WQ0042517_Application (FTSE)_20210506 (2)

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
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 enaineerina 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 inc de plans, design
calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum desig'eria. These
documents shall be available upon request by the Division. cps
iNs
Projects that are deemed permitted (do not require a permit from the Division) are explained in 15A NCAC 02T.03,y
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;
D. 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;
D. Pressure sewer systems utilizing septic tank -effluent pumps (STEPs) or simplex grinder pumps;
D. 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.
D. Be specific as to the system type, number of homes served, flow allocation required, etc.
D. 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 I.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 I.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 I1.1 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) (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. 143-
215.67(a).
➢ Intergovernmental 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 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 (aerial) showing general project area so that Division staff can easily locate it in the field.
G. Existing Permit (All Modification Packages):
® Submit the most recently issued existing permit.
O 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):
El 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
O 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
O Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (FORM: DEV).
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
Swannanoa, North Carolina 28778
[phone]
[phone] Fax
Avery, Buncombe, Burke, Caldwell, Cherokee,
Clay, Graham, Haywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania, Yancey
Water Quality Section
Fayetteville Regional Office
225 Green Street Suite 714
Fayetteville, North Carolina 28301-5094
[phone]
[phone] Fax
Anson, Bladen, Cumberland, Harnett, Hoke,
Montgomery, Moore, Robeson, Richmond,
Sampson, Scotland
Water Quality Section
Mooresville Regional Office
610 E. Center Avenue
Mooresville, North Carolina 28115
[phone]
[phone] Fax
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, iredell, Lincoln, Mecklenburg, Rowan,
Stanly, Union
Water Quality Section
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
[phone]
[phone] Fax
Chatham, Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
Northampton, Orange, Person, Vance, Wake,
Warren, Wilson
Water Quality Section
Washington Regional Office
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
Beaufort, Bertie, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Water Quality Section
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
Brunswick, Carteret, Columbus, Dublin, New
Hanover, Onslow, Pender
Water Quality Section
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Winston-Salem, North Carolina 27105
[phone]
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
Water Quality Section
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 3 of 3

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: KDHWWTP, LLC (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: George E. Goodrich per 15A NCAC 02T .0106(b)
Title: Managing Partner
4. Applicant's mailing address: P.O. Box 3629
City: Kill Devil Hills State: North Carolina Zip: 27948-
5. Applicant's contact information:
Phone number: [phone] Email Address: eddiegoodrich(a,villagerealtyobx.com
II. PROJECT INFORMATION:
1. Project name: Cook Out -Kill Devil Hills
2. Application/Project status: ® Proposed (New Permit)
❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ0034276 and issued date: 08/11/2009
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Dare
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.99454° Longitude: -75.64904°
5. Parcel ID (if applicable):
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Michael W. Robinson, P.E. License Number: NC 18994
Firm: Michael W. Robinson, P.E., P.L.S.
Mailing address: P.O. Box 2852
City: Kill Devil Hills State: NC Zip: 27948-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: KDHWWTP, LLC Permit Number: WQ0002829
Owner Name: KDHWWTP, LLC
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ0002829 Downstream (Receiving) Sewer Size: 6 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): KDHWWTP, LLC
FORM: FTA 04-16 Page 1 of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
® Yes ❑No ❑N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑No ►/N/A
3. If the Applicant is a Home/Propertv Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
0 Yes ONO ZN/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned
❑ Residential Leased
❑ School / preschool / day care
® Food and drink facilities
❑ Businesses / offices / factories
❑ Retail (stores, centers, malls)
❑ Retail with food preparation/service
❑ Medical / dental / veterinary facilities
❑ Church
❑ Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool /Clubhouse
0 Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : % Domestic/Commercial 100 % Commercial
% Industrial (See 15A NCAC 02T .0103(20))
)Is there a Pretreatment Program in effect? ❑ Yes
6. Has a flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ® No
> If ves, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
❑ No
Establishment Type (see 02T.0114(f))
Daily Design Flow''b
No. of Units
Flow
Carry Out Restaurant
2,400 gal/day
1
2,400 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
2,400 GPD
a See I5A NCAC 02T .0114(b), (d), (e)(1) and (e)(2) 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-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01 141 shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 2,400 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
0 Flow has already been allocated in Permit Number:
0 Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 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
6
75
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
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: 1
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.99479° Longitude: -75.64835°
3. Design flow of the pump station: 0.12096 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 210 gallons per minute at 59 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
n/a
`
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
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:
or
V,), ® 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.
1
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(fl contains minimum separations that shall be provided for sewer systems:
® 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, WS-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, HOW, 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
Any 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 webpage
➢ If noncompliance with 02T.0305(f) or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No ® N/A
➢ See the 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 setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes ❑ No ® N/A
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
❑ Yes ® No
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, stormwater 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 ❑ N/A
➢ 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:
I, MIC,4f•AFL W. 12.0 f3t►ISON P attest that this application for
(Professional Engineer's name from Application Item III.1.)
COOK oVT— Ktu.. Atetlt — gm-5
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 143-215.611, 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,. a�'+ "f�. ,
North Carolina Professional Engineer's seal, signature, and date: ^"" ''yam...'
3. Applicant's Certification per 15A NCAC 02T .0106(b): ,,
���e �-' (� 0Q� y t / Yr`otQ 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.
Signature:
Date:
FORM: FTA 04-16 Page 5 of 5

Project Narrative for Fast -track Application (FTA 12/07)
Cook Out -Kill Devil Hills, Inc.
