WQ0043691_Application (FTSE)_20220812

VccCL13(DcH
Michael W. Robinson, P.E., P.L.S.
August 05, 2022
NCDENR, Division of Environmental Quality
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Engineering and Surveying
Mailing Address: P.O. Box 2852 (104 Jester Court)
Kill Devil Hills, North Carolina 27948
[e-mail]
Phone: [phone]
Re: Ocean Breeze Townhomes
Fast Track Application (FTA 04-16)
For Receiving Sewer Utility - KDHWWTP, LLC
Wastewater Collection System Extension (Pump Station and Force Main)
Kill Devil Hills, Dare County, North Carolina
Dear Sir/Madame,
Enclosed please find FTA 04-16 and supporting data for a pump station and force main
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].
Sincerel
Michael W. Ro lnson P.L., P.L.S.
RECEIVED/NCDENFf1DWFd
AUG 12 2022
Water Quality
Regional Operations Section
Washington Regional Office;

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 engineering practices.
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design
documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design
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 1 C .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 11.1 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

f
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):
El 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
El 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.
❑ Provide a list of any items within the permit the Applicant would like the Division to address during the permit
modification (Le., 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: 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
Avery, Buncombe, Burke, Caldwell, Cherokee,
Clay, Graham, Haywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania, Yancey
Asheville Reqional Office
2090 US Highway 70
Swannanoa, North Carolina 28778
[phone]
[phone] Fax
Water Quality Section
Fayetteville Reqional Office
Water Quality Section
225 Green Street Suite 714
Fayetteville, North Carolina 28301-5094
[phone]
[phone] Fax
Anson, Bladen, Cumberland, Harnett, Hok,
Montgomery, Moore, Robeson, Richmonde
Sampson, Scotland
Mooresville Reqional Office
Water Quality Section
610 E. Center Avenue
Mooresville, North Carolina 28115
[phone]
[phone] Fax
Alexander, Cabarrus, and,
Gaston, Iredeli, Lincoln, aMecklenburg, tawba, lIR Rowan,
Stanly, Union
Raleigh Reqional Office
Water Quality Section
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
[phone]
(
Washington Reqional Office
Water Quality Section
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
Beaufort, Bete, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Reqional Office
Water Quality Section
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
Brunswick, Carteret, umbus, Duplin, New
Hanover, Onslow, P nder
Winston-Salem Reqional 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 02'I' .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number:
(to be completed by DWR)
All items must be com feted or the a lication will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: KDHWWTP LLC (company, municipality, HOA, utility, etc.)
2. Applicant type: El Individual
❑ Corporation ❑ General Partnership ®Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal
El 3. Signature authority's name: George E. Goodrich per 15A NCAC 02T .0106 b Other
Title: Mana in Partner
4. Applicant's mailing address: P.O. Box 3629
City: Kill D� State: North Carolina Zip: 27948-
5. Applicant's contact information:
Phone number: [phone] Email Address: eddie oodrich villa ereal obx.com
II. PROJECT INFORMATION:
1. Project name: OCEAN BREEZE TOWNHOMES
2. Application/Project status: ® Proposed P (New Permit) ❑Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
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: 36.00897° Longitude:-75.65501 °
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 State: NC Zip: 27948-
Phone number: [phone] Email Address: mrobinson(a?obxeneineeringcorn
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: KDHWWTP LLC Permit Number: W00002829
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 Numbers) (ifappllicable): WQCS
OwnerName(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/Property 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
El 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
% Industrial (See 15A NCAC 02T .0103(20))
1----->Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes 1Z4 No
> If ves, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow a,b
Multifamily- habitable room
120 gal/day
gal/
gal/
gall
gal/
gal/
a See 15A NCAC 02T .0114(b), (d), (e)(1) and (e)(2) for caveats to wastewater des,„ „vw rates (l.e., minimum tlow 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).
No. of Units
Flow
120
14,400 GPD
GPD
GPD
GPD
GPD
GPD
Total
14,400 GPD
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table I5A NCAC 02T.0114] shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 14,400 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
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: 1'TA 04-16
Page 2 of 5

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02� & MDC Gravi
1. Summarize gravity sewer to be permitted: tv Sewers).
111111111111111111.11111111111111111
111111111111111111111111111111111111
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)
VIII.
Oversizing lines to meet minimum slope requirement is not allowed and a violation oft PUMP STATION DESIGN CRITERIA (If Applicable) — 02— & MDC Pum S he MDC
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECTrce Mains):
1. Pump station number or name: 1
2. Approximate Coordinates (Decimal Degrees): Latitude: 36 0 0263° Longitude:-75.65501°
3. Design flow of the pump station: 0.2592 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 180 gallons per minute at 59 feet total dynamic head TD
5. Summarize the force main to be permitted (for this Pump Station): ( H)
6. Power reliability in accordance with 15A NCAC 02T .0305 h 1
❑ Standby power source or pump with automatic activation and telemetry CAC
➢ Required for all pump stations with an average daily flow greater than r equal tro 15,000 T gallons per1day)_
➢ Must be permanent to facility
per day
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
® Portable pumping unit with plugged emergency pump connection and telemetry - 15A
It shall be demonstrated to the Division that the portable source is owned or contracted by
NCAC 02T .0305(h)(1)(C):
and is compatible with the station.
If the portable power source or pump is dedicated to multiple pump the applicant (draft agreement)
storage capacities and the rotation schedule of the portable power source or pump, including travel tim
provided in the case of a multiple station power outage. stations, an evaluation of all the pump stations'
eframes, shall be
FORM: FTA 04-16
Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(0):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(fl & (g)
> 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Storm sewers and other utilities not listed below (vertical)
Water mains (vertical -water over sewer including in benched trenches)
Water mains (horizontal)
Reclaimed water lines (vertical - reclaimed over sewer)
Reclaimed water lines (horizontal - reclaimed over sewer)
**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
**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)
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
Any building foundation
Any basement
Top slope of embankment or cuts of 2 feet or more vertical height
Drainage systems and interceptor drains
Any swimming pools
Final earth grade (vertical)
® Yes ❑ No
Separation Required
24 inches
18 inches
10 feet
18 inches
2 feet
100 feet
50 feet
10 feet
5 feet
10 feet
10 feet
5 feet
10 feet
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(0 or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes lEi
➢ See the Division's draft separation requirements for situations where separation cannot be meet NO ®N/A
> 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? El Yes ®No
> 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, 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 1 SA NCAC 02T, the Minimum Desn 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/Alternative 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, ('IW4M e_ A). 126ruf-lsou attest that this application for
(Professional Engineer's name from Application Item III.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 143-215.6B, 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.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification Jper 15AANNCAC 02T .0106(b): / �
/ e ` " • 4/rr _L , 4 '"o"aq .e-L attest that this application for
(Signature Authority's name & title from Application Item
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 pernut 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:
FORM: FTA 04-16
Date:
Page 5 of 5

