wq0028587_Permit (Modification)_20090130

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North Carolina Department 6f &iVironment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue, Governor
William Farris, Town Manager
Town of Leland
102 Town Hall Drive
Leland, NC 28451
Dear Mr. Farris:
0�0� SAT �9QG
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January 30, 2009
ONE
Dee Freeman, Secretary
Coleen H. Sullins, Director
Subject: Permit`N6--W'ffcF 850 MonlFrmiow
Town of Leland
Brunswick Forest Sewer
Wastewater Collection System Extension
Brunswick County
In accordance with your application received December 22, 2008 we are forwarding herewith Permit
No. WQ0028587 dated January 30, 2009, to the Town of Leland for the construction and operation upon
certification of the subject wastewater collection system extension. This permit shall be effective from
the date of issuance until rescinded, shall void Permit No. WQ0028587 issued October 17, 2008 and shall
be subject to the conditions and limitations as specified therein. This cover letter shall be considered a
part of this permit and is therefore incorporated therein by reference.
This modification adds a pump station with a 10-inch force main and gravity sewer segments of 8-inch,
10-inch, and 12-inch to serve the additional 324 residential lots.
Please note the following standard conditions that are contained in this permit.
Condition 3: Requires that the wastewater collection facilities be properly operated and
maintained in accordance with 15A NCAC 2T .0403 or any individual system -wide
collection system permit issued to the Permittee.
Condition 6: Requires that the system be properly certified upon completiori of construction
and pfLior to being placed into operation.
Condition 7: Regarding the installation of gravity sewer at greater than ten percent below the
minimum required slope per the -Division's Gravity Sewer Minimum Design Criteria
shall not be acceptable and shall not be certified until corrected.
Condition 12: Regarding Division notification should the system fail to operate including the loss
of wastewater from the collection system. In addition, note Permit Condition 13
regarding the posting of pump stations with emergency contact information.
Wilmington Regional Office On..e,7 127 Cardinal Drive Extension Wilmington, NC 28405 NOTfhCarohna
Phone: 91 7215 / FAX: [phone] Natuallp,rInternet: www.nww.ncwaterquality.orq -
An Equal Opportunity/Affirmative Action Employer Customer Service 1-877-623-6748
50% Recycled/l0% Post Consumer Paper

Town of Leland
WQ0028587 Modification
January 30, 2009' '
A
Permitting of this project does not constitute an acceptance of any port of the project that does not
meet 15A NCAC 2T; the Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria
adopted February 12, 1996 as applicable; and the Division's Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable, unless specifically
mentioned herein. Division approval is based on. acceptance of the certification provided by the North
Carolina -licensed Professional Engineer named in the application.
It shall be the Town of Leland's responsibility to ensure that the as -constructed project
meets the appropriate design criteria and rules. Failure to comply may result in penalties
in accordance with North Carolina General Statute § 143-215.6A through § 143-215.6C,
construction of additional or replacement wastewater collection facilities, and/or referral
of the North Carolina -licensed Professional Engineer to the licensing board.
,
A stormwater management plan shall be submitted to and approved by the Wilmington Regional
Office in accordance with 15A NCAC 2H .1000.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150E of North Carolina General
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are made, this permit shall be final and binding.
If you need additional information concerning this matter, please contact Lamont Allen at (910) 796-
7215.
Sincerely,
for Coleen H. Sullins
Cc: David S. Hollis, P.E., Hanover Design Services
Tim Evans, Town of Leland Building Inspections
Jerry Pierce, Brunswick County Public Utilities
W1R.O;-Suffcrcec-Mater Protec-Lion---No[tbeast-Brunswick:Regional (NC00868.19)-Sewer E-xt-File
Central Files, Surface Water Protection Section
Pretreatment, Emergency Response and Collection Systems Unit Files
2

