WQ0041098_Application (FTSE)_20190827

���1� State of North Carolina
DWR AUG 1 3 2019 Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources _ INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION
This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of 15A NCAC 02T and the Division's
Minimum Design Criteria 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 Praefices.
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
calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum design criteria. These
documents shall be 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 require an environmental assessment in accordance with 15A NCAC IC .0100;
➢ Projects that do not meet any part of the minimum design criteria (MDC) document;
➢ Projects that involve a variance from the requirements of 15A NCAC 2T;
➢ Pressure sewer systems utilizing septic tank -effluent pumps (STEPS) or simplex grinder pumps;
➢ 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 of Application and Supporting Documents
® Required unless otherwise noted
B. Cover Letter (Required for All Application Packages):
® List all items included in the application package, as well as a brief description of the requested permitting action.
➢ Be specific as to the system type, number of homes served, flow allocation required, etc.
➢ If necessary for clarity, include attachments to the application form.
C. Application Fee (All New and Major Modification Application Packages):
® Submit a check or money order in the amount of $480.00 dated within 90 days of application submittal.
➢ Payable to North Carolina Department of Environmental Quality (NCDEQ)
D. Fast Track (Form: FTA 04-16) Application (Required for All Application Packages):
® Submit the completed and appropriately executed application.
➢ If necessary for clarity or due to space restrictions, attachments to the application may be made.
® If the Applicant Type in Item 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.
® The Project Name in Item II.1 shall be consistent with the project name on the flow acceptance letters, agreements, etc.
® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North
Carolina licensed Professional Engineer.
® 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 04-16 & SUPPORTING DOCUMENTATION Page 1 of 3

E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (H 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. 143-
215.67(a).
➢ Intergovernmental agreements or other contracts will not be accepted in lien of a project -specific FTSE.
F. Site Maps (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.
➢ Location of the project (gravity sewer, pump stations & force main)
➢ Downstream connection points and permit number (if known) for the receiving sewer
® Include a street level map showing general project area.
G. Existing Permit (All Modification Packages):
❑ Submit the most recently issued existing permit.
❑ Provide a list of any items within the permit the Applicant would like the Division to address during the permit
modification (i.e., permit description, flow allocation, treatment facility, etc.).
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per 15A NCAC 02T .0305(h)(1), submit documentation of power reliability for pumping stations.
➢ This alternative is only available for average daily flows less than 15,000 gallons per day
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible
with the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or proposed
contractor, stating that "the portable power generation unit or portable, independently -powered pumping units, associated
appurtenances and personnel are available for distribution and operation of this pump station."
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump
stations' storage capacities and the rotation schedule of the portable power source or pump, including travel
timeframes, shall be provided in the case of a multiple station power outage. (Required at time of certification)
I. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0115(a)(1) provide the Certificate of Public Convenience and Necessity from the North Carolina
Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by
the sewer extension, or
❑ Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an
application for a franchise has been received and that the service area is contiguous to an existing franchised area or that
franchise approval is expected.
J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (FORM HOA).
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (FORM: DEW
For more information, visit the Division's collection systems website
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 2 of 3

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778
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,
Water Quality Section
Fayetteville, North Carolina 28301-5094
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
(919) 7914200
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bartle, Camden, Chowan, Craven,
Water Quality Section
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pander
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Alamance, Allegheny, Ashe, Caswell, Davidson,
Water Quality Section
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Burry, Watauga, Wilkes, Yadkin
[phone]
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 3 of 3

State of North Carolina
DWR Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: W QC (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Old North Utilitv.Services, Inc. (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: Justin Nyland per 15A NCAC 02T .0106(b)
Title: Senior Engineer
4. Applicant's mailing address: P.O. Box 73316
City: Fort Bragg State: NC Zip: 28310-3316
5. Applicant's contact information:
Phone number: (2_UO 495-1311 Email Address: Justin.Nvlandnaasusinc.com
H. PROJECT INFORMATION:
I. Project name: ON-00021-19 Lift Stations to Gravity
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000_ and issued date:
If new construction but part of a master plan, provide the existing permit number: W000_
3. County where project is located: Cumberland
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.1392Longitude: -79.0 334'
5. Parcel ID (if applicable):
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Justin Nvland License Number: 013767
Finn: American States Utility Services, Inc.
Mailing address: 903 Armistead St.
City: Fort Bragg State: NC Zip: 28307-7348
Phone number: (2LO) 495-1310 Email Address: Justin.Nyland(@,asuslnQCOm
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: South Harnett Regional W WTP Permit Number: NCO088366
Owner Name: Harnett Counlv
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. PermitNumber(s): WQ_
System Wide Collection System Permit Number(s) (if applicable): WQCS00029
Owner Name(s): Old North Utilities Services
FORM: FTA 04-16 Page 1 of 5

