WQ0045859_Meadows_Subdivision_Phase_4B_FTSSE_App_20240926

ESPpJri_-i�-le,t of
_r1vitormiental ��lal ty
Received State of North Carolina
scp 2 6 2924 Department of Environmental Quality
DWRa®r Division of Water Resources
ti�rinston-Salem FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources Regional Of i FTA 10-23 & SUPPORTING DOCUMENTATION
,frCe
Application Number:;to be co.npleted by DWR.)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: City of Mebane (company, municipality, I I.OA., utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑State/County ®44wlicipal I Other
3. Signature authority's name. Preston Mitchell per 15A NC'AC 02'C .0106(b)
�
'Title: LIty Manager e ,r / Ju -re-IT t+*
4. Applicant's mailing address: 106 E Washington St
City: Mebane State: NC Zip: 27302
5. Applicant's contact information: /
Phone number: (9I9) 563-5901 Email Address: pmitchetICcbcityofinebane.com
II. PROJECT INFORMATION:
i. Project name: Meadows Subdivision Phase 4B
2. Application/Project status: ®I roposed (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. Comity where project is located: Alamance,
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.063887' Longitude:-79.255348'
5. ParceI ID (if applicable): 9824-32-6605 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Matt Hastings License Number: 038098
Firm: Summit Desin_&._Fngieerina Services
Mailing address: 606 Br -pad St, Suite C
City: South Boston State: VA Zip: 24592-
Phone number: [phone] ' Email Address: matt. hastingsA'summitde.com
IV. WASTEWATER TREATMENT FACILITY (W-WTF) INFORNATION:
i
1. Facility Name: Mebane Wastewater Treatment Plant Permit Number: NC/0021474
Owner Name: City of Mebane
V. RECEIVI.NG DOWNSTREAM SEWER INFORMATION:
1. Permit Numl_ier(s): WQsoutlieast P,,e.>;ional Pump Statign - 0032351
2. Downstream (Receiving) Sewer infonnation: 18 inch -, 2N C34vity ❑ Force Main
3, System Wide Collection System Permit Number(s) (if applicable): WQCS00081
Owner Name(s): City of Nlebane l
FORM: FTA 10-23 Page I of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
[—]Yes [-]No ®N/A"'
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑ No ® N/A -"'
3. If the Applicant is a Home/Property Owners' Association, has an HOA/POA Operational Agreement (FORM: HOA) and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
❑ Yes ❑ No ® N/A /
4. Origin of wastewater: (check all that apply):
®Residential (Individually Owned) ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential (Leased) ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool/Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
Nature of wastewater: 100 % Domestic % Commercial % Industrial (See 15A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
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.0I14(f))
Daily Design Flow a,n
No. of Units
Flow
3 Bedroom
225 gal/day
26
5,850 GPD
4 Bedroom
300 gal/ddy
26
7,800 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
13,650 GPD
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: 13,650 6PD (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):
FORM: FTA 10-23 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
1,693
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: ° Longitude: - °
3. Total number of pumps at the pump station:
3. Design flow of the pump station: millions gallons per day (firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): gallons per minute (GPM) at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01C.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

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(f) & (g)? ® Yes ❑ No
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
2Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
2Water 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 webnage
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.
i
4. Is the project located in a river basin subject to any State buffer rules? ®Yes Basin name: Jordan Lake E�No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑ Yes ® No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications must be being prepared,
have been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion
and sedimentation control plans, stormwater management plans, etc.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes JZ 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

