WQ0042696_Application (FTSE)_20210823

Permit Number WQ0042696
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension. Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
tyler.benson
Coastal SWRuIe
Permitted Flow
Facility
Central Files: APS _ SWP
7/23/2021
Permit Tracking Slip
Status
Project Type
In review
New Project
Version
Permit Classification
A
Individual
Permit Contact Affiliation
Facility Name Major/Minor Region
East Coast Migrant Head Start Private Sewer Minor Wilmington
Location Address County
Fender
Owner
Owner Name
The East Coast Migrant Head Start Project
Facility Contact Affiliation
Owner Type
Non -Government
Owner Affiliation
Steven C. Mayne
2301 Sugar Bush Rd
DatesiEvents Raleigh NC 27612
Scheduled
Ong Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
7/20/2021

State of North Carolina
DWR Department of Environmental Quality
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: W x&7✓,r.�_6 QC (to be completed by DwR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: The East Coast Migrant Head Start Project (company, municipality, HOA, utility, etc.)
t4thW.r2. Applicanttype: ❑ Individual ®CorporahoEl General Partnership ❑Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: Steven C. Mayne per 15A NCAC 02T .0106(b)
Title: Chief Financial Officer
4. Applicant's mailing address: 2301 Sugar Bush Road, Suite 400
City: Raleigh State: NC Zip: 27612-
5. Applicant's contact information:
Phone number: [phone] Email Address: smayne e ECMHSP.org
II. PROJECT INFORMATION:
I. Project name: East Coast Migrant Head Start pseiect i�r`evok2 �e t R
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: Pender ,3� �g�a l7r) Fq � qt)
4. Approximate Coordinates (Decimal Degrees): Latitude: 0Longitude: -
5. Parcel ID (if applicable): Tract 1: 3233-44-3734-0000 & Tract 2: 3233-45-4179-0000
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: John S. Tunstall P.E.License Number: 19851
Firm: Norris & Tunstall Consulting Engineers, P.C.
Mailing address: 2602 Iron Gate Drive, Suite 102
City: Wilmington State: NC Zip: 28412-
Phone number: 9( 10) 343-9653 Email Address: Tunstall .ntengineers.com & [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: James A. Loughlin (Northside) W WTP Permit Number: NPDES NC 0023965
Owner Name: Cape Fear Public Utility Authority
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): W00020849
System Wide Collection System Permit Number(s) (if applicable): WQCS D0524
Owner Name(s): Pender County Utilities
FORM: FTA 04-16 Page I of 5

'VI, GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes [-]No ®N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
[-]Yes []No ®N/A
3. If the Applicant is a Home/Property Owners' Association, has an 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 aooroval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.0114(fl)
Daily Design Flow','
No. of Units
Flow
Daycare & Preschool
25 gal/Person
98
2,450 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
2,450 GPD
a See 15A NCAC 02T .0114(b), (d), (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 2 450 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

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8" 450 PVC
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope 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:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: - °
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
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:
❑ 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

lX. SETBACKS & SEPARATIONS -(02B .0200 & 15A NCAC 02T .0305(t)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (g)
➢ 15A NCAC 02T.0305(fl contains minimum separations that shall be Drovided for sewer systems:
N 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 11 impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water or tide elevation and wetlands 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 slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade vertical
36inches
➢ 15A NCAC 02T.0305(a) contains alternatives where separations in 02T.0305(fl cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpaee
➢ If noncompliance with 02T.0305( or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes [-]No
➢ 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 all setbacks found in the river basin rules per 15A NCAC 02B .0200? N Yes ❑ No
➢ This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? N Yes [-]No
➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
➢ Information can be obtained from the 401 & Buffer PermittingBranch
ranch
5. Does project comply with 15A NCAC 02T.0 I 05(c)(6) (additional permits/certifications)?
N Yes [-]No
Per I5A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stonnwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A 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 N No
➢ 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

X. CERPIFICATIONS:
Does the submitted system comply with I SA NCAC 02T, the Minimum Desian Criteria for the Permitting of Pump Stations
and Pane Mains (latest version), and the Gravely Sewer Minimum Desian Criteria (latest version) as applicable?
myes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10.14) and supporting documents for
review. Atsroval of the request is required otter to submittal of the Fast Track Application and surportine documents
2. Professional Engineer's Certification:
name from Application item III.1.)
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
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.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T.OI06(b):
' 1 r attest that this application for
(Signature Authority's qa e & itle firm Application Item 1.3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 understand that if all required parts of
this application 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. 1 well make no clalm 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 143-215,61). 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 S 10,0190 as well as civil penalties up to $25,000 per violation.
Signature: Q Date: p a
FORM: FTA 04-16 Page 5 of 5

