook , attest that this application for _White_ oak Creek Crossing
(Signature Authority Name from Application Item 1.3.) (Project Name from Application Item I1.1)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
I understand that if all required parts of this application are not completed and that if all required supporting documentation
and attachments are not included, this application package is subject to being returned as incomplete. I understand that any
discharge of wastewater from this non -discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division
of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application
package are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, 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: V 14J
FORM: FTA 06-21 Page 5 of 5

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
Mv#slon of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Harnett Regional Water
Project Name for which flow is being requested: White Oak Creek Crossing (Angier)
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: North Harnett Regional WWTP
b. WWTP Facility Permit #: NC0021636
All flows are in MGD
c. WWTP facility's permitted flow 7.5 MGD
Fuquay-Varina Allocated Flow 2.60 MGD
Lillington Allocated Flow 1.20 MGD
Angier Allocated Flow 1.008 MGD
d. Estimated obligated flow not yet tributary to the WWTP 3.154 MGD
FV Obligated Flow NYT
0.459 MGD
Lillington Obligated Flow NYT
0.372 MGD
HC Obligated Flow NYT
1.453 MGD
Angier Obligated Flow NYT
0.870 MGD
e. WWTP facility's actual avg. flow
5.292 MGD
FV Actual Flow
1.493 MGD
Lillington Actual Flow
0.597 MGD
HC Actual Flow
2.568 MGD
Angier Actual Flow
0.634 MGD
f. Total flow for this specific request
0.081 MGD An ier
g. Total actual and obligated flows to the facility
8.527 MGD
FV Actual Avg. + Obligated Flow
1.952 MGD
Lillington Actual Avg. + Obligated Flow
0.969 MGD
HC Actual Avg. + Obligated Flow
4.021 MGD
Angier Actual + Obligated Flow
1.585 MGD
h. Percent of permitted flow used 113.69%*
*A PER to expand the NHRWTTP treatment capacity has been completed and design of the
expansion is currently underway.
Page 1 of 3
FTSE 06-13

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
Average Daily
Approx.
Not Yet
Total Current
Station
Firm
Flow**
Current Avg.
Tributary
Flow Plus
(Name or
Capacity, *
(Firm / p fl,
Daily Flow,
Daily Flow,
Obligated
Available
Number)
MGD
MGD
MGD
MGD
Flow
Capacity***
SLS-120
14.4
5.76
3.209
3.222
6.431
-0.671
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): North Harnett Regional WWTP
Downstream Permit Number: NCO021636
III. Certification Statement:
I Steve Ward 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 indicates acceptance ogthjs� wastewater flow.
Signing Official Signature
Y - ? " 'IJ
Date
Page 2 of 3
FTSE 06-13

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section H where Available
Capacity is < 0.
Pump Station (Name or Number): SLS-120
Given that:
• The proportion and amount of Obli ted, Not Yet Tributuy Daily Flow C accounts for
55.94 1 1% and 3.222 1MGD of the Available Ca aci (E) in Pump Station
SLS-120 ; and that
• The rate of activation of this obligated, not yet tributary capacity is currently approximately
0.3 1 MGD per year, and that
A_ funded Capital Project that will provide the
TBD
Manned completion in TBD
• The fnllnwino nnnliec-
is in design or under construction with
: and/or
BRW is currently reconcilin . actual and not -yet -tributary flows to
accurately assess available capacity. The reconciliation is expected ected to be completed in
August 2023. Given the size of the pump station, the
ercenta a of not-yet-tributary,not-yet-trib!Ltary, and the rate of activation, this will be the first step to
determine if potential CIP project is needed and timeline for any capacity increase.
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to
allow this flow to be permitted, without a significant likelihood of over -allocating capacity in the
system infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste
disposal system.
Signing Official Signature
P- 3
Date
Page 3 of 3
FTSE 06-13

