WQ0045370_Application (FTSE)_20240628

State of North Carolina
Department of Environmental Quality
DWR 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 NCAC 02T 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 engineering practices.
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design
documents must be prepared prior to submittal of a fast track pen -nit application to the Division. This would include plans, design
calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum design criteria. These
documents shall be immediately available upon request by the Division.
Projects that are deemed permitted (do not require a permit from the Division) are explained in 15A NCAC 02T.0303.
Projects not eligible for review via the fast track process (must be submitted for full technical review):
➢ Projects that do not meet any part of the minimum design criteria (MDC) documents;
➢ Projects that involve more than one variance from the requirements of 15A NCAC 02T;
➢ Pressure sewer systems utilizing simplex septic tank -effluent pumps (STEPS) or simplex grinder pumps;
➢ Simplex STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains);
➢ Vacuum sewer systems.
General — When submitting an application, please use the following instructions as a checklist in order to ensure all required items are
submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the
amount of requested additional information. Failure to submit all required items will necessitate additional processing and review
time, and may result in return of the application. Unless otherwise noted, the Applicant shall submit one original and one copy of
the application and supporting documentation.
A. One Original and One Copy (second copy may be digital) of Application and Supporting Documents
gRequired 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):
1 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.
J� The Project Name in Item II.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

j$( The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 02T .0106(b). Per
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.
r The flow acceptance indicated in form FTSE must not expire prior to permit issuance and must be dated less than one year
prior to the application date.
➢ Submittal of this application and form FTSE indicates that owner has adequate capacity and will not violate 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):
(X Submit an 8.5-inch x 11-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project area,
including the closest surface waters.
General location of the project components (gravity sewer, pump stations, & force main)
➢ Downstream connection points and permit number (if known) for the receiving sewer
Include an aerial location map showing general project area (such as street names or latitude/longitude) so that Division staff
can easily locate it in the 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 be
added, and/or items to be modified (the application form itself should include only include items to be added/modified). The
narrative should also include whether any previously permitted items have been certified.
❑ The narrative should clearly identify the requested permitting action and accurately describe the sewers to be listed in
the final permit.
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per 15A NCAC 02T .0305(h)(1), submit documentation of power reliability for pumping stations.
➢ This alternative is only available for average daily flows less than 15,000 gallons per day
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible with
the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or proposed contractor,
stating that "the portable power generation unit or portable, independently -powered pumping units, associated appurtenances
and personnel are available for distribution and operation of this pump station."
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations'
storage capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall
be provided in the case of a multiple station power outage. (Required at time of certification)
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 Commission's Water and Sewer Division Public Staff stating an application
for a franchise has been received and that the service area is contiguous to an existing franchised area or that franchise approval
is expected.
J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ Home/Prope , Owners', Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (FORM: HOA).
❑ Per 15A NCAC 02T .0115(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 Agreement (FORM: DEW
For more information, visit the Division's collection systems website
INSTRUCTIONS FOR FORM: FTA 10-23 & SUPPORTING DOCUMENTATION Page 2 of 3

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
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
Favetteville 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 Regional 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
Raleigh Regional Office
3800 Barrett Drive
Chatham, Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27609
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington 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
Wilminaton 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
INSTRI JCTIONS FOR FORM: FTA 10-23 & SUPPORTING DOCUMENTATION Paze 3 of 3

Resubmitted Applicaiton - see email 20240620
State of North Carolina
11WR Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23 & SUPPORTING DOCUMENTATION
Application Number: WQ0045370 (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Franklin County Public Utilities (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: Chris Doherty per 15A NCAC 02T .0106(b)
Title: Public Utilities Director
4. Applicant's mailing address: 1630 US Hwy #1
City: Youngsville State: NC Zip: 27596-
5. Applicant's contact information:
Phone number: [phone] Email Address: cdoherty@franklincount ny c.us
II. PROJECT INFORMATION:
l . Project name: Cross Street Sewer Extension
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: Franklin
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.02033' Longitude:-78.47395°
5. Parcel ID (if applicable): 1852-56-5726: 1852-56-5731, 1852-56-5636 (or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
1. Professional Engineer: Matthew Daniels, PE License Number: 049488
Firm: FLM En-ineerin.9Inc.
Mailing address: PO Box 91727
City: Raleigh State: NC Zip: 27675-
Phone number: [phone] Email Address: mdanielsu( flmengineering.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Franklin County WWTP Penn it Number: NCO06931 I
Owner Name: Franklin County Public Utilities
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQCS00179
2. Downstream (Receiving) Sewer Information: 8 inch Z Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00179
Owner Name(s): Franklin County Public Utilities
FORM- PTA 1(1_7; n___ i ,.rc