Project Narrative for Fast -track Application (FTA 04-16)
OCEAN BREEZE TOWNHOMES
Kill Devil Hills, Dare County, North Carolina
Design flow =14,400 gpd
Property Location and Property Data:
Lot 1A, Block 9, Section 1, Kill Devil Hills Subdivision, Kill Devil Hills, Dare Co, NC
Street Address: 902 S. Va. Dare Trail, Kill Devil Hills, NC 27948
Recorded Reference: P.C. 1 SI. 356, D.B. 2534 Pg. 033
Parcel: 027620000 PIN: 9883 08 98 2774
Proposed Development:
Multifamily Development Consisting of 6 Multi -Family Residential Buildings with a mix
of two, three, four and five bedroom units for 30 total units with 90 total bedrooms.
Project Wastewater Design Flow:
Design Flow: 90 bedrooms with 30 additional habitable rooms (one per unit) for a total of
120 habitable rooms at 120 gpd per habitable room = 14,400 gpd.
The utility will be owned and operated by the public wastewater utility permitted as
KDHWWTP, LLC by permit WQ0002829. The property was added to the KDHWWTP,
LLC service on May 04, 2009, Reference NC Utilities Commission Docket W-1160, Sub.
9.

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: OCEAN BREEZE TOWNHOMES
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 0.206650
e. WWTP facility's actual avg. flow 0.232124
f. Total flow for this specific request 0.014400
g. Total actual and obligated flows to the facility 0.453174
h. Percent of permitted flow used 68.7
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.
Signin: OfciSignature Date
Page 2 of 6
FTSE 04-16

40'
�2
2000
v �
9000 10 000
South Croatan Hwy.
OCEAN BREEZE TOWNHOMES
902 S. Virginia Dare Trail
Kill Devil Hills, Dare County, NC
NAGS HEAD 52 KAf .NT[R,OR—Ol Oi00,CAi euRv[v NreTON ViROM�_+ep,
'42 443":"^E
ROAD CLASSIFICATION
Light -duty road, hard or
Improved surface
.
QUADRANGLE LOCATION
CONTOURS AND ELEVATIONS
IN METERS
Primary highway,
hard surface
--po
-vy
o'rR
ass�
s
Secondary highway, 11 y
hard surface
-- -- — Unimproved road yos
Trails
n a.aow
Interstate Route U. S. Route State Route
KITTY HAWK, N. C.
SW/4 KITTY HAWK 15' QUADRANGLE
N3600- W7537.5/7.5
1982
DMA 5856 II SW -SERIES V8420

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
GEORGE E. GOODRICH — MANAGER
KDHWWTP, L.L.C.
POST OFFICE BOX 3629
KILL DEVIL HILLS, NORTH CAROLINA 27948
Dear Mr. Goodrich,
_nn•
f QILW VV°
NORTH CAROLINA
Environmental Quality
July 29, 2022
Subject: Permit No. WQ0002829
KDHWWTP
Reclaimed Water Generation,
Dedicated Utilization, and
High -Rate Infiltration System
Dare County
In accordance with your permit renewal request received May 6, 2022, we are forwarding herewith
Permit No. WQ0002829 dated July 29, 2022, to KDHWWTP, L.L.C. for the continued operation of the
reclaimed water generation, high -rate infiltration, and dedicated reclaimed utilization facilities , as well as
the continued operation and subsequent conversion of the Train A reclaimed water generation facilities.
This permit shall be effective from the date of issuance through April 30, 2029, shall replace Permit
No. WQ0002829 issued July 14, 2017, and shall be subject to the conditions and limitations therein. The
Permittee shall submit a renewal application no later than November 1, 2028.
Please pay attention to the monitoring requirements listed 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.
The Division has removed the following permit conditions since the last permit issuance dated
July 14, 2017:
> Old Condition I.1 — This condition has been removed as the Town of Kill Devil Hills does not
own any of the reclaimed water irrigation sites.
> Old Condition I.2 — This condition has been met.
> Old Condition 1.6 — This condition is no longer required.
> Old Condition 11.6 — This condition has been removed as the green area requirements have been
repealed.
> Old Condition 1II.20 — This condition has been removed because it is inherently covered under
new Condition 1I1.8.
rgrvn D E ��
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

Mr. George E. Goodrich
July 29, 2022
Page 2 of 2
The following permit conditions are new since the last permit issuance dated July 14, 2017:
> Condition I.2 — This condition requires that the Permittee notify the Washington Regional
Office at least two business days in advance of initial operation of the modified facilities so
that the Division can conduct an inspection.
> Conditions II.11, II.12, and 1I.13 — These conditions denote separation distances for the
reclaimed water distribution lines.
> Condition III.4 — This condition requires an operator be on call 24 hours per day.
> Condition III.7 — This condition requires that irrigation not occur during inclement weather.
> Condition 1I1.8 — This condition requires metering equipment be tested and calibrated annually.
> Condition II1.25 — This condition requires continuous online monitoring and recording of
turbidity.
> Condition 11I.26 — This condition requires the Permittee to notify the public and its employees
about the use of reclaimed water.
> Condition I1I.27 — This condition requires the Permittee to develop and implement an education
program to inform users and its employees about the proper use of reclaimed water.
> Condition IV.5 — This condition has been revised to include additional recording requirements.
> Condition VI.3 — This condition states that there are no variances to administrative codes or
general statutes governing the construction or operation of the facilities permitted herein.
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. Otherwise, this permit shall be final and binding.
If you need additional information concerning this permit, please contact Lauren Raup-Plummer at
[phone] or Lauren.Plummer(cr�ncdenr ov.
cc: Dare County Health Department (Electronic
Washington Regional Office, Water Quality
Laserfiche File (Electronic Copy)
Digital Permit Archive (Electronic Copy)
Sincerely,
Richard E. Rogers, Jr., Director
Division of Water Resources
Copy)
Regional Operations Section (Electronic Copy)

