WQ0044684_WQ0044684 Application_20240917

DIEHL & PHILLIPS, P.A.
CnN51 I I ING I NONI I RS
1500 PmeN Plains Road Suite 200
Can. North Canolina 27518
elephone [phone]
Water Quality Section
Raleigh Regional Office
NC DEQ
3800 Barrett Drive
Raleigh, NC 27609
September 16, 2024
NC Dept of E;l umil«ntal Qualit,;
SEP 17 2024
Raleigh Reeional {office
WII I ]AM C. DU III . 111
JOIN I I'IIII I HIS. P 1
Re: Request for Permit Modification
Gravity Sewer Extensions to serve Section X Area F Fearrington P.U.D.
Chatham County WQ 0044684
Dear Reviewer:
Enclosed for your review are the following for the referenced project:
I. Revised Plans for WQ 0044684
2. Copy of WQ 0044684
3. Copy of FTA & FTSE for Modification
4. Map & Quad Sheet
5. $600.00 Review Fee
Al ANR.K11111.1'.1.
We request that you approve the proposed permit modification. The gravity sewer was
shortened from the original approved length (now 590 LF vs. 930 LF). The alignment of the
proposed sewer does not vary from the approved plans. The number of lots proposed has
decreased from 7 lots to 6 lots. The flow associated with the project is now 1,500 gallons per
day. Should you have questions or require further information, please contact our office.
Sincerely,
Diehl & Phillips, P.A.
Alan R. Keith, P.E.
Cc: Greg Fitch

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
P. &T TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23 & SUPPORTING DOCUMENTATION
kalclgL IZE.wonai t3ic'.
Application Nurnber:N aO O"6 .4 (ai N. completed hN DW Ri
All item
I. APPLICANT INFORMATION:
I . Applicant's name: Fearrinzton Utilities,I-LC (company, municipality, HOA, utility, etc.)
7. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ® Privately -Own Public Utility
❑ Federal ❑ State County ❑ Municipal ❑ Other ��
3. Signature authority's name: Greg Fitch per I5A NCAC 02T .0I06tb) �J J0
Title: Manager
4. Applicant's mailing address: 2000 Fearrington Village Center
City: Pittsboro State: NC Zip: 27312-
5. Applicant's contact information:
Phone number: [phone] Email Address: greg,0fearrin_ on.com
II. PROJECT INFORMATION:
. Project name: Fearrinaton Section X Area G - Guilford
2. Application Project status: ❑ New Proposed Permit p ( ) ®Existing Permit Project
If a modification, provide the existing permit number: WQ0044684 and issued date: 10 4 23.
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: Chatham /
4. Approximate Coordinates (Decimal Degrees): Latitude: 35..7929 Longitude:-79..0874 ./
5. Parcel [D (if applicable): 18998 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION: /
1. Professional Engineer: Alan R. Keith License Number: 11371 1/
Firm: Diehl & Phillips, P.A.
Mailing address: 1500 Piney Plains Road Suite 200
City: Cary State: NC Zip: 27518-
Phone number: [phone] Email Address: arkeithR(bellsouth.net
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Fearrinzton W WTP Permit Number: NCO043559
Owner Name: Fearrin_t�tilities, LLC /
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
I. Permit Number(s): WQQ043183
2. Downstream (Receiving) Sewer Information: 8 inch X Gravity Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00238
Owner Name(s): Fearrim,ton Utilities, LLC
FORM: FTA 10-23 Page I of 5