Kill Devil Hills, Dare County, North Carolina
Design flow = 2,400 gpd
Parcel Location and Parcel Data:
Lots 5 and 6, Fresh Pond Beaches as described in D.B. 440 PG. 0314 and P.C. 2
SL. 2236, Dare County Registry.
2005 South Croatan Highway, Kill Devil Hills, Dare County, NC
Parcel: 004963000 PIN: 989313131625
Proposed Development:
Carry Out only Restaurant with Drive Through with outdoor dining area.
Project Wastewater Design Flow:
The Design flow has been based on a review of existing Cook Out Restaurants of
a similar size with consideration given to its resort location.
Design flow = 2,400 gpd.
Design Notes:
The receiving lift station is a 210 gpm (0.12096 mgpd) station permitted as "Ocean
Beach Club, LLC" with Permit Number WQ0034276. A 40 kw standby power generator
with an automatic transfer switch will be installed on the receiving lift station.
The utility will be owned and operated by the public wastewater utility permitted as
KDHWWTP, LLC by permit WQ0002829. The service district addition is pending by the
NC Utilities Commission.

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: KDHWWTP, LLC
Project Name for which flow is being requested: Cook Out -Kill Devil Hills, Inc.
More than one FTSE may be 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: KDHWWTP, LLC
b. WWTP Facility Permit #: WQ0002829 (July 14, 2017)
All flows are in MGD
c. WWTP facility's permitted flow 0.660000
d. Estimated obligated flow not yet tributary to the WWTP 0.205290
e. WWTP facility's actual avg. flow 0.197158
f. Total flow for this specific request 0.002400
g. Total actual and obligated flows to the facility 0.404848
h. Percent of permitted flow used 61.3
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***
n/a
* 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):
Downstream Permit Number:
Page 1 of 6
FTSE 04-16

III. Certification Statement:
I George E. Goodrich, Managing certify to the best of my knowledge that the addition of
Partner
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.
Sigriing Ofcial ,9gnature v Date
Page 2 of 6
FTSE 04-16

WRIGHT MEMOR{AL 1.8 MI.
MANTEO QUADRANGLE
NORTH CAROLINA—DARE CO.
7.5 MINUTE SERIES (TOPOGRAPHIC)
75°37`30"
36°00'
443
Cook Out -Kill Devil Hills, Inc
2005 South Croatan Highway
Kill Devil Hills, Dare County, NC
Eight Street
56 At-0
h

Water Resources
ENVIRONMENTAL QUALITY
July 14, 2017
GEORGE E. GOODRICH — MANAGING PARTNER
KDHWWTP, LLC
POST OFFICE BoX 3629
KILL DEVIL HILLS, NORTH CAROLINA 27948
Dear Mr. Goodrich:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
Subject: Permit No. WQ0002829
KDHWWTP
High -Rate Infiltration & Non -
Conjunctive Reclaimed
Utilization System
Dare County
In accordance with your permit major modification request received January 31, 2017, and
subsequent additional information received May 5, 2017, we are forwarding herewith Permit No.
WQ0002829 dated July 14, 2017, to KDHWWTP, LLC for the continued operation of the high -rate
infiltration and non -conjunctive reclaimed utilization facilities, as well as the continued operation and
subsequent modification of the existing wastewater treatment facilities.
The modifications to the subject permit are as follows: to address exceedances of nitrate
concentrations in the groundwater the permittee will segment the aeration basins into alternating aerobic
and anoxic zones in order to promote the biological removal of nitrogen (5 stage Bardenpho Process with
Integrated Fixed Film/Activated Sludge). The disposal capacity is to be expanded by adjusting the overall
permitted capacity to 660,000 gallons per day (GPD).
This permit shall be effective from the date of issuance until June 30, 2022, shall void Permit No.
WQ0002829 issued December 9, 2016, and shall be subject to the conditions and limitations as specified
therein. Please pay particular attention to the monitoring requirements listed in Attachments A, B and C
for they may differ from the previous permit issuance. Failure to establish an adequate system for collecting
and maintaining the required operational information shall result in future compliance problems.
Please note the following permit conditions are new since the last permit issuance dated
December 9, 2016:
➢ Condition III.17. — This condition requires that the Permittee develop and implement an
education program to inform users (including employees) about the proper use of reclaimed
water.
➢ Condition I1I.18. — This condition requires that the Permittee provide notification to the public
and/or employees about the use of reclaimed water, and that reclaimed water is not intended
for drinking.
`'"Nothing Compares' --
State of North Carolina I Environmental Quality I Water Resources I Water Quality Permitting I Non -Discharge Permitting
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6332

Mr. George E. Goodrich
July 14, 2017
Page 2 of 2
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail Service
Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and binding.
One set of approved plans is being forwarded to you. If you need additional information concerning
this permit, please contact Tessa Monday at [phone] or tessa.mondavna,ncdenr.gov.