,,
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the 'provisi6ns of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, other applicable Laws, Rules, and Regulations, and in conformity with 15A NCAC 2T; the
Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 and Minimum Design
Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as
applicable; and other supporting data subsequently filed and approved by the Department of
Environment and Natural Resources and considered a part of this permit;
PERMISSION IS HEREBY GRANTED TO:
Town of Leland
BRUSWICK COUNTY
For the construction and operation upon certification of approximately 13,192 linear feet of 8-inch
gravity sewer, approximately 1,564 linear feet of 10-inch gravity sewer, approximately 2,531 linear feet of
12-inch gravity sewer; a 550-gallon per minute pump station with duplex pumps, on -site audible and
visual high water alarms, telemetry, on -site generator with automatic transfer switch with approximately
10,325 linear feet of 10-inch force main to serve 324 residential lots x 360 gpd/lot as part of the Brunswick
Forest Phase 5A Pump Station and Force Main Sewer project, and the discharge of 1 16, 640 gallons per
day of collected domestic wastewater into the Town of Leland's existing sewerage system, pursuant to
the application received December 22, 2008.
AND
The continued construction and operation upon certification OR operation of the sewer infrastructure as
described below and previously permitted 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 and in conformity with 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria
adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting
data subsequently filed and approved by the Department of Environment and Natural Resources and
considered a part of this permit:
October 17, 2008
The continued construction operation upon certification of approximately 4,607 linear feet of 8-inch
gravity sewer to serve as a gravity sewer outfall or interceptor line for future upstream or tributary sewer
systems as part of The Villages at Brunswick Forest project with no additional discharge of collected
domestic wastewater into Town of Leland's existing sewerage system, pursuant to the application
received September 26, 2008.

August 1, 2008
.2
For the continued construction and operation upon certification of approximately 599 linear feet of 8-
inch gravity sewer to serve a 3,511 gallons per day medical office building as part of the South Village '
Phase-1 project, and the discharge of 3,511 gallon per day of collected domestic wastewater into the
Town of Leland's existing sewerage system, pursuant to the application received June 19, 2008.
July 18, 2008
For the continued construction and operation upon certification of approximately 1,630 linear feet of 8-
inch gravity sewer to serve a 49,170 sf Grocery Store (4,920 gpd), 84,370 sf of Retail Space with no food
services (8,437 gpd), a 13,225 sf Pharmacy (1,325 gpd), a 30 space Restaurant Drive-Thru (1,500 gpd)
and a 50 seat Restaurant (2,000 gpd) as part of the East Village Phase-1 project, and the discharge of
18,182 gallon per day of collected domestic wastewater into the Town of Leland's existing sewerage
system, pursuant to the application received June 19, 2008.
October 12, 2007 Modification
The continued operation of approximately 1,174 linear feet of 8-inch gravity sewer to serve 62'three-
bedroom and 10 two -bedroom residences as part of the Phase 1 Section 2 Village 4-A project, and the
discharge of 24,720 gallons per day of collected domestic wastewater into the Town of Leland's existing
sewerage system, pursuant to the application received September 18, 2007. This system was certified as
complete on July 31, 2008.
September 7, 2007 Modification
Continued operation and of approximately 2,952 linear feet of 8-inch gravity sewer to serve 72 three -
bedroom residences as part of the Phase 1 Section 2 Village 1-A project, -and the discharge of 25,920
gallons per day of collected domestic wastewater into the Town of Leland's existing sewerage system,
pursuant to the application received July 25, 2007. This system was certified complete on July 37, 2008.
June 8, 2007 Modification
Continued operation of approximately 1,393 linear feet of 8-inch gravity sewer to serve Lots 1 & 2 for a
bank with 10 employees (250 gpd) and an unspecified development on the other (will require
allocation to be added prior to connection) as part of the East Village Commercial Center project, and
the discharge of 250 gallons per day of collected domestic wastewater into the Town of Leland's
existing sewerage system, pursuant to the application received May 16, 2007. This system was certified
as complete on December 6, 2007.
April 20, 2007 Modification
Continued operation of approximately 5,065 linear feet of 8-inch gravity sewer to serve 94 three -
bedroom single-family residences as part of the Brunswick Forest Phase 1 Section 3 project, and the
discharge of 33,840 gallons per day of collected domestic wastewater into the Town of Leland's existing
sewerage system, pursuant to the application received March 29, 2007. This system was certified as
complete on August 6, 2008.
April 13, 2007 Modification
Continued operation of approximately 5,126 linear feet of 8-inch gravity sewer to serve 56 three -
bedroom single-family residences and 30 three -bedroom & 30 two -bedroom townhomes as part of the
Brunswick Forest Phase 6 Sections 1-B & 2 project, and the discharge of 38,610 gallons per, day of
collected domestic wastewater into the Town of Leland's existing sewerage system, pursuant to the
application received March 9, 2007. This system was certified as complete on November 30, 2007.
2