State of North 1Ca�o�,i
Department of Environmental Quality
Division of Water Resources
„ Flow Tracking for Sewer Extension Applications
L (FTSE 10-18)
Entity Requesting Allocation: The East Coast Migrant Head Start �Yll\ CC7
Project Name for which flow is being requested: East Coast Migrant Head Start 14i f f k
T
More than are FTSE maybe rewired for a single project If the owner of line WWTP is not responsiblefor all pomp
stations along the route of 11te proposed wastewater flow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. W WTP Facility Name:
b. W WTP Facility Permit #:
Al! flows are its MGD
c. W WTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the W WTP
e. W WTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
H. 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 W WTP:
(A)
(B)
Design
Pump Pump
Average
Approx.
Station Station
Firm
Daily Flow"
Current
(Name or Permit
Capacity, •
(Finn / pO,
Avg. Daily
Number) No.
MGD
MGD
Flow, MGD
f W & norm A2COU419
042-6
0, 7-50
Or 03?
(C)
(D)=(B+C)
(E)=(A-D)
Obligated,
Not Yet
Total Current
Tributary
Flow Plus
Daily Flow,
Obligated
Available
MGD
Flow
Capacity"*
0,041
0-m
o,I&q
* 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
(pt) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): NOr-45J, WWTP
Downstream Permit Number: NCOO23145
Page 1 of 6
FTSF, 10-I8

III. Certification Statement:
KO- ,lne4'� F. { -e e) 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 Il 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 trans967t and treat the proposed new wastewater.
Title of Signing
11 zl
Dare
Page 2 of 6
FTSE 10-18

NORMS & TUNSTALL
CONSULTING ENGINEERS P.C.
2602 Iron Gate Drive, Suite 102
Wilmington, NC 28412
[phone]
[phone] Fax
John S. Tunstall, P.E.
T. Jason Clark, P.E.
Rohhic P. I Iennell}S E.I.
July 15, 2021
NC DEQ
Division of Water Resources
Water Quality Regional Operations Section
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
Re: Gravity Sewer Extension Fast -Track Permit Application
East Coast Migrant Head Start Project
Hwy. 117 & Old Blossom Ferry Road
Pender County
N&T Project No. 20143
Dear Sir or Madam:
1429 Ash -Little River Road
.ash, NC 28420
[phone]
[phone] Fax
J. Phillip Norris, P.E.
Joseph K. Bland, P.E.
Thomas J. Schectz, L.I.
JUL 2 0 2021
opmtwa secom
WAWOM sib
Enclosed electronically is the application, Sewer Narrative, Flow Tracking / Acceptance Form
(FTSE 10-18) from Pender County Utilities, 8 Yz x 11 color USGS Topographic Map, site plan
(ledger size), and a $480.00 check (to be mailed in) for the processing fee.
Please review this information for approval and contact us with any questions or comments you
may have. Thank you for your assistance on this project.
Sincerely,
NORRIS & TUNSTALL
CONSULTING ENGINEERS, P.C.
- S . 501�
Jo S. Tunstall, P.E.
JST/asn
20143 07-15-21-s-swr-Itr
Enclosures
cc: Steven Mayne, CFO / The East Coast Migrant Head Start Project (By E-Mail Only)
Ted Hoffman, Architect (By E-Mail Only)
NCBELS License C-3641

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: East Coast Migrant Head Start Project
Project Name for which flow is being requested: East Coast Migrant Head Start Project
More than one FTSE maybe required far a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: James A. Loughlin (Northside}
b. WWTP Facility Permit #: NPDES NC 0023965
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
It. Percent of permitted flow used
WWTP
A11 flows are in MGD
16.000
3.705
10.661
0,002450
14.368
89.8
IT. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow* * Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm / pt), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
* 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): Cape Fear Public Utility Authority_
Downstream Permit Number:
Page 1 of 6
FTSE 10-18

I1I. Certification Statement:
I Jeff Theberge, CFPUA Eng. Mgr certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and II plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Title of Signing
Page 2 of 6
FTSE 10-18