WQ0041026_Application (FTSE)_20190806

1• i:' ! t` lr't@@#;1 State of North Carolina
DWR Department of Environmental Quality
JUL 1 0 2019 Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources tr t ; FTA 04-16 & SUPPORTING DOCUMENTATION
_ 4,(D
i
Application Number: WAD91Q' o (to be completed byowR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Old North Utility Services. Inc. (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual M Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: Justin Nyland per 15A NCAC 02T .0106(b)
Title: Senior Engineer
4. Applicant's mailing address: P.O. Box 73316
City: Fort Bragg State: NC Zip: 28310-3316
5. Applicant's contact information:
Phone number: M) 495-1311 Email Address: Justin.Nvlandna asusinc.com
II. PROJECT INFORMATION:
1. Project name: TMYH-003003 SOF Special Tactics Squadron (STS) Operations Facilities
2. Application/Project status: M Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000_ and issued date:
If new construction but part of a master plan, provide the existing permit number: W000_
3. County where project is located: Cumberland
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.1675' Longitude:-79.006389'
5. Parcel ID (if applicable):
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Justin Nyland License Number: 033767
Firm: American States Utility Services, Inc.
Mailing address: 903 Armistead St.
City: Fort Braga State: NC Zip: 28307-7348
Phone number: 910 495-1310 Email Address: Justln.Nyland6i�asusincxom
IV. WASTEWATER TREATMENT FACILITY (W WTF) INFORMATION:
1. Facility Name: South Harnett Regional WWI?
Owner Name: Harnett County
Permit Number:
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. PermitNumber(s): WQ_
System Wide Collection System Permit Number(s) (if applicable): WQCS00029
Owner Name(s): Old North Utilities Services
FORM: FTA 04-16 Page I of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes [:]No MN/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 MN/A
3. If the Applicant is a Home/Property Owners. Association has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No MN/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 M Medical / dental / veterinary facilities M Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
M Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
_ % Industrial (See 15A NCAC 02T 0103(20))
"Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 021' .0114(f)? ❑ Yes M No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01140
Daily Design Flow'"
No. of Units
Flow
STT Bldg. - Business w/ Showers
35 gal/employee/shift
248
8680 GPD
STT Bldg. - Medical Offices
250 gal/practitioner/shift
2
500 GPD
STT Bldg. - Laundries (Self -Service)
500 gal/machine
2
1000 GPD
HPTC Bldg. - Business w/ Showers
35 gal/employee/shift
24
840 GPD
HPTC Bldg. - Sports Center -Fitness,
Exercise
50 gall100 sf floor space
87.6
4380 GPD
HPTC Bldg. - Laundries (Self -Service)
500 gal/machine
1
500 GPD
Total
15,900 GPD
a See 15A NCAC 02T .01 l4(b)(d) (e)(l) and (e)21 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: 15900 GPD (per 15A NCAC 02T .0I l4)
➢ 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

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
125
DIP
8
587
PVC
6
108
DIP
6
75
PVC
➢ Section II & IR 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):
Size (inches) Length (feet) Material
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 — (02B .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T.0305(f) & (2)
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
0/ m
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
24 inches
Water mains vertical -water 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-I waters of Class I or
Class H impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HOW, 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
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications weboage
➢ If noncompliance with 02T.005(t) or (e), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ®Yes ❑ No
➢ 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 all setbacks found in the river basin rules per 15A NCAC 02 B .0200? ® Yes ❑ No
➢ This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ No
➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
➢ Information can be obtained from the 401 & Buffer Permittim-, Branch
5. Does project comply with 15A NCAC 02T.0105(0(6) (additional permits/certifications)? ® Yes [:]No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ® No
➢ 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 version) as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is required prior to submittal of the Fast Track Application and supportin2 documents
2. Professional Engineer's Certification:
I, Justin Nyland attest that this application for
(Professional Engineer's name from Application Item III. I.)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best
of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
..C:4R0,�4i
�0Q �oFEss Jo-vliti�.
2.a SEAL �'y
33767
�`G �.;DD 1 N E�:?p���•
E.
�►1 nZtsaiy,,gned
.byJustin .Nyland
Date: 2019.06.11
11:52:01-04'00'
1, Justin Nyland SeniorEnaineer attest that this application for
(Signature Authority's name & title from Application 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 _215.6B, 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.
Digitally signed by
Justin Nyland
- Date:2019.06.11 06/11/2019
Signature: _ 11:59:30-"00' Date:
FORM: FTA 04-16 Page 5 of 5