December 22, 2006 Modification
Construction and operation upon certification of approximately 13,874 linear feet of 8-inch gravity
sewer; a 387-gallon per minute pump station with duplex pumps, on -site audible and visual high water
alarms, telemetry, and on -site generator with automatic transfer switch; as well as approximately 3,520
linear feet of 6-inch force main to serve 193 three -bedroom residences as part of the Brunswick Forest
Phase 1 Section 2 project, and the discharge of 69,480 gallons per day of collected domestic
wastewater into the Town of Leland's existing sewerage system, pursuant to the application received
December 1, 2006.
October 27, 2006 Modification
Continued operation of approximately 1,008 linear feet of 8-inch gravity sewer to serve future
development including a sales center & wellness facility in Brunswick Forest Phase 6 Section 1-A as part
of the Brunswick Forest project and the discharge of 800 gallons per day of collected domestic
wastewater into the Town of Leland's existing sewerage system, pursuant to the application received
September 15, 2006. This system was certified as complete on June 15, 2007.
May 26, 2006 Modification
Continued operation of approximately 5,926 linear feet of 8-inch gravity sewer; a 380-gallon per minute
pump station with duplex pumps, on -site audible and visual high water alarms, telemetry, and on -site
generator with automatic transfer switch; as well as approximately 3,915 (increased from 2,821 feet per
modification issued November 3, 2006) linear feet of 6-inch force main to serve 149 three -bedroom
residences as part of the Jefferson Landing at Brunswick Forest Phase 2 (aka Phase 1 Section 1-B)
project, and the discharge of 53,640 gallons per day of collected domestic wastewater into the Town of
Leland's existing sewerage system, pursuant to the application originally received April 24, 2006 and
subsequent modification request received September 25, 2006. This system was certified as complete
on March 27, 2007.
Ar)rll 7, 2006 Modification
Continued operation of approximately 793 linear feet of 10-inch, and 2,329 (reduced from 3,830) linear
feet of 12-inch gravity sewer to serve as a gravity sewer outfall or interceptor line for future upstream or
tributary sewer systems as part of the Brunswick Forest Phase 3 project with no additional discharge of
collected domestic wastewater into the Town of Leland's existing sewerage system, pursuant to the
application received February 16, 2006. This system was certified as complete on March 15, 2007.
March 10, 2006 Modification -
Continued operation of approximately 6,741 linear feet of 8-inch gravity sewer to serve 131 three -
bedroom residences as part of the Jefferson Landing at Brunswick Forest Phase 1 (aka Phase 1 Section
1-A) project, and the discharge of 47,160 gallons per day of collected domestic wastewater into the
Town of Leland's existing sewerage system, pursuant to the application received February 14, 2006. This
system was certified as complete on December 22, 2006.
JULY 21, 2005 MODIFICATION
Construction and operation upon certification of approximately 25 linear feet of 8-inch and 3,290 linear
feet of 12-inch gravity sewer to serve as a gravity sewer outfall or interceptor line for future development
upstream of the previously approved sewer listed below as part of the Brunswick Forest Phase 2 project,
and with no additional discharge of collected wastewater into the Town of Leland's existing sewerage
system, pursuant to the application received June 15, 2005.
3

