WQ0045448_Application (FTSE)_20240429

Burd, Tina J
From: Burd, Tina J
Sent: Wednesday, May 29, 2024 1:46 PM
To: [e-mail]; Boyd,Joseph
Cc: Tharrington, Tom; Cocanower, Jordan M
Subject: WQ0045448 - Inspire Futch Creek
The Wilmington Regional Office of the Division of Water Resources,Water Quality Operations Section received the Fast
Track Sewer System Extension Application (FTA) and $600.00 fee for the subject project on April 29, 2024. The project
has been assigned to the staff member indicated below, depending upon location and funding. Please note that the PTA
has been revised and requests the applicant to identify if this project is ARPA funded. If you omitted this information f
from the PTA, please contact Bryan Lievre so that we can update our records. Otherwise, you will be contacted by the
applicable staff member if additional information is needed.
Staff Reviewer Counties Served Contact Information
Tyler Benson Brunswick, Columbus, Duplin & Pender !.yLer.ben-son(@deq.nc.gov
Jordan Cocanower Carteret, New Hanover&Onslow jordan.coca nower@ derl_r3c,�ov
Bryan Lievre All-ARPA Projects Only bryar)[e-mail]
Tom Tharrington All—Coordinator, Please Copy on All Emails [e-mail]
1. Please provide a copy of the entire application in digital format to the respective reviewer indicated above. The
application and drawings should be provided as separate files.
2. Please indicate in the subject line of the email the permit number (if available), name of the project, and county
where the project is located.
Please be advised that the construction of the proposed activities may not commence until the sewer permit is issued.
Best Regards,
Tina Burd
Administrative Associate II
Wilmington Regional Office
Division of Environmental Assistance &Customer Service
Phone [phone]
New email: [e-mail],gov
I
NCDEQ
Wilmington Regional Office
127 Cardinal Drive Ext.
Wilmington, NC 28405
to i'1FiCr i7orr? 1)i": ia'( dne''s !:i 'it';;E;.;.'" !o %)C;
1

1% WithersRavenetess Re ggr of Transmittal
OUr VNuVIe your SUCCESS
219 Station Road, Suite 101 APR 2 9 2024
Wilmington, NC 28405
t: 910.256.9277 1 f: 919.467.6008 NCDEQ
Wilmington Regional Off'ce
4/29/2024 ''• • 03200119.10
• Mr. Tyler Benson
NCDEQ - Wilmington Regional
To: Office Inspire Futch Creek
127 Cardinal Drive Extension Sewer Extension Permit
Wilmington, NC 28405 Submittal #1
WE ARE SENDING YOU THE FOLLOWING ITEMS:
® Attached ❑ Under Separate Cover Via
❑ Shop Drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of Letter ❑ Change Order ❑ Disk ❑ Other
COPIES •
1 Cover Letter- Inspire Futch Creek Sewer Extension Permit
2 Fast Track Sewer Extension Application(FTA 10-23)Gravity Sewer
2 Fast Track Sewer Extension Application (FTA 10-23) Pump Station
2 Flow Tracking/Acceptance Form for Sewer Extension Applications(FTSE 10-18)from
CFPUA
2 HOA Form (03-19)
2 Project Narrative
2 USGS Map
2 Street Level Map
2 Checks for $600 (Private) & $600 (Public)
THESE ARE TRANSMITTED as checked below:
M For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑ Other
❑ For bids due ❑ Prints returned after loan to us
REMARKS:
Julie Wilson Joseph Boyd, PE
[e-mail] [e-mail]
COPY TO: 910.899.4632 SIGNED: 910.509.6505
QA/QC:
RECEIVED:
If enclosures are not as noted,kindly notify us at once.

