WQ0042745_Application (FTSE)_20210920

Central Files APS _ SWP
$i16J2027
Permit Number WQ0042745 Permit Tracking Slip
Program Category Status Project Type
Non—d,scharge In review New Prilect
P9m1it Type Version P4rmA Classification
Gravity Sewer Extension Pump Stations & Pressure Sewer FxWSWLS A IndioduaI
Primary Reviewer
tyler ❑enson
Coastal SYVRuIe
Permitted now
Facility
Permit Contact Affiliation
Facility Name Major)Vliner Rogion
SR&R Erlvrmarnental Publoc Force Main hi;r;r Wilmington
Location Addrels County
New Hanover
Facility Contact Affiliation
Owner
Owner Name Owner Type
Gave Fear Puhlic Utility Authority Government • Vuruc pal
Owner Affiliation
James R Flechtner
PE
235 Govemment Center Dr
❑atesiEvents Wilmington NC W403
Scheduled
Ong issue App Received graft Initiated Issuance Public Notice Issue EffKtive Expiration
Oil212021
��

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Divistore of Water Resources FAST TRACT{ SEWER SYSTEM E'LnNSION AIPPLICATiON
FTA 66-21 die SUPPORTING DOCUMENTATION
Application Number: WO GCM-��5 itobe cornpleeed by bWRI
II items muct he cam leted or the apulkatiog will be returned
1. APPLIC'AN7INFORMATION:
I. Applicant's name: CaN Fear Pmblic UtililX Authority CFP A (company, municipality, HOA, utility, etc.)
2 Applicant type: ElIndividual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ 5tateXounty ® Municipal ❑ 01ber
3. Signature authority's name: Leffeff Theberae per I5A NCAC 021 .01 %} h1
Tiilc: Engineering Iataaeer
4. Applicant's mailing address; 235 Govemment Center Dr.
City: Wilmington State: NC lip: 2 40'
5. Applicant's contact information:
Phone number: (91 O) 332-6673 Email Address. Ltffjhchcrgc a?cfnua.org
11. PROJECT INFORMATION:
1. Project name: SR&R Wastewater Connection to CF'PUA
2. Application/Project status: 0 Proposed (New Permit) DE xis(ing Perm itProject
If a modification, provide the existing permit number: WQ00 and issued date:
Far rnodificstions, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of master plan, provide the existing Penn it number: WQOO
3. County where project is located: New Hanover
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.319950 Longitude:-7_'_7.940100
5. Parcel ID (irapplicable): R02300-00 1 -011 -000 (or Parcel ID to 6asest downstream sewer)
III. CONSULTANT INFORMATION:
I . Professional Engineer: Paul R. Shivers License Number: 030236
Firm: HighFll Infrastructure Engineering
Mailing address: 3904 Park Ave. [snit A
City': Wilmington State: NE Zip: �40
Prone number; t910) 313-1516 ErnaiI Address: pfhivers,ct hiepc.com
1V. WAST1 WATER TR>~ATMI NT FACILM (WWTF) INFORMATION;
I_ Facility Name: James A. Loudlin WWTP Permit Number: NPDES
Owner Name. Cape Fear Public Utility Authoriy (CFPUA}
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(sl: WQ0039293
2, Downstream {Receiving) Seaver Information: 4 inch Cl ['gravity ® Force Alain
3. System Wide Col leclion System Permit Numbers) (if applicable): WQC'S
Owner Name(s). Coat Fear Public Utility Audw iry
FORM, FI'A 46-Z I Page 1 of 5

NIL GENERAL RF.QUIRESIENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ Ne 0 NIA
2- If the Applicant is s Developer of lots to be sold. has a DO cla er's Opgralional Agreement IFORM: DEVJ beat attiched7
❑ Yes ❑ No 0 NIA
3. If the Applicant 1s a Honic Property Owners' Association, has an E_ft_}AT fA Operawmal Agrecmcn[ (FORM;_HOA! attd
supplementary documeniatikin as required by 15A NCAC 027.0115(c) been attached?
❑ Yes ❑ No ® N+A
4, Origin of wastewater: (check all that apply):
❑ Residential (individually Owned) ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential (Leased) ❑ Retail with food preparation/service ❑ Hotel and' 'or Motels
❑ School i preschool f day care ❑ Medical I dental ? veterinary facilities ❑ Swimming PooifClubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming PoollFilter Backwash
® Businesses 1 offices f factories ❑ NiArsing Home Other (Explain in Attachment)
Prelrealed Industrial V%a,,te%ater fit-nt oilwr;entree•
5. Nature of wastewater: 22,v Domestic %Commercial 9886 lndustrial'iSce 15A NCAC ii_' 1 .0103120))
If Industrial, is there a Pretreatment Program in effect? ❑ Ye&CJ No
b. Has a flow reduction been approved under 15A NCAC O?T .01 14111? ❑ Yes 2 No
r If -yes, provide a copy of fluwh reduction aDoroyal letter with this application
7. Summarize wastewater generated by project:
Establishmeni Type (see 02T.0114(f))
Dsiily Design Flow'"
No. of Units
Flow
gulf
GPI]
gall
GPD
gaV
GPD
gall
GPD
gall
GPD
gale
GPD
Tots!
GPD
a Sec 15 A NCAC 02T .01 I�t(6��d]{ejf 11 and (e,0 for caveats to wastewater design flow rates (i e.. minimum now 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 Atlaniic Intracoastal Waterway to be used as vacation rentals as defined
in t .ti. -I' l-4).
b Per 15A NCAC 02T .0I14(c), design flow rates for establishments not identified [in table 15A NCAC 027-.01 l.tl shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated, by project: Q GPI} (per 13A 'ti( AC 0:1 ill 1 a)
r~ Do not include future flows or previously permitted allocations
If permitted flow is zero, lltease indicate Kh}
❑ Pump Station(Force Main or Gravity Sewer where )low will be permitted in subsequent permits that connect to this line -
Please provide supplementary information indicating the approximate Iimeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: Issuance Date.
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: FTA 06-21 Page Y of 5