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
RALEIGH
RECLAIMED WATER GENERATION, DEDICATED UTILIZATION, AND HIGH -RATE
INFILTRATION 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, L.L.C.
Dare County
FOR THE
operation of a 660,000 gallon per day (GPD) reclaimed water generation, dedicated utilization, and high -
rate infiltration facility consisting of the:
continued operation and subsequent conversion (as permitted December 9, 2016) of: the existing 312,000
gallon extended aeration "Train A" into a 5-stage Bardenpho Process with Integrated Fixed Film Activated
Sludge (IFAS) configuration consisting of: a 70,097 gallon pre -anoxic Zone 1 with four 2 horsepower (hp)
mixers; a 32,903 aeration Zone 1A with high -density polyethylene (HDPE) media; a 47,208 gallon aeration
Zone 1 B with HDPE media; a 55,791 gallon aeration Zone 2A with HDPE media; a 24,319 gallon aeration
Zone 2B with HDPE media and two 350 gallon per minute (GPM) recycle pumps; a 55,791 gallon post -
anoxic Zone 1 with three 2 hp mixers and a carbon chemical feed system; a 22,889 re -aeration Zone 1 with
an alum chemical feed system; and all associated piping, valves, controls, and appurtenances; the
continued operation of a 660,000 GPD reclaimed water generation system consisting of: a stainless steel
mechanically -cleaned helical fine screen; a 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 GPM
equalization pumps; an aluminum flow splitter box with an alkalinity chemical feed system; a 312,000
gallon extended aeration "Train A"; a 310,000 gallon 5-stage Bardenpho Process "Train B" with a 70,195
gallon pre -anoxic Zone 2 with two 0.75 hp mixers and one 1.5 hp mixer, an 84,234 gallon aeration Zone 3,
an 81,426 gallon aeration Zone 4 and two recycle pumps, a 56,156 gallon post -anoxic Zone 2 with one 1.5
hp mixer and a carbon chemical feed system, and a 16,846 gallon re -aeration Zone 2 with an alum chemical
feed system; 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 (ft) 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 CFM rotary positive blowers, and an 800 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 stand-by power system consisting of a 45 kilowatt (kW) generator; a 115 kW generator;
and all associated piping, valves, controls, and appurtenances; the
WQ0002829 Version 3.0
Shell Version 200201 Page 1 of 13

continued operation ofa high -rate spray infiltration system consisting of: three 7.5 hp pumps; seven 15 hp
pumps; a 1.35 acre high -rate spray infiltration area consisting of eight spray beds; and all associated piping,
valves, controls, and appurtenances; the
continued operation ofa low -flow 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 dedicated reclaimed water utilization system consisting of: an irrigation pump
station with a 25 hp pump and a 3 hp pump; a 24.55 acre of spray 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
May 6, 2022, and in conformity with the Division -approved plans and specifications considered a part of
this permit.
This permit shall be effective from the date of issuance through April 30, 2029, shall replace Permit No.
WQ0002829 issued July 14, 2017, and shall be subject to the following conditions and limitations:
I• SCHEDULES
1. Upon completion of construction and prior to operation of the permitted modifications, the Permittee
shall submit an engineering certification from a North Carolina licensed Professional Engineer
certifying that the permitted facility has been constructed in accordance with G.S. 143-215.1,
Administrative Code Title 15A Subchapter 02T, this permit, and the Division -approved plans and
specifications. For phased and partially certified facilities, the Permittee shall retain the responsibility
to track further construction approved under this permit, and shall provide a final engineering
certification upon project completion. Mail the Engineering Certification to the Division of Water
Resources, Non -Discharge Branch, 1617 Mail Service Center, Raleigh, NC 27699-1617, or Non-
Discharge.Reports(a)ncdenr.gov. [15A NCAC 02T .0116(a)]
2. The Permittee shall notify the Washington Regional Office, telephone number [phone], at least
two business days in advance of initial operation of the modified facilities so that the Division can
conduct an inspection. [15A NCAC 02T .0108(b)(1)(B)]
3. The Permittee shall request renewal of this permit on Division -approved forms no later than November
1, 2028. [15A NCAC 02T .0105(b), 02T .0109]
II. PERFORMANCE STANDARDS
1. The Permittee shall maintain and operate the subject non -discharge facilities 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 areas to assimilate the effluent, the Permittee
shall take immediate corrective actions, including Division required actions, such as the construction
of additional or replacement reclaimed water generation, utilization, or disposal facilities. [15A NCAC
02T .0108(b)(1)(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 02T .0108 b 1 A
)]
3. Groundwater monitoring wells 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]
WQ0002829 Version 3.0
Shell Version 200201
Page 2 of 13

4. Effluent quality shall not exceed the limitations specified in Attachment A. [15A NCAC 02T .0705(b),
02U .0301]
5. Application rates, whether hydraulic, nutrient, or other pollutant shall not exceed those specified in
Attachment B. [15A NCAC 02T .0705(m), 15A NCAC 02U .0401(g)]
6. All reclaimed water valves, storage facilities, and outlets shall be tagged or labeled to warn the public
or employees that the water is not intended for drinking. [15A NCAC 02U .0403(b)]
7. 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 as follows:
a. All reclaimed water piping and appurtenances shall be either colored purple (Pantone 522 or
equivalent) and embossed or integrally stamped or marked "CAUTION: RECLAIMED WATER -
DO NOT DRINK" or be installed with a purple (Pantone 522 or equivalent) identification tape or
polyethylene vinyl wrap. The warning shall be stamped on opposite sides of the pipe and repeated
every three feet or less;
b. Identification tape shall be at least three inches wide and have white or black lettering on purple
(Pantone 522 or equivalent) field stating "CAUTION: RECLAIMED WATER - NOT
DRINK". Identification tape shall be installed on top of reclaimed water pipelines, fasten dOat east
every 10 feet to each pipe length and run continuously the entire length of the pipe; and
c. Existing underground distribution systems retrofitted for the purpose of con�eving reclaimed water
shall be taped or otherwise identified as noted in II.7.a. and II.7.b. 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.
[I5A NCAC 02U .0403(c)]
8. All reclaimed water valves and outlets shall be ofa type, or secured in a manner, that permits operation
by personnel authorized by the entity that operates the reclaimed water system. [15A NCAC 02U
.0403(d)]
9. 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 that can only be operated by a tool may be placed above ground and
labeled as non -potable water. [15A NCAC 02U .0403(e)]
10. There shall be no direct cross -connections between the reclaimed water and potable water systems,
unless such connection has been approved by the Department pursuant to 15A NCAC 18C .0406. [15A
NCAC 02U .04030)]
11. Reclaimed water distribution lines shall be located at least 5 feet horizontally from and 18 inches below
any water line if practicable. If these separation distances cannot be met, the piping and integrity testing
procedures shall meet water main standards in accordance with 15A NCAC 18C. [15A NCAC 02U
.0403(g), 02U .0403(h)]
12. Reclaimed water distribution lines shall not be less than 50 feet from a well unless the piping
integrity testing procedures meet water main standards in accordance with 15A NCAC 18C, but in no
case shall they be less than 25 feet from a private well. [15A NCAC 02U .0403(g),
3]and
13. Reclaimed water distribution lines shall meet the separation distances to sewer lines in accordance with
15A NCAC 02T .0305. [15A NCAC 02U .0403(g), 02U .0403(j)]
WO0002829 Version 3.0
Shell Version 200201
Page 3 of 13

