WQ0040804_Application (FTSE)_20190521

Central Files: AP S
Pei- mz Niulinnbei WQ0O40804 Permit Tracking Slip
Program Category Status Project Type
Non -discharge In review New Project
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
dean.hunkele
Coastal SWRule
Permitted Flow
Faclif
Facility Warne
Scotts Hill Medical Park
Location Address
Owner°
Owner dame
Cape Fear Public Utility Authority
Dates/Events
Scheduled
Orig Issue App Received Draft Initiated Issuance
4/15/2019
Regulated Activities
SWP
4/17/2019
Version Permit Classification
A Individual
Permit Contact Affiliation
Major/Minor Region
Minor Wilmington
County
New Hanover
Facility Contact Affiliation
Owner Type
Government - Municipal
Owner Affiliation
James R. Flechtner
PE
235 Government Center Dr
Wilmington
NC 28403
Public Notice Issue Effective Expiration
Requested /Received Events
/\��ITthMA' IM�h V`!•N /1T1/1N M/�/\I11ilhN

Mr. Dean Hunkele
Department of Environment and Natural Resources
Division of Water Quality •
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Re: Scotts Hill Medical Park
New submittal
New Hanover County
Dean:
Enclosed please find the sewer submittal package for Scotts Hill Medical Park.
Included in the package:
• A check for $480
• Fast Track Sewer Application and one additional copy
• Flow Tracking/Acceptance for Sewer Extension Application and one
additional copy
• 1- Sewer system Location Map
• 1- Sanitary Sewer Collection System Design Specifications
If you have any questions or comments, please feel free to contact me. Thanks.
. i YS
APR 15
2019
1123 Floral Parkway Wilmington, N.C. 28403 Phone [phone] Fax [phone]
Business Firm License No. C-0597

e
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
\Dlylslon of Water Resources
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: (to be completed by DWR)
All items must be completed or the application will be returned
APPLICANT INFORMATION:
1. Applicant's name: CFPUA (company,HOA utility,
2. Applicant type: ❑ Individual rp ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Co oration
EIF.ederal ❑ State/County El Municipal Z Other i
3. Signature authority's name: Matthew Tribett, P.E., per 15A NCAC 02T .0106(b�
Title: En ineerin Manager
4. Applicant's mailing address: 235 Government Center Drive
City: Wilmington State: NC Zip: 28403-
5. Applicant's :contact information:
Phone number: [phone] Email Address: matthew.tribettA ua.org
II. PROJECT INFORMATION:
1. Project name: Scotts Hill. Medical Park: Street and Utilities Extension
2. Application/Project status: Z Proposed (New Permit) ❑ Existing Per mit/Proj ect
If a modification, provide the existing permit number: WQ00 and issued date:
i
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: New Hanover
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.3158 0Longitude: -77.77000
5. Parcel ID (if applicable): R02900-002-068-000
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Adam H. Grady License Number:.43166
Firm: Hanover Design Services, PA
Mailing address: 1123 Floral Parkway
i
City: Wilmington State: NC Zip: 28403-
i
Phone number: 910 .343-8002 Email Address: ( ) agradyAhdsilm. com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1 Facility Name: James A. Lou hlin Permit Number: NC 0023965
Owner Name: Cape Fear Public Utility Authority
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF)
1. Permit Number(s): WQ0029380 Downstream (Receiving) Sewer Size: 8 inch
System Wide. Collection System Permit Numbers) (if: plicable�: WQCS
Owner Name(s): Cape Fear Public Utility Authority
FORM: FTA 04-16 Pa e 1 of 5
g

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
E]Yes ENo ®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: been attached?
EJ Yes ®No ❑N/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, malls) El Car Wash
Residential Leased ❑Retail with food preparation/service ❑Hotel and/or Motels
❑ School / preschool / day care ® Medical / dental / veterinary facilities D Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church
El Swimming Pool/Filter Backwash
Businesses / offices / factories ❑ Nursing Home El Other (Explain in Attachment)
5. Nature of wastewater: % Domestic/Commercial 100 % Commercial
% Industrial(Se.e 15A NCAC 02T .0.103(20))
Is there a Pretreatment Program in effect? El Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0l 14{f)? ❑ Yes ❑ No
➢ If _Yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T,0114(f)) Daily Design Flow a,b No. of Units Flow
i
Commercial Future 900 gal/acre 7.34 61606 GPD
gall GPD
gall GPD.
gall GPD
gal/ GPD
gall GPD
Total 69606 GPD
i
a See 15A 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.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 6,606 GPD (per 15A NCAC 02T :0.114)
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: FTA 04-16
Page 2 of 5