X. CERTIFICATIONS:
1. Does the submitted system comply with 1 a. NCAC 02T, the :Minimum Desitzn Criteria ror the P rmittims- of I'um1Starions
and Farce Mains (I_ttcst versioni, and the t.,tayity Sewer Minimum Design Criteria [latest version; as applicable?
i
Z Yes. J 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 nroiects requiring a variance approval may be subject to longer
review times. For proiects requiring two or more variances or inhere the variance is determined by the Division to he a
siv)ificant portion of the project. the full technical review is required.
'. Professional Engineer's Certification:
I. /Q Chl �! attest that this application for IfR4 pyj� I'Ht D
si
(Professionai Engineer's name 4m Application Item IN I) (Pro'cct Fame tom Application item 11 1)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications, engineering calculations, and all other supporting documentation to the best of my knowledge. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Nlinimutn Desi,_m Criteria rur Gravity Sewers [ latest version) and the \linintuni Design Criteria for thr Fast -Truck Permitting
of Pumv Stations and Farce \lairs ilatest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design,
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. Misrepresentation of the application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the Licensing board. (21 NCAC 56.0701)
North Carolina Professional Engineer's seal, signature, and date
•s 0
3. Applicant's Certification per 15A NCAC 02T,.0106(b): /
c)� ��
1, �Zf7 �Ni r f t',►�G C attest that this application for -00 ov;
(Signature Authori[v Name front Application [tem 1 3.) (Project Name from Application Item I[.1)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
l 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 i43-215.6A and 143-215.6E any person who knowingly makes any false
statement, representation, or certification in any application package shalt 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.
J
Signature: ~' ' r✓ Date:
FORM: FTA 10-23 Page 5 of 5

wxA*
NCDENR
North Carolina De--iartrnent of Environment and Natural Resources
Division of Nater Quality
Beverly Eaves Perdue '-oleerl H, Sums Dee Fieenian
Goverrior Ohector Secretary
\LUCh 15. 201 i
Men 1. 'Nikon
City Vlanager
City of N—lebane
106 East Washington Stree(
klebane, NC 27302
SUI�JCCU Mcbane WWI P 04('0021 ! 7
Flo-w Rcidu'jion Request
AlarriaTice (.'ounl�
Dear. 'v1r. Wilson:
(V lad bmar% 14. 2011. the E.Rc��,ponsc anj C11 kv ion System (PERCS I Unit of,
the WNW of Wer Qunfivy recoived a flirv, r(AuctOn tor k,:onncctw,-is to the (.1ty ofl"Oehmne WWTII.
l'he letter rqnests an allt"table Wt% rwc oF 80 p! MY rwr dal (gph pin buMmi ha- e(I on ih-,�,zvaluated data.
As dead y 'WVVTP diata. is not xproomatinu of the pnd"i art m he FAIR daw Wni be Cly at'Me hane
'VNVTP (NC002 14 741 hoot January WN thmul0i Deovailmr 200Q "n ca!ux�(,,d to deLerniinc the peak sewage
rj-j(jnth. I lie highe,;t flovv month v,,s U,-,ccmber 2001 1111, "asle%Wr Vozmrecorded dovvnstrearn of
we WHY Rkwo SUNHAMon dw'in_ �'(Q+ ENS dMa rt.-'iW k.cd b,% FIL;'RCS and Regional Office
staff,
Bond on be thty the Dkiyon hmby Isms a reducMi iin, llok% to ' () gpd`bedroom �.minimttrn of' 160
gpd Cor 1 and 2 bedrocim rtsidencesi Air seNner mcnam pern&A AMINd WNW) tO IN Cky Of Nklebane
AWWTP,
LegardlessoLdie atiiusteti flo%r . at no Firm shall the wqsteavqter flt-mNa
the Capacity of th
fined i n Lh �f PDES pjLu? fo e lrezful"�!ql racilm or e\cee't . ..... . ... . . ......
se.wers- aii' nev, s
IF you We any questions or conmit�nts re�prdirqg this rnatt,'r, ,:ontxl Sarah ',Ivlornson at (919)
807-63 10, or email [Smah.Mon invif audenogm kw FONAnh Mo. U0 ' npervi';(-,r al (919) 807-639, 1, or
email [Deborah,(.rore dirlcdenr,gov I
ill. D-aaefl t.. RnwT PT. My 115=4 wwu& Kin, hic
Stew Mamn, \k Pe,�i: imal W.I,c v i,
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PPRCS Am Aduohn f At
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Msummrr
M=k AND mc4mom, M.Wn C,tl"oy inspired - Technically Executed
504 Meadawland Drift
HRIshoreugh, NC 27278
Ph: 919-732-3983 Fax: 919,732-6676
www.summhde.net
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State of North Carolina
DWR
Department of Environmental Quality Division of Water Resources
DMsIon of Water Resources Watershed Classification Attachment (WSCAS 01-15)
These instructions are to be used when completing form WSCAS for sewer extension projects.
Identifying stream classifications that are affected by the project is necessary:
• To determine/confirm the minimum separation distance of sewer system components from
classified waters as specified in 15A NCAC 2T,0305(f)
• To determine/confirm any applicable river basin rules that may affect sewer system components
If any portion of the sewer extension comes within 100 feet of any surface water (waterbody) or
wetland a completed form is required. Determine the names of surface waters within 100 'feet of the
project or along the project route and utilize either of the below options to determine stream
classification:
Finding Stream gla�slficat ions (Map or List)
A map with designated streams and their associated classifications can be obtained at:
htt , enr
,y!Wgrl!!Iqg.o-html?ld=6el25ad762gf494694e 9S9Q
• Find/select the waterbody and record the river basin(s), stream index number and classifications
applicable to the project on the form
Mi
A listing of stream classifications based on river basin can be obtained at:
tmpJJ,pp!!jkLncdenr.o/w b -qJW�u n (,,ee left hand side of webpage)
• Select the river basin(s) (hydrological or alphabetically sorted) where your project is located
• Locate the name of the identified waterbody on the list for the selected basin
• For multiple listings of the same waterbody name in the report, select and verify the location
description. The term "source" in the description means the beginning of the waterbody segment
(most upstream point)
• Record the river basin(s), stream index number and classification applicable to the project on the
form
Submittal Instructions
Label any unnamed tributaries as "UT to stream name" as the waterbody name on form per 15A NCAC 02B
.0301(i). See page 2 for additional notes on unnamed streams.
Submit a c*Jor copy of a USGS Topographic Map to identify the project area and surface waters. Each map or
maps must show the location of the sewer system and include location identifiers where the system traverses
over or near waterbodies. The map should have location 10's for each different waterbody and corresponding
classifications should be recorded,
**Note that these instructions do not need to be submitted**

