WQ0045429_Application (FTSE)_20240813

Docusign Envelope ID:753AAE87-6A17-44B3-9543-E2FBAD884C49
State of North Carolina
DWRNC Department of Environmental Quality Department of Environmental Quality
May 20 2024 Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources Raleigh Regional Office FTA 10-23&SUPPORTING DOCUMENTATION
Application Number: WQ004542 9ompleted by Dwx)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Holly Springs (company,municipality,HOA,utility,etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately-Owned Public Utility
❑ Federal ❑ State/County F Municipal ❑ Other
3. Signature authority's name: Kendra D. Parrish, PE 15A NCAC 02T.0106(b)
Title: Executive Director of Utilities&Infrastructure
Additional Info Rec. August 2, 2024
4. Applicant's mailing address: 128 South Main Street, P.O. Box 8
City: Holly Springs State: North Carolina Zip:27540_
5. Applicant's contact information: [e-mail]
Phone number: (919) 577_3150 Email Address: [e-mail]
II. PROJECT INFORMATION:
1. Project name: New Hill Road Subdivision
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: Wake
4. Approximate Coordinates(Decimal Degrees):Latitude: 35,65481 ° Longitude: -78:8845 °
5. Parcel ID(if applicable): (or Parcel ID to closest downstream sewer) 0639-43-1389 AND 0639-44-0058
III. CONSULTANT INFORMATION:
1. Professional Engineer: ion Frazier License Number: 033775
Firm: FILM Engineering,Inc.
Mailing address: Po Box 91727
City: Raleigh State: NC Zip: 27675 _
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY(WWTF)INFORMATION:
1. Facility Name: Utley Creek Water Reclamation Facility Permit Number: NCO063096
Owner Name: Town of Holly Springs
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s):WQ 39725
2. Downstream(Receiving) Sewer Information: 8 inch M Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s)(if applicable):WQCS 00192
Owner Name(s): Town of Holly Springs
FORM: FTA 10-23 Page 1 of 5

Docusign Envelope ID:753AAE87-6A17-44B3-9543-E2FBAD884C49
V 1. GENERAL REQUIREMENTS
1. If the Applicant is a Privately-Owned Public Utility,has a Certificate of Public Convenience and Necessity been attached?
❑Yes ❑No 0 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 0 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.0I 15(c)been attached?
❑Yes ❑No F--,]N/A
4. Origin of wastewater: (check all that apply):
X❑ 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)? X❑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',b No.of Units Flow
Single Family Dwellings 255 gal/ day 40 10,200GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
Total 10,200GPD
a See 15A NCAC 02T .0114(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-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:_GPD(per 15A NCAC 02T .0114 and G.S. 143-215.1) 10,200 GPD
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero,please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other(Explain):
FORM:FTA 10-23 Page 2 of 5

