WQ0038128_Application (FTSE)_20210609

Permit Number WQ0038128
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
dean. hunkele
Coastal SWRule
Permitted Flow
131,040
Central Files: APS _ SWP _
4/14/2021
Permit Tracking Slip
Status
Project Type
In review
Major modification
Version
Permit Classification
F
Individual
Permit Contact Affiliation
Facility
Facility Name Major/Minor Region
Stateside Development Sewer Minor Wilmington
Location Address
Owner
Owner Name
Old North State Water Company LLC
County
Onslow
Facility Contact Affiliation
Owner Type
Non -Government
Owner Affiliation
John L. McDonald
PO Box 10127
Dates/Events Birmingham AL 3520201:
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
1/7/2016 4/12/2021
Regulated Activities Requested /Received Events
Subdivision Additional information requested
Wastewater collection
Additional information received 6-3-'d-i

State of North Carolina
Department of Environmental Quality
Division of Water Resources
,QW R
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
DtvWon of Water Resources PTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: _(to bec=pldedbyDWR)
An Items must be completed or the application will be returned
I, APPLICANT INFORMATION:
I. Applicant's name: Old North State Water Company. LLC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
C3 Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: John McDonald per ILA NCAC 02T .0106ibi
Title: Owner
4. Applicant's mailing address: P.O. Box 10127
City. Birmingham State: A! Zip: 35202
5. Applicant's contact information:
Phone number: = 326-32200 Email Address: imcdonaldAgnswc com
11. PROJECT INFORMATION:
1. Project name: Bennett Place and Somerset Place Sec V-A• and Roanoke Bay. See. TV -A at Stateside
2. Applicatioa/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
if a modification, provide the existing permit number: W00038128 and issued date: Ltaao
If new construction but part of a muster plan, provide the existing permit number: W Q00_
3. County where project is located: Onslow
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.8766 Longitude:-77.4817°
5. Panel ID (if applicable): 052265
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
Professional Engineer. Jason A. Houston License Number: 34978
Firm: Parker & Associates. Inc
Mailing address: 306 New Bridge Street
City: Jacksonville State: NC Zip: 28540
Phone number: 910 455-2414 Email Address: oftice(&pad='acksonville.rnm
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Stateside WWTF Permit Number: W00035809
Owner Name: Old North States Water Company. I.LC
V. RECEAgNGDOWNSTREAM SEWER INFORMATION (it different titan WWTF):
PermitNumber(s): WQN38128 Downstream (Receiving) Sewer Size: $ inch
System Wide Collection. System 11enuit Number sl (if ampIieablel: WQCS_
Owner Name(s): Old North State Water Company. LLC
FORM: FTA 04-16 Page I of 5