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.01 15(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 % 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
➢ 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
No. of Units
Flow
Single Family
75 gal/bedroom (300 GPD/4-br dwelling)
3
900 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
900 GPD
a See 15A NCAC 02T .0114(b). (d),(e)(1) and (e)(22) for caveats to wastewater design flow rates (i.e. proposed unknown
non-residential development uses; public access facilities located near high public use areas; and residential property
located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 900 GPD (per 15A NCAC 02T .0114 and G.S. 143-215.1)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
Wnun4• VP A 10_7z pq"( '% of i

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
I . Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 236 SDR35 PVC
➢ 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
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Puma 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: 0Longitude: - °
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 2.01C.I.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- PTA 1f1_'): n___ I _ter

IX. SETBACKS & SEPARATIONS — (028.0200 & 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 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 1 or
Class II impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ If noncompliance with 02T.0305(f) or (g), see Section X. l of this application
* 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved. Please check "yes"
above if these alternatives are used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Water Classifications 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: Neuse ❑ 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 213.0202
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.).
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.
nnu nor• PTA 1 n-1: paae 4 of 5

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 Desigrt 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 permit and projects requiring a variance approval may be subiect to longer
review times. For proiects requiring two or more variances or where the variance is determined by the Division to be a
sgnificant portion of the project the full technical review is required
2. Professional Engineer's Certification:
I, , , attest that this application for rSoss �W e.+ SwQ,� fx�uvs"ar\
(Professional Engineer's name from Application Item III.1.) (Project Name from Application Item I1.1)
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 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 143-215.613, 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.Q7411
...............................
CARO
North Carolina Professional Engineer's seal, signature, and date:
SS
Q.
049488
i iDn+�P�Y
:.......................................................................................:
Applicant's Certification per 15A NCAC 02T .0106(b):
I,C t-UZS"T`z c- , attest that this application for C 2y SS S-T ZE-: ( J pzC-Q
(Signature Authority Name from Application Ite 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.
Sign
atur (j
Date: tRl zy
FORM- FTA 10-');
D...... G ..PG

Dlvlslon of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-23)
Entity Requesting Allocation: Franklin County Public Utilities
Project Name for which flow is being requested: Cross Street Sewer Extension
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: Franklin County Wastewater Treatment Plant
b. WWTP Facility Permit 4: NCO069311
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. 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
All flows are in MGD
3.000
0.650
1.350
0.000900
2.0009
66.66%
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:
Pump
Pump Station Station
Firm
(Name or Permit
Capacity,
Number) No.
MGD
Youngsville WQ36795
0.360
(A)
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Design
Average
Approx.
Obligated,
Total
Daily
Current
Not Yet
Current
Flow**
Avg. Daily
Tributary
Flow Plus
(Finn / pf),
Flow,
Daily Flow,
Obligated
Available
MGD
MGD
MGD
Flow
Capacity***
0.144
0.058
0.00675
0.06475
0.07925
* 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): Franklin County
Page 1 of 7
FTSE 10-23

Downstream Permit Number: WQCS00179
III. Certification Statement:
I Christopher Doherty 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.
Title of Signing Official
Page 2 of 7
FTSE 10-23

Page 3 of 7
FTSE 10-23

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section II where Available Capacity is < 0.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
% and MGD of the Available Capacity (E) in Pump Station
; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
is in design or under construction with
planned completion in ; and/or
d. The following applies:
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
Date
Page 4 of 7
FTSE 10-23