%0 WithersRavenel
NoOur People.Your Success.
April 29, 2024
Mr.Tyler Benson
Department of Environmental Quality
Wilmington Regional Office -Water Quality Section
127 Cardinal Drive Extension
Wilmington, NC 28405
RE: Inspire Futch Creek- Sewer System Extension Permits
Dear Mr. Benson,
On behalf of Ridgewood Garden Health Investors, LLC, please find the attached documentation in support
of Fast Track Applications (FTA 06-21)for the referenced project. As noted in the application, this project
will consist of gravity sewer piping, manholes, a pump station, and force main that will serve Inspire Futch
Creek development site in Wilmington, NC. The pump station, force main, and a small section of gravity
sewer will be owned and maintained by Cape Fear Public Utility Authority(CFPUA)and most of the gravity
sewer will be owned and maintained by the developer Ridgewood Garden Health Investors, LLC.
The proposed project will meet all DWR's minimum design criteria for sanitary sewer extensions. The daily
design flow rate for this project is calculated at 35,430 GPD based on NCAC 2T Rules for wastewater flow
rates and the anticipated flow from the 77 one-bedroom units, 79 two-bedroom units, 50 three-bedroom
units, and a 6,000-sf retail office area. The proposed sanitary sewer line sizes are more than adequate to
convey the design flow rates.
Please find attached the following information in support of the application:
• Fast Track Sewer System Extension Application(FTA 10-23)(Public portion(CFPUA)- pump station
&forcemain)
• Fast Track Sewer System Extension Application (FTA 10-23)(Private portion (Ridgewood) - gravity
sewer)
• Flow Tracking/Acceptance Form for Sewer Extension Applications(FTSE 10-18) (CFPUA)
• HOA Form (03-19)
• USGS Map
• Street Level Map
• Two$600 Check for payment of Application Fees
If you have any questions regarding this request or if you require any additional information, please feel free
to contact me at 910-509-6505 [e-mail].
Sincerely
WithersRavenel
Joseph Boyd, PE
Project Manager
219 Station Rd,#101 1 Wilmington. NC 28405
t:910.256.9277 1 f:919.467.6008 1 www.withersravenel.corn I License No. C-0832
Asheville I Cary I Greensboro I Pittsboro I Raleigh I Southern Pines I Wilmington

40 WithersRavenel
Sanitary Sewer System Narrative
Inspire Futch Creek Development
New Hanover County, NC
Site Location and Description
The purpose of this project is to construct a mixed-use senior living complex known as Inspire
Futch Creek in northern New Hanover County, NC. The project consists of a 156-unit active adult
living facility, 6,000 sf commercial/retail space with 4 residential units on top,46 residential duplex
units, pool, parking lots, and a private road. The project will connect to Old Market Street (NC-
1400) via one main entrance. The property is owned by Ridgewood Garden Health Investors, LLC.
The project drains to Futch Creek (SA; HQW) which is within the White Oak Basin (HUC12
030203020401).
Currently the site is mostly woodlands with a few open areas consisting of bushes and grasses.
The surrounding area includes Market Street to the west, & residential to the north, south, & east.
Sewer Desilgn
The project includes gravity sewer, a pump station and forcemain. All but 275 LF of gravity sewer
piping will be owned and maintained by Ridgewood Garden Health Investors, LLC, and the 275 LF
of gravity sewer, pump station and forcemain will be owned and maintained by the Cape Fear
Public Utility Authority(CFPUA). The 275 feet of gravity sewer to be owned and maintained by
CFPUA is to provide a connection to existing gravity sewer in order to alleviate sewer capacity
from a nearby existing pump station which this project does not flow to.
• The gravity sewer system includes the design and construction of approximately 4,055 LF
of 8-inch gravity sewer that will discharge into an onsite designed pump station. Sewer
flow associated with the project totals 35,430 gpd.
• The pump station includes 300 gpm pumps with 99 TDH and approximately 5,565 LF of
6-inch pressure force main. The pump station is designed with capacity for additional
future flow.
This project is not within the floodplain, but there are 3 proposed gravity sewer manhole is within
50 feet of wetlands and they will be constructed to meet the draft wetland separation policy.
Finally, this project does include wetland impacts associated with construction of the site, which
have been permitted. Attached are copies of the issues permits from the Army Corps and
NCDWR.
Flow from the pump station will be directed via a 6" forcemain that will connect to an existing
forcemain along Market Street Street that is owned and maintained by CFPUA.
AMC

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: Wa00`'� ( l 0 (lo be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Ridgewood Garden Health Investors, LLC(company,municipality, HOA,utility,etc.)
2. Applicant type: ❑ Individual ® Corporation ❑General Partnership ❑ Privately-Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: Ronald B McNeill per 15A NCAC 02T.0106(b)
Title: Manaaer
4. Applicant's mailing address: 2334 41st Street South
City: Wilmington State: NC Zip: 28403-
5. Applicant's contact information:
Phone number:(910)332-195 Email Address: RMcNeill@iibe!!Yhcare.com
H. PRO.IECT INFORMATION:
I. Project name: Inspire Futch Creek
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:New Hanover
4. Approximate Coordinates(Decimal Degrees): Latitude: 34.1822" Longitude:-77.4670'
5. Parcel ID(if applicable): R02900-003-513-000 (or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION: BECEt��p(NCDENF�DwR
l. Professional Engineer:Joseph Boyd, P.E. License Number: 039113 2 9 Zd�4
Firm: WithersRavenel APB
Mailing address: 219 Station Road, Suite 101 WatP�ouaii`ya�o�
rations ,oi o"icP
City: Wilmington State: NC Zip: 28405- Wilmington"eq
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY(WWTF) INFORMATION:
1. Facility Name: James A Laughlin(Northside WWTP) Permit Number: NCO023965
Owner Name: Cape Fear Public Utility Authority
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ0042582
2. Downstream(Receiving)Sewer Information: 6 inch ❑ Gravity 0 Force Main
3. System Wide Collection System Permit Number(s)(if applicable): WQCS N/A
Owner Name(s): CFPUA
FORM: FTA 10-23 Page I of 5