14. The compliance and review boundaries for the reclaimed utilization system permitted prior to
September 1, 2006 (i.e., Pond 1 and utilization sites) are established at the property boundary. Any
exceedance of groundwater standards at or beyond the compliance boundary shall require corrective
action. Division -approved relocation of the compliance boundary shall be noted in Attachment B.
Multiple contiguous properties under common ownership and permitted for use as a disposal system
shall be treated as a single property with regard to determination of a compliance boundary. [15A
NCAC 02L .0106, 02T .0105(h), 02H .0219(k)(1)(C)(0(111), G.S. 143-215.1(i), G.S. 143-215.1(k)]
15. 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, and therefore has a compliance boundary that is either 250
feet from the infiltration area, or 50 feet within the property boundary, whichever is closest to the
infiltration area. Any exceedance of groundwater standards at or beyond the compliance boundary
shall require corrective action. Division -approved relocation of the compliance boundary shall be noted
in Attachment B. Multiple contiguous properties under common ownership and permitted for use as a
disposal system shall be treated as a single property with regard to determination of a compliance
boundary. [15A NCAC 02L .0106(d)(2), 02L .0107(b), 02T .0105(h), G.S. 143-215.1(i), G.S. 143-
215.1(k)]
16. 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 midway between the compliance boundary and the infiltration area. Any exceedance of
groundwater standards at or beyond the review boundary shall require preventative action. [15A NCAC
02L .0106(d)(1), 02L .0108]
17. 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 (i.e., parcel subdivision). [15A NCAC
02L .0107(c)]
18. 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]
19. 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(0(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(0]
WQ0002829 Version 3.0 Shell Version 200201
Page 4 of 13

20. The facilities herein were permitted per the following setbacks:
a. The high -rate infiltration sites (i.e., Basins 1-A, 1-B, 3, 4, 5, 6, 7-A, and 7-B) were originally
permitted June 21, 2004. The setbacks for infiltration sites originally permitted or modified from
February 1, 1993 to September 1, 2006 are as follows (all distances in feet):
i. Each private or public water supply source:
ii. Surface waters: 100
iii. Groundwater lowering ditches: 200
200
iv. Surface water diversions (upslope):
v. Surface water diversions (downslope): 200
vi. Each well with exception of monitoring wells: 200
vii. Each property line: 100
viii. Top of slope of embankments or cuts of two feet or more in vertical height: 100
ix. Each water line:
x. Each swimming pool: 10
xi. Public right of way: 100
50
xii. Nitrification field:
xiii. Each building foundation or basement: 20
xiv. Each impounded public surface water supply: 15
pp y' 500
xv. Each public shallow ground water supply (less than 50 feet deep): 500
Setbacks to property lines are not applicable when the Permittee, or the entity from which the
Permittee is leasing, owns both parcels separated by the property line.
[15A NCAC 02H .0404(g), 02H .0219(j)(5)]
b. The reclaimed water irrigation sites were originally permitted June 16, 2006. The setbacks for
reclaimed irrigation sites originally permitted or modified from June 1, 1996 to August 31, 2006
are as follows (all distances in feet):
i. Surface waters classified SA:
[15A NCAC 02H .0219(k)(1)(C)(i)]
ii. Surface waters not classified SA: 100
iii. Each water supply well: 25
iv. Each non -potable well: 100
10
v. Each swimming pool:
25
c. The storage and treatment units were modified November 5, 2008. The setbacks for storage and
treatment units originally permitted or modified from September 1, 2006 to August 31, 2018 are as
follows (all distances in feet):
i. Each habitable residence or place of assembly under separate ownership: 100
ii. Each on -property residential unit if the unit is to be sold:
iii. Each private or public water supply source: 10
100
iv. Surface waters:
50
v. Each well with exception of monitoring wells:
100
vi. Each property line:
50 2
Habitable residences or places of assembly under separate ownership constructed after the
facilities herein were originally permitted or subsequently modified are exempt from this
setback.
WQ0002829 Version 3.0 Shell Version 200201
Page 5 of 13

