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WQ0006085_Return_20220404
ROY COOPER Governor ELIZABETH S. BISER Secretary RICHARD E. ROGERS, JR. Director NORTH CAROLINA Environmental Quality April 4, 2022 JOHN NICHOLS — PUBLIC UTILITIES DIRECTOR BRUNSWICK COUNTY POST OFFICE BOX 249 BOLIVIA, NORTH CAROLINA 28422 Subject: Application No. WQ0006085 Permit Application Return Ocean Isle Beach WWTP Reclaimed Water System Brunswick County Dear Mr. Nichols: This letter is in reference to your permit minor modification request received March 25, 2022. During the pre -review process, it was noted that the following items were missing from the submitted application package: Permit No. WQ0006085 cannot be modified to add the proposed 748 linear feet (LF) of 8-inch and the proposed 7,157 LF of 16-inch reclaimed water line. Reclaimed water distribution lines shall obtain their own individual permit with an application fee of $480 pursuant to Application Instruction B of Form: RWPL Please note that reclaimed water distribution line permits remain active until rescinded, and do not incur an annual fee. 2. Pursuant to Form: RWPI Item IL6. and 15A NCAC 02T .0105(c)(4), provide a copy of the Environmental Assessment's Finding of No Significant Impact document. 3. Pursuant to Form: RWDL Instruction B and 15A NCAC 02U .0201(e), submit Property Ownership Documentation demonstrating that the Applicant is the owner of the property where the reclaimed water lines will be installed. Documentation shall consist of one of the following: a. Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or b. Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or c. An easement specifically indicating the intended use of the property and meeting the requirements of 15A NCAC 02L .0107(fl, (i.e. municipality right of way) or d. A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat or survey map. D � North Carolina Department of Environmental Quality I Division of Water Resources 512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617 NORTH GAROLINA + 919.707.9000 Mr. John Nichols April 4, 2022 Page 2 of 3 4. Pursuant to Form: RWDL Instruction D and 15A NCAC 02U .0201(c), submit specifications that have been signed, sealed and dated by a North Carolina licensed Professional Engineer. The specifications shall include the following items: a. Specifications for standard equipment may be omitted for municipalities with approved standard specifications. Use of standard specifications must be noted on each page of the plans. b. Table of contents with each section/page numbered. c. Detailed specifications for each reclaimed water line and pump station (as applicable). d. Site Work (i.e., earthwork, clearing, grubbing, excavation, trenching, backfilling, compacting, fencing, seeding, etc.) e. Materials (i.e., concrete, masonry, steel, painting, method of construction, etc.) f Electrical (i.e., control panels) g. All labeling and color coding requirements per 15A NCAC 02U .0403. h. Specifications shall represent a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR CONSTRUCTION, etc.) that indicate they are anything other than final specifications. However, the specifications may be labeled with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION. 5. Pursuant to Form: RWDL Instruction E and 15A NCAC 02U .0201(c), submit calculations that have been signed, sealed and dated by a North Carolina licensed Professional Engineer. The calculations shall include the following items: a. Provide justification for the required pipe capacity, and details for how pipe sizes were determined. b. Minimum velocities to be maintained in the reclaimed water line. c. Friction/total dynamic head calculations and system curve analysis for each pump used. d. Pump selection information including pump curves, manufacturer's information, and recommended installation guidelines. e. Detailed specifications for each reclaimed water line and pump station (as applicable). f. Floatation calculations for any pump stations entirely or partially below grade. g. For connection to a pump station, submit an evaluation of the existing pump station's ability to handle peak flows. Provide calculations to detail how peak flows were determined. h. For connection to a force main, submit an evaluation of the existing force main based on peak flows to the proposed project and peak flows already tributary to the existing force main. Accordingly, your permit minor modification request is being returned as incomplete pursuant to 15A NCAC 02T .0107(b). The success of the Water Quality Permitting Section's Non -Discharge Branch process depends upon the receipt of complete and accurate applications and supporting documentation. Please amend the application package to include the previously noted omitted items and resubmit with the appropriate permit processing fee. Mr. John Nichols April 4, 