Docusign Envelope ID:753AAE87-6A17-44B3-9543-E2FBAD884C49
V 11. GRAVITY SEWER DESIGN CRITERIA(If Applicable)-02T.0305&MDC(Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size(inches) Length(feet) Material
8-inch 942 PVC
8-inch 1,408 DIP
➢ Section II&III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VIII. 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: 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.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:753AAE87-6A17-44B3-9543-E2FBAD884C49
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(fl&(g)? X❑ Yes ❑No
15A NCAC 02T.0305 contains minimum separations that shall be provided for sewers stems:
Setback Parameter* Separation Required
Storm sewers and other utilities not listed below(vertical) 18 inches
ZWater mains(vertical-water over sewer preferred,including in benched trenches) 18 inches
ZWater mains(horizontal) 10 feet
Reclaimed water lines(vertical-reclaimed over sewer) 18 inches
Reclaimed water lines(horizontal-reclaimed over sewer) 2 feet
**Any private or public water supply source,including any wells,WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water,and associated wetlands. 100 feet
**Waters classified WS(except WS-I or WS-V),B,SA,ORW,HQW,or SB from normal
high water(or tide elevation)and wetlands associated with these waters(see item IX.2) 50 feet
**Any other stream,lake,impoundment,or ground water lowering and surface drainage
ditches,as well as wetlands associated with these waters or classified as WL. 10 feet
Any building foundation(horizontal) 5 feet
Any basement(horizontal) 10 feet
Top slope of embankment or cuts of 2 feet or more vertical height 10 feet
Drainage systems and interceptor drains 5 feet
Any swimming pools 10 feet
Final earth grade(vertical) 36 inches
➢ If noncompliance with 02T.0305(f)or(g),see Section X.1 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: ®No
If yes,does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑Yes ❑No
➢ This includes Trout Buffered Streams per 15A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ®Yes ❑No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0105(c)(6)(additional permits/certifications)? ®Yes ❑No
Per 15A NCAC 02T.0 I 05(c)(6),directly related environmental permits or certification applications must be being prepared,
have been applied for,or have been obtained.Issuance of this permit is contingent on issuance of dependent permits(erosion
and sedimentation control plans,stormwater management plans,etc.).
7. Does this project include any sewer collection lines that are deemed"high-priority?" ❑Yes ®No
Per 15A NCAC 02T.0402,"high-priority sewer"means any aerial sewer, sewer contacting surface waters,
siphon,or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ If yes,include an attachment with details for each line,including type(aerial line, size,material,and location).
High priority lines shall be inspected by the permittee or its representative at least once every six-months and
inspections documented per 15A NCAC 02T.0403(a)(5)or the permittee's individual System-Wide Collection permit.
FORM: FTA 10-23 Page 4 of 5

Docusign Envelope ID:753AAE87-6A17-44B3-9543-E2FBAD884C49
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 permit, and projects requiring a variance approval may be subject to longer
review times.For projects requiring two or more variances or where the variance is determined by the Division to be a
significant portion of the project,the full technical review is required.
2. Professional Engineer's Certification:
1, Jon Frazier attest that this application for New Hill Road Subdivision
(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. 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 56.0701)
........................................................................................
North Carolina Professional Engineer's seal,signature,and date: `1
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DocuSigned by: `r
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3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, Kendra D. Parrish, PE ,attest that this application for New Hill Road Subdivision
(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 arc 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.
DocuSigned by:
Signature: ".U Date: 8/2/2024 1 6:59 AM PDT
A3B6E125C87C4AE...
FORM: FTA 10-23 Page 5 of 5

Docusign Envelope ID:753AAE87-6A17-44B3-9543-E2FBAD884C49
G O 0 THE TOWN OF �9ollyrink
NOR
August 2, 2024
Director, Division of Water Resources
Raleigh Regional Office
Water Quality Operation Section
3800 Barrett Drive
Raleigh,NC 27609
Re: Response to Comments: Application for Sewer Extension Permit
Project: New Hill Road Subdivision
Dear Sir or Madam:
Please find enclosed the following items in application for a sewer extension permit to the Town
of Holly Springs existing sewer distribution system:
0 One original and one copy cover letter including a project narrative
o A copy of the check in the amount of$600.00
0 One original and one copy of the State of North Carolina Fast Track Sewer System
Extension Application (FTA 10-23)
0 Two copies of FTSE 10-23 Flow Tracking/Acceptance Form
0 Two color copies of a 8.5-inch by 11-inch portion of a 7.5 minute USGS Topographic
Map showing project area
0 Two copies of a street level map showing all relevant project areas
Feel free to contact me at 919-577-3150 should you have any questions or need additional
information in order to process this application.
Sincerely,
DocuSigned by:
Ir—T
Ken a '.za'rrisEh, P.E., CFM
Executive Director of Utilities and Infrastructure Rachel pones
KP/ek
cc: Project Consultant Engineer, Jon Frazier, PE
Rachel Jones, Utility Engineer
Catherine Jacobs, Development Engineering Manager
Emily Koncz, Utility Permitting Specialist
Project file/Correspondence#42227
3002
04.17.2018
Utilities and Infrastructure Services
P.O. Box 8 • 128 S. Main Street • Holly Springs, NC 27540 • www.hollyspringsnc.gov

