WQ0044404_Application (FTSE)_20240424

L AMERICAN
Engineering
To:
NCDWR
Attn: Sharon Moran
225 Green Street
Suite 714
Fayetteville, NC 28301
From:
American Engineering
Brad Haertling
4020 Westchase Blvd. Ste. 450
Raleigh, NC 27607
919-469-1101
American Engineering Associates -Southeast, PA.
4020 Westchase Blvd. Ste. 450
Raleigh, NC 27608
Transmittal Letter
Subject: Easley Pond Phase 1 Permit # WQ0044404
We are sendina vou:
Office: 919.469.1101
www.american-ea.com
Date: April 24, 2024
RECEIVED
APR z ', 2024
DEQ-FAYETTEVILLE REGIONAL OFFICE
® Attached ❑ Under Separate Cover Via the Following Items:
❑ Shop Drawings ❑ Plans ❑ Specifications ❑ Change Order
❑ Prints ❑ Samples ❑ Copy of Letter ❑ Reports
❑ Other:
Copies
Date
Rev.
Description
1
4.24.24
Submittal Fee ($600.00)
1
4.24.24
Town of Angier Cover letter
1
4.24,24
Engineers Cover letter
1
4.24.24
Fast Track Sewer System Extension Application Modified
1
4.24.24
Sewer Permit #W00044404 existing permit
1
4.24.24
Harnett County FTSE
1 1
4.24.24
j
Town of Angier FTSE
Action*
❑ Approved
❑ Approved As Noted
❑ For Approval
❑ Other:
Mailing Method:
❑ U.S. Postal Service
❑ Certified/Registered Mail
❑ Other:
Comments:
E Correct and Resubmit ❑ Resubmit Copies
❑ File ❑ Return_ Copy/Copies
❑ As Requested E Review and Comment
® Courier/Hand Delivery ❑ FedEx Priority Overnight ❑ FedEx 2-Day Delivery
❑ United Parcel Service (UPS) ❑ FedEx Standard Overnight ❑ FedEx Economy

t.
Town of Angier
w ww.ang'er.or
Robert M. Jusnes, Sr. Elizabeth Krige Veronica Hardaway
Mayor Town Manager Town Clerk
April 19, 2024
Trent Allen
Division of Water Resources
Fayetteville Regional Office
Water Quality Section
225 Green Street Suite 714
Fayetteville, NC 28301-5095
Reference FTA Permit Modification Request -Easley Pond Phase 1 Subdivision
Mr. Allen,
We respectfully request your consideration to modify Easley Pond Phase 1 Subdivision Permit
No. WQ0044404 issued on June 20, 2023. All items within the permit remain unchanged with
the exception of General Requirements (7) Pursuant to Session Law 2023-55, Senate Bill 673 we
are requesting a reduction in the daily design flow and therefore the total flow from 120 GPD/BR
to 75 GPD/BR.
Please reverence the Engineer's memo that Summarizes the waste water generated by the
project. The original permit had (74) 4BR homes permitted at 35,520 GPD.
We are requesting (14) 313R homes permitted at 3,150 GPD, (30) 413R homes permitted at 9,000
GPD and (30) 5BR homes permitted at 11,250. Total flow — 23,400. This is a reduction of
12,120 GPD from the original permit.
Items included in this package:
1. Check for $600.00
2. Modified Fast Track sewer system extension application
3. Wastewater Collection System Extension Permit No. WQ0044404
4. Memo from Engineer
5. Harnett County FTSE
6. Town of Angier FTSE
If you have any question please let me know.
Jimmy Cook
Town of Angier
Public Works Director
919-331-6708
Post Office Box 278 • Angier, North Carolina 27501-0278 • [phone]