Sincerely,
7S. Jay Zimmerman, P.G., Director
cl Division of Water Resources
cc: Dare County Health Department (Electronic Copy)
Washington Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Joseph Anlauf, PE — Anlauf Engineering, PLLC (Electronic Copy)
Beth Buffington — Protection and Enforcement Branch (Electronic Copy)
Digital Permit Archive (Electronic Copy)
Central Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
RALEIGH
HIGH -RATE INFILTRATION AND NON -CONJUNCTIVE RECLAIMED UTILIZATION
SYSTEM 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
KDHWWTP, LLC
Dare County
FOR THE
operation of a 660,000 gallon per day (GPD) wastewater treatment, high -rate infiltration, and non -
conjunctive reclaimed utilization facility consisting of the:
continued operation of a 660,000 GPD wastewater treatment plant consisting of: a manually cleaned
aluminum bar screen prior to the 43,000 gallon flow equalization basin A; a 118,000 gallon aerated flow
equalization basin C; a 38,630 gallon aerated flow equalization basin B with two 416 gallon per minute
(GPM) equalization pumps; an aluminum flow splitter box; a 312,000 gallon aeration Train A; a 310,000
gallon aeration Train B; two 91,000 gallon clarifiers with rotating skimmers and served by two 600 GPM
variable speed sludge return pumps; a 35,000 gallon filter dosing tank with two 833 GPM filter dosing
pumps; two 156 square foot (ft2) rapid sand filters served by a 781 cubic foot per minute (CFM) air scour
blower; a 20,000 gallon mudwell with two 280 GPM return pumps; two 71,655 aerated sludge digesters
with a decant pump; four 1,479 cubic feet per minute (CFM) rotary positive blowers and an 500 CFM
centrifugal blower serving the flow equalization, aeration, and sludge digester basins; a 50,000 gallon
clearwell with two 957 GPM pumps; an effluent flow meter; a turbidimeter; an ultraviolet (UV) disinfection
system with four banks each rated at 400,000 GPD; a standby power system consisting of a 200 kilowatt
(kW) generator; and all associated piping, valves, controls, and appurtenances; the
continued operation and subsequent abandonment (as permitted December 9, 2016) of: a manually cleaned
aluminum bar screen prior to the 118,000 gallon flow equalization basin C; and all associated piping, valves,
controls, and appurtenances; the
continued operation and subsequent conversion (as permitted December 9, 2016) of: the existing 310,000
gallon aeration Train B into a 70,195 gallon pre -anoxic Zone 2 with two 4 horsepower (hp) mixers; an
84,234 gallon aeration Zone 3 with high -density polyethylene (HDPE) media; an 81,426 gallon aeration
Zone 4 with HPDE media and two 350 GPM recycle pumps; a 56,156 gallon post -anoxic Zone 2 with two
hp mixers; a 16,846 gallon re -aeration Zone 2; and all associated piping, valves, controls, and
appurtenances; the
construction and operation of: a 5 stage Bardenpho Process with Integrated fixed/Activated Sludge; and all
associated piping, valves, controls, and appurtenances; the
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construction and operation of modifications permitted December 9, 2016: a rotary drum fine screen with 3
to 6 millimeters (mm) openings; a chemical feed system with 55 gallon drum and chemical metering pump
supplying alkalinity to the existing aluminum flow splitter box; a chemical feed system with a 55 gallon
drum and a chemical metering pump supplying carbon to the 55,791 gallon post -anoxic Zone 1; a chemical
feed system with a 55 gallon drum and chemical metering pump supplying alum to the 22,889 re -aeration
Zone 1; a chemical feed with 55 gallon drum and chemical metering pump supplying carbon to the 56,156
gallon post -anoxic Zone 2; a chemical feed system with a 55 gallon drum and chemical metering pump
supplying alum to the 16,846 gallon re -aeration Zone 2; and all associated piping, valves, controls, and
appurtenances; the
construction and operation of modifications permitted November 5, 2008 consisting of: two 416 GPM flow
equalization pumps for a build -out total of hour 416 GPM flow equalization pumps; additional diffuser
assemblies for the equalization basins; additional diffuser assemblies for the aeration basins; additional
diffuser assemblies for the re -aeration zones; an 833 GPM filter dosing pump for a build -out of three 833
GPM filter dosing pumps; a 957 GPM clearwell pump for a build -out of three 957 GPM clearwell pumps;
and all associated piping, valves and appurtenances; the
continued operation of a high -rate spray infiltration system consisting of: three 7.5 hp pumps; seven 15 hp
pumps; eight spray beds totaling approximately 1.35 acres; and all associated piping, valves, controls, and
appurtenances; the
continued operation of a low -rate infiltration pond consisting of: a 2,000 gallon pump station with two 7.5
hp pumps and alarms; a 2.1 acre infiltration pond (i.e., Pond 1); and all associated piping, valves, controls,
and appurtenances; and the
continued operation of a non -conjunctive reclaimed water utilization system consisting of an irrigation
pump station with a 25 hp pump and a 3 hp pump; approximately 24.55 acres of irrigation area consisting
of seven zones; and all associated piping, valves, controls, and appurtenances
to serve the KDHWWTP, with no discharge of wastes to surface waters, pursuant to the application received
January 31, 2017, and subsequent additional information received by the Division of Water Resources, and
in conformity with the project plans, specifications, 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 June 30, 2022, shall void Permit No.