Note on Unnamed Streams (.1 SA 213, 3Q 1 1NCAC q]')
_­ _p_ _J,
Any stream which is not named in the schedule of stream classifications carries the same classification
as that assigned to the stream segment to which it is tributary except:
unnamed streams specifically described in the schedule of classifications;
unnamed freshwaters tributary to tidal saltwaters will be classified "C"; or
after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class
SA waters by approved dredging projects will be classified "SC" unless case -by -case
reclassification proceedings are conducted.
The following river basins have different policies for unnamed streams entering other states or for
specific areas of the basin.
.......... . .. ..... . ....
HIWASSEE RIVER BASIN
....... ........... . .....
1 Streams entering Georgia or Tennessee shall be classified
C Tr,"
LITTLE TENN RIVER BASIN AND
SAVANNAH. RIVER Streams entering Georgia or Tennessee shall be classified
DRAINAGE AREA
"C Tr." Such streams in the Savannah River drainage area
i entering South Carolina shall be classified "B Tr `
FRENCH BROAD RIVER BASIN
I Streams entering Tennessee will be classified "S
WATAU(3A RIVER BASIN
Streams entering the State of Tennessee are classified
U,
BROAD RIVER BASIN
Streams entering South Carolina are classified "C."
NEW R [V�E N
........ . . .
streams entering the State of Tennessee are classified
CATAWBA RIVER BASIN
Streams entering South Carolina are classified *'U'
YADKIN -PEE DEE RIVER BASIN
Streams entering Virginia are classified T," and such I
streams entering South Carolina are classified "C," I
LUMBER RIVER BASIN
Streams entering South Carolina are classified % Sw."
ROANOKE RIVER BASIN
Streams entering Virginia are classified "C" Except that all
backwaters of John H. Kerr Reservoir and the North
Carolina portion of streams tributary thereto not
otherwise named or described shall carry the
classification "B," and all backwaters of Lake Gaston and
the North Carolina portion of streams tributary thereto
not otherwise named or described shall carry the
Classification "C and B."
r �!C?WAt RIVER BASIN ...... . ......................
............................. ­ ........................................ I.., ............. ............ ................................ - .................................. ............
Streams entering Virginia are classified "C."
.................. ...................... .......................... .... . ............................................................................ . .
TAR-PAMILICC) RIVER BASIN
.................. ......................................................................................... . I ..... . .......
All drainage canals not noted in the schedule are
classified "C Sw," except the main drainage canals to
Pamlico Sound and its bays which shall be ctassified"SC.'
— — — — - -­­ -- ­
PASQUOTANK RIVER BASIN
. . . . .............
All drainage canals not noted in the schedule are I
.........................
classified "C." ....... ............... . . ....... _ ...... .. .... .......... .......... ....... ................. ­­., .................

