WQ0041276_Application (FTSE)_20191107

Central Files: APS _ SWP
11/1/2019
Permit Number WQ0041276 Permit Tracking Slip
Program Category Status Project Type
Non-discharge In review New Project
Permit Type Version Permit Classification
Gravity Sewer Extension,Pump Stations,&Pressure Sewer Extensions A Individual
Primary Reviewer Permit Contact Affiliation
helen.perez
Coastal SWRule
Permitted Flow
Facility
Facility Name MajorlMlnor Region
Bug-N-A-Rug Private Pump Station Minor Wilmington
Location Address County
Brunswick
Facility Contact Affiliation
Owner
Owner Name Owner Type
Ech Properties LLC Non-Government
Owner Affiliation
Elliot Hollingsworth
1345 Johns Creek Rd
Dates/Events Wilmington NC 28409
Scheduled
Orig Issue App Re Draft Initiated Issuance Public Notice Issue Effective Expiration
10/18/2019 —
-- THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER

East Coast Engineering & Surveying, P.C.
ENGINEERS-PLANNERS-SURVEYORS
Y
October 16,2019
Mr.Dean Hunkele REC£IV£"/20£NR/M
Division of Water Quality
NC Department of Environment and Natural Resources
127 Cardinal Drive Extension OCT 18 2019
Wilmington,North Carolina 28405
Water Quality hegional
Subject: Bug-N-A-Rug Operations Sectlon
Brunswick County,North Carolina Wilmington Regional Office
Fast Track Sewer System Extension
Dear Mr. Hunkele:
Please find enclosed the following items required for the Fast Track Wastewater Collection Permit for the
subject project:
I. One (1) executed original and one (1) copy of the Fast-Track Sewer System Extension
Application(FTA 04-16);
2. One (1) executed copy of the Flow Tracking/Acceptance for Sewer Extension Application
(FTSE 10-18);
3. Two (2)copies of the project narrative;
4. One (1)24"x36"copy of the Sewer System Plans;
5. One(1)copy of the USGS Quad Map;
6. One(1) Site Distance Exhibit Map;
7. Check in the amount of$480 to cover the required application fee; and
8. One BEMC average outage letter for the Brunswick County area.
Should you have any questions or require additional information, please contact our office at your
convenience.
Sincerely,
Ja tarling, E.I.
[e-mail]
Enclosures
pe: Mr. Charlie Butcher—Bug-N-A-Rug Manager, via email
Mr. Bill Pinnix,Brunswick County Engineering, via email
Ms. Amy Aycock,Brunswick County Engineering,via email
File: 2107 (Bug-N-A-Rug)
4918 MAIN STREET*POST OFFICE BOX 2469•SHALLOTTE,NORTH CAROLINA 28459•TEL:[phone]*Fax:[phone]
FIRM LICENSE NUMBER: C-3014

East Coast Engineering & Surveying, P.C.
ENGINEERS-PLAN NERS-SURVEYORS
PROJECT NARRATIVE
for
Bug-N-A-Rug
Bolivia, North Carolina
October 15, 2019
Bug-N-A-Rug is located at 1704 Southport Supply Road, approximately 0.7 miles West from
the intersection of NC211 & Clemmons Rd SE in Bolivia. The Tax ID number for the property
is 1850002206. The total project area is 1.27 acres, and is currently home to a commercial
office for Bug-N-A-Rug.
WASTEWATER COLLECTION (SEWER)
The proposed commercial extermination service facility will have 20 employees. The total
flow allocation has been determined at 500 gpd.
The sewer system will consist of a duplex grinder station and force main as well as the gravity
lines for the facility. The duplex grinder station will receive wastewater from the building via
a 4" gravity service line. Upon satisfactory completion of construction, all portions of the
sewer system will be owned and maintained by the developer.
The duplex grinder station will pump wastewater via 200 LF of 1.25-inch force main to the
point of connection on NC-211 in Bolivia, North Carolina. The point of connection is a
permitted 8-inch low pressure line along NC-211 that is owned by Brunswick County. A
portable emergency generator will be utilized to supply power to the lift station in the event of
a power failure.
4918 MAIN STREET*POST OFFICE BOX 2469•SHALLOTTE,NORTH CAROLINA 28459•TEL:[phone]•Fax:[phone]
FIRM LICENSE NUMBER: C-3024

