WQ0042498_Application (FTSE)_20210526

Central Files APS — SWP
Pg rm i aJ6P2021
t Number WQ0042498
TrackingPermiTracking Slip
pra9r'+n+ Category
Non -discharge Status Project Type
Permit Type rn 1e141ew New Project
Oravlty Sewer Extensron Pumo StanOns. $ Pregsure Sewer Extens�ans Version Permit Classification
A Ind,vldua€
p*irnary Reviewer
tyler Benson
Ooastali SWRule
perrnitted Flaw
Facility
Facility Name
Permit Contact Affiliation
Vaivollne Auto Service Center MajprlMinor Region
Location Address Minor iMrmingt4n
County
New Hanover
Facility Contact AFf`illation
Owner
Owner Name
Cape Fear PUblir Utility Authority Owner Type
Government - Municipal
Owner ATFiligtlon
James R Flecntner
PE
bates, Events 236 Govemment Center Or
Vylmington NC 28403
Scheduled
Orig Issue App Received Draft Initiated Issuance
Pu6iic Notice Issue Effective Expiration

Kimley)))Horn
Trans hritfal
421 Fayetteville Sireet, Sule 6()o
Raleigh. North Carolina 27601
TEL 919 677 ZOO
Date: 04129121
Jab Dumber, O18852001
Project Name: Valvoline Carolina Beach
To: NCDEq — Wilmin ton Re Tonal Office
Water Qualitw Section
127 Cardinal Drive Extension
Wilmington, NC 284055 wt:_MINt;7aN Bo
Telephone No 910-350-2004
We are sending these by
❑ U.5_ Mail
® FedEx ❑ Hand Delivery
We are sending yojj the following items.
❑ Attached ❑ Under saparale cover via
❑ Shop dravyirygs ® Pnntslplsng
❑ Samples ❑ Specifications ❑ Change Orders
These are transmitted as checked below:
❑ For your use ❑ Approved as submitted ❑ Resubmit
❑ Copies for approval
❑ As requested ❑ Approved as noted ® Submit ❑ CopleS for distribution
For review and comment ❑ Returned for corrections ❑ Return ❑ Corrected prints
Copy to: file _ Signed: Joe Lujan

I. � IMMEMEMW - - - -PMNgb - , � I
Kimle �)) Horn
Valvoline — Carolina Belch
FAST TRACK PRIVATE SEWER SYSTEM EXTENSION APPLICATION COVER LETTER
Description: The proposed development consists of 1 automotive service building.
A total sanitary sewer flow discharge of 1,250 GPD (see section VI,7
of FTA 04-16) has been calculated. To service the development, 266
linear feel of 8" PVC sanitary sewer main is being proposed. The
applicant. Cape Fear Public Utility Authority, will own and maintain the
Proposed sanitary sewer extension.
Attachments: 1. Fast Track (Form FTA 04-16) Application
2. USGS topographic Map
3. Street Level Map
4. Flow Tracking Form
kimley-hom-C" 421 Fayetteville Street, Suite 600. Raleigh. NC 27601

State of yorttt C 11"011na
DWR
Department of Fnvironraental Quality
Division of WOter Resources
Mviston oI Water ltes4urces LSA NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPI,IC kTI0N
Fi'A 04-16 & SIIPPORTING DOCUMENTAMQ
Apphcation NRMNr' {lobe mmplened by r)WR)
,411 itcntis rtt[rst 1?C eom feted nr the a licatian w1H he returned
l• APPLICANT INFORMATION:
1, Applicant's name: E rLAft B ILl'I A Tli It TY (company, municipality. HOA, utility, etc,)
1 Applicant type: ❑ individual
❑ Corporation ❑ General Partnership ❑Privately -Owned Fa61ic Utility
❑ Federal ❑ Statc/County [} Municipal ® Other
3. Signature authority`s name: EF T1i1=I3EDCE per
Title: PX.. EN iNEERIN NA A r.
4, Applicant's mailing address: 2b GOVERNJE T CENTER DRIVE
City; ']CHIN CON State: Nam- Zip: 28403-__
5. Applicant's contact information:
Phone nuwnbcr: ( 1M) 3D-.6673 Email Address: Jeff_ 1"hcherecra+cfnua_orn
ll. PROJECT INFOR—NIATiON:
i. Projrctnarnc: VAL L11yE _ �Ct-�"ticQ �e
li
2. ApplicationJProject status: ® Proposed (New Permit) ❑ Existing PermiUProject
If modification, provide the existing permit numbcr: WQOp and issued date:
If new construction but pan of master plan, provide the existing permit number: WQ00
1 County where project iS located: NEW HANOV •it COUNT Y
4. Approximate Coordinates (Decimal Dcgrccs): Latitude: 34.1M596° Longitude:-77.893820=
5. Parcel ID (if applicable): R07610-004-015-000
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: CHRIS BOSTIC License Number: 032582
Firm; KIM LEY -HORN AND ASSOCIATES, INC.
Mailing address: 421 FAYETTEVILLE. ST., SUITE 600
City: RALEIGH State: NC Zip; 27601-
Phone number: ") 677-2000 Email Address: Cl IRIS. BOSTICCri-KIMLE.Y-HORN_COM;
1V. WASTEWATER TREATMENT FACILITY (WWTF)1NFORNUTION:
1. Facility Name: Caroiina Beach WWTP Permit Number: NCO023256
Owner Name: Town of Carolina Reach
V. RECEIVING DOWNSTREAM SEWER LNFORMATION {if different than i411'I'F):
1. Permit Number(s): WQ Downstream (Deceiving) Sewer Size; inch
System Widc Collection Systent Pennit Numbers)(if anol_icable): WQCS
Owner Name(s):
FORM: FTA 04-16
Page I of

