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WQ0033710_Application_20210913
Initial Review Reviewer Thornburg, Nathaniel D Is this submittal an application? (Excluding additional information.)* r Yes r No Permit Number (IR)* WQ0033710 Applicant/Permittee HCT Pender, LLC Applicant/Permittee Address 2511 Canterbury Road, Wilmington, NC 28403 Is the owner in BIMS? r Yes r No Is the facility in BIMS? r Yes r No Owner Type Organization Facility Name Lanes Ferry WWTP County Pender Fee Category Major Is this a complete application?* c Yes r No Signature Authority Signature Authority Title Signature Authority Email Document Type (if non -application) Email Notifications Does this need review bythe hydrogeologist?* r Yes r No Regional Office CO Reviewer Admin Reviewer Fee Amount $0 Complete App Date 09/13/2021 Below list any additional email address that need notification about a new project. Email Address Comments to be added to email notfication Comments for Admin Comments for RO Comments for Reviewer Comments for Applicant Submittal Form Project Contact Information Rease provide inforration on the person to be contacted by N B Staff Name * Mark S Bissell Email Address* mark@bissellprofessionalgroup.com electronic subrrtttal, confirmation of receipt, and other correspondence. Phone Number* 2522613266 Project Information .................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... Application/Document Type* r New (Fee Req ui red) r Modification - Major (Fee Required) r Renewal with Major Modification (Fee Required) r Annual Report r Additional Information r Other O Modification - Minor C Renewal C GW-59, NDMR, NDMLR, NDAR-1, NDAR-2 r Residual Annual Report r Change of Ownership We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form. https://edocs.deq.nc.gov/Forms/NonDischarge_Monitoring_Report Permit Type:* r Wastewater Irrigation r High -Rate Infiltration r Other Wastewater r Reclaimed Water r Closed -Loop Recycle r Residuals r Single -Family Residence Wastewater r Other Irrigation Permit Number:* WO0033710 Fbs Current Existing permt number Applicant/Permittee * HCT Pender, LLC Applicant/Permittee Address* 2511 Canterbury Road, Wilmington, NC 28403 Facility Name * Lanes Ferry WWTP Please provide comments/notes on your current submittal below. I believe this package is in accordance with our correspondence leading up to this point. The application is explained in detail in the cover letter attached to the front of the submittal package pdf. If anything is lacking, please contact me at (252) 216-1833 or at mark@bissellprofessionalgroup.com . Thank you, Mark Bissell At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg at nathaniel.thornburg@ncdenr.gov. Please attach all information required or requested for this submittal to be reviewed here.* (Application Form Engineering Flan, Specifications, Calculations, Etc.) 9-9-21 Application Package for Lanes Ferry WWTP Minor 52.43MB Modification.pdf Upload only 1 RCFdocurrent (less than 250 W). IvLRiple documents rust be corrbined into one RJFfile unless file is larger than upload limit. * V By checking this box, I acknowledge that I understand the application will not be accepted for pre -review until the fee (if required) has been received by the Non - Discharge Branch. Application fees must be submitted by check or money order and made payable to the North Carolina Department of Environmental Quality (NCDEQ). I also confirm that the uploaded document is a single PDF with all parts of the application in correct order (as specified by the application). Mail payment to: NCDEQ — Division of Water Resources Attn: Non -Discharge Branch 1617 Mail Service Center Raleigh, NC 27699-1617 Signature 41'Wa45'0a Submission Date 9/12/2021 Fit September 8, 2021 TkeGoo9talfxpertg Mr. Nathaniel D. Thornberg, Branch Chief Non -Discharge Branch Dept. of Environmental Quality 512 N. Salisbury Street 1612 Mail Service Center Raleigh, NC 27699-1617 Re: Minor modification to existing permit #WQ0033710 Dear Nathaniel, We are submitting a request for a minor modification of the referenced permit (WQ0033710) that was most recently renewed on May 26, 2017 for HCT Pender, LLC. No modifications to the high -rate infiltration disposal system are proposed, or to the ground water control and disposal system that has been permitted previously. The only modification to the treatment plant is that the equalization and digester tanks are being covered and an air scrubber provided. At the request of Pender County, the wastewater treatment plant is being relocated on the site to move it away from the flood plain. This has affected the site piping from the wastewater dosing tank to the infiltration basins, as well as the access road leading to the treatment facility. As discussed, we have completed the portions of the application that are applicable to the modification and left the remainder blank, and are submitting the plan sheets that show the requested modifications, as well as how they interact with the other components of the system. Since the plant is being relocated on the site, new site map and vicinity map plan sheets are included. Finally, notations have been added to the site plan relative to the roadway right-of-way regarding restrictive covenants running with the land and granting rights to the permitee and the state to enter and perform groundwater monitoring and remediation as well as prohibiting the construction of any wells within the compliance boundary. These are consistent with the guidance we received from Poonam Giri on this issue. We appreciate your assistance during the preparation of this application, and look forward to receiving any review comments that you provide, which we will attempt to address promptly. Sincerely yo s, SSE P IONAL GROUP 6 Mark�Ssell, P.E. Cc: Mr. Christian H. Trask Mr. George Johnson P.O. Box 1068.3512 N. Croatan Hwy. • Kitty Hawk, NC 27949 252-261-3266 • Fax: 252-261-1760 • E-mail:bpg@bissellprofessionalgroup.com State of North Carolina Department of Environmental Quality DWR Division of Water Resources 15A NCAC 02T .0700 — HIGH -RATE INFILTRATION SYSTEMS Division of Water Resources INSTRUCTIONS FOR FORM: MUS 06-16 & SUPPORTING DOCUMENTATION Plans, specifications and supporting documents shall be prepared in accordance with 15A NCAC 02H .0400 (if necessary), 15A NCAC 02L .0100, 15A NCAC 02T .0100, 15A NCAC 02T .0700, Division Policies and good en2ineerin2 practices. Failure to submit all required items will necessitate additional processing and review time. For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website General — When submitting an application to the Water Quality Permitting Section's Non -Discharge Permitting Unit, please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of requested additional information. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation. A. Cover Letter (All Application Packages): E List all items included in the application package, as well as a brief description of the requested permitting action. B. Application Fee (All New and Major Modification Application Packages): ❑ Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environmental Quality (NCDEQ). The appropriate fee amount for new and major modification applications may be found at: Standard Review Project Fees. C. High -Rate Infiltration Systems (FORM: BMS 06-16) Application (All Application Packages): E Submit the completed and appropriately executed High -Rate Infiltration Systems (FORM: HRIS 06-16) application. Any unauthorized content changes to this form shall result in the application package being returned. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. E If the Applicant Type in Item I.2. is a corporation or company, provide documentation it is registered for business with the North Carolina Secretary of State. ❑ If the Applicant Type in Item I.2. is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of Deeds in the county of business. E The facility name in Item II.1. shall be consistent with the facility name on the plans, specifications, agreements, etc. E The Professional Engineer's Certification on Page 13 of the application shall be signed, sealed and dated by a North Carolina licensed Professional Engineer. E The Applicant's Certification on Page 13 of the application shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T .0106(b). ❑ If this project is for a renewal without modification, use the Non -Discharge System Renewal (FORM: NDSR) application. D. Property Ownership Documentation (All Application Packages): ➢ Per 15A NCAC 02T .0704(I), the Applicant shall demonstrate they are the owner of all property containing the wastewater treatment and high -rate infiltration facilities: E Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or ❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or ❑ Written notarized lease agreement that specifically indicates the intended use of the property and has been signed by both parties, as well as a plat or survey map. Lease agreements shall adhere to the requirements of 15A NCAC 02L .0107. ❑ Provide all agreements, easements, setback waivers, etc. that have a direct impact on the wastewater treatment, conveyance, storage and high -rate infiltration facilities. INSTRUCTIONS FOR FORM: HRIS 06-16 & SUPPORTING DOCUMENTATION Page 1 of 6 E. Soil Evaluation (All Application Packages that include new high -rate infiltration sites): ❑ Per 15A NCAC 02T .0704(b) and the Soil Scientist Evaluation Policy, submit a detailed soil evaluation that has been signed, sealed and dated by a North Carolina Licensed Soil Scientist and includes at a minimum: ❑ The report shall identify all the basins/fields with project name, location, and include a statement that the basins/fields were recommended for the proposed land application activity. ❑ Field delineated detailed soils map meeting all of the requirements of the Soil Scientist Evaluation Policy. ❑ Soil profile descriptions meeting all of the requirements of the Soil Scientist Evaluation Policy. ❑ Provide all soil boring logs performed at the site. ❑ For non -basins, a standard soil fertility analysis conducted no more than one year prior to permit application for each map unit in the soil map legend for the following parameters: ❑ Acidity ❑ Exchangeable sodium percentage (by calculation) ❑ Phosphorus ❑ Base saturation (by calculation) ❑ Magnesium ❑ Potassium ❑ Calcium ❑ Manganese ❑ Sodium ❑ Cation exchange capacity ❑ Percent humic matter ❑ Zinc ❑ Copper ❑ pH ➢ Saturated hydraulic conductivity (KsAT) data that shall include at a minimum: ❑ A minimum of three KsAT tests shall be conducted in the most restrictive horizon for each soil series in the soil map. ❑ All KsAT tests shall be conducted in areas representative of the site. ❑ All KsAT tests shall be run until steady-state equilibrium has been achieved. ❑ All collected KsAT data shall be submitted, including copies of field worksheets showing all collected readings. ❑ Submit a soil profile description for each KsAT data point that shall extend at least one foot below the tested horizon. ➢ Soil evaluation recommendations shall include at a minimum: ❑ A brief summary of each map unit and its composition and identification of minor contrasting soils. ❑ For non -basins, maximum precipitation rate (in/hr) for each soil/map unit within the proposed infiltration areas. ❑ Seasonal infiltration restrictions, if appropriate. ❑ Identification of areas not suitable for high -rate infiltration. ❑ Recommended geometric mean KsAT rate to be used in the water balance for each soil/map unit based upon in -situ measurement of the saturated hydraulic conductivity from the most restrictive horizon. ❑ Recommended drainage coefficient to be used in the water balance based upon comprehensive site evaluation, review of collected onsite data, minor amounts of contrasting soils and the nature of the wastewater to be applied. ❑ For non -basins, recommended annual hydraulic loading rate (in/yr) for each soil/map unit within the proposed infiltration areas based upon in -situ KsAT measurements form the most restrictive soil horizon. ❑ For basins, recommended hydraulic loading rate (GPD/ft2) for each soil/map unit within the proposed infiltration areas based upon in -situ KsAT measurements form the most restrictive soil horizon. NOTE — If the soil evaluation was performed more than one year prior to the submittal of this application package, a statement shall be included indicating that the site has not changed since the original investigation. F. Agronomist Evaluation (All Application Packages that include new infiltration sites with cover crops or new crops for existing infiltration sites): ❑ Per 15A NCAC 02T .0704(i), submit an agronomist evaluation that has been signed, sealed and dated by a qualified professional and includes at a minimum: ❑ Proposed nutrient uptake values for each cover crop based upon each field's dominant soil series and percent slope. ❑ Plant available nitrogen calculations for each cover crop using the designed effluent concentrations in Application Item V.1. and proposed mineralization and volatilization rates. ❑ Historical site consideration, soil binding and plant uptake of phosphorus. ❑ Seasonal infiltration restrictions, if appropriate. ❑ A clear and reproducible map showing all areas investigated and their relation to proposed fields and crops. ❑ Maintenance and management plan for all specified crops. INSTRUCTIONS FOR FORM: HRIS 06-16 & SUPPORTING DOCUMENTATION Page 2 of 6 G. Hydrogeologic Report (All Application Packages treating industrial waste or having a design flow over 25,000 GPD): ❑ Per 15A NCAC 02T .0704(e), the Hydrogeologic Investigation and Reporting Policy, the Groundwater Modeling Policy and the Performance and Analysis of Aquifer Slug Tests and Pumping Tests Policy, submit a detailed hydrogeologic description that has been signed, sealed and dated by a qualified professional and includes at a minimum: ❑ A hydrogeologic description to a depth of 20 feet below land surface or bedrock, whichever is less. A greater depth of investigation is required if the respective depth is used in predictive calculations. ❑ Representative borings within the infiltration areas and all proposed earthen impoundments. ❑ A description of the regional and local geology and hydrogeology. ❑ A description, based on field observations of the site, of the site topographic setting, streams, springs and other groundwater discharge features, drainage features, existing and abandoned wells, rock outcrops, and other features that may affect the movement of the contaminant plume and treated wastewater. ❑ Changes in lithology underlying the site. ❑ Depth to bedrock and occurrence of any rock outcrops. ❑ The hydraulic conductivity and transmissivity of the affected aquifer(s). ❑ Depth to the seasonal high water table (SHWT). ❑ A discussion of the relationship between the affected aquifers of the site to local and regional geologic and hydrogeologic features. ❑ A discussion of the groundwater flow regime of the site prior to operation of the proposed facility and post operation of the proposed facility focusing on the relationship of the system to groundwater receptors, groundwater discharge features, and groundwater flow media. ❑ If the SHWT is within six feet of the surface, a mounding analysis to predict the level of the SHWT after wastewater application. H. Water Balance (All Application Packages that include new or modified infiltration sites, changes in flow or changes in storage): ❑ Per the Water Balance Calculation Policy, submit information clearly demonstrating that the effluent can be assimilated regardless of precipitation events or temperature, and there are no crop or