WQ0041689_Application (FTSE)_20200522

Permit Number WQ0041689
Central Files: APS
Permit Tracking Slip
SWP _
5/14/2020
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
dean.hunkele
Coastal SWRule
Permitted Flow
Facility
Facility Name Major/Minor Region
Richlands Highway Force Main Minor Wilmington
Location Address County
Onslow
Facility Contact Affiliation
Owner
Owner Name Owner Type
Blue Creek Utilities Inc Non -Government
Owner Affillation
Benny Thomas Pollard
2925 Richlands Hwy
Dates/Events Jacksonville NC 28540
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
5/14/2020

J A C K S O N V I L L E, NOR T N C A R O L I N A
[phone] 1
306 New Bridge Street I P.O. Box 976
Jacksonville, NC 28541-0976
Firm License Number F-0108
VIA MAIL AND EMAIL
May 12, 2020
Mr. Dean Hunkele
NCDEQ
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
ATk
Re: 4" SFM to Serve
3462 Richlands Hwy.
Onslow County, NC
M:AY 1 4 �i3�0
Fast Track Sewer Application
Dear Mr. Hunkele:
Per our previous email conversation concerning the existing 4" Sewage Force Main (SFM),
along US Hwy 258/NC Hwy 24, that was permitted to serve the Trade Wilco #32, Permit No.
WQ002900, this submittal is being applied for to split the existing permit into two permits. One permit
will be for the existing 4-inch SFM within the NCDOT R/W. This will be permitted to Blue Creek
Utilities, Inc. The other permit will be for the existing private pump station and the existing 2-inch on
the convenience store site. This will be permitted to Williams Family Heirs, LLC, Edwin L. Clark,
Manager, 3675 Marine Drive, Greenville, NC 27834. They are the current owners of the property and
building and they lease it to Speedway. I contacted Mr. Edwin Clark and he has agreed to allow the
existing permit to be split into two permits.
Please find enclosed the following:
1) One original and one copy of the Fast Tract Sewer Application,
2) One copy of the letter from Mr. Clark dated May 11, 2020.
3) One Check in the amount of $480.00.
4) One portion of the USGS Map.
5) One copy of the Overall Blue Creek Utilities Sewer Map.
If you have any questions or need any additional information, please let me know.
Sincerely,
PARKER & ASSOCITt
.
Timothy . ew , P.E.
Enclosures
ec: Mr. Tommy Pollard (w/enclosures)
Mr. Edwin Clark (w/enclosures)
xc: CF (P), LAM, JJC
TMS/djh Civil Engineering I Stormwater and Environmental Consulting
C1.20Rk1�Rf�(lettyr.i}udkEla?"G®klelili{aQfWNlhslri'ii'6r�d�5tii20d Surveying and Mapping I Subdivision and Construction Plans

May 11", 2020
Edwin L. Clark, Manager
Williams Family Heirs, LLC
3675 Marine Drive
Greenville, NC 27834
Phone:[phone]
Email: edwinna tradefamilvoffice corn
Blue Creek Utilities
2965 Richlands Hwy
Jacksonville, NC28540
Phone:[phone]
Ref: Sewer Permit No. WQ0029000 Modification into two permits
Dear Blue Creek Utilities,
As owner of the property on Hwy 258, this letter is in response to the re -permitting of the existing 4-Inch
Force Maine, In the Highway Right -of -Way. It is understood that you, Blue Creek Utilities, will apply for a
Sewer Permit to split our existing permit into two permits. One for you, Blue Creek Utilities, for the 4-
inch Force Main and one for us, Williams Family Heirs, LLC, for the Pump Station and Force Main on our
property. We are OK to split our existing Sewer Permit No. WQ0029000 Modification into two permits.
If there are any questions, please do not hesitate to contact me
Thank you,
Edwin L. Clark, Manager
Williams Family Heirs, LLC

State of North Carolina
DWR 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: W CQ U N � 6 0 1 (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: BLUE CREEK UTILITIES. INC. (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: B.T. Pollard. per 15A NCAC 02T .0106(b)
Title: President
4. Applicant's mailing address: 2965 Richlands Fin
City: Jacksonville State: NC Zip: 28540-
5. Applicant's contact information:
Phone number: 210) 455-5552 Email Address: [e-mail]
II. PROJECT INFORMATION:
1. Project name: 4" SFM to serve 3462 Richlands Hwy.
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: W00029000 and issued date: July 20, 2007
If new construction but part of a master plan, provide the existing permit number: W000_
3. County where project is located: Onslow
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.7625' Longitude:-77.4864'
5. Parcel ID (if applicable): 067457
(or Parcel ID to closest downstream sewer)
81121 il]:1ur ii Ci30
1. Professional Engineer: Timothy M. Stewart License Number: 14575
Firm: Parker & Associates. Inc.
Mailing address: 306 New Bridge Street
City: Jacksonville State: NCo Zip: 28540-
Phone number: 910) 455-2414 Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Blue Creek W WTP Permit Number: NCO056952
Owner Name: Blue Creek Utilities
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS_
Owner Name(s):
FORM: FTA 04-16 Page 1 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 ®N/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 ®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/Commercial % Commercial
_ % Industrial (See 15A NCAC 02T .0103(20))
r.Is there a Pretreatment Program in effect? ❑ Yes ® No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(fl? ❑ Yes ®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 a's
No. of Units
Flow
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
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 .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: 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: WO0029000 Modification
❑ 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 & 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:
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
4
2300
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(fa & (ctl
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
® Yes ❑ No
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 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 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(e) contains alternatives where separations in 02T.0305(t) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webnaae
➢ 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 Permittin Branch
ranch
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:
1. Does the submitted system comply with 15A NCAC 02T. the Minimum Design Criteria for the Permitting of Pumo Stations
and Force Mains t latest versions and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Altemative Design Request application (VADC 10-14) and supporting documents
for review, _Approval of the request is reautred Prior to submittal of the Fast Track Aonlleation and supporting
documents,
2. Professional Engineer's Certification:
Timothy M. Stewart, P.E.
-_ ___ - -. attest that this application for
(Professional Engineer's name from Application Item 111,1.)
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. I further attest that to the best
of my knowledge the proposed design bus 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 143-215.6E, 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):
B.T. POLLARD, President
%�auuuu
SH CAP,
Oe'"•ESSJ'
fQ
SEAL
14575
of '�NGINEF
(Signature Authority's name & title from Application Item I.3.)
5�8-2
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 143-215.613, 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:.. ___. Date" �'o�0o2D
FORM: FTA 04-16 Page 5 of 5

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