American Engineering Associates
AMERICAN
Engineering
April 22, 2024
Trent Allen
Division of Water Resources
Fayetteville Regional Office
Water Quality Section
225 Green Steet, Suite 714
Fayetteville, NC 28301
Reference: FTA Permit Modification Request- Easley's Pond Ph .1
Mr. Allen,
4020 Westchase Boulevard, Suite 450
Raleigh, NC 27607
919.469.1101
[e-mail]
RECEIVED
APR 2 sf 2024
DEQ-FAYETTEVILLE REGIONAL OFFICE
We respectfully request your consideration to modify Easley's Pond Ph .1 subdivision Permit # WQ0044404 issued on June
20, 2023. All items within the permit remain unchanged with the exception of General Requirements. Pursuant to Session
Law 2023-55, Senate Bill 673 we are requesting a reduction in the daily design flow and therefore the total flow from 120
GPD/BR to 75 GPD/BR. The revised permit application modifies the wastewater flows as noted below.
Establishment Type (see 02T.0114(f))
Daily Design Flow a h
No. of
Units
Flow
Residential Dwelling Units (5 Bedroom)
375 gal/day
30
11,250 GPD
Residential Dwelling Units (4 Bedroom)
300 gal/day
30
9,000 GPD
Residential Dwelling Units (3 Bedroom)
225 gal/day
14
3,150 GPD
Total
23,400 GPD
As noted, the requested permitting action only impacts the flow totals. All other aspects of Permit No. WQ0044404 will
remain unchanged. Please advise if you have any questions or if you need any additional information.
Sincerely, llyoo
Ao
IS
Hugh J. Gilleece, III SEAL _
Principal Engineer = 8707
1 AMERICAN %,yG ,FA( SS ,� �G�;•��c
American `Engineering ,��"/,J. G 1L±'�G����
4020 Westchase Blvd, Ste. 450
Raleigh, NC 27607
Office: 919.469.1101
Direct: 984.222.3862
Mobile: [phone]
www.american-ea.com

ROY COOPER
cavernar
ELIZABETH 5, BISER
Secretary
RICHARD E. ROGERS. JR.
flirts for
Jimmy Cook, Public Utilities Director
Town of Angier
PO Box 278/55 N Broadway Street West
Angier, NC 27501
RECE!VEC
NORTH CAROUNA APR 2 Ji 2024
Environmental Quality
DEQ-FAYETTE4iILLE REGIONAL OFFICE
June 20, 2023
Subject: Permit No, WQ0044404
Town of Angier
Easley's Pond -Phase 1
Wastewater Collection System Extension Permit
Harnett County
Dear Mr. Cook
In accordance with your application received May 5, 2073, we are forwarding herewith Permit No.
WQ0044404 dated June 20, 2023 to the lown of Angier 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 shah 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 request must be made and
approved.
Condition IIA: 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.
Condition 10: Upon completion of construction and prior to operation of these permitted facilities, the
completed Engineering Certificatior form with checklist attached to this permit shall be
submitted with the required supporting documents to the address provided on the form.
Permit modifications are required for any changes resulting in non-compliance with
this permit, regulations, or the Minimum Design Criteria. 115A NCAC 02T.01161
It shall be 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
Page 1 of 9

Town of Angier
W00044404
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.
If you need additional information concerning this matter, please contact Sharon Moran at (910) 916-
3489 or via e-mail at [e-mail].
Sincerely,
EDOG SgnMnbyA�bC2037:5G42b
Trent Allen, Regional Supervisor
Water Quality Regional Operations Section
Fayetteville Regional Office
Division of Water Resources, NCDEQ
ec: John R. Harman, American Engineering, 4020 Westchase Blvd., Raleigh, NC 27607
Laserfiche File

RECEIVED
r
APR 21= 2024
DEQ•FAYETTEVILLE REGIONAL OFFICE
NORTH CAROL INA
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
Town of Angier
Harnett County
for the construction and operation of approximately 2,851 linear feet of 8-inch gravity sewer; 3,764 linear
feet of 6-inch force main; and a 300 GPM @ 74 TDH pump station with a standby power source or pump
with automatic activation and telemetry to serve to serve the Easley's Pond -Phase 1 Project, (Residential-
74 units) and the discharge of 35,520 gallons per day of collected domestic wastewater to the North
Harnett Wastewater Treatment Plant existing sewerage system, pursuant to the application received May
5, 2023, and in conformity with 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria
adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains adopted June 1, 2000 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 date of issuance until rescinded and shall be subject to the specified
conditions and limitations contained therein.
Do Spn" by
85�2-,i—r A__a2q
Trent Allen, Regional Supervisor
Division of Water Resources, NCDEQ
By Authority of The Environmental Management Commission
Permit Number: WQ0044404
Permit Issued: June 20, 2023
Page 3 of 9