equipment maintenance issues that would necessitate storage. OR ❑ Per 15A NCAC 02T .0704(k) and the Water Balance Calculation Policy, submit a water balance that has been signed, sealed and dated by a qualified professional and includes at a minimum: ❑ At least a two-year iteration of data computation that considers precipitation into and evaporation from all open atmosphere storage impoundments, and uses a variable number of days per month. ❑ Precipitation based on the 80a' percentile and a minimum of 30 years of observed data. ❑ Potential Evapotranspiration (PET) using the Thornthwaite method, or another approved methodology, using a minimum of 30 years of observed temperature data. ❑ Soil drainage based on the geometric mean of the in -situ KSAT tests in the most restrictive horizon and a drainage coefficient ranging from 4 to 10% (unless otherwise technically documented). ➢ Other factors that may restrict the hydraulic loading rate when determining a water balance include: ❑ Depth to the SHWT and groundwater lateral movement that may result in groundwater mounding. ❑ Nutrient limitations and seasonal application times to ensure high -rate infiltration does not exceed agronomic rates. ❑ Crop management activities resulting in cessation of infiltration for crop removal. NOTE — High -Rate Infiltration Systems serving residential facilities shall have a minimum of 14 days of wet weather storage. L Engineering Plans (All Application Packages): ® Per 15A NCAC 02T .0704(c)(1), submit standard size and 11 x 17-inch plan sets that have been signed, sealed and dated by a North Carolina licensed Professional Engineer, and shall include at a minimum: ® Table of contents with each sheet numbered. ® A general location map with at least two geographic references and a vicinity map. ❑ A process and instrumentation diagram showing all flow, recycle/return, aeration, chemical, electrical and wasting paths. ❑ Plan and profile views of all treatment and storage units, including their piping, valves, and equipment (i.e., pumps, blowers, mixers, diffusers, flow meters, etc.), as well as their dimensions and elevations. ® Details of all piping, valves, pumps, blowers, mixers, diffusers, recording devices, fencing, auxiliary power, etc. ® A hydraulic profile from the treatment plant headworks to the highest infiltration point. ❑ The high -rate infiltration area with an overlay of the suitable infiltration areas depicted in the Soil Evaluation. ❑ For non -basins, each nozzle/emitter and its wetted area influence and each infiltration zone labeled as it will be operated. ❑ For non -basins, locations within the infiltration system of air releases, drains, control valves, highest infiltration nozzle/emitter, etc. ❑ For non -basin automated infiltration systems, provide the location and details of the precipitation/soil moisture sensor. ® Plans shall represent a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR CONSTRUCTION, etc.) that indicate they are anything other than final specifications. However, the plans may be labeled with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION. INSTRUCTIONS FOR FORM: HRIS 06-16 & SUPPORTING DOCUMENTATION Page 3 of 6 Specifications (All Application Packages): ❑ Per 15A NCAC 02T .0704(c)(2), submit specifications that have been signed, sealed and dated by a North Carolina licensed Professional Engineer, and shall include at a minimum: ❑ Table of contents with each section/page numbered. ® Detailed specifications for each treatment/storage/infiltration unit, as well as all piping, valves, equipment (i.e., pumps, blowers, mixers, diffusers, flow meters, etc.), nozzles/emitters, precipitation/soil moisture sensor (if applicable), audible/visual high water alarms, liner material, etc. ❑ Site Work (i.e., earthwork, clearing, grubbing, excavation, trenching, backfilling, compacting, fencing, seeding, etc.) ❑ Materials (i.e., concrete, masonry, steel, painting, method of construction, etc.) ❑ Electrical (i.e., control panels, transfer switches, automatically activated standby power source, etc.) ❑ Means for ensuring quality and integrity of the finished product, including leakage, pressure and liner testing. ❑ Specifications shall represent a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR CONSTRUCTION, etc.) that indicate they are anything other than final specifications. However, the specifications may be labeled with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION. K. Engineering Calculations (All Application Packages): ❑ Per 15A NCAC 02T .0704(c)(3), submit engineering calculations that have been signed, sealed and dated by a North Carolina licensed Professional Engineer, and shall include at a minimum: ❑ Hydraulic and pollutant loading calculations for each treatment unit demonstrating how the designed effluent concentrations in Application Item V.1. were determined. ❑ Sizing criteria for each treatment unit and associated equipment (i.e., blowers, mixers, flow meters, pumps, etc.). ❑ Total and effective storage calculations for each storage unit. ❑ Friction/total dynamic head calculations and system curve analysis for each pump used. ❑ Manufacturer's information for all treatment units, pumps, blowers, mixers, diffusers, flow meters, etc. ❑ Flotation calculations for all treatment and storage units constructed partially or entirely below grade. ❑ For non -basins, a demonstration that the designed maximum precipitation and annual loading rates do not exceed the recommended rates. ❑ For basins, a demonstration that the designed loading rate (GPD/ft2) does not exceed the recommended rate. ❑ A demonstration that the specified auxiliary power source is capable of powering all essential treatment units. L. Site Map (All Application Packages): ® Per 15A NCAC 02T .0704(d), submit standard size and 11 x 17-inch site maps that have been signed, sealed and dated by a North Carolina licensed Professional Engineer and/or Professional Land Surveyor, and shall include at a minimum: ® A scaled map of the site with topographic contour intervals not exceeding 10 feet or 25 percent of total site relief and showing all facility -related structures and fences within the wastewater treatment, storage and infiltration areas. ® Soil mapping units shown on all infiltration sites. ® The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of all wastewater treatment, storage and infiltration sites. ® Delineation of the compliance and review boundaries per 15A NCAC 02L .0107 and .0108. ® Setbacks as required by 15A NCAC 02T .0706. ® Site property boundaries within 500 feet of all wastewater treatment, storage and infiltration sites. ® All habitable residences or places of public assembly within 500 feet of all treatment, storage and infiltration sites. NOTE — For clarity, multiple site maps of the facility with cut sheet annotations may be submitted. M. Power Reliability Plan (All Application Packages): ❑ Per 15A NCAC 02T .0705(k), submit documentation of power reliability that shall consist of at a minimum: ❑ An automatically activated standby power supply onsite that is capable of powering all essential treatment units under design conditions, OR ➢ Approval from the Director that the facility: ❑ Serves a private water distribution system that has automatic shut-off during power failures and has no elevated water storage tanks, ❑ Has sufficient storage capacity that no potential for overflow exists, and ❑ Can tolerate septic wastewater due to prolonged detention. INSTRUCTIONS FOR FORM: HRIS 06-16 & SUPPORTING DOCUMENTATION Page 4 of 6 N. Operation and Maintenance Plan (All Application Packages): ❑ Per 15A NCAC 02T .0707, submit an operation and maintenance (O&M) plan encompassing all wastewater treatment, storage and infiltration systems that shall include at a minimum a description of: ❑ Operation of the wastewater treatment, storage and infiltration systems in sufficient detail to show what operations are necessary for the system to function and by whom the functions are to be conducted. ❑ Anticipated maintenance of the wastewater treatment, storage and infiltration systems. ❑ Safety measures, including restriction of access to the site and equipment. ❑ Spill prevention provisions such as response to upsets and bypasses, including how to control, contain and remediate. ❑ Contact information for plant personnel, emergency responders and regulatory agencies. NOTE — A final O&M Plan shall be submitted with the partial and/or final Engineering Certification required under 15A NCAC 02T .0116, however, a preliminary O&M Plan shall be submitted with each application package. O. Residuals Management Plan (All Application Packages with new, expanding or replacement wastewater treatment systems): ❑ Per 15A NCAC 02T .0704(i) and .0708, submit a Residuals Management Plan that shall include at a minimum: ❑ A detailed explanation of how generated residuals (including trash, sediment and grit) will be collected, handled, processed, stored, treated, and disposed. ❑ An evaluation of the treatment facility's residuals storage requirements based upon the maximum anticipated residuals production rate and ability to remove residuals. ❑ A permit for residuals utilization or a written commitment to the Applicant from a Permittee of a Department approved residuals disposal/utilization program that has adequate permitted capacity to accept the residuals or has submitted a residuals/utilization program application. ❑ If oil/grease removal and collection are a designed unit process, submit an oil/grease disposal plan detailing how the oil/grease will be collected, handled, processed, stored and disposed. NOTE — Per 15A NCAC 02T .0705(n), a minimum of 30 days of residual storage shall be provided. NOTE — Per 15A NCAC 02T .07040), a written commitment to the Applicant from a Permittee of a Department approved residuals disposal/utilization program is not required at the time of this application, however, it shall be provided prior to operation of any permitted facilities herein. NOTE — If an on -site restaurant or other business with food preparation is contributing wastewater to this system, an oil/grease disposal plan shall be submitted. P. Additional Documentation: ➢ Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities): ❑ Per 15A NCAC 02T .0115(a)(1) and .0704(g), provide the Certificate of Public Convenience and Necessity from the North Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the wastewater treatment and high -rate infiltration system, or ❑ Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an application for a franchise has been received and that the service area is contiguous to an existing franchised area or that franchise approval is expected. ➢ Existing Permit (All Modification Packages): E Submit the most recently issued existing permit. ❑ Provide a list of any items within the permit the Applicant would like the Division to address during the permit modification (i.e., compliance schedules, permit description, monitoring, permit conditions, etc.). ➢ Final Environmental Document (All Application Packages using public monies or lands subject to the North Carolina Environmental Policy Act under 15A NCAC 01C.0100 to .0400): ❑ Per 15A NCAC 02T .0105(c)(4), submit one copy of the environmental assessment and three copies of the final environmental document (i.e., Finding of No Significant Impact or Record of Decision). ❑ Include information on any mitigating factors from the Environmental Assessment that impact the design and/or construction of the wastewater treatment and high -rate infiltration system. ➢ Floodway Regulation Compliance (All Application Packages where any portion of the wastewater treatment, storage and infiltration system is located within the 100-year floodplain): ❑ Per 15A NCAC 02T .0105(c)(8), provide written documentation from all local governing entities that the facility is in compliance with all local ordinances regarding construction or operation of wastewater treatment and/or disposal facilities within the floodplain. INSTRUCTIONS FOR FORM: HRIS 06-16 & SUPPORTING DOCUMENTATION Page 5 of 6 P. Additional Documentation (continued): ➢ Operational Agreements (All Application Packages for Home/Property Owners' Associations and Developers of lots to be sold): ➢ Home/Propegy Owners' Associations ❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (FORM: HOA). ❑ Per 15A NCAC 02T .0115(c), submit the proposed or approved Articles of Incorporation, Declarations and By-laws. ➢ Developers of lots to be sold ® Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (FORM: DEV). ➢ Threatened or Endangered Aquatic Species Documentation (All Application Packages): ❑ Per 15A NCAC 02T .0105(c)(10), submit documentation from the Department's Natural Heritage Program demonstrating the presence or absence of threatened or endangered aquatic species within the boundary of the wastewater treatment, storage and infiltration facilities. ❑ If the facility directly impacts such species, this documentation shall provide information on the need for permit conditions pursuant to 15A NCAC 02B .0110. ➢ Wastewater Chemical Analysis (All Application Packages treating Industrial Waste): ❑ Per 15A NCAC 02T .0704(h), provide a complete Division certified laboratory chemical analysis of the effluent to be infiltrated for the following parameters (For new facilities, an analysis from a similar facility's effluent is acceptable): ❑ Ammonia Nitrogen (NH3-N) ❑ Nitrate Nitrogen (NO3-N) ❑ Total Organic Carbon ❑ Calcium ❑ pH ❑ Total Phosphorus ❑ Chemical Oxygen Demand (COD) ❑ Phenol ❑ Total Trihalomethanes ❑ Chloride ❑ Sodium ❑ Total Volatile Organic Compounds ❑ Fecal Coliform ❑ Sodium Adsorption Ratio (SAR) ❑ Toxicity Test Parameters ❑ 5-day Biochemical Oxygen Demand (BODO ❑ Total Dissolved Solids ❑ Magnesium ❑ Total Kjeldahl Nitrogen (TKN) THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO: NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES WATER QUALITY PERMITTING SECTION NON -DISCHARGE PERMITTING UNIT By U.S. Postal Service: 1617 MAIL SERVICE CENTER RALEIGH, NORTH CAROLINA 27699-1617 TELEPHONE NUMBER: (919) 807-6464 By Courier/Special Delivery: 512 N. SALISBURY ST. RALEIGH, NORTH CAROLINA 27604 FAX NUMBER: (919) 807-6496 INSTRUCTIONS FOR FORM: HRIS 06-16 & SUPPORTING DOCUMENTATION Page 6 of 6 State of North Carolina Department of Environmental Quality DWR Division of Water Resources 15A NCAC 02T .0700 — HIGH -RATE INFILTRATION SYSTEMS Division of Water Resources FORM: IMS 06-16 L APPLICANT INFORMATION: 1. Applicant's name: HCT Pender, LLC 2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility ❑ Federal ❑ State ❑ Municipal ❑ County 3. Signature authority's name: Christian H. Trask, Jr. per 15A NCAC 02T .0106(b) Title: Manager 4. Applicant's mailing address: 2511 Canterbury Road City: Wilmington State: NC Zip: 28403- 5. Applicant's contact information: Phone number: (910) 540-9555 Email Address: chtrask&bellsouth.net IL FACILITY INFORMATION: 1. Facility name: Lanes Ferry at Rocky Point WWTP 2. Facility status: Proposed 3. Facility type: Major (> 10,000 GPD or > 300 disposal acres) 4. Facility's physical address: NC 210 at Morning Glory Road City: Rocky Point State: NC Zip: 28457- County: Pender 5. Wastewater Treatment Facility Coordinates (Decimal Degrees): Latitude: 34.4426' Longitude:-77.8505' Datum: NAD83 Level of accuracy: Unknown Method of measurement: Map interpretation by extraction 6. USGS Map Name: Mooretown III. CONSULTANT INFORMATION: 1. Professional Engineer: Mark S BissellLicense Number: 010362 Firm: Bissell Professional Group Mailing address: PO Box 1068 City: Kitty Hawk State: NC Zip: 27949- Phone number: (252) 261-3266 Email Address: mark&bissellprofessionalgroup.com 2. Soil Scientist: N/A License Number: Firm: Mailing address: City: State: Zip: - Phone number: (� _- Email Address: 3. Geologist: NA License Number: Mailing address: City: State: Zip: - Phone number: (_) _- Email Address: 4. Agronomist: NA Firm: Mailing address: City: State: Zip: - Phone number: (_) _- Email Address: Firm: FORM: HRIS 06-16 Page 1 of 13 IV. GENERAL REQUIREMENTS — 15A NCAC 02T .0100: 1. Application type: ❑ New ❑ Major Modification ® Minor Modification If a modification, provide the existing permit number: WQ0033710 and most recent issuance date: May 26, 2017 2. Application fee: $0 - Standard - Minor Modification 3. Does this project utilize public monies or lands? ❑ Yes or ® No If yes, was an Environmental Assessment required under 15A NCAC 01C? ❑ Yes or ❑ No If yes, which final environmental document is submitted? ❑ Finding of No Significant Impact or ❑ Record of Decision Briefly describe any mitigating factors from the Environmental Assessment that may impact this facility: 4. What is the status of the following permits/certifications applicable to the subject facility? Permit/Certification Date Submitted Date Approved Permit/Certification Number Agency Reviewer Collection System (Q > 200,000 GPD) Dam Safety Erosion & Sedimentation Control Plan 8/5/21 PENDE-2022-002 Nationwide 12 / Section 404 Pretreatment Sewer System Stormwater Management Plan SW8 210810 Jesse Edmonds Wetlands 401 Other: 5. What is the wastewater type? ® Domestic or Industrial (See 15A NCAC 02T .0103(20)) Is there a Pretreatment Program in effect? ❑ Yes or ❑ No o Has a wastewater chemical analysis been submitted? ❑ Yes or ❑ No 6. Wastewater flow: 800,000 GPD Limited by: ® Treatment, ❑ Storage, ❑ Field/Basin Hydraulics, ❑ Field Agronomics or ❑ Groundwater Mounding 7. Explain how the wastewater flow was determined: ® 15A NCAC 02T .0114 or ❑ Representative Data Hasa flow reduction been approved under 15A NCAC 02T .0114(I)? ❑ Yes or ® No Establishment Type Daily Design Flow a No. of Units Flow gal/ GPD gal/ GPD gal/ GPD gal/ GPD gal/ GPD gal/ GPD Total 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). FORM: HRIS 06-16 Page 2 of 13 IV. GENERAL REQUIREMENTS — 15A NCAC 02T .0100 (continued): 8. What is the nearest 100-year flood elevation to the facility? 