March 24, 2005 Original Permit
Continued operation of approximately 868 linear feet of 8-inch, 3,414 linear feet of 10-inch, and 3,141
linear feet of 12-inch gravity sewer; a 1500-gallon per minute pump station with duplex pumps, on -site
audible and visual high water alarms, telemetry/autodialer, and on -site generator with automatic
transfer switch; as well as approximately 20,650 total linear feet Qf 10-inch force main (dual force mains)
to serve this large residential and commercial development as part of the Brunswick Forest Phase 1
project with no discharge of wastewater into the Town of Leland's existing sewerage system, pursuant to
the application received March 11, 2005. This system was certified as complete on March 15, 2007.
From the oriciinal permit 26,007 god of commercial flow allocation remains in reserve as of the October
17, 2008 modification.
In summary, this permit authorizes the potential connection of 1,017 three -bedroom & 40 two -bedroom
residences, a sales center, a wellness facility, a bank, a garden center, grocery store, retail space,
pharmacy, restaurant drive-thru, a restaurant and a medical office building for a total discharge of
432,753 gallons per day.
The sewage and wastewater collected by this system shall be treated in the Northeast Brunswick
Wastewater Treatment Facility (Permit No. NC0086819) prior to being discharged into the receiving
stream.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
1. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division of Water Quality's
(Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the
Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
adopted June 1, 2000 as applicable; and other supporting materials unless specifically mentioned
herein.
2. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2T
.0403:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and any contravention of the groundwater standards in
15A NCAC 2L .0200 or the surface water standards in 15A NCAC 2B .0200.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency,
preventative maintenance schedule, spare parts inventory, and overflow response shall be
developed and implemented.
d. Pump stations that are not connected to a telemetry system (i.e. remote alarm system) shall
be inspected by the Permittee or its representative every day (i.e. 365 days per year). Pump
stations that are connected to a telemetry system shall be inspected at least once per week.
e. High -priority sewer lines shall be inspected by the Permittee or its representative at least once
per every six-month period of time.
A general observation of the entire sewer system shall be conducted by'the Permittee or its
representative at least once per year.
4

g. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by
North Carolina General Statute § 143-215.1 C.
h. A,Grease Control Plan shall be implemented as follows:
1. For publicly owned collection systems, the Program shall include at least bi-annual
distribution of educational materials for both commercial and residential users and the
legal means to require grease interceptors for new construction and retrofit, if necessary, of
grease interceptors at existing establishments. The Program shall also include legal means
for inspections of the grease interceptors, enforcement for violators, and the legal means
to control grease entering the system from other public or private satellite sewer systems.
2. For privately owned collection systems, the Program shall include at least bi-annual
distribution of educational materials to all users of the collection system by the Permittee or
its representative.
3. Grease education materials shall be distributed more often than required in Parts 1 or 2 of
this sub -paragraph if necessary to prevent grease -related sanitary sewer overflows.
Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
Documentation shall be kept on file for Sections (a.) through (i.) of this rule for a minimum of
three (3) years with the exception of the map, which shall be maintained for the life of the
system.
4. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by documentation from the parties involved, and
other supporting materials as may be appropriate. The approval of this request shall be considered
on its merits and may or may not be approved.
5. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in on overflow or bypass discharge of wastewater
to the surface waters of the State.
Per 15A NCAC 2T .0116, upon completion of construction and prior to operation of these permitted
facilities, the completed Engineering Certification form attached to this permit shall be submitted
with the required supporting documents (as -built or recording drawings and pump station designs, if
applicable) to the address provided on the form. A complete certification is one where the form is
fully executed and the supporting documents are provided as applicable. Any wastewater flow
made tributary to the wastewater collection system extension prior to completion of this Engineer's
Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement then a copy of the Articles
of Incorporation, Declarations, and Bylaws that have been appropriately filed with the applicable
County's Register of Deeds office shall be submitted with the certification
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Record drawings are defined as
the design drawings that are marked up or annotated with after construction information and
show required buffers, separation distances, material changes, etc.
b. One copy of the supporting pump station design calculations (selected pumps, system curve,
operating point, buoyancy calculations, available storage if portable generator(s) or storage
greater than longest past three year outage reliability option selected) for any pump stations
permitted as part of this project.
5

