WQ0042788_Application (FTSE)_20210927

Central Files: APS _ SWP _
9/9/2021
Permit Number W00042788 Permit Tracking Slip
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
dean. hunkele
Coastal SWRuIe
Permitted Flow
Facility
Status
Project Type
In review
New Project
Version
Permit Classification
A
Individual
Permit Contact Affiliation
Facility Name Major/Minor Region
206 Goldsboro Drive Private Residential Pump Station Minor Wilmington
Location Address County
206 Goldsboro Dr Onslow
N Topsail Beach NC 2a460
Owner
Owner Name
Prestige Building Group LLC
Dates/Events
Scheduled
Ong Issue App Received Draft Initiated Issuance
8/24/2021
Regulated Activities

STROUD ENGINEERING, P.A. 102-D Cinema DDr`�771V`EnDrive
Wilmington, NC 28403
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WE ARE SENDING YOU Attached ❑ Under separate cover via
❑ Shop drawings
❑ Copy of letter
❑ Prints
❑ Change order
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❑ Plans
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JOB NO.
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ATTENTION
RE:
the following items:
❑ Samples ❑ Specifications
COPIES
DATE
NO.
DESCRIPTION
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THESE ARE TRANSMITTED as checked below:
For approval
❑ For your use
XAs requested
❑ For review and comment
❑ FORBIDS DUE
REMARKS
❑ Approved as submitted
❑ Approved as noted
❑ Returned for corrections
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❑ Resubmit copies for approval
❑ Submit copies for distribution
❑ Return corrected prints
❑ PRINTS RETURNED AFTER LOAN TO US
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COPY TO
SIGNED:
lf enclosures are not as noted, kindly notify us at once. j

State of North Carolina
„ % Department of Environmental Quality
I�^9/{�9/R Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: 1%61 O pia 9" (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: PRESTIGE BUILDING GROUP LLC
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership
❑ Federal ❑ ❑ Municipal
3. Signature authority's name: Title: OLIVIA LAYNE HOWINGTON, MANAGER
4• Applicant's mailing address: 4730 23RD AVE.
City: NORTH TOPSAIL BEACH State: NC Zip 28460
5. Applicant's contact information:
Phone number: (919 _7964425 Email Address: [e-mail]
❑ Privately -Owned Public Utility
❑ Other
11. PROJECT INFORMATION:
I. Project name: 206 GOLDSBORO DRIVE
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000_ and issued date: _
If new construction but part of a master plan, provide the existing permit number: W000_
3. County where project is located: ONSLOW
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.5040 ° Longitude: - 77,39565°
5. Parcel ID (if applicable): 4287-0638-3341
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: James H. Fentress, Jr., PE License Number: 20643
Firm: STROUD ENGINEERING, PA
Mailing address: 102-D CINEMA DR.
City: WILMINGTON State: NC Zip: 28403
Phone number: (910) 815 0 775 Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: NORTH TOPSAIL WWTP Permit Number: W00005849
Owner Name: PLURIS, LLC
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ17535 Downstream (Receiving) Sewer Size: 2 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS_
Owner Name(s): PLURIS, LLC
FORM: FTA 04-16 Pagel of 5

V1. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No X❑N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEVI been attached?
❑ Yes ❑No ❑X N/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
® Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
_ % Industrial (See 15A NCAC 02T .0103(20))
"Is there a Pretreatment Program in effect? [—]Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(fl? ❑ Yes ❑ No
➢ If Yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.0114(D)
Daily Design Flow ",b
No. of Units
Flow
8 BEDROOM BEACH HOUSE
120 gal/ DAY
8
960 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
960 GPD
a See 15A NCAC 02T .01 14(b). (d). (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 960 GPD (per 15A NCAC 02T .0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) I Length (feet) Material
NA
➢ Section I1 & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: PUMP STATION
2. Approximate Coordinates (Decimal Degrees): Latitude: 34.5040 ° Longitude:-77.39565'
3. Design flow of the pump station:0.00096 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 13 gallons per minute at 109 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
2
45
PVC
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B).*
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑X Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
I. Does the project comply with all separations found in 15A NCAC 02T.0305(f) & (e)
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be orovided for sewer systems:
Yes ❑ No
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below vertical
24 inches
Water mains vertical -water over sewer including in benched trenches)
18 inches
Water mains horizontal
10 feet
Reclaimed water lines vertical - reclaimed over sewer
18 inches
Reclaimed water lines horizontal - reclaimed over sewer
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HOW, or SB from normal
high water or tide elevation and wetlands see item IX.2
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top sloe of embankment or cuts of 2 feet or more vertical height
10 feet
Drains e systems and interceptor drains
5 feet
Any swimming ols
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305(e) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webnaee
➢ If noncompliance with 02T.0305(f) or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) Er Yes ❑ No ❑ N/A
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? [9Yes ❑ No ❑ N/A
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes [:]No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0I05(c)(6) (additional permits/certifications)? ❑ Yes ❑ No
Per 15A NCAC 02T.0105(cl(61, directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per ISA NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes 9No ❑ N/A
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