2 Setbacks to ro
P perty lines are not applicable when the Permittee, or the entity from which the
Permittee is leasing, owns both parcels separated by the property line.
[15A NCAC 02H .0404(g), 02T.0706(d), 02T.0706(0, 02T.0706(g)]
III. OPERATION AND MAINTEN ANCE RE UIREMENTS
1. The Pennittee shall operate and maintain the subject facilities as a non -discharge system.
02T .0700, 02U .0101] g[15A NCAC
2. The Permittee shall maintain an Operation and Maintenance Plan, which shall include:
a. A description of the operation of the system in detail to show what operations are necessary for the
system to function and by whom the operations are to be conducted;
b. A description of anticipated maintenance of the system;
c. Provisions for safety measures, including restriction of access to the site and equipment; and
d. Spill control provisions that include response to upsets and b
containment, and remediation, and contact information for
regulatory agencies; bypasses, including control,
personnel, emergency responders, and
[15A NCAC 02T .0707(a), 02U .0801(a)]
3. Upon the Water Pollution Control System Operators Certification Commission's
classification of the subject non -discharge facilities, the Penn ittee shall designate and employ
a certified
operator in responsible charge (ORC),ne(WPCSOCC)
.0 their back-up shall operate and visit the facilities oas required ed byed perators as back-up ORCs. The ORC
or theor
the WPCSOCC. [ISA NCAC 02T
17]
4. An operator certified by the Water Pollution Control System Operators Certification Commission
(WPCSOCC) ofa grade equivalent or greater than the facility classification shall be on call 24 hours
per day. [15A NCAC 02U .0401(e)]
5. The Permittee shall maintain vegetative cover on the irrigation sites, such that crop health is optimal,
o allws even effluent distribution, and allows inspection of the irrigation system. [ISA NCAC 02U
.0806. The Permittee shall take measures to prevent effluent ponding in or runoff from the infiltration and
irrigation sites listed in Attachment B. [15A NCAC 02T .0707(c), 02U .0801(c)]
7. The Permittee shall not irrigate treated effluent during inclement weather, or when the soil is in a
condition that will cause ponding or runoff. [15A NCAC 02U .0401(k)]
8. All infiltration and irrigation equipment shall be tested and calibrated once per permit cycle. [15A
NCAC 02T .0707(d), 02U .0801(d)]
9. Only
ted
uent from the
Attachment B. [15A NCAC 02T 00701, 02U .0101] HWWTP shall be infiltrated or irrigated on the sites listed in
e10. The Permittee shall not allow vehicles or heavy machinery on the infiltration or irrigation areas, except
during equipment installation or maintenance activities. [15A NCAC 02T .O
11. The Pennittee shall prohibit public access to the wastewater treatment, storage,
and infiltration
tra]
facilities. [15A NCAC 02T .0705(p), 02U .0402(e)]
and
12. 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 .050I (a)(2)]
WQ0002829 Version 3.0
Shell Version 200201
Page 6 of 13

13. The Perrrittee shall dispose or utilize
02T .0708, 02T .1100, 02U .0802]• generated residuals in a Division -approved manner. [15A NCAC
14. The Permittee shall dive
notrt or bypass untreated or
(•) 02U.0402(g)] partially treated wastewater from the subject
facilities. [1SA NCAC
15. Freeboard in the0infiltration .0401(basin (i.e., Pond 1) shall not be less than two feet at any
02d(ein.04
16. A gauge to monitor waste levels in the infiltration basin r.e. time. [I SA NCAC
e
shall have readilymnvisible wast permanent infiltration
s
followinghall( nth Pond 1) shall i becr provided. indicating This
elevations: maximum li g at iect or tf th stea foot i liguidnts, vume; minimum liquid level at the bottomgofdthe tem at the to of
mtop imuof dam. p the e Volumry liquid storage the
e
[15A NCAC 02T.0707 temporary liquid storage volume; and the lowest 17. A (�, 02U.oso1(t)] point on
protective vegetative cover shall be established
erosion
control areas, svegetative
water diversions, and earthed embank and maintained maximum allowable water on all outside.e., to pipee runs,
maxi wood temporary storage elevation on the inside ofthe rembankment e Trees, shrubs,
to
otherwoodyshall vegetation
shallpt not be
or llowed tto otrolled
grow on the earthen dikes or embankments. rgarthen
embankments U .nk
0
and accessible. [15A NCAC 02T. 18. Metering 0707(g),
g equipment shall be tested and calibrated annually. [15A NCAC
19. An automatically activated standby 02T.0707 d
be on site and o power source capable of O, nU units shall
be tested weekly operational at all times. If a generator is employedp as an a alls essential treatmentwrsupply, shall
Y by interrupting the primary power source. [1 SA NCAC 02 Tate power
20. If turbidity0705 k it shall
routed to thexcieds 100 TUs or if
spray all )' effluent shall
l be
permitted pathogen levels cannot problems s,sshall be
reclaimed water generation system have beendcorr cted a 1 13 until the U.0402
21. The infiltration areas shall be cleaned at least[15,q NCAC 02U • associated with the
0402(d)]
may impede the areas
hall clean. once perpermit
and shopll be avtration topr tce Division nupn lbmaintainedcycle to removetthedeposited cility materials years,that
Cleaning records shall a at facility for five
number (252) made946available
shall be notified prior to request each cleaning.
Regional Office,
22. Spray g• [15A NCAC 02T. telephone
p y beds shall be raked as needed and all vegetation shall be kept out of the spray 0 beds att]
The spray beds shall also be raked when solids and ruts develop
infiltration. [15A NCAC 08 all times.
(b)(1)(q)] within the beds, which results in uneven
23. The application of chemicals to the high-rate02Tchemicals
infiltration spray P y beds is expressly prohibited [15A
9 measures shall be taken to divert sto
infiltration basin (i.e., Pond 1), and the dedicated reclaimed irrigation
.0108(6)(1)(Mrmwater from the high -rate infiltration sites, the
g areas. [1SA NCAC 02T
25. Continuous online monitoring and recording
prior to storage, distribution, or utilization of eclaimedfor rwate particle count and flow shall be 26. The Permitter shall provide notification to the [ A NCAC 02U , provided
0401(b)]
ed
water, and that lprovide
water is not intended for ledrinking. public andits Such notifyeesication
about the use of provided
to
employees in a language they can understand.
Such notification shall be provided to
[15A NCAC 02U .0501(a)(2)]
WQ0002829 Version 3.0
Shell Version 200201
Page 7 of 13