V1. 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 DevelooW s Operational Agreement ( FORM: DEV) been attached?
[]Yes []NO [DN/A
3. If the Applicant is a Home/Propgbv Owners' Association. has an Operational Aure@ment (FORM: HOA 1 been attached?
❑ Yes ❑No ONyA
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 : ] QQ% Domestic/Commercial 0'/e Commercial
Q %II Industrial (See ISA NCAC 023' .0I03(20))
�---sis there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T 0114(f)? []Yes ®No
If yes, provides copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01140
Daily Design Flow
No. of Units
Flow
Dwelling Units
360 gal/Unit
130
46,800 GPD
gall
GPD
gay
GPD
gay
GPD
gay
GPD
gal/
GPD
Toro!
46,800 GPD
EL See 15A NCAC 021 .0 14W. (d). to)(I) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public aocssss facilities located near high public use
areas; and residential property located south or out of the Atlantic Intracoastal Waterway to be used as vacation rentals
as defined in G.S. 42AA .
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.
B. Wastewater generated by project: 46 800 GPD (per 15A NCAC 02T .0114)
D 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 PermitNumber:
❑ 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 &wers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (fact)
Material
8
2,338
DI
8
4,377
SDR-35
8
4,964
C900
D Section II & III of the MCC for Permitting of Gravity Sewers contains information related to design criteria
D Section DI contains information related to minimum slopes for gravity sewer(s)
D Oversizing Imes to meet minimum slope requirement Is not allowed and a violation of the MDC
VIIL PUMP STATION DESIGN CRITERIA (If Applicable) —111•0305 & MDC (Pump aStafianalPoree Mainsl:
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Roanoke Hay, Sec. IV
2. Approximate Coordinates (Decimal Degrees): Latitude: 34.8765° Longitude:-77.48180
3. Design flow of the pump station: 0.576 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 400 gallons per minute at 52 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (Inches) Length (feet) Material
6 y 830 PVC
6. Power reliability in accordance with 15A NCAC 02T .0305(h1i11:
® Standby power source or pump with automatic activation and telemetry - I SA NCAC 02T .0305(h)(1)(B);
➢ Required for all pump stations with an average daily flow greater then 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 - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - I5A NCAC 02T .0305(hxl)(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 timefiames, 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 15A NCAC 02T .03050) & (g) ® Yes ❑ No
)� 19 e ntrer rnT n;nsrn rnnmins 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 I or
Class II impounded reservoirs used as a source of drinking water
100 feet
•*Watersclassified 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
Anybuildingfoundation
5 feet
An basement
10 fat
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage system and interceptor drains
5 feet
Any swunmung pools
10 feet
Final earth grade vertical
36 inches
D 15A NCAC 02T 0305(g) contains alternatives where separations in 021'.0305(i) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
➢ If noncompliance with 02T.0305(f) or (g). we Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ®Yes ❑ No ❑ N/A
➢ Seethe 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 1 SA NCAC 02B 0209? ® Yes ❑ No ❑ N/A
➢ This would include Trout Buffered Streams per I SA NCAC 2&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.01051c96) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(el(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 say sewer collection lines that are deemed "high -priority"
Per 15A NCAC 02T (A02, "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 permittee or Its representative at least once every six -months and
inspections documented per ISA NCAC 02T.0403(s)(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 ►SA NCAC 02i, the Minimum Deslan Crites for the Permittlt>L pf.pMip S,taliQy@
and Force Mains ilatest version}. andthe Gremb Sower _1_WImygl4Destan Criteria datestygrsiontas applicable?
XYes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10.14) and supporting documents
for review. Annrovl l of the request Is maired arior to submittal of the Fast Track Application and sup rtina
2. Professional Fngineers Certification:
Jason A. Houston,.P.E. attest that this application for
(Professional Engineer's name from Application Item M.I.)
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 ben
of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sower
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 ofthis subm 4W package, inclusion of these materials under my signature and seat 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. ,,et t 1I11ss
North Caroline Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
h John McDonald, Owner attest that this application for
(Sigpahue Authority's name & title from Application Item 1.3 J
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 wmtewater from this non-
discluage system to surface waters or the lend 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 Rosouroes 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 143nWAA 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: __ _—
Dote:
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Old North State Water Company, LLC
Project Name for which flow is being requested: Bennett Place, Somerset Place Sec. V-A,
Mare than one F"/:SE map he rer/niretl Jm• a single p ojeel ij the owner of the WIVI P is not responsible for till pump
stations along the route of the proposed wastewater flow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Stateside WWTF
b. WWTP Facility Permit #: WQ0035809
All flows tire in MGD
C. WWTP facility's permitted flow 0.100
d. Estimated obligated flow not yet tributary to the WWTP 0.0365 (163 homes)
e. WWTP facility's actual avg. flow 0.0374 (201 homes)
f. Total flow for this specific request 0.0469 (130 homes)
g. Total actual and obligated flows to the facility 0.1207
h. Percent of permitted flow used 121
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:
,NOII.OALY0.0u 7 \1(iI)OIL IIIIS
SPLC II k Ri.t)GI`Sl AVlt.l. uO
(A)
(B)
(C)
(D)=(B+C)
(E)=(A-D)
IIIROCGII Pt1,MP1 'Ii1110,A ''
Design
Aventge
Approx.
Obligated,
Pump Pump
Daily
Cunrcttt
Not Yet
Total Current
Station Station Firm
flow**
Avg. Daily
Tributary
Flow Plus
(Name or Permit Capaci(y, *
(Firm / pl).
Flow,
Daily Flow,
Obligated
Available
Ntiniber) No. MGD
MGD
MGD
MGD
Flow
Capacity***
2 WQ0038128 0.259
0.104
0
0.0365
0.0365
0.0675
The Firm Capacity (design flow) of any point) 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
(pt) 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 point) station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer):
Downstream Permit Number:
Page I of 6
F'FSE 10-18

III. Certification Statement:
I John McDonald 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 certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Title of Signing
Page 2 of 6
FTSE 10-18