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VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 484 DR 18 (C900)
➢ 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:
2. Approximate Coordinates (Decimal Degrees): Latitude:: Longitude: -
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station): j
. Power reliability in accordance with 15A NCAC 02T .0305(h
❑ Standby power source or pump with automatic activation and telemetry - 15A.NCAC 02T .0305(h)(1.)(B)_
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
Portable power source with manual activation, quick -connection receptacle and telemetry 15A NCAC 02T
.0305(h)(1)(C)
or
F❑ 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'
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

U
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) & (gol) E]Yes [:]No
➢ 15A NCAC 02T_0305(f) contains minimum genarationg that c1ha11 he nrnvidecl fnr Pewer cvctemc-
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below vertical
24 inches
Water mains vertical -water over sewer includingin 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 drinkingwater
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water or tide elevation and wetlands see item IX.2
50 feet
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
An buildingfoundation
5 feet
An basement
10 feet
To slope of embankment or cuts. of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
An swimmingpools
10 feet
Final earth rade vertical
he
3 6 incs
15A NCAC 02T.0305(} 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( 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 EN/A
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑Yes No
individual permits or 401 Water Quality Certifications?
➢ 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.010.5��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 E 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 versions as applicable?
® Yes 0 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 En
ineer's Certification:
attest that this application for
(Professional Engineer's name. from Application. Item IIl.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 Engineers seal, signature, and date.
.CAR
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owe
•cL SEAS
Wit
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............. /...... . ............................. .
3. Applicant's Certification per.15A NCAC 02T .0.106(b):
T
attest:that this application for
Signature Authority's nam & tit]6-bom Applicatio 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 143-215.6% 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.
Signa
Date: �-
E
r
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
DIM'sion of Water , . Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: WPE Holdings, LLC
Project Name for which flow is being requested: Scotts Hill Med. Park Street & Util. Ext
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: James A. Loughlin (Northside) WWTP
b. WWTP Facility Permit #: NPDES NC 0023965
All flows are in MGD
c. WWTP facility's permitted flow 16.000
d. Estimated obligated flow not yet tributary to the WWTP 30215
e. WWTP facility's actual avg. flow 10.661
f. Total flow for this specific request 0.006606
g. Total actual and obligated flows to the facility 13.8 82
h. Percent of permitted flow used 86.8%
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow* * Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm / p f), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity* * *
135 NA 1.058 0.423 0.179 0.175 0.354 0.069
95 NA 2.251 0.900 0.463 0.481 0.943 -0.043
89 NA 14.583 5.833 4.493 1.588 6.080 -0.247
i ne r irm uapaciry taesign now) of any pump station is aennea as the maximum pumpea now
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Cape Fear Public Utility Authority
Downstream Permit Number: WQ0029380
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Matthew Tribett, CFPUA Eng. Mgr certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment- facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available- data. This certification applies to
those items listed above in Sections I and II plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
ell
Signing Official Signature Date
CF- P LJ 1; A J.
Title of Signing Official
rS
Page 2 of 6
FTSE 10-18

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section H where Available Capacity is <
0.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
26% total flow % and 1.588 MGD of the Available Capacity (E) in Pump Station
and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
Blue Clay Road Force Main is in design or under construction with
planned completion in complete ; and/or
d. The following applies:
The Blue Clay Road Force Main is able to provide additional capacity at PS 89 by
diverting existing flow that is currently tributary to PS 89 directly to NSWWTP.
Construction of the force main is complete and was certified 4/5/18. The force main is
available for event management. Administrative procedures are required for full activation.
A funded capital project will provide the required planned capcity to Pump Station 95.
The project is in construction with planned completion estimated in 2019.
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow
this flow to be permitted, without a significant likelihood of over -allocating capacity in the system
infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste disposal
system.
7�D
gnirYg Official Signature
Date
Page 3 of 6
FTSE 10-18

SITE LOCATION MAP

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