WQ0043026_Application (FTSE)_20220111

RK K
November 17, 2021
Mr. Dean Hunkele
NC DEQ
Water Quality Section
127 Cardinal Drive Extension
Wilmington, NC 28405
Subject: NCDOT Project R-5021
NC 211 Widening
Brunswick County
Southeast Brunswick Sanitary District
Sanitary Sewer Relocation
Dear Mr. Hunkele,
Please find enclosed, the completed Fast Track Application and supporting documentation for the
relocation described below for NCDOT Project R-5021 NC 211 Widening. One original and one copy of
the following are included for your review and approval.
• Fast Track Application
• Permit Application Fee of $480.00 (check number 173972)
• USGS & Street Level Maps
*please note that the permit application for the pump station will be submitted at a later date.
Project Narrative
The enclosed documents are submitted for the relocation of existing portions of 8" gravity sewer main
owned by Southeast Brunswick Sanitary District. These relocations are due to impacts to the existing
sewer system by the project construction associated with the NCDOT project R-5021, NC 211 Widening.
These relocations are located along NC 211 and will not result in any additional flow. The plans have
been reviewed and approved by Bryan McCabe with Southeast Brunswick Sanitary District as well as the
Utility Section of The North Carolina Department of Transportation. The permit numbers of the existing
8" gravity sewer main being relocated have been included in the application.
Please do not hesitate to call 919-653-7342 if you have any questions or need additional information.
Sincerely,
�A
t , P.E.
Manager
Engineers I Construction Managers I Planners I Scientists

State of North Carolina
DWR Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources , FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: yJ(� (1U �30 ;I/ (to be completed by WAR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
I. Applicant's name: Southeast Brunswick Sanitary District (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Bryan McCabe per 15A NCAC 02T .0106(b)
Title: District Manager
4. Applicant's mailing address: 4240 Committee Drive SE
City: Southport State: NC Zip: 28461-
5. Applicant's contact information:
Phone number: 910) 457-0006 Email Address: bmccabensoutheastbrunswick.com
11. PROJECT INFORMATION: WuXc I. Project name: R-5021 NC 211 \Wdeniug 5Q)Q v `J
2. Application/Project status: ❑ Proposed (New Pennit) ® Existing Permit/Project
If a modification, provide the existing permit number: W000 and issued date: _,
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of a master plan, provide the existing permit number: W000
3. County where project is located: Brunswick County
4. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
5. Parcel ID (if applicable): (or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
I. Professional Engineer: Bryan Bade v License Number: 32634
Firm: RK&K
Mailing address: 8601 Six Forks Road, Forrun I. Suite 700
City: Raleigh State: NC Zip: 27615-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: p
I. Facility Name: Permit Number: U V
Owner Name: _ Wp
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
I. Permit Number(s): WQ
2. Downstream (Receiving) Sewer Information: _ inch ❑ Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): _
FORM: FTA 06-21 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 HO OA Operational Agreement(FORM: HOA and
supplementary documentation as required by 15A NCAC 02T.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 / 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 : % Domestic % Commercial _ % Industrial (See 15A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes[-] No
6. Has a flow reduction been approved under 15A NCAC 02T.0114(f)? ❑ Yes ❑ No
➢ If yes, provide a copy of flow reduction annroval letter with this anplieation
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(Q)
Daily Design Flow ° °
No. of Units
Flow
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gall
GPD
Total
GPD
a See 15A NCAC 02T .0114(b). (d). (e)(l) and (e)(21 for caveats to wastewater design flow rates (i.e, mhminmun 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 .01 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114] shall be
deternmined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project. _ GPD (per 15A NCAC 02T .0114)
➢ Do not include f roue flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate tinmeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Pernmit Number: Issuance Date:
® Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: FTA 06-21 Page 2 of 5

VI1. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T.0305 & MDC (Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8-inch 4110 LF PVC C900 DR18
➢ Section li R III of the MDC for Permitting of Gravity Sewers contains infonnation related to design criteria
➢ Section III contains information related to muminuum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
Vill. PUMP STATION DESIGN CRITERIA (If Applicable) —_02T .0305 & MDC (Puma Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. Pump station number or name:
2. Approximate Coordinates (Decinmal Degrees): Latitude: Longitude: -
3. Total number of pumps at the pump station:
3. Design flow of the pump station: millions gallons per day (firm capacity)
➢ 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 to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
If any portion of the force main is less than 4-inches in dianmeter, please identify the method of solids reduction per
MDCPSFM Section 2.01 C. Lb. ❑ Grinder Punmp ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(b)(1):
❑ Standby power source or ❑ Standby punnp
Must have automatic activation and telennehy - 15A NCAC 02T.0305(h)(I)(B)_
Required for all pummp stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
❑ Potable power soo ce with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telennehy:
Include documentation that the portable source is owned or contracted by the applicant and is compatible nvith the station.
If the portable pomver source or pump is dedicated to multiple punmp stations, -in evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable pomver source or pump, including travel tinnefranmes, shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 06-21 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T.0305(f) & (a)? ® Yes ❑ No
15A NCAC 02T.0305(f) contains minimum separations that shall he nrovided fnr sewer systems -
Setback Parameter*
Separation Required
Stone sewers and other utilities not listed below (vertical)
18 inches
'Water mains (vertical - water over sewer preferred, 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 Il impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
**Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified 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
10 feet
Final earth grade (vertical)
36 inches
➢ If noncompliance with 02T.0305(f) or (e). see Section X.1 of this application
* 15A NCAC 02T.0305(9) contains alternatives where separations in 02T.0305(f) cannot be 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 Classifications webpage
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ N/A
➢ If no, please refer to 15A NCAC 18C.0906(t) for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ® Yes ❑ No ❑ N/A
➢ Please provide supplementary information identifyuig the areas of uon-conformance.
➢ See the Division's draft separation requirements for situations where separation cannot be met.
➢ 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? ❑ Yes Basin name: ® No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .02007 ❑ Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Natiomvidehndividual penmits ❑ Yes ® No
or 401 Water Quality Certifications?
➢ Please provide the permit number/pennitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0105(e)(6) (additional permits./certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), 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, stornmater management plans, etc.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes ® No
Per 15A NCAC 02T.0402, "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streanibanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/confliet boxes require a variance approval.
➢ 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 permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance/Altemative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the permit, and protects renuirinia a variance approval may be subject to longer
review times. For protects regutring two or more variances or where the variance is determined by the Division to be a
significant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:
1, Slz rfij 1 JRa attest that this application for IJi70 &Vo-( li2Q. Llt % AVol16[nm l
(Professional Et gineer's name from At lication Item 111.1.) (Project 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 the applicable regulations,
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteriat for the Fast -Track Permitting
of PumR 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 143-215.6B, 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. Misrepresentation of the application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board. (21 NCAC 56.0701)
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, �`i A. t a M C C rf3E attest that this application for
(Signaune Authority Name from Application Item 1.3.)
NLQoT F--;OZI Nc. Z11 t.ItOf Nrrr(�
(Project Name treat Application Item 11.1)
attest that this application 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. 1 understand that any
discharge of wastewater front 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 143-215.613, 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.
Signature: _ ?f— _ Date:
FORM: FTA 06-21 Page 5 of 5

-N
Phase 1
8" Gravity SS Existing Permit:
WQ0013201
1+
i
VExistolnc Permit:
6539
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