R State of North Carolina
Department of Environmental Quality
Division of Water Resources
elvislon 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 eneineerine 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 I.2 is a corporation or company,provide documentation it is registered for business with
the North Carolina Secretary of State.
❑ If the Applicant Type in Item I.2 is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of
Deeds in the county of business.
® The Project Name in Item II.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

king/Acceptance Form(Form:FTSE 04-I6)(If Applicable):
omit 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.
D Submittal of this application and form FTSE indicates that owner has adequate capacity and will not violate G.S.
215.67(a).
➢ Intergovernmental agreements or other contracts will not be accepted in lieu of a project-specific FTSE.
F. Site Maps(All Application Packages):
® Submit an 8.5-inch x 11-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project
area and closest surface waters.
➢ Location of the project(gravity sewer,pump stations&force main)
D Downstream connection points and permit number(if known)for the receiving sewer
® Include a street level map(aerial)showing general project area so that Division staff can easily locate it in the field.
G. Existing Permit(All Modification Packages):
❑ Submit the most recently issued existing permit.
❑ Provide a list of any items within the permit the Applicant would like the Division to address during the permit
modification(i.e.,permit description,flow allocation,treatment facility,etc.).
H. Power Reliability Plan(Required if portable reliability option utilized for Pump Station):
® Per 15A NCAC 02T.0305(h)(1),submit documentation of power reliability for pumping stations.
➢ This alternative is only available for average daily flows less than 15,000 gallons per day
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible
with the station. The Division will accept a letter signed by the applicant(see 15A NCAC 02T .0106(b)) or proposed
contractor,stating that"the portable power generation unit or portable,independently-powered pumping units,associated
appurtenances and personnel are available for distribution and operation of this pump station."
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump
stations' storage capacities and the rotation schedule of the portable power source or pump, including travel
thrieframes,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 set-vice 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.011*),submit the properly executed Operational Agreement(FORM:DEW
For more information, visit the Division's collection systems website
INSTRUCTIONS FOR FORM:FTA 04-16&SUPPORTING DOCUMENTATION Page 2 of 3

COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS,SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
FAshevIlle
OFFICE ADDRESS COUNTIES SERVED
ealonal Office 2090 US Highway 70Avery, Buncombe,Burke,Caldwell,Cherokee,ity Section Swannanoa,North Carolina 28778 Clay,Graham, Haywood,Henderson,Jackson,
[phone] Macon,Madison, McDowell,Mitchell,Polk,
[phone] Fax Rutherford,Swain,Transylvania,Yancey
Reaionai Office 225 Green Street Suite 714 Anson,Biaden,Cumberland,Harnett, Hoke,
Water Quality Section Fayetteville,North Carolina 28301-5094 Montgomery,Moore,Robeson,Richmond,
[phone] Sampson,Scotland
[phone] Fax
Mooresville Regional Office 610 E.Center Avenue Alexander,Cabarrus,Catawba,Cleveland,
Water Quality Section Mooresville,North Carolina 28115 Gaston,Iredell,Lincoln, Mecklenburg, Rowan,
[phone] Stanly,Union
[phone] Fax
Raleigh Realonal Office 1628 Mail Service Center Chatham,Durham,Edgecombe,Franklin,
Water Quality Section Raleigh, North Carolina 27699-1628 Granville,Halifax,Johnston,Lee, Nash,
[phone] Northampton,Orange, Person,Vance,Wake,
[phone] Fax Warren,Wilson
Washington Regional OfFlce 943 Washington Square Mall Beaufort,Bartle,Camden,Chowan,Craven,
Water Quality Section Washington,North Carolina 27889 Curdtuck,Dare,Gates,Greene,Hertford,Hyde,
[phone] Jones,Lenoir, Martin,Pamlico, Pasquotank,
[phone] Fax Perquimans,Pitt,Tyrrell,Washington,Wayne
Wilmington Regional Office 127 Cardinal Drive Extension Brunswick,Carteret,Columbus,Duplin,New
Water Quality Section Wilmington,North Carolina 28405 Hanover,Onslow, Pander
[phone]
[phone] Fax
Winston-Salem Reaionai Office 450 W.Hanes Mill Road Alamance,Allegheny,Ashe, Caswell, Davidson,
Water Quality Section Suite 300 Davie, Forsyth,Guilford,Rockingham, Randolph,
Winston-Salem, North Carolina 27105 Stokes,Surry,Watauga,Wilkes,Yadkin
[phone]
INSTRUCTIONS FOR FORM:FTA 04-16&SUPPORTING DOCUMENTATION Page 3 of 3

