WQ0041880_Application (FTSE)_20200818

Central Files: APS _ SWP
8/7/2020
Permit Number WQ0041880
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
dean.hunkele
Coastal SWRule
Permitted Flow
Facility Name
Saxon Place Apartments Private Sewer
Location Address
Owner
Permit Tracking Slip
Status
Project Type
In review
New Project
Version
Permit Classification
A
Individual
Permit Contact Affiliation
Major/Minor Region
Minor Wilmington
County
New Hanover
Facility Contact Affiliation
Owner Name Owner Type
Saxon Place LLC Non -Government
Owner Affiliation
Christopher Buffalino
2918 A Martinsville Rd
Dates/Events Greensboro
Scheduled
Orig Issue App Received Draft Initiated Issuance
8/5/2020

NOMS & TUNSTALL
CONSULTING ENGINEERS P.C.
2602 Iron Gate Drive, Suite 102
Wilmington, NC 28412
[phone]
[phone] Fax
John S. Tunstall, P.E.
T.Jason Clark, P.E.
August 3, 2020
NC DEQ
Division of Water Resources
Water Quality Regional Operations Section
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, INC 28405
Re: Gravity Sewer Extension Fast -Track Permit Application
Saxon Place
3525 Lancelot Lane
Wilmington
N&T Project No. 19004 (Private)
Dear Sir or Madam:
1429 Ash-Littic River Road
Ash, NC 28420
[phone]
[phone] Fax
J. Phillip Norris, P.E.
Thomas J. Scheetz, E.I.
RECEIVED
AUG 05 2020
NCDEO
WILMINWON Ro
Enclosed is one (1) original application form, one (1) copy of the Sewer Narrative, one (1) original
Flow Tracking / Acceptance Form (FTSE 10-18) with sewer flow letter from the Cape Fear Public
Utility Authority with, one (1) 8'/z x 11 color USGS Topographic Map, one (1) site plan (ledger
size) and a $480.00 check for the processing fee.
Please review this information for approval and contact us with any questions or comments you
may have. Thank you for vour assistance on this oroiect.
Sincerely,
NORRIS & TUNSTALL
CONSULTING ENGINEERS, P.C.
J -
T. Jason lark P.E. I
TJC/asn
19004 08-03-20-s-swr-Itr (private)
Enclosures
NCBELS License C-3641

State of North Carolina
DWR Department of Environmental Quality
� Division of Water Resources
15A NCAC 02T.0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Divislon of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: V,Gol`� `a ( (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Saxon Place. 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: Chris Buffalino per 15A NCAC 02T .0106(b)
Title: Manager
4. Applicant's mailing address: 439 Whitebrid eg Road
City: Hampstead State: NC Zip: 28443-
5. Applicant's contact information:
Phone number: 910 295-8674 Email Address: [e-mail]
If. PROJECT INFORMATION:
1. Project name: Saxon Place
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: New Hanover
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.2379' Longitude:-77.8999'
5. Parcel ID (if applicable): R04917-004-017-000
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: T. Jason Clark, P.E. License Number: 030869
Firm: Norris & Tunstall Consulting Engineers, P.C.
Mailing address: 2602 Iron Gate Drive, Suite 102
City: Wilmington State: NC Zip: 28412-
Phone number: [phone] Email Address: [e-mail] & [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: James A. Loughlin (Northside W WTP) Permit Number: NC 0023965
Owner Name: Cape Fear Public Utility Authority
�Qu
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF): W
1. Permit Number(s): WQ N' 1 6 AL l1'� w ?W1 C, _W"m I'V _W) Wcaq'Fr? Jq
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): Cape Fear Public Utility Authority
FORM: FTA 04-16 Page 1 of 5

VI. , GENERAL REQUIREMENTS
NT W N 06 1(1WiYA)
cee-v. c';-bq4-110)A
I. 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 Devcloper'sQperational Agreement (FORM: DL'•V) been attached?
[]Yes [:]No ®N/A
3. If the Applicant is a Horne/Property Owners' Associalion. 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
M Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
M Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5, Nature of wastewater: 1K% DomesticlContmercial % Commercial
_I % Industrial (See ISA NCAC 02T .0IQN20))
"Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T.01 14(Q? ❑ Yes []No
Y If Yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T,0114(f))
Daily Design Flow '^
No, of Units
Flow
3 Bedroom Apts.
360 gal/Unit
12
4,320 GPD
2 Bedroom Aps.
240 gal/Unit
12
2,880 GPD
1 Bedroom Apts.
240 gal/Unit
30
7,200 GPD
1,400 SF Restaurant with 25 Seats
40 gal/Seat
25
1,000 GPD
gal/
GPD
gall
GPD
Total
15,4o0 GPD
a See 15A NCAC 02T .0114(b), (d). (elf I) 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 13A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 021'.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: 15,400 GPD (per I SA 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 Pen -nit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain): _
FORM: FTA 04-16 Page 2 of 5