VII. GRA1'IT1 SFWFR 1)£SICN CRITERIA (if Applicable) - 02T .0305 & 1ff)t C- rq*-iti Smers
I. Summarize gravity sewer to be permitted:
Sire (inches) Length (feet) Material
> Section 11 & 111 of the MDC far Permit ing of Gravity Sewers contains information related to design criteria
D Section [I[ contains information related to minimum slopes far gravity sewcr(s)
>a ONersizing lines to meet minimum slope requirements is not allowed end a violation of the MDC
►'111. PUMP STATION DESICN CRITERIA (IF Applicable) —o2T.0305 & NIDU(Pumn StationsiForce Niainsl:
PRO\'1t)E A SFPARATF. COPY OF THIS PAGE FOR EACH PUMP STATION INgLUDED IN THIS PROJE,
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude:
3. Total number of pumps at the pump staliott:
3. Design flow of the pump station- millions gallons per day (firm capacity)
i- This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): gallons per minute (GPM) at feet total dynamic head (TDH)
5. Summarize the force main lobe permitted (for this Pump Station):
Size {inches)
Length (feet)
Material
14
if any portion of the farce main is less Than 4-inches in diameter, please identity she method of solids reduction per
,%4DCPSFM Section 2.01C.1.b. ❑ Grinder Pump ❑ Mechanicat Bar Screen ❑ Other (please specify)
G. Power reliability in accordance with 15A tit v 021 .0105chN 11:
❑ Standby power source cr ❑ Standby pump
� Must have automatic activation and telemetry- 15A NCAC 02T.0305(hK 1)(l3):
Required for all pump stations With an average daily flow greater than or equal to 15,000 gallons per day
r Must be permanent to Facility and may not he portable
Or if the pump station leas an average daily flow less than 15,00 gallons per day 15A NCACO2T.0305(h)(I i(C);
❑ Portable pawner source with manual activation, quick-connec(ion receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency- pump connection and telemetry:
v Include documentation that the portable source is owned or contracted by the applicant and is compatible with the station.
If the portable power source ar primp is dedicated to muhiple 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 he provided
as part of this permit application in the case of a multiple station power outage.
I i )k%l. FTA 06-21 Page 3 of 5