VI, GENERAL REQUIRFNIENT5
1. if the Applicant is a Privately -Owned Public Utiility, has a Cetlificate of Public Convenience and Necessity bean attached?
❑ Yes ❑No ®NIA
2, if the Applicant is a Developer of lots to be sold, has a
tinnal A r mnt WORM- d -V bete attached?
❑ Yes ❑No ONIA
3 if !hc AppltC nt is a c ha an u n S rccm nl F R. : H beat aitaChed?
El Yes []No NIA
4, Origin of wastewater; (check all that apply); ED
❑ Residential Owned Retail (stores, centers, malls) El Car Wash
El Residential Leaned ❑ Retail with Fond arationfservicc
El School l preschool !day cart P� El Hotel and/or Motels
❑ Medical { dental l veterinary facilities Swimming fool /Clubhouse ❑
❑ food and drink Facilities ❑ Church ❑ Swimming Pool/Filter Backwash
El €3usinesscs 1 offices !factories ❑ Nursing home ❑ Other (Explain in Attachinent)
Nature Of wastewater
°f° Domestic/Commercial ]K°%n Commercial
% Industrial
"Is dicre a Pretreatment Program in effect? ❑ Yes ❑ No
%• Has a [low reduction been approved under IS A `t12 , 114
x` ]f s vid a U ' of f oA reduction R roval Iciter El Yes ®Na
7• 5�marizc wattcwatcr $cncrated by project;
EStahliithment Type (see 42T0 tom}
Auto Service Station
Daily Design Flow
III[ gal/Plumbing Vixturc
gall
gal/
gall
gal/
gall
No, of Units
Flow
5
1,250 GPD
GPD
GPD
GPD
GPI)
GPD
7`nla!
GPl7
$cC J SA N riC 02� .01 14[by, tdt- t ) and {g)(21 for caveats to wastewater design flow rates (i.e., minimum Flow per
dwelling; proposed unknown non-residential development uses; public access facilities located nearhigh public use areas;
and residential property located south or cast of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in GS. 42A-41,
b Per i 5A NC:AC 02T,01 14(c), design flow rates For establishments not identified [in table i 5 4 N 4 t.Ol L41 shall be
determincd using available flow data, water using fixtures, occupancy oroperatinn patterns, and other measured data.
S. Wastewater gcnerated by project: 1 Z0 GPD (per NCA( o2'T ,Ol 14)
1- Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ rump Station or Gravity Sewer where now will be permitted in subsequent permits that connect to this line
❑ Blow has already been allocated in Permit Number.
❑ Rehabilitation or replacement of existing sewer with no new flow expected
[] Other (l xplain):
I'0RM: I JA 04.16 page 2 of
*i

Ll
VII, GRAVIi'Y SEWER DESIGN CRITERIA (if Applicable) - 02� & ifD ' Gravi Sewers :
I • Summarize gravity sewer to he permitted:
Sire (inches) Length (feet) Material
8 266 PVC
+' Section iI & III of the MDC for Permitting of Gravity Scwcrs contains information related to design criteria
A SCction lit 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 NiDC
Vill, PUMP STATION DFS1GN CRITERIA (if Applicable) - 027.0305 & 11DC (Pump Stations/Force Slainsl:
Cif 7ALF-CE FOR EhCii PU�1P 5'I .�'I 1[ri ItiCLUDED Iti TIIiS PROJF.C1
1. Pump station number or name:
2. Approximate Coordinate$ (Decimal Degrees): Latitude: _, Longitude: -
3. Design flow of the pump station: millions gallons per day (firm capacity)
4• 4peratianal points) of the pump(s): - gallons per minute at feet total dynamic head (TDH)
5, Summari.xe the force main to be permitted (for this Pump Station):
Size (inches) length (feet) Material
b. Power reliability in accordance with 15 N .A 62T .0 w lh ! :
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T A305(h)(l)(B)_
+• Required for all pump stations with an average daily flow greater than or equal to I5,000 gallons per day
Y 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 - ISA NCAC 02T
.0305(h)(1)(C)
or
© Portable pumping unit with plugged emergency pump connection and telemetry - l5A NCAC 02T-0305(h)(FkC);
1- It shall be demonstrated to die Division that the portable source is owned or conmeted by the applicant (draft agreement)
and is compatible with the station.
iY 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 die portable power source or pump, including travel timeframm shall be provided
in the case of a multiple station flower outage,
FORAC FTA 04-16 Page 3 of5