85 feet mean sea level. Source: FRIS Are any treatment, storage or infiltration facilities located within the 100-year flood plain? ❑ Yes or ® No If yes, which facilities are affected and what measures are being taken to protect them against flooding? If yes, has the Applicant submitted written documentation of compliance with § 143 Article 21 Part 6? ❑ Yes or ❑ No 9. Has the Applicant provided documentation of the presence or absence of threatened or endangered aquatic species utilizing information provided by the Department's Natural Heritage Program? ❑ Yes or ® No 10. Does the facility have a proposed or existing groundwater monitoring well network? ® Yes or ❑ No If no, provide an explanation as to why a groundwater monitoring well network is not proposed: If yes, complete the following table (NOTE — This table may be expanded for additional wells): Well Name Status Latitude a Longitude a Gradient Location PZ-1 Proposed 0- Down Gradient Inside Review Boundary PZ-2 Proposed 0- Cross Gradient Inside Review Boundary PZ-3 Proposed 0- Cross Gradient Inside Review Boundary PZ-4 Proposed 0- Cross Gradient Inside Review Boundary PZ-5 Proposed 0- Cross Gradient Inside Review Boundary PZ-6 Proposed 0- Cross Gradient Inside Review Boundary PZ-7 Proposed 0- Cross Gradient Inside Review Boundary PZ-8 Proposed 0- Up Gradient Outside Com liance Botv PZ-9 Proposed 0- Up Gradient On Com liance Bound PZ-10 Proposed 0- Cross Gradient On Review Boundary a Provide the following latitude and longitude coordinate determination information: Datum: NAD83 Level of accuracy: UnknownMethod of measurement: Map interpretation by extraction 11. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been submitted? ❑ Yes, ❑No or ®N/A 12. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been submitted? ® Yes, ❑No or ❑N/A 13. If the Applicant is a Home/Property Owners' Association, has an Association Operational Agreement (FORM: HOA) been submitted? ❑ Yes, ❑No or ®N/A 14. Demonstration of historical consideration for permit approval — 15A NCAC 02T .0120: Has the Applicant or any parent, subsidiary or other affiliate exhibited the following? a. Has been convicted of environmental crimes under Federal law or G.S. 143-215.613? ❑ Yes or ® No b. Has previously abandoned a wastewater treatment facility without properly closing that facility? ❑ Yes or ® No c. Has unpaid civil penalty where all appeals have been abandoned or exhausted? ❑ Yes or ® No d. Is non -compliant with an existing non -discharge permit, settlement agreement or order? ❑ Yes or ® No e. Has unpaid annual fees in accordance with 15A NCAC 02T .0105(e)(2)? ❑ Yes or ® No FORM: HRIS 06-16 Page 3 of 13 V. WASTEWATER TREATMENT FACILITY DESIGN CRITERIA —15A NCAC 02T .0705: 1. For the following parameters, provide the estimated influent concentrations and designed effluent concentrations as determined in the Engineering Calculations, and utilized in the Agronomic Evaluation and Groundwater Modeling (if applicable): Parameter Estimated Influent Concentration Designed Effluent Concentration (monthly average) Ammonia Nitrogen (NH3-N) mg/L mg/L Biochemical Oxygen Demand (BODO mg/L mg/L Fecal Coliforms per 100 mL Nitrate Nitrogen (NO3-N) mg/L mg/L Nitrite Nitrogen (NO2-N) mg/L mg/L Total Kjeldahl Nitrogen No vot:::mg/L Total Nitrogen mg/L mg/L Total Phosphorus mg/L mg/L Total Suspended Solids (TSS) mg/L mg/L 2. Is flow equalization of at least 25% of the average daily flow provided? ❑ Yes or ❑ No 3. Does the treatment facility include any bypass or overflow lines? ❑ Yes or ❑ No If yes, describe what treatment units are bypassed, why this is necessary, and where the bypass discharges: 4. Are multiple pumps provided wherever pumps are used? ❑ Yes or ❑ No If no, how does the Applicant intend on complying with 15A NCAC 02T .0705(i)? 5. Check the appropriate box describing how power reliability will be provided in accordance with 15A NCAC 02T .0705(k): ❑ Automatically activated standby power supply onsite capable of powering all essential treatment units; or ❑ Approval from the Director that the facility: ➢ Has a private water supply that automatically shuts off during power failures and does not contain elevated water storage tanks; ➢ Has sufficient storage capacity that no potential for overflow exists; and ➢ Can tolerate septic wastewater due to prolonged detention. 6. If the wastewater treatment system is located within the 100-year flood plain, are there water -tight seals on all treatment units or a minimum of two feet protection from the 100-year flood plain elevation? ❑ Yes, ❑ No or ❑ N/A 7. In accordance with 15A NCAC 02T .0705(n), how many days of residuals storage are provided? 8. How does the Applicant propose to prohibit public access to the wastewater treatment and storage facilities? 9. If an influent pump station is part of the proposed facility (i.e., within the wastewater treatment plant boundary), does the influent pump station meet the design criteria in 15A NCAC 02T .0305(h)? ❑ Yes, ❑ No, ❑ N/A — To be permitted separately, or ❑ N/A — Gravity fed 10. If septic tanks are part of the wastewater treatment facility, do the septic tanks adhere to the standards in 15A NCAC 18A .1900? ❑ Yes, ❑ No or ❑ N/A FORM: HRIS 06-16 Page 4 of 13 V. WASTEWATER TREATMENT FACILITY DESIGN CRITERIA —15A NCAC 02T .0705 (continued): 11. Provide the requested treatment unit and mechanical equipment information: a. PRELIMINARY / PRIMARY TREATMENT (i.e., physical removal operations and flow equalization): Treatment Unit No. of Units Manufacturer or Material Dimensions (ft) / Spacings (in) Volume (gallons) Plan Sheet Reference Specification I Reference Select Select Select Select Select b. SECONDARY / TERTIARY TREATMENT (i.e., biological and chemical processes to remove organics and nutrients) Treatment Unit No. of Units Manufacturer or Material Dimensions (ft) Volume (gallons) Plan Sheet Reference Specification Reference Select Select Select Select Select Select Select Select c. DISINFECTION No. of Manufacturer or Volume Plan Sheet Specification Treatment Unit Dimensions (ft) Units Material (gallons) Reference I Reference Select Select ➢ If chlorination is the proposed method of disinfection, specify detention time provided: minutes (NOTE — 30 minutes minimum required), and indicate what treatment unit chlorine contact occurs: ➢ If ultraviolet (UV) light is the proposed method of disinfection, specify the number of banks: number of lamps per bank: and maximum disinfection capacity: GPM. d. RESIDUAL TREATMENT No. of Manufacturer or Volume Plan Sheet Specification Treatment Unit Dimensions (ft) Units Material (gallons) Reference Reference Select Select FORM: HRIS 06-16 Page 5 of 13 V. WASTEWATER TREATMENT FACILITY DESIGN CRITERIA —15A NCAC 02T .0705 (continued): e. PUMPS Location No. of Pumps Purpose Manufacturer / Type Capacity I Plan Sheet I Reference Specification Reference GPM I TDH f. BLOWERS Location No. of No. Units Served Manufacturer / Type Capacity (CFM) Plan Sheet Reference Specification Reference g. MIXERS Location No. of Mixers Units Served Manufacturer / Type Power (hp) Plan Sheet Reference Specification Reference h. RECORDING DEVICES & RELIABILITY Device No. of Units Location Manufacturer Maximum Capacity Plan Sheet Reference Specification Reference Select Select Select Select i. EFFLUENT PUMP / DOSING TANK (IF APPLICABLE): Plan Sheet Reference Specification Reference Internal dimensions (L x W x H or 9 x H) ft ft ft Total volume ft3 gallons Dosing volume ft3 gallons Audible & visual alarms Equipment to prevent infiltration during rain events (if applicable) FORM: HRIS 06-16 Page 6 of 13 VI. EARTHEN STORAGE IMPOUNDMENT DESIGN CRITERIA — 15A NCAC 02T .0705: IF MORE THAN ONE IMPOUNDMENT, PROVIDE ADDITIONAL COPIES OF THIS PAGE AS NECESSARY. 1. What is the earthen impoundment type? Select 2. Storage Impoundment Coordinates (Decimal Degrees): Latitude: 0Longitude: - ° Datum: Select Level of accuracy: Select Method of measurement: Select 3. Do any impoundments include a discharge point (pipe, spillway, etc)? ❑ Yes or ❑ No 4. Are subsurface drains present beneath or around the impoundment to control groundwater elevation? ❑ Yes or ❑ No 5. Is the impoundment designed to receive surface runoff? ❑ Yes or ❑ No If yes, what is the drainage area? ft, and was this runoff incorporated into the water balance? ❑ Yes or ❑ No 6. If a liner is present, how will it be protected from wind driven wave action?: 7. Will the earthen impoundment water be placed directly into or in contact with GA classified groundwater? ❑ Yes or ❑ No If yes, has the Applicant provided predictive calculations or modeling demonstrating that such placement will not result in a contravention of GA groundwater standards? ❑ Yes or ❑ No 8. What is the depth to bedrock from the earthen impoundment bottom elevation? It If the depth to bedrock is less than four feet, has the Applicant provided a liner with a hydraulic conductivity no greater than 1 x 10-7 cm/s? ❑ Yes, �o or ❑ N/A Has the Applicant provided predictive calculations or modeling demonstrating that surface water or groundwater standards will not be contravened? ❑ Yes or ❑ No If the earthen impoundment is excavated into bedrock, has the Applicant provided predictive calculations or modeling demonstrating that surface water or groundwater standards will not be contravened? ❑ Yes, ❑ No or ❑ N/A 9. If the earthen impoundment is lined and the mean seasonal high water table is higher than the impoundment bottom elevation, how will the liner be protected (e.g., bubbling, groundwater infiltration, etc.)? 10. If applicable, provide the specification page references for the liner installation and testing requirements: 11. If the earthen impoundment is located within the 100-year flood plain, has a minimum of two feet of protection (i.e., top of embankment elevation to 100-year flood plain elevation) been provided? ❑ Yes or ❑ No 12. Provide the requested earthen impoundment design elements and dimensions: Earthen Impoundment Design Elements Earthen Impoundment Dimensions Liner type: ❑ Clay I ❑ Synthetic Top of embankment elevation: ft ❑ Other I ❑ Unlined Liner hydraulic conductivity: x cm/s Freeboard elevation: ft Hazard class: Select Toe of slope elevation: ft Designed freeboard: ft Impoundment bottom elevation: ft Total volume: ft3 gallons Mean seasonal high water table depth: ft Effective volume: ft3 gallons Embankment slope: Effective storage time: days Top of dam water surface area: ft` Plan Sheet Reference: Freeboard elevation water surface area: ft` Specification Section: Bottom of impoundment surface area: ft2 NOTE — The effective volume shall be the volume between the two foot freeboard elevation and the: (1) pump intake pipe elevation; (2) impoundment bottom elevation or (3) mean seasonal high water table, whichever is closest to the two foot freeboard elevation. FORM: HRIS 06-16 Page 7 of 13 VIL INFILTRATION SYSTEM DESIGN CRITERIA — 15A NCAC 02T .0705: 1. Provide the minimum depth to the seasonal high water table within the infiltration area: NOTE — The vertical separation between the seasonal high water table and the ground surface shall be at least one foot. 2. Are there any artificial drainage or water movement structures (e.g., surface water or groundwater) within 200 feet of the infiltration area? ❑ Yes or ❑ No If yes, were these structures addressed in the Soil Evaluation and/or Hydrogeologic Report, and are these structures to be maintained or modified? 3. Soil Evaluation recommended loading rates (NOTE — This table may be expanded for additional soil series): Soil Series Basins/Fields within Soil Series Recommended Loading Rate (in/hr) Recommended Loading Rate (in/ r) Recommended Loading Rate (GPD/ft) Annual / Seasonal Loading If Seasonal, list appropriate months Select Select Select Select Select Select 4. Are the designed loading rates less than or equal to Soil Evaluation recommended loading rates? ❑ Yes or ❑ No If no, how does the Applicant intend on complying with 15A NCAC 02T .0705(m)? 5. How does the Applicant propose to prohibit public access to the infiltration facilities? 6. Has the infiltration system been equipped with a flow meter to accurately determine the volume of effluent applied to each basin/field as listed in VIL8.? ❑ Yes or ❑ No If no, how does the Applicant intend on determining the amount of effluent applied to each basin/field? 