Ix. SETBACKS do SEPARATIONS — (02B .0200 & 1 SA NCAC 02T .0305(!)]:
1. Does the project enmply with all separationslaltemativcs found in I SA NCAC 02 r .03051 f3 R { y ❑ No
15ANCAC 02T.AlMi A coerce;....,, .,a.e+; ..,a Aker .><.n t._
Setbaek Parameter*
"Cl a a-Mi o.
Separation Required
Storm sewers and other utilities not listed below (vertical)
1$ inches
'";Tier mains (vcnicAl - uater over sewer preferred. including in be»ched trenches}
i$ inches
=k1 aler mains ihurizontal}
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
IS inches
Reclaimed water lines (horizontal - reclaimed aver sewer 1
2 feet
"Any private or public water supply source, including any wells, WS-1 waters of Class I or
Class 11 impounded reservoirs used as a source of drinking water, and associated wetlands-
i0o feet
"Waters tlassified WS (except WS-1 or WS-V), H, SA, ORW. HQW, or SB from normal
high water (or tide elevation 1 and wetlands associated with these waters (see item )X.2)
50 fort
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches. as well as wetlands associated with these waters or classifted as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
to fee#
Final earth grade (vertical)
36 inches
r if noncompliance with R T.0305(f) or (g,), see Section X-1 of this application
• 15 A NCAC 02T.030512 contains alternatives where separations in ar,om( cannot he achieved. Please check "yes"
above if these alternatives are used and provide narrative information to explain_
*'Stream classifications can be identified using the Division's NC Surface Water Classifigtions wetWe
2. Docs this project comply with the minimum separation r quirements for water mains? [I Yes ❑ No ® N/A
If no, please refer to 15A NCAC ISC-09116(f) for documentation requirements and submit a separate document,
signedfscaled by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ❑ Yes [:]No S A
r Please provide supplementary information identifying the areas of non-conformance.
See the Division's dra fl separation tequire rnepit { for situations where separation cannot be met.
f No variance is required if the alternative design criteria specified is utilized in design and construction.
4. is the project located in a river basin subject to any State buffer rules? ❑Ycs Basin name: _ Z No
Ifyes, does the project comply with setbacks found in the river basin rules per I A NC. C' 0213 ,02001 Cl Yes ® No
:^ This includes Trout Buffered Streams per 15.A NCAr 2B.0202
5. Does the project require covcrageauthorization under a 404 Nationwide/individual permits [l Yes ® No
or 401 Water Quality Certifications?
;�- please provide the permit numberlpermitting status in the cover letter if coverage/authorization is required.
6. Does project comply with i SA NCAC 02T.0I Vic0) {additional pennitslcerti6cations)? ® Yes ❑ No
Per 15A NUAC 02T±I051cgO, directly related environmental permits or certification applications must be being prepared.
have been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion
and sedimentation control plans, stormwatcr management plans, etc.).
7. Does this project include any sewer collection lines that are deemed "high -priority.'" ❑ Yes ® No
Per 15A tie .AC 02T.0402. "high -priority sewer" means any aerial sewer, sewer contacting surface waters.
siphon, or sewers posirioned parallel to streambanks that arc subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interferenevIconflict boxes require a variance approval.
r If yes, inctudc an attachment with details for each line, including type (aerial line, size. material, and location }-
High priority lines shall he inspected by the permitter or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)j5) or the perrnittee's individual System -Wide Collection permit.
f-+ )Rld • 1 TA 06-21 Page 4 of 5

x, CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02'I, the Mim urn Design criiwaiur the I'crmrllinQ of Puma Stations
and Corte 3Naurs (Neese vcmCon) and the (iravil_Y Sc%ver Mui runrn Design Criteria i1niest vysiun: us applicable?
® Yes ❑ No
If no, fur projects requiring a single variance, complete and submit Ilse Y#rlancOAkemative Design Request application
(STATIC 10,14) ant{ sitpporthig documents for review to the L'cnttal Office Approval of the rer ursi will be lisped
concurrently with the auliryyal of LU nerrnit1 tend pralecls relluirine a vsrie re annrorat ma% hr suhicct to) longer
revie%i times. For proigtj realiftirtVimo or more variances or+shrr•e the variance is determined h► alit Division to hr a
sleialficant innirtion ofthe proitei3Or full technical review is required.
Z. Professional Lnginrer?s Certifcaiion.
1, Paul R. Shivers, PE _, attest Ihnt this application for SR&R wastewater Cnnneeutm to CEPUA
(Nofessioral F.narneer'i now Ir m Appikeim Item RI,1 ) {t'lajert Www frrnm Appticauon Her, Il 1)
has been reviewwed 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 proposal design has bctn prepared in accordancc with the applicable regulations,
and the Min tnurn t sign Cnteria for the Fast -Track Permttong
ofFIL P Stations and -Force lidainy, fj@tgst version]. Although other professionals may have developed cerium Portions of this
submittal package, inclusion of these materials under my signature and seal signifies that 1 have reviewed this material and
have judged it to be consistent with The proposed design.
NUKE In accordance with General Statutes 143-215.6A and 143.215.6B, any person who knowingly makes any false
statement, represcn(alion, or cerlification in any application package shall be guilty of a Cless 2 misdemeannr, which may
include a fine not to -exceed 410,000, as well as civil penalties up io 525,000 per violation- Misrepresentation of die application
information. including failure to disclose any design non-compliance with thcapphcable Rules and design criteria, may cuhject
the North Carolina -licensed Professional l;nginecr to referral to the licensing board (21 NCAC 56.0701)
5'Zw►titlY�lll/���+
North C'aroUr a Prafessional Engineer's seal, signature, and rin(c, yti�tis� CA/
= SEAL
0302,36
Applicant's Certification per 15A NCAC 02T .0106(b): r,`Tlr'+ rfrnrlitics%sctis
1 IcIT'Mcbcrge. Pi , attest that this application For Sit&1t Wastewater Connecttun to CFPVA
t$�gi.aturc Authpny Name fiom Apphciokm Item 1 3 1 lhojeet Wame (torn Applicateon licm tt t }
attest that this applictitinn has been reviewed by me And is occurale and complete to the best of my knowledge.
I understand that if all required purls 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 renirmd as incomplete. 1 understand that any
discharge of wastewaler From this non -discharge system to surface waters qr the land will result in an immediate enforcement
action that may include civil penalties, injunctive relief, andlorcriminal prosecution. I will make no claim against the Division
of Water Resources should a condition of This pemut be violated. I also understand that Wall mquired parts of this application
package arc not completed and That if all required supporting information and attachments are not included, lhis vplication
package will be n:tumud to me as incomplete.
NOTE - In accordance with General Statures 143.215.6A and j43.2I L. , 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 fit 0,000 as well as civil penalties up to $2MOD per violation.
Signature � ��. _-- _ Date. 1
FORM F'I A 06-21 Page 5 of 5