Docusign Envelope ID:753AAE87-6A17-44B3-9543-E2FBAD884C49
State of North Carolina
D Department of Environmental Quality
Division of Water Resources
Division of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-23)
Entity Requesting Allocation: Town of Holly Springs
Project Name for which flow is being requested: New Hill Road Subdivision
More than one FTSE may be required for a singleproject if the owner of the WWTP is not responsible for allpump
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: Utley Creek Wastewater Treatment Plant
b. WWTP Facility Permit#: NC0063096
All flows are in MGD
c. WWTP facility's permitted flow 6.0
d. Estimated obligated flow not yet tributary to the WWTP 1.865
e. WWTP facility's actual avg. flow 3.036
f. Total flow for this specific request 0.010200
g. Total actual and obligated flows to the facility 4 000
h. Percent of permitted flow used 82%
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm/pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow,MGD MGD Flow Capacity***
Twelve Oaks PS WQ0030814 1.944 0.778 0.517 0.023 0.540 MGD 0.238 MGD
*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.
Town of Holly Springs confirmed this change on Aug 13,2024 over a phone call from 9199802992
Downstream Facility Name (Sewer): Twelve Oaks Pump Station
Downstream Permit Number: WQ0030814 WQ0039725 is the sewer
Page 1 of 8
FTSE 10-23

Docusign Envelope ID:753AAE87-6A17-44B3-9543-E2FBAD884C49
III. Certification Statement:
I Kendra D. Parrish 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 parry. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
DocuSigned by:
"IfU 8/2/2024 1 6:59 AM PDT
SigningVPENW'Signature Date
Executive Director of utilities and Infrastructure
Title of Signing Official
Page 2 of 8
FTSE 10-23

D...ign Envelope ID:753AAEB7-6A17-44B3-9543-E2FBAD884C49
- —16— — \� LEGEND
EX.PROPERTY LINE
EX.ADJACENT OWNERS
\ \ — EX.CHANNEUSTREAM M
/ EX.CHANNEUSTREAM BUFFER
— I / OHW OHW— EX.OVERHEAD ELECTRIC LINE ENGINEERING EX.DOWNSTREAM W W EX.WATER LINE
CONNECTION
.POINT(WQ39725) / G G EX.GAS LINE POST OFFICE BOX 91727
\ 1 / I EX.8"PVC / SS SS EX.SANITARY SEWER RALEIGH,NORTH CAROLINA 27675
PHONE:[phone]
.t i n \\ \ \ I \\/ \\ SANITARY SEWER` SD SD EX.STORM SEWER FIRM NO LICENSE NUMBER C-4222
EX.SANITARY SEWER 16 — — PROP.RIGHT-OF-WAY
_MANHOLE(TYP.) PROP.LOT LINES
----
—————— — PROP.BUFFER/EASEMENT
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L .111. i PROGRESS INC - / RCW PROP.RECLAIMED WATER LINE
PIN:0629-61-7801
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W — _
_ I 12136 HOLLY SPRINGS NEW HILL RD
APEX,NC 27539
PROP.RECLAIMED WATER
��- PROP.WATER LINE AND LINE AND APPURTENANCES PROP.50'TYPE B-225 EX 16"PURPLE PVC
APPURTENANCES WITHIN WITHIN NEW HILL RD ARE BY THOROUGHFARE BUFFER RECLAIMED WATERLINE,
NEW HILL RD ARE BY OTHERS AND SHOWN BASED ——__ •Ij — DEPTH UNKOWN a
OTHERS AND SHOWN BASED ON DESIGN DATA PROVIDED PROP.2SRIGHT-OF-WAY 0 _ SD LAKE TIME DEVELOPMENT,LLC
ON DESIGN DATA PROVIDED BY JOHN R.MCADAMS DEDICATION FOR 1/2 OF 11 O'R/W — —
BY JOHN R.MCADAMS � ® HOLLY SPRINGS
EX.OVERHEAD ELECTRIC NEW HILL ROAD DATE: 01-25-2024
TO BE INSTALLED PROP.SCM#1 — SR 1 152(6O`PUBLIC R/lM
UNDERGROUND SCALE: ASSHOWN
% DESIGNED BY: FLM
APPROVED BY: FLM
OWNER:ESC VENTURES LLC i" PROJECT NO.: 18041
PIN:0639-31-1837
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PART WITHOUT WRITTEN PERMISSION OF FLM ENGINEERING,INC.