7. For non -basins, provide the required cover crop information and demonstrate the effluent will be applied at or below agronomic rates: Cover Crop Soil Series % Slope Nitrogen Uptake Rate (lbs/ac r) Phosphorus Uptake Rate (lbs/ac r) a. Specify where the nitrogen and phosphorus uptake rates for each cover crop were obtained: b. Proposed nitrogen mineralization rate: c. Proposed nitrogen volatilization rate: d. Minimum infiltration area from the Agronomist Evaluation's nitrogen balance: ftz e. Minimum infiltration area from the Agronomist Evaluation's phosphorus balance: ftz f. Minimum infiltration area from the water balance: ftz FORM: HRIS 06-16 Page 8 of 13 VIL INFILTRATION SYSTEM DESIGN CRITERIA — 15A NCAC 02T .0705 (continued): 8. Basin/Field Information (NOTE — This table may be expanded for additional fields): Basin/ Field Area (acres) Dominant Soil Series Designed Loading Rate (in/hr) Designed Loading Rate (in/ r) Designed Loading Rate (GPD/ft) a Latitude a Longitude at erbody Streamream b Index No. Classification 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Total a Provide the following latitude and longitude coordinate determination information: Datum: Select Level of accuracy: Select Method of measurement: Select b For assistance determining the waterbody stream index number and its associated classification, instructions may be downloaded at: http://deg.nc.gov/about/divisions/water-resources/planning/classification-standards/classifications 9. High -Rate Infiltration System design criteria: a. Infiltration Fields: Spray Infiltration Design Elements Drip Infiltration Design Elements Nozzle wetted diameter: It Emitter wetted area: ft2 Nozzle wetted area: ft2 Distance between laterals: ft Nozzle capacity: GPM Distance between emitters: ft Nozzle manufacturer/model: / Emitter capacity: GPH Elevation of highest nozzle: It Emitter manufacturer/model: / Specification Section: Elevation of highest emitter: ft Specification Section: FORM: HRIS 06-16 Page 9 of 13 VIL INFILTRATION SYSTEM DESIGN CRITERIA — 15A NCAC 02T .0705 (continued): b. Infiltration Basins: IF MORE THAN TWO BASINS, PROVIDE ADDITIONAL COPIES OF THIS PAGE AS NECESSARY. Infiltration Basin Design Elements Infiltration Basin Dimensions Basin Name: Top of embankment elevation: ft Hazard class: Select Freeboard elevation: ft Designed freeboard: ft Toe of slope elevation: ft Total volume: ft3 Impoundment bottom elevation: ft Infiltrative surface area: ft' Mean seasonal high water table depth: ft Daily infiltrative capacity: GPD Embankment slope: Plan Sheet Reference: Top of dam water surface area: ft2 Specification Section: Freeboard elevation water surface area: ft2 Bottom of impoundment surface area: ft2 i. Does this basin include a discharge point (pipe, spillway, etc)? ❑ Yes or ❑ No ii. Are subsurface drains present around the impoundment to control groundwater elevation? ❑ Yes or ❑ No iii. Is the basin designed to receive surface runoff? ❑ Yes or ❑ No If yes, what is the drainage area? ft2, and was this runoff incorporated into the loading rate? ❑ Yes or ❑ No iv. Will the effluent be placed directly into or in contact with GA classified groundwater? ❑ Yes or ❑ No If yes, has the Applicant provided predictive calculations or modeling demonstrating that such placement will not result in a contravention of GA groundwater standards? ❑ Yes or ❑ No v. If the infiltration basin is located within the 100-year flood plain, has a minimum of two feet of protection (i.e., top of embankment elevation to 100-year flood plain elevation) been provided? ❑ Yes or ❑ No Infiltration Basin Design Elements Infiltration Basin Dimensions Basin Name: Top of embankment elevation: ft Hazard class: Select Freeboard elevation: ft Designed freeboard: ft Toe of slope elevation: ft Total volume: ft3 Impoundment bottom elevation: ft Infiltrative surface area: ft2 Mean seasonal high water table depth: ft Daily infiltrative capacity: GPD Embankment slope: Plan Sheet Reference: Top of dam water surface area: ft2 Specification Section: Freeboard elevation water surface area: ft2 Bottom of impoundment surface area: ft2 i. Does this basin include a discharge point (pipe, spillway, etc)? ❑ Yes or ❑ No ii. Are subsurface drains present around the impoundment to control groundwater elevation? ❑ Yes or ❑ No iii. Is the basin designed to receive surface runoff? ❑ Yes or ❑ No If yes, what is the drainage area? ft, and was this runoff incorporated into the loading rate? ❑ Yes or ❑ No iv. Will the effluent be placed directly into or in contact with GA classified groundwater? ❑ Yes or ❑ No If yes, has the Applicant provided predictive calculations or modeling demonstrating that such placement will not result in a contravention of GA groundwater standards? ❑ Yes or ❑ No v. If the infiltration basin is located within the 100-year flood plain, has a minimum of two feet of protection (i.e., top of embankment elevation to 100-year flood plain elevation) been provided? ❑ Yes or ❑ No FORM: HRIS 06-16 Page 10 of 13 VIIL SETBACKS —15A NCAC 02T .0706: 1. Does the project comply with all setbacks found in the river basin rules (15A NCAC 02B .0200)? ® Yes or ❑ No If no, list non -compliant setbacks: 2. Have any setback waivers been obtained in order to comply with 15A NCAC 02T .706(a) and .0706(d)? ❑ Yes or ® No If yes, have these waivers been written, notarized and signed by all parties involved and recorded with the County Register of Deeds? ❑ Yes or ❑ No 3. Provide the minimum field observed distances (ft) for each setback parameter to the infiltration system and treatment/storage units (NOTE — Distances greater than 500 feet may be marked N/A): Setback Parameter Infiltration System Treatment / �Storage Units Any habitable residence or place of assembly under separate ownership or not to be maintained as part of the project site N/A N/A Any habitable residence or place of assembly owned by the Permittee to be maintained as part of the project site N/A Any private or public water supply source N/A N/A Surface waters (streams — intermittent and perennial, perennial waterbodies, and wetlands) 290' N/A Groundwater lowering ditches (where the bottom of the ditch intersects the SHWT) N/A Subsurface groundwater lowering drainage systems 100' Surface water diversions (ephemeral streams, waterways, ditches) 80' Any well with exception of monitoring wells N/A N/A Any property line 210 160' Top of slope of embankments or cuts of two feet or more in vertical height N/A Any water line from a disposal system 140' Any swimming pool N/A Public right of way N/A Nitrification field N/A Any building foundation or basement N/A Impounded public water supplies N/A Public shallow groundwater supply (less than 50 feet deep) N/A 4. Does the Applicant intend on complying with either 15A NCAC 02T .0706(b) or (c)? ® Yes or ❑ No If yes, what are the designed Total Nitrogen and Total Phosphorus effluent concentrations? TN: 7 mg/L TP: 3 mg/L 5. Does the Applicant intend on complying with the High -Rate Policy issued October 27, 2006? ❑ Yes or ® No If yes, verify the following information: ✓ Are the most stringent effluent standards in both 15A NCAC 02T .0705(b) and 15A NCAC 02U .0301(b) met? El Yes or❑No ✓ Is duality provided for all treatment units per 15A NCAC 02U .0402(c)? ❑ Yes or ❑ No ✓ Continuous online monitoring and recording of effluent for turbidity? ® Yes or ❑ No ✓ A lined 5-day upset pond is provided? ❑ Yes or ❑ No ✓ The 5-day upset pond has restricted access? ❑ Yes or ❑ No ✓ A certified operator of a grade equal or greater than the facility classification is on call 24 hrs/day? ❑ Yes or ❑ No FORM: HRIS 06-16 Page 11 of 13 IX. COASTAL WASTE TREATMENT DISPOSAL REQUIREMENTS —15A NCAC 02H .0400: 1. Is this facility located in a Coastal Area as defined per 15A NCAC 02H .0403? ® Yes or ❑ No For assistance determining if the facility is located within the Coastal Area, a reference map may be downloaded at: Coastal Areas Boundary. 2. Is this an Interim Treatment and Disposal Facility per 15A NCAC 02H .0404(g)? ® Yes or ❑ No NOTE — Interim facilities do not include County and Municipal area -wide collection and treatment systems. IF ANSWERED YES TO ITEMS IX.1. AND IX.2., THEN COMPLETE ITEMS IX.3. THROUGH IX.16. 3. Is equalization of at least 25% of the average daily flow provided? ® Yes or ❑ No 4. How will noise and odor be controlled? Recessed blowers, covered critical tanks; air scrubber 5. Is an automatically activated standby power source provided? ® Yes or ❑ No 6. Are all essential treatment units provided in duplicate? ® Yes or ❑ No NOTE — Per 15A NCAC 02T .010306), essential treatment units are defined as any unit associated with the wastewater treatment process whose loss would likely render the facility incapable of meeting the required performance criteria, including aeration units or other main treatment units, clarification equipment, filters, disinfection equipment, pumps and blowers. 7. Are the disposal units (i.e., infiltration basins/fields) provided in duplicate? ® Yes or ❑ No 8. Is there an impounded public surface water supply within 500 feet of the infiltration area? ❑ Yes or ® No 9. Is there a public shallow groundwater supply (less than 50 feet deep) within 500 feet of the infiltration area? ❑ Yes or ® No 10. Is there a private groundwater supply within 100 feet of the infiltration area? ❑ Yes or ® No 11. Are there any SA classified waters within 100 feet of the infiltration area? ❑ Yes or ® No 12. Are there any non -SA classified waters within 50 feet of the infiltration area? ❑ Yes or ® No 13. Are there any surface water diversions (i.e., drainage ditches) within 25 feet of the infiltration area? ❑ Yes or ® No 14. Per the requirements in 15A NCAC 02H .0404(g)(7), how much green area is provided? 0 ft' 15. Is the green area clearly delineated on the plans? ❑ Yes or ® No 16. Is the spray infiltration wetted area within 200 feet of any adjoining properties? ❑ Yes, ❑ No or ® N/A X. GROUNDWATER LOWERING SYSTEM DESIGN: 1. Does this project utilize a groundwater lowering system? ❑ Yes or ❑ No (If yes, complete Items X.2. through X.4.) 2. Is the groundwater lowering system: ❑ mechanically lowered (i.e., pumped) or ❑ gravity fed? 3. Where does the groundwater lowering drainage system discharge? If the system mechanically lowers groundwater and discharges directly or indirectly (i.e., pond overflow) to surface waters, wetlands and/or stormwater structures, provide the date the Applicant obtained written confirmation from the Water Quality Regional Operations Section that operation of the groundwater lowering drainage system will not adversely affect surface waters of the State. Submitted: & Received: 4. Groundwater lowering system design criteria: Groundwater Lowering System Design Pipe diameter: in Discharge rate: GPD Pipe material: Method to measure discharge rate: Pipe depth: ft Number of pumps: Pipe length: ft Pump capacity: GPM TDH Pipe slope (gravity -fed): % Plan Sheet Reference: Trench backfill material: Specification Section: FORM: HRIS 06-16 Page 12 of 13 Professional Engineer's Certification: I, Mark S. Bissell attest that this application for (Professional Engineer's name from Application Item III. I.) Lanes Ferry at Rocky Point WWTP (Facility name from Application Item II.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 this application package and its instructions, as well as all applicable regulations and statutes. 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. III I North Carolina Professional Engineer's seal, signature, and date: Applicant's Certification per 15A NCAC 02T .0106(b): I, Christian H. Trask, 10362 "1'61 NE�: / 7(S. B`5 III \1 that this application for (Signature Authority's name & title from Application Item I.3.) Lanes Ferry at Rockv Point WWTP (Facility name from Application Item H-1.) has been reviewed by me and is accurate and complete to the best of my knowledge. 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. I further certify that the Applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active compliance schedule, and do not have any overdue annual fees per 15A NCAC 02T .0105(el. 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. ..11am Signature:&Jg�_ I�. Date: %/� r/� FORM: HRIS 06-16 Page 13 of 13 BK 4664 PG 1201 - 1203 (3) DOC# 20036538 This Document eRecorded: 05/11/2018 09:31:25 AM Fee: $26.00 DocType: DEED Tax: $67.00 Pender County, North Carolina Sharon Lear Willoughby, Register of Deeds GENERAL WARRANTY DEED WE PREPARED THE DEED IN THIS TRANSACTION BUT WE MADE NO EXAMINATION OF TITLE AND WE EXPRESS NO OPINION ON TITLE TO THE PROPERTY. Prepared by: MURCHISON, TAYLOR, & GIBSON, PLLC 16 North Fifth Avenue, Wilmington, NC 28401 NORTH CAROLINA PARCEL: P/O 3245-84-0109-0000 PENDER COUNTY REVENUE STAMPS: $67.00 THIS GENERAL WARRANTY DEED, made effective this4M day of May, 2018 by and between Nancy Trask Wood (formerly known as Nancy Lee Trask) (unmarried) (herein called GRANTOR), and HCT Pender LLC, a North Carolina limited liability company, with a mailing address of 2511 S. Canterbury Road, Wilmington, NC 28403 (herein called GRANTEE). WITNESSETH THAT: The GRANTOR, for and in consideration of the sum of Ten Dollars ($10.00) and other valuable considerations to it in hand paid by the GRANTEE, the receipt whereof is hereby acknowledged, has bargained and sold, and by these presents does hereby bargain, sell and convey unto GRANTEE and its successors and assigns forever, all of GRANTOR's 7/48`h interest in that certain real property located in Pender County, North Carolina described on Exhibit A attached hereto and incorporated herein by reference. Title to the property herein described is conveyed subject to the following exceptions: (i) all easements, rights of way and restrictions of record; (ii) ad valorem taxes for calendar vear 2017 and subsequent years; and submitted electronically by "Murchison, Taylor & Gibson, PLLC" in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Pender County Register of Deeds. 162355 BK 4664 PG 1202 DOC# 20036538 (iii) all governmental land use statutes, ordinances and regulations, including zoning, subdivision and building regulations. TO HAVE AND TO HOLD the above granted and described property, together with all and singular, the rights, privileges, easements, tenements and appurtenances thereunto belonging, or in anywise appertaining unto the said GRANTEE, its successors and assigns, in fee simple, forever. And the GRANTOR, for herself, her successors and assigns, does covenant to and with the said GRANTEE, its heirs, successors and assigns, that she is seized in fee of the above granted and described property; that she has good right to sell and convey the same in fee simple; that the same is free and clear from any and all restrictions, easements or encumbrances except those set forth above; and that she will and her successors and assigns shall warrant and defend the title to the same against the lawful claims and demands of any and all persons whomsoever. IN TESTIMONY WHEREOF, the said GRANTOR has caused this instrument to be executed the day and year first above written. /) c,, J�.f—/,- 1.� -"— (SEAL) NANCY TRASK WOOD (formerly known as Nancy Lee Trask) STATE OF NORTH CARO�L�IIN�A/ COUNTY OF��Ti�� I, , a Notary Public in State and County, do c ify t iat NANCY day and acknowledged the due execution of WITNESS my hand and official sea KX Commission Expires: and for said 16235.5 BK 4664 PG 1203 DOC# 20036538 Exhibit A A certain tract or parcel of land lying and being in Rocky Point Township, Pender County, North Carolina, and being a 7/48tn interest in an approximately 22.8 acre tract conveyed to Nancy Trask Wood in Book 779, Page 242 of the Pender County Registry, which 22.8 acre tract is a portion of the 223.11 acre tract described in Book 3574, Page 289 of the Pender County Registry, and is more particularly described as follows: BEGINNING at an iron pipe where the Northern line of N.C. Highway No. 210 (60 foot right of way) is intersected by the Eastern line of C. Heide Trask, Jr.'s American Foods, Inc. tract, said pipe being North 6 degrees 00 minutes West 30.70 feet from an old railroad spike in the centerline of said road that is North 72 degrees 12 '/2 minutes East along said centerline 1145.5 feet from its intersection with the centerline of S.R. No. 1518; running thence from said beginning point North 71 degrees 46 '/2 minutes East along the Northern line of N.C. Highway No. 210 306.96 feet to an iron pipe; thence North 6 degrees 00 minutes West and parallel with the Eastern line of said Trask tract 500.00 feet to an iron pipe; thence North 71 degrees 46 '/z minutes East about 435 feet to the edge of the swamp of the Northeast Cape Fear River; thence North 71 degrees 46 '/2 minutes East about 325 feet to the Western edge of said river; thence Northwardly along the edge of said river to its intersection with the southern edge of Clayton Creek; thence Westwardly along the Southern edge of said creek to a point in the Eastern line of said Trask tract, said point being North 6 degrees 00 minutes West from said beginning point; thence South 6 degrees 00 minutes East along the Eastern line of said tract to an old concrete monument; thence South 6 degrees 00 minutes East along said Eastern line 1445.15 feet to the point of beginning; the same containing 12.8 acres, more or less, of high land and 10.0 acres, more or less of swamp land, and being a portion of the C. Heide Trask, Jr. land lying and being in Rocky Point Township, Pender County, North Carolina. 