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1. Does the submitted system comply with 15A NCAC 02'f, the Mh li]luln Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version). and the Gravity Sewer Minimum Dcsiut Criteria (latest version) as applicable?
N Yes ❑ No
IfNo, complete and submit the Variance/Altemative Design Request application (VADC 10.14) and supporting documents for
review. Approval of the renuest Is reaulred urlor to submittal of the Fast Track Arinlication and sunnorfine documents.
2. Professional Engineer's Certification:
name from Application Item
that this application for
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best
of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
havejudged 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.
North Carolina Professional Engineer's seal, signature, and date: ���•�""""��h,
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3. Applicant's Certification per 15A NCAC 02T .0106(b):
OLIVIA LAYNE HOWINGTON, MEMBER
name & title from Application Item
that this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition
of this permit be violated. I also understand that if all required parts of this application package are not completed and that if
all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143.215.613any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: L/-'/ L Date:
FORM: FTA 04.16 Page 5 of

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: PRESTIGE BUILDING GROUP LLC
Project Name for which flow is being requested: 206 Goldsboro Lane
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Pluris North Topsail WWTP
b. WWTP Facility Permit #: WQ0005849
AllJlows are in MGD
c. WWTP facility's permitted flow 1.542
d. Estimated obligated flow not yet tributary to the WWTP 0.12500
e. WWTP facility's actual avg. flow 0.72600
f. Total flow for this specific request 0.00960
g. Total actual and obligated flows to the facility 0.133560
It. Percent of permitted flow used 55 %
Il. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
Pump
Pump
Station
Station
Firm
(Name or
Permit
Capacity,
Number)
No.
MGD
PS 49
W00034483
2.14
(A)
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Design
Average
Approx.
Obligated,
Daily
Current
Not Yet
Total Current
Flow**
Avg. Daily
Tributary
Flow Plus
(Firm / pf),
Flow,
Daily Flow,
Obligated
Available
MGD
MGD
MGD
Flow
Capacity***
0.856
0.350
0.120
0.470
0.386
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is <0.
Downstream Facility Name (Sewer): North Topsail Beach Consolidation
Downstream Permit Number: WQ000275
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Randy Hoffer certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and 11 plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Signing Of
Title of Signing
Page 2 of C
FTSE 10-18

A,
N
1000 ft

6/14/2021
North Carolina Secretary of State Search Results
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online • Add Entity to My Email Notification List • View Filings • Print a Pre -Populated
Annual Report form • Print an Amended a Annual Report form
Limited Liability Company
Legal Name
Prestige Building Group LLD
Information
Sosld: 2045810
Status: Current -Active O
Date Formed: 9/9/2020
Citizenship: Domestic
Annual Report Due Date: April 15th
Currentgnnual Report Status:
Registered Agent: Howington, Michael John, Sr
Addresses
Malting Principal Office Reg Office Reg Mailing
4730 23rd Ave 4730 23rd Ave 4730 23rd Ave 4730 23rd Ave
N Topsail Beach, NC 28460 N Topsail Beach, NC 28460 North Topsail Beach, NC 28460 North Topsail Beach, NC 28460
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager Member
Olivia Layne Howington Olivia Layne Howington
4730 23rd Ave 4730 23rd Ave
North Topsail Beach INC 28460 North Topsail Beach NC 28460
https:// m .sosne.gov/online_services/search/Business_Registration_Results 1/1

STROUD ENGINEERING, R A.
CONSULTING ENGINEERS
102D CINEMA DRIVE
WILMINGTON, NORTH CAROLINA 28403
WWWSTROUDENGINEER,COM
LICENSE NO. C-0647
August 23, 2021
NCDEQ
Division of Water Resources
102 Cardinal Drive
Wilmington, NC 28403
attn. Mr. Dean Hunkele
Re: 206 Goldsboro Drive
Pressure Sewer Connection
Pluris North Topsail Pressure Sewer Collection System
Mr. Hunkele:
Please find the attached FTA 04-16, FTSE 10-18, supplementary maps and documents in support
of the applicant Persis-Nova Construction, Inc.
Thank you for your assistance with this matter. If you have any questions or concerns pertaining
to this project, feel free to contact me.
Respectfully,
�¢lxad ��t�t¢ad
James H Fentress Jr., P.E.
Stroud Engineering, PA
Attachments
JHF/if
File WAMaster\PW-1547\Sewer\206 Goldsboro Drive Sewer Permit App Cover.doc
107B COMMERCE STREET 102D CINEMA DRIVE 3302C BRIDGES STREET
GREENVILLE, NORTH CAROLINA 27858 WILMINGTON, NORTH CAROLINA 28403 MOREHEAD CITY, NORTH CAROLINA 28557
252.756.9352 910.815.0775 252.247.7479