Vl. 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/Prooerty Owners' Association has an Operational Agreement (FORM: HOA) been attached?
❑ Yes []No ®N/A
4. Origin of wastewater: (check all that apply)
❑ Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
® Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
_ % brdustrial (See 15A NCAC 02T .0103(20)1
"Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ®No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow »n
No. of Units
Flow
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
GPD
a See 15A NCAC 02T .0114(b). (d). (e)(1) and (e)(21 for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; 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-41.
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shallbe
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per 15A NCAC 02T .0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
® Other (Explain): See Zero Flow Justification Document Attached
FORM: ETA 04-16 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
1581
PVC
8
110
DIP
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIH. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pumn Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude:
3. Design flow of the pump station: _ millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): _ gallons per minute at _ feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or pump with 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
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
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
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T.0305(f) & (g)
➢ 15A NCAC 02T 0305 contains minimum se arations that shall be provided for sewers stems:
® Yes ❑ No
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
24 inches
Water mains vertical -water over sewer 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, W S-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water
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 see item IX.2
50 feet
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Anv building foundation
5 feet
Any basement
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
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications weboage
➢ If noncompliance with 02T.0305(f) or (a), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No
➢ Seethe Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with all setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ❑ Yes [-]No
➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. 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 are 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, stomrwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
® Yes ❑ No
➢ 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 permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Altemative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is required prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
Justin Nyland.
I attest that this application for
(Professional Engineer's name from Application Item 111.1.)
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, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
.........................................................................................
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
��,SN••CAR'14P,
1 :oFEss io-%%
2'¢ SEAL <.v
33767
'•,F F
G�.G1NE�:2�;
�. E,Ny�
by Justin Npano
C� Date: 2019.08.08
12:22:16-04'00'
I Justin Nyland, Senior Engineer attest that this application for
(Signature Authority's name & title from Application Item I.3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition
of this permit be violated. I also understand that if all required parts of this application package are not completed and that if
all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Digitally signed by
Justin Nyland
Signature: _� Date: 2019.08.08 Date:
12:22:57-04'00'
August 8, 2019
FORM: FTA 04-16 Page 5 of 5

Attachment NC DEQ Fast Track Sewer System Extension Application (FTA-04-16)
ONUS Project # ON-00021-19, Lift Stations to Gravity
Information Submittal to Address Application Section IX.6: Does this project include any sewer lines that
are deemed "high -priority?" Per 15A NCAC 02T.0402, "high -priority sewer' means "any aerial sewer,
sewer contacting surface waters, siphon, or sewer positioned parallel to streambanks that is subject to
erosion that undermines or deteriorates the sewer.
If yes, include an attachment with details for each line, including type (aerial line, size, material and
location):
This subject project involves installation of high -priority sewer in the form of a single 8-inch gravity
sewer line that will be an aerial sewer for a portion of the segment. The proposed line is 8-inch ductile
iron pipe (with restrained joints) for approximately 110 linear feet between existing manhole #2827 and
a new 4-foot diameter manhole to be set as part of the project. Approximately 30 linear feet of this
gravity sewer will be an aerial crossing above an un-named drainage stream. The location of this project
is in Fort Bragg, Cumberland County, North Carolina with approximate coordinates of:
Latitude: 35.1563800
Longitude:-79.007890°
The two exhibits below for profile and plan details on the proposed crossing:

Old North Utility Services is aware of this planned installation work and is ready to include this line in its
inventory of high -priority lines requiring proper inspection and documentation at a frequency of no less
than once every 6 months.