162355 UA2U2IU"/1U1104 = LIMITED LIABILITY COMPANY 10/2017 NAME OF LIMITED LIABILITY COMPANY: HCT Pender LLC SOSID: 1019806 Date Filed: 3/12/2021 Elaine F. Marshall ANN UAL North Carolina Secretary of State CA2021 071 01164 SECRETARY OF STATE ID NUMBER: 1019806 STATE OF FORMATION: NC REPORT FOR THE CALENDAR YEAR: 2021 SECTION A: REGISTERED AGENT'S INFORMATION 1. NAME OF REGISTERED AGENT: Cason Lineberger Trask 2. SIGNATURE OF THE NEW REGISTERED AGENT: ®Changes SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT 3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS 2511 S. Canterbury Road 2511 S. Canterbury Road Wilminqton, NC 28403 New Hanover Wilmington, NC 28403 New Hanover SECTION B: PRINCIPAL OFFICE INFORMATION 1. DESCRIPTION OF NATURE OF BUSINESS: real estate Investment 2. PRINCIPAL OFFICE PHONE NUMBER: (910) 763-9555 3. PRINCIPAL OFFICE EMAI Privacy Redaction El,4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS 0 .. 2511 S. Canterbury Road 2511 S. Canterbury Road Wilmington, NC 28403 New Hanover Wilmington, NC 28403 New Hanover 6. Select one of the following if applicable. (Optional see instructions) ❑ The company is a veteran -owned small business ❑ The company is a service -disabled veteran -owned small business SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.) NAME: Cason L Trask NAME: Christian Heide Trask , Jr NAME: TITLE: Manager TITLE: Manager TITLE: ADDRESS: ADDRESS: ADDRESS: 2511 S Canterbury Rd 2511 S Canterbury Road Wilmington, NC 28403-6101 New Hanover Wilmington, NC 28403 New Hanover SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity. SIGNATURE DATE Form must be signed by a Company Official listed under Section C of This form. Cason L. Trask Manager Print or Type Name of Company Official Print or Type Title of Company Official SUBMIT THIS ANNUAL REPORT WITH THE REQUIRED FILING FEE OF $200 MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525 Integrity SKID -MOUNTED CARBONADSORBER MUNICIPAL SYSTEMS (MCS Series) The IMS Model MCS carbon adsorber is a once -through activated carbon odor removal system designed to treat hydrogen sulfide (HZS) & organic odors (VOCs) found in municipal wastewater collection systems and treatment processes. The MCS is a factory - assembled, skid -mounted odor control system complete with exhaust fan, damper, interconnecting ductwork, vessel, activated car- bon media and local control panel. All components are mounted, piped, and wired on an epoxy coated carbon steel skid. System is designed for continuous and automatic operation as well as manual operation as required. MCS 0 ELECTRICAL CONTROL PANEL = TAEArto i1F vprtip YO ■ GR�IINDING fV C'TMERY] W-1o1 2F/V,IW4 Lwj ey RY urlimR +� rMS rRP DUCT MCS Process & Instrumentation Diagram SUPERIOR PERFORMANCE MEDIA The IMS carbon systems are designed to work with a wide selection of media: ■ Virgin activated carbon media for low odor levels ■ High capacity carbon for higher H 2 S concentrations MAJOR SYSTEM COMPONENTS ■ Epoxy Coated Steel Equipment Skid ■ FRP Exhaust Fan ■ FRP Transition Duct ■ FRP Inlet Damper ■ FRP Carbon Adsorber Vessel and Exhaust Stack ■ Activated Carbon Media ■ Electrical Control Panel © 2016 INTEGRITY MUNICIPAL SYSTEMS. ALL RIGHTS RESERVED. HOW IT WORKS SYSTEM FEATURES & BENEFITS The exhaust fan operates continuously, pulling foul air from the process area and passing it through the carbon media. A volume control damper at the system inlet allows regulation of airflow through the carbon adsorber. Inside the vessel, the foul air flows through a densely packed bed of ac- tivated carbon. The odorous compounds are removed from the airstream through a combination of physical adsorption and chemisorption. Odorous compounds are physically adsorbed in the carbon pores, and some may undergo chemical reaction to form elemental sulfur and sulfuric acid. This process continues until the activated carbon pores are filled up and the odorous compounds break through and are released out the stack. STANDARD MODEL DESIGN DATA ■ Superior non -corrosive material ■ Easy to operate ■ Suitable for outdoor installation ■ Fan sound enclosure (Optional) ■ Compact, skid -mounted design ■ Pre -assembled and factory tested Vto rltlm-1 re & MCS-0150 Up to 130 4.3 x 3.2 x 5.0 4.0 940-1010 130-200 1.0 (Up to 220) (1300 x 975 x 1500) (100) (426-458) (60-90) (.75) MCS-0200 105-235 5.3 x 3.5 x 5.0 6.0 1225-1350 235-360 1.0 (175-400) (1600 x 1000 x 1500) (150) (555-612) (105-160) (.75) 185-365 5.8 x 3.8 x 5.0 6.0 1570-1770 370-510 1.5 MCS-0250 (315-620) (1700 x 1100 x 1500) (150) (710-805) (170-260) (1.1) MCS-0300 290-530 6.3 x 4.1 x 5.0 8.0 1940-2230 530-820 2.0 (490-900) (1900 x 1200 x 1500) (200) (880-1012) (340-370) (1.5) 420-720 7.7 x 4.9 x 5.50 8.0 2525-2925 720-1120 2.0 MCS-0350 (715-1225) (2300 x 1500 x 1700) (200) (1145-1327) (325-510) (1.5) MCS-0400 575-940 8.3 x 4.9 x 5.50 10 3095-3605 940-1450 3.0 (980-1600) (2500 x 1500 x 1700) (250) (1404-1635) (425-665) (2.2) 750-1190 8.8 x 5.2 x 5.50 10 3835-4495 1190-1850 3.0 MCS-0450 (1275-2025) (2500 x 1600 x 1700) (250) (1740-2040) (540-840) (2.2) MCS-0500 950-1400 9.1 x 5.6 x 5.50 12 4455-5285 1470-2300 3.0 (1615-2380) (2700 x 1700 x 1700) (300) (2020-2397) (670-1045) (2.2) 13135 DANIELSON STREET, SUITE 204 POWAY, CA 92064 Integrity 12/19/2016 Rev. 2.0 PHONE: (858) 486-1620 FAX: (858) 486-1659 www.integrityms.net MUNICIPAL SYSTEMS • , „, W'd.LSkS-ivsodsl(l N ZNHW.Ltl i. iIB,I.VAI�.LSVM 3 0 5 �N" N � xixox uxnm naaxaa aixswuoi I.—u xo ia�s3a 4iq A�jA saxv'j ua x 2Q � BNOISU l O o b u m� m Z3�i51CdA0� w �j € gaa d ~ eQ Z Z W O W W w J N W N: z N J N O w W n; � 0 H O �o=Wp U a e Q LL Cl) K Ja°'LL W W LL O O C Zpa rc J () 11 WQ N z 7 O J M m a U) Z Z S hUw00 W p a a U) U) ce °��aN z °o Zg o� N uiLL mz zzF 0 Ow x z�z trp Q O W O O O~ U .j Z OU a F- U m Z 2 F- F- ] = Z N O p y gg f.70Q0Q0QQ aJ p �a wz a' Z� J Z JJa'Ja'a��a�JF- W W O. 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TRASK — MEMBER MANAGER HCT PENDER, LLC 2511 CANTERBURY ROAD WILMINGTON, NORTH CAROLINA 28403 Dear Mr. Trask: ROY COOPER Governor MICHAEL S. REGAN Secretary S. JAY ZIMMERMAN Director Subject: Permit No. WQ0033710 Lanes Ferry WWTP High -Rate Infiltration System Pender County In accordance with your permit renewal request received November 7, 2016, and subsequent additional information received February 28, 2017, we are forwarding herewith Permit No. WQ0033710 dated May 26, 2017, to HCT Pender, LLC for the construction and operation of the subject wastewater treatment and high -rate infiltration facilities. This permit shall be effective from the date of issuance until April 30, 2022, shall void Permit No. WQ0033710 issued April 29, 2009, and shall be subject to the conditions and limitations as specified therein. Please pay particular attention to the monitoring requirements listed in Attachments A, B and C for they may differ from the previous permit issuance. Failure to establish an adequate system for collecting and maintaining the required operational information shall result in future compliance problems. Please note the following permit conditions are new since the last permit issuance dated April 29, 2009: ➢ Condition I1.12. — This condition requires that the Permittee ensure any landowner who is not the Permittee and owns land within the compliance boundary executes and files with the Pender County Register of Deeds an easement running with the land. ➢ Condition IV.8. — States the requirements for submittal of an Annual Report to the Division beginning with Phase 2. ➢ Condition VI.8. — Indicates the conditions under which the Division Director has the authority to revoke or unilaterally modify this permit. ➢ Condition VI.9. — Indicates the potential limitations on expansion of the facilities by the Permittee under certain conditions. ---7r"Nothing Compares-,-, State of North Carolina I Environmental Quality I Water Resources I Water Quality Permitting I Non -Discharge Permitting 1617 Mail Service Center I Raleigh, North Carolina 27699-1617 919-807-6332 Mr. Christian H. Trask May 26, 2017 Page 2 of 2 If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee has the right to request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and binding. If you need additional information concerning this permit, please contact David Schlobohm at (919) 807-6384 or david.schlobohm@ncdenr.gov. Sincerely, zlee�-17? J�� S. Jay Zimmerman, P.G., Director Division of Water Resources cc: Pender County Health Department (Electronic Copy) Wilmington Regional Office, Water Quality Regional Operations Section (Electronic Copy) Mark S. Bissell, PE — Bissell Professional Group (Electronic Copy) Beth Buffington — Protection and Enforcement Branch (Electronic Copy) Digital Permit Archive (Electronic Copy) Central Files NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION DEPARTMENT OF ENVIRONMENTAL QUALITY RALEIGH HIGH -RATE INFILTRATION SYSTEM PERMIT In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended, and other applicable Laws, Rules and Regulations PERMISSION IS HEREBY GRANTED TO HCT Pender, LLC Pender County FOR THE operation of an 800,000 gallon per day (GPD) wastewater treatment and high -rate infiltration facility consisting of: construction and operation of a 100,000 GPD Phase 1 wastewater treatment and high -rate infiltration facility consisting of: a manual bar screen with 1-inch openings; three 10,520 gallon aerated flow equalization basins with audible/visual high water alarms, two 70 gallon per minute (GPM) equalization transfer pumps, and served by an 85 cubic feet per minute (CFM) blower and a coarse bubble diffuser system; a flow splitter box with chemical feed for alkalinity adjustment; four 10,520 gallon pre -anoxic basins each with a submersible anoxic mixer; six 10,520 gallon aeration basins served by three 235 CFM main plant blowers (two duty and one spare), a fine bubble diffuser system, and two '/2 horsepower (hp) return activated sludge recycle pumps; two 6,010 gallon post -anoxic basins each with a submersible anoxic mixer with chemical feed for carbon source addition; two 4,187 gallon re -aeration basins served by the main plant blowers and a fine bubble diffuser system, and chemical feed for phosphorus removal; four hopper bottom type clarifier cells with a total volume of 6,279 gallons with sludge airlift served by the main plant blowers; three 96 square foot (ft2) Pyradeck ' fixed media filters each with a 100 GPM media dewatering pump; an ultraviolet (UV) disinfection system consisting of four UV units with four lamps each, and a UV intensity monitor; an ultrasonic effluent flow meter; a turbidity monitor; three 10,520 gallon aerobic sludge storage tanks served by the main plant blowers and a coarse bubble diffuser system, and a 1/2 hp digester decant pump each; an operator's building with chemical storage for alkalinity adjustment, carbon source, and phosphorous removal; a 550 kilowatt (kW) diesel powered emergency generator; an effluent pump station with two 347 GPM transfer pumps; approximately 320 linear feet (LF) of 8-inch PVC effluent force main; a 1.38 million gallon (MG) high rate infiltration basin (Basin # 1) to be loaded at a rate of 5.33 gallons per day per square foot (GPD/ft2); a magnetic flow meter for measuring flow into Basin #1; approximately 4,675 LF of 12-inch perforated PVC groundwater lowering pipe; a groundwater pump station with two 496 GPM dewatering pumps and a groundwater flow meter; approximately 4,600 LF of 12-inch PVC force main for transporting dewatered groundwater (Phase 1 average = 254,874 GPD) to an existing lake for irrigation use (existing lake discharge to UT of NE Cape Fear River); and all associated piping, valves, controls, and appurtenances; the WQ0033710 Version 2.0 Shell Version 151201 Page 1 of 12 construction and operation of a 200,000 GPD Phase 2 wastewater treatment and high -rate infiltration facility consisting of: the previously constructed Phase 1 treatment and infiltration facilities; three 10,520 gallon aerated flow equalization basins with audible/visual high water alarms, served by an 85 CFM blower and a coarse bubble diffuser system; four 10,520 gallon pre -anoxic basins each with a submersible anoxic mixer; six 10,520 gallon aeration basins served by two new 235 CFM main plant blowers (using spare from Phase 1), a fine bubble diffuser system, and two % hp return activated sludge recycle pumps; two 6,010 gallon post -anoxic basins each with a submersible anoxic mixer with chemical feed for carbon source addition; two 4,187 gallon re -aeration basins served by the main plant blowers and a fine bubble diffuser system, and chemical feed for phosphorus removal; four hopper bottom type clarifier with a total volume of 6,279 gallons with sludge airlift served by the main plant blowers; three 96 ftz Pyradeck ® fixed media filters each with a 100 GPM media dewatering pump; three 10,520 gallon aerobic sludge storage tanks served by the main plant blowers and a coarse bubble diffuser system, and a '/z hp digester decant pump each; use of existing groundwater lowering system equipment to transport dewatered groundwater (Phase 2 average = 347,970 GPD) to existing lake for irrigation use (existing lake discharge to UT of NE Cape Fear River); and all associated piping, valves, controls, and appurtenances; the construction and operation of a 400,000 GPD Phase 3 wastewater treatment and high -rate infiltration facility consisting of: the previously constructed Phases I and 2 treatment and infiltration facilities; a mechanical fine screen with a 2.0 MGD capacity; conversion of seven 10,520 gallon Phase I tanks to be used in conjunction with three 10,520 existing Phase 1 equalization tanks for aerated flow equalization, served by a 235 CFM blower and a 85 CFM blower (converted from Phase 1), a coarse bubble diffuser system, and two 278 GPM equalization transfer pumps; a flow splitter box; two 42,935 gallon pre -anoxic basins each with two 4.3 hp pre -anoxic mixers and chemical feed for alkalinity control; two 122,000 gallon aeration basins served by three 500 CFM main plant blowers (two duty and one standby), a fine bubble diffuser systems, and two 1.5 hp return activated sludge recycle pumps; two 16,755 gallon post -anoxic basins each with a 4.3 hp submersible anoxic mixer and chemical feed for carbon source addition; two 16,755 gallon re -aeration basins served by the main plant blowers and a fine bubble diffuser system; two 83,776 gallon rectangular mechanical clarifiers with sludge airlift served by the main plant blowers; two 220 ft' multi -media sand filters with a 220 CFM air scour blower; a 19,250 gallon clearwell with two 1,760 GPM backwash pumps; a 19,250 gallon mudwell with two 120 GPM wasting pumps; conversion of nine 10,520 gallon Phase 2 tanks in conjunction with three 10,520 gallon existing Phase 2 sludge storage tanks to be used as aerobic sludge storage served by two 235 CFM blowers and an 85 CFM blower (converted from Phase 1) and a coarse bubble diffuser system; use of the Phase 1/2 