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Harnett Regional Water
Project Name for which flow is being requested; White Oak Creek Crossin-. (Angier
afore than one FTSE main he required for a single project if the owner of the u� "-7P is not responsible for all pump
statiom along the route of the proposed wastewater flow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name:
b. WWTP Facility Permit #
North Harnett Rey}ional WWTP
: NC0021636
.411 flows are in MGD
c. WWTP facility's permitted flow 7.5 MGD
Fuquay-Varina Allocated Flow 2.60 MGD
Lillington Allocated Flow 1.20 MGD
Angier Allocated Flow 1.008 MGD
d. Estimated obligated flow not yet tributary to the WWTP 3.154 MGD
FV Obligated Flow NYT
0.459 MGD
Lillington Obligated Flow NYT
0.372 MGD
14C Obligated Flow NYT
1.453 MGD
Angier Obligated Flow NYT
0.870 MGD
e. WWTP facility's actual avg. flow
5.292 MGD
FV Actual Flow
1.493 MGD
Lillington Actual Flow
0.597 MGD
HC Actual Flow
2.568 MGD
Angier Actual Flow
0.634 MGD
f Total flow for this specific request
0.050 MGD lAn ier
g. Total actual and obligated flows to the facility
8.496 MGD
FV Actual Avg. + Obligated Flow
1.952 MGD
Lillington Actual Avg. + Obligated Flow
0.969 MGD
HC Actual Avg. + Obligated Flow
4.021 MGD
Angier Actual + Obligated Flow
1.554 MGD
h. Percent of permitted flow used
113.28%*
*A PER to expand the N1JRWTTP treatment capacity has been completed and design of the
expansion is currently undem,ay.
Page l of 3

�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
Average Daily
Approx.
Not Yet
Total Current
Station
Firm Flow**
Current Avg.
Tributary
Flow Plus
(Name or
Capacity, * (Firm 1 pf),
Daily Flow,
Daily Flow,
Obligated Available
Number)
MGD MGD
MGD
MGD
Flow Capacity***
SLS-120 14.4 5.76 3.209 3.191 6.400 -0.640
The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 4.
Downstream Facility Name (Sewer): North Harnett Regional WWTP
Downstream Permit Number: NCO021636
III. Certification Statement:
I 90(t yvaA 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 indicates acceptance of this wastewater flow.
Signing Official Signature
q", (' ` ;�
Date
Page 2 of 3
FTSE 06-13

1
PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section H where Available
Capacity is < 0.
Pump Station (Name or Number): SLS-120
Given that:
• The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
---- -
55.40 _ % and 3.191 MGD of the Available Capacity (E) in Pump Station
SLS-120 and that
• The rate of activation of this obligated, not yet tributary capacity is currently approximately
0.3 MGD per year; and that
• A funded Capital Project that will provide the required_ planned capacity, namely___
-
TBD is in design or under construction with
lanned completion in TBD ; and/or
• The follow applies:
HRW is currently reconciling actual and not -yet -tributary, flows to
---._ _
accurately assess available capacity. The reconciliation is expected to be completed it
July 2023. Given the size of the pump station, the
percentage of not -yet -tributary, and the rate of activation, this will be the first step to
determine itential CIP project is needed and timeline for anY capacity increase.
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.
1--4 - a-)
Sning Official Signature _ j _ Date
Page 3 of 3
FTSE 06-13

State of North Carolina
DWR
Dlvislon of Water Resources
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Angier
Project Name for which flow is being requested: White Oak Creek Crossing
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible far all pump
stations along fire route of the proposed wastewater flow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: North Harnett WWTP
b. WWTP Facility Permit #:
NCO021636
Alt flows are in AIGD
c. WWTP facility's permitted flow 1.008
d. Estimated obligated flow not yet tributary to the WWTP .870
e. WWTP facility's actual avg. flow .634
f. Total flow for this specific request 0.08136
g. Total actual and obligated flows to the facility 1.585
h. Percent of permitted flow used 157%
11. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm 1 pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped now
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 Angier, NHRWWTP
Downstream Permit Number: WQCS00183, NCO021636
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I HenryJ. Cook 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.
fficial Signature
r r
tle of Signing Official
3
Date
Page 2 of 6
FTSE 10-18

