WQ0040850_Application (FTSE)_20190510

Coastal Engineering & Surveying, Inc.
4425 N Croatan Hyw.
Kitty Hawk, North Carolina 27949
Phone [phone]
Fax [phone]
LETTER OF TRANSMITTAL
To: NCDENR-Water Quality
943 Washington Square Mall
Washington, NC 27889
We are sending you the following:
❑ Shop Drawings ❑ Prints
❑ Letter ❑ Specs
❑ Change Order ® Plans
Date: 4/26/19 1 Proiect No: P659
Attention: Allen Clark
Re: Beacon Quarters at Corolla Light
Via: MAIL
❑ Samples
❑ Payment Application
® Other
Copies
Date
No.
Descri tion
1
8/28/14
Fast -Track Application (FTA 08-13
1
7/31/14
Flow Tracking for Sewer Extension Applications
1
check for $480.00
-Application
These items are transmitted as checked below:
❑For Approval ❑ Reviewed
❑ For Your Use ❑ Reviewed as Noted
® As Requested ❑ Revise & Resubmit
❑ For Review and Comment ❑ Returned No Action
❑ Prints Returned After Loan To Us
Remarks: Please let us know if you need anything else. Thank you.
Signed: MITCH HALLORAN

ITOWNEBANK
� SOUTHERN SMOKES, NO 27049
COASTAL ENGINI£ERING & 66RVEYING, INC.
PO BOX 1129
jOTT HAWK, NC 27949
PH.262-281-4ib1
PAYTOTHE NC DEQ
ORDER OF
Four Hundred Eighty and 00/100..*****........*.,*...***.*..*.:**,.*.*...**...........*a:.*.::
i
NC Department of Environmental Quality
' 943 Washington Square Mall *11AWashington, NC 27889At
MEMO
State Sewer Permit h(V Sq Ftg0r1 Q0 0-4-rS AUIHORREDSIGNAT RE
n'01198311@ 1:05LL,089-1,91:502842095SO
COASTAL ENGINEERING & SURVEYING, INC.
NC DEQ
State Sewer Permit
�1 (9 59 - Ze Q C-otr-� 0-vd-1-t- s
4/26/2019
11983
88-GOV514
WH�%Wl ff
4/26/2019
s **480.00
DOLLARS E
11983
480.00
OBX/Towne Bank *20 State Sewer Permit 480.00

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1wk
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
FAST -TRACK APPLICATION (FTA 08-13)
Division of Water Resources for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
General — When submitting this 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.
For more information, visit the Surface Water Section's Collection Systems website or;
contact the Regional Office serving your county
Unless otherwise noted the Applicant shall submit one original and one copy of the application and supporting
documentation to the appropriate Regional Office (see page 6)
A. Cover Letter:
® Include a brief project narrative describing the final design (i.e system and/or pump station to ultimately
serve 500 homes, but flow for only 100 homes being requested now). For modifications, clearly explain
the reason for the modification (i.e. adding another phase, changing line size, length, etc).
B. Application Form (FTA 08-13):
® Submit the completed and appropriately executed Fast -Track (FTA 08-13) Application. Any unauthorized
content changes to this form shall result in the application being returned. If necessary for clarity or due
to space restrictions, attachment to the application may be made, as long as the attachments are
numbered to correspond to the section and item to which they refer. You do not need to submit detailed
® The Professional Engineer's Certification of the application shall be signed, sealed and dated by a North
Carolina licensed Professional Engineer.
® The Applicant's Certification 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).
C. Application Fee:
® Submit a check in the amount of $480 to: North Carolina Department of Environment and Natural
Resources (NCDENR).
➢ Checks shall be dated within 90 days of application submittal.
D. Certificate of Public Convenience and Necessity (For Privately -Owned Public Utilities Only):
❑ Per 15A NCAC 02T .0115(a)(1), provide two copies of 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 two copies of 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.
❑ The project name in the CPCN or letter must match that provided in Item A(2)a of this application.
E. Operational Agreements (For Home/Property Owners' Associations and Developers of lots to be sold):
➢ Home/Property Owners' Associations
® Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (HOA 08-13).
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
➢ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (DEV 08-13).
Even if the project may be turned over to a municipality upon completion, Form DEV 01-12 is required.
INSTRUCTIONS FOR APPLICATION FTA 08-13 & SUPPORTING DOCUMENTATION Page I of 6

F. Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance Form (FTSE 08-13)
® Submit the completed and appropriately executed Flow Tracking/Acceptance for Sewer Extension Permit
(FTSE 08-13) Form for all applications.
➢ The applicant (and owners of downstream sewers, pump stations and/or treatment facilities submitting
form FTSE 08-13 certifies that the addition of the volume of wastewater to be permitted in this project
has been evaluated along the route to the receiving treatment plant, and that the flow from this project
will not cause capacity related sanitary sewer overflows or overburden any downstream pump station en
route to the receiving wastewater treatment plant.
➢ Where the applicant is not the owner of the downstream sewer, submit two copies of form FTSE 08-13
from the owner of the downstream sewer and owner of the WWTF, if different.
➢ The flow acceptance indicated in form FTSE 08-13 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 08-13 indicates that owner has adequate capacity
and will not violate G.S. 143-215.67(a).
)o Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific
FTSE 08-13.
G. Site Map (All Application Packages):
® Submit an 8.5-inch x 11-inch color copy of a USGS Topographic Map of sufficient scale to identify the
entire project area and closest surface waters. Each map must include at a minimum:
➢ The location of the sewer line and pump stations and be of reproducible quality.
➢ Downstream connection points and the permit number for the receiving sewer (if known)
➢ Pump Station Locations and the longitude and latitude for each pump station (if applicable)
® Include a street level map showing all relevant project areas.
H. Stream Classification (WSCAS 08=13)
® Submit the completed and appropriately executed Watershed Classification Attachment form
(WSCAS 08-13) if any portion of the sewer system project is within 100 feet of any surface water or
wetlands.
➢ A variance must be requested for encroachment within required setbacks or buffers pursuant to 15A
NCAC 02T .0305(f)
I. Environmental Assessments (Projects subject to an Environmental Assessment (EA)):
➢ Projects involving an Environmental Assessment per 15A NCAC 01C .0408, must be submitted for a full
technical review and must be submitted to the PERCS Unit on application forms provided by the Division.
J. Alternative Sewer Systems
➢ Projects involving low pressure sewer systems, vacuum sewer systems and other alternative sewer
systems must be submitted for a full technical review and must be submitted to the PERCS Unit on
application forms provided by the Division.
K. Flow Direction
➢ Many wastewater treatment systems are entering into agreements for regionalization efforts and
emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be
directed to more than one treatment facility. If this is the case with the project, please indicate in B(12)
and give the permit number of the second facility.
L. Certifications —Section C
➢ The application must be certified by both the applicant and the design engineer who is a North Carolina
Registered Professional Engineer (PE). The applicant signature must match the signing official listed in
Item A(1b). The PE should NOT certify the application if he/she is unfamiliar with 15A NCAC Chapter
2T, The Gravity Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria
for the Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project.
INSTRUCTIONS FOR APPLICATION FTA 08-13 & SUPPORTING DOCUMENTATION Page 2 of 6