C. Changes to the project that do not result in non-compliance with this permit, regulations, or
the Minimum Design Criteria should be clearly identified on the record drawings, on the
certification in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting in
non-compliance with this permit ' (including pipe length increases of 10% or greater, increased flow,
pump station design capacity design increases of 5% or greater, and increases in the number/type
of connections), regulations, or the Minimum Design Criteria. Requested modifications or variances
to the Minimum Design Criteria will be reviewed on a case -by -case basis and each on its own merit.
Please note that variances to the Minimum Design Criteria should be requested and approved
during the permitting process prior to construction. After -construction requests are discouraged by
the Division and may not be approved, thus requiring replacement or repair prior to certification 8,
activation.
7. Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified
until corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting
documentation. This shall be done through a permit modification with fee. Such variance requests
will be evaluated on a case -by -case basis. Resolution of such request shall be evident prior to
completing and submitting the construction certification.
8. A copy of the construction record drawings and pump station designs, if applicable, shall be
maintained on file by the Permittee for the life of the wastewater collection facilities.
Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes § 143-
215.6A through § 143-215.6C.
10. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities.
11. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by other government agencies (local, state
and federal) which have jurisdiction, including but not limited to applicable river buffer rules in 15A
NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4 and under the
Division's General Permit NCGO10000, and any requirements pertaining to wetlands under 15A
NCAC 26 .0200 and 15A NCAC 2H .0500.
12. NON-COMPLIANCE NOTIFICATION:
The Permittee shall verbally report to a Division of Water Quality staff member at the Wilmington
Regional Office, telephone number [phone], as soon as possible, but in no case more than
24 hours or on the next working day, following the occurrence or first knowledge of the occurrence
of either of the following:
a. Any failure, due to known or unknown reasons, that renders the system incapable of
adequate wastewater transport, such as mechanical or electrical failures of pumps, line
blockage or breakage, etc.; or
b. Any failure of a pumping station or sewer line resulting in a by-pass of any wastewater directly
to receiving waters from the station or sewer line.

Voice mail messages or faxed information is permissible, but shall NOT be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Persons reporting any of the above occurrences shall file a spill report by completing Part I of Form
CS-SSO (or the most current Division approved form), within five days following first knowledge of
the occurrence. This report shalkoutline the actions taken or proposed to ensure that the problem
does not recur. Part 11 of Form CS-SSO (or the most current Division approved form) can also be
completed to show that the SSO was beyond control.
13. Each pump station including simplex stations shall be clearly and conspicuously posted with the
telephone number and name of the owner/operator of the sewer system and instructions to call
the number in the event of alarm activation.
14. The Permittee shall provide for the pump station and force main the following items:
a. Pump on/off elevations located so that 2-8 pumping cycles may be achieved per hour in
the pump station,
b. An air relief valve located at all high points along the force main,
C. A screened vent for the wetwell,
d. Fillets located in the wetwell at the intersection of the flooring and sidewalls,
e. Three feet of cover (minimum) over the force main or the use of ferrous material where
three feet cannot be maintained,
f. Sufficient devices which will protect the pump station from vandals, and
g. Flood protection if the pump station is located below the 100-year flood elevation.
Permit.issued this day: January 30, 2009
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
.V I
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0028587 Modification

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE:
Town of Leland
PERMIT #:
WQ0028587
PROJECT:
Brunswick Forest Phase 5A Pump
Station and Force Main Sewer
ISSUE DATE:
January 30, 2009
COUNTY:
Brunswick
This project shall not be considered complete nor allowed to operate in accordance with Condition 6
of this permit until the Division has received this Certification and all required supporting documentation.
Consequently, it should be submitted in a manner that documents the Division's receipt. Send the
required documentation to the Regional Supervisor, Surface Water Protection Section at the address at
the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name, Title Signature
ENGINEER'S CERTIFICATION
Date
I, , as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the
project name and location as referenced above for the above Permittee hereby state that, to the best
of my abilities, due care and diligence was used in the observation of the construction such that the
construction was observed to be built within substantial compliance of this permit; 15A NCAC 2T; the
Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996
as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000 as applicable; and other supporting materials.
..................................................................................
North Carolina Professional Engineer's Seal w/signature & date
CERTIFICATION COMMENTS OR DETAILS""""""................................................. ...... • .............
❑ Final ❑ Partial
Comments:
NC Division of Water Quality 127 Cardinal Drive Extension Wilmington, NC 28405
Wilmington Regional Office Phone: [phone] FAX: [phone]