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: (to be completed by DwR)
All items must be completed or the aiiiplication will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Town of And (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: Jimmy ook per 15A NCAC 02T .0.106(b)
Title: Director of Public Utilities
4. Applicant's mailing address: PO Box278
City: And State: NC Zip: 27501-
5. Applicant's contact information:
Phone number: [phone] Email Address: j cook@angi er. . org
II. PROJECT INFORMATION:
1. Project name: White Oak Creek Crossing
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date: ,
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of a master plan, provide the existing permit number: WQOO
3. County where project is located: Harnett
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.525376' Longitude:-78.749906'
5. Parcel 1D (if applicable): 0406740254, 040674002203 (or Parcel 1D to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Brian Edwards License Number: 043152
Firm: Rivers and Associates. Inc.
Mailing address: 107 E TO Street
City: Greenville State: NC Zip: 27858
Phone number: [phone] Email Address: bedwards riversandassociates.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: North Harnett Regional WWTP Permit Number: NCO021636
Owner Name: Harnett County Public Utilities
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQW,4CS00183
2. Downstream (Receiving) Sewer Information: 12 inch Z Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00183
Owner Name(s): Town of Angier
FORM: FTA 06-21 Page 1 of 5

VI. GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No ® N/A
2. If the Applicant is a Developer of lots to be sold, has a Develo er's Operational Agreement FORM: DEV been attached?
❑ Yes ❑ No ® NIA
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 ® NIA
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 1 day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool/Clubhouse
❑ Food and drink facilities ❑ Church
❑ Businesses /offices /factories El Swimming Pool/Filter Backwash
❑ 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 .01 14 ? [:]Yes ®No
➢ If yes, provide a copy of flow reduction aDDroval letter with this a lication
Summarize wastewater generated by project:
Establishment Type (see 02T,0114(f))
Single Family Houses
Townhouses
Daily Design Flow a,a JNo. of Units Flow
360 gal/day
78
28,080 GPD
360 gal/day
148
53,280 GPD
gal/
GPD
gall
GPD
gall
GPD
gal/
GPD
Total 1
81,360 GPD
a See 15A NCAC 02T .01 14(b� (d),(e)(1).,and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 81,360 GPD (per 15A NCAC 02T .0114)
7= Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain);
FORM: FTA 06-21
Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (if Applicable) - 02T .0305 & MDC(Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8" 4,013 PVC
8" 588 DIP
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
➢
.as
PCH4 of
station pewer--(�,
-of a multiple
FORM: FTA 06-21
Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305M & (e)? ® Yes ❑ No
11 11V11L V111PL1a1JUVi w«l u= i .u.su.3tr,t orif.), see Nection x. I or this application
15A NCAC 02T.0305contains 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 web a e
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(0 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 se aration re uirements for situations where separation cannot be met.
➢ No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? ❑ Yes Basin name: ® No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 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 06-21 Page 4 of 5

X. CERTIFICATIONS:
I . Does the submitted system comply with 15A NCAC 02T, the Minimum Design Cri eria for the Permitting of Punip Stations
and FOTCC Mains latest veisioli . and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Angroval of the request will be issued
concurrent)y with the a roval of the germit, and provects requiring a variance ay roval may be subject to lon er
review times. For provects rgguirinE two or more variances or where the variance is determined by the Division to be a
significant portion of the pro4ect, the full technical review is re uired.
2. Professional Engineer's Certification:
I, Brian K Edwards . attest that this application for White Oak Creek Crossing
(Professional Engineer's name from Application Item I11.1.) (Project Name from Application 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 all other supporting documentation to the best of my knowledge. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria for Gravity Sep%ers latest version, and the Minimum Design Criteria for the Fast -Track 111ennittin�
of Pump Stations and I-orce Mains latest version . Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. Misrepresentation of the application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board. (21 NCAC 56.0701)
SI:l59tNkil4
North Carolina Professional Engineer's seal, signature, and date:
110
04,
SEPAL
52
3. Applicant's Certification per 15A NCAC 02T .0106(b):
S1t4lv�
I, Jimmy Cook , attest that this application for _White_ oak Creek Crossing
(Signature Authority Name from Application Item 1.3.) (Project Name from Application Item I1.1)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
I understand that if all required parts of this application are not completed and that if all required supporting documentation
and attachments are not included, this application package is subject to being returned as incomplete. I understand that any
discharge of wastewater from this non -discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division
of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application
package are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, 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: V 14J
FORM: FTA 06-21 Page 5 of 5