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Docusign Envelope ID:753AAE87-6A17-44B3-9543-E2FBAD884C49
FLMENGINEERING
February 15, 2024
NCDEQ
Division of Water Resources
1627 Mail Service Center
Raleigh, NC 27699-1636
Reference: New Hill Road Subdivision
Fast Track Sewer Extension Application
To Whom It May Concern:
This letter is to accompany the submittal package for the New Hill Road Subdivision Fast Track Sewer
Extension Application (form FTA 10-23).
Lake Time Development, LLC is proposing to construct 40 single-family residential lots as part of the
New Hill Road Subdivision. The site is located west of the Town of Holly Springs on Holly Springs
New Hill Road (Wake County Parcel ID Nos. 0639-43-1389 and 0639-44-0058).
We have utilized the approved Town of Holly Springs wastewater design flow rate of 255 gallons per
day per lot. Thus, the total wastewater flow generated by the project is expected to be 10,200 gallons
per day (GPD).
The sewer system consists of 11 proposed public 4' diameter manholes, 2 proposed 5' diameter
manholes, 942 feet of 8-inch SDR35 PVC pipe and 1,408 feet if 8-inch ductile iron pipe.
The project includes one stream crossing, which requires a 404 approval that has been obtained
(SAW-2019-02417). The proposed impacts are below the threshold for requiring a written approval
from the NCDWR, so a 401 approval is not required.
Included with the submittal are the following items:
• Cover Letter,
• FTA,
• FTSE,
• Sewer Design and Application Certification,
• 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,
,K,5i5 D. FraAe' , E
Principal
919.610.1051
[e-mail]
©2024 FLM Engineering, Inc. Page 1 of 1 February 15, 2024
PO Box 91727, Raleigh, NC 27675 p 1919.610.1051

WcuSign
Certificate Of Completion
Envelope Id:753AAE876A1744B39543E2FBAD884C49 Status:Completed
Subject:Complete with Docusign: New Hill Subdivision response to State Comments
Source Envelope:
Document Pages:21 Signatures:4 Envelope Originator:
Certificate Pages:5 Initials: 1 Emily Koncz
AutoNav: Enabled PO Box 8
Envelopeld Stamping: Enabled Holly Springs,NC 27540
Time Zone: (UTC-05:00)Eastern Time(US&Canada) [e-mail]
IP Address:204.84.166.2
Record Tracking
Status:Original Holder: Emily Koncz Location: DocuSign
8/2/2024 8:09:10 AM [e-mail]
Signer Events Signature Timestamp
Rachel Jones S Sent:8/2/2024 8:19:06 AM
[e-mail] Viewed:8/2/2024 8:55:14 AM
Utility Engineer Signed:8/2/2024 8:58:55 AM
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Electronic Record and Signature Disclosure:
Accepted:5/17/2021 2:39:29 PM
ID: 126bfa6d-c99c-4b40-be28-00aa263b860b
Company Name:Town of Holly Springs
Jon Frazier CD'cu
Signed by. Sent:8/2/2024 8:58:57 AM
[e-mail] vin, FV'a�jtw Viewed:8/2/2024 9:02:29 AM
Security Level: Email,Account Authentication 6C3B75259B3C484 Signed:8/2/2024 9:03:44 AM
(None)
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Electronic Record and Signature Disclosure:
Accepted:8/2/2024 9:02:29 AM
ID:782ef0af-5cOe-480a-a87a-aa7998a711b8
Company Name:Town of Holly Springs
Kendra Parrish o s9 dby: Sent:8/2/2024 9:03:46 AM
[e-mail] � Viewed:8/2/2024 9:58:47 AM
Director of Utilities&Infrastructure EME125CUC4AE Signed:8/2/2024 9:59:02 AM
Holly Springs
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Signed using mobile
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Company Name:Town of Holly Springs
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Electronic Record and Signature Disclosure