27. The Permittee shall develop
ent an education
about the proper use ofreclaim d�watermEducational m material shall be provided to all reits sidents and/or
other facilities provided with reclaimed water, and these materials hall be maintained and to inform users employees
consistent with
the reclaimed water uses. All educational materials shall be made available to the Division upon
request. [15A NCAC 02U.0501(a)(4)]
IV. MONITORING AND REPORTING
RE UIREMENTS
1. The Permittee shall conduct and report any Division required monitoring necessary to evaluate this
facility's impact on groundwater and surface water. [15A NCAC 02T .
2. ADivision-certified laborato 0108(c)]
I SA shall conduct all analyses for the required effluent,
[ NCAC 02H .0800] groundwater, and
surface water parameters.
3. Flow through the treatment facility shall be continuously monitored, and daily
reported on Form NDMR. Facilities with a permitted flow Tess than 10,000
flow from water usage records flow values shall be
flow fro provided the water source is metered. [15A NCAC 02T .0105 k ,
mayPD estimate their
4. The Pennittee shall monitor the treated effluent at the frequencies and locations for the a) 02T
specified in Attachment A. [15A NCAC 02T.0108(c)] q
parameters
5. The Permittee shall maintain records tracking the amount of effluent infiltrated. These records shall
include the following information for each infiltration site listed in Attachment B:
a. Date of infiltration;
b. Volume of effluent infiltrated;
c. Site infiltrated;
d. Length of time site is infiltrated;
e. Loading rates to each infiltration site listed in Attachment B; and
f Weather conditions.
[15A NCAC 02T.0108(c)]
6. The Permittee shall maintain records tracking the amount of reclaimed water irrigated/infiltrated. These
records shall include the following information for each irrigation 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, monthl ,
sites; y and year-to-date hydraulic (inches/acre) loadings for irrigation
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
shall be measured to the nearest inch or tenth ofa foot, and recorded week]
shall be ( Pond 1)
maintained for five years, and shall be made available to the Division upon request. [15A
NCAC 02T .0108(c)] Y• Weekly freeboard records
WQ0002829 Version 3.0
Shell Version 200201
Page 8 of 13

8. Three copies of all monitoring data (as specified in Conditions IV.3. and IV.4.)
PPI, three copies of all operation and utilization records (as specified in Condition IV.6) on Form
NDAR-1 for every dedicated utilization site listed in Attachment B, oniForm NDMR forn
and disposal records (as specified in Conditions IV.5. and IV.7,and three copies ef all operation
site in Attachment B shall be submitted on or before the last da
occurred during the monitoring) on FOB NDAR-2 for every infiltration
of the ectivi month, monitoring reports are sot ll required documenting the f the following month. If no absence
1y. 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)j
9. Pursuant to G.S. 143-215.1C(a) the Permttee shall provide to its users and the Division of Water
Resources an annual report summarizing the performance of the
reatment, high -rate
infiltration, and reclaimed utilization facility wastewater in federal or State laws,s regulations, and the extent to which the facility hasty violated this permit,
oror
be prepared on either a calendar fiscal year basis and shall be provided no later than 60 days after
rules related to the protection of water quality. This report shall
the end of the calendar or fiscal year. Two copies of the annual report provided to the Permittee's users
shall be submitted to:
[G.S. 143-215.1 C(a)]
Division of Water Resources
Water Quality Permitting Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
10. The Pennite° shall maintain a record of all residuals removed from this facility.
maintained for five years, and shall be made available to the Division upon request. This record shall
include: 1y. This record shall be
a. Name of the residuals hauler;
b. agring to accept the residuals;
Non -Discharge permit number authorizing the residuals disposal, or a letter from a municipality
c. Date the residuals were hauled; and
d. Volume of residuals removed.
[15A NCAC 02T .0708(6), 02U .0802(b)]
1 1 • A maintenance log shall be kept at this facility.
be made available to the Division u This log shall be maintained for five years, and shall
pon request. This log shall include:
a. Date of flow measurement device calibration;
b. Date of infiltration equipment calibration;
c. Date of turbidimeter calibration;
d. Date and results of power interruption testing on alternate power supply;
e. Visual observations of the plant and plant site;
f. Record of preventativePP y�
Record
spray bed raking, maintenance (e.g., changing
g and cleanings, etc.); and g of equipment, adjustments, testing,
g. Record of all discharges of reclaimed water to surface waters or the land surface, including
of occurrence, estimated volume, and corrective action taken.
[15A NCAC 02T .0707(i), 02U .0801(h)] the date
12• Monitoring wells CW-A,frequeorins and for the CW-C' CW-D CW-F CW-G,
parameters specified in Attachment B-I, and CW_g_I shall be sampled at the
well abandonment forms and monitorinAll e in well number
and theh forms
nomenclature as rovided in Attachment C andaFi ure shall] refer to the
ermit number and well
WQ0002829 Version 3.0 [ISA NCAC 02T.0105
Shell Version 200201 (m)]
Page 9 of 13

13. Two copies of the monitoring well sampling and analysis results shall be submitted on a Co
Monitoring Form (GW-59), along with attached copies of laboratory
working day of the month following the sampling Compliance
ol include this e P g month. The Compliance Fbefore the last
shall nform shall be submitted the apprth opriate
h set w lidentification number, Monitoring nnd e GW-59a
csubmitted to the following results. All information shallbe
g address:
[15A NCAC 02T .0105(m)]
14. Noncompliance Notification:
within 24 hours of first knowledge of the following:
The Pennittee shall report to the Washington Regional Office,
telephone number [phone],
a. Treatment of wastes abnormal in quantity or characteristic, including the known
hazardous substance.
b. Any passage of a
process unit (e.g.,
atreatme t. mechanical, electrical, etc.) rendering the facility{❑
c. Any facility failure resulting in a discharge to surface waters. capable of
adequate wastewater
d. Any failure resulting in a discharge of reclaimed water directly to surface waters or any
tted
release of reclaimed water to land surface greater than or equal
releases less than 5,000 gallons to land surface shall be documented by the Pennittee in accordance
with Condition IV.I 1. to 5,000 gallons. Unpennitted
g. but do not require Regional Office notification.
e. Any time self -monitoring indicates the facilityhas
limitations.
tions. gone out of compliance with its f. Pondingin or Permit
runoff from the infiltration and irrigation sites.
g. Effluent breakout from the infiltration basin (Le., Pond 1).
Emergencies requiring reporting outside normal an)l bus5s hours(80shall8 call6 , the (919) 73 Emergency
noncompliance notificaat tionsshallfile a writhone number 8ten 662-7956,reporttothe Washington
days of first knowledge bof ons occurrence,or al Office within
All
ensure the problem does not recur. and this report shall outline the actions'proposed ors taken to
[15A NCAC 02T.0108(b)(1)(A)]
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
WO0002829 Version 3.0
Shell Version 200201
Page 10 of 13