NT06606*4
VII. GRAVITY SEWER DESIGN CRITERIA (if Applicable) - 02T.0305 & HDC (Graylly Sewers): (h4 t S-Wwb)
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
6" 265 PVC
8" 196 PVC
Y Section 11 & 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) — 20 T .0305 & MDC (Puma S(ations/Force Main;):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. 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 02'r .030( It( )(Il:
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(13):
➢ Required for all pump stations with an average daily (low 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 & ISA NCAC 02T .0305(f)):
1. Does the project comply with all separations found in ISA NCAC 021' .0305(D & (g)
I SA 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 11 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 buildinp 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
D 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 webpage
D If noncompliance with 02T.0305(f) or (&), 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 02B .02007 0 Yes ❑ No
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? 0 Yes ❑ No
➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
D Information can be obtained from the 40J_& Buffer PermittingBranch
ranch
.5. Does project comply with 15A NCAC 02T.0105(cM) (additional pennits/certifications)?
Per 15A NCAC 021.0105(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, slormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02L0402. "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streantbanks that is subject to erosion that undermines or deteriorates the sower.
[:]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:
, Y
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?
0 Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the reauest is required prior to submittal of the Fast Track Application and supporting documents
2. Professional Engineer's Certification:
that this application for
Engineer's namelfrom Application Item III.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 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:
SEAL ,
03086W .A ; �
) •
•'.�GINEE4' • �-
�,ySON 00Qf ,;
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, {I J Mil
C' attest that this application for
(Signature All rity's name title om App 'cation Item L3.)
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.
Signature: Date:
FORM: FTA 04-16 Page 5 of 5

njiaft �)State of North Ca �1
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Saxon Place, LLC
Project Name for which flow is being requested:
Saxon Place
More than one FTSE maybe required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of lire proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: James A. Loughlin (Northside) WWTP
b. WWTP Facility Permit #: NPDES NC 0023965
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
16.000
3.413
10.661
0.015400
14,089
ME
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:
Pump
Pump
Station
Station
Firm
(Name or
Permit
Capacity,
Number)
No.
MGD
10
N/A
14.832
(A)
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Design
Obligated,
Average
Approx.
Not Yet
Total Current
Daily Flow**
Current
Tributary
Flow Plus
(Firm / pf),
Avg. Daily
Daily Flow,
Obligated
Available
MGD
Flow, MGD
MGD
Flow
Capacity***
5.933
3.472
0.600
4.071
1.861
* 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): Cape Fear Public Utility Authority
Downstream Permit Number:
Page I of 6
FTSE 10-18

III. Certification Statement:
I Jeff Theberge, CFPUA Eng. Mgr 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 parry. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
6/8/2020
Signing Official Signature Date
Engineering Manager
Title ofSigning Official
Page 2 of 6
FTSE 10-18

8/7/2020
North Carolina Secretary of Stale Search Results
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online
Add Entity to My Email Notification List • View Filings • Print a Pre -Populated Annual Report form • Print
an Amended a Annual Report form
Limited Liability Company
Legal Name
Saxon Place LLC
Information
Sosld: 1884209
Status: Current -Active O
Date Formed: 8/23/2019
Citizenship: Domestic
Annual Report Due Date: April 15th
Currentgnnual Report Status:
Registered Agent: Isaacson Sheridan
Addresses
Mailing Principal Office Reg Office
2918-A Martinsville Road 2918-A Martinsville Road 804 Green Valley Road, Suite 200
Greensboro, NC 27408 Greensboro, NC 27408 Greensboro, NC 27408
Reg Mailing
804 Green Valley Road, Suite 200
Greensboro, NC 27408
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager
Michael P Winstead , Jr
2918-A Martinsville Rd
Greensboro NC 27408-2735
https://w .sosnc.gov/online_services/search/Business_Registration_Results 1/1

SEWER NARRATIVE
SAXON PLACE
3525 Lancelot Lane
Wilmington, North Carolina
For
Saxon Place, LLC
439 Whitebridge Road
Hampstead, NC 28443
[phone]
May 2020 v`>c��
Prepared by:
NORRIS & TUNSTALL CONSULTING ENGINEERS, P.C.
2602 Iron Gate Drive, Suite 102
Wilmington, North Carolina 28412
[phone]
[phone] (Fax)
License # C-3641
N&T Project #19004

NARRATIVE
SAXON PLACE
SEWER SYSTEM:
This public / private gravity system is designed to service the proposed apartment
complex known as Saxon Place, located at 3525 Lancelot Lane in Wilmington, NC. A
total of 37 LF (Public) of 8-inch sewer line, 265 LF (Private) of 6-inch sewer line and 196
LF of 8-inch sewer line will be needed to complete the system. This new system will not
require a pump station. It will connect into an existing manhole in an existing City of
Wilmington Right -of -Way.
This system will be served by the Cape Fear Public Utility Authority.
I