V1. 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 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 ❑ Swimming Pool/Filter Backwash
❑ Businesses/offices/factories ®Nursing Home ❑ Other(Explain in Attachment)
5. Nature of wastewater: 100%Domestic 0%Commercial 0%Industrial(See 15A NCAC 02T.0103(20))
If Industrial, is there a Pretreatment Program in effect?❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T.0I 14(f)? ❑ Yes ®No
➢ If yes,provide a cony of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type(see 02T.0114(0) Daily Design Flow a l' No. of Units Flow
One Bedroom Units 150 gal/unit 77 11,550 GPD
Two Bedroom Units 150 gal/unit 79 11,850 GPD
Three Bedroom Units 225 gal/unit 50 11,250 GPD
Retail/Office Space 130 gal/1,000 sf 6 780 GPD
gal/ GPD
gal/ GPD
Toth! 35,430 GPD
a See 15A NCAC 02T .01 14(b), (d), (e)(1)and(e)(2) for caveats to wastewater design flow rates(i.e. proposed unknown
non-residential development uses; public access facilities located near high public use areas; and residential property
located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined in G.S.42A-411.
b Per 15A NCAC 02T.0114(c),design flow rates for establishments not identified [in table 15A NCAC 02T.01 14]shall be
determined using available flow data,water using fixtures,occupancy or operation patterns,and other measured data.
8. Wastewater generated by project: 35,430 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 RECEIVED/NCDENR/Uvvt,
❑ Other(Explain): Ahn 2 Q ')1)174
,Notes 011MI!r;.--ional
oPamuons onalONice
01mington Reg
FORM: FTA 10-23 Page 2 of 5

VI1. GRAVITY SEWER DESIGN CRITERIA (If Applicable)-02T .0305 & MDC(Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size(inches) Length (feet) Material
8 3.780 PVC
➢ Section 11& 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
Vlll. PUMP STATION DESIGN CRITERIA(If Applicable)—02T.0305&MDC(Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates(Decimal Degrees): Latitude: Longitude:- -
3. Total number of pumps at the pump station:
3. Design flow of the pump station: millions gallons per day(firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s)per pump(s): gallons per minute(GPM)at feet total dynamic head(TDH)
5. Summarize the force main to be permitted(for this Pump Station):
Size(inches) Length(feet) Material
If any portion of the force main is less than 4-inches in diameter,please identify the method of solids reduction per
MDCPSFM Section 2.01 C.l.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑Other(please specify)
6. Power reliability in accordance with 15A NCAC 02T.0305(h)(1):
❑ Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry- 15A NCAC 02T.0305(h)(1)(B).
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
❑ Portable power source with manual activation,quick-connection receptacle and telemetry-
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations,an evaluation of all the pump stations'storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 10-23 Page 3 of 5

DocuSign Envelope ID: 1244C8A4-AA94-4266.8CBF-A13AFB2751E5
Ix. SETBACKS&SEPARATIONS—(02B.0200& 15A NCAC 02T.0305(1)):
I. Does the project comply with all separations/alternatives found in 15A NCAC 02T 0305(f)&(a)? ® Yes [-] No
15A NCAC 02T.0305 contains minimum separations that shall be provided for sewer systems:
Setback Paramctel•* 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-1 waters of Class I or
Class 11 impounded reservoirs used as a source of drinking water,and associated wetlands. 100 feet
**Waters classified WS(except WS-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(t)orSg),see Section X.I of this application
*15A NCAC 02T.0305(e)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 webnaee
2. Does this project comply with the mininium separation requirements for water mains? ®Yes ❑No ❑N/A
➢ If no,please refer to 15A NCAC 18C.0906(t)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.
G. Does project comply with ISA NCAC 02I'.0105(c)(6)(additional permits/certifications)? ®Yes ElNo
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,storniwater management plans,etc.).
7. Does this project include any sewer collection lines that are deemed"high-priority?" El 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/convict boxes requil-C 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 permtttne or its representative at least once every six-niolltlls a11(I
inspections documented per 15A NCAC 02T.0403(a)(5)or the permittee's individual System-Wide Collection permit.
FORM:FTA 10-23
Page 4 of 5