State of North Carolina
R Department of Environmental Quality
DW ,01 Division of Water Resources
15A NCAC 02T.0300—FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources rr,,,,,,''LL'' FTA 04-16 &SUPPORTING DOCUMENTATION
Application Number:V)U x/,120(p (to be completed by Dwtt)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: ECH Properties.LLC. (company,municipality,BOA,utility,etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑Privately-Owned Public Utility
❑ Federal ❑ State/County ❑Municipal ®Other
3. Signature authority's name: Elliott Hollin sg worth per 15A NCAC 02T.0106N
Title:President
4. Applicant's mailing address: 1345 Johns Creek Rd
City:Wilmington State:NC Zip: 28409-
5. Applicant's contact information:
Phone number: [phone] Email Address: charlie@—bugnarujz.com
II. PROJECT INFORMATION:
1. Project name:Bug-N-A-Rug R(%VO.te- Rj,np 5tU on
2. Application/Project status: ®Proposed(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: Brunswick
4. Approximate Coordinates(Decimal Degrees): Latitude: 33.991.Longitude: -78.2080
5. Parcel ID(if applicable): 1850002206
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer:Robert Tucker,P.E. License Number: 12656
Firm: East Coast En ing eering&Surveying.P.C.
Mailing address:PO Box 2469
City: Shallotte State:NC Zip: 28459-2469
Phone number: [phone] Email Address:[e-mail]
IV. WASTEWATER TREATMENT FACILITY(WWTF)INFORMATION:
1. Facility Name:WRTF Permit Number: 0023693
Owner Name:Brunswick County
V. RECEIVING DOWNSTREAM SEWER INFORMATION(if different than WWTF):
1. Permit Number(s): WQ0023693 Downstream(Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00284
Owner Name(s): Brunswick County
FORM: ETA 04-16 Page 1 of 5

VI. GENERAL REQUMMENTS
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 Aereement(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
®❑Food and drink facilities ❑Church ❑Swimming Pool/Filter Backwash
Businesses/offices/factories ❑Nursing Home ❑Other(Explain in Attachment)
5. Nature of wastewater: _%Domestic/Cormnercial 100%Commercial
_I %Industrial(age 15A NCAC 02T 0103(20)
"Is there a Pretreatment Program in effect? ❑Yes ❑No
6. Hasa flow reduction been approved under 15A NCAC 02T 0114(f1? ❑yes ®No
➢ If yes.provide a copv of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type(see 02T.01140 Daily Design Flow',' No.of Units Flow
Office Building 25 al/em to ee
g P Y 20 500 GPD
gall GPD
gal/ GPD
gall GPD
gal/ GPD
gal/ GPD
Total 500 GPD
a See 15A NCAC 02T 0 1 14(b) (d) (e)(r)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 01141 shall be
determined using available flow data,water using fixtures,occupancy or operation patterns,and other measured data.
8. Wastewater generated by project:500 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:FTA 04-16
Page 2 of 5