Hunkele, Dean
From: John Phillips <[e-mail]>
Sent: Thursday, June 3, 2021 4:34 PM
To: Hunkele, Dean; 'Jason Houston'
Cc: 'John McDonald'; 'Tony Moctezuma'
Subject: RE: [External] Revised Forms FTA and FTSE for Stateside Collection System Extension
WQ0038128
Attachments: FTSE-10-18 updated.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Dean,
A portion of the new area's flow will go through the 180 gpm pump station in Bennett Place IV. I have attached a revised
Flow Tracking form FTSE, on behalf of ONSWC.
Thank you for your help with this.
John Phillips, P.E.
From: Hunkele, Dean <[e-mail]>
Sent: Wednesday, May 26, 2021 10:02 AM
To: Jason Houston<[e-mail]>
Cc: John McDonald <[e-mail]>; John Phillips <[e-mail]>
Subject: RE: [External] Revised Forms FTA and FTSE for Stateside Collection System Extension WQ0038128
Also, does this new area's flow go through either of the 2 earlier approved pump stations or does it go directly to the
WWTF?
Dean Hunkele
Environmental Program Consultant
Water Quality Regional Operations Section
Division of Water Resources
Department of Environmental Quality
910.796.7215 Reception Desk
910.796.7380 Direct
910.350.2018 Fax
[e-mail]
Wilmington Regional Office
127 Cardinal Drive Ext
Wilmington, NC 28405
http://deg.nc.poy/contact/regional-offices/wilmington
Email correspondence to and from this address is subject to the North Carolina Public Records Low and may be disclosed to third
parties
The goal of the Fast Track sewer permit program is to issue a permit in no more than 30 business days from receipt of a complete application and if
no additional information has to be requested upon full review. Please use the Department's Permit Application Tracker to determine the official

application receipt date to allow you to estimate a date for issuance and find the reviewer's name. Once issued, the record stays on the site for 30
days.
For previously issued sewer permit info or to check on sewer certification receipt status, please use the Division's Sewer Extension Permit
Tracker. Using the Issue Date on top of the Engineer Certification Form is best way to ensure getting what you want especially for multi -version
permits; using today's date only gives info on the latest permit version. Confirmation using this method will replace letters and emails: it is
recommended that confirmation be printed and/orsaved.
Links to both trackers can be found on the sewer permitting site here: https://dea.nc.goy/about/divisions/water-resources/water-resources-
P erm its/peres/col lection-systems-perm its
Subscribe to Collection System Updates listserve to receive automatic alerts for changes to applications, policies, regulations, etc.
From: Hunkele, Dean
Sent: Wednesday, May 26, 2021935 AM
To: Jason Houston<[e-mail]>
Cc: John McDonald <[e-mail]>; John Phillips <[e-mail]>
Subject: RE: [External] Revised Forms FTA and FTSE for Stateside Collection System Extension WQ0038128
Importance: High
So they are dropping the home size requested back to 3-bedroom versus 4-bedroom in the original application?
Dean Hunkele
Environmental Program Consultant
Water Quality Regional Operations Section
Division of Water Resources
Department of Environmental Quality
910.796.7215 Reception Desk
910.796.7380 Direct
910.350.2019 Fax
Dean. [e-mail]
Wilmington Regional Office
127 Cardinal Drive Ext
Wilmington, NC 28405
http://deg.nc.gov/contact/regional-offices/wilmington
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third
parties
The goal of the Fast Track sewer permit program is to Issue a permit in no more than 30 business days from receipt of a complete application and if
no additional information has to be requested upon full review. Please use the Department's Permit Application Tracker to determine the official
application receipt date to allow you to estimate a date for issuance and find the reviewer's name. Once issued, the record stays on the site for 30
days.
For previously issued sewer permit info or to check on sewer certification receipt status, please use the Division's Sewer Extension Permit
Tracker. Using the Issue Date on top of the Engineer Certification Form is best way to ensure getting what you want especially for multi -version
permits; using today's date only gives info on the latest permit version. Confirmation using this method will replace letters and emails; it is
recommended that confirmation be printed and/or saved
Links to both trackers can be found on the sewer permitting site here: https://deg.nc.gov/about/divisions/water-resources/water-resources-
pe rm its/peres/co I lection-system s-perm its
Subscribe to Collection System Updates listserve to receive automatic alerts for changes to applications, policies, regulations, etc.

From: John Phillips [mailto:ifphillips bellsouth.net]
Sent: Wednesday, May 26, 2021 9:01 AM
To: Hunkele, Dean <[e-mail]>
Cc: John McDonald <[e-mail]>; Jason Houston<jhouston@Parke riacksonviIle.com>
Subject: [External] Revised Forms FTA and FTSE for Stateside Collection System Extension WQ0038128
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Dean,
Per your May 5, 2021 email correspondence with Jason Houston, P.E., Old North State Water Company asked me to
forward to you:
1. A revised form FTA 04-16 for Bennett Place, Somerset Place Sect. V-A, and Roanoke Bay, Sect. IV -A, requesting a
collection system extension for 130 DU at 360 gpd/DU, for 46,800 gpd total flow
2. A revised page 1 of form FTSE, reflecting the revised flow in FTA.
Should you require any additional information regarding the enclosed forms, please contact Mr. Houston.
Thank you,
John F. Phillips, P.E.
Diehl & Phillips, P.A.
1500 Piney Plains Road, Suite 200
Cary, NC 27518
919-467-9972 x 5