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TRANSMITTAL
Wghflll Infrastructure tnRmeernng, P C
31" Perk Avenue, Unit A
H I G H F I LL N16 1 NC Firm
m Licenrib ar No aloha
1A Tel j NC Flrm tens. No r 7556
To: Mr Dean Hunkele copies: 1 JffXW DM
Senior Environmental Specialist
NCDE4 DMsion of Water Resources AUG 112021
127 Cardinal Drive Extension
Wilmington, NC 28405
%1p %.
Date: August 12, 2021
From: Paul R Shivers, PE Prof. No.: SUR 1901
Kevin Hancock, ES
Subject: Application Submittaf
SAM Wastewater Connection to CFPUA
W E ARE SENDING YOU.,
Z .!a. e: ❑ShopDrawmgs ❑ Sam ple;
COPIES
DATE NO.
DESCRIPTION
1
8/12/2021
1
Fast Track Permit Application check in the amount of $490.00
i
COMMENTS:
AttacnM rs the second check in the amount of S4W.00 to be included with the SUR Environmental Fast
Track Sewer Extension Permit application package inrtiaHV submitted August 5, 2021.
Er orwring is our pr*ssiarr. Service i5 our passion.

H I G H F I LL 3804 Park Avenue, Emit A
INFRASTRUCTURE Wlmington. North Carolina 29403
ENGINEERING. P.C. 910-313-1516
NC F= L"nse No C-2586
EGE t
August 5, 2021 AUG 0 5 2021
Mr. Dean Hunkele, Senior Environmental Specialist
NCDER Division of Water Resources
127 Cardinal Drive Extension
Wilmington, NC28405
RE: Application Submittal
SR&R Wastewater Connection to CFPUA
HIGHFILL Project No.: SR&R1901
Dear Mr. Hunkele:
The SR&R Wastewater Connection to CFPUA project consists of the installation of a 103 GPM pump
station and 115 LF of 3-inch force main to connect to the existing CFPUA 4-inch force main within the US
421 North right-of-way. This new connection will convey up to 56,600 GPD of industrial pre-treated
wastewater and 1,000 GPD of un-site domestic wastewater.
This submittal includes two applications. One is for the pump to be owned and operated by SR&R
Environmental and one for 14 LF of the 3-inch force main connection to the existing 4-inch CFPUA force
main within the right-of-way. This project will replace the current CFPUA pump and haul permit from the
SR&R facility. The project has been reviewed by CFPUA and they have provided an Authorization to
Construct CFPUA issued an industrial pretreatment permit in March of 2020 to accept an industrial flow
of 28,800 GPD. CFPUA has provided an FTSE form to accept an approved increase to a total flow of
57,600 GPI]. �y +
Please find enclosed the following documents for your review and approval:
1. One (])original one (1) copy of application Form — 8 pages each
0 2021
2- One (1) original one (1) copy of Public application form — 8 pages each L'y
3. Two (2j copies of North Carolina Secretary of State Business Registration documentation —
pages each
4. One (1) original one (1) copy of FTSE 10-18 farm — 2 pages each
5- Two [2j copies of a llSGS based color map identifying the project area & street view map of the
receiving CFPUA-owned pump station — 2 pages each
6, Two (2) copies of the signed CFPUA Public Sewer Forte Main Connection 11011111yE p Mp,i
7. Two (2) copies of the existing CFPUA Permit to Discharge Wastewater Under the Industrial
Pretreatment Program #N2012A — 14 pages each AUG 0 51u2a
8. A check in the amount of $480.00 to satisfy the application fee.
ww
war
Engineering is our profession. Service is our possion. Y% aoanw-wotc

If you have any questions or comments, please do not hesitate to contact our office.
Sincerely,
NIGH ILL INFRASTRUCTURE ENGINEERING, P.C.
{f X
PauE R. Shivers, PE
Senior Project Manager
enclosures
cc: Mr. William W. Murrell III, it SR&R Environmental, Inc.