SUPPLEMENT TO PERMIT COVER SHEET
Town of Angier 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 North Harnett Wastewater
Treatment Plant in accordance with Permit Number NC0021636.
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 as
applicable; and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000 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.
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. 115A 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 as applicable; the Division's Minimum Design Criteria for
the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and
other supporting materials unless specifically mentioned herein. 115A 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)]:
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 respons a veloped and
implemented. ROB``' V Imo. L.
APR 1. 't 20NA
DEQ-FAYETTEV€LLE REGIONAL OF'- if
Page 4 of 9

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 th Is Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
)- 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.
The Permittee shall report by telephone to a water resources staff member at the Fayetteville
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:
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
Any SSO and/or spill over 1,000 gallons; or
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(al)]
Page 5 of 9

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. [15A NCAC 02T.0108(b))
Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification form with checklist attached to this permit shall be submitted with the
required supporting documents to the address provided on the form. A complete 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:
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, include travel timeframes, shall
be provided.
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 changes 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. 115A NCAC 02T .0116]
Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified
until
Page 6 of 9

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 prior to completing and submitting
the construction certification. [ 1SA NCAC 02T.O10S(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 .0116)
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 as applicable; the Division's Minimum Design
Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted June 1, 2000 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. 115A NCAC 02T .01041 1SA 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)]
Page 7 of 9

CERTIFICATION CHECKLIST
To be completed by the certifying engineer prior to ope,ation of the permitted stRseer 15A NCAC 02T.0116.
Certifying Engineer:
CEIVE
Certification Review Date: APR 2 `" A 4
Project Name:
- AL OFFICE
WQ00 Project County:
1) Has permittee. information changed since the permit was issued (or last modified): change of mailing address,
change of ownership, transfer from developer to HOA/POA, etc. ❑ Yes ❑ No
• If yes, please provide either a change of ownership form or new contact information. Note that transfer of
permits from the developer to the HOA/POA must occur with the first certification.
2) Have the as -built drawings have been signed, sealed, and dated by an N.C. PE? ❑ Yes ❑ No
3) Final Engineering certification? U Yes ❑ No
• If Partial Engineering certification, provide detailed narrative including what is being certified in the current
phase, what was previously certified (if applicable), and what is left to be certified.
4) Adequate information related to sewer lines. ❑ Yes ❑ No ❑ N/A
• Three feet minimum cover has been provided for all sewers unless ferrous pipe was installed.
• Minimum diameters for gravity sewers are 8-inches for public lines and 6-inches for private lines.
• Manholes have been installed: At the end of each line, at all changes in grade, size, or alignment, at all
intersections, and at distances not greater than 425 feet; minimum diameter shall be 4 feet (48-inches),
5) Adequate information related to pump stations: ❑ Yes ❑ No ❑ N/A
• Ensure power reliability option was selected per 15A NCAC 02T.0305(h).
6) Was project construction completed in accordance with all of the following: ❑ Yes ❑ No ❑ N/A
• 15A NCAC 02T, Minimum Design Criteria (PvIQQ for the permitting of Gravity Sewers (latest version), and MDC
for the Permitting of Pump Stations and Force Mains (latest version)?
If not, a variance approval is required in accordance with 15A NCAC 02T.0105 b , prior to certification and operation.
• Contact the Central Office to discuss the variance to determine a course of action.
• Applicant must submit two copies of the variance request form, plans, specifications, calculations, and any other
pertinent information to the Central Office (one hard copy, one digital copy).
• The central office will review the variance request, and if approvable, specific language regarding the variance
will tie incorporated into the permit, either via a special condition or a supplementary letter. A copy of the
reissued permit with variance language or the variance letter must be maintained with the original documents.
7} Does the project contains high priority lines (15A NCAC 02T .040212JJ? ❑ Yes ❑ No
• if yes, ensure that the permit already contains the necessary condition related to high priority lines 15A NCAC
02T.0403 (a)(5). If the permit does not include this language, the Fast Track reviewer will reissue the permit with
the appropriate language.
8) Are Permit modifications are required for any changes resulting in non-compliance with this permit (including but not
limited to pipe length changes of 10% or greater, change in flow, pump station design capacity design change of 5% or
greater, and/or change in the number/type of connections)? ❑I Yes ❑ No
If yes, a permit modification request must be submitted to the appropriate Regional Office, and a modified
permit with revised certification must be issued prior to certification and operation.
NC DWR — Water Quality Regional Operations Section 225 Green 5t, Fayetteville, NC Lip 28301
Fayetteville Regional Office Phone: [phone] FAX: [phone]