Instructions for Flow Tracking form (FTSE) and Planning Assessment Addendum (PAA)
Section I
a. WWTP Facility Name: Enter the name of the WWTP that will receive the wastewater flow.
b. WWTP Facility Permit #: Enter the NPDES or Non -Discharge number for the WWTP receiving the
wastewater flow.
c. WWTP facility's permitted flow, MGD: From WWTP owner's NPDES or Non -Discharge permit.
d. Estimated obligated flow not _vet tributary to the WWTP, MGD: This includes flows allocated to other
construction projects not yet contributing flow to the collection system. Flows allocated through interlocal
agreements or other contracts not yet contributing flow to the collection system are also included. For POTWs
that implement a pretreatment program, include flows allocated to industrial users who may not be using all of
their flow allocation. Please contact your Pretreatment Coordinator for information on industrial flow tributary
to your WWTP.
As of January 15, 2008 the POTW should have reviewed flow allocations made over the last two years and
reconciled their flow records, to the best of their ability, so it is known how much flow has been obligated and
is not yet been made tributary to the WWTP, in accordance with local policies and procedures employed by the
reporting entity.
e. WWTP facility's actual avg. flow, MGD: Previous 12 month average.
f. Total flow for this specific request, MGD: Enter the requested flow volume.
g. Total actual and obligated flows to the facility, MGD Equals [d + e + fJ
h. Percent of permitted flow used: Equals [(g / c)* 100]
For example:
On January 15 a POTW with a permitted flow of 6.0 MGD, reported to the Regional Office that there is 0.5
MGD of flow that is obligated but not yet tributary. The annual average flow for 2007 is 2.7 MGD. There is a
proposed flow expansion of 0.015 MGD.
The first Form FTSE submitted after January 15, 2008 may have numbers like this:
c. = 6.0 MGD
d. = 0.5 MGD
e. = 2.7 MGD
f. = 0.015 MGD
g. = 3.215 MGD
h. = 53.6 %
The next Form FTSE may be updated like this with a proposed flow expansion of 0.102 MGD:
c. = 6.0 MGD
d. = 0.515 MGD
e. = 2.73 MGD
f. = 0.102 MGD
g. = 3.349 MGD
h. = 55.8 %
Each subsequent FTSE form will be updated in the same manner.
Page 5 of 7
FTSE 10-23

Section H
List the pump station name or number and approximate pump station firm capacity, approximate design average
daily flow (A) approximate current average daily flow (B), and the obligated, not yet tributary flow through the
pump station (C) for each pump station that will be impacted by the proposed sewer extension project. Calculate
the total current flow plus obligated flow (D=B+C) and the available capacity (E=A-D). Include the proposed flow
for this project with other obligated flows that have been approved for the pump station but are not yet tributary
(C).
Firm capacity is the maximum pumped flow that can be achieved with the largest pump out of service as per the
Minimum Design Criteria.
Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor (pf) of not less than
2.5.
If the available capacity (E) for any pump station is < 0, then prepare a planning assessment for that pump station
if the system has future specific plans related to capacity that should be considered in the permitting process.
(A)
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Obligated,
Design
Approx.
Not Yet
Total Current
Firm
Average
Current Avg.
Tributary
Flow Plus
Pump Station
Capacity
Daily Flow
Daily Flow,
Daily Flow,
Obligated
Available
(Name or Number)
MGD
(Firm / pf)
MGD
MGD
Flow
Capacity*
Kaw Creek PS
0.800
0.320
0.252
0.080
0.332
-0.012
Valley Road PS
1.895
0.758
0.472
0.135
0.607
0.151
Page 6 of 7
FTSE 10-23

