WQ0041405_Application (FTSE)_20200124

Central Files: APS _ SWP
Permit Number WQ0041405
Permit Tracking Slip
1 /13/2020
Program Category
Status
Project Type
Non -discharge
In review
New Project
Permit Type
Version
Permit Classification
Gravity Sewer Extension, Pump Stations, 8 Pressure Sewer Extensions
A
Individual
Primary Reviewer
Permit Contact Affiliation
dean.hunkele
Coastal SWRule
Permitted Flow
Facility
Facility Name MajorlMinor Region
Peace Baptist Church Minor Wilmington
Location Address County
New Hanover
Facility Contact Affiliation
Owner
Owner Name
Cape Fear Public Utility Authority
Dates/Events
Scheduled
Ong Issue App Received Draft Initiated Issuance Public Notice
1 /10/2020
Owner Type
Government - Municipal
Owner Affiliation
James R. Flechtner
PE
235 Government Center Dr
Wilmington
Issue Effective
INC 28403
Expiration
Regulated Activities Requested /Received Events
Additionat information requested

i
Intracoastal Engineering
January 9th, 2020
NCDEQ
Division of Water Quality
127 Cardinal Drive Extension
Wilmington, NC 28405
Re: Peace Baptist Church
PN 2017-019
Dear To Whom It May Concern,
RECEIVE9IRCRENRIRWR
lAN 10 2020
W Opeat oiny s g10na1
Wilminenn Reg1nnal 0{tice
FEVVE..
C
IAN o 9 2020
Please find enclosed (i) original and (i) copy of Fast -Track Application for Public
SS Main Extensions, (1) fee check ($480.00), and (1) USGS Topographic Maps.
Please review for approval and contact us with any questions, comments or additional
information needed.
Sincerely,
Intracoastal Engineering PLLC
Charles D. Cazier, P.E.
5725 Oleander Dr. Unit E-7 Wilmington, NC 28403 (9ro)859-8983

1/9/2020
Sewer Narrative
Peace Baptist Church
Wilmington, NC
PN 2017-019
Peace Baptist church occupies and existing 3A8 acre tract located in Wilmington,
NC. We are proposing an additional church sanctuary building with 112 seats at a daily
flow of 5 gallons per seat for a total of 5Tse
per day proposed. The flow was
previously permitted as part of Permit No. ssued May 17, 2019. This sewer
flow will be conveyed via 8" public gravitn which will tie into an existing
public sanitary sewer manhole to the southct within the Military Cut-off Rd.
right-of-way. The receiving downstream sen 8" line. The flow will ultimately
reach the James A. Loughlin Wastewatt Plant (NSWWTP) Permit No.
NCo023965•
U Q14 -t- 'i'— i-e

State of North Carolina
R Department of Environmental Quality
Division of Water Resources
PW9I SA NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: (to be completed byDWR)
All Items must be comnleted or the annlleatlon will be returned
1. APPLICANT INFORMATION:
I. Applicant's name: Cane Fear Pp_b is tility_Au e , (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ® Other Authority
3. Signature authority's named` �' E Per 15A NCtA LL21 , _QaW
Title: Engineering Manaet_r
4. Applicant's mailing address: 23,5 Qgy@mmyml_Cerrrttpr Drive
City: Wilmington State:hK Zip: g2 4033-_
5. Applicant's contact information:
Phone number: (2N) V2-fifflt Email Address:
6613 3f.ff.. Tt�t aeRbG
11. PROJECT INFORMATION:
1. Project name: Peace Baptist Church
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Pemtit/Projecl
If a modification, provide the existing permit number: W000_ and issued date: _
If new construction but part of a matter plan, provide the existing permit number: W000_
3. County where project is located: New Hanover
4. Approximate Coordinates (Decimal Degrees): Latitude: 14.257°Longitude:-77.527°
5. Parcel ID (if applicable): R04400.006.001.000
(or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
1. Professional Engineer: Charles Cliglc License Number: P-0662
Firm: Intracoastal Engineering ELLC
Mailing address: 5725 Oleander Dr.
City: Wilmington State: NQ Zip: 28403
Phone number: (2 Q) 859-8983 Email Address: CbaflLLaintracosstalen rg'nuering.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: James A, Louehlin(NSWWTP)_ Permit Number:N.00023965
Owner Name: Cape Fear Public Utility,_Authority
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQQDDJJ35 Downstream (Receiving) Sewer Size: 8 inch
-sysicul its_ 1LMI=onSyocm I'm 11 Numheds)(If applicablc): WQCS_
Owner Name(s): _
FORM: FTA 04-16 Page 1 of