V1. GENERAL REQUIREMENTS
I . If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
®Yes ❑No DNA
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DLV) been attached?
❑Yes ❑No ®NA
3. If the Applicant is a Home Property Owners' Association, has an HOA POA Operational Agreement (FORM_ FJOA) and
supplementary documentation as required by 15A NCAC 02T.01 15(c) been attached?
❑Yes ❑No ®NA
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 El Church ❑ Swimming Pool Filter Backwash
❑ Businesses offices factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 ° o Domestic °o Commercial ° o Industrial (See 15A NCAC 02T .0I03(20j)
If Industrial, is there a Pretreatment Program in effect? ❑ Yes❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .01 14(t)? ® Yes ❑ No
1W If yes, provide a copy of flow reduction approval letter with this application otV
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow "
No. of Units
Flow
250 gal/lot all 2 and 3 bedroom units
6
1500 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gall
GPD
gal/
GPD
Total
1500 GPD
./
See 15A NCAC 02T .01 14(bl, (_dl (eX1) 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).
Per 15A NCAC 02T .01 14(c), design Flow rates for establishments not identified [in table 15A NCAC 02T.01 14] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 1500 GPD (per I SA NCAC 02T .01 Id and G.S. 143-215.1)
.01 Do not include future flows or previously permitted allocations
69,
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 (Gra%ith Sewers):
I . Summarize gravity sewer to be permitted:
T Size (inches) Length (feet) Material
Section It & [if 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: Longitude: -
3. Total number of pumps at the pump station:
3. Design flow of the pump station _ millions gallons per day (firm capacity)
P, This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): gallons per minute (GPM) at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01 C. 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)( l)(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.
f 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)): f
Does the project comply with all separations alternatives found in 15A NCAC 021 .03050) & W? ® Yes [:]No
15A NCAC 02T.0305(t) contains minimum separations that shall be provided for sewer systems:
Setback Parameter I Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
'Water mains (vertical - water over server preferred, including in benched trenches)
18 inches
-'Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
"Any private or public water supply source, including any wells, WS-1 waters of Class I or
Class 11 impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
"Waters classified WS (except WS-1 or WS-V). B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
If noncompliance with 02T.0305(t) or fgh see Section X.1 of this application
* I SA NCAC 02T,0305(0 contains alternatives where separations in 02T.0305(t) cannot be achieved. Please check
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 I8C.0906(t) for documentation requirements and submit a separate document,
signed sealed by an NC licensed PE, verifying the criteria outlined in that Rule. /
3. Does the project comply with separation requirements for wetlands? ® Yes ❑ No ❑ N A
Please provide supplementary information identifying the areas of non-conformance.
See the Division's draft separation requirements for situations where separation cannot be met.
No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? ® Yes Basin name: Cape Fear ❑ 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 15ANCAC 2B.0202
5. Does the project require coverage authorization under a 404 Nationwide individual permits ❑ Yes ® No
or 401 Water Quality Certifications?
P, Please provide the permit number permitting status in the cover letter if coverage authorization is required.
6. Does project comply with 15A NCAC 02 r.0105(ex6) (additional permits certifications)? ® Yes ❑ No
Per 15A NCAC 02T.01051c)(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 02 f.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.
P, 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 permtttee 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:
I Dues the submitted system comply with _ , the %Jninnum I►"ap �_'rrli.'rs% for the F'crill nun. "; Puna N%r
rn�i F.,r'e �Lun. Li{_a %er.i„� and the antic. �c�, tr �tmmt�ui [k>i �t t nt:rt.i r latc_t _cr:um i as applicaMc^
® Yes ❑ Nu
If no, Cur projects requiring a single variance, complete and submit the Vanance.'Alternative Design Request application
(VADC 10-14) grid supporting documents for review to the Central Office .Approval of the request will bg 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 re% ieK is required.
2 Professional Engineer's Certification.
1, Alan R Keith attest that this application for Fearrington Section _X Area F
(Professional 6girxix's name from Application Item M. I I (Project Nune from Applrerian 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. t Ptuther
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Crit_eria_t'orGraviI% Sewer, (latesr v4r%ion►, and the Minimum Desten Cnirria lorihe -I rack Per mains
of Pump Stations and Force Mains 1latest version) Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seat 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 143-215.68, 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 S25,000 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 stal, signature, and date:\\���l � ORAL
13=i1
19
Or
3. Applicant's Certification per 15A NCAC 02T.0106(b): 9/11At
i, Greg Fitch attest that this application for Fearrington Section X Area F
(Sigiumic Audiodry Name from Appl Ica6on Item 1.3) (Project Namc fnxn Application Item II 1)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
1 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 it condition of this permit be violated- 1 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 ? 15.6A 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 S 10,000 as well as civil penalties up to $25,000 per violation.
Signature: Date:
FORM: FTA 10-23 Page 5 of 5

NC 0CPIot Crvir0i,,,,e:lial Quaiiiy
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Ra 1 el4i&W94P94cepta nee for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Fearrington utilities, LLC
J
Project Name for which flow is being requested: Fearrington Section X Area F
More than one FTSE niay be required for a single project if the owner of the ;VWTP is not responsible for all pump
stations along the route of the proposed wastewater flow
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Fearfington WWTP
b. WWTP Facility Permit M NCO043559
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
A11 flows are in MGD
_0.50 (0.270 constructed)
0.05615
0.150
0.00150
0.2077
77.00
11. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A)
(B) (C) (D)=(B+C)
(E) (A-D)
Design
Obligated,
A� erage Daily
Approx. Not Yet Total Current
Pump Station Firm Flow**
Current Tributary Flow Plus
(Name or Capacity. * (Firm pf).
Avg Daily Daily Flow. Obligated
Available
Number) MGD MGD
Flow, MGD MGD Flow
Capacity***
Weathersfield 0.90 0.36
0.14 0.019 0.155
0.205
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pi) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacih is < 0.
Downstream Facility Name (Sewer): Fearrin on Section X Area F ✓
Downstream Permit Number: W 0036339
Page 1 of 6