Planning Assessment Addendum Instructions
Submit a planning assessment addendum for each pump station listed in Section II where available capacity is < 0
A planning assessment for Kaw Creek PS (see example data above) may be performed to evaluate whether there is
significant likelihood that needed improvements or reductions in obligated flows will be in place prior to activating
the flows from the proposed sewer extension project.
If the system decides to accept the flow based on a planning assessment addendum, it is responsible to manage the
flow without capacity related sanitary overflows and must take all steps necessary to complete the project or control
the rate of flow to prevent sanitary sewer overflows.
The planning assessment may identify a funded project currently in design or construction, or a planned project in
the future not yet funded but in a formal plan adopted by the system. The system should carefully weigh the
certainty of successful timely project completion for any expansion, flow management diversion or infiltration and
inflow elimination projects that are the foundation of a planned solution to capacity hacking and acceptance
compliance.
For example:
Given that:
a. The proportion and amount of obligated, not yet tributary flow accounts for 24 % and 0.080 MGD of the
committed flow in Pump Station Kaw Creek; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately 0.01 MGD
per year; and that
c. A funded capital project that will provide the required planned capacity, namely
is in design or under construction with planned
completion in ; and/or
d. The following applies:
The master plan and ten year capital plan contain recommended scope and funding for a capital project entitled
Kaw Creek Pump Station upgrade with funding planned in July 2014. This project is planned to add 0.100 MGD
to the firm capaci1y of the pump station by October 2015. Inclusion of this proposed capital project as a condition
of this Flow Tracking/Acceptance for Sewer Extension Permit Application elevates this project's priority
funding and construction to be implemented ahead of the activation of obligated, not yet tributary flows in amounts
that exceed the firm pump station capacities identified in Section II above.
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.
Page 7 of 7
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FLMENGINEERING
April 15. 2024
NCDEQ
Division of Water Resources
1627 Mail Service Center
Raleigh, NC 27699..1636
Reference: Cross Street Sewer Extension
Fast Track Sewer Extension Application
To Whom It May Concern:
NC Del) of Enn-iron-i-le-IF41 Qtlalir_�
APR 1 9 2024
This letter is to accompany the submittal package for the Cross Street Extension Fast Track Sewer
Extension Application (form FTA 10-23).
Whitewater Homes. Inc, is proposing to construct 3 single-family residential homes, and extend an
existing sewer main. The site is located south of Youngsville on South Cross Street on Franklin County
Parcel ID Nos, 1852-56-5726, 1852-56-5731 & 1852-56-5636
Since this project lies in Franklin County's jurisdiction, we have utilized the agreed upon wastewater
design flow rate of 250 gallons per day per lot Thus, the total wastewater flow generated by this project
is expected to be 750 gallons per day (GPD)
The sewer extension consists of 2 proposed public 4' diameter manholes, and 236 feet of 8-inch
SDR35 PVC.
The proposed gravity sewer system shall connect to the Franklin County sewer system.
Included with the submittal are the following items:
• Cover Letter,
• FTA,
• FTSE,
• USGS Topographic Map,
• Aerial Location Map, and
• Application Fee of $600.
Please let me know if you have any questions or need any additional information.
Sincerely_
Matthew D Daniels, PE
Project Engineer
919.923.2952
mdaniels@flmengineering com
© 2024 FLM Engineering, Inc. Page 1 of 1
PO Box 91727, Raleigh, NC 27675 p 1919 610 1051
April 15, 2024

Michael F. Easley, Governor
William G, Ross Jr., Secretary
]North Carolina Department of Environment and Natural Resources
Alan W Klimek, RE. Director
Division of Water Quality
August 19, 2008
J. Bryce Mendenhall, Utilities Director
Franklin County Public Utilities
1630 US Highway 1
Youngsville, NC 27596
Subject: Franklin County Public Utilities WWTP
Permit No, NCO069311
Adjusted Daily Sewage Flow Design Rate
Franklin County
Dear Mr. Mendenhall:
On June 11, 2008, the Division of Water Quality (Division) received your request for an
adjustment to the daily sewage flow design rates. This adjustment would apply to all Franklin
County Public Utilities permitted but not yet tributary connections and all future connections
tributary to this facility (with the exception of permits whose flows are tributary to the collection
systems of Franklinton and Youngsville) in accordance with 15A NCAC 02T .0114(f). A flow
adjustment to 250 gallons per day per residential dwelling was requested. The Division's
Raleigh Regional Office reviewed the information provided by you and additional information
provided by your consultant to the Raleigh Regional Office dated June 26 and June 27, 2008.
In accordance with 15A NCAC 02T .0114(f)(2), the Raleigh Regional Office has evaluated all
the submitted data and considered other factors including weather conditions during the data
period of calendar year 2007, DMR monitoring data for this facility and an analysis of flow
reduction data for other facilities comparable to the Franklin County WWTP and collection
system. Based on the data submitted, the Division hereby approves the use by Franklin
County Public Utilities for the collection system described in Permit No. WQCS00179, and the
treatment plant described in Permit No. NCO069311, an adjusted daily sewage design flow
rate of 250 gallons per day per single-family dwelling, effective immediately. This flow
reduction shall be applicable to existing permits with flows not yet tributary to the Franklin
County collection system and all future permits issued to Franklin County Public Utilities. This
flow reduction SHALL NOT APPLY to sewer extension permits issued to or tributary to the
collection systems of the towns of Youngsville and Franklinton in Franklin County.
In granting this flow reduction, please be advised that the Division will not reissue any
outstanding permits made prior to this flow reduction request. If reissued permits are desired,
a permit modification request with the appropriate fee must be submitted for each permit to be
so modified. Flow allocation and tracking files maintained by the Raleigh Regional Office will
be updated for any flow being shown as not yet tributary to the WWTP,
'n`hC aro 'na aturay
North Carolina Division or Water Quality 1628 Mail Service Center Raleigh, NC 27699.1628 Phone (9 f 9) 791-4200 Customer Service
Internet: ww%v.ncwatri 11,11ity—org Location 3800 Barrett Drive Raleigh, NC 27609 Fax [phone]
An Equal OpportunitylAffirmalive Action Employer —50%Reayc!ed110% Post Consumer paper