PERMITTEE:
Town of Angier
PERMIT th
WQ0044404
PROJECT:
Easley's Pond -Phase 1
ISSUE DATE:
June 20, 2023
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.
PERM ITTEE'S ERTIFICATI N
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
ENGINEERS CERTIFICATION
I, as ad ui 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
as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000 as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
Final ❑ Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
Page 9 of 9

RECEIVED
APR ?. ; 2024
State of North Carolina
DEQ•FAYETTEVILLE REGOAL OFFIr E Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-23)
Entity Requesting Allocation: Harnett Regional Water
Project Name for which flow is being requested: _Easley Pond Phase 1 - Modified (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.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: North Harnett Regional WWTP
b. WWTP Facility Permit #: NCO021636
A11 flows are in MGD
c. WWTP facility's permitted flow 7.5
d. Estimated obligated flow not yet tributary to the WWTP 3.209
e. WWTP facility's actual avg. flow 4.404
f Total flow for this specific request 0.023
g. Total actual and obligated flows to the facility 7.636
h. Percent of permitted flow used 101.81 %
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) (8) (C) (D)=($}C) (F)=(A-D)
Design Approx. Obligated, Total
Pump Pump Average Current Not Yet Current Flow
Station Station Firm Daily Flow** Avg. Daily Tributary Plus
(Name or Permit Capacity, * (Firm / pt), Flow, Daily Flow, Obligated Available
Number) No. MOD MOD MGD MOD Flow Capacity***
SLS-120 W 0028647 14.4 5.76 3.309 2.366 5.675 0.085
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow that can be
achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor (pf) not
less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located between the
project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): North Harnett Regional WWTP
Downstream Permit Number: NCO021636
Page 1 of 8
FTSE 10-23

Ili. Certification Statement:
I Steve Ward, Utilities Director certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections 1 and 11 plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has ad ate acity to transport and treat the proposed new wastewater.
y- / � , z y
Signing Official Signature Dutt
HRW Director
Title of Signing Official
Page 2of8
FTSE 10-23

RECE!VED
State of North Carolina
D W. 2024 Department of Environmental Quality
REGIONAL OF tOF Division of Water Resources
DEVAYETTEVILLE RE
F
Division of WXE r tZ. ,:itsrc , > 10Vv Tranlrinrr fn.. Co.:.,...
(FTSE 10-23)
Entity Requesting Allocation: Town of Angier
Project Name for which flow is being requested: Modified Easley Pond phase 1
More than one FTSE maybe required for a s11191e ptoJect ifthe owner of the WWTP is not responsible for all punep
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 WWTP
b. WWTP Facility Permit #:
C.
d.
R
NCUU21636
WWTP facility's permitted flow All
1.008 flows are in N.ICD
Estimated obligated flow not yet tributary to the WWTP
WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
.751
.693
.023
1.48
146.8%
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)
Pump
Pump
Design
Average
Approx.
Station
Station
Firm Daily Flow**
Current
(Name or
Permit
Capacity, * (Firm / pf),
Avg. Daily
Number)
No,
MGD MGD
Flow, MGD
E
(C)
(D)a(B+C) (E)=(A-D)
Obligated,
Not Yet
Total Current
Tributary
Flow Plus
Daily Flow,
Obligated Available
MGD
Flow Capacity***
.252 1.008 .549 .229 .778 .230
* The Firm Capacity (design owfl ) of any pump station is defined as the -maximum pumped flow that can be
achieved with the largest pump taken out of service.
** Design Average Daily Flow is the Firm capacity of the pump station divided by a peaking factor (pf) not
less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located between the
Project connection point and the WWTP where the Available Capacity is < o.
Downstream Facility Name (Sewer): Town of Angier, NHRWWTP
Downstream Permit Number: W CS00183,NC0021636
Page 1 of 8

III. Certification Statement:
I Jimmy 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 Il 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.
Y-)
Si ing Official Signature ��
Date
Tit e of Signing Official
Page 2 of 8