Old North
UTILITY SERVICES, INC.
• • • • . AsLa:v.11 al AT11—u Sbm: Lt,l P, SWv;GCe. In[
Project Name: ON-00021-19 Lift Stations to Gravity - #53, 80, & 148
ZERO FLOW JUSTIFICATION
Lift Station No. 53
Lift Station No. 53 collects wastewater from an adjacent building and conveys it north to an existing
gravity sewer main, this flow eventually discharges into Harnett County Owned Lift Station SLS 72. This
project involves demolishing Lift Station No. 53 and intercepting the flow from the adjacent building via
a new manhole and conveying it south to an existing SS manhole through a new 8-in PVC gravity sewer.
The existing manhole that the new 8-in gravity sewer will tie into discharges into ONUS owned Lift
Station No. 12. Lift Station No. 12 discharges into Harnett County Owned Lift Station SLS 72 where it is
sent to Harnett County's South Regional W WTP. Since this project does not generate new flow and only
changes the flow path to the common Harnett County Lift Station, a Flow Tracking Sewer Extension
Acceptance form from Harnett County is not required. Since the existing flow is being re-routed to ONUS
owned Lift Station No.12, a FTSE form from ONUS for this lift station has been included with this
application.
Lift Station No. 80
Lift Station No. 80 collects wastewater from an adjacent building and conveys it north west to existing
ONUS owned Lift Station No. 18. This project involves demolishing Lift Station No. 80, intercepting
wastewater from the adjacent building, and conveying it to Lift Station No. 18 via a new 8-in gravity
sewer. This project does not change the direction or discharge location of the existing wastewater flow;
therefore, a Flow Tracking Sewer Extension form is not required.
Lift Station No. 148
Lift Station No. 148 collects wastewater from an adjacent building and discharges into an existing 6-in
PVC gravity sewer that services four buildings and discharges into an existing downstream SS manhole.
This project involves demolishing Lift Station No. 148, intercepting flow from the adjacent buildings, and
conveying it to the same existing downstream SS manhole through a new 8-in gravity sewer. This project
does not change the direction or discharge location of the existing wastewater flow; therefore, a Flow
Tracking Sewer Extension form is not required.
Old North Utility Services, lac.
P.O. Box 73316, Fort Bragg, NC 28307
Tel: [phone] Fax: [phone]

State of North Carolina
t Department of Environmental Quality
Division of Water Resources
Division of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Old North Utilities Services
Project Name for which flow is being requested: ON-00021-19
More than one FTSE may be required for a single project if the owner of the FVWTP is not responsible for all pamp
stations along the route of the proposed wastewaterflow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name:
b. WWTP Facility Permit #:
AlI lows are in MGD
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 0.0039
h. Percent of permitted flow used
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 Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity, * (Firm / pf), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
LS 12 0.808 0,323 M70 0,0039 0.174 0.149
* 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 (pf) 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 Capacity is <0.
Downstream Facility Name (Sewer): Old North Utilities Services
Downstream Permit Number: WQCS 00029
Page 1 of 6
FTSE 04-16

III. Certification Statement:
I Meaghan Till 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 wpstewater flow.
I2la f� g
Signing Ofc' l Signature Date
Page 2 of 6
FTSE 04-16

Old North
UTILITY SERVICES, INC.
♦ ♦ ♦ ♦ ♦ A.,I�.Ir,II A—rlcGI St It06 It.". I, "I
Project Name: ON-00021-19 LS 53 Flow Calculations
Flow Criteria
Building Type: Office building with showers and laundry facilities
No. Employees:40
No. Shifts: 1
Daily Flow for Design: 35 gal/employee/shift
No. Laundry Facilities: 5
Daily Flow for Design: 500 gal/machine
Flow to LS No. 53
40 employees x 35 gal/employee/shift x 1 shift =1,400 gpd
5 machines x 500 gal/machine = 2,500 gpd
Total Flow to LS No. 53 = 3,900 gpd (0,0039 MGD)
This flow will now go to ONUS LS 12, but does not change the flow amount going to Harnett County.
Old North Utility Services, Inc.
P.O. Box 73316, Fort Bragg, NC 28307
Tel: [phone] Fax: [phone]