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
Mv#slon of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Harnett Regional Water
Project Name for which flow is being requested: White Oak Creek Crossing (Angier)
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: North Harnett Regional WWTP
b. WWTP Facility Permit #: NC0021636
All flows are in MGD
c. WWTP facility's permitted flow 7.5 MGD
Fuquay-Varina Allocated Flow 2.60 MGD
Lillington Allocated Flow 1.20 MGD
Angier Allocated Flow 1.008 MGD
d. Estimated obligated flow not yet tributary to the WWTP 3.154 MGD
FV Obligated Flow NYT
0.459 MGD
Lillington Obligated Flow NYT
0.372 MGD
HC Obligated Flow NYT
1.453 MGD
Angier Obligated Flow NYT
0.870 MGD
e. WWTP facility's actual avg. flow
5.292 MGD
FV Actual Flow
1.493 MGD
Lillington Actual Flow
0.597 MGD
HC Actual Flow
2.568 MGD
Angier Actual Flow
0.634 MGD
f. Total flow for this specific request
0.081 MGD An ier
g. Total actual and obligated flows to the facility
8.527 MGD
FV Actual Avg. + Obligated Flow
1.952 MGD
Lillington Actual Avg. + Obligated Flow
0.969 MGD
HC Actual Avg. + Obligated Flow
4.021 MGD
Angier Actual + Obligated Flow
1.585 MGD
h. Percent of permitted flow used 113.69%*
*A PER to expand the NHRWTTP treatment capacity has been completed and design of the
expansion is currently underway.
Page 1 of 3
FTSE 06-13

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
Average Daily
Approx.
Not Yet
Total Current
Station
Firm
Flow**
Current Avg.
Tributary
Flow Plus
(Name or
Capacity, *
(Firm / p fl,
Daily Flow,
Daily Flow,
Obligated
Available
Number)
MGD
MGD
MGD
MGD
Flow
Capacity***
SLS-120
14.4
5.76
3.209
3.222
6.431
-0.671
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): North Harnett Regional WWTP
Downstream Permit Number: NCO021636
III. Certification Statement:
I Steve Ward 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 indicates acceptance ogthjs� wastewater flow.
Signing Official Signature
Y - ? " 'IJ
Date
Page 2 of 3
FTSE 06-13

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section H where Available
Capacity is < 0.
Pump Station (Name or Number): SLS-120
Given that:
• The proportion and amount of Obli ted, Not Yet Tributuy Daily Flow C accounts for
55.94 1 1% and 3.222 1MGD of the Available Ca aci (E) in Pump Station
SLS-120 ; and that
• The rate of activation of this obligated, not yet tributary capacity is currently approximately
0.3 1 MGD per year, and that
A_ funded Capital Project that will provide the
TBD
Manned completion in TBD
• The fnllnwino nnnliec-
is in design or under construction with
: and/or
BRW is currently reconcilin . actual and not -yet -tributary flows to
accurately assess available capacity. The reconciliation is expected ected to be completed in
August 2023. Given the size of the pump station, the
ercenta a of not-yet-tributary,not-yet-trib!Ltary, and the rate of activation, this will be the first step to
determine if potential CIP project is needed and timeline for any capacity increase.
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to
allow this flow to be permitted, without a significant likelihood of over -allocating capacity in the
system infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste
disposal system.
Signing Official Signature
P- 3
Date
Page 3 of 3
FTSE 06-13