Electronic Record and Signature Disclosure created on: 11/12/2020 9:42:57 PM
Parties agreed to:Rachel Jones,Jon Frazier, Kendra Parrish
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, Town of Holly Springs (we,us or Company) may be required by law to
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All notices and disclosures will be sent to you electronically

Unless you tell us otherwise in accordance with the procedures described herein,we will provide
electronically to you through the DocuSign system all required notices, disclosures,
authorizations, acknowledgements, and other documents that are required to be provided or made
available to you during the course of our relationship with you. To reduce the chance of you
inadvertently not receiving any notice or disclosure,we prefer to provide all of the required
notices and disclosures to you by the same method and to the same address that you have given
us. Thus, you can receive all the disclosures and notices electronically or in paper format through
the paper mail delivery system. If you do not agree with this process,please let us know as
described below. Please also see the paragraph immediately above that describes the
consequences of your electing not to receive delivery of the notices and disclosures
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How to contact Town of Holly Springs:
You may contact us to let us know of your changes as to how we may contact you electronically,
to request paper copies of certain information from us, and to withdraw your prior consent to
receive notices and disclosures electronically as follows:
To contact us by email send messages to:jef£[e-mail]
To advise Town of Holly Springs of your new email address
To let us know of a change in your email address where we should send notices and disclosures
electronically to you, you must send an email message to us at [e-mail]
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To confirm to us that you can access this information electronically,which will be similar to
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if you consent to receiving notices and disclosures exclusively in electronic format as described
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clicking `CONTINUE' within the DocuSign system.
By selecting the check-box next to `I agree to use electronic records and signatures', you confirm
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this Electronic Record and Disclosure to a location where you can print it, for future
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• Until or unless you notify Town of Holly Springs as described above, you consent to
receive exclusively through electronic means all notices, disclosures, authorizations,
acknowledgements, and other documents that are required to be provided or made
available to you by Town of Holly Springs during the course of your relationship with
Town of Holly Springs.