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USE THE TAB KEY TO MOVE FROM FIELD TO FIELDI
Application Number:
01
(to be completed by DWQ) U V— o
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Owner/Permittee:
j1a.
Town of Leland ----- __
Full Legal Name (company, municipality, HOA, utility, etc.) -= —
Z
1 b.
William B. Farris own Manager), OT;
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
i c.
The legal entity who will own this system is:
i—
❑ Individual ❑ Federal Munici alit ❑State/Count ❑ Private Partnershi ❑ Corporation ❑ Other (s ecif :
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1 d.
102 Town Hall Drive 1 e. Leland
ILL.-
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Mailing Address City
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--- ------------- --- —
1 g. 28451
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Zip Code
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1 h.
9' 10-371-0148 1
i. 910-371-1073
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Telephone —
Facsimile —
E-mail Z L
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2.
Project (Facility) Information:
,..I
a.
Brunswick Forest Phase 5A-PumpStation and Force Main
b. Brunswick -
0•
Brief Project Name (permit will refer to this name)
County Where Project is Located
a0'
j3.
,
Contact Person:
Q
;3a'.
David S. Hollis, PE, PLS Hanover Design Services, P.A.
�—
Name and Affiliation of Someone Who Can Answer Questions About this Application
13b.
910-343-8002
c. [e-mail]
Phone Number
E-mail
11.
Project is ❑ New 21 Modification (of an existing permit) , If Modification, Permit No.: WQ 0028587 MOD
2.
Owner is 0 Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
12a.
i
If private, applicant will be:
2b. If sold, facilities owned by a (must choose one)
i
❑ Retaining Ownership (i.e. store, church, single office, etc.) or
El Public Utility (Instruction C)
i
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3))
❑ Homeowner Assoc./Developer (Instruction D)
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
�3.
Brunswick Count
Z
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
0 14a.
Northeast Brunswick Regional WWTF
4b. NC 0086819
QName
of WWTF
WWTF Permit No.
15a.
Town of Leland
5b. 10"
❑ Gravity
c.
cc
Owner of Downstream Sewer
Receiving Sewer Size
Force Main
Permit # of Downstream Sewer Instruction E
LL 16.
The�origin-of this wastewater is check all that appllyL_
Z' I
Residential Subdivision
❑ Retail (Stores, shopping centers)
100 % Domestic/Commercial
�
❑ Apartments/Condominiums
❑ Institution
o /o Industrial (attach
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❑ Mobile Home Park
El School
❑ Hospital
El Church
description.)
LLJ IL
El Restaurant
El Home
(RO: contact your Regional Office
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Office
El Office
❑ Other (specify):
Pretre staff )
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% Other (specify):
-7.
Volume of wastewater to be allocated or permitted for this particular project: 116,640 gallons per day
*Do not include future flows or previously permitted allocations
8.
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❑ Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
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❑ Flow has already been allocated in Permit No.
❑ Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)
PTA 1)/M

9. Provide the wastewater flow calculations used in determining the permitted -flow in accordance with 15A NCAC 2T .0114
for the value in Item 13(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being
requested in Item B(7). Values other than that in-15A NCAC 2T .0114 (b) and (c) must be supported with actual water or
wastewater use data in accordance with 15A NCAC 2T .0114 (f). 324 lots x 360 gpd per lot Total=116,640 GPD
10. Summary of Sewer Lines to be Permitted (attach. additional sheets if necessary)
Size (inches)
Length (feet)
New Gravity or Additional
Force Main
12
2,531
Gravity
10
1,564
Gravity
8
13,192
Gravity
10
10,325 (See Below)
Force Main
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11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
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Pump Station Location ID _Brunswick Forest #5 (self chosen - as shown on plans/map for
Z
P
Design Flow
Operational Point-
Power Reliability Option
Z
(MGD),GPM
@TDH
1 - Permanent generator w/ATS;
Force Main Size
Force Main Length
0
2 - portable generator w/MTS
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...
1 0.792000
550 gpm @_71 TDH
1
10"
10,325 LF
Z
O
QPump
Station Location ID (self chosen = as shown on plans/map for reference)
Design Flow
Power Reliability Option
0,
(MGD)
Operational Point
GPM @TDH
1 - permanent generator w/ATS;
2 - portable generator w/MTS
Force Main Size
Force Main Length
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Z
F—
1=
Pump Station Location ID (self chosen - as shown on plans/map for reference)
pW„
Design Flow
Power Reliability Option
m
(MGD)
Operational Point
GPM @TDH
1- permanent generator w/ATS;
2 - portable generator w/MTS
Force Main Size
Force Main Length
12. Will the wastewater flow in the proposed sewer lines, or pump stations be able to be directed to another treatment facility?
Yes 0 No If Yes, permit number of 2"d treatment facility
(RO — if "yes" to 13,12 please contact the Central Office PERCS Unit)
13. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as
applicable?
Yes II No If No; please reference the pertinent minimum design criteria or regulation and Indicate why a
variance Is requested: SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
FTA12/07

