WQ0041928_Application (FTSE)_20210727

Permit Number WQ0041928
Central Files: APS _ SWP
7/14/2021
Permit Tracking Slip
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension Pump Stations, & Pressure Sewer Extensions
Status
In review
Project Type
Major modification
Version Permit Classification
C Individual
Primary Reviewer Permit Contact Affiliation
dean.hunkele
Coastal SWRule
Permitted Flow
6,020
Facility
Facility Name
Davis Independent Living Campus Private Sewer
Location Address
Owner
Major/Minor Region
Minor Wilmington
County
New Hanover
Facility Contact Affiliation
Owner Name
Cornelia Nixon Davis Inc
Dates/Events
Owner Type
Non -Government
Owner Affiliation
Frank H. Hamilton III
1011 Porters Neck Rd
Wilmington
NC 28405
Orig Issue
9/18/2020
App Received
7/9/
Draft Initiated
Scheduled
Issuance
Public Notice Issue Effective

4
July 9, 2021
NCDENR
Division of Water Quality
127 Cardinal Drive Ext.
Wilmington, NC 28405
Attn: Dean Hunkele
TRIPP ENGINEERING, P.C.
419 Chestnut Street
Wilmington, North Carolina 28401
Phone: [phone] • FAX: [phone]
Re: Davis Independent Living Campus
Permit No. WQ0041928
TE 19020
Dear Mr. Hunkele:
JUL
9 202;
Enclosed please find one (1) original and one (1) copy of the fast -track applications for
private sewer extension modification for the above referenced project.
This modification reduces the length of 8" C-900 private gravity sewer from 930 if to 468
if due to changes in site design. There is no change to the tie in to public sewer line
(WQ0041927). No change to permitted flow is proposed.
Please review for approval and contact us with any questions, comments or if you need
additional information. Thank you.
Sincerely,
Tr' Engineerin ', P.C.
Phillip G. Tripp, P.E.
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DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: (to be completed by D\R)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Cornelia Nixon Davis, Inc. (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: Frank H. Hamilton III per 15A NCAC 02T .0106(b)
Title: Chairman, Board of Tntstecs
4. Applicant's mailing address: 1011 Porters Neck Road
City: Wilmington State: NC Zip: 28411-
5. Applicant's contact information:
Phone number: [phone] Email Address: fltamilton(»sas-na.com
ii. PROJECT INFORMATION:
1. Project name: Davis Independent Living Campus
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: WQ0041928 and issued date: 09/ ,
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new constntction, but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: New Hanover
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.294058 Longitude:-77.773865'
5. Parcel ID (if applicable): R03700-002-001-000, R03700-002-002-000, R03700-0o1-005-000 (or Parcel ID to closest downstream sewer)
IIi. CONSULTANT INFORMATION:
1. Professional Engineer: Phillip G. Tripp License Number: 17374
Firm: Tripp Engineering
Mailing address: 419 Chestnut Street
City: Wilmington State: NC Zip: 28401-
Phone number: [phone] Email Address: office(a).trippengineering.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: James A. Loughlin WWTP Permit Number: NC0023965
Owner Name: Cape Fear Public Utility Authority
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ
2. Downstream (Receiving) Sewer Information: 8 inch Ei Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): Cape Fear Public Utility Authority
FORM: FTA 06-21
Page 1 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 HOA/POA Operational Agreement (FORM: HOA) and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
❑ Ycs ❑ No ®N/A
4. Origin of wastewater: (check all that apply):
® Residential (Individually Owned)
❑ Residential (Leased)
❑ School / preschool / day care
❑ Food and drink facilities
® Businesses / offices / factories
❑ Retail (stores, centers, malls)
❑ Retail with food preparation/service
❑ Medical / dental / veterinary facilities
❑ Church
❑ Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool/Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic % Commercial % Industrial (See 15A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes 0 No
6. Has a flow reduction been approved under I5A NCAC 02T .01 14(f)? ❑ Yes ® No
If yes, provide a cony of flow reduction approval letter with this annlieation
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(1))
Daily Design Flow 01
No. of Units
Flow
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
lbla!
0 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 15A NCAC 02T .01 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 2.660 GPD (per I5A NCAC 02T.01 14)
i Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
® Flow has already been allocated in Permit Number: W00041928 Issuance Date: 09/18/2020
❑ Rehabilitation or replacement of existing sewers with no new flow expected
0 Other (Explain):
FORM: FTA 06-21
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
468
C-900 PVC
Y Section II & 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 requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Puma Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: - .
3. Total number of pumps at the pump station:
3. Design flow of the pump station: millions gallons per day (firm capacity)