DocuSign Envelope ID 10BD1971-01B8.4A1F-A121 E829F100BF9C
r_c'f
State of North Carolina
Department of Environment,
Health and Natural Resources `
Division of Environmental Management 006wilvAl
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary E N
A. Preston Howard, Jr., P.E., Director
March 31, 1995
f
Stepanie L. Sudano,P.E.,Town Engineer h+'c Pei?f of
Town of Holly Springs i
Post Office Box 8 j
Holly Springs,North Carolina 27540 MAY 2
2024
RE: Town of Holly Springs
Request for Adjusted Daily Wastewater Flow R'aleigi l Fe ional 0fricc
Wake County
Dear Ms. Sudano:
t
On March 15, 1995,the Division received your wastewater flow reduction request and supporting
documentation concerning wastewater flows associated with present residences within the Town of Holly
Springs. Your letter requested the Division allow the reduction of wastewater flows from 120 GPD per
bedroom as required in required by North Carolina Administrative Code to 255 GPD per household for
single family residential units. In support of your request,water consumption data and wastewater
information was supplied from households located in Holly Springs.
An evaluation was completed by the Division in accordance with 15A NCAC.0219(1)(3)using the
water consumption data submitted,twelve(12)months of data starting from January 1994. The peak
month was determined to be January 1994 based on average wastewater generated per customer. Using
the upper 10%of the water consumption data for the month of January,eliminating industries,commercial
properties and several inaccurate residential readings,Division staff verified the flow rate of 255 GPD per
household. I
In vices of the information submitted,the Division of Environmental Management hereby approves
the use of 255 GPD per single family residence in all applicable non-discharge permit applications for
future wastewater collection extensions which will be made tributary to the Town of Holly Springs
Wastewater Treatment Plant(Permit No.NC0063096). This consideration applies to any applicable future
projects submitted to this Division as well as any projects which are presently under review. Wastewater
flows presently tributary to the wastewater treatment facilities can be adjusted upon negotiations between i
the Town of Holly Springs and the Raleigh Regional Office.
E
If you have any questions or comments regarding this matter,please contact Mr. Michael D.Allen j
at(919)733-5083 ext. 547.
Sincer y,
A, Preston Howard, Jr,, P.E.
cc: Raleigh Regional Office,Water Quality Section
State Engineering Review Group
P.O.Box 29535,Raleigh,North Carolina 27626-0536 Telephone [phone] FAX [phone]
An Equal Opporlunity Affirmative Action Employer 60%recycled/10%post-consumer paper

DowSign Envelope ID.10BD1971-01B8-4A1F-A121-E829F100BF9C
DO NOT SUBMIT SEWER EXTENSION APPLICATIONS UNTIL
CONSTRUCTION DRAWINGS HAVE BEEN APPROVED BY STAFF!
Sewer Design and Application Certification
Note: This form must be submitted with the Fast Tract Application for extension to the Town of
Holly Springs Sewer System
Project: New Hill Road Subdivision
Design Engineer: Jon Frazier, FLM Engineering, Inc.
Address:
PO Box 91727, Raleigh, NC 27675
Phone Number:
919-610-1051 Email: [e-mail]
Date Complete Application Package Received by Town: 04/18/2023
oe os — vs
Date Approved: (byRf) RJ I (by KDP) (by f7.tj C1
As design engineer for this project, I certify the following (please check(x) each applicable box):
to That the design of the project is in complete conformance with the Town of Holly
Springs Engineering Design and Construction Standards and NC DEQ Sanitary Sewer
Design Regulations;
That each of the following items are completed and enclosed for submittal to the State for
a sewer extension permit:
One original and one copy of a cover letter that includes a project narrative
A check in the amount of$480.00 to NC DEQ
o A check in the amount of$200.00 to the Town of Holly Springs
updated check sent 0 One original and one copy of the State of North Carolina form FTA 04-16
Fast Tract Sewer System Extension Application
0 Two copies of form FTSE 10-18 Flow Tracking.ror Sewer Extension
Applications
0 Two color copies of an 8.5-inch by 1 1-inch portion of a 7.5-minute USGS
Topographic Map showing project area
o Two copies of a street level map showing all relevant project areas
0 One copy of the locally-required Design and Application Certification (This
form)
8/8/2023
Design Engineers Signature Date
Please contact Emily Koncz at(919)557-2933 or emily.koncz(a holl sy prinEsnc.gov if you have
any questions.
2IN13 Smer Design Application Certification
01 :4 21
Utilities and Infrastructure Services
P.O. Box 8 - 128 S.Main Street - Holly Springs, NC 2?540 - www.hollyspringsne.gov