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD (to be Application Number:
(to be completed by DWR) '►V o6 C J
1.
Owner/Permittee:
la.
DAVID MASO c/o FLORIDA OBX #13 LLC
Full Legal Name (company, municipality, HOA, utility, etc.)
Z
1b.
FLORIDA OBX #13 LLC
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials)
Q
1c.
The legal entity who will own this system is:
❑ Individual ❑ Federal ❑ Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify):
0
1d.
4615 GULF BLVD #119 le. ST PETERSBURG
LL
Mailing Address City
Z
1f.
FL 1g. 33706
Z
State Zip Code
1h.
7274803523 1i. 1j. [e-mail]
QTelephone
Facsimile E-mail
U
2.
Project (Facility) Information:
J
2a.
BEACON QUARTERS AT COROLLA LIGHT, PUD 2b. CURRITUCK
d
Brief Project Name (permit will refer to this name) County Where Project is Located
IL
Q
3.
Contact Person:
3a.
CARLOS F. GOMEZ
Q
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b.
252261 4151 3c. [e-mail]
Phone Number E-mail
1.
Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.:
2.
Owner is ❑ Public (skip to Item B(3)) ® Private (go to Item 2(a))
2a.
If private, applicant will be: 2b. If sold, facilities owned by a (must choose one
® Retaining Ownership (i.e. store, church, single office, etc.) or ® Public Utility (Instruction D)
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3)) ❑ Homeowner Assoc./Developer (Instruction E)
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
Z
3.
CAROLINA WATER SERVICES INC OF NC
0
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a.
MONTERAY SHORES WWTF 4b. W00009772
Q
Name of WWTF WWTF Permit No.
5a.
MONTERAY SHORES WWTF5b. 8 inch JE Gravity c.
0
Owner of Downstream Sewer Receiving Sewer Size ® Force Main Permit # of Downstream Sewer (Instruction F)
LL
Z
6.
The origin of this wastewater is (check all that apply):
H
❑ Residential Subdivision ❑ Retail (Stores, shopping centers) 100% Domestic/Commercial
® Apartments/Condominiums ❑ Institution % Industrial
❑ Mobile Home Park ❑ Hospital
LLI
❑ School ❑ Church (Attach Description)
d
❑ Restaurant ❑ Nursing Home % Other
❑ Office ❑ Other (specify):
m
(Attach Description)
7.
Volume of wastewater to be allocated or permitted for this particular project:12,600 gallons per day
*Do not include future flows or previously permitted allocations
8.
If the permitted flow is zero, indicate why:
❑ Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit No.
❑ Rehabilitation or replacement of existing sewer with no new flow expected
(see 15A NCAC 02T .0303 to determine if a permit is required)
FTA 08-13 APPLICATION Page 3 of 6

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Z
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Z
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9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item 13(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item 13(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f).
The project has 32 units. Each unit has three (3) habitable spaces. At 120 GPD per habitable space this would yeid a flow
of 11,520 GPD. 980 GPD was added for the pool. The total allocated flow is 12,500 GPD to wastewater.
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
Length (feet) New Gravity or Additional
Force Main
487 NEW GRAVITY
396 Forcemain
11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
Pump Station Location ID: Phase 13 (self chosen - as shown on plans/map for reference)
Longitude: N36 21' 34.07" Latitude: W 75 49' 29.79"
Design Flow
(MGD)
0.0125
Pump Station Location ID:
Longitude:
Operational Point Power Reliability Option
GPM @TDH 1 - permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
29 gpm @ 64 feet 2-Portable w/MTS
Latitude:
09
(self chosen -as shown on plans/map for reference)
Design Flow Operational Point Power Reliability Option
(MGD) GPM @TDH 1 - permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
❑ Yes N No If Yes, permit number of 2nd treatment facility :
(RO — if "yes" to 13,12 please contact the Central Office PERCS Unit)
13. Does the sewer system comply with the Minimum Design Criteria for the Permitting of Pump Stations and Force Mains
(latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as applicable?
N Yes ❑ No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance Is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
FTA 08-I3 APPLICATION Page 4 of 6

Have the following permits/certifications been submitted for approval for the system or project to be served?
N
Z
O
Q
F—
fY
W
V
Z
Wetland/Stream Crossings - General Permit or 401Certification?
❑ Yes
❑ No
® NIA
Sedimentation and Erosion Control Plan?
® Yes
❑ No
❑ N/A
Trout Buffer Waiver?
[]Yes
❑ No
® N/A
Stormwater?
® Yes
❑ No
❑ N/A
Does this project Include any high priority lines (15A NCAC 02T .0402 (2)) Involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
If Yes: ❑ and provide details:
1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name) /
I, �71 12 /' " 0S o , attest that this application for AC off.+ ,Arm es 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. Note: In accordance with North Carolina General Statutes 143-215.6A
and 143-215.68. any personyorb knowingly makes any false statement representation, or certification in any application
shall be guilty of a Class Wsdemeanor, which may Include a fine not to exceed $10, 000 as well as civil penalties up to
$25,000 per._ -a__
la. S�y 114
Signing Official Signature Dat
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
TO OTHER UTILITIES, DESIGN CALCULATIONS, ETC. REFER TO 16A NCAC 02T .0305
2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
1, L rt/l L 4o o ^ C 2 ,attest that this application for Refit a+ a&,4r'J1C0Tr has been reviewed
by me and is accurate, complete and consistent with the information In the engineering plans, 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, Gravity Sewer Minimum Design Criteria for Gravity
Sewers adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000 and the watershed classification in accordance with Division guldenco. 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 NC General Statutes 143-215.6A and 143-215.613any person who knowingly mes any false
statement representation, or certification in any application shall be guilty of a Class 2 misdemeanor which include a
fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation. 1
2a. CARLOS F. GOMEZ
Professional Engineer Name
2b. COASTAL ENGINEERING AND SURVEYING, INC
Engineering Firm
2c PO BOX 1129
Mailing Address
2d KITTY HAWK
2g. 2622614161 h. 26226113
Telephone Facsimile
NC 2f 27949
State Zip
[e-mail]
E-mail
FTA 08-13 APPLICATION Page 5 of 6

THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION (ORIGINAL AND COPY) SHALL BE
SUBMITTED TO THE APPROPRIATE REGIONAL OFFCE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Fayetteville, North Carolina 28301-5094
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue, Suite 301
Alexander, Cabarrus, Catawba, Cleveland,
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Wilmington, North Carolina 28405
Hanover, Onslow, Pander
[phone]
[phone] Fax
Winston-Salem Regional Office
585 Waughtown Street
Alamance, Alleghany, Ashe, Caswell, Davidson,
Winston-Salem, North Carolina 27107
Davie, Forsyth, Guilford, Rockingham, Randolph,
[phone]
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone] Fax
FTA 08-13 APPLICATION Page 6 of 6

State of North Carolina
t)irision ;�t `A'atrr Rvyow,s frs
Entity Requesting Allocation:
Florida OBX
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Project Name for which flow is being requested: BEACON QUARTERS AT COROLLA
More Nnan 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: Monteray Shores WWTP
b. WWTP Facility Permit #: WQ00097720.520 MGD
All flows are in MGD
c. WWTP facility's permitted flow 0.720 MGD
d. Estimated obligated flow not yet tributary to the
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
It. Percent of permitted flow used
WWTP 0.256MGD
0.107 MGD (6/15-5/16)
0.0125 MGD
0.3755 MGD
52.15 %
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 / p0,
Avg. Daily
Daily Flow,
Obligated Available
Number)
No.
MGD MGD
Flow, MGD
MGD
Flow Capacity***
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer):
Downstream Permit Number:
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I T-. / 46#vo Nt+gt,r- 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 d treat the proposed new wastewater.
/ / C— r L^/ L �/ 412
Signing gfffcial Signature Date
VP of 0PG9A-r'bNS
Title of Signing Official
Page 2 of 6
FTSL 10-18

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section Il where Available Capacity is <
0.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
% and MGD of the Available Capacity (E) in Pump Station
; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
is in design or under construction with
planned completion in ; and/or
d. The following applies:
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow
this flow to be permitted, without a significant likelihood of over -allocating capacity in the system
infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste disposal
System.
Signing Official Signature
Date
Page 3 of 6
FTSE 10-18