1DW
"'Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: City of Mebane'
Project Name for which flow is being requested: Meadows -Phase 4B-'
More than one FTSE maybe required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: City of Mebane Water Resource Recovery Facility
b. WWTP Facility Permit #: NC0021474
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
2.500
0.3854
1.7860
0.0136
2.1850
87%
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
SE Regnl
WQ0031329
2.505
(A)
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Design
Average
Approx.
Obligated,
Daily
Current
Not Yet
Total Current
Flow**
Avg. Daily
Tributary
Flow Plus
(Firm / p fl,
Flow,
Daily Flow,
Obligated
Available
MGD
MGD
MGD
Flow
Capacity***
1.002
0.273
0.138�
0.411
0.591
* 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 pealdng 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): City of Mebane
Downstream Permit Number: WQCS00081
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Preston Mitchell i 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.
ing Official Signature
Interim City Manager
Title of Signing Official
7
Date
Page 2 of 6
FTSE 10-18

NC Depart --rent of
Env'ironirental Quality
Received
SEA' 2 6 2024
Winston-Salem
Regional Office
ESUI41fMT
DESIGN AND ENGINEERING SERVICES
SANITARY SEWER
SUBMITTAL
DOCUMENTS/
CALCULATIONS
MEADOWS SUBDIVISION PHASE 4B
PROJECT#: 16-0028
ORIGINAL PHASE 4 APPROVAL: AUGUST 23, 2023
PHASE 4A: APPROVED AUGUST 14, 2024
THIS SUBMITTAL WILL DIVDE THE APPROVED PHASE IV INTO 2 PIECES
OWNEWAPPLICANT:
Bowman Road Partners, LLC
504 Meadowlands Drive
Hillsborough, NC
ENGINEER/CONSULTANT:
Matt Hastings, PE
Summit Design and Engineering
606 Broad St, Suite C
South Boston, VA 24592
P [phone] / F [phone]
ntatt.haltin�is!a,s,ummitJe.net

SUMMARY:
Bowman Road Partners is in the process of developing a residential subdivision on a 131.93 acre
parcel on the north side of Bowman Road in both Alamance and Orange County. The property
has already been annexed into the City of Mebane limits and has been designed to meet their
standards. The approved development is for 369 dwelling units. The type of unit breakdown
may vary as development proceeds but currently the proposed layout will include a total of 314
lots/homes and 55 townhomes. Due to the size of the project it will be built in multiple phases.
Phase 4B will consist of 52 single family homes. The overall sewer design has been evaluated
but the following plans are for Phase 4B only.

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources Watershed Classification Attachment (WSCAS 01-15)
Along with this form, submit a color copy of a USGS Topographic Map to identify the project area and waterbodies.
Each map or maps must show the location of the sewer system and include location identifiers where the system
traverses over or near waterbodies. The map should have location ID's for each different waterbody and
corresponding classifications should be recorded.
Include the completed form and map portions with the permit application for submittal to the appropriate review
agency. A list of the Division's regional offices, their county coverage, and contact information can be obtained from:
http://aortal.ncdenr.org/weblwQlhome/ro
i
Location Name of waterbody) River Waterbody Stream ' Waterbody
ID Basin Index No. Classification
_ r _ _..__„ __... .._.._._ _..._.___....__............. __ ia ...._....._._.
1 Haw Creek Cape Fear 16-20-(1) WS-V, NSW
i I
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1 If unnamed, indicate "unnamed tributary to V, where X is the named waterbody to which the unnamed tributary joins
I certify that as a Registered Professional Engineer in the State of
North Carolina that I have diligently followed the Division's instructions
for classifying waterbodies and that the above classifications are
inclusive of the stated project, complete and correct to the best of my
knowledge and belief.
PE Seal, Signature and Date
a

Surface Water Classifications:
r 16-20-(1)
Haw Creek (including
the proposed reservoir
below normal reservoir
elevation)
From source to N. C.
Hwy, 54
s-V;NSW
August 2, 1992
Cape fear
More in3

