WQ0042982_Application_20211118

Permit Number WQ0042982
Program Category
Non -discharge
Permit Type
Wastewater Pump and Haul
Primary Reviewer
dean.hunkele
Coastal SWRule
Permitted Flow
Facility
Central Files: APS _ SWP _
11/17/2021
Permit Tracking Slip
Status
Project Type
In review
New Project
Version
Permit Classification
A
Individual
Permit Contact Affiliation
Facility Name Major/Minor Region
Lumina Commons Private Pump Station & Sewer Minor Wilmington
Location Address County
New Hanover
Owner
Owner Name
Lumina Commons Station LLC
Dates/Events
Facility Contact Affiliation
Owner Type
Non -Government
Owner Affiliation
Shannon Groover
11501 Northlake Dr
Cincinnati OH 45249
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
11/16/2021
Regulated Activities Requested /Received Events
Pump and haul RO staff report received
Outfall
Waterbody

North Carolina Secretary of State Search Results
https://www.sosne.gov/ontine services/search/Business_Registrati...
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Limited Liability Company
Legal. Name
Lumina Commons Station LLC
Information
Sosld: 1373450
Status: Current -Active O
Date Formed: 4/14/2014
Citizenship: Foreign
State of Incorporation:
Annual. Report Due Date: April 15th
CurrentAnnual. Report Status:
Registered Agent: CT Corporation System
Addresses
Mailing Principal. Office
11501 Northlake Drive 11501 Northlake Drive
Cincinnati, OH 45249 Cincinnati, OH 45249
Reg Mailing
160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417
Company Officials
Reg Office
160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Member
Phillips Edison Grocery Center Operating Partnership I, L.P.
11501 Northlake Drive
Cincinnati OH 45249
I of 2 11/17/2021, 11:04 AM

State of North Carolina
Department of Environmental Quality
,�,,,sa3=. _
R Division of Water Resources
''"' 15A NCAC 02T .0200 — WASTEWATER PUMP AND HAUL SYSTEMS
'Division of Water Resources INSTRUCTIONS FOR FORM P&H 01-16 & SUPPORTING DOCUMENTATION
Documents shall be prepared in accordance with 15A NCAC 02T .0100 15A NCAC 02T .0200. and Division policies. Failure to submit
all required items will necessitate additional processing and review time. For more Information, visit the Wastewater Branch's
website or contact the Regional Office serving your county.
General —This permit application applies to all pump and haul activities of wastewater under the authority of the Division on Water
Resources. Permit coverage is required for the system producing the wastewater. This permit does not apply to the transport of
animal waste from an animal waste management systems, not the transport of wastewater residuals or biosolids.
NOTE: Pump and haul permits are not acceptable long term domestic wastewater treatment alternatives and shall only be issued
In cases of environmental emergencies, nuisance conditions, health problems, or for unavoidable delays in construction of system
previously permitted by the Division.
The Applicant shall submit one original and one copy of the aoplication and supporting docurnmeffi�tPA /NCDENR/DWR
A. Pre -submittal Contact & Cover Letter NOV 16 2021
fQ Contact the appropriate Regional Office prior to submittal
Ja' Submit a cover letter explaining the circumstances associated with this pump and haul permit request water Ouarry Regional
Operations eactlon
B. Application Fee (Domestic Wastewater Only) vrarwtmReywaalOffice
gel Submit a check made payable to: North Carolina Department of Environmental Quality (NCDEQ)
➢ The appropriate application fee is: $810.00 for Flows < 10,000 GPD and $1,310.00 for flows > 10,000 GPD
C. Wastewater Pump and Haul (FORM: P&H 01-16) Application:
;j Submit the completed and appropriately executed Wastewater Pump and Haul (FORM: P&H 01-16) 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
D. Receiving Facility Letter:
Submit a letter from the owner/authority of the receiving wastewater treatment facility, as required by 15A NCAC 02T .0204
(b), stating that the pumped and hauled wastewater will be accepted and specifying the volume and type of wastewater that
will be accepted. The letter should be signed by an authorized signing official in accordance with 1SA NCAC 02T 0106(b)
E. Contract Hauler Letter:
.� Submit a letter from the hauler stating their capability and willingness to perform the pump and haul activity
.Pf Letter shall include: Owner/Company Name, Contact Information, & Hauling Volume of Vehicle(s)
F. Ifications:
Ce2,The Applicant's Certification on Page 4 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)
❑ The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North Carolina
licensed Professional Engineer (if required)
G. Plans and Specifications (Required for activities that result In the Practice of Engineering per G.S. 89C-3):
❑ Submit two sets of plans and specifications (signed, sealed and dated by a N.C. Licensed Professional Engineer)
❑ Plans must include:
➢ A general location map
➢ Diagram of the components associated with the pump and haul activity (drains, piping, tanks, pumps, etc)
➢ Tank Details that indicate high water alarm
➢ Other items as required
INSTRUCTIONS FOR APPLICATION P&H 01.16 Page 1 of 5