2022 Page 3 of 3 Please be advised that construction and/or operation of the subject facilities without a valid permit is a violation of G.S. 143-215.1, and may subject you to appropriate enforcement actions pursuant to G.S. 143-215.6A., 6B., and 6C. Civil penalties of up to $25,000 per day per violation may be assessed for failure to secure a valid permit. If you need additional information concerning this letter, please contact me at (919) 707-3653 or nathaniel.thornburgkncdenr. gov. Sincerely, Nathaniel D. Thornburg, Branch Chi f Division of Water Resources Enclosure cc: Wilmington Regional Office, Water Quality Regional Operations Section (Electronic Copy) Kyle L. Herring, PE — Cape Fear Engineering (Electronic Copy) Laserfiche File (Electronic Copy) CAPE FEAR ENGINEERING 151 FoalsRd.,Sute 1W, B@Mde, NC, 28451 TEL (910) 38&1044; FAX (910) W3-1045 www. cepefearengineedng.com To: NCDEQ Public Water Supply Section 1304-C, 13t" Floor Archdale Bldg. 512 N. Salisbury Street Raleigh, NC 27604 Attn: Suzanne Martin Transmittal Date: December 13th, 2021 File: 839-05 "35" Subject: Water Permit Application OR Reclaimed Water Line ❑ As Requested ❑ For Your Files ❑ For Distribution ® For your Review 1 Action 1 Approval ® Sent via Mail ❑ Sent via Courier Quantity Drawing No. Description 2 Original & Copy Water Permit Application (Form RWPI 06-16, Form RWDL 06-16) 1 Copy Engineer's Report 1 Copy Water Distribution System Design Narrative 1 Copy Final Design Plans (Full Size) 2 Copies Data Discs REMARKS Please find the enclosed documents for your review. If you have questions or require additional information, please contact our office. Thank you. Cape Fear Engineering, Inc. CC: File 839-05 "35" Signed: Shan Lowe, E.I. Received By: Date: State of North Carolina Department of Environmental Quality PMLR Division of Water Resources 15A NCAC 02U — RECLAIMED WATER SYSTEMS — DISTRIBUTION LINES �Divlslon of Water Resources INSTRUCTIONS FOR FORM: RWDL 06-16 & SUPPORTING DOCUMENTATION Pleaseuse the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website General — This application is for projects involving the construction of reclaimed water distribution lines that will supply reclaimed water for conjunctive use activities. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supportingdocumentation. Do not submit this anplication without an associated Reclaimed Water Project Information (FORM: RWPI) form. A. Reclaimed Water Distribution Lines (FORM: RWDL 06-16) Application (All application packages): ® Submit the completed and appropriately executed Reclaimed Water Distribution Lines (FORM: RWDL 06-16) form. Please do not make any unauthorized content changes to this form. 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. ® The system name in Item II.1. shall be consistent with the user name on the plans, specifications, agreements, etc. ® The Professional Engineer's Certification on Page 5 of this form shall be signed, sealed and dated by a North Carolina licensed Professional Engineer. ® The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T .0106{2). The application must be signed by a principal executive officer of at least the level of vice-president or his authorized representative for a corporation; by a general partner for a partnership or limited partnership; by the proprietor for a sole proprietorship; and by either an executive officer, an elected official in the highest level of elected office, or other authorized employee for a municipal, state, or other public entity. 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 .01044 B. Property Ownership Documentation (All Application Packages): ® Per 15A NCAC 02U .020Ne) or 15A NCAC 02U .0202(fl, the Applicant shall demonstrate that they are the owner of the property where the reclaimed water lines will be installed. Documentation shall consist of one of the following (or a combination of): ❑ Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or ❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or ® An casement specifically indicating the intended use of the property and meeting the requirements of 15A NCAC 02L .0107 , (i.e. municipality right of way) or ❑ A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat or survey map. INSTRUCTIONS FOR FORM: RWDL 06-16 & SUPPORTING DOCUMENTATION Page 1 of 2 C. Engineering Plans (All Application Packages): ® Per 15A NCAC 02U ,0201(c)l1) or .0202 c , submit standard size and 11 x 17-inch plan sets that have been signed, sealed and dated by a North Carolina licensed Professional Engineer. At a minimum, the engineering plans shall include the following items- ® Table of contents. Z A general location map with at least two geographic references and a vicinity map. ® Plan and profile views of all pump stations and reclaimed water line extensions as well as the proximity of the reclaimed water line extensions to other