effluent pump station with two new 1,389 GPM pumps; approximately 430 LF of 8-inch PVC effluent force main; a 0.72 MG high rate infiltration basin (Basin #2) to be loaded at a rate of 5.33 GPD/ft2; a magnetic flow meter for measuring flow into Basin #2; approximately 1,231 LF of 12-inch perforated PVC groundwater lowering pipe; use of the Phase 1/2 groundwater pump station with two new 1,418 GPM dewatering pumps and the groundwater flow meter from Phase 1/2 for transporting dewatered groundwater (Phase 3 average = 586,036 GPD) to existing lake for irrigation use (existing lake discharge to UT of NE Cape Fear River); and all associated piping, valves, controls, and appurtenances; and the WQ0033710 Version 2.0 Shell Version 151201 Page 2 of 12 construction and operation of a 400,000 GPD Phase 4 wastewater treatment and high -rate infiltration facility consisting of: the previously constructed Phases 1, 2, and 3 treatment and infiltration facilities; the conversion of 10 10,520 gallon Phase 1 tanks to be used for aerated flow equalization, served by a 235 CFM blower and an 85 CFM blower (converted from Phase 2), a coarse bubble diffuser system, decommissioning of the Phase 3 dual 278 GPM equalization transfer pumps and replacement with two 556 GPM equalization transfer pumps; two 42,935 gallon pre -anoxic basins each with two 4.3 hp pre -anoxic mixers and chemical feed for alkalinity control; two 122,000 gallon aeration basins served by two new 500 CFM main plant blowers, a fine bubble diffuser system, and two 1.5 hp return activated sludge recycle pumps; two 16,755 gallon past -anoxic basins each with a 4.3 hp submersible anoxic mixer and chemical feed for carbon source addition; two 16,755 gallon re -aeration basins served by the main plant blowers and a fine bubble diffuser system; two 83,776 gallon rectangular mechanical clarifiers with sludge airlift served by the main plant blowers; two 220 ft2 multi -media sand filters with a 220 CFM air scour blower; a 19,250- gallon clearwell with two 1,760 GPM backwash pumps; a 19,250 gallon mudwell with two 120 GPM wasting pumps; conversion of ten 10,520 gallon and three 5,430 gallon Phase 2 tanks plus a 5,430 gallon Phase 1 tank to be used as aerobic sludge storage served by a 235 CFM blower (converted from Phase 1) and a new 306 CFM blower and a coarse bubble diffuser system; use of the Phase 3 effluent pump station with existing dual 1,389 GPM pumps; approximately 295 LF of 8-inch PVC effluent force main; a 0.14 MG high rate infiltration basin (Basin #3) to be loaded at a rate of 5.33 GPD/ft; a magnetic flow meter for measuring flow into Basin 43; and approximately 1,172 LF of 12-inch perforated PVC groundwater lowering pipe; use of the Phase 3 groundwater pump station with existing dual 1,418 GPM dewatering pumps and the groundwater flow meter from Phase 3 for transporting dewatered groundwater (Phase 4 average = 1,020,870 GPD) to existing lake for irrigation use (existing lake discharge to UT of NE Cape Fear River); and all associated piping, valves, controls, and appurtenances to serve 5,895 bedrooms for 1,965 residential units, 400,000 ft' of retail space, 200,000 ft' of supermarket space, office facilities for approximately 800 employees, and restaurant/lounge space to accommodate approximately 315 seats at Lanes Ferry, with no discharge of wastes to surface waters, pursuant to the application received November 7, 2016, and subsequent additional information received by the Division of Water Resources, and in conformity with the project plans, specifications, and other supporting data subsequently filed and approved by the Department of Environmental Quality and considered a part of this permit. This permit shall be effective from the date of issuance until April 30, 2022, shall void Permit No. WQ0033710 issued April 29, 2009, and shall be subject to the following specified conditions and limitations: I. SCHEDULES Upon completion of construction and prior to operation of Phases 1, 2, 3, and 4, a certification (attached) shall be submitted from a licensed North Carolina Professional Engineer certifying that the permitted facility has been installed in accordance with this permit, Division approved plans and specifications, and other supporting documentation, including the location of all monitoring wells as applicable. If this project is to be completed in phases and partially certified, the P_ermittee shall retain the res onsibili to track further construction -approved under the same permit, and shall provide a final certificate of completion once the entire project has been completed. Mail the Certification to the Division of Water Resources, Water Quality Permitting Section, 1617 Mail Service Center, Raleigh, NC 27699-1617. [15A NCAC 02T .0116(a)] WQ0033710 Version 2.0 Shell Version 151201 Page 3 of 12 2. Upon completion of construction and prior to operation of high -rate infiltration Basin # 1, the facilities shall be tested for functionality and adequate infiltration capacity pursuant to Chapter 10 of the Operation and Maintenance Plan submitted to the Division on February 11, 2009. The Wilmington Regional Office, telephone number (910) 796-7215, shall be notified at least 48 hours in advance (excluding weekends and holidays) of such testing so that an in -place inspection can be made. Such notification to the regional supervisor shall be made during normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State Holidays. The results of basin testing and subsequent model verification shall be signed and sealed by a North Carolina licensed Geologist and submitted to the Division of Water Resources, 1636 Mail Service Center, Raleigh, NC 27699-1636. The requested information must be received and approved in writing by the Division prior to the operation of the subject facility. [15A NCAC 02T .0108(b)(2)] Upon completion of construction and prior to operation of high -rate infiltration Basins #2 and #3, the basins shall be inspected by a North Carolina licensed Professional Geologist to verify that the constructed basin will be capable of receiving the wastewater at the permitted loading rates. The results of this inspection, along with the results of any testing performed, shall be signed, sealed and submitted to the Division of Water Resources, 1636 Mail Service Center, Raleigh, NC 27699-1636. The requested information must be received and acknowledged in writing by the Division prior to operation of the subject facilities. [15A NCAC 02T .0108(b)(2)] 4. The Wilmington Regional Office, telephone number (910) 796-7215, shall be notified at least 48 hours in advance (excluding weekends and holidays) of operation of the installed facilities such that an in - place inspection can be made. Notification to the regional supervisor shall be made from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State Holidays. [15A NCAC 02T .0108(b)(2)] 5. Piezometers PZ-1 through PZ-7 shall be approved by the Wilmington Regional Office, telephone number (910) 796-7215 prior to installation. Piezometers PZ-1, PZ-2, and PZ-7 shall be installed prior to beginning waste disposal operations at Infiltration Basin #1. Piezometers PZ-3 and PZ-4 shall be installed prior to beginning waste disposal operational at Infiltration Basin #2. Piezometers PZ-5 and PZ-6 shall be installed prior to beginning waste disposal operations at Infiltration Basin #3. The regional office shall be notified at least 48 hours prior to (excluding weekends and holidays) the construction of any monitoring well. Such notification to the regional supervisor shall be made during normal office hours from 8:00 a.m. until 5:00 p.m., on Monday through Friday, excluding State Holidays. The piezometers shall be constructed such that the water level in the well is never above or below the screened (open) portion of the well at any time during the year in accordance with 15A NCAC 02C .0108. The general location and name for each well is marked on Figure 1. See also well construction form submittal requi9rements in Section IV. of this permit. [15A NCAC 02T .0108(b)(2)] Within 60 days of the effective date of this permit, the two (2) existing monitoring wells shall be permanently abandoned. Within 30 days of abandonment, a Well Abandonment Record (Form GW- 30) listing this permit number and the appropriate monitoring well identification number shall be completed for each well abandoned and mailed to the Division of Water Resources, Water Quality Permitting Section, 1617 Mail Service Center, Raleigh, NC 27699-1617. A North Carolina Certified Well Contractor shall abandon the monitoring wells according to the North Carolina Well Construction Standards (15A NCAC 02C .0113) and local county rules. [15A NCAC 02C ,011, 02T .0108(b)(2)] 7. Gauges to monitor waste levels in the 1.38 million gallon (MG) high rate infiltration basin (Basin 41), the 0.72 MG high rate infiltration basin (Basin 92), and the 0.14 MG high rate infiltration basin (Basin 43) shaIl be installed prior to operation. [15A NCAC 02T .0108(b)(2), 02T .0705(c)] No later than six months prior to the expiration of this permit, the Permittee shall request renewal of this permit on official Division forms. Upon receipt of the request, the Division will review the adequacy of the facilities described therein, and if warranted, will renew the permit for such period of time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal application. [15A NCAC 02T .0105(d), 02T .0106, 02T .0109, 02T .0115(c)] WQ0033710 Version 2.0 Shell Version 151201 Page 4 of 12 9. if the subject wastewater treatment or infiltration facilities are in noncompliance with the terms and conditions of this permit, governing statutes or regulations, the subject facilities shall be connected to an operational publicly owned wastewater collection system within 180 days of its availability. Prior to the initiation of these connection activities, appropriate Division approval shall be received. [15A NCAC 02H .0404(e)] II. PERFORMANCE STANDARDS 1. The subject non -discharge facilities shall be effectively maintained and operated at all times so there is no discharge to surface waters, nor any contravention of groundwater or surface water standards. In the event the facilities fail to perform satisfactorily, including the creation of nuisance conditions due to improper operation and maintenance, or failure of the infiltration areas to adequately assimilate the effluent, the Permittee shall take immediate corrective actions including Division required actions, such as the construction of additional or replacement wastewater treatment or infiltration facilities. [G.S. 143-215.1, 143-213.3(a)] 2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or surface water resulting from the operation of this facility. [ 15A NCAC 02B .0200, 02L A 100] 3. All wells constructed for purposes of groundwater monitoring shall be constructed in accordance with 15A NCAC 02C .0108 (Standards of Construction for Wells Other than Water Supply), and any other jurisdictional laws and regulations pertaining to well construction. [15A NCAC 02C .0108] 4. Effluent quality shall not exceed the limitations specified in Attachment A. [15A NCAC 02T .0108(b)(1), 02T .0705(b)] 5. Application rates, whether hydraulic, nutrient or other pollutant, shall not exceed those specified in Attachment B. [15A NCAC 02T .0705(m)] 6. The Operational Agreement (attached) between the Permittee and the Environmental Management Commission is incorporated herein by reference and shall be a condition of this permit. Noncompliance with the terms of the Operational Agreement shall subject the Permittee to all sanctions provided by North Carolina General Statutes § 143-215.6A to § 143-215.6C for violation of or failure to act in accordance with the terms and conditions of this permit. [15A NCAC 02T .0115] 7. A usable green area shall be maintained for effluent disposal. The green area shall contain at least 1,000 square feet of open green area for each residential unit served, or 2,500 square feet per thousand gallons per day of waste flow, whichever is less. A green area is defined as an area suitable for waste disposal, either in its natural state or which has been modified by planting a vegetative cover of grasses or low growing shrubbery. [ 15A NCAC 02H .0404(g)(7)] 8. This disposal system was individually permitted on or after December 30, 1983; therefore, the compliance boundary is established at either 250 feet from the effluent disposal area, or 50 feet within the property boundary, whichever is closest to the effluent disposal area. An exceedance of groundwater standards at or beyond the compliance boundary is subject to remediation action according to 15A NCAC 02L .0106(d)(2) as well as enforcement actions in accordance with North Carolina General Statute 143-215.6A through 143-215.6C. [15A NCAC 02L .0106(d)(2), 02L .0107(b)] 9. In accordance with 15A NCAC 02L .0108, the review boundary is established midway between the compliance boundary and the effluent disposal area. Any exceedance of groundwater standards at the review boundary shall require action in accordance with 15A NCAC 02L .0106. [15A NCAC 02L .0106, 02L .0108] 10. The Permittee shall apply for a permit modification to establish a new compliance boundary prior to any sale or transfer of property affecting a compliance boundary. [ 15A NCAC 02L .0107(c)] WQ0033710 Version 2.0 Shell Version 151201 Page 5 of 12 11. In accordance with 15A NCAC 02L .0107(d), no wells, excluding Division approved monitoring wells, shall be constructed within the compliance boundary except as provided for in 15A NCAC 02L .0107(g). [15A NCAC 02L .0107] 12. Except as provided for in 15A NCAC 02L .0107(g), the Permittee shall ensure any landowner who is not the Permittee, and owns land within the compliance boundary shall execute and file with the Pender County Register of Deeds an easement running with the land containing the following items: a. A notice of the permit and number or other description as allowed in 15A NCAC 02L .0107(f)(1); b. Prohibits construction and operation of water supply wells within the compliance boundary; and c. Reserves the right of the Permittee or the State to enter the property within the compliance boundary for purposes related to the permit. The Director may terminate the easement when its purpose has been fulfilled or is no longer needed. [ 15A NCAC 02L .0107(f)] 13. The facilities permitted herein shall be constructed according to the following setbacks: a. The setbacks for high -rate infiltration sites permitted under 15A NCAC 02T .0700 shall be as follows (all distances in feet): i. Any habitable residence or place of public assembly under separate ownership: 400 ii. Any habitable residence or place of public assembly owned by the Permittee: 200 iii. Any private or public water supply source: 100 iv. Surface waters: 100' v. Groundwater lowering ditches: 1001 vi. Surface water diversions: 50 vii. Any well with exception of monitoring wells: 100 viii. Any property line: 200 ix. Top of slope of embankments or cuts of two feet or more in vertical height: 100 x. Any water line from a disposal system: 10 xi. Subsurface groundwater lowering drainage systems: 100, xii. Any swimming pool: 100 xiii. Public right of way: 50 xiv. Nitrification field: 20 xv. Any building foundation or basement: 15 xvi. Impounded public water supplies: 500 xvii. Public shallow groundwater supply: 500 ' Setbacks to surface waters, groundwater lowering ditches and subsurface groundwater lowering drainage systems have been reduced to 100 feet because the treatment units are designed to meet a Total Nitrogen of 7 mg/L and a Total Phosphorus of 3 mg/L in accordance with 15A NCAC 02T .0706(b). [15A NCAC 02T .0706(a), 02T .0706(b)] WQ0033710 Version 2.0 Shell Version 151201 Page 6 of 12 b. The setbacks for storage and treatment units permitted under 15A NCAC 02T .0700 shall be as follows (all distances in feet): i. Any habitable residence or place of public assembly under separate ownership: 100 ii. Any private or public water supply source: 100 iii. Surface waters: 50 iv. Any well with exception of monitoring wells: 100 v. Any property line: 50 [15A NCAC 02T .070b(d)] III. OPERATION AND MAINTENANCE REQUIREMENTS 1. The facilities shall be properly maintained and operated at all times. The facilities shall be effectively maintained and operated as a non -discharge system to prevent the discharge of any wastewater resulting from the operation of this facility. The Permittee shall maintain an Operation and Maintenance Plan, which at a minimum shall include operational functions, maintenance schedules, safety measures and a spill response plan. [ 15A NCAC 02T .0707] 2. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC) classification of the subject non -discharge facilities, in accordance with 15A NCAC 08G .0200 the Permittee shall designate and employ a certified operator in responsible charge (ORC) and one or more certified operator(s) as back-up ORC(s). The ORC or their back-up shall visit the facilities in accordance with 15A NCAC 08G .0200, and shall comply with all other conditions specified in the previously cited rules. [15A NCAC 02T .0117] 3. Only effluent from the Lanes Ferry WWTP shall be infiltrated on the sites listed in Attachment B. [G.S. 143-215.1] 4. An automatically activated standby power source capable of powering all essential treatment units shall be on site and operational at all times. if a generator is employed as an alternate power supply, it shall be tested weekly by interrupting the primary power source. [15A NCAC 02H .0404(g)(3)] No automobiles or machinery shall be allowed on the infiltration sites except during equipment installation or while maintenance is being performed. [15A NCAC 02T .0108(b)(1)] G. Public access to the infiltration sites and wastewater treatment facilities shall be prohibited. [15A NCAC 02T .0705(p)] The residuals generated from the wastewater treatment facilities shall be disposed or utilized in accordance with 15A NCAC 02T .1100. The Permittee shall maintain a residual management plan pursuant to 15A NCAC 02T .0708. [15A NCAC 02T .0708, 02T .1100] 8. Diversion or bypassing of untreated or partially treated wastewater from the treatment facilities is prohibited. [15A NCAC 02T .0705(i) 9. Freeboard in the 1.38 million gallon (MG) high rate infiltration basin (Basin #1), the 0.72 MG high rate infiltration basin (Basin #2), and the 0.14 MG high rate infiltration basin (Basin 93) shall not be less than two feet at anytime. [15A NCAC 02T .0705(c)] 10. Gauges to monitor waste levels in the 1.38 million gallon (MG) high rate infiltration basin (Basin #1), the 0.72 MG high rate infiltration basin (Basin 42), and the 0.14 MG high rate infiltration basin (Basin 43) shall be provided. These gauges shall have readily visible permanent markings, at inch or tenth of a foot increments, indicating the following elevations: maximum liquid level at the top of the temporary liquid storage volume; minimum liquid level at the bottom of the temporary liquid storage volume; and the lowest point on top of the dam. [15A NCAC 02T .0108(b)(1)] WQ0033710 Version 2.0 Shell Version 151201 Page 7 of 12 11. A protective vegetative cover shall be established and maintained on all earthen embankments (i.e., outside toe of embankment to maximum allowable temporary storage elevation on the inside of the embankment), berms, pipe runs, erosion control areas, and surface water diversions. Trees, shrubs, and other woody vegetation shall not be allowed to grow on the earthen dikes or embankments. Earthen embankment areas shall be kept mowed or otherwise controlled and accessible. [15A NCAC 02T .0108(b)(1)] 12. The infiltration basins shall be periodically cleaned to remove deposited materials that may impede the infiltration process. Cleaning records shall be maintained at the facility for a period of no less than five years, and shall be made available to the Division upon request. The Wilmington Regional Office, telephone number (910) 796-7215, shall be notified prior to each cleaning. [15A NCAC 02T .0108(b)(1)] IV. MONITORING AND REPORTING REQUIREMENTS 1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water analyses) necessary to ensure groundwater and surface water protection shall be established, and an acceptable sampling reporting schedule shall be followed. [ 15A NCAC 02T .0108(c)] 2. A Division certified laboratory shall conduct all laboratory analyses for the required effluent, groundwater or surface water parameters. [15A NCAC 02H .0800] 3. Flow through the treatment facility shall be continuously monitored, and daily flow values shall be reported on Form NDMR. The Permittee shall install and maintain an appropriate flow measurement device to ensure the accuracy and reliability of flow measurement consistent with accepted engineering and scientific practices. Selected flow measurement devices shall be capable of measuring flows with a maximum deviation of less than ten percent from true flow; accurately calibrated at a minimum of once per year; and maintained to ensure the accuracy of measurements is consistent with the selected device's accepted capability. The Permittee shall maintain records of flow measurement device calibration on file for a period of at least five years. At a minimum, documentation shall include: a. Date of flow measurement device calibration, b. Name of person performing calibration, and c. Percent from true flow. [ 15A NCAC 02T .0105(k)] 4. The Permittee shall monitor the effluent from the subject facilities at the frequencies and locations for the parameters specified in Attachment A. [15A NCAC 02T .0108(c)] The Permittee shall maintain adequate records tracking the amount of effluent infiltrated. At a minimum, these records shall include the following information for each infiltration site listed in Attachment B: a. Date of infiltration; b. Volume of effluent infiltrated; c. Site infiltrated; d. Loading rates to each infiltration site listed in Attachment B; and e. Weather conditions. [15A NCAC 02T .0108(c)] 6. Freeboard (i.e., waste level to the lowest embankment elevation) in the 1.38 million gallon (MG) high rate infiltration basin (Basin # 1), the 0.72 MG high rate infiltration basin (Basin #2), and the 0.14 MG high rate infiltration basin (Basin 93) shall be measured to the nearest inch or tenth of a foot, and recorded weekly. Weekly freeboard records shall be maintained at the facility for a period of no less than five years, and shall be made available to the Division upon request. [15A NCAC 02T .0108(c)] WQ0033710 Version 2.0 Shell Version 151201 Page 8 of 12 7. Three copies of all monitoring data (as specified in Conditions IV.3. and IVA.) on Form NDMR for each PPI and three copies of all operation and disposal records (as specified in Conditions IV.5. and IV.6.) on Form NDAR-2 for every site in Attachment B shall be submitted on or before the last day of the following month. If no activities occurred during the monitoring month, monitoring reports are still required documenting the absence of the activity. All information shall be submitted to the following address: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [15A NCAC 02T .0105(1)] 8. Pursuant to § 143-215.1 C., and beginning with Phase 2 and continuing through Phase 4 of this permit, the Permitee shall provide to its users and the Division of Water Resources an annual report summarizing the performance of the wastewater treatment and infiltration facility and the extent to which the facility has violated this permit, or federal or State laws, regulations, or rules related to the protection of water quality. This report shall be prepared on either a calendar or fiscal year basis and shall be provided no later than 60 days after the end of the calendar or fiscal year. Two copies of the annual report provided to the Permittee's users shall be submitted to: Division of Water Resources Water Quality Permitting Section 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [G.S. 143-215.1C] 9. A record shall be maintained of all residuals removed from this facility. This record shall be maintained at the facility for a period of no less than five years, and shall be made available to the Division upon request. At a minimum, this record shall include: a. Name of the residuals hauler; b. Non -Discharge permit number authorizing the residuals disposal, or a letter from a municipality agreeing to accept the residuals; c. Date the residuals were hauled; and d. Volume of residuals removed. [15A NCAC 02T .0108(b)(1)] 10. A maintenance Iog shall be maintained at this facility. This log shall be maintained at the facility for a period of no less than five years, and shall be made available to the Division upon request. At a minimum, this log shall include: a. Date and results of power interruption testing on alternate power supply; b. Date of calibration of flow measurement device; c. Visual observations of the plant and plant site; and d. Record of preventative maintenance (e.g., changing of equipment, adjustments, testing, inspections and cleanings, etc.). [15ANCAC 02T .0108(b)(1)] WQ0033710 Version 2.0 Shell Version 151201 Page 9 of 12 11. Noncompliance Notification: The Permittee shall report by telephone to the Wilmington Regional Office, telephone number (910) 796-7215, as soon as possible, but in no case more than 24 hours, or on the next working day following the occurrence or first knowledge of the occurrence of any of the following: a. Treatment of wastes abnormal in quantity or characteristic, including the known passage of a hazardous substance. b. Any process unit failure (e.g., mechanical, electrical, etc.), due to known or unknown reasons, rendering the facility incapable of adequate wastewater treatment. c. Any facility failure resulting in a by-pass directly to receiving surface waters. d. Any time self -monitoring indicates the facility has gone out of compliance with its permit limitations. e. Effluent breakout from the infiltration basins. Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency Response personnel at telephone number (800) 662-7956, (800) 858-0368, or (919) 733-3300. Persons reporting such occurrences by telephone shall also file a written report in letter form within five days following first knowledge of the occurrence. This report shall outline the actions taken or proposed to betaken to ensure the problem does not recur. [ 15A NCAC 02T .0105(1), 02T .0108(b)(1)] V. INSPECTIONS 1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the wastewater treatment and infiltration facilities. [15A NCAC 02T .0108(b)] 2. The Permittee or their designee shall inspect the wastewater treatment and infiltration facilities to prevent malfunctions, facility deterioration and operator errors resulting in discharges, which may cause the release of wastes to the environment, a threat to human health or a public nuisance. The Permittee shall maintain an inspection log that includes, at a minimum, the date and time of inspection, observations made, and any maintenance, repairs, or corrective actions taken. The Permittee shall maintain this inspection log for a period of five years from the date of the inspection, and this log shall be made available to the Division upon request. [ I5A NCAC 02T .0108(b)] 3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect any property, premises or place on or related to the wastewater treatment and infiltration facilities permitted herein at any reasonable time for the purpose of determining compliance with this permit; may inspect or copy any records required to be maintained under the terms and conditions of this permit, and may collect groundwater, surface water or leachate samples. [G.S. 143-21.5.3(a)(2)] III. GENERAL CONDITIONS 1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to an enforcement action by the Division in accordance with North Carolina General Statutes 143-215.6A to 143-215.6C. [G.S. 143-215.6A to 143-215.6C] 2. This permit shall become voidable if the permitted facilities are not constructed in accordance with the conditions of this permit, the Division approved plans and specifications, and other supporting documentation. [15A NCAC 02T .0110] 3. This permit is effective only with respect to the nature and volume of wastes described in the permit application, Division approved plans and specifications, and other supporting documentation. No variances to applicable rules governing the construction or operation of the permitted facilities are granted, unless specifically requested and approved in this permit pursuant to 15A NCAC 02T .0105(n). [G.S. 143-21.5.1 ] WQ0033710 Version 2.0 Shell Version 151201 Page 10 of 12 4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes, rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies (e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4 and under General Permit NCGO10000; any requirements pertaining to wetlands under 15A NCAC 02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of Chapter 143 of the General Statutes. [15A NCAC 02T .0105(c)(6)] In the event the permitted facilities change ownership or the Permittee changes their name, a formal permit modification request shall be submitted to the Division. This request shall be made on official Division forms, and shall include appropriate properly ownership documentation and other supporting documentation as necessary. The Permittee of record shall remain fully responsible for maintaining and operating the facilities permitted herein until a permit is issued to the new owner. [ 15A NCAC 02T .0104] 6. The Permittee shall retain a set of Division approved plans and specifications for the life of the facilities permitted herein. [15A NCAC 02T .0108(b)(1)] 7. The Permittee shall maintain this permit until all permitted facilities herein are properly closed or permitted under another permit issued by the appropriate permitting authority. [15A NCAC 02T .01050)] 8. This permit is subject to revocation or unilateral modification upon 60 days notice froze. the Division Director, in whole or part for the requirements listed in 15A NCAC 02T .0110. [ 15A NCAC 02T .0110] 9. Unless the Division Director grants a variance, expansion of the permitted facilities contained herein shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T .0120(b). [ 15A NCAC 02T .0120] 10. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to pay the annual fee accordingly shall be cause for the Division to revoke this permit. [15A NCAC 02T .0105(e)(3)] Permit issued this the 26' day of May 2017 NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION �S. Jay Zimmerman, P.G., Director Division of Water Resources By Authority of the Environmental Management Commission Permit Number WQ0033710 WQ0033710 Version 2.0 Shell Version 151201 Page 11 of 12 Permit No. WQ0033710 HCT Pender, LLC Lanes Ferry WWTP ENGINEERING CERTIFICATION ❑ Partial ❑ Final High -Rate Infiltration System May 26, 2017 Pender County In accordance with 15A NCAC 02T .0116, I, , as a duly registered Professional Engineer in the State of North Carolina, having the Permittee's authorization to ❑ periodically ❑ weekly ❑ fully observe the construction of the permitted facility, hereby state to the best of my abilities that due care and diligence was used in the observation of the construction, such that the facility was built within substantial compliance and intent of this permit, the Division -approved plans and specifications, and other supporting documentation. ❑ Any variation to this permit, the Division -approved plans and specifications, and other supporting documentation has been documented in the attached as -built drawings, and shall serve as the Permittee's minor modification request to amend the permit accordingly. Provide a brief narrative description of any variations: Professional Engineer's Name Engineering Firm Mailing Address City Telephone E-mail State Zip NC PE & Date THE COMPLETED ENGINEERING CERTIFICATION, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS: NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES WATER QUALITY PERMITTING SECTION NON -DISCHARGE PERMITTING UNIT By U.S. Postal Service: 1617 MAIL SERVICE CENTER By Courier/Special Delivery: 512 N. SALISBURY ST. RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604 WQ0033710 Version 2.0 Shell Version 151201 Page 12 of 12 I O. S. O O o p o o 02 O O O E U E P t CJ R E J F �'" F-i F' sue, C4 u u U u ci U U U C4 I � I � a � [0 ii I •� i _T io a; w � i c C W O O O i o � o � ^ U z oc O 0 to u 6.0 0 0 c � O � .� 0 0� o o W) o N 0 O 0 O 1p o O 0 M �o 10 vy � On C. 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M M M z 0 y U a � a a � a U U U x x x � F .W- cl Q SM % % _ \ � \ § \ G / § E 8 \ k \ man M- Q ) / ■ 0 STATE OF NORTH CAROLINA COUNTY OF Pender Permit No. W00033710 M OPERATIONAL AGREEMENT This AGREEMENT made pursuant to G.S. 143-215.1 (dl) and entered into this day , by and between the North Carolina Environmental Management Commission, an agency of the State of North Carolina, hereinafter known as the COMMISSION; and HCT Pender, LLC , a corporation/general partnership registered/licensed to do business in the State of North Carolina, hereinafter known as the DEVELOPER. WITNESSETH: 1. The DEVELOPER is the owner of the certain lands lying in Pender County, upon which it is erecting and will erect dwelling units and other improvements, said development to be known as Lane's Ferryat Rocky Point (hereinafter the Development). 2. The DEVELOPER desires, to construct a wastewater collection system with pumps, wastewater treatment works, and/or disposal facilities (hereinafter Disposal System) to provide sanitary sewage disposal to serve the Development on said lands. 3. The DEVELOPER has applied to the COMMISSION for the issuance of a permit pursuant to G.S. 143- 215.1 to construct, maintain, and operate the Disposal System. 4. The DEVELOPER has created or shall create unit ownership in said dwellings units, other improvements and lands through filing of a Declaration of Unit Ownership (hereinafter Declaration), pursuant to Chapter 47C of the North Carolina General Statutes. 5. The DEVELOPER has caused to be formed or will cause to be formed at the time of filing of the Declaration, the Unit Owners' Association Lanes FerpLksagdation, Inc. (hereinafter Association), a non-profit corporation organized and existing under and by the virtue of the laws of the State of North Carolina, for the purpose, among others, of handling the property, affairs and business of the Development; of operating, maintaining, re -constructing and repairing the common elements of the lands and improvements subject to unit ownership, including the Disposal System; and of collecting dues and assessments to provide funds for such operation, maintenance, re -construction and repair. 6. The COMMISSION desires to assure that the Disposal System of the Development is properly constructed, maintained and operated in accordance with law and permit provisions in order to protect the quality of the waters of the State and the public interest therein. NOW, THEREFORE, in consideration of the promises and the benefits to be derived by each of the parties hereto, the COMMISSION and DEVELOPER do hereby mutually agree as follows: I. The DEVELOPER shall construct the Disposal System in accordance with the permit and plans and specifications hereafter issued and approved by the COMMISSION, and shall thereafter properly operate and maintain such systems and facilities in accordance with applicable permit provisions and law. 2. The DEVELOPER shall not transfer ownership and/or control of the Disposal System to the Association until construction has been completed in accordance with the permit and approved plans, and the staff of the Division of Water Resources has inspected and approved of the facilities. In order to change the name of the permit holder, the DEVELOPER must request that the permit be reissued to the Association. The request must include a copy of the Association Bylaws and Declaration. 3. The DEVELOPER shall not transfer, convey, assign or otherwise relinquish or release its responsibility for the operation and maintenance of its Disposal System until a permit has been reissued to the DEVELOPER's successor. FORM: DEV 01-15 Page I of 2 4. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System and appurtenances thereto are part of the common elements and shall thereafter be properly maintained and operated in conformity with law and the provisions of the permit for construction, operation, repair, and maintenance of the system and facilities. The Declaration and Bylaws shall identify the entire wastewater treatment, collection and disposal system as a common element, which will receive the highest priority for expenditures by the Association except for Federal, State, and local taxes and insurance. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System will be maintained out of the common expenses. In order to assure that there shall be funds readily available to repair, maintain or construct the Disposal System, beyond the routine operation and maintenance expenses, the Declaration and Association Bylaws shall provide that a fund be created out of the common expenses. Such fund shall be separate from the routine maintenance funds allocated for the facility and shall be part of the yearly budget. 6. In the event the common expense allocation and separate fund are not adequate for the construction, repair, and maintenance of the Disposal System, the Declaration and Association Bylaws shall provide for special assessments to cover such necessary costs. There shall be no limit on the amount of such assessments, and the Declaration and Bylaws shall provide that such special assessments can be made as necessary at any time. 7. If a wastewater collection system and wastewater treatment and/or disposal facility provided by any city, town, village, county, water and sewer authorities, or other unit of government shall hereinafter become available to serve the Development, the DEVELOPER shall take such action as is necessary to cause the existing and future wastewater of the Development to be accepted and discharged into said governmental system, and shall convey or transfer as much of the Disposal System and such necessary easements as the governmental unit may require as condition of accepting the Development's wastewater. 8. Recognizing that it would be contrary to the public interest and to the public health, safety and welfare for the Association to enter into voluntary dissolution without having made adequate provision for the continued proper maintenance, repair and operation of its Disposal System, the DEVELOPER shall provide in the Association Bylaws that the Association shall not enter into voluntary dissolution without first having transferred its said system and facilities to some person, corporation or other entity acceptable to and approved by the COMMISSION by the issuance of a permit. 9. The agreements set forth in numbered paragraphs 1, 2, 3, 4, 5, 6, 7, and 8 above shall be conditions of any permit issued by the COMMISSION to the DEVELOPER for the construction, maintenance, repair and operation of the Disposal System. 10. A copy of this agreement shall be filed at the Register of Deeds in the County(ies) where the Declaration is filed and in the offices of the Secretary of State of North Carolina with the Articles of Incorporation of the Association. IN WITNESS WHEREOF, this agreement was executed in duplicate originals by the duly authorized representative of the parties hereto on the day and year written as indicated by each of the parties named below: FOR THE ENVIRONMENTAL HCT Pender, LLC MANAGEMENT COMMISSION Name of DEVELOPER B C, Jj Jay Zimmerman, Director (Signature) Division of Water Resources (Date) Christian H. Trask, Member Manager Print Name and Title (Date) FORM: DEV 01-15 Page 2 of STATE OF NORTH CAROLINA COUNTY OF Pender Permit No. WQ0033710 ron OPERATIONAL AGREEMENT This AGREEMENT made pursuant to G.S. 143-2151 (dl) and entered into this day , by and between the North Carolina Environmental Management Commission, an agency of the State of North Carolina, hereinafter known as the COMMISSION; and HCT Pender, LLC , a corporation/general partnership registered/licensed to do business in the State of North Carolina, hereinafter known as the DEVELOPER. W ITNESSETH: 1. The DEVELOPER is the owner of the certain lands lying in Pender County, upon which it is erecting and will erect dwelling units and other improvements, said development to be known as Lane's Ferryat Rocky Point (hereinafter the Development). 2. The DEVELOPER desires, to construct a wastewater collection system with pumps, wastewater treatment works, and/or disposal facilities (hereinafter Disposal System) to provide sanitary sewage disposal to serve the Development on said lands. 3. The DEVELOPER has applied to the COMMISSION for the issuance of a permit pursuant to G.S. 143- 215.1 to construct, maintain, and operate the Disposal System. 4. The DEVELOPER has created or shall create unit ownership in said dwellings units, other improvements and lands through filing of a Declaration of Unit Ownership (hereinafter Declaration), pursuant to Chapter 47C of the North Carolina General Statutes. 5. The DEVELOPER has caused to be formed or will cause to be formed at the time of filing of the Declaration, the Unit Owners' Association Lane's Fegy association, Inc. (hereinafter Association), a non-profit corporation organized and existing under and by the virtue of the laws of the State of North Carolina, for the purpose, among others, of handling the property, affairs and business of the Development; of operating, maintaining, re -constructing and repairing the common elements of the lands and improvements subject to unit ownership, including the Disposal System; and of collecting dues and assessments to provide funds for such operation, maintenance, re -construction and repair. 6. The COMMISSION desires to assure that the Disposal System of the Development is properly constructed, maintained and operated in accordance with law and permit provisions in order to protect the quality of the waters of the State and the public interest therein. NOW, THEREFORE, in consideration of the promises and the benefits to be derived by each of the parties hereto, the COMMISSION and DEVELOPER do hereby mutually agree as follows: 1. The DEVELOPER shall construct the Disposal System in accordance with the permit and plans and specifications hereafter issued and approved by the COMMISSION, and shall thereafter properly operate and maintain such systems and facilities in accordance with applicable permit provisions and law. 2. The DEVELOPER shall not transfer ownership and/or control of the Disposal System to the Association until construction has been completed in accordance with the permit and approved plans, and the staff of the Division of Water Resources has inspected and approved of the facilities. In order to change the name of the permit holder, the DEVELOPER must request that the permit be reissued to the Association. The request must include a copy of the Association Bylaws and Declaration. 3. The DEVELOPER shall not transfer, convey, assign or otherwise relinquish or release its responsibility for the operation and maintenance of its Disposal System until a permit has been reissued to the DEVELOPER's successor. FORM: DEV 01-15 Page 1 of 4. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System and appurtenances thereto are part of the common elements and shall thereafter be properly maintained and operated in conformity with law and the provisions of the permit for construction, operation, repair, and maintenance of the system and facilities. The Declaration and Bylaws shall identify the entire wastewater treatment, collection and disposal system as a common element, which will receive the highest priority for expenditures by the Association except for Federal, State, and local taxes and insurance. 5. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System will be maintained out of the common expenses. In order to assure that there shall be funds readily available to repair, maintain or construct the Disposal System, beyond the routine operation and maintenance expenses, the Declaration and Association Bylaws shall provide that a fund be created out of the common expenses. Such fund shall be separate from the routine maintenance funds allocated for the facility and shall be part of the yearly budget. 6. In the event the common expense allocation and separate fund are not adequate for the construction, repair, and maintenance of the Disposal System, the Declaration and Association Bylaws shall provide for special assessments to cover such necessary costs. There shall be no limit on the amount of such assessments, and the Declaration and Bylaws shall provide that such special assessments can be made as necessary at any time. 7. If a wastewater collection system and wastewater treatment and/or disposal facility provided by any city, town, village, county, water and sewer authorities, or other unit of government shall hereinafter become available to serve the Development, the DEVELOPER shall take such action as is necessary to cause the existing and future wastewater of the Development to be accepted and discharged into said governmental system, and shall convey or transfer as much of the Disposal System and such necessary easements as the governmental unit may require as condition of accepting the DeveIopment's wastewater. 8. Recognizing that it would be contrary to the public interest and to the public health, safety and welfare for the Association to enter into voluntary dissolution without having made adequate provision for the continued proper maintenance, repair and operation of its Disposal System, the DEVELOPER shall provide in the Association Bylaws that the Association shall not enter into voluntary dissolution without first having transferred its said system and facilities to some person, corporation or other entity acceptable to and approved by the COMMISSION by the issuance of a permit. 9. The agreements set forth in numbered paragraphs 1, 2, 3, 4, 5, 6, 7, and 8 above shall be conditions of any permit issued by the COMMISSION to the DEVELOPER for the construction, maintenance, repair and operation of the Disposal System. 10. A copy of this agreement shall be filed at the Register of Deeds in the County(ies) where the Declaration is filed and in the offices of the Secretary of State of North Carolina with the Articles of Incorporation of the Association. IN WITNESS WHEREOF, this agreement was executed in duplicate originals by the duly authorized representative of the parties hereto on the day and year written as indicated by each of the parties named below: FOR THE ENVIRONMENTAL HCT Pender, LLC MANAGEMENT COMMISSION Name of DEVELOPER , BY: L.- /1". Z.�/,Qi S. Jay Zimmerman, Director (Signature) Division of Water Resources Christian H. Trask, Member Manager Print Name and Title la - IA - tea/4 - - (Date) (Date) FORM: DEV 01-15 Page 2 of 2