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 15A N and the Division's
Minimum Design Criteria (gravity Sewer & Pump Stations/Force Mains) and that plans, specifications and supporting documents
have been prepared in accordance with 15A NCAC 02T 15A NCAC 02T.0300, Division policies, and good englacering 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 1 A 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 IEMNMED r ��
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; APR 2 ; 2024
➢ 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 simpNOWAYWOWIANECGIONAi
➢ 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 maybe 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 number/status of any other required sewer permits (downstream/upstream)
➢ If necessary for clarity, include attachments to the application form.
➢ If the project is funded by American Rescue Plan Act (ARPA) funds, please include the ARPA project number in the cover
letter and in parentheses under Project Name (Section II.1. of the application).
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 (NCDEQ)
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 I.2 is a corporation or company, provide documentation it is registered for business with the
North Carolina Secretary of State.
❑ If the Applicant Type in Item 1.2 is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of Deeds in
the county of business.
❑ The Project Name in Item 1I.1 shall be consistent with the project name on the flow acceptance letters, agreements, etc.
❑ The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North Carolina
licensed Professional Engineer.
INSTRUCTIONS FOR FORM: FTA 10-23 & SUPPORTING DOCUMENTATION Page I of 3

❑ The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 02T .0106(b). Pet
15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if a delegation letter is provided from
a person who meets the criteria in 15A NCAC 02T .0106(b).
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.
D Submittal of this application and form FTSE indicates that owner has adequate capacity and will not violate G.S. 143-215.67(a).
➢ Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific FTSE.
F. Site Maps (All Application Packages):
❑ Submit an 8.5-inch x I 1-inch color copy of a USGS Topographic Map of sufficient scale to identity the entire project area.
including the closest surface waters.
D 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 field.
G. Existing Permit (Application Packages for Modifications to an Existing Permit):
❑ Submit a copy of the most recently issued existing permit.
❑ Include a descriptive and clear narrative identifying the previously permitted items to remain in the permit, items to N
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 I A NCAC 02T . , 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 witt
the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or proposed contractor
stating that "the portable power generation unit or portable, independently -powered pumping units, associated appurtenance:
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, shal
be provided in the case of a multiple station power outage. (Required at time of certification)
1. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T,.0115(a)(1) 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 Co mi i 's Water and Sewer Division Public Staff stating an applicatior
for a franchise has been received and that the service area is contiguous to an existing franchised area or that franchise approva
is expected.
J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational reem nt(FORM: OA .
❑ Per 15A NCAC 02T .01 I S(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational AgMement FORM: DEV .
For more information, visit the Division's collection systems wehsite
INSTRUCTIONS FOR FORM: FTA 10-23 & SUPPORTING DOCUMENTATION Pam- 7 nf'

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
9
_ _
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778-8211
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen. Cumberland, Harnett, Hoke,
Water Quality Section
Fayetteville, North Carolina 28301-5095
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Reglonal Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleiah Regional Office
3800 Barrett Drive
Chatham, Durham, Edgecombe, Franklin,
Water Cluality Section
Raleigh, North Carolina 27609
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washinaton Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Alamance, Alleghany, Ashe, Caswell, Davidson,
Water Quality Section
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
[phone] Fax
INSTRUCTIONS FOR FORM: FTA 10-23 & SUPPORTING DOCUMENTATION Page 3 of:

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23 & SUPPORTING DOCUMENTATION
Application Number: WQ0044404M�_. (to be completed by DwR)
All items must be completed or the ammlication will be returned
I. APPLICANT INFORMATION:
l . 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 Cook per 15A_NCAC 02T .0106(b)
Title: Public Works Director
4. Applicant's mailing address: PO Box 278/55 North Broad Street West
City: Town of Angier State: NC Zip: 27501- RE
C E
5. Applicant's contact information: APR 2 f 2o24
Phone number: 919 331-6708 Email Address: jcook e.angier.org
DEQ-FAYFTTE'U'IZtE REGIOtvAL UFF �r E
II. PROJECT INFORMATION:
1. Project name: Modified Easley's Pond -Phase 1
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project ❑ ARPA funded
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: .4932 9° Longitude: -78.7385190
5. Parcel ID (if applicable): (or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
I . Professional Engineer: John R harman
Firm: American Engineering
Mailing address: 4020 wsstchase Blvd
City: Raleigh State: NC
Phone number: [phone]
License Number: 9810
Zip: 27607-
Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: North Harnett Regional W WTP Permit Number: NCO021636
Owner Name: Harnett County Public Utilities
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
I. Permit Number(s): WQCS00183
2. Downstream (Receiving) Sewer Information. 15 inch M Gravity ❑ Force Main
3. System Wide Collection System Permit Numbers) (if applicable): WQCS00183
Owner Name(s): Town of Angier
FORM- FTA I0-71 Pans i of