utilities and natural features. ® Depict minimum separation distances required by 15A NCAC 02U .0403(h), (i), and 15A NCAC 02T 0305). ® Minimum cover in accordance with 15A NCAC 02T .0305(a)(4). ® Location and details of all pump stations. ® All labeling and color coding requirements per 15A NCAC 02U .0403, ® Plans shall represent a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR CONSTRUCTION, etc.) that indicate they are anything other than final specifications. However, the plans may be labeled with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION. D. Specifications (All Application Packages): ® Per 15A NCAC 02U .0201(c) or .0202 c submit specifications that have been signed, sealed and dated by a North Carolina licensed Professional Engineer. At a minimum, the specifications shall include the following items: ® Specifications for standard equipment may be omitted for municipalities with approved standard specifications. Use of standard specifications must be noted on each page of the plans. ® Table of contents with each section/page numbered. ® Detailed specifications for each reclaimed water line and pump station (as applicable). ® Site Work (i.e., earthwork, clearing, grubbing, excavation, trenching, backfilling, compacting, fencing, seeding, etc.) ® Materials (i.e., concrete, masonry, steel, painting, method of construction, etc.) ® Electrical (i.e., control panels) ® All labeling and color coding requirements per 15A NCAC 02U .0403. ® Specifications shall represent a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR CONSTRUCTION, etc.) that indicate they are anything other than final specifications. However, the specifications may be labeled with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION. E. Engineering Calculations (All Application Packages): ® Per 15A NCAC 02U .0201 c or .0202 c , submit calculations that have been signed, sealed and dated by a North Carolina licensed Professional Engineer. At a minimum, the calculations shall include the following items: ® Provide justification for the required pipe capacity, and details for how pipe sizes were determined. ® Minimum velocities to be maintained in the reclaimed water line. ® Friction/total dynamic head calculations and system curve analysis for each pump used. ® Pump selection information including pump curves, manufacturer's information, and recommended installation guidelines. ® Detailed specifications for each reclaimed water line and pump station (as applicable). ® Floatation calculations for any pump stations entirely or partially below grade. ® For connection to a pump station, submit an evaluation of the existing pump station's ability to handle peak flows. Provide calculations to detail how peak flows were determined. ® For connection to a force main, submit an evaluation of the existing force main based on peak flows to the proposed project and peak flows already tributary to the existing force main. ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO: NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES WATER QUALITY PERMITTING SECTION NON -DISCHARGE PERMITTING UNIT By U.S. Postal Service: By Courier/Sipecial Delivery: 1617 MAIL SERVICE CENTER 512 N. SALISBURY STREET RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604 TELEPHONE NUMBER: (919) 807-6464 FAX NUMBER: (919) 807-6496 INSTRUCTIONS FOR FORM: RWDL 06-16 & SUPPORTING DOCUMENTATION Page 2 of 2 State of North Carolina Department of Environmental Quality Division of Water Resources Divislon of Water Resources 15A NCAC 02U — RECLAIMED WATER SYSTEMS — DISTRIBUTION LINES FORM: RWDL 06-16 I. CONTACT INFORMATION: 1. Applicant's name: Brunswick County Mailing address: PO Box 249 City: Bolivia State: NC Zip: 28422- Telephone number: 910 253-2460 Email Address: utilitvadmin(i4brunswickcountvnc.eov 2. Signature authority's name: John Nichols(per 15A NCAC 02T .0106 Title: Public Utilities Director 3. Consulting Engineer's name: Kyle Herring License Number: 48839 Firm: Cane Fear Engineering Mailing address: 151 Poole Rd, Ste. 100 City: Belville State: NC Zip: 28451- Telephone number: (910) 383-1044 Email Address: kyle.herring(a,canefearengrneering.com II. DISTRIBUTION SYSTEM INFORMATION 1. Distribution system project name (name of subdivision, shopping center, etc.): Ocean Isle Beach WVVTP Reclaimed Water 2. Project county: Brunswick 3. USGS map name: Goo lg a Maps 4. Owner of reclaimed water generating facility: Brunswick County 5. Permit number of reclaimed water generating facility: WQ0006085 6. List the owner(s) of any intermediate reclaimed water lines if different from the applicant, or the generating facility. NIA 7. Permit number for reclaimed water line immediately upstream: WQ0006085 8. Pipe diameter for for reclaimed water line immediately upstream: 8". 