VI. GENERAL REQUIREMENTS
I. 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 _I)cv�l per's Oncrationai Agreement (FOR NJ; DIN) been attached?
❑ Yes ❑No ®N/A
9. If the Applicant is a I1puoProporiN Owners' Assocwtion. has an Uner net Aurcenrcm t DORM: I IUA i 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/Commercial 1QU%Commercial
_%Industrial (see i5A NCAC 0n .010 ao )
"Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC' 0�]. 1.I dl I)? [:]Yes ®No
➢ If yes, provide a comp of flow reduction anCroyal letter
7. Summarize wastewater generated by project:
Establishment Type (seeT.0114(Il)
Daily Design Flow' °
No, of Units
Flow
gal/
GPD
gal/
GPD
gal/
gal/
GPD
GPD
gay
GPD
gall
—
GPD
Total
GPD
a See 15A NCAC 021 0114f bl, fdh felt 11 and tet(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 (i S 4 -4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 021'.01 141 shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: _ 0 GPD (per (5A NCAC (12'I' 011t;)
➢ 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: W00040775
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04.16 Page 2 of 5

VII. GRAVITY SF.WI:RDESIGN CRITEItIA (it Applienble)-02T.030 &AiD('f(3ravltvSewcrs);
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 140 C-900 PVC
r 8 55 DIP
➢ Section 11 & Ill of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section Ill 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
Vlll. PUMP STATION DESIGN CRITERIA (If Applicable) — 20 1',(1305 & NI I)Allu n 1;1n(Ion51Fnrce MoIns):
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):
6, Power reliability in accordance with I SA NC AC' U?7 030.5(j7g.1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(hxl)(B).
D 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 — (02B ,0200 & I SA NCAC 02T .0305(t)):
1. Does the project comply with all separations found in 1SA NCAC 021 .0305fI) & tut ® Yes ❑ No
➢ 15A NCAC 02T.0305i 1 i contains minimum separations that shall be provided for sewer m stems:
Setback Parameter"
Separation Required
Storm sewers and other utilities not listed below (vertical)
24 inches
Water mains (verticakwater over sewer including in benched trenches)
18 inches
Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
"Any private or public water supply source, including any wells, WS-1 waters of Class I or
Class 11 impounded reservoirs used as a source of drinking water
] 00 feet
"Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal
li h water (or tide elevation) and wetlands (see item IX.2)
50 feet
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet _
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height_
10 feet_
Drain�g systems and interceptor drains
5 feet
Apyswlmmina pools
10 feet
Final earth grade vertical
36 inches
Y 15A NCAC 02T 03051ai contains alternatives where separations In 021.0305f fl cannot be achieved.
➢ ""Stream classifications can be identified using the Division's NCSurfhce Water C lassificotlons weboaee
➢ If noncompliance with QZTM05(I) gr_(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
➢ Seethe 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 i Sr _jl; j},Q'1Sy1;r ❑ Yes ❑ No ®N/A
➢ This would include Trout Buffered Streams per I SA NCAC 2B.0202
4. Does the project require coveragetauthorization under a 404 Nationwide or ❑ Yes ® No
individual permits or401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Bu fer Perm inino Blpilgh
5. Does project comply with 156 NCAC 02T 0105(cl(6) (additional permits/certifications)? ® Yes ❑ No
Per J SA NCAC )2T Q 105(ck6), 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 021,0402, "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 ❑ NIA
➢ 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 perm[tee's Individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
I. Does the submitted system comply with 1!;/. 1 [ 7,( 0?1, the Millinuin? l ns fn U•t_I,°y;imu:in+; I'I'p oI,
Ili ( M;j .il ttu�cL...U4i.andthe(Irrvol Stw,14j1,1h itln�)„��II ruuu(hgr;.lv<<uo:)asapplicable?
® Yes ❑ No
If No, complete and submit the Variance/Altemative Design Request application (VADC 10.14) and supporting documents
for review. Aunroval of the renuest Is respired orinr to submittal of the Fast Track Adieation an sgurorting
documents.
2. Professional Engineer's Certification:
attest that this application for
(Professional Engineer's name from Application Item III.1,)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. 1 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. „�µttttllllll/h„
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per I SA NCAC 02T .0106(b);
Jeff Theberge, P.E., Engineering Manager
(Signature Authority's name & title from Application Item 1.3.)
attest that this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 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. 1 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. 1 will make no claim against the Division of Water Resources should a
condition of this permit be violated. 1 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 .143-21 S§A and 143--11 i toH, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: 94- Date: / Z/y // q
FORM: FTA 04-16 Page 5 of 5

Peace Baptist Church
51TE
1:9, 028
4/5/2019, 3:58:42 PM
0 0.05 0.1 0.2 mi
Surface Water Classifications 1—_ WOK
0 0.1 0.2 0.4 km
River Basins Sources: Esn, HERE, Gamin, Intemap, increment P Corp., GEBCO, USGS,
r— ,
CPF NCDENR Div. Water Resources
New Hanover County, State of North Carolina DOT, Esn, HERE, Gamin, INCREMENT P, Intemap, USGS, METIMASA, EPA, USDA i NCDENR - Division of Water Resources I