WQ0002829 issued December 9, 2016, and shall be subject to the following specified conditions and
limitations:
I. SCHEDULES
1. Within 90 days of permit issuance, submit a legal agreement between KDHWWTP and the Town of
Kill Devil Hills to allow for reclaimed water irrigation on the Town's property. [15A NCAC 02T
.0108(bX2)]
2. Within 90 days of permit issuance, provide a site map showing all areas of irrigation and infiltration
(wetted area delineation). Ensure to label areas per Attachment B. [15A NCAC 02T .0108(b)(2)]
3. Upon completion of construction and prior to operation of the modified permitted facility, a
certification (attached) shall be submitted from a licensed North Carolina Professional Engineer
certifying that the permitted facility has been installed in accordance with this permit, Division
approved plans and specifications, and other supporting documentation, including the location of all
monitoring wells as applicable. If this project is to be completed in phases and partially certified, the
Permittee shall retain the responsibility to track further construction approved under the same permit,
and shall provide a final certificate of completion once the entire project has been completed. Mail the
Certification to the Division of Water Resources, Water Quality Permitting Section, 1617 Mail Service
Center, Raleigh, NC 27699-1617. [15A NCAC 02T .0116(a)]
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4. The Washington Regional Office, telephone number [phone], shall be notified at least 48 hours
in advance (excluding weekends and holidays) of operation of the installed facilities such that an in -
place inspection can be made. Notification to the regional supervisor shall be made from 8:00 a.m.
until 5:00 p.m. on Monday through Friday, excluding State Holidays. [15A NCAC 02T .0108(b)(2)]
5. No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal application.
[15A NCAC 02T .0105(d), 02T .0106, 02T .0109, 02T .0115(c)]
6. If the subject wastewater treatment, infiltration, or irrigation facilities are in noncompliance with the
terms and conditions of this permit, governing statutes or regulations, the subject facilities shall be
connected to an operational publicly owned wastewater collection system within 180 days of its
availability. Prior to the initiation of these connection activities, appropriate Division approval shall be
received. [15A NCAC 02H .0404(e)]
H. PERFORMANCE STANDARDS
1. The subject non -discharge facilities shall be effectively maintained and operated at all times so there is
no discharge to surface waters, nor any contravention of groundwater or surface water standards. In
the event the facilities fail to perform satisfactorily, including the creation of nuisance conditions due
to improper operation and maintenance, or failure of the infiltration and irrigation areas to adequately
assimilate the effluent, the Permittee shall take immediate corrective actions including Division
required actions, such as the construction of additional or replacement wastewater treatment or
infiltration and irrigation facilities. [G.S. 143-215.1, 143-213.3(a)]
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or surface
water resulting from the operation of this facility. [15A NCAC 02B .0200, 02L .0100]
3. All wells constructed for purposes of groundwater monitoring shall be constructed in accordance with
15A NCAC 02C .0108 (Standards of Construction for Wells Other than Water Supply), and any other
jurisdictional laws and regulations pertaining to well construction. [15A NCAC 02C .0108]
4. Effluent quality shall not exceed the limitations specified in Attachment A. [15A NCAC 02T
.0108(b)(1), 02T .0705(b), 02U .0300]
5. Application rates, whether hydraulic, nutrient or other pollutant, shall not exceed those specified in
Attachment B. [15A NCAC 02T .0705(m), 02U .0401(g), 02U .0402(m)]
6. A usable green area shall be maintained for effluent disposal. As authorized by the Environmental
Management Commission on January 12, 2017 as an exception to the requirements in 15A NCAC 02H
.0404(g)(7) , the Permittee shall provide 22.61 acres of green area. A green area is defined as an area
suitable for waste disposal, either in its natural state or which has been modified by planting a vegetative
cover of grasses or low growing shrubbery. [15A NCAC 02H .0407]
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7. The following shall be requirements for the reclaimed water distribution and utilization facilities:
a. All reclaimed water valves, storage facilities and outlets shall be tagged or labeled to warn the
public or employees that reclaimed water is not intended for drinking. Where appropriate, such
warning shall inform the public or employees to avoid contact with reclaimed water.
b. All reclaimed water piping, valves, outlets and other appurtenances shall be color -coded, taped or
otherwise marked to identify the source of the water as being reclaimed water.
i. All reclaimed water piping and appurtenances shall be either colored purple (i.e., Pantone 522)
and embossed or integrally stamped or marked "CAUTION: RECLAIMED WATER — DO
NOT DRINK" or be installed with a purple (i.e., Pantone 522) identification tape or
polyethylene vinyl wrap. The warning shall be stamped on opposite sides of the pipe and
repeated every three feet or less.
ii. Identification tape shall be at least three inches wide and have white or black lettering on purple
(i.e., Pantone 522) field stating "CAUTION: RECLAIMED WATER — DO NOT DRINK."
Identification tape shall be installed on reclaimed water pipelines in a visible manner, fastened
at least every 10 feet to each pipe length and run continuously the entire length of the pipe.
iii. Existing underground distribution systems retrofitted for the purpose of distributing reclaimed
water shall be taped or otherwise identified as noted above. This identification need not extend
the entire length of the distribution system, but shall be incorporated within 10 feet of crossing
any potable water supply line or sanitary sewer line.
c. All reclaimed water valves and outlets shall be of a type, or secured in a manner, that permits
operation by authorized personnel only.
d. Hose bibs shall be located in locked, below grade vaults that shall be labeled as being of non -
potable quality. As an alternative to the use of locked vaults with standard hose bib services, other
locking mechanisms such as hose bibs which can only be operated by a tool may be placed above
ground and labeled as non -potable water.