Industrial Pump and Haul Activities
Per 15A NCAC 02T.0203(AIIQ, Industrial pump and haul activities are deemed permitted provided the following criteria is met:
> The facility notifies the appropriate Division regional office in writing advising of the type of operation, type and quantity of
wastewater generated, location, and the receiving wastewater treatment facility. A letter from the facility accepting the
wastewater (type and quantity) specifically agreeing to accept wastewater from the applicant shall be included.
> The wastewater does not contain any human waste.
> The waste is collected and discharged into a sewer or treatment system designed and permitted to accept the type of
wastewater being pumped and hauled.
> The pump and haul activity is not to alleviate a failing wastewater system.
> The Division regional office concurs in writing that the activity meets the criteria in this Rule.
CONTACT THE REGIONAL OFFICE PRIOR TO INITIATING ANY INDUSTRIAL PUMP AND HAUL ACTIVITES. SUBMITTAL OF THIS
APPLICATION/DOCUMENTS AND WRITTEN APPROVAL IS STILL REQUIRED FOR INDUSTRIAL PUMP AND HAUL ACTIVITIES
THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND MATERIALS, SHOULD BE SENT TO THE
APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Operations
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Operations
Fayetteville, North Carolina 28301
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Operations
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Water Quality Operations
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Operations
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Operations
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Alamance, Alleghany, Ashe, Caswell, Davidson,
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
(336)-776.9800
INSTRUCTIONS FOR APPLICATION P&11 01-16 Page 2 of 5

I. PRESUBMITTAL INFORMATION:
1. Contacted representative from regional office (Pre -submittal)?: ® Yes ❑ No
2. Contact name (For Regional Office): DEAN HUNKELF YV
II. APPLICANT INFORMATION:
1. Applicant's name (Municipality, Individual, Corporation, etc): Lumina Commons Station LLC
2. Applicant type: [:]Municipal ❑ State ® Privately -Owned Public Utility
❑ County [—]Other: _
3. Origin of Wastewater:
❑ Residential Subdivision
❑ Apartments/Condominiums
❑ Mobile Home Park
❑ School
❑ Restaurant
❑ Office
® Retail (Stores, Shopping Centers)
❑ Institution
❑ Hospital
❑ Church
❑ Nursing Home
❑ Other (specify)
4. Signature authority's name: Shannon S Groover per iSA NCAC 02T ,0106(b)
Title: Senior Regional Property Manager
S. Applicant's mailing address: 11501 Northlake Drive
City: Cincinnati State: OH Zip: 45249-_
6. Applicant's contact information:
Domestic: _%
Commercial: 100 %
Industrial: _%
Other: %
Phone number: (704 615-2569 Email: [e-mail]
III. CONTACT/CONSULTANT INFORMATION:
1. Contact name: COASTAL SEPTIC SOLUTIONS
Title/Affiliation: JONATHAN PATE
2. Contact's information:
Phone number: (910) 221-M Email: TPATE COASTALSEPTICSOLUTIONS.COM
IV. RECEIVING FACILITY INFORMATION:
If more than 1 facility has agreed to accept the wastewater, please list all the owners, facility names, and permit
numbers as a separate attachment)
1. Owner: CFPUA
2. Facility name: NORTHSIDE AND 23RD STREET
3. Facility permit number: WOCS00012
4. WWTF permit number: _
5. WWTF contact name: DANNY SULLIVAN
Title/Affiliation: _
6. WWTF contact information:
Phone number: [phone]
Email: DANIEL.SULLIVANaCFPUA.ORG
APPLICATION P&H 01-16 Page 3 of

