WQ0028587_Application (FTSE)_20200922

Permit Number WQ0028587
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
dean.hunkele
Coastal SWRule
Permitted Flow
763,170
Facility
Central Files: APS _ SWP
9/1/2020
Permit Tracking Slip
Status
Project Type
In review
Major modification
Version
Permit Classification
Z14
Individual
Permit Contact Affiliation
Facility Name Major/Minor Region
Brunswick Forest Collection System Minor Wilmington
Location Address County
Brunswick
Facility Contact Affiliation
Owner
Owner Name Owner Type
Town of Leland Government - Municipal
Owner Affiliation
David A. Hollis
102 Town Hall Dr
Dates/Events Leland NC 28451
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
3/24/2005 8/28/2020 �S^

Hanover Design Services, P.A.
Land Surveyors, Engineers, Land Planners (1%
August 11, 2020 AUG 2
Mr. Dean Hunkele
Department of Environment and Natural Resources
Division of Water Quality
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Re: Brunswick Forest: East Village Phase 2: Commercial Drive Extension
New submittal (W00028587)
Town of Leland
Brunswick County
Dean:
Enclosed please find the sewer extension submittal package for the above -
mentioned project. This is an application for an extension of 540 LF of gravity
sewer in the commercial section. No additional flow is being requested at this
time.
• A check for $480
• Fast Track Sewer Application and one additional copy
• 1- Sewer system Location Map
• 1- USGS Site location map
If you have any questions or comments, please feel free to contact me. Thanks.
Sincerely,
�/
Adam H. Grady, PE
Hanover Design Services P.A.
[e-mail]
[phone] Office
[phone] Fax
1123 Floral Parkway Wilmington, N.C. 28403 Phone [phone] Fax [phone]
Business Firm License No. C-0597

Division 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
PTA 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 Leland (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: David A. Hollis. P.E. per 15A NCAC 02T .0106(b)
Title: Town Manager
4. Applicant's mailing address: 102 Town Hall Dr.
City: Leland State: NC Zip: 28451
5. Applicant's contact information:
Phone number: [phone] Email Address: DHollis(atownofleland.com
II. PROJECT INFORMATION:
I. Project name: East Village Phase 2 Commercial Drive Extensions
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Pemtit/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 numb Q0N8587 l� 6
3. County where project is located: Brunswick County
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.19790 Longitude:-78.05380
5. Parcel lD(ifapplicable):05800007
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Adam Grady License Number: 43166
Firm: Hanover Design Services, P.A.
Mailing address: 1123 Floral Parkway
City: Wilmington State: NC Zip: 28403
Phone number: [phone] Email Address: Agmdy4�ilhdsilm.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Northeast Brunswick Reeionul W WTF Permit Number: NCO086819
Owner Name: Brunswick County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Perrnit Number(s): W00028587 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Ntunber(s) (if applicable): WQCS_ _
Owner Name(s): Town of Leland
FORM: FTA 04-16 Page I 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: HOAI 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)
S. Nature of wastewater: 0 % Domestic/Commercial 100 % 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(t1)
Daily Design Flow ° °
No. of Units
Flow
Restaurant (Previously Allocated)
40 gal/Seat
74
2960 GPD
gal/
GPD
gal/
GPD
gal/
gal/
GPD
GPD
gal/
GPD
Total
2960 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 I5A 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: 0 GPD (per 15A NCAC 02T .0114)
Y 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
❑a Flow has already been allocated in Permit Number: wQJe2e5s�
❑ 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):
I. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
540
PVC
➢ Section II & Ill of the NIDC for Permitting of Gravity Sewers contains information related to design criteria
D 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) — T .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 ofthe 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)(Il:
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(I)(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 t5,000 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 - ISA NCAC 02T .0305(h)(I)(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 tinrefrarnes, 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(0):
1. Does the project comply with all separations found in 15A NCAC 02T 0305(f) & (e) ® Yes ❑ No
➢ 15A NCAC C2T.0305 contains minimum separations that shall be provided for sewer vstems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
24 inches
_ _
Water mains vcrtieal-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
An 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(g) contains alternatives where separations in 02T.0309 cannot he achieved.
➢ "*Stream classifications can be identified using the Division's NC Surface Water Classifications webuaee
➢ If noncompliance with 02T.0305(f) or (e). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) Z 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/cer(iftcations)? ® 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 C2T.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 ❑ NiA
➢ 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 pennittee 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:
I. 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?
® 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 required prior to submittal of the Fast Track Application and supporting
d, 2cuments.
2. Professional Fnginy!eT's CertitlytitijiP._ . .
-� attest that this application for
s name from Application Item Ilhl.)
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 143-215.613, 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. r 111 r t
North Carolina Professional Engineer's seal, signature, and date:
_ 2ri SEAL Sri
43166
GIN �
�rrUllltll��rhlJ
............................ ....... -...................... .... ................ ....
Certificzm=Z2��
�•PcU i > 4 . 0 ©C_L l S
attest that this application for
(Signature Authoritps name & title from�lication Item I.3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 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 310,000 as well as civil penalties up to $25,000 per violation.
Signature: .GL� Date: LLD ,
FORM: FTA 04-16 Page 5 of 5

8/11/2020
My Map
i
i
a
C
MH3
%? EX MH
- MH2
j.
600ft
USGS The National Map: National Boundaries Dataset, 3DEP Elevation Program, Geographic Names Information System, National Hydrography Dataset,
National Land Cover Database, National Structures Dataset, and National Transportation Dataset; USGS Global Ecosystems; U.S. Census Bureau
TIGER/Line data; USFS Road Data; Natural Earth Data; U.S. Department of State Humanitarian Information Unit; and NOAA National Centers for
Environmental Information, U.S. Coastal Relief Model. Data refreshed May, 2020.
https://nedot.maps.arcgis.com/hometwebmap/print.htmI 1/1

-V�- 's' MsuNB
_
-
47
:e-
r
� aY
� #G
ry�
Mi
i