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Harnett Regional Water
Project Name for which flow is being requested; White Oak Creek Crossin-. (Angier
afore than one FTSE main he required for a single project if the owner of the u� "-7P is not responsible for all pump
statiom along the route of the proposed wastewater flow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name:
b. WWTP Facility Permit #
North Harnett Rey}ional WWTP
: NC0021636
.411 flows are in MGD
c. WWTP facility's permitted flow 7.5 MGD
Fuquay-Varina Allocated Flow 2.60 MGD
Lillington Allocated Flow 1.20 MGD
Angier Allocated Flow 1.008 MGD
d. Estimated obligated flow not yet tributary to the WWTP 3.154 MGD
FV Obligated Flow NYT
0.459 MGD
Lillington Obligated Flow NYT
0.372 MGD
14C Obligated Flow NYT
1.453 MGD
Angier Obligated Flow NYT
0.870 MGD
e. WWTP facility's actual avg. flow
5.292 MGD
FV Actual Flow
1.493 MGD
Lillington Actual Flow
0.597 MGD
HC Actual Flow
2.568 MGD
Angier Actual Flow
0.634 MGD
f Total flow for this specific request
0.050 MGD lAn ier
g. Total actual and obligated flows to the facility
8.496 MGD
FV Actual Avg. + Obligated Flow
1.952 MGD
Lillington Actual Avg. + Obligated Flow
0.969 MGD
HC Actual Avg. + Obligated Flow
4.021 MGD
Angier Actual + Obligated Flow
1.554 MGD
h. Percent of permitted flow used
113.28%*
*A PER to expand the N1JRWTTP treatment capacity has been completed and design of the
expansion is currently undem,ay.
Page l of 3

�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
Average Daily
Approx.
Not Yet
Total Current
Station
Firm Flow**
Current Avg.
Tributary
Flow Plus
(Name or
Capacity, * (Firm 1 pf),
Daily Flow,
Daily Flow,
Obligated Available
Number)
MGD MGD
MGD
MGD
Flow Capacity***
SLS-120 14.4 5.76 3.209 3.191 6.400 -0.640
The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 4.
Downstream Facility Name (Sewer): North Harnett Regional WWTP
Downstream Permit Number: NCO021636
III. Certification Statement:
I 90(t yvaA 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 indicates acceptance of this wastewater flow.
Signing Official Signature
q", (' ` ;�
Date
Page 2 of 3
FTSE 06-13

1
PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section H where Available
Capacity is < 0.
Pump Station (Name or Number): SLS-120
Given that:
• The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
---- -
55.40 _ % and 3.191 MGD of the Available Capacity (E) in Pump Station
SLS-120 and that
• The rate of activation of this obligated, not yet tributary capacity is currently approximately
0.3 MGD per year; and that
• A funded Capital Project that will provide the required_ planned capacity, namely___
-
TBD is in design or under construction with
lanned completion in TBD ; and/or
• The follow applies:
HRW is currently reconciling actual and not -yet -tributary, flows to
---._ _
accurately assess available capacity. The reconciliation is expected to be completed it
July 2023. Given the size of the pump station, the
percentage of not -yet -tributary, and the rate of activation, this will be the first step to
determine itential CIP project is needed and timeline for anY capacity increase.
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.
1--4 - a-)
Sning Official Signature _ j _ Date
Page 3 of 3
FTSE 06-13

State of North Carolina
DWR
Dlvislon of Water Resources
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Angier
Project Name for which flow is being requested: White Oak Creek Crossing
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible far all pump
stations along fire route of the proposed wastewater flow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: North Harnett WWTP
b. WWTP Facility Permit #:
NCO021636
Alt flows are in AIGD
c. WWTP facility's permitted flow 1.008
d. Estimated obligated flow not yet tributary to the WWTP .870
e. WWTP facility's actual avg. flow .634
f. Total flow for this specific request 0.08136
g. Total actual and obligated flows to the facility 1.585
h. Percent of permitted flow used 157%
11. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm 1 pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped now
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 Angier, NHRWWTP
Downstream Permit Number: WQCS00183, NCO021636
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I HenryJ. Cook 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.
fficial Signature
r r
tle of Signing Official
3
Date
Page 2 of 6
FTSE 10-18