•.ASUS
Project Name: SOF Special Tactics Squadron Operations Facilities
Description:
An 8-inch gravity sewer main and manholes will be installed to convey wastewater from two new
buildings located on the corner of Gera St. and Interceptor Rd. to the downstream collection system.
The 8-inch main will tie into an existing manhole located south of the intersection of Boxcar St. and
Ethridge St. Two 6-inch sanitary sewer laterals (one each building) and cleanouts will be installed to
collect and convey wastewater to the 8-inch main.
Flow Calculations:
Special Tactics Team Building
Building Type: Separated Mixed Use — Business/Storage with Showers
Max No. Occupants: 248
No. Practitioners per Shift: 2
No. Washing Machines: 2
Flow Criteria:
Business w/ Showers —35 gpd/employee/shift
Medical Offices — 250 gpd/practitioner/shift
Laundries (Self -Service) — 500 gpd/machine
Additional Daily Flow into Sewer System:
(35 x 248) gpd + (250 x 2) gpd + (500 x 2) gpd = 10,180 gallons per day
Old North Utility Services, Inc.
P.O. Box 73316, Fort Bragg, NC 28307
Tel: [phone] Fax: [phone]

9 ASUS
. . . . ,._riin1 TM1n;r WM10 5crvr..
Human Performance Trainina Center
Building Type: Non -Separated Mixed Use—Business/Assembly/Storage
Max No. Business/Storage Occupants: 24
Total Assembly Area: 8,760 sf
No. Washing Machines: 1
Flow Criteria:
Business w/ Showers — 35 gpd/employee/shift
Laundries (Self -Service) — 500 gpd/machine
Sports Centers — Fitness, Exercise, Karate, Dance — 50 gpd/100 sf floor space
Additional Daily Flow into Sewer System:
(35 x 24) gpd + (500 x 1) gpd + [(8,760/100) x 50] gpd = 5,720 gallons per day
Total Additional Flow to Downstream System:
10,180 + 5,720=15,900 gallons per day or 0.0159 MGD
Old North Utility Services, Inc.
P.O. Box 73316, Fort Bragg, NC 28307
Tel: [phone] Fax: [phone]

State of North Carolina
Department of Environmental Quality
Division of Water Resources
t Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Harnett Regional Water
Project Name for which flow is being requested: Old North: TMKH003003 SOF STS Ops
More than one FTSE tnav he required for a single project if due owner of the WWTP is not responsi&le for all pump
stations along the route of the proposed wastewater Jiow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: South Harnett Regional WWTP
b. WWTP Facility Permit #: NC0088366
AlI tows are in MGD
c. WWTP facility's permitted flow
15
d. Estimated obligated flow not yet tributary to the WWTP 5.234
e. WWTP facility's actual avg. flow
5.680
f. Total flow for this specific request
0.016
g. Total actual and obligated flows to the facility
10.930
h. Percent of permitted flow used
72.8%
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,
Average Daily Approx.
Not Yet Total Current
Pump Station Finn Flow** Current Avg.
Tributary Flow Plus
(Name or Capacity, * (Firm / pt), Daily Flow,
Daily Flow, Obligated Available
Number) MOD MOD MOD
MOD Flow Capacity***
SLS74 19.5 7.8 4.22
2.116 6.336 1.464
CONTACT ONUS FOR UPSTREAM FLOW CAP. INFO
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is <0.
Downstream Facility Name (Sewer): ONUS to HARNETT REG. WATER
Downstream Pen -nit Number: WQCS000166
Page 1 of 6
FTSE 04-16

III. Certification Statement:
254eue (A_) wvr Q 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 indicates acceptance o]�thi4{astewater flow.
Signing UJJicial Signature
- -,15
Date
Page 2 of 6
PTSE 04-16

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June 14, 2019
H1'=YLIt VtD
DLLibWR
JUL 10 2019
NCDENR-DWQ i"`,?E
Fayetteville Regional Office AY ETTEV!Lt _ ;'E !ON ALOFACE
225 Green Street, Suite 714
Fayetteville, NC 28301
RE: SOF Special Tactics Squadron (STS) Operations Facilities
Fast Track Application for Gravity Sewer Extension
Cumberland County, North Carolina
•.ASUS
We are providing the enclosed information for the permitting of new sewer infrastructure for the SOF
STS Operations Facilities. A new 8-inch gravity sewer main and manholes will be installed to convey
wastewater from two new buildings located on the corner of Gena St, and Interceptor Rd. to the
downstream collection system. The 8-inch main will discharge into an existing manhole located south of
the intersection at Boxcar St. and Ethridge St. Two 6-inch sanitary sewer laterals (one each building) and
cleanouts will be installed to collect and discharge wastewater into the 8-inch main. The Special Tactics
Team (STT) Building is a separated business/storage facility with a maximum occupancy of 248 people;
the additional wastewater flow from this building is estimated to be 10,180 gallons per day. The Human
Performance Training Center (HPTC) is a non -separated business, assembly, and storage facility. The
business and storage area has a max occupancy of 24 people and the assembly area is an 8,760 square
foot fitness facility; the additional wastewater flow from this building is estimated to be 5,720 gallons
per day. The combined additional flow to the downstream sewer system is estimated to be 15,900
gallons per day.
Enclosed please find the original and one copy of the following:
• NCDENR Fast Track Application
• Check for $480.00
• USGS and Street Level Map Showing the Project Area
• STT and HPTC Building Flow Calculations
• Flow Tracking/Acceptance Form
Thank you for your consideration in this matter. If you require further information, please do not
hesitate to contact me at [phone] or [e-mail].
Sincerely,
Olggally signed by
_ Justin Nyland
oaae:2919.06.11
12m015 dam•
Justin Nyland, PE
Senior Engineer
Old North Utility Services, Inc.
P.O. Box 73316, Fort Bragg, NC 28307
Tel: [phone] Fax: [phone]