lx. SETBACKS & SEPARATIONS — (02B .0200 & ISA NCAC 02T ,0305(f)):
1. Doe,, the project comply with all separations found in SA taChC 02T .03{15{ g] ❑ Ycs ❑ Nv
contains altemadvcs wltere separations in 02T,036�0) cannot be achieved,
} **Stream classifications can be identified using the Division's NC SurfaceW-Classifications iv
If noncompliance with {i�T.03(1L or [el_ see Section X of this application
2. Does the project comply with separation requirements for wedands? (50 feet of separation) 0 Yes [:]No ❑ NfA
See the Division's draft separation requirements for situations where separation cannot be meet
i No variance is required if die alternative design criteria specified is utilized in design and construction
As built documents should refcrtncc the location ofarcas effected
3. Does the project comply with setbacks found in the river basin rules per 1SA NCAC 02B ,0200? ®yes []NO []N/A
': This would include Trout Buffered Streams per.I SA N }IC 211.0262
4. Does the project require covcrage/authorization under a 404 nationwide or ❑ Yes ® No
individual permits or 44l Water Quality Certifications?
' - Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with ISA N A 02T.0105(r,16) (additional permits/certifications)? ® Yes ❑ No
Per I SA_NCAC 02T.01 ORc)(6)• directly related environmental pemits Or certification applications are being prcpareii, liavc
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits {erosion and
sedimentation control plans, stomtwater management plans, etc.1.
6. Does this project include any sewer collection lifts that are deemed "High -priority?"
Per 15 h_C'A(.' 02TA402, "high -priority sewer' means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to emsion that undermines or deteriorates the sewer.
❑ Yes ® No ❑ WA
Y If yes, include an attachment with details for each line, including type (aerial line• site, material, and location).
High priority lines shall be inspected by the perrnittee or its representative at least once every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the permitce's individual System -Wide Collection permit.
FORM: FTA 04- l6 llage 4 of 5

X. CERTMCAT1014S:
Does the submitted system comply with 15A NCAC 02T, the minimum Dcsi n Criteria for the Pcrminial- of Nrt'13' gtaifona
and Force Mains, latest vemion, and the Cmyi Scwcr Minimum Desi. Criteria , lased version i as applicable?
Dyes El No
IfNo, complete tad submit the Vat'ittncdAltemative I)esigrt Request application (VADC 10-14) and supporting documalts far
review. AgFrroval of the request li re ul Hot to su ralttal oft ! F it sick AppHcation and su dorunstats,
2. Ptofessional . gmeet's tarti7i at'oa:
1, t I _ 4
0 I C-
attrst that this applicatioa for
(Professional Engirifer's name from Application Item
has been r ,iewed by me and is accuratt, complete and consiatcnt with the infortnatim supplied in the plans, specificaborm,
caginecring calculations, and all other supporting docurnentation to the best of ray knowledge. i further attest that to the best
Of my knowledge the proposed design has been prepared in accordance with the applicable regz:latinns, Gravity Sewer
14iinimum Design Criteria for C:rners vity Sew(late t version], and the Minimum Design CHit a for the Fast -Track Permitting
of Pump Stations and Force Mains (tatcsi version). Although ather prafcssianals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this rrtaterW and
have judgcd it to be oonsistcnt with tltc proposed desiglo.
hDT - In accordance with General 5tatutos 143-215AA and 143-215.6B, any person who knowingly m,*n nay false
ststerrIMI, representation, or WIifcation in any apphcatian package shall be guilty of a Class includa a fine not to exceed S 16,0N, m well as civil penalties up to $25,000 per violation. 2 misdemeanor, Which may
north Carolina Professional Engineers seal, slgn xture, and date: [- - ` � Jiro
rel.,
s i
ER
�,y ''�'G1MF4�t�'•
ti
3- Applicant's Cmliiicadoa per 15A NCAC 02T ,O l06(b):
I, .,�}►= 41�kr���l+t� 1yr`+I�tr� _t-t�trs
(Signature Authori I _ I _ attest that this application for
ty's name & title from Application item 1-1)
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 arc not completed and that if all required supporting documentation and attachments arc not included, this
application package is subject to bring returned as incomplctc. I understand drat any disebargc of wastewater from this non -
discharge system to surface waters or the land will result in an immediate onfgrccrnent action that may include civil penalties,
injunctive relief, andfor cri,nittal prosecution. 1 will shake no claims against the l}ivisioa of Water Resources should a condition
of this permit be violated. I also understand that if all required parrs of this application package are not completed and that if
All required supporting information and attachme-ols are not included, this application package will be returned to me as
incomplctc.
NOTE, - In accordance with General Statutes 133-215.6A and 141-215.68, any person who knowingly makes any false
statement, rcpresentation, or certification in any application package shall be guilty of a Class Z misdcrneanar, which may
include a fine not to exceed S 10,000 as well as civil penalties up to E25,000 per violation.
Signature: M
Date: ZuZ;
!
FORM: FTA04-16
Page 5 of 5