J. Bryce Mendenhall, Utilities Director
Franklin County Public Utilities
Page 2
Future sewer extension applications should be made using the reduced flow amounts stated'
above. All other aspects of the permitting process remain unchanged, and all applications
must be in compliance with the statutes, rules, regulations and minimum design criteria as
certified by the owner and engineer. Without regard to this or any other flow reduction either
requested or granted, at no time shall the flow to this wastewater treatment facility
exceed the limits defined in the NPDES permit for this facility, nor exceed the capacity
of the sewers downstream of any new sewer extension or service connection.
If you have any questions regarding this adjustment to the daily sewage flow design rates, or
require any additional information, please contact Barry Herzberg at [phone], or by
electronic mail to barry.herzber ._ncmail.net.
Sincerely,
for Coleen H. Sullins, Director
Division of Water Quality
by S. Daniel Smith
Surface Water Quality Supervisor
Raleigh Regional Office
Cc: Franklin County Health Department
RRO SWP, BH
RRO, FCPU Files, NC0069311 & WQCS00179
Dan Blaisdell, PE, CG&L
Deborah Gore, PERCS Unit
Marie Doklovic, PE
Stearns & Wheler
3128 Highwoods Blvd. Suite 140
Raleigh, NC 27604

Wilson, Susan A
From: Matthew Daniels <[e-mail]>
Sent: Thursday, June 20, 2024 8:50 AM
To: Wilson, Susan A
Subject: [External] RE: Fast Track Sewer Application: Cross Street Sewer Extension WQ0045370
Attachments: FTA_Rev 1_Signed.pdf, FTSE_Rev 1.pdf, Cross Street - System Tie -In Map.pdf
IYou don't often get email from [e-mail]. Learn why this is important
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Susan
Attached are the revised forms for the FTSE and the FTA. Both have been sent back to FCPU, and have been signed by
Chris.
I have revised the Lat/Long on the forms and changed the flow calculation of 75gpd/bedroom. The three dwellings are
confirmed to have a maximum of 4 bedrooms each, so I have updated the total flow for the project to 900gpd.
The downstream receiving system ID is WQCS00179, and it's a gravity sewer system. I have overlaid our proposed line
and tie-in manhole on a tie-in exhibit similar to the example you provided.
Let me know if these sufficiently address your comments. If so, I'll send in the hard copies so you can finish your review.
-Matt
Matt Daniels, PE (NC, GA)
Project Engineer
FLMENGINEEPING
PO Box 91727
Raleigh, NC 27675
c 1919.923.2952
www.flmengineering.com
From: Matthew Daniels
Sent: Thursday, May 16, 2024 10:38 AM
To: Wilson, Susan A <[e-mail]>
Subject: RE: Fast Track Sewer Application: Cross Street Sewer Extension WQ0045370
Thanks, Susan.
This has been received. I'll reach out to Chris on comments 2, 3, and 4, and revise the forms with the correct lat/long.
-Matt
Matt Daniels, PE (NC, GA)
Project Engineer
1

FLMENGINEERING
PO Box 91727
Raleigh, NC 27675
c 1919.923.2952
www.flmengineering.com
From: Wilson, Susan A <[e-mail]>
Sent: Wednesday, May 15, 2024 6:10 PM
To: Matthew Daniels <[e-mail]>
Cc: Chris Doherty <[e-mail]>
Subject: Fast Track Sewer Application: Cross Street Sewer Extension WQ0045370
Hi Matthew -
I've just had a chance to review this application and have a few questions/need some clarification.
1. I think your Lat/Long is incorrect, if you would check/correct that. (Part 11.4. of the application)
2. 1 don't understand your answer on Part V.1. (this should be the number of the downstream sewer- owned
by FCPU -that this project connects/ties into, if FCPU has that information). Whatever existing line this will
tie into. If it's going to tie into a proposed line (let us know that and the ultimate existing line, if known).
3. You folks may use 75 gpd/BR in calculations for the flow (as was approved via SL 2023-137). Of course -
you'll need to get Chris to update the flow tracking sheet (FTSE 10-23)
4. Please submit a basic project map, similar to the attached (indicating the area of proposed line, the tie-in
and direction of flow).
Thanks. Let me know if you have any questions.
Respectfully,
Susan Wilson
Environmental Engineer (Part Time, Temporary)
Water Quality Regional Operations - Raleigh Regional Office
NC Department of Environmental Quality
Office: 919-791-4240
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized
state official.