RE: --[EXTERNAL]--Re: New Hill Road Subdivision-Additional Information Request
Rachel Jones <rachel [e-mail]>
Thu 8/1/2024 3:58 PM
To:Pasha, Tanvir <[e-mail]>
Cc:Kendra Parrish <[e-mail]>;Koncz, Emily <[e-mail]>;Jon Frazier
<[e-mail]>
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.
Hello Tanvir,
Thank you for the reminder on this one. We appreciate your guidance and will have the responses
and associated materials to you by Monday 8/5.
e� t%4
Rachel Jones, El I Utility Engineer
Town of Holly Springs I Utilities & Infrastructure Services
PO Box 8 1 128 S Main St I Holly Springs, NC 27540
" o Main: [phone] 1 Cell (919)-980-2992
North' www.hollyspringsnc.gov
From: Pasha, Tanvir<[e-mail]>
Sent: Thursday, August 1, 2024 2:31 PM
To: Kendra Parrish <[e-mail]>
Cc:[e-mail] <[e-mail]>; Emily Koncz
<[e-mail]>
Subject: --[EXTERNAL]--Re: New Hill Road Subdivision—Additional Information Request
Good Afternoon Everyone,
We have been waiting for a response regarding the above-mentioned application, and it has now been over 30
days. Please provide the required documents by Monday, August 5, 2024 EOB, or we will return this
application.
Thanks
Tanvir
A B M "Tanvir" Pasha (he/him)
Environmental Engineer
Division of Water Resources— Raleigh Regional Office
North Carolina Department of Environmental Quality
3800 Barrett Drive, Raleigh, NC 27609
Office: 919-791-4250; Cell: 984-202-3390

Re: --[EXTERNAL]--Re: New Hill Road Subdivision-Additional Information Request
Emily Koncz <[e-mail]>
Fri 8/2/2024 11:00 AM
To:Pasha,Tanvir<[e-mail]>;Kendra Parrish <[e-mail]>
Cc:[e-mail] <[e-mail]>;Jones, Rachel <[e-mail]>
0 1 attachments(3 MB)
-New-Hill-Subdivision-Response to Comments.pdf,
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.
Tanvir,
Please see our responses to your questions below:
have also attached our responses and updated documents to this email. Please let me know if you need a hard copy
also sent and if a copy of the flash drive needs to be included.
1. Is this an ARPA funded project? If soplease include the DWI assigned ARPA project number in your
response.This is not ARPA funded.
2. Section VI.8 of the FTA is missing required information. VI.8 is populated with the flow, but it is off to the right
instead of in the blank on the form (see below snipit).
8. Wastewater generated by project:_GPD(per 15A NCAC 02T .0114 and G.S. 143-215.1) 10,200 GPD
➢ Do not include future flows or previously permitted allocations
3. FTA 10-23, Section IX.4 is checked 'yes'; however,your coordinates are outside the region of state buffer rules.
Please provide the correct answer for this question.This was checked in error as the Cape Fear basin does not
have state buffer rules, but the Town of Holly Springs does. The application has been corrected with the 'no'
box checked.
4. Verify that this project does not include or require any sewer line deemed "high-priority". The project does not
require high-priority lines.The 'no' box was marked in the application.
5. FTSE 10-18, Section II Downstream Facility Sewer does not match FTA 10-23, Section V.I. Section V.1 in the FTA is
asking for the downstream receiving gravity sewer permit number and information; whereas FTSE Section II is
asking for the Downstream pump station facility the project is discharging to.
6. FTSE 10-18 is missing a signature on Section III. Signatures have been added.
7. You have submitted FTSE 10-18; however, your cover letter(Town of Holly Springs) mentions form FTSE 10-23.
Please submit the updated FTSE 10-23. Current version FTSE 10-23 is now provided.
8. The "Sewer Design and Application Certification"form mentions a check of$480 to NC DEQ and FTA 04-16.These
are not required and were not submitted as part of the application package. Please ensure the project documents
are correctly included and specified. If this form is intended to be included, submit an updated and corrected
form to the division.The $600 fee was provided in accordance with the FTA instructions(please see copy
attached)
�CsxNGS Emily Koncz (she/her)I Utility Permitting Specialist
Town of Holly Springs I Utilities & Infrastructure
PO Box 8 1 128 S Main St I Holly Springs, NC 27540
Office: [phone] 1 www.hollyspringsnc.gov
.1b.th

