WQ0041513_Application (FTSE)_20200323

Central Files: APS _ SWP
3/3/2020
Permit Number WQ0041513
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
dean.hunkele
Coastal SWRule
Permitted Flow
Facility
Facility Name
South Topsail Elementary Pump Station
Location Address
Owner
Owner Name
Ponder County Board of Education/Schools
Dates/Events
Permit Tracking Slip
Status
Project Type
In review
New Project
Version
Permit Classification
A
Individual
Permit Contact Affiliation
Major/Minor Region
Minor Wilmington
County
Ponder
Facility Contact Affiliation
Owner Type
Government - County
Owner Affiliation
Steven Hill
925 Penderlea Hwy
Burgaw NC 28425
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue
3/2/2020
Regulated Activities Requested (Received Events
Additional information requested
Additional information received
Outfal I
Waterbody Name

State of North Carolina
DW Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dlvlslon of Water Resources 1�-�t( FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: txw (� (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
L Applicant's name: Pender County Scools (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: Darren LaFon per 15A NCAC 02T .0106(b)
Title: Chief Operations Officer
4. Applicant's mailing address: 995 Penderlea Hwy
City: Bureaw State: NC Zip: 28425-
5. Applicant's contact information:
Phone number: [phone] Email Address: darren [e-mail]
II. PROJECT INFORMATION:
1. Project name: South Topsail Elemetary School
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: WON
3. County where project is located: Pender
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.3841 ° Longitude:-77.7134°
5. Parcel ID (if applicable): 3283-83-2003-0000
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. 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. PermitNumber(s): W0003 4 Downstream (Receiving) Sewer Size: 6 inch WC�Va �'i,VJ 1 v
System Wide Collection System Permit Numbers) (if applicable): WQCS
Owner Name(s):
FORM: FTA 04-16 Page 1 of 5

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 Developer's Operational Agreement ( FORM: DE\'I been attached?
❑ Yes ❑No ❑N/A
3. If the Applicant is a HomeiProperty 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 : 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 02T .0114(I)? ❑ Yes ® No
If yes, Drovide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(t)1
Daily Design Flow'"
No. of Units
Flow
School
12 gal/Student
500
6,000 GPD
Note: Current enrollment is approx. 350
gal/
GPD
This leaves room for some growth
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
6,000 GPD
a See 15A NCAC 02"f .0114(b). (d) (e)( I ) 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. 42 4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.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: 6 000 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

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T.0305 & iMDC (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
VIIL 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: LS I
2. Approximate Coordinates (Decimal Degrees): Latitude: 34.3841 ` Longitude:-77.7134 �
3. Design flow of the pump station: 0.006 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 50 gallons per minute at 93 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
3
871
PVC
6. Power reliability in accordance with IS_A NGVC 021 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 - I SA 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 ISA NCAC 02T .0305(t) & U ® Yes [:]No
Y 15A NCAC 02T.0305(f) contains minimum separations that shall be provided 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 1 or
Class II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I 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 slope of embankment or cuts of 2 feet or more vertical height
10 feet
Draina e s stems and interceptor drains
5 feet
An swimminpools
10 feet
Final earth grade (vertical)
36 inches
➢ ISA 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 webpaee
➢ If noncompliance with 02T.0305(t) or 04). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No ❑ N/A
Y See the Division's draft separation requirements for situations where separation cannot be meet
Y No variance is required if the alternative design criteria specified is utilized in design and construction
Y As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per I5 A NCAC 02B .0200" ❑ Yes ❑ No ® N/A
Y This would include Trout Buffered Streams per ISA NCAC 213.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
Y Information can be obtained from the 401 & Buffer Pennittine Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per I S \ NCAC 02T.010510(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 I5A 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 ❑ N/A
> If yes, include an attachment with details for each line, including type (aerial Tine, 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 ISA NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
I. Does the submitted system comply with 15A NC'AC 02"I', the Minimum Design Criteria for the Permiuingof Pump Stations
and Force Mains (latest version). and the Gravity Sewer Mininmm Design Criteria (latest version) as applicable?
® Yes ❑ No
IfNo, 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 supporting documents
2. Pro svonal Engineer's Certification: `
name from Application Item 111.1.)
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. 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 tine not to exceed $10,000, as well as civil penalties up to S25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
name & title from Application Item t.s.)
II i 1
�(Y I
+ 1 r
L
attest that this application for
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 allies up to $25,000 per violation.
Signature: - Date:
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Pender County Schools
Project Name for which flow is being requested: South Topsail Elem.
More than one FTSE nray 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: Pluris Hampstead, LLC
b. WWTP Facility Permit #:
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
0.250
0.100
0.040
0.006000
0.146000
59%
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,
Pump
Average Daily
Approx.
Not Yet
Total Current
Station
Firm Flow**
Current Avg.
Tributary
Flow Plus
(Name or
Capacity, * (Firm / pf),
Daily Flow,
Daily Flow,
Obligated Available
Number)
MGD MGD
MGD
MGD
Flow Capacity***
* 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): Pluris Hampstead, LLC
Downstream Permit Number: WQ0037324
Page 1 of 6
FTSE 04-16

III. Certification Statement:
I Randy Hoffer, Regional Manager 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 of this wastewater flow.
Signing Official
I�%
Page 2 of 6
PTSE 04-16

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, WiRCI
127 Cardinal Drive
Wilmington, NC 28403
Re: South Topsail Elementary School
RECEIVED/NCDENRVDWR
MAR 0 Q '0?0
Water Quaiity Regtonal
Operas Wlm ngton Re Sectlon
glonal pfPCe
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

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
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,
l�l/t✓ a6
Michael C. Gallant, PE
[e-mail]
tel 910.448,1046
P.O. Box 4039
Surf City, NC 28445