i
VII. GRAVITY SEWER DESIGN CRITERIA(If Applicable)-02T.0305&MDC(Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size(inches) Length (feet) Material
➢ Section II&III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA(If Applicable)—02T.0305 &MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: 1
2. Approximate Coordinates(Decimal Degrees): Latitude: 33.991. Longitude: -78.208'
3. Design flow of the pump station: 0.0005 millions gallons per day(firm capacity)
4. Operational point(s)of the pump(s): 20 gallons per minute at 24 feet total dynamic head(TDH)
5. Summarize the force main to be permitted(for this Pump Station):
Size(inches) Length(feet) Material
1-1/4" 120 SDR9,200PSI
Poly Tubing
6. Power reliability in accordance with 15A NCAC 02T.0305(h)(1):
❑ Standby power source or pump with automatic activation and telemetry- 15A NCAC 02T.0305(h)(1)(B)_
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
® Portable power source with manual activation, quick-connection receptacle and telemetry- 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry- 15A NCAC 02T .0305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant(draft agreement)
and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations,an evaluation of all the pump stations'storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS&SEPARATIONS—(0213.0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations found in I5A NCAC 02T 0305(f)&(g)
®Yes ❑No
D 15A NCAC 02T.0305(Q contains minimum separations that shall be rovided for sewer s stems:
Setback Parameter* Se arationRe uired
Storm sewers and other utiles not listed below vertical)
24 inches
Watermains vertical-water over sewer includin in benched trenches
18 inches
Water mains horizontal
10 feet
Reclaimed water lines vertical-reclaimed over sewer
]8 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 f n ounded reservoirs used as a source of drinkin water 100 feet
**Waters classified WS(except WS-I or WS-V),B,SA,ORW,HQW,or SB from normal
hi h water or tide elevation and wetlands -:item IX.2 50 feet
**Any other stream,lake,impoundment,or groundwater lowering and surface drainage
ditches
10 feet
Any building foundation
Anybaseent 5 feet
m
10 feet
Top slo a of embankment or cuts of 2 feet or more vertical height 10 feet
Drainage systems and interce for drains 5 feet
Any swimmin pools
10 feet
Final earth grade vertical 36 inches
➢ 15A NCAC 02T 030564 contains alternatives where separation in Q2T 0305(f)cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Cla_e iFcations webpage
➢ If noncompliance with 02T.030_ 5(f)or(2).see Section X of this application
2. Does the project comply with separation requirements for wetlands?(50 feet of separation) ❑Yes ❑No ®N/A
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B 0200? ❑Yes ❑No ®N/A
➢ This would include Trout Buffered Streams per 15A NCAC 2B 0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑Yes ®No
individual permits or 401 Water Quality Certification?
➢ 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 0I05(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,stomtwater management plans,etc.).
6. Does this project include any sewer collection lines that are deemed"high-priority?"
Per I5A 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).
Mgh 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 Permittingof f Pump Stations
an d Force Mains(latest
version) and the Gravity Sewer Minimum Design Criteria(latest version)as applicable?
®Yes ❑No
If No,complete and submit the Variance/Alternahve 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 r
2J( rOt>i vme'FR
(Professional Engineer's name from Application Item III.1.) attest that this application for
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,specifications,
engineering calculations,and all other supporting documentation to the best of my knowledge. I further attest that to the best
of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers(latest version),and the Minimum Design Criteria for the Fast-Track Permitting
of Pump Stations and Force Mains(latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.611, any person who knowingly makes any false
statement,representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed$10,000,as well as civil penalties up to$25,000 per violation.
01111110.
. _..._..._._...
_._._..._._.__.__.,
North Carolina Professional Engineer's seal,signature,and date•p``r�
v.
12fi56 ;
�NQINflEP (.�.++`
3. Applicant's Certification per 15A NCAC 02T.0106(b): w
441 o iru
" '1011),e) attest that this application for
(Signature Authoiny s name&title from Application Item L3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non-
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief,and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition
of this permit be violated. I also understand that if all required parts of this application package are not completed and that if
all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
NOTE— In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed$10,600 as well as civil penalties up to$25,000 per violation.
Signature:14' Q
Date � � � 2
FORM:FTA 04-16
Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: ECH Properties, LLC
Project Name for which flow is being requested: Bug-N-A-Rug
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: West Brunswick WWRF
b. WWTP Facility Permit#: WQ 0023693
All flows are in MGD
c. WWTP facility's permitted flow 6.00
d. Estimated obligated flow not yet tributary to the WWTP 0.088
e. WWTP facility's actual avg. flow 3.711
f. Total flow for this specific request 0.0005
g. Total actual and obligated flows to the facility 3.799
h. Percent of permitted flow used 63.3%
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Approx.
Average Current Obligated, Total
Pump Daily Avg. Not Yet Current
Pump Station Station Firm Flow** Daily Tributary Flow Plus
(Name or Permit Capacity, * (Finn/pf), Flow, Daily Flow, Obligated Available
Number) No. MGD MGD MGD MGD Flow Capacity***
Old
WQ0032048 1.224 0.49 0.00 0.122 0.122 0.368
The Firm Capacity (design flow)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, 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): Old Georgetown 8" LPSSFM
Downstream Permit Number: WQ0032048 MOD
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I William L. Pinnix, PE, Dir of Engr 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.
\"3 -. � . c . 11\%�
Signing Official Signatu (, Dat
�TJLJ,(,7Q2
Title of Signing Official
Page 2 of 6
FTSE 10-18

11/1/2019 North Carolina Secretary of State Search Results
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online
Add Entity to My Email Notification List • View Filings • Print a Pre-Populated Annual Report form • Print
an Amended a Annual Report form
Limited Liability Company
Legal Name
ECH Properties, LLC
Information
Sosld: 1663019
Status: Current-Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 2/7/2018
Registered Agent: Hollingsworth, Elliott C
Addresses
Reg Office Reg Mailing Mailing
1345 Johns Creek Rd 1345 Johns Creek Rd 1345 JOHNS CREEK ROAD
Wilmington, NC 28409 Wilmington, NC 28409 WILMINGTON, NC 28409
Principal Office
1345 JOHNS CREEK ROAD
WILMINGTON, NC 28409
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager
ELLIOTT CARTER HOLLINGSWORTH
1345 JOHNS CREEK ROAD
WILMINGTON NC 28409
hitps://w .sosnc.gov/online_services/search/Business_Registration_Results 1/1

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