State of North Caroling
Department of Environmental Qual'i
Division of Water Resources
of Water Resource% Flaw Tracking for Sewer Extension Apphc2t[003
(iFT5E 10-18)
Entity Requesting Allocation: Valvoline
Project blame for which flow is being requested_ Valvoline Instant ail Change
More rhan one FTSE milY he required for a singfr project if the ovnrr of the K7f'TP is nor responsible for all pump
sradons elnrrq the route of the proposed wasrrwatrr flax.
1. Complete this section vu]y if YOU are the owner of the wastewater treatment plant,
a. WMTP Facility Name: M'Kcan Maflin (Southside) WWTP
b. WWTP Facility Permit #. NPDES NC 0023973
A flows are in r1ICD
c- WWTP facility's permitted flow 12.000
d. Fstimated obligated flow not yet tributary to the WWTP 2.792
C. WWTP facility's actual avg. flow 8,044
f. Total flow for this specific request 0-001250
g. Total actual and obligated flows to the facility 10.837
h. Percent ofpermitted flaw used 90.3
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)
Design
(>#}
{C]
[D1 fC}
OEHA-D)
Pump
Pump
Average
Daily
Approx.
Obligated,
Station
Station
Finn
FlowPlus(Name)
Current
Aug- Daily
Not Yet
Tributary
TOW Cumnt
Flow
(Name)
or
Perini%
Permit
{ apa city, *
piGa
(Firm f pt}**
,
Flow,
Daily Flow,
Plus
Obligated
Available
MGD
MGD
MGD
Flow
C —
a�GlYy
69
W (1013555
4.065
1.506
0.900
0.823
1.723
-0,218
* The Firm Capacity (design flow) of any pump stations d4ncd tas h, ma�dmum pumped fTo�r
that can be achieved with the lamest 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 he attached for each puiup station located
hetween the project connection point anti the N"VTP where the Available Capacity is a 0.
Downstream Facility Name (Sewer): Cape Fear Public Utilitu Authority.
Downstream Permit Number:
Page 1 of 6
FTSE 10-18

III. Certification Statement:
the o�rjje of r s CF' — Ems_ M_ certify to the best of my knowledge that the addition of
erne ofwastewaterto 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 -Ot overburden any downstream pump station en route to the reeei►+ing
t''�tment plant under normal eircumstanees, identified in the planning assesgiven the implementation of the planned Improvements
where applicahle. This analysis has been performed in accordance
with local established policies and pmeedures using the best available data. This certification applies to
those items listod above in Sections I and 11 plus all attached planning assessment addendums for which I
am the responsible party. Signature of this ferm certifies that the receiving cr�llection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
—
D,
�e
Title of Signing C)ff,ciai+
Page 2nf6
FTSE l 0-18

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for rach pump station listed in Section ll where Available Capacity's
0.
Pump Station (Name or Number):
Given that:
a- The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
47.7 %and 0,823 M01) of the Available Capacity (E) in Pump Station
69 _; and that
b- The rate of aGti►natiOn Of this obligated, not yet tributary capacity is currently approximately
MG D per year; and that
e. A funded Capital Project that will provide the required planned capacity, namely
Malts Creek. is in design or under construction with
planned completion in TBD and/or
d- The fb-flowing applies: t
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow
this flow to be pertrtitted, without a significant likelihood of over -allocating capacity in the system
infrastructure.
I understand that this does system. in not relieve the collection system owner front complying with G.S. 143-
s(a) which prohibits the introduction of any waste excess of the capacity of the waste disposal
system
21 2a�t
Si i' OfflcWl Si nature D e
Pagc 3 of 6
FTSE 10-18

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29 30 31 33 33 `340p0"IE
34.1250'
,nxisU'
SCALE: 1 :24,400