This original application discarded (revised APP submitted 20240620)
NC Dept Oc Envirc=:i::e7tal QuallL,
State of North Carolina
Department of Environmental Quality
DWR 101-11 Division of Water Resources
APR 9 ���� FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23 & SUPPORTING DOCUMENTATION
Application Numberw(20OVS310 tto be completed by DWR)
All items must be completed or the application, will be returned
1. APPLICANT INFORMATION:
I. Applicant's name: Franklin CQuntv Public Utilities (company, municipality, HOA, utility, etc.)
2. Appiicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ® State/County ❑ Municipal ❑ Other
3. Signature authority's name: ChrisDohcrty per II 5A NCAC 02T .0 106&j
Title: Public Utilities Director
4_ Applicant's mailing address: lf�.QJU Hwy #I
City: Youngsville State: NC Zip: 27596-_
5. Applicant's contact information:
Phone number: (919) S56- 1�77 Email Address: cdohegyOUranklincountyric.us
11. PROJECT INFORMATION:
I . Project name: Cross Street Sewer Extension
2. ApplicationfProject status: ® Proposed (New Permit) ❑ Existing PermidPreject ❑ ARPA funded
If 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: Franklin
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.02040' Longitude:-78.47040'
5. Parcel ID (if applicable): 1852-56-5726. 1852-56-5731. 1852-56-5636 (or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
1. Professional Engineer: Matthew Daniels. PE License Number: 049488
Firm: FLM Engineering, Inc.
Mailing address: PO Box 91727
City: Raleigh State: NC Zip: 27675-_
Phone number: (9j9) 610-1051 Email Address: [e-mail]
1V. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Franklin County W WTP Permit Number: NC006931 I
Owner Name: Franklin County Public Utilities
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ(Proposed Permit for Cross Street Sewer Line Extension?
2. Downstream (Receiving) Sewer Information: 8 inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00179
Owner Name(s): Franklin County Public Utilities
FORM• FTA 10-1;
PaoP I of i

FLMENGINEERING
TRANSMITTAL NC I?ept of Environmental Quality
Date: June 20, 2024
To: Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699-1628
Attn: Susan Wilson, Water Quality Section
Reference: Cross Street Sewer Extension — Re -Submittal
We are sending the following items:
JUN 2 0 2024
Raleigh Regiopal Office
Copies
Description
Date
2
Cross Street Sewer Extension - Fast Track Sewer Applications - Revised
2024-06-20
2
Cross Street Sewer Extension - Tracking 1 Acceptance Forms - Revised
2024-06-20
2
8.5" x 11" Sewer Tie -In Exhibits
2024-04-15
These items are transmitted:
j For Review & Comment As Requested
Sincerely,
FILM Engineering, Inc_
Matt ew &Danieelds,Project Engineer
mdaniels.0 tlmengineerin:=.com
© 2024 FLM Eng+neering, Inc Page 1 of 1
For Your Use ® For Approval
,tune 20. 2024
PO Box 91727, Rale gh, NC 27675 p 1919.923.2952

FLMENGINEERING
Date:
To:
Attn
Reference:
TRANSMITTAL
N IC Cepi of rti=' v:;nw..ntai htny
APR 19 2024
ETr C, (5 ,g Ke.- i!al O �3ce
April 18, 2024 `"
Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699-1628
Water Quality Section
Cross Street Sewer Extension — Submittal
We are sending the following items:
Copies' y
Descri tion
Date
2
Cover Letters
2024-04-15
1
Application Fee of $600 00
2024-04-17
2
Cross Street Sewer Extension - Fast Track Sewer Applications
2024-03-19
2
Cross Street Sewer Extension - Tracking 1 Acce tance Forms
2024-03-19
2
8.5" x 11" USGS Topographic Quad Maps
2024-04-15
2
8 5" x 11" Aerial Imagery Exhibits
2024-04-15
2
Franklin County Sewer Flow Reduction Approval Letter
2024-04-15
These items are transmitted:
Li For Review & Comment As Requested i] For Your Use
Sincerely,
FILM Engineering, Inc.
5
Matthew Daniels, Project Engineer
mdaniels a, omen ►ineerin g
V For Approval
t) 2024 FLM Engineering, Inc Page 1 of 1 April 18, 2024
PO Box 91727, Raleigh, NC 27675 p 1919.923.2952