WQ0040444_Application (FTSE)_20200615

Permit Number WQ0040444
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, 1£ Pressure Sewer Extensions
Primary Reviewer
dean.hunkele
Coastal SWRuIe
Permitted Flow
7,200
Facility
Central Files: APS _ SWP .
6/4/2020
Permit Tracking Slip
Status Project Type
In review Major modification
Version Permit Classification
B Individual
Permit Contact Affiliation
Facility Name Major/Minor Region
Magnolia Reserve Minor Wilmington
Location Address County
Pender
Owner
Owner Name
Town of Surf City
Dates/Events
Facility Contact Affiliation
Owner Type
Government - Municipal
Owner Affiliation
Kyle Breuer
PO Box 2475
Surf City NO 2844524
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
12/12/2018 6/3/2020 �_ 1� /_1S
• •- � -• :

STROUD ENGINEERING, P.A.
102-D Cinema Drive
Wilmington, NC 28403
(910))8815.0775
TO \ may—
HEETVI n OCP 4 Cv]�G�044G1d
DATE
JOB NO.
ATiENT
RE:
JUN 0 3 2020
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via \N n6o the following items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
COPIES
DATE
NO.
DESCRIPTION
xt- Z48 Rv o�.� - ��Y 34
THESE ARE TRANSMITTED as checked below:
f--For approval
❑ For your use
❑ As requested
❑ For review and comment
❑ FORBIDS DUE
REMARKS
❑ Approved as submitted
❑ Approved as noted
❑ Returned for corrections
El
❑ Resubmit copies for approval
❑ Submit copies for distribution
❑ Return corrected prints
❑ PRINTS RETURNED AFTER LOAN TO US
KS
COPY TO �
SIGNED:
It enclosures are not as noted, kindly notify us at once.

Pw
Dlvislon of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number:
(to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Surf City (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: Kyle Breuer per I SA NCAC 02T .0106(b)
Title: Town Manager
4. Applicant's mailing address: PO Box 2475
City: Surf City State: NC Zip: 28445-_
5. Applicant's contact information:
Phone number: [phone] Email Address: kbreuer@surfeitync gov
11. PROJECT INFORMATION:
I. Project name: Magnolia Reserve
2. Application/Project status: ❑ Proposed (N <Fe`miti ® Existing Permit/Project
If modification, provide the existing permit nurn r: W00040444 nd issued date: 12/12/2018
If new construction but part of a master plan, provide 0-xistm permit number. W000_
3. County where project is located: Pende
4. Approximate Coordinates (Decimal Degrees): Latitude: 34,44880 Longitude:-77,5851 °
S. Parcel ID (if applicable): 4225-66-7142-0000.4225-46-5793-000 and 4225-65-7411-0000
(or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
Professional Engineer: David L. Menius License Number: 35677
Firm: Stroud Engineering,PA
Mailing address: 102 D Cinema Drive
City: Wilmington State: K Zip: 28403-_
Phone number: [phone] Email Address: Imerims stroudeneineer com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
L Facility Name: Town of Surf City WWTP Permit Number: W00000795
Owner Name: Town of Surf City
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ0028681 Downstream (Receiving) Sewer Size: (FM) 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS_
Owner Name(s): Town of Surf Citv
FORM: FTA 04-16 Page I of 5

Vl. GENERAL REQUIREMENTS
1. I f the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No NN/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 NN/A
3. Irthe Applicant is a Honte/Property Owners' Association has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No NN/A
4. Origin of wastewater (check all that apply):
N 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)
S. Nature of wastewater : 100 % Domestic/Commercial % Commercial
_ % Industrial (See ISA NCAC 02T .U103f20))
"Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes N No
If Yes, provide a copy of Row reduction avurovat letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(fll
Daily Design Flow °,h
No, of Units
Flow
3 Bedroom Residence
360 gal/Day
30
10,800 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Tolal
10,800 GPD
a See 15A NCAC 02T 0114(b). (d). (c)(1) and (c)(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
detennined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 10 800 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

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T,0305 & MDC (Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
➢ Section 11 & Ill of the MDC for Permitting of Gravity Sewers contains information related to design criteria
D 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
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. Power reliability in accordance with 15A NCAC 02T 0305(h)(j):
❑ Standby power source or pump with automatic activation and telemetry - I SA NCAC 02T .0305(h)(I)(B):
D Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
D 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 - I SA NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T ,0305(h)(1)(C):
D 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.
D If the portable power source of 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 tlmeframes, 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 & I5A NCAC 02T.0305(f)):
I. Does the project comply with all separations found in 15A NCAC 02T 0305(1) & (g)
Y 15A NCAC 02T.0305M ennin; nc minimum c ratl^.. ,60, r6.,II 1.....-....:A..A e...
® 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 11 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
hig 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
Drains+e s stems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.03051&) contains alternatives where separations in 02T.0305( cannot be achieved.
Y "Stream classifications can be identified using the Division's NC Surface Water Classifications we hna c
D If noncompliance with 02T.0305(t) or (g) 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
D 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 02B .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 Permitting Branch
5. Does project comply with 15A NCAC 02T 01 h5(c)(r,) (additional permits/certifications)? ® Yes [:]No
Per ISA 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 ycs, 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 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:
1. Does the submitted system comply with 1SA 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 tie Variance/Altemative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the reauest is require(] prior to submittal of the Fact Track Application and sunportiva documents
2. Professional Engineer's Certification:
US, P.E
Engineer's name from Application
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 otter supporting documentation to die 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 tine not to exceed $10.000, as well as civil penalties up to $25,000 per violation.
3. A
has been reviewed by me and is accurate and complete to the best of my knowledge. i understand that if all required pars 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. I will make no claim against the Division of Water Resources should a condition
of this pemtit be violated. I also understand that if all required pans 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 misdemearor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: cvwva A4r— Date: .5 / 7 /_� .Q_
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
W Division of Water Resources
"Division of water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Surf City
Project Name for which flow is being requested: Magnolia Reserve
More than one FTSE nary be required fora single project If the owner of the WWTP is nor responsible for al/ punip
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: Town of Surf City WWTP
b. WWTP Facility Pennit #: W00000795
Allflows are in MCD
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
24
.76
0.010800
1
90.8
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,
Pump
Pump
Average
Approx.
Not Yet
Total Current
Station
Station
Firm Daily Flow**
Current
Tributary
Flow Plus
(Name or
Permit
Capacity, * (Firm / pf),
Avg. Daily
Daily Flow,
Obligated Available
Number)
No.
MOD MOD
Flow, MOD
MOD
Flow Capacity***
* The Firm Capacity (design flow) 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, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** 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): Town of Surf City
Downstream Permit Number: WQ0040444
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I David Price certify to the best of my knowledge that the addition of
the Volume of wastewater to be pennitted 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 11 plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Title gfSigning
Page 2 of 6
FTSF 10-18