j1`4. Have the following permits/certifications been submitted for approval for the system or project to be served?
;! Wetland/Stream Crossings - General Permit or 401 Certification? ® Yes No N/A
j Sedimentation and Erosion Control Plan? Yes [,( No fvj N/A
Stormwater? Yes II No [] N/A
5. Does this project include any high priority lines, [see 15A NCAC 02T .0402 (2)] involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
if Yes:.0 and provide details
f1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1, —William B. Farris , attest that this application for Brunswick Forest Phase 5A-Pump Station
and Force Main 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. Note: In accordance
with North Carolina General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include
1
a fine t to excee $10,000 as well as civil penalties up to $25,000 per violation.
—
i a. /7 �►
I Signing Official Signature Date
(ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
ITO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
ZI
0
-- ---
QProfessional
Engineer's Certification: (Signature of Design Engineer and Project Name)
V
1 1, _David S. Hollis PE, PLS attest that this application for. Brunswick Forest Phase 5A-PumpStation and Force Mai
LL
has been reviewed by me and is accurate, complete and consistent with the information in the engineering plans,
calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best of my
cc
knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer Minimum
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Design Criteria for Gravity Sewers adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track
(�
Permitting of Pump Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with
V
Division guidance. 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 NC General Statutes 143-215.6A and 143-215.6B, any
person who knowingly makes any false statement, representation, or certification in any application shall be guilty of a
Class 2 misdemeanor which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
a. David S. Hollis PE,PLS
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Professional Engineer Name
Hanover Desi n Services, P.A.
�2b.
a
Engineering Firm
-------------
E, m SE AL
20
—--------- --
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1123 Floral Parkwaya
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Mailing Address
----------- ------ -- ----------------------
2d. Wilmington ?2e. NC -- -- �2f. 28403
City State Zip
i2g.
910-343-8002 h. 910-343-9941 2i. [e-mail]
Telephone Facsimile
E-mail
NC PE Seal, Signature & Date
>~ f'A 1 ?./n7

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FORM WSCAS-12/07 �P
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WATERSHED CLASSIFICATION ATTACHMENT > �,
o c
FOR SEWER SYSTEMS
Applicant Name
Project Name
Funston Land & Timber ,LLC
Brunswick Forest
1007 Evangeline Drive Leland, NC 28451
Phase 5A
910-383-1425
Professional Engineer Name
Engineering Firm Name
David S. Hollis PERLS
Hanover Design Services, P.A.
1123 Floral Parkway
Wilmington NC, 28403
910-343-8002
Location
ID
Name of Waterbody'
County
River
Basin
Waterbody Stream
Index No.
Waterbody
Classification
P. Station
Mallory Creek
Brunswick
Cape Fear
18-78
C;Sw
' If unnamed, indicate "unnamed tributary to X", where X is the named waterbody to which the unnamed tributary joins.
/ certify that as a Registered Professional Engineer in the State o1
North Carolina that l have diligently followed the Division's instruc
for classifying waterbodies and that the above classifications are
inclusive of the stated project, complete and correct to the best of
knowledge and belief.
PE Seal, Signature and Date
*** END OF FORM WSCAS-12/07 ***
FORM: WSCAS-12/07 Page 1 of 1

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