Ill. Certification Statement:
I Greg Pitch _ _ 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 indicates acceptance of this wastewater flow.
Signing Official Signature
Date
Page 2 of 6
FTS)✓ 04-16

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
NORTH CAROLINA
Environmental Quality
October 4, 2023
Greg Fitch, Manager
Email: grel;@fearrinl;ton.com
Fearrington Utilities, LLC
2000 Fearrington Village Center
Pittsboro, NC 27312
Subject: Permit No. WQ0044684
Fearrington Utilities, LLC
Fearrington Section X Area F
Wastewater Collection System Extension Permit
Chatham County
Dear Mr. Fitch:
ANC Dept of Erviro;,,-,;e;1,,a1 Quality
Raleigh Regional office
In accordance with your application received August 21, 2023, and additional information received on
October 4, 2023, we are forwarding herewith Permit No. WQ0044684 dated October 4, 2023, to
Fearrington Utilities, LLC (Permittee) for the construction and operation upon certification of the subject
wastewater collection system extension. This permit shall be effective from the date of issuance until
rescinded and shall be subject to the conditions and limitations as specified therein. This cover letter shall
be considered a part of this permit and is therefore incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition 11.1: This permit shall not be automatically transferable; a request must be made and
approved.
Condition 11.7: Upon completion of construction and prior to operation of these permitted facilities, the
completed Engineering Certification form with checklist attached to this permit shall be
submitted with the required supporting documents to the address provided on the form.
Permit modifications are required for any changes resulting in non-compliance with
this permit, regulations, or the Minimum Design Criteria. (15A NCAC 02T.01161
It shall be responsibility of the Permittee to ensure that the as -constructed project meets the appropriate
design criteria and rules. Failure to comply may result in penalties in accordance with North Carolina
General Statute §143-215.6A through §143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to
the licensing board.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
D,�� � Vorth Caotiaa Dreatn�c i of Eatzrormefltal Q>pl« Dn�inn oftl,'eter Reeonrce�
Rde b Regonel c&ce 3900 B=ett Dnve Me* NottL Caolms 2"6 )9
w �\ 0g.I 919 "91 4: M7

NORTH CAROLINA
Environmental Quality
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
in accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
Fearrington Utilities, LLC
Chatham County
for the construction and operation of approximately a3D-inear feet of 8-inch gravity sewer to serve,
three -bedroom homes as part of the Fearrington Section X Area F project, and the discharge of 1,750*
gallons per day of co lected domestic wastewater into the Fearrington Utilities' existing sewerage system,
pursuant to the application received August 21, 2023, and additional information received on October 4,
2023, and in conformity with 15A NCAC 02T; the Division's Gravity Sewer Minimum Design Criteria
adopted February 12, 1996 and updated in March 2008, as applicable; the Division's Minimum Design
Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as
applicable; and other supporting data subsequently filed and approved by the Department of
Environmental Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the specified
conditions and limitations contained therein.
*Via letter sent on April 27, 2007, DWR granted Fearrington Utilities an adjusted daily sewage design
flow rate of 250 gallons per day per one to three bedroom single family dwelling, with an additional
70 gallons per day per each bedroom over three bedrooms.
l'DocuSgnedby C
f , h A. VAlII t.SSQ
B2918EBAB3214AF
for Richard E. Rogers, Jr.
Director, Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number: WQ0044684
Permit Issued: October 4, 2023
Page 3 of 9

operation and maintenance of these facilities as required by 1SA NCAC 02T .0403. If an individual
permit is not required, the following performance criteria shall be met:
a. The sewer system shall be effect vely maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or surface
water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e. 36S
days per year). Pump stations that are connected to a telemetry system shall be inspected at
least once per week.
e. High priority sewer lines shall be inspected at least once per every six -months and inspections are
documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in accordance
with 15A NCAC 2B .0506(a), and public notice shall be provided as required by North Carolina
General Statute §143.215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of three
years with exception of the map, which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Paleiph Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours,
following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable
of adequate wastewater transport, such as mechanical or electrical failures of pumps, line
blockage or breakage, etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
Page 5 of 9

construction requests are discouraged by the Division and may not be approved, thus requiring
replacement or repair prior to certification & activation. [15A NCAC 02T .0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the Division's
Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified unti;
corrected. if there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case -by case bass. Resolution of such request shall be evident prior to completing and submitting
the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the individual permit and construction record drawings shall be maintained on file by the
Permittee for the life of the wastewater collection facilities. [15A NCAC 02T .0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 02T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted June
1, 2000 as applicable; and other supporting materials may subject the Permittee to an enforcement
action by the Division, in accordance with North Carolina General Statutes §143-215.6A through §143-
215.6C, construction of additional or replacement wastewater collection facilities, and/or referral of
the North Carolina -licensed Professional Engineer to the licensing board. [15A NCAC 02T .0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including those
as may be required by this Division, such as the construction of additional or replacement facilities.
[15A NCAC 02T .0110; 15A NCAC 02T .0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or Local
government agencies which have jurisdiction or obtaining other permits which may be required by
the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 9