V. INSPECTIONS
1. The Permittee shall perform inspections and maintenance to ensure proper operation of the reclaimed
water generation, utilization, and infiltration facilities. [I5A NCAC 02T .0707(j), 02U .0801(i)]
2. The Pennittee shall inspect the reclaimed water generation, utilization and infiltration facilities to
prevent malfunctions, facility deterioration, and operator errors that may result in discharges of wastes
to the environment, threats to human health, or public nuisances. The Pennittee shall maintain an
inspection log that includes the date and time of inspection, observations made,
repairs, or corrective actions taken. The Permittee shall maintain this inspection log and 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 .0707(i), 02T .0707(j), 02U .0801(i)]
3. Division authorized representatives may,P quest.
pect any
property, authorized
r placersrrepresdentatives
to upon presentation of credentials, enter and ins
facilities permitted herein at any reasonable time for determ watnir generation, and ng compliance with this eDi anon
authorized representatives may inspect or copy records maintained under the terms and conditions of
this permit, and may collect groundwater, surface water, or leachate s P nmt. Division
VI. GENERAL CONDITIONS amPles. [G.S. 143-215.3(a)(2)]
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to a
Division enforcement action. [G.S. 143-215.6A, 143-215.6B, 143-215.6C]
2. This permit is effective only with respect to the nature and volume of wastes described in the e
application, and Division -approved plans and specifications. [G.S. 143-215.1(d)]
3 • Unless specifically requested and approvedin this opera p there are variances to administrative codes
permit
n
or general statutes governing the construction or operation of the facilities permitted herein. []SA
NCAC 02T.0105(n)]
4. The issuance of this permit does not exempt the Pennittee from complying
regulations, or ordinances that other jurisdictional government agencies(e.g.,
may require. [15A NCAC 02T .0105 c with all statutes, ides,
( )(6)] local, state, and federal)
5. If the permitted facilities change ownership, or the Pennittee
submit ae permitmitt d modification a e ow on Division -approved
changes their name, the shall comply
wall
allth
terms and conditions of this permit until the e pProved forms.
l5erms ems• The Pennittee comply 143-
P permit is transferred to the successor -owner. [G.S. 143-
6. The Permittee shall retain a set of Division -approved plans and specifications for the life of the facilities
permitted herein. [15A NCAC 02T .0105(o)]
7. The Pennittee shall maintain this permit until the proper closure of all facilities permitted herein, or
until the facilities permitted herein are permitted by another authority. [15A NCAC 02T .0105(j)]
WQ0002829 Version 3.0
Shell Version 200201
Page 11 of 13

8. This permit is subject to revocation or modification upon 60-day notice
whole or part for: from the Division Director, in
a. violation of any terms or conditions of this permit or Administrative Code
02T;
Title 15A Subchapter
b. obtaining a permit by misrepresentation or failure to disclose all relevant facts;
c. the Permittee's refusal to allow authorized Department employees upon res
i• to enter the Permittee's premises where a system is located or where presentation of credentials:
to be kept; any records are required
b
ii. to have access to any permit required documents and records;
iii. to inspect any monitoring equipment or method as required in this e
iv. to sample any pollutants; p rmit; or
d. the Permittee's failure to pay the annual fee for administering and compliance
e. a Division determination that the conditions of this a monitoring;
Administrative Code or General Statutes. Carolina
or
permit are in conflict with North
[15A NCAC 02T .0110]
9. Unless the Division Director grants a variance, expansion of the facilities permitted herein shall not
occur if any of the following apply:
a. The Permitter or any parent, subsidiary, or other affiliate of the Pertnittee has been convicted of
environmental crimes under G.S. 14or oB
prosecuted under G.S. 143-215.6B , or under Federal law that would otherwise be
exhausted.
pu, and all appeals of this conviction have been abandoned or
b. The Permitter or any parent, subsidiary,without
or other properly closing the the
ili ittee has previously abandoned
c. ty.
The Permitter or any parent, subsidiar
y,
or otheraof the tnittee has not paid a civil
penalty, and all appeals of this penal ty abandoned been abann doneone d or exhausted.
d. The Permitter or any parent, subsidiar
y, or other affiliate of the Permitter is currently not compliant
with any compliance schedule in a
permit, settlement agreement, or order.
e. The Permitter or any parent, subsidiary, or other affiliate of the Permitter has
fee.
[15A NCAC 02T .0120(b), 02T .0120(d)] not paid an annual
10. This permit shall not be renewed if the Permittee or any affiliation has no
[15A NCAC 02T .0120(c)] t paid the required annual fee.
Permit issued this the 29th day of July 2022
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
dz Richard E. Rogers, Jr., Director
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0002829
WQ0002829 Version 3.0
Shell Version 200201
Page 12 of 13

L

NVId A1num
11V81 Saba VINISerlA H1nos d06
rmario fuxov _
S3WOHNMOI 3Z3388 NV330,101

NVld A111110
L
1IV211 3Nyp VIN1981A H1f10S ZOb
Vxnoay xwax
�
S3WOHNMO13Z33218 NV3OO
I

Ma pN '$TMH 1N3p illy
iSgi 'p'd
9NIA3AN11g ONY 91,4I2133N19143
S'l'd ' 3"d 'NOSN18021 'M 13VH9114
NY -Id 9NiOV119
NVId 33/03S
llval Savo VINI9211n Hlflos ao6

t6[Z �x STLx 11.,30ZSIE iNM
Krd
0NIA3S 0NV 9
ABNNI1133NIDN3
'S'l'd "3'd 'NOSNIBON 'M 13VHDIN
L
NVId 9NIQV219
NV'Id 33/03S

',Ancona µWON
S3WOHNM01 3Z3388 NV300

°-•: ,.ti
APcjz 3 s e 0-m3a Tim
zset z0d
9NIA31ly�5 ONtl ONI1133N19N3
'S'l'd "3'd 'NOSNIBOH 'M 13VH0I14
L
NVId 1IV130
11V211 Java VINI98IA H1f os Z06

NVId 2131VM31SVM
1IVal Sava Hlnos ZO6
A�
IN III
ieif t i 11 Pep I ,I 11
Id °1 1;Ilt(IIJIdi 1h!11 .II
a t;iJll
pi 11/1io 'f'i!du1 C '
10
9 $ l!!I!Id1l111 sill +II{ 11p 1