r. INVOICE NUMBER
2019JIJNIICKR Q0
INVOICE y (`
DATE
PAYMENTgpV10E
6111119 Permit TMKH 003003
1,
STUB 1 of 1
CHECK No':00073394
GROSS
DATE: 6/14/19
-
DISCOUNT
480:00 NET
480.0,
I
'JUL 10
Cr rCC
VENDOR NO.
NAME
Old North Utility S . SOF ENVIRONMENTAL QUALITY
micespanY has establish,,Inc. is Committed to Totals
Services Inle repo an anonymous maintainin 480.00
reporters rem zaortLeport any incidents oflfr e to hi
ofighf standard of
rFport i ethics ymous. and or unethical behavi Rnancial fraud and other in its business dealin s 480.00
or. of which you b unethical business g with others. To heI
ecom8 aware to the hotlige at (888) 3730s" In our dealings
with Oldsure s standard' the
dealin
8817 or vsµ, thhi North Utility
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State of North Carolina
Department of Environmental Quality
JUL 10 2010 Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING PaC E e TION
C t LJ
•_.'.. ,�:._ �.
�y.-_.,..>
rJC7V
Application Number:
.a'fix;
(to be completed by MR) a
�p
J U L 10 U
All items must be completed
or the application will be returned
I. APPLICANT INFORMATION:
rr)A 0S
1. Applicant's name: Old North Utility Services. Inc. (company, municipality, HOA, utihry, etd:}:'p*` 71 IT k -, r F
2. Applicant type: ❑ Individual ® Corporation
❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County
❑ Municipal ❑ Other
3. Signature authority's name: Justin Nyland per 15A NCAC 02T .0 t06(b)
Title: Senior Engineer
4. Applicant's mailing address: P.O. Box 73316
City: Fort Bragg State: NC Zip: 28310-3316
5. Applicant's contact information:
Phone number: 910) 495-1311 Email Address: [e-mail]
II. PROJECT INFORMATION:
1. Project name: TMKH-003003 SOF Special Tactics Squadron (STS) Operations Facilities
2. Application/Projectstatus: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000_ and issued date:
If new constriction but part of a master plan, provide the existing permit number: W000_
=aa
Fi�TCTk+A3r�tw"� e 1-P
480.00
To:.- NC DEFT OF ENVIRONME
THE 1606.MAIL SERVICE CENT
ORDER; 512 N'SALISBURY STREE'`
OF RALEIGH NC 27604-1148
Owner Name(s): Old North Utilities Services
FORM: FTA 04-16 Page 1 of 5

QWX
Division of Water Resources
State of North Carolina
Department of Environmental Quality
JUL 10 2019 Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING Dn�"' CITTF�NAON
to �: N L: tas v'.
__..
Application Number:
(to be completed by DWR)
All items must be completed or the application will be returned JUL 10 2019
I. APPLICANT INFORMATION: VVCI@Ro
1. Applicant's name: Old North Utility Services. Inc. (company, municipality, HOA, utility,
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: JustinNvland per 15A NCAC 02T .0106(b)
Title: Senior Engineer
4. Applicant's mailing address: P.O. Box 73316
City: Fort Brag e State: NC Zip: 28310-3316
5. Applicant's contact information:
Phone number: 910) 495-1311 Email Address: [e-mail]
II. PROJECT INFORMATION:
1. Project name: TMICH-003003 SOF Special Tactics Squadron (STS) Operations Facilities
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000_ and issued date:
If new construction but part of a master plan, provide the existing permit number: W000_
Owner Name(s): Old North Utilities Services
y.(
4
6/14/19
$*******480.00
FORM: FTA 04-16
Pagel of 5

JUL 10 2019
7
i
OR[

Permit Number W00041026
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
trent.allen
Coastal SWRule
Permitted Flow
15,900
Facility
Central Files: APS _ SWP
8/6/2019
Permit Tracking Slip
Status
Project Type
Active
New Project
Version
Permit Classification
1.00
Individual
Permit Contact Affiliation
Facility Name Major/Minor Region
TMKH-003003 SOF Special Tactics Squadron (STS) Operations Facilities Minor Fayetteville
Location Address County
Cumberland
Owner Name
Old North Utility Services Inc
Facility Contact Affiliation
Owner Type
Non -Government
Owner Affiliation
Justin Nyland
PO Box 73316
DateslEvents Fort Bragg NC 28310331
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
8/6/2019 7/10/2019 8/6/2019 8/6/2019
Regulated Activities Requested /Received Events
Wastewater collection Additional information requested 7/23119
Additional information received 812/19
Outfall
Waterbody Name Streamindex Number Current Class Subbasin