DocuSign Envelope ID: 1244C8A4-AA94-4266-8CBF-A13AFB2751E5
X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T,the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains(latest version),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. Approval of the request will be issued
concurrently with the approval of the nermit, and projects reauirinE a variance approval may be subject to loneer
review times.For nroiects reguirine 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:
I, Joseph Boyd, P.E. ,attest that this application for Inspire Futch Creek
(Professional Engineer's name from Application Item III.1.) (Project Name from Application Item II.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. 1 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 Sewers(latest version),and the Minimum Design Criteria for the Fast-Track Permitting
of 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 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed$10,000,as well as civil penalties up to$25,000 per violation.Misrepresentation of the application
information,including failure to disclose any design non-compliance with the applicable Rules and design criteria,may subject
the North Carolina-licensed Professional Engineer to referral to the licensing board.(21 NCAC 56.0701)
.................................... . ...............................
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3. Applicant's Certification per 15A NCAC 02T.0106(b):
I, Ronald B. McNeill ,attest that this application for Inspire Futch Creek
(Signature Authority Name from Application Item 1.3.) (Project Name from Application Item 11.1)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
I understand that if all required parts of this application are not completed and that if all required supporting documentation
and attachments are not included, this application package is subject to being returned as incomplete. I understand that any
discharge of wastewater from this non-discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties,injunctive relief,and/or criminal prosecution. I will make no claim against the Division
of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application
package are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed$10,000 as well as civil penalties up to$25,000 per violation.
Signature: Date:
FORM:FTA 10-23 Page 5 of 5

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
Division of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Ridgewood Garden Health Investors, LLC
Project Name for which flow is being requested: Inspire Futch Creek
More than one FTSE niay be required for a single project if the owner of the WWTP is not responsihle fur all pIuup
stations along the route of the proposed waste►vater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: James A. Loughlin (Northside) WWTP
b. WWTP Facility Permit#: NPDES NC 0023965
All flows are in MGD
c. WWTP facility's permitted flow 16.000
d. Estimated obligated flow not yet tributary to the WWTP 4.958
e. WWTP facility's actual avg. flow 10.661
f. Total flow for this specific request 0.035430
g. Total actual and obligated flows to the facility 15.654
h. Percent of permitted flow used 97.8
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
Average Approx. Obligated,
Pump Pump Daily Current Not Yet Total Current
Station Station Firm Flow** Avg. Daily Tributary Flow Plus
(Name or Permit Capacity, * (Finn/pf), Flow, Daily Flow, Obligated Available
Number) No. MGD MGD MGD MGD Flow Capacity***
89 WQ0013551 14.583 5.833 4.177 2.099 6.275 -0.442
95 WQ0004843 3.021 1.208 0.521 0.584 1.105 0.104
IN N/A 0.432 0.173 0.000 0.035 0.035 0.137
* 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): Cape Fear Public Utility Authority
Downstream Permit Number:
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Jeff Theberge, CFPUA Eng. Mgr 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.
,7e -17tekWe 04/26/2024
Jeff Theberge(Apr 26,202 1:20 EDT)
Signing Official Signature Date
Engineering Manager
Title of Signing Official
Page 2 of 6
FTSE 10-18

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section 11 where Available Capacity is <
0.
Pump Station(Name or Number):
Given that:
a. The proportion and amount of Obligated,Not Yet Tributary Daily Flow(C)accounts for
33.5 %and 2.099 MGD of the Available Capacity(E) in Pump Station
PS 89 ; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
TBD MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
N. College Road Force Main and PS is in design or under construction with
Upgrades
planned completion in 2026 ; and/or
d. The following applies:
CFPUA has a funded Capital project to install a new 16-inch, 20-inch, and 24-inch force
main along North College Road. This new force main will discharge into a new CFPUA
pump station that will repump this flow and send it directly to the wastewater treatment
plant. This new force main will replace an existing force main and redirect flow around
PS 89. This will reduce the overall average daily flow at PS 89 leaving adequate capacity
for this project.
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.
,Zebe— 04/26/2024
Jefliheberge(Apt 26.2024
Signing Official Signature Dale
Page 3 of 6
FTSE 10-18

Flow Tracking for Sewer Extension Permit
Application
Final Audit Report 2024-04-26
Created: 2024-04-26
By: Jeff Theberge([e-mail])
Status: Signed
Transaction ID: CBJCHBCAABAAX8S7YUzFPFwQrGUIN7uYTcpHg27OxWzi
"Flow Tracking for Sewer Extension Permit Application" History
"l Document created by Jeff Theberge ([e-mail])
2024-04-26-3:18:48 PM GMT
Document emailed to Jeff Theberge ([e-mail]) for signature
2024-04-26-3:18:52 PM GMT
coo Document e-signed by Jeff Theberge (Jeff.The [e-mail])
E-signature obtained using URL retrieved through the Adobe Acrobat Sign API
Signature Date:2024-04-26-3:20:00 PM GMT-Time Source:server
Agreement completed.
2024-04-26-3:20:00 PM GMT
Q Adobe Acrobat Sign

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