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 preparationtservice ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities © Swimming Pool/Ciubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: L00 % 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(Q? [:]Yes [:]No
➢ If yes, provide a copy of flew reduction a2proval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0I14(f))
Daily Design Flow"b
No. of Units
Flow
Residential Dwelling Units (5 Bedroom)
375 gal/day
30
11,250 GPD
Residential Dwelling Units (4 Bedroom)
300 gal/day
30
9,000 GPD
Residential Dwelling Units (3 Bedroom)
225 gal/day
14
3,150 GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
23,400 GPD
a See 15A NCAC 02T .0114(b). (d).(e)( I ) and (cX22) 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. 42A4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 23,400 GPD (per 15A NCAC 02T .01 14 and G.S. 143-215.1)
> Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: FTA 10-23 .,_ _ _ -, . r

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (GravitySSewers):
I . Summarize gravity sewer to be permitted. -
Size (inches) length (feet) E--Material
➢ Section II & M 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
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pumg Stations/ForceMains):
PROVIDE A EPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees). Latitude: 35.489073' Longitude: -78.733164E
3. Total number of pumps at the pump station: 2
3. Design flow of the pump station: millions gallons per day (firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): gallons per minute (GPM) at feet total dynamic head (TDH)
5. Summarize the force main to be pennitted (for this Pump Station):
Size (inches) length (feet) Material
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01C.I.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
G. Power reliability in accordance with 15A N AC 02T .0305 h l :
® Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - 15A NCAC 02T.0305(h)(1)(B)i
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 10-23 n.,,.o , F IC

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T ,0305(f) & (g)? ® Yes []No
15A NCAC 02T.0305(f) contains minimum senamtinnc that chRil hA nrAvith-A Fnr gAwAv —rrtP.,
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 I I impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
**Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ If noncompliance with 02T.0305(f) or (g), see Section X.l of this application
*15A NCAC 0210305(g) contains alternatives where separations in 02T.0305(Q 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 Surfa -Water Classifications ations web a e
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ NIA
➢ If no, please refer to 15A NCAC I SC.0906(f) for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ® Yes []No ❑ NIA
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ See the Division's draft separation 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 IS A NCAC 02B .0200? ❑ Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC 213.0202
5. Does the project require coveragelauthorization under a 404 Nationwide/individual permits ® Yes ❑ No
or 401 Water Quality Certifications? d5oh3, ..44col P-7 ik c')A.Gq fwAl ���, �•
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 021T_0105(c)(6) (additional permits/certifications)? ® Yes [:]No
Per 15A NCAC 02T.0105 directly related environmental permits or certification applications must be being prepared,
have been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion
and sedimentation control plans, stormwater management plans, etc.).
Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes ® No
Per 15A NCAC, 02T.0402, "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location)
High priority lines shall be inspected by the permittee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
VnDkA.L'TA IA'19

X. CERTIFICATIONS:
Does the submitted system comply with I5A NCAC 02T, the Minimum Design Criteri for the Permittingf PumpStation
And. Force Mains (latest v rsion and the G Gravity -Sewer Sewer Minimum Desi n Criteri iat st version as applicable?
W rA � �� 1.,rw 2,45 -65 pis ❑ N©
F'R TS &egp rep r3e DIZ.o
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request applicatiot
(VADC 10-14) and supporting documents for review to the Central Office. Aporoval of the request will be issue(
concurrently with the apiaroval of the permit, and DrOieCtS requiring a variance approval may be subject to Ion ei
review times. For ro ects re uirin two or more variances or where the variance is determined by the Division to be r
si nir"Rnt Portion of the ro'ect the full technical review is re aired.
2. Professional Enginejerr''s, Certification:
1' �A 9, ` '�'��� attest that this application for �AoO0 g `
(Professional Engineer's name from Application Item Ill.[,) ��
(Project Name from Application tem ���
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 Gravi ewers latest version), and the MiniMiniM Am Design Criteria for thq Fast -Track P rmittin
of Pump Stations nd Force Mains f1 test 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 A7DJ_)
Na
JUHit0
SEAL
9810
r
r
Nfl1Ne� -'
iRV4 a44�
3. Applicant's Certification per 15A NCAC 02T _0106(b):
1, , attest that this application for�1,1�
(Signature Authority Name from Application Item 1.3.)
{Project Name from Application tem !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. 1 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 43-21 .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 teed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: - — — �,•, �a a- t1
Date: 1
FORM: FTA 10-23