From: Pasha,Tanvir<tanvir.pasha @deq.nc.gov>
Sent:Thursday,August 1, 2024 2:31 PM
To: Kendra Parrish<[e-mail]>
Cc:[e-mail]<[e-mail]>; Emily Koncz<[e-mail]>
Subject:--[EXTERNAL]--Re: New Hill Road Subdivision—Additional Information Request
Good Afternoon Everyone,
We have been waiting for a response regarding the above-mentioned application, and it has now been over 30 days. Please
provide the required documents by Monday,August 5, 2024 EOB,or we will return this application.
Thanks
Tanvir
A B M "Tanvir" Pasha (he/him)
Environmental Engineer
Division of Water Resources—Raleigh Regional Office
North Carolina Department of Environmental Quality
3800 Barrett Drive, Raleigh, NC 27609
Office: 919-791-4250. Cell:984-202-3390
[e-mail]
NORTH CAROLINA
Department of Environmental Duality
From: Pasha,Tanvir
Sent:Tuesday,June 18, 2024 5:38 PM
To: [e-mail]<[e-mail]>; [e-mail]
<[e-mail]>
Cc:[e-mail]<[e-mail]>
Subject: New Hill Road Subdivision—Additional Information Request
Hello Kendra and Jonathan,
After reviewing the Fast Track Sewer System Extension Application for New Hill Road Subdivision, additional information
is required in order to further process the application. Please provide the following information by 07/17/2024,.and
note that the requested information must be submitted within 30 days of this request, or the applicant will be required
to submit a new application and application fee in accordance with 15A NCAC 02T.0107.
1. Is this an ARPA funded project? If soplease include the DWI assigned ARPA project number in your response.
2. Section VI.8 of the FTA is missing required information.
3. FTA 10-23, Section IX.4 is checked 'yes'; however,your coordinates are outside the region of state buffer rules.
Please provide the correct answer for this question.
4. Verify that this project does not include or require any sewer line deemed "high-priority".
5. FTSE 10-18, Section II Downstream Facility Sewer does not match FTA 10-23, Section V.1.
6. FTSE 10-18 is missing a signature on Section III.
7. You have submitted FTSE 10-18; however,your cover letter(Town of Holly Springs) mentions form FTSE 10-23.
Please submit the updated FTSE 10-23.
8. The "Sewer Design and Application Certification"form mentions a check of$480 to NC DEQ and FTA 04-16.These
are not required and were not submitted as part of the application package. Please ensure the project documents
are correctly included and specified. If this form is intended to be included, submit an updated and corrected
form to the division.

15A NCAC 02T.0107 Staff Review and Permit Preparation states:
• "(2) (e) If an application is accepted and later found to be incomplete,the applicant shall be advised how the
application or accompanying supporting information may be modified to make it complete.The staff shall advise
the applicant:
(2) if all required information is not submitted within 30 days,the project will be returned as incomplete.
Any resubmittal of a returned application shall be accompanied with a new application fee."
Please contact me with any questions that you may have regarding this request.
*Please note that the fee for fast track sewer extension permits has increased to$600 as of October 3, 2023[as
stipulated in the 2023 House Appropriations Act, House Bill 259, Water Quality and Stormwater Fees, Section
12.14(a)].
Sincerely,
A B M "Tanvir" Pasha (he/him)
Environmental Engineer
Division of Water Resources—Raleigh Regional Office
North Carolina Department of Environmental Quality
3800 Barrett Drive, Raleigh, NC 27609
Office: 919-791-4250. Cell: 984-202-3390
[e-mail]
D E
NORTH CAROI INA
Department of Environmental Duality
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