10" 9. Specify the proposed destination of the reclaimed water: SW Dartmoor Way 10. Capacity of proposed distribution system: 2,425,890 gallons per day 11. Explanation of how capacity was determined: Hydraulic Analysis III. DISTRIBUTION LINE DESIGN INFORMATION L. Complete the table below for by providing the required information on the proposed distribution lines: Diameter (inches} Length 'near feet Pipe Material High Elevation ft Discharge Elevation ft 8" 748 C900 DR-18 49.4 49.4 16" 7157 C900 DR-18 48.75 43.7 2. Station location of air release valves: Note: Air release valves must be provided at all high points along the line where the elevation difference exceeds 10 ft. FORM: RWDL 06-16 Page 1 of III. DISTRIBUTION LINE DESIGN INFORMATION (Continued) 3. Complete the table below by providing the location of each design criteria in the specification and/or plans in accordance with 15A NCAC 02U .0403. Items that are not applicable shall be marked N/A. Design Criteria Page Number in Plans Page Number in Specifications Labeling on reclaimed water piping, valves, storage facilities and outlets CU10I-CU107 N/A Color coding on: reclaimed water piping, valves, etc. N/A 84 Method of securing valves and outlet for operation by authorized personnel onl C-504 NIA Locking mechanism for hose bibs NIA N/A Cross connection control devices NIA NIA IV. SETBACKS 15A NCAC 02U .0701 1. Provide the actual minimum distance (in feet) from any reclaimed water storage units and/or pump station within the distribution system to eachitem listed (distances greater than 500 feet may be marked NIA): Setback Parameter Pump stations within Reclaimed Water distributions stem Storage Units Required I Actual Required I Actual Any private or public water supply source N/A 100 I Any property line I N/A MIJUNAM 50 1 1 Any well with exception of monitoring wells 100 >100 100 Surface waters (streams — intermittent and perennial, 100 >100 50 perennial waterbodies, and wetlands) classified as SA Surface waters (streams — intermittent and perennial, 25 >25 50 perennial waterbodies and wetlands) classified as SA 2. Do the pump stations and storage units comply with all setbacks found in the river basin rules 115A NCAC 2B .0200)? Yes or❑No ✓ If no, list non -compliant setbacks: 3. Are any setback waivers required in order to comply with 15A NCAC 02U .0701? ❑ Yes or ®No ✓ If yes, have these waivers been written, notarized, signed by all parties involved and recorded with the County Register of Deeds? ❑ Yes or ❑ No ✓ If yes, have the required Non -Discharge Wastewater System Waiver (FORM: NDWSWI forms been included with this application package? ❑ Yes or ❑ No FORM: RWDL 06-16 Page 2 of 5 V. SEPARATION DISTANCES 1. Provide the actual minimum separation distance (in feet) from the reclaimed water distribution system to each item listed in accordance with 15A NCAC 02U .0403 Lbj. Q and : Separation Parameter Any water line (feet) Any well Sewer lines (reclaimed over sewer) Final earth grade Horizontal Required Actual 10 12.5 50 NIA 2 50 NIA 2. Are the separation requirements listed above met? ® Yes or ❑-No ✓ If No, has documentation been provided to show that piping and integrity testing procedures meet water main standards in accordance with 15A NCAC 18C? ❑ Yes or ❑ No Note: In no case shall reclaimed water lines be closer than 25 feet to a private well. VI. PUMP STATION INFORMATION IF MORE THAN ONE PUMP STATION. PROVIDE ADDITIONAL COPIES OF THIS PAGE AS NECESSARY. 1. Are there any reclaimed water pump stations proposed as part of the distribution system? ❑ Yes or ® No ✓ If no, then skip the remaining items in Section VI. 2. ComPletc the table below by Providing the required information regarding the reclaimed water Pumn station(s) Pump Station Design Plan Sheet Specification Number Page Number Internal dimensions (L x W x H or q) x H) ft ft ft Volume gallons Inlet Elevation ft Outlet Elevation ft Number of pumps Pump capacity GPM Lead pump on elevation ft Lag pump on elevation ft Lead pump off elevation ft Lag pump off elevation ft High water elevation ft AudibleNisual high water alarm 3. What is the 100-year flood elevation? (ft) 4. Precautions to be taken to protect the pump station from flooding: (ft) FORM: RWDL 06-16 Page 3 of 5 VCI.STORAGE TANK INFORMATION IF MORE THAN ONE STORAGE TANK, PROVIDE_ ADDITIONAL COPIES OF THIS PAGE AS NECESSARY. 1. Are there any reclaimed water storage tanks proposed as part of the distribution system? ❑ Yes or ® No ✓ If no, then slip the remaining items in Section VII. Z. Complete the table below by providing the required information reeardine the reclaimed water storajae tank(s) 3. What measures will be taken to reduce the risk of overflow? FORM: RWDL 06-16 Page 4 of 5 Professional Engineer's Certification: I Kyle Herring, P.E. , attest that this application for Ocean Isle Beach WWTP Reclaimed Water has been reviewed by me and is accurate, complete and consistent with the information supplied 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 this application package and its instructions as well as all applicable regulations and statutes. 