[15A NCAC 02U .0403]
8. No direct cross -connections shall be allowed between reclaimed water and potable water systems,
unless such connection has been approved by the Department pursuant to 15A NCAC 18C .0406. [15A
NCAC 02U .0403(0]
9. The compliance and review boundaries for the reclaimed utilization system (i.e., Pond 1 and irrigation
areas permitted prior to September 1, 2006) are established at the property boundary. Any exceedance
of standards at the compliance or review boundary shall require action in accordance with 15A NCAC
02L .0106. [15A NCAC 02H .0219(kX1)(CXi)(III)]
10. The high -rate infiltration system (i.e., Basins 1-A, 1-B, 3, 4, 5, 6, 7-A, and 7-B) was individually
permitted on or after December 30, 1983; therefore, the compliance boundary is established at either
250 feet from the effluent disposal area, or 50 feet within the property boundary, whichever is closest
to the effluent disposal area. An exceedance of groundwater standards at or beyond the compliance
boundary is subject to remediation action according to 15A NCAC 02L .0106(d)(2) as well as
enforcement actions in accordance with North Carolina General Statute 143-215.6A through 143-
215.6C. [15A NCAC 02L .0106(d)(2), 02L .0107(b)]
11. In accordance with 15A NCAC 02L .0108, the review boundary for the high -rate infiltration system
(i.e., Basins 1-A, 1-B, 3, 4, 5, 6, 7-A, and 7-B) is established midway between the compliance boundary
and the effluent disposal area. Any exceedance of groundwater standards at the review boundary shall
require action in accordance with 15A NCAC 02L .0106. [15A NCAC 02L .0106, 02L .0108]
12. The Permittee shall apply for a permit modification to establish a new compliance boundary prior to
any sale or transfer of property affecting a compliance boundary. [15A NCAC 02L .0107(c)]
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13. In accordance with 15A NCAC 02L .0107(d), no wells, excluding Division approved monitoring wells,
shall be constructed within the compliance boundary except as provided for in 15A NCAC 02L
.0107(g). [15A NCAC 02L .0107]
14. Except as provided for in 15A NCAC 02L .0107(g), the Permittee shall ensure any landowner who is
not the Permittee and owns land within the compliance boundary shall execute and file with the Dare
County Register of Deeds an easement running with the land containing the following items:
a. A notice of the permit and number or other description as allowed in 15A NCAC 02L .0107(f)(1);
b. Prohibits construction and operation of water supply wells within the compliance boundary; and
c. Reserves the right of the Permittee or the State to enter the property within the compliance boundary
for purposes related to the permit.
The Director may terminate the easement when its purpose has been fulfilled or is no longer needed.
[15A NCAC 02L .0107(f)]
15. The facilities permitted herein shall be constructed according to the following setbacks:
a. The setbacks for high -rate infiltration sites (i.e., Basins 1-A, 1-B, 3, 4, 5, 6, 7-A, and 7-B) permitted
under 15A NCAC 02H .0200 and 02H .0400 shall be as follows (all distances in feet):
i. Any habitable residence or place of public assembly under separate ownership: 10
ii. Any private or public water supply source: 100
iii. Surface waters: 200
iv. Groundwater lowering ditches: 200
v. Surface water diversions: 200
vi. Any well with exception of monitoring wells: 100
vii. Any property line: 50
viii. Subsurface groundwater lowering drainage systems: 200
ix. Public right of way: 50
x. Impounded public water supplies: 500
xi. Public shallow groundwater supply: 500
[15A NCAC 02H .0219(j), 02H .0404(g)]
b. The setbacks for reclaimed utilization sites (i.e., Pond 1 and irrigation areas permitted prior to
September 1, 2006) shall be as follows (all distances in feet):
i. Surface waters not classified SA: 25
ii. Surface waters classified SA: 100
iii. Any well with exception to monitoring wells: 100
[15A NCAC 02H .0219(k)]
c. The setbacks for storage and treatment units permitted under 15A NCAC 02H .0200 shall be as
follows (all distances in feet):
i. Any well with exception of monitoring wells: 100
ii. Any property line:
[15A NCAC 02H .0219(j)]
50
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IIL OPERATION AND MAINTENANCE REQUIREMENTS
1. The facilities shall be properly maintained and operated at all times. The facilities shall be effectively
maintained and operated as a non -discharge system to prevent the discharge of any wastewater resulting
from the operation of this facility. The Permittee shall maintain an Operation and Maintenance Plan,
which at a minimum shall include operational functions, maintenance schedules, safety measures and
a spill response plan. [15A NCAC 02T .0707]
2. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the subject non -discharge facilities, in accordance with 15A NCAC 08G .0200 the
Permittee shall designate and employ a certified operator in responsible charge (ORC) and one or more
certified operator(s) as back-up ORC(s). The ORC or their back-up shall visit the facilities in
accordance with 15A NCAC 08G .0200, and shall comply with all other conditions specified in the
previously cited rules. [15A NCAC 02T .0117]
3. A suitable year round vegetative cover on the non -conjunctive utilization sites shall be maintained at
all times, such that crop health is optimized, allows for even distribution of effluent and allows
inspection of the reclaimed utilization system. [15A NCAC 02T .0108(b)(1)]
4. Adequate measures shall be taken to prevent effluent ponding in or runoff from the infiltration and
irrigation sites listed in Attachment B. [15A NCAC 02T .0108(b)(1)]
5. All infiltration and irrigation equipment shall be tested and calibrated at least once per permit cycle.
Calibration records shall be maintained at the facility for a period of no less than five years, and shall
be made available to the Division upon request. [15A NCAC 02T .0108(b)(1)]
6. Only effluent from the KDHWWTP shall be disposed on the sites listed in Attachment B. [G.S. 143-
215.1]
7. An automatically activated standby power source capable of powering all essential treatment units shall
be on site and operational at all times. If a generator is employed as an alternate power supply, it shall
be tested weekly by interrupting the primary power source. [15A NCAC 02H .0404(gX3)]
8. No automobiles or machinery shall be allowed on the disposal sites except during equipment
installation or while maintenance is being performed. [15A NCAC 02T .0108(b)(1)]