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ORRIS R4 'Am M VILLAGEVAY
V D
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- 1-' —

State of North Carolina
C Dept of ErtvDWR
irorimental Qualm, Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRU9TIONS FOR FORM: FTA 10-23 & SUPPORTING DOCUMENTATION
This application is for sewer extensions fnvo tl -grh�1 rs, 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 021 and the Division's
Minimum Design Criteria (Gravit% Se,.%er & Punk Stations Ford' lains) 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 permit application to the Division. This would include plans, design
caicuiations, 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
E Required unless otherwise noted. Signatures on original must be "wet ink" or secure digital signatures.
Please do not submit engineering design plans with the application unless specifically requested.
B. Cover Letter/Narrative Description (Required for All Application Packages):
E 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.
C. Application Fee (All New and Modification Application Packages):
E Submit a check or money order in the amount of $600.00, dated no more than 90 days prior to application submittal.
J� Payable to North Carolina Department of Environmental Quality (NCDEQ)
D. Fast Track Application (Required for All Application Packages, Form FTA 10-23):
E Submit the completed and appropriately executed application.
.- If necessary for clarity or due to space restrictions, attachments to the application may be made.
Q If the Applicant Type in Item 1.2 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.
E The Project Name in Item 11.1 shall be consistent with the project name on the flow acceptance letters, agreements, etc.
E The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North Carolina
licensed Professional Engineer.
E 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).
INSTRUCTIONS FOR FORM: FTA 10-23 & SUPPORTING DOCUMENTATION Pagel of 3

E. Flow Tracking/Acceptance Form (Form: FTSE 10-23) (If Applicable):
® Submit the completed and executed FTSE form from the owners of the downstream sewers and treatment facility.
Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different.
The Flow acceptance indicated in form FTSE must not expire prior to permit issuance and must be dated less than one year
prior to the application date.
Submittal of this application and form FTSE indicates that owner has adequate capacity and will not violate G.S. l d3-215.67(a).
Inter_;overnmentai agreements or other contracts will not be accepted in lieu of a project -specific FTSE.
F. Site Maps (All Application Packages):
® Submit an 8.5-inch x I I -inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project area,
including the closest surface waters
10, General location of the project components (gravity sewer, pump stations, & force main)
1� 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)( l ), 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)
I. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
® Per 15A NCAC 02T .01 15(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):
O Home Property Owners' Associations
❑ Per 15A NCAC 02T .01 15(c), submit the properly executed Operational Agreement (FORM: HOA).
❑ Per 15A NCAC 02T .0l 15(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .01 15(b), submit the properly executed Operational Agreement ( FORM: DEV).
For more information. visit the Division's collection st,steins nrebsite
INSTRUCTIONS FOR FORM: FTA 10-23 & SUPPORTING DOCUMENTATION Page 2 of3

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
Asheville Regional Office
Water Quality Section
Fayetteville Regional Office
Water Quality Section
Mooresville Regional Office
Water Quality Section
Raleigh Regional Office
Water Quality Section
Washington Regional Office
Water Quality Section
Wilmington Regional Office
Water Quality Section
PU15104*1
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Swannanoa, North Carolina 28778-8211
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
225 Green Street Suite 714 Anson, Bladen, Cumberland, Harnett, Hoke,
Fayetteville, North Carolina 28301-5095 Montgomery, Moore, Robeson, Richmond,
[phone] Sampson, Scotland
[phone] Fax
610 E. Center Avenue
Mooresville, North Carolina 28115
[phone]
[phone] Fax
3800 Barrett Drive
Raleigh, North Carolina 27609
[phone]
[phone] Fax
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
Stanly, Union
Chatham, Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
Northampton, Orange, Person, Vance, Wake,
Warren, Wilson
Beaufort, Bertle, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Brunswick, Carteret, Columbus, Duplin, New
Hanover, Onslow, Pender
Winston-Salem Regional Office 450 W. Hanes Mill Road Alamance, Alleghany, Ashe, Caswell, Davidson,
Water Quality Section Suite 300 Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105 Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
[phone] Fax
INSTRUCTIONS FOR FORM: FTA 10-23 & SUPPORTING DOCUMENTATION Page 3 of