9,6U ON Vila lwO ZSo) XOO p TIN
ONIA3ANN5 ONV ONIN33NION3
.S'1"d " 3 d 'NOSNI8021 'M l3VHoI4
NV18 2131VM31SVM
SNOISIA3N
1IV81 3NV0 VINI98IA H1110S ZO6
VIG76OVJ NWON ADM) 3NYp
S3WOHNM01 3Z3388 Nd300

P
9tau
96tZ f5TIo# TA
JN 0 alO lMM
$NIA3Alfls UNV 9NIa33N,'ON3
S l'd '3'd 'NOSNI9021 'M 13VHDIW
L
NVId 831VM31SVM
T1111111111_ie 11� 1,1,
I, IIIIII lb,
. i„.1111l,_ 11il i 111111 111111,11111
9BBB09B0B8BB NREBII
NERI998998EZEll
000003iQO11Q1DO]Jf711
nuumuj.iuuin

P
,. Mg ni-w : y-
m,,,,.
B06t2 9x SHiOM a TAN
LSFIC MOONIA3ANfS ONV 9NI2133N19N3
'S'1'd "3'd 'NOSNI8O3 'M 13VH)IW
NVId 2131VM31SVM
SN0131Aa8
1
1117111 Sava VINI081A Htnos 306
TNfl081,3 HUM,' ALL10.l 9NV0 VIM 3330 TIM
S3WOHNM01 3Z3388 NV930
is =
m
S
pl
J

P
wgewa+wb+h•Po�.ww.. Tu
-:a.>
rhea OM STIw 1039 TMM
MSS[ MOr .90
ONIARAMAS (INV ONIM33NI9N3
'S'l"d •'3"d 'NOSNI13021 'M 13VH3IW
NVId JNIJH911
{
GM
\
. . f •
• t '"d
11'011 RelVa VINIONIA H1f10S ZOb
MNf1WV3 RUIN AFN003 SWYo S/=DI 'IIASQ TiIX
SJWOHNM01 3Z33218 NV3D0
r a�
t.
•
O'•
e e
a• "
s A
• \\-:Rs t.
__ ESP ice.
SITE STATISTICS
Ni
rc
15
41,00
0
1
O
3j
1
81
�4
13
gIF
315
tr3
901
5
g1
D
Y1
If
J
E

P
-es
ORE ON 01104YIYB 149) 7N30 TMM
EWE MOB '0'd
9NIA3A909 ONV 910933N19N3
'NOSN18021 'M 13YH0IW
S31IdOd4 83M3S
ra•mam saw.
SNOISIA3N
llt/al Sava VIN19tA Hlnos ZO6
YAT19NY3 MOOS J1A003 311110 SR01 7100 TOM
S3WOHNM01 3Z33218 NV3DO
as
N
S a 5 0000.8 vS J113X3A7d d0 9903
cy.a
(r 13.019 719999 995) 3031703 .Zr
SEdf+1 YIS AAV1-J0-L19RI
9r'09+1 Y1S 11174 34773
.91'I - 9919 J7 919
.09.0 - 'ATE( AN
WINO 9JS MUMS Jd[f
L
,OrZ - UV 1110 ANI
4 6 .0S'O -. Z719 Nl AN1
y 8.—•—_----00'00+0 YJS r /AR m c a
OS'{BH YJS JN3119AYd d0 9003
•
S
P10
,090 - A9'13 J00 Ale
- A877 Ill AN1 .
.O00 - A979 AM
wEL;
AIM J00 Y10
,09Z • 'AM 910 414
.0011- 4.412
9B'rs.1 Yts r 1MA
.09E - UPI JIM A#
,01E - 0379 1O AM
-__ __000 • A9191179
01 E2.0 Y[S S JAA
•
AiWK vS it �e
p.9 21115.
p9G
.09'9
,69'[
,99[
.010
.26'G
0
Mr!
.BB'[
.6["1
.00 B
a
N
O
O
+
SANITARY SEWER TIE IN
1k
9
0

P
Ba6(Z 91JN '9122 1130 1121
Z99Z 111
0NIA3Atl05 ON19 0NItl33NI0N3
"S•1"d "3"d 'N0SNI800 "M 13V140144
S3'IIJOe1d 2:13MJS
mew
Yv
SN013100N
0
1IV211 Sava VINI92:1IA Hinos Z06
YEPIL91I3 391000 AWOa, 3EY0 STEX 7N30 7I13I
S3WOHNM01 3Z332i8 NV3D0
09
4
.002 = A3i3 0410 AEI
,009 = A2R3 MY
YL aa.a XIS L /MR
.09E 11319100 AIR
.0LS = A917 XI AA7
_-___ .009 •_1319 RIX
08 rc.I w9 a ha
1372 U10 AEI
.009 = ATI3 MN
aA 0a.0 US 1 /MX
.00 S = 'A377 100 AID
.009 - A313/1M it
90E2.2 YLS S /XR
„ws
E 8 .09r - A313 100 AEI
ec H ,OL S - 2373 M/ Ala
24 y 009 - A313 M7
2029.1 YLS 2 /101
LYtN
.000 = A373 1110 AEI
.009 • 2313 RI9
E
axaE 4202
DOSE 010E
Lm mna a>wa
008E 0A31
1YbE era
2802.0 000 1 /101
g
:I
tt45
3xm a5aa
S s 3xaa a'sa
El OA. aYE
7.832 aYE
nv.na aS.E
r o g
09
.291
.000
.061
.00e
.09'L
.S2
.00'0
.000
,29L
.00'0
0
0
J
7 1l9
0 0

:nnoH 13011!WJ d 40 % ZZOZ
(No %06 / %08 >)
:mold pau.!Lw d
Q
O
O
o z O v D c
D
N NJ O O Nj
O O 0 0 O
N N 1"' 1� 1-4N NJ r•J I-, I—'N
F-,
N
W
4N
0
N
N
I-h
IM-h NJ
v
ivw
U' Cn
co
D
V M
T
0
£EEE'EE9Z9I
8tSE-6IDSIZ
N
Ol
W
0
0
L8E817SEEEE
6ZI"9ISS9E
L60L'8E8ESZ
EEEE'EE96EZ
ZE06'ZI9SLI
T
fD
Cr
N
O
NJ
6Z1I'LSEESI
1LL9-60LI9I
:aol Mold AIJeaA ageJanv
# 4pAnad 'atueu Ampe j
6Z8Z000bM 0ll `d1MMHQN