9. Public access to the high -rate infiltration sites and wastewater treatment facilities shall be prohibited.
[15A NCAC 02T .0705(p)]
10. Public access to reclaimed water utilization sites shall be controlled during active site use. Such
controls may include the posting of signs showing the activities being conducted at each site. [15A
NCAC 02U .0501]
11. The residuals generated from the wastewater treatment facilities shall be disposed or utilized in
accordance with 15A NCAC 02T .1100. The Permittee shall maintain a residual management plan
pursuant to 15A NCAC 02T .0708 [15A NCAC 02T .0708, 02T .1100]
12. Diversion or bypassing of untreated or partially treated wastewater from the treatment facilities is
prohibited. [15A NCAC 02T .0705(i)]
13. Freeboard in the infiltration basin (i.e., Pond 1) shall not be less than two feet at any time. [15A NCAC
02T .0705(c)]
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14. A gauge to monitor waste levels in the infiltration basin (i.e., Pond 1) shall be provided. This gauge
shall have readily visible permanent markings, at inch or tenth of a foot increments, indicating the
following elevations: maximum liquid level at the top of the temporary liquid storage volume;
minimum liquid level at the bottom of the temporary liquid storage volume; and the lowest point on
top of the dam. [15A NCAC 02T .0108(b)(1)]
15. A protective vegetative cover shall be established and maintained on all earthen embankments (i.e.,
outside toe of embankment to maximum allowable temporary storage elevation on the inside of the
embankment), berms, pipe runs, erosion control areas, and surface water diversions. Trees, shrubs, and
other woody vegetation shall not be allowed to grow on the earthen dikes or embankments. Earthen
embankment areas shall be kept mowed or otherwise controlled and accessible. [15A NCAC 02T
.0108(b)(1)]
16. All effluent shall be routed to high -rate infiltration spray beds 1-A and 1-B should the limit for fecal
coliform (e.g., daily maximum concentration of 25 colonies per 100 mL) or turbidity (e.g.,
instantaneous maximum of 10 NTU) be exceeded, until the problems associated with the wastewater
treatment plant have been corrected. [15A NCAC 02T .0108(b)(1)]
17. The Permittee shall develop and implement an education program to inform users (including
employees) about the proper use of reclaimed water. Educational material shall be provided to all
residents and/or other facilities provided with reclaimed water, and these materials shall be maintained
consistent with the reclaimed water uses. All educational materials shall be made available to the
Division upon request. [15A NCAC 02U .0501(aX4)]
18. The Permittee shall provide notification to the public and/or employees about the use of reclaimed
water, and that reclaimed water is not intended for drinking. Such notification shall be provided to
employees in a language they can understand. [15A NCAC 02U .0501]
19. The infiltration basin (i.e., Pond 1) shall be periodically cleaned to remove deposited materials that may
impede the infiltration process. Cleaning records shall be maintained at the facility for a period of no
less than five years, and shall be made available to the Division upon request. The Washington
Regional Office, telephone number [phone], shall be notified prior to each cleaning. [15A
NCAC 02T .0108(b)(1)]
20. The turbidimeter shall be tested and calibrated at a minimum of once per year. Calibration records
shall be maintained at the facility for a period of no less than five years, and shall be made available to
the Division upon request. [15A NCAC 02T .0108(b)(1)]
21. Spray beds shall be raked as needed and all vegetation shall be kept out of the spray beds at all times.
The spray beds shall also be raked when solids and ruts develop within the beds, which results in uneven
infiltration. [15A NCAC 02T .0108(bxl)]
22. The application of chemicals to the high -rate infiltration spray beds is expressly prohibited. [15A
NCAC 02T .0108(b)(1)]
23. Adequate measures shall be taken to divert stormwater from the high -rate infiltration sites, the
infiltration basin (i.e., Pond 1), and the non -conjunctive reclaimed irrigation areas. [15A NCAC 02T
.0108(b)(1)]
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IV. MONITORING AND REPORTING REQUIREMENTS
1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water analyses)
necessary to ensure groundwater and surface water protection shall be established, and an acceptable
sampling reporting schedule shall be followed. [15A NCAC 02T .0108(c)]
2. A Division certified laboratory shall conduct all laboratory analyses for the required effluent,
groundwater or surface water parameters. [15A NCAC 02H .0800]
3. Flow through the treatment facility shall be continuously monitored, and daily flow values shall be
reported on Form NDMR.
The Permittee shall install and maintain an appropriate flow measurement device to ensure the accuracy
and reliability of flow measurement consistent with accepted engineering and scientific practices.
Selected flow measurement devices shall be capable of measuring flows with a maximum deviation of
less than ten percent from true flow; accurately calibrated at a minimum of once per year; and
maintained to ensure the accuracy of measurements is consistent with the selected device's accepted
capability. The Permittee shall maintain records of flow measurement device calibration on file for a
period of at least five years. At a minimum, documentation shall include:
a. Date of flow measurement device calibration,
b. Name of person performing calibration, and
c. Percent from true flow.
[15A NCAC 02T .0105(k)]
4. The Permittee shall monitor the effluent from the subject facilities at the frequencies and locations for
the parameters specified in Attachment A. [15A NCAC 02T .0108(c)]
5. The Permittee shall maintain adequate records tracking the amount of effluent infiltrated. At a
minimum, these records shall include the following information for each infiltration and irrigation site
listed in Attachment B:
a. Date of infiltration;
b. Volume of effluent infiltrated;
c. Site infiltrated;
d. Loading rates to each infiltration site listed in Attachment B; and
e. Weather conditions.
