WQ0041512_Application (FTSE)_20200323

Permit Number WQ0041512
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, $ Pressure Sewer Extensions
Primary Reviewer
dean.hunkele
Coastal SWRule
Permitted Flow
Facility
Central Files: APS _ SWP
3/3/2020
Permit Tracking Slip
Status
Project Type
In review
New Project
Version
Permit Classification
A
Individual
Permit Contact Affiliation
Facility Name Major/Minor Region
Hoover Road Force Main Minor Wilmington
Location Address County
Pander
Facility Contact Affiliation
Owner
Owner Name Owner Type
Pluris Hampstead LLC Non -Government
Owner Affiliation
Randy R. Hoffer
1095 NC Hwy 210
Dates/Events Sneads Ferry NC 28460
Scheduled
Orig Issue
App Received Draft Initiated Issuance
Public Notice Issue
Effective Expiration
3/2/2020
Regulated Activities
Requested /Received Events
Additional information requested
Additional information received
Outfall
Waterbody N.
- -

State of North Carolina
' Department of Environmental Quality
' Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources / FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: �0�{�5��. (to be completed byDWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Pluris Hampstead, LLC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ® Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: Randy Hoffer per 15A NCAC 02T .0106(b)
Title: Regional Manager
4. Applicant's mailing address: 1095 NC HWY 210
City: Sneads Ferry State: NC Zip: 28406-
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
II. PROJECT INFORMATION:
L Project name: Hoover Road FM
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
3. County where project is located: Pender
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.3841' Longitude:-77.7134'
5. Parcel ID (if applicable): NA
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Michael C. Gallant, PE License Number: 25572
Firm: Michael C. Gallant, PE, PA
Mailing address: PO Box 4039
City: Surf City State: NC Zip: 28445
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Pluris Hampstead WWTF Permit Number: W00037287
Owner Name: Pluris Hampstead, LLC
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): W00037324 Downstream (Receiving) Sewer Size: 10 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS_
Owner Name(s):
FORM: ETA 04-16 Pagel of 5

VL GENERAL REQUIREMENTS
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 Agreement (FORM, DEVI been attached?
❑ Yes ❑No ❑N/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: FICA) 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: 100 % Domestic/Commercial %Commercial
Industrial (See 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(f)? ❑ Yes ❑ No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(111
Daily Design Flow e,b
No. of Units
Flow
Zero Flow Permit
gal/
0 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
0 GPD
a See 15A NCAC 02T 0114(b), (d), (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0I 14(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: 0 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: ETA 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
➢ 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
Vill. 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
5255
PVC
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) & (e) ❑ Yes ❑ No
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be orovided for sewer systems:
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-1 waters of Class I or
Class II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal
high water or tide elevation and wetlands see item IX.2
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top sloe of embankment or cuts of 2 feet or more vertical height
10 feet
Draina e systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305(e) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpaee
➢ If noncompliance with 02T.0305(f) or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No ❑ N/A
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes ❑ No ® 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 Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.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 ❑ N/A
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location)
High priority lines shall be inspected by the permittee or its representative at least once every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
Does die 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. A mnroval of the request is required Prim' to submittal of the fast Track Application and supporting
documents.
2. Professional Engineer's Certification:
L14�L"✓L�'"' L7 attest that this application for
Engineer's name from Application Item II1.1.)
has been reviewed by ale and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best or 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 seat signifies that 1 have reviewed this
material and havejudged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6t3, any person who knowingly makes any raise
statement, representation, or culifrcalion 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 dale:
3. Applicant's Certification pet 15A NCAC 021'.0106(b):
(Signature Authority's name &title from
Item 1.3.)
14\\\O1
i1
_attest that thisapplication for
has been reviewed by Pre 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, aid/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 arc not completed
and that if all required supporting information and attachments are not included, this application package will be returned to
tine as incomplete.
NOTE — In accordance with General Statutes 1.13-215_6A and I43-215,613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty or 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:
i
Date:
FORM: FTA 04-16 Page 5 of 5

Michael C. Gallant PE, PA
Engineering / Consulting / Design
NC Firm C-1989, AL Firm CA - 4338— E
NC Reg. No. - 25572, AL Reg. No. - 32178
Dean Hunkele
Senior Environmental Specialist
Surface Water Protection
NCDENR-DWO, WiRO
127 Cardinal Drive
Wilmington, NC 28403
Re: South Topsail Elementary School
RECEIVED/NCDEM&DWR
MAR 0 2 °020
Water quality R® ional
Wilmington o" Se atio0fflce
March 2, 2020
Dean,
Please find attached a fast track application package for the South Topsail Elementary School
project. Please note that this package includes two separate applications. The first is for the lift station
and force main on the school property. This infrastructure will be owned and operated by Pender
County Schools. The second is for a force main along Hoover Road from the School to US Hwy 17 to
connect to the existing 10" force main.
Please note that the force main along Hoover Road is 6" and the pumps in the proposed lift
station will not provide scour velocity. Instead this line has a stub for a mobile pump to be hooked up to
flush the line periodically.
This package includes the application fees and two copies of:
• Two copies of application form FTA 04-16 for Pender County Schools.
• Two copies of application form FTA 04-16 for Pluris Hampstead, LLC
• Two USGS maps showing the site.
• Two sets of the utility master plan.
• Two copies of the FTSE for the project. (This is for the School permit, the force main along
Hoover Road is zero flow.)
• Two application fees of $480 each.
Please let the following serve as a brief narrative for the project:
Pender County Schools has an urgent need to connect to the Pluris Hampstead collection system
due to issues with their onsite treatment and disposal system. This project proposes using an existing
wet well for the proposed lift station. This lift station pumps to a 3" force main. This lift station and 3"
force main will be owned and operated by Pender County Schools. The FTSE for this project will go
along with this permit. The schools currently have less than 400 students. The lift station is sized for
500 students to leave room for some future growth.
The 3" force main will pump to a 6" force main that runs from the School to Hwy 17 along
Hoover Road. This line is larger to accommodate future flows along that corridor. Due to the increase in
size, line flushing can be accomplished by using a portable pump to flush the line as needed. There is a
stub for the pump connection on the end of the line for this purpose.
[e-mail]
tel [phone]
P.O. Box 4039
Surf City, NC 28445

89
Michael C. Gallant PE, PA
Engineering / Consulting / Design
NC Firm C-1989, At Firm CA - 4338 - E
NC Reg. No. - 25572, At Reg. No. - 32178
system.
It is my understanding that after this project is completed the School will abandon its onsite
If you have any questions please feel free to call me at 910.448.1046.
Sincerely,
LU)Z�
Michael C. Gallant, PE
[e-mail]
t e 1910.448.1046
P.O. Box 4039
Surf City, NC 28445