Instructions for Flow Tracking form (FTSE) and Planning Assessment Addendum (PAA)
Section I
a. WWTP Facility Name: Enter the name of the WWTP that will receive the wastewater flow.
b. WWTP Facility Permit #: Enter the NPDES or Non -Discharge number for the WWTP receiving the
wastewater flow.
C. WWTP facility's permitted flow, MGD: From WWTP owner's NPDES or Non -Discharge permit
d. Estimated obligated flow not yet tributary to the WWTP MGD: This includes flows allocated to other
construction projects not yet contributing flow to the collection system. Flows allocated through interlocal
agreements or other contracts not yet contributing flow to the collection system are also included. For POTWs
that implement a pretreatment program, include flows allocated to industrial users who may not be using all of
their flow allocation. Please contact your Pretreatment Coordinator for information on industrial flow tributary
to your WWTP.
As of January 15, 2008 the POTW should have reviewed flow allocations made over the last two years and
reconciled their flow records, to the best of their ability, so it is known how much flow has been obligated and
is not yet been made tributary to the WWTP, in accordance with local policies and procedures employed by the
reporting entity.
e. WWTP facility's actual avg. flow, MGD: Previous 12 month average.
f. Total flow for this specific request MGD: Enter the requested flow volume.
g. Total actual and obligated flows to the facility, MGD Equals [d + e + ]
It. Percent of permitted flow used: Equals [(g / c)* 1001
For example:
On January 15 a POTW with a permitted flow of 6.0 MGD, reported to the Regional Office that there is 0.5
MGD of flow that is obligated but not yet tributary. The annual average flow for 2007 is 2.7 MGD. There is a
proposed flow expansion of 0.015 MGD.
The first Form FTSE submitted after January 15, 2008 may have numbers like this:
c. = 6.0 MGD
d. = 0.5 MGD
e. = 2.7 MGD
f = 0.015 MGD
g. = 3.215 MGD
h. = 53.6 %
The next Form FTSE may be updated like this with a proposed flow expansion of 0.102 MGD
c.
= 6.0
MGD
d.
= 0.515
MGD
e.
= 2.73
MGD
f.
= 0.102
MGD
g. = 3.349 MGD
h. = 55.8 %
Each subsequent FTSE form will be updated in the same manner.
Page 4 of 6
FTSE 10-18

Section H
List the pump station name or number and approximate pump station firm capacity, approximate design average
daily flow (A) approximate current average daily flow (B), and the obligated, not yet tributary flow through the
pump station (C) for each pump station that will be impacted by the proposed sewer extension project. Calculate
the total current flow plus obligated flow (D=B+C) and the available capacity (E=A-D). Include the proposed flow
for this project with other obligated flows that have been approved for the pump station but are not yet tributary
(C).
Firm capacity is the maximum pumped flow that can be achieved with the largest pump out of service as per the
Minimum Design Criteria.
Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor (pf) of not less than
2.5.
If the available capacity (E) for any pump station is < 0, then prepare a planning assessment for that pump station
if the system has future specific plans related to capacity that should be considered in the permitting process.
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Obligated,
Design
Approx.
Not Yet
Total Current
Firm
Average
Current Avg,
Tributary
Flow Plus
Pump Station
(Name or Number)
Capacity
MGD
Daily Flow
(Firm / pf)
Daily Flow,
MGD
Daily Flow,
MGD
Obligated
Flow
Available
Capacity*
Kaw Creek PS
0.800
0.320
0.252
0.080
0.332
-0.012
Valley Road PS
1.895
0.758
0.472
0.135
0.607
0.151
Page 5 of 6
FTSE 10-18

Planning Assessment Addendum Instructions
Submit a planning assessment addendum for each pump station listed in Section 11 where available capacity is < 0.
A planning assessment for Kaw Creek PS (see example data above) may be performed to evaluate whether there is
significant likelihood that needed improvements or reductions in obligated flows will be in place prior to activating
the flows from the proposed sewer extension project.
If the system decides to accept the flow based on a planning assessment addendum, it is responsible to manage the
flow without capacity related sanitary overflows and must take all steps necessary to complete the project or control
the rate of flow to prevent sanitary sewer overflows.
The planning assessment may identify a funded project currently in design or construction, or a planned project in
the future not yet funded but in a formal plan adopted by the system. The system should carefully weigh the
certainty of successful timely project completion for any expansion, flow management diversion or infiltration and
inflow elimination projects that are the foundation of a planned solution to capacity tracking and acceptance
compliance.
For example:
Given that:
a. The proportion and amount of obligated, not yet tributary flow accounts for 24 % and 0.080 MGD of the
committed flow in Pump Station Kaw Creek; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately 0.01 MGD
per year; and that
c. A funded capital project that will provide the required planned capacity, namely
is in design or under construction with planned
completion in ; and/or
d. The following applies:
The master plan and ten year capital plan contain recommended scope and funding for a capital project entitled
Kaw Creek Pump Station upgrade with funding planned in July 2014 This project is planned to add 0.100 MGD
that exceed the firm pump station capacities identified in Section 11 above.
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow this flow
to be permitted, without a significant likelihood of over -allocating capacity in the system infrastructure.
Page 6 of 6
FTSE 10-18