[15A NCAC 02T .0108(c)]
6. The Permittee shall maintain adequate records tracking the amount of effluent infiltrated/irrigated.
Records shall be maintained for a minimum of five years. At a minimum, these records shall include
the following information for each infiltration site listed in Attachment B:
a. Date of reclaimed water utilization;
b. Volume of reclaimed water irrigated/utilized;
c. Site irrigated/utilized;
d. Length of time site is irrigated/utilized;
e. Continuous weekly, monthly, and year-to-date hydraulic (inches/acre) loadings for irrigation
sites;
f. Weather conditions; and
g. Maintenance of cover crops.
[15A NCAC 02T .0108(c)]
7. Freeboard (i.e., waste level to the lowest embankment elevation) in the infiltration basin (i.e., Pond 1)
shall be measured to the nearest inch or tenth of a foot, and recorded weekly. Weekly freeboard records
shall be maintained at the facility for a period of no less than five years, and shall be made available to
the Division upon request. [15A NCAC 02T .0108(c)]
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8. Three copies of all monitoring data (as specified in Conditions IV.3. and IV.4.) on Form NDMR for
each PPI, three copies of all operation and utilization records (as specified in Condition IV.6.) on Form
NDAR-1 for every non -conjunctive utilization site listed in Attachment B, and three copies of all
operation and disposal records (as specified in Conditions IV.5. and IV.7.) on Form NDAR-2 for every
infiltration site in Attachment B shall be submitted on or before the last day of the following month. If
no activities occurred during the monitoring month, monitoring reports are still required documenting
the absence of the activity. All information shall be submitted to the following address:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[15A NCAC 02T .0105(1)]
9. Pursuant to § 143-215.1C., the Permittee shall provide to its users and the Division of Water Resources
an annual report summarizing the performance of the wastewater treatment, high -rate infiltration, and
reclaimed utilization facility and the extent to which the facility has violated this permit, or federal or
State laws, regulations, or rules related to the protection of water quality. This report shall be prepared
on either a calendar or fiscal year basis and shall be provided no later than 60 days after the end of the
calendar or fiscal year. Two copies of the annual report provided to the Permittee's users shall be
submitted to:
Division of Water Resources
Water Quality Permitting Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[G.S. 143-215.1C]
10. A record shall be maintained of all residuals removed from this facility. This record shall be maintained
at the facility for a period of no less than five years, and shall be made available to the Division upon
request. At a minimum, this record shall include:
a. Name of the residuals hauler;
b. Non -Discharge permit number authorizing the residuals disposal, or a letter from a municipality
agreeing to accept the residuals;
c. Date the residuals were hauled; and
d. Volume of residuals removed.
[15A NCAC 02T .0108(b)(1)]
11. A maintenance log shall be maintained at this facility. This log shall be maintained at the facility for a
period of no less than five years, and shall be made available to the Division upon request. At a
minimum, this log shall include:
a. Date and results of power interruption testing on alternate power supply;
b. Date of calibration of flow measurement device;
c. Date of calibration of turbidimeter;
d. Visual observations of the plant and plant site;
e. Record of preventative maintenance (e.g., changing of equipment, adjustments, testing, inspections
and cleanings, etc.); and
f. Dates infiltration beds were raked and inspected.
[15A NCAC 02T .0108(bx 1)]
12. Monitoring wells shall be sampled at the frequencies and for the parameters specified in Attachment
C. All mapping, well construction forms, well abandonment forms and monitoring data shall refer to
the permit number and the well nomenclature as provided in Attachment C and Figure 1. [15A NCAC
02T .0105(m)]
WQ0002829 Version 2.2 Shell Version 151201 Page 9 of 13

13. Two copies of the monitoring well sampling and analysis results shall be submitted on a Compliance
Monitoring Form (GW-59), along with attached copies of laboratory analyses, on or before the last
working day of the month following the sampling month. The Compliance Monitoring Form (GW-59)
shall include this permit number, the appropriate well identification number, and one GW-59a
certification form shall be submitted with each set of sampling results. All information shall be
submitted to the following address:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[15A NCAC 02T .0105(m)]
14. Noncompliance Notification:
The Permittee shall report by telephone to the Washington Regional Office, telephone number (252)
946-6481, as soon as possible, but in no case more than 24 hours, or on the next working day following
the occurrence or first knowledge of the occurrence of any of the following:
a. Treatment of wastes abnormal in quantity or characteristic, including the known passage of a
hazardous substance.
b. Any process unit failure (e.g., mechanical, electrical, etc.), due to known or unknown reasons,
rendering the facility incapable of adequate wastewater treatment.
c. Any facility failure resulting in a by-pass directly to receiving surface waters.
d. Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
e. Ponding in or runoff from the infiltration and irrigation sites.
f. Effluent breakout from the infiltration basin.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone]. Persons
reporting such occurrences by telephone shall also file a written report in letter form within five days
following first knowledge of the occurrence. This report shall outline the actions taken or proposed to
be taken to ensure the problem does not recur. [15A NCAC 02T .0105(1), 02T .0108(bx 1)]
WQ0002829 Version 2.2 Shell Version 151201 Page 10 of 13

V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
wastewater treatment, high -rate infiltration, and reclaimed utilization facilities. [15A NCAC 02T
.0108(b)]
2. The Permittee or their designee shall inspect the wastewater treatment, high -rate infiltration, and
reclaimed utilization facilities to prevent malfunctions, facility deterioration and operator errors
resulting in discharges, which may cause the release of wastes to the environment, a threat to human
health or a public nuisance. The Permittee shall maintain an inspection log that includes, at a minimum,
the date and time of inspection, observations made, and any maintenance, repairs, or corrective actions
taken. The Permittee shall maintain this inspection log for a period of five years from the date of the
inspection, and this log shall be made available to the Division upon request. [15A NCAC 02T
.0108(b)]
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the wastewater treatment, high -rate infiltration, and
reclaimed utilization facilities permitted herein at any reasonable time for the purpose of determining
compliance with this permit; may inspect or copy any records required to be maintained under the terms
and conditions of this permit, and may collect groundwater, surface water or leachate samples. [G.S.