August 8, 2019
NCDEQ-DWR
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 28301
RE: ON-00021-19 Lift Stations to Gravity - #53, 80, & 148
Fast Track Application for Gravity Sewer Extension
Cumberland County, North Carolina
* Old North
UTILITY SERVICES, INC.
• • • • • nsuacvy a!n,ra�rzm vmas wwy svm:os. m�
RECEIVED
AUG 13 2019
DEQ•FAYETTEVILLE REGIONAL OFFICE
We are providing the enclosed information for the permitting of new sewer infrastructure to
convert three existing lift stations to gravity flow systems. The project includes demolishing three lift
stations, abandoning in -place approximately 1500linear feet of force main (1.5-inch, 2-inch, and 4-inch),
installing 1,581 of 8-in PVC gravity sewer, 110 linear feet of DIP gravity sewer, as well as service lines,
cleanouts and manholes.
Wastewater serviced by Lift Station No. 53 will be intercepted and sent to ONUS -owned Lift
Station No. 12; a Flow Tracking Sewer Extension Acceptance (FTSE) form from ONUS is attached. No
FTSE form from Harnett County is required because Lift Station No. 53 and Lift Station No. 12 both
discharge into the same Harnett County owned Lift Station and this flow has already been accounted
for.
Wastewater serviced by Lift Station Number 80 and Lift Station Number 148 will be converted to
gravity flow and will be discharged into the same downstream location as their existing force mains.
Therefore, FTSE forms are not provided for these two sites.
A brief justification for Zero Flow to Harnett County and/or ONUS is provided with this application.
Enclosed please find the original and one copy of the following:
• NCDENR Fast Track Application
• Check for $480.00
• USGS and Street Level Map Showing the Project Area
• Zero Flow Justification for Lift Stations #53, 80, & 148
• Flow Tracking Sewer Extension Acceptance from ONUS for Lift Station No. 53
Thank you for your consideration in this matter. If you require furthe
hesitate to contact meat [phone] or at Justin.Nyland@asusinc
Sincerely,
Digitally signed by
_ jnyland
Date: 2019.08.08
12.46:16-04'00'
Justin Nyland, PE
Senior Engineer
Old North Utility Services, Inc.
P.O. Box 73316, Fort Bragg, NC 283C
Tel: [phone] Fax: [phone]

-M
l��j 11 �i�/�) {� EtV ENE ST � { .. I( � I'•�.
p i e1� 1
rf i � / tt UR w �-• _ t +� C y,ir i a
1 L/
'� 1S ? i IJ (1{
S 1 �i �nt �� J t �ii V�'cww 11
JE 3?'N a( ,� 'iL �u
P./ � nd�' �/ � ti(.�'k A
a.
d lam- �p'4Sl 4' _ IV/
Kx
��l77 C v
W
ti z / lr
1
_ a
f1 �T 4 7
i It `D11
(
C9
0
z
0
U.
r
r
J
r
N
T w
z Z
H
0 c
u
x
�r
v�
L
o�§
Z�b
0z
/ d � � r � //r �✓ r � / / � /7 i � � �� gg�pye pa y�,.
I
1 J�

IN
�'W 1 � y� j� � � �1W AWN '¢�W� L � i �?�$1 �b� •
U `,
7 6 sr It
qg.: ' \� ri-' is •
f�4,-�-y'✓`ti"-
N o
1
n1 r+� �' sf"'' 't0, •
y mew e
�`i @a � 0 s! V 7 r ? `�'i Pa a 1 F ��r � r � `� � � �` : •
� tt ,�� `'^� i`}1i� .^^ ""� `xai j,�� �t� �� nd��e'�b'Y°���� �'''�7 �"� •
it
Y
IT
1; us
ppp
M1 c ah n1 iy V
�' Y.- '"'- nA"it t
� � }u1 Y -��Ira��w',Nnr►Aa � �z` `�` ` , `�� � ,'r �—'' ��,,, � r t�y� '�k,�a'�x i,
VX
yJ
Y R i 4VM,-
A:,
i 35 h�„ x`
\Y,,�iiAf�i. -u .eCAdix.