V. PROJECT INFORMATION:
1. Location of Project (physical address): 1994 Eastwood Road Wilmington. NC
Approximate Coordinates (Decimal Degrees): Latitude: o Longitude: - . o
2. Duration of Pump and Haul Request (Six Months Typical):
3. Has a prior permit been issued? ® New ❑ Prior Pump & Haul Permit
Permit No.:
4. Permanent Method of Wastewater Disposal:
5. Date Permanent Disposal will be available: depending upon repair from DataWatt aka Segra
6. Have permits / approvals for permanent disposal been obtained?
❑ Yes ® No Permit Number: _
7. Is there a Pretreatment Program in effect? ❑ Yes ❑ No
8. Describe any pretreatment prior to pumping and hauling:
9. Volume of Wastewater Generated: Gallons per Day
10. Explain how the wastewater flow was determined: ❑ 15A NCAC 02T .0114 or ❑ Representative Data
If representative data, describe:
11. Describe Tank / Container wastewater will be pumped from (attach description if necessary):
12. Is Tank / Container in place or will it be installed (attach description if necessary):
in olace
13. What type of high water alarm does the container have (and/or):
VI. CERTIFICATION:
il.
❑ Audible and Visual ® Telemetry (Auto Dialer/ SCADA)
Applicant's Certification: (Signature of Signing Official and Project Name)
I, Shannon S Groover , attest that this application for Lumina Commons Station. LLC
_ 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 issuance of a permit will require pump and
haul facilities or activities to be inspected at least daily by me or a designated representative. Note: In accordance with North
Carolina General Statutes 143-215.6A and 143-215.66, any person who knowingly makes any false statement, representation, j
or certification in any application 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.
ENGINEERING DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL.
ACTIVITIES SHALL BE INSPECTED AT LEAST DAILY BY THE PERMITTEE OR IT'S REPRESENTATIVE PER 15A NCAC 02T_0204(01.
APPLICATION P&H 0 1- 16 Page 4 of 5

THE ENGINEER'S CERTIFICATION IS REQUIRED FOR ACTIVITIES THAT RESULT IN THE PRACTICE OF ENGINEERING PER G S. 89C-3.
ENGINEERING DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL. IF CERTIFICATION BY AND ENGINEER IS REQUIRED,
THIS PAGE IS NOT NECESSARY.
Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
I, ,attest that this application for has been reviewed by me and is
accurate, complete and consistent with the information in the engineering plans, 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 all the applicable regulations. 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 NC General Statutes 143-215.6A and
143-215.68 any person who knowingly makes any false statement, representation, or certification in any application 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.
Professional Engineer Name
Engineering Firm
Mailing Address
2d.
City
2g.
Telephone
2e. 2f. _
State Zip
2 i.
Facsimile E-mail
NC PE Seal, Signature -& Date
APPLICATION P&H 01-16 Page 5 of 5

Zn
Cape Fear
Public Utility Authority
Stewardship. Sustainahility.Service.
November 9, 2021
Tracy Pate
Office Manager, Coastal Septic Solutions
Willard, NC
Matthew Tribett
Assistant Operations Director
235 Government Center Drive
Wilmington, NC 28403
RE: Authorization to Discharge Wastewater from Pump and Haul Operations
Lumina Commons Shopping Center- 1940 Eastwood Road, Wilmington NC
Dear Tracy,
This letter is in response to your request to continue conducting wastewater pump and haul
operations from the private pump station at the Lumina Commons Shopping Center. The pump
and haul operations are a temporary measure to maintain wastewater service to the shopping
center while the pump station's discharge line is repaired.
CFPUA temporarily authorizes wastewater from the Lumina Commons Shopping Center's
private collection system to be discharged into CFPUA's wastewater collection system via pump
and haul under the following conditions:
• Maximum weekly discharge: 80,000 gallons.
• Discharge location:
o Primary: CFPUA Manhole 115932 (between entrances to 6800 Wrightsville Ave).
o Secondary: CFPUA Manhole 115926 (in front of CFUPA pump station at 7214
Wrigthsville Ave).
This work maybe subject to the approval of other authorities having jurisdiction, such as
NCDEQ and NCDOT. CFPUA's authorization does not constitute approval by others, and
conditions of this authorization are subject to change at CFPUA's discretion.
Sincerely,
Matthew Tribett
Assistant Operations Director
cc: Robert Daughtry, CFPUA Collection System ORC and Superintendent

Coasta
SEPTIC SOLUTIONS
11/4/2021
State of North Carolina
Department of Environmental Quality
Division of Water Resources
ATTN: Dean Hunkele
127 Cardinal Drive Extension
Wilmington, NC 28405
910.796.7215
Dear Dean Hunkele:
RE: Lumina Commons
7814 Shiloh Rd, Willard, NC 28478
910.271.2008
[e-mail]
Per our conversations, Coastal Septic Solutions (address and phone number above) are
currently, and plan to continue the pump and haul at Lmmma Commons for Phillips Edison &
Company per Shannon Groover, property manager at stated location.
We are prepared to continue this pump and hail per the telemetry ORC Services installed a
few weeks ago. Currently, we are estimating approximately 59,000 gallons a week based on last
week's records. We have two trucks that will respond per availability which are 2500- and 3500-
gallon tankers.
Again, Coastal Septic Solutions is more than willing to continue to respond to telemetry calls
or any emergency calls that the station alarms.
Kind Regards,
Jonathan Pate
910.282.8169