Rewrites GS 130A 317(c) and (d) and GS 143 215.1(b)(4) and (f), as title indicates. Enacts new GS 143 215.1(b)(6) and (7) to provide that no permit for a new or expanded municipal or human waste treatment system may be issued unless the applicant (1) has adopted a plan to implement a program to reduce demand and manage existing capacity by reducing or eliminating stormwater and groundwater infiltration and intrusion into collection lines, (2) submits an analysis of reasonable alternatives to the proposed new or expanded system, and (3) can demonstrate that the proposed new or expanded waste treatment facility will be designed and constructed to accommodate eventual interconnection with adjoining or regional systems. Requires the Commission for Health Services and the Environmental Management Commission to adopt rules implementing the act by October 1, 2011.