y This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): gallons per minute (GPM) at
5. Summarize the force main to be permitted (for this Pump Station):
feet total dynamic head (TDH)
Size (inches)
Length (feet)
Material
If any portion of the force mt in is Tess than 4-inches in diameter, p1e ise identify the me hod of solids reduction per
MDCPSFM Section 2.01 C.1 b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(I):
❑ Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - l5A NCAC 02T.0305(h)(1)(B):
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
Y Must be permanent to facility and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable ptunping unit with plugged emergency pump connection and telemetry:
Y Include documentation that the portable source is owned or contracted by the applicant 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
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 06-21 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
I. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(1) & (g)?
I5A NCAC 02T.0305(1) contains mininnun separations m, i sh•ul l be rovided f r
® Yes ❑ No
ino sewer
Setback Parameter*
ayan ii,,.
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
2Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
2Water 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 II impounded reservoirs used as a source of drinking water, and associated wetlands.
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 associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
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 itches
r ICnoncontphance wtth (12T.0305(Q or (tt) see Section X.1 of this application
* 15A NCAC 02T.0305(2) contains alternatives where separations in 02T.0305(f) cannot be achieved. Please check "yes"
above if these alternatives arc used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
2. Does this project comply with the minimum separation requirements for water mains? ® Yes 0 No 0 N/A
Y If no, please refer to 15A NCAC I8C.0906(t) for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ® Yes 0 No 0 N/A
- Please provide supplementary information identifying Ole areas of non-conformance.
See the Division's draft separation requirements for situations where separation cannot be met.
No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? 0 Yes Basin name: ® No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? 0 Yes ❑ No
i This includes Trout Buffered Streams per I5A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑ Yes ® No
or 401 Water Quality Certifications?
Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with I5A NCAC 02T.0I05(c)(6) (additional permits/certifications)? ® Yes 0 No
Per 15A NCAC 02T.0105(c)(6) directly related environmental permits or certification applications must be 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.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes ® No
Per 15A NCAC 02T.0402 "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
i 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 permtttee or its representative at (east once every six -months and
inspections documented per ISA NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

X. CERTIFICATIONS:
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 ilatest version) as applicable?
® Yes [] No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the permit, and projects requiring a variance approval may be subject to longer
review times. For projects requiring two or more variances or where the variance is determined by the Division to be a
significant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:
1, Phillip G. Tripp, P.B. , attest that this application for Davis Independent Living Campus
(Professional Engineer's name from Application Item iIi.1.) (Project Name from Application Item 1I.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,
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. Misrepresentation of the application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board. (21 NCAC 56.0701)
North Carolina Professional Engineer's seal, signature, and elate:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
Owittflf//i
..:: 0 •••OF .SS/Q ..\/ 1.
i SEAL
• `7374 4
I, Frank H. Hamilton Ill , attest that this application for Davis Independent giving Campus
(Signature Authority Name from Application Item 1.3.) (Project Name from Application hem It.1)
attest that this application 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. l also understand that if all required parts of this application
package arc not completed and that if all required supporting information and attachments arc not included, this application
package will be returned to inc 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: C a3.an4�
FORM: FTA 06-21
Date: %I/PZ)
Page 5 of 5

6/8/2020
MyTopo Map Print
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3000 Ft
Map provided by MyTopo.com
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PROPOSED DUMPSTERS -
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PROPOSED TEMPORARY
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