143-21.5.3(aX2)]
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to an
enforcement action by the Division in accordance with North Carolina General Statutes 143-215.6A to
143-215.6C. [G.S. 143-215.6A to 143-215.6C]
2. This permit shall become voidable if the permitted facilities are not constructed in accordance with the
conditions of this permit, the Division approved plans and specifications, and other supporting
documentation. [15A NCAC 02T .0110]
3. This permit is effective only with respect to the nature and volume of wastes described in the permit
application, Division approved plans and specifications, and other supporting documentation. No
variances to applicable rules governing the construction or operation of the permitted facilities are
granted, unless specifically requested and approved in this permit pursuant to 15A NCAC 02T .0105(n).
[G.S. 143-21.5.1]
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules in
15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4 and
under General Permit NCG010000; any requirements pertaining to wetlands under 15A NCAC 02B
.0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of Chapter 143 of the
General Statutes. [15A NCAC 02T .0105(c)(6)]
5. In the event the permitted facilities change ownership or the Permittee changes their name, a formal
permit modification request shall be submitted to the Division. This request shall be made on official
Division forms, and shall include appropriate property ownership documentation and other supporting
documentation as necessary. The Permittee of record shall remain fully responsible for maintaining
and operating the facilities permitted herein until a permit is issued to the new owner. [15A NCAC
02T .0104]
6. The Permittee shall retain a set of Division approved plans and specifications for the life of the facilities
permitted herein. [15A NCAC 02T .0108(b)(1)]
WQ0002829 Version 2.2 Shell Version 151201 Page 11 of 13

7. The Permittee shall maintain this permit until all permitted facilities herein are properly closed or
permitted under another permit issued by the appropriate permitting authority. [15A NCAC 02T
.0105(j)]
8. This permit is subject to revocation or unilateral modification upon 60 days notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 02T .0110. [15A NCAC 02T .0110]
9. Unless the Division Director grants a variance, expansion of the permitted facilities contained herein
shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T .0120(b). [15A
NCAC 02T .0120]
10. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to pay
the annual fee accordingly shall be cause for the Division to revoke this permit. [15A NCAC 02T
.0105(e)(3)]
Permit issued this the 14th day of July 2017
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
2( e, = 2 )
S. Jay Zimmerman, P.G., Director
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0002829
WQ0002829 Version 2.2 Shell Version 151201 Page 12 of 13

VICINITY MAP
Ara
CONTACT INFORMATION
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JONN ARNFIELb
CONSTRUCTION MANAGER
TELEPHONE ale 270.1211
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15 LAURA LANE, SUITE 300
THOMASVILLE, NORTH CAROLINA 27360
TELEPHONE: [phone]
FAX: [phone]
,N21
SITE ADDRESS: 2005 SOUTH CROATAN HIGHWAY
KILL DEVIL HILLS, NORTH CAROLINA
CSD PROJECT NUMBER: OUT-2022
SHEET INDEX
C-1 EXISTING CONDITIONS /DEMOLITION PLAN
C-2 SITE PLAN
C-3 GRADING & EROSION CONTROL PLAN
C-3a NPDES STABILIZATION PLAN
C-3b NPDES DETAILS
C-4 UTILITY PLAN
C-5 DETAILS
C-6 DETAILS
C-7 DETAILS
C-7a DETAILS
C-8 LANDSCAPE PLAN
C-9 LIGHTING PLAN
A2.01 BUILDING ELEVATIONS
A2.02 BUILDING ELEVATIONS
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JOHN ARMfIELO
CONSTRUCTION MANAGER
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SOY ATYM 1E6. LLC
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PERVIOUS CONCRETE' PAVEMENT
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Mailing Address: P.OBox 2852 (104 Jester Court)
. Kill Devil Hills, North Carolina 27948
[e-mail]
• Phone: [phone]
Michael W. Robinson, P.E., P.L.S.
February 22, 2021
NCDENR, Division of Environmental Quality
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Re: Cook Out -Kill Devil Hills, Inc.
Fast Track Application (FTA 04-16)
For Receiving Sewer Utility - KDHWWTP, LLC
Wastewater Collection System Extension (Gravity Sewer to Ex. Pump Station)
Kill Devil Hills, Dare County, North Carolina
Dear Sir/Madame,
Enclosed please find FTA 04-16 and supporting data for a gravity sewer addition to the
KDHWWTP, LLC wastewater utility.
The following information is included with this submittal:
1. Fast Track application form completed and signed.
2. Project narrative with flow justification.
3. FTSE 04-16 signed.
4. Quad Sheet with project identified.
5. Current permit for receiving sewer (WQ0002829)
6. Reduced scale plans and details.
7. Application fee of $480.00.
Thank you for your assistance with this project.
If you have any questions please feel free to call me at 252-255-8026. I can also be
reached by email at [e-mail].
Sincerely
Michae mson P.E., P.L.S.