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TOPO! map prrted on 06/28/16 from "Unt.tied,tpo"
79— THAT W 7 9 * 16,0 (; 0 ' VV - 1 1-1, 0 C, ',? W '0Jl-.,S84 79'14.000'
/911 1 -"COU W 79 1 t-., Doti` W WGS34
MN *TN
NATIONAL
GEOGRAPHIC

81� � IIII��IIVI�Iq �-
2007 $00043,S29�940 NEED
W09f2007 01 5E'30 PM tt3
7`iLZV 0y61* n. 10:a Son
i?:gi.%t.e of C*aft , Orange ia,NC
ilrcord:ngg fal 20 20
Nc Cleat Ex tat* X
EXciseTax: $1,737.00
Parcel Identifier No. i p Csf) S VefiedbyP,4 County on the day of"_, 20
By.
Mai) for liarroltt jA_W firm, t L ...0 321 Alamance DriveRalei& NQ 27609
This instrument was prepared by: M'chael F, Hinckle..
Brief description for the Index: 131.80 acre_
TIUS DEED made this 9h day ofQctnber 2QL7, by and. between
GRANTOR
IlOLl 'i';iiON, LTD, a North Carolina
corporation (formerly Housthon Bk', Ltd;)
GRANTEE
BDG ARLIIw GTON ASSOCIATES, LLC
7000 Six Forks Road, Suite II$
Raleigh, NC 271
}inter in appropriate black for esoh parry: name, address, and, if appropriate, character of entity, e.g. corporation or parwmship.
The designation Grantor and Grantee as used herein shall include said parties., their heirs, successors, and ass gns, and shall
include singular, plural, masculine, feminine or neuter as required by context.
WIT2vESSETii, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these prescet4 does grant, bargain, sell and convey unto the Grantee in fee simple, aU that certain.
lot or parcel of land situated in the Q -off Mebane,eCheeks Township. tram C'pt ntl ���d_l�rietyt lg_t'rzv�nstri�s,
Aianrance County, North Carolina and more particularly described as follows:
See Exhibit A.

RB43ig 156 V3
For back reference, see Deeds rccordcd in Book 1699, Page 477, Orange County Registry. and Book 1149, Page 37),
Alarnan,cc Co-unty Registry.
A reap showing the above described property is recorded in Plat Book 102, Page 158, Orange County Registry, and Plat
Book 72, Page 124, Alamance County Registry,
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the
Grantee in fee simple.
And the Grantor covenants with the Grantee. that Grantor is seized of the premises in fee simple, has the right to convey the
same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will war-arit and defend
the title against the lawful claims of all persons whomsoever, other than the following exceptions:
I. 2007 ad valorem Wes,
2, E.,asements, restrictions and rights o,' way of record,
IN- WITNESS VME",'OF, the Grantor has duty executed the foregoing as of the day and year First above written,
Hotist.h�on &id, a �North �00ra�tl()n
/ lviichiacl H.
North Carolina, Wake County
I certify that the following person(s) personally appeared before the this day, each acknowledging to me that he or she
voluntarily signed the foregoing document for the purposes stated therein and in the capacity indicated; Michael H.
. . ....................
Hinck.IeVicePresi-Oot-qf !LQu-9hqnLtd.,
Date: 14 0
My Commission Expires:_
St2fTIP/SC31
81RAVLEY f4ARPOLI)
NOTARY PUBLIC
WAKE COUNTY, NC
. . .... . .......
Notary Public

EXHIBIT A 43139 157 313
BEING all of that 131.80 acre tract shown as Tract I on a map entitled "Boundary Survey, Housthon
Ltd." recorded in Plat Book 102, Pa-e 158, Orange County Registry, and in Plat Book 72, Page 124,
Alamance County Registry.
Being the sarne property conveyed to Housthon ITV, Ltd- by De W recorded February 20, 0,98 in
Book 1689, Page 477, Orange Co�nty Registry, and in Book 1149, Page 371, Alarnance Cowity
Registry, SAVE AND EXCEPTthe tract conveyed to The City of Mebane by Deed recorded May 16,
2007 in Book 2570, Page 661, Alarnance County Registry.