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'Vbe consistent with the proposed design. Note: In accordance with NC 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. North Carolina Professional Engineer's seal, signature, and date: ��k�v4�U V V (Rl,f� C f, _n n SEAL °F 9 © 043839 ea Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106): 1, 7ohnNichols Public Utilities Director (signing authority name — PLEASE PRINT) attest that this application for Ocean Isle Beach WWTP Reclaimed Water (facility name) (title) has been reviewed by me and is accurate and complete to the best of my knowledge. 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 '- MWrtmg information and attachments are not included, this application package will be returned to me as incomplete. I further certify ' � E`e: applicant or any affiliate has not been convicted of an environmental cringe, has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02U .0105. Note: In accordance with NC 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 e gy�ilty f a Class 2 misdemeanor, which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per viol b Signature: Date: FORM: RWDL 06-16 Page 5 of 5 State of North Carolina Department of Environmental Quality Division of Water Resources 15A NCAC ©2U — RECLAIMED WATER SYSTEMS — PROJECT INFORMATION Division of Water Resources INSTRUCTIONS FOR FORM: RWPI 06-36 & SUPPORTING DOCUMENTATION Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. For more information, visit the Water Quality Permitting Section Non -Discharge Permitting Unit website. General —This form is required for all projects involving the generation, utilization, and or distribution of reclaimed water. At least one of the following forms must also be included in the application package. However, multiple forms may be applicable. Unless otherwise note.! the Applicant shall submit one original and two copies of the applieation and sui)porft documentation. Please check the boxes below as appropriate to indicate which additional forms are included in the application package: ❑ Reclaimed Water Generation (FORM: RWG) — for wastewater treatment facilities producing reclaimed water. ❑ Non -Conjunctive Utilization (FORM: RWNC) — for reclaimed water utilization activities, when the reclaimed water utilization activity is required in order to meet the wastewater disposal needs of the facility. ❑ Conjunctive Utilization (FORM: RWCU) — for reclaimed water utilization activities, when the reclaimed water option is not necessary to meet the wastewater disposal needs of the facility and other wastewater utilization/disposal methods are available. ❑ Bulk Distribution (FORM: RWBD) — for distribution of reclaimed water in a bulk manner. ® Distribution Lines (FORM: RWDL) — for construction of reclaimed water distribution lines. ❑ Wetland Augmentation (FORM: RWWA) — for projects seeking to utilize reclaimed water for the purpose of wetland augmentation, ❑ Local Program Approval (FORM: RWLPA) --- for projects seeking permitting delegation for reclaimed water users. A. Cover Letter (All Application Packages): ® List all items included in the application package, as well as a brief description of the requested permitting action. B. Application Fee (All New and Major Modification Application Packages): ® Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environmental Quality (NCDEQ) according to the following fee schedules: ® STANDARD REVIEW —Submit the appropriate fee for all new and major modification applications as listed in the table below. Facility Classification New Permit Major Modification 1 Major Generator/User (ADF ? 10,000 gallons per day) $1,310 $395 Minor Genexator/User (ADF < 10,000 gallons per day) $810 $245 Reclaimed Water Distribution Lines $480 N/A 1 A major modification shall be defined as.wy�ermit modification that: increases the generating facility's average daily flow (ADF); increases the utilization area acreage; adds additional utilization areas not previously approved; or includes the addition of new treatment units/processes not previously permitted. There is no fee for minor permit modifications. INSTRUCTIONS FOR FORM: RWPI 06-16 & SUPPORTING DOCUMENTATION Page 1 of 2 Reclaimed Water Project Information Form (FORM: RWPI 06-16) (All application packages): ® Submit the completed and appropriately executed Reclaimed Water Project Information (FORM: RWPI 06-16) form. Please do not make any unauthorized content changes to this form. ® The applicant name in Item. 1.1. shall be consistent with the applicant name on the plans, specifications, agreements, etc. ® The Applicant's Certification on Page 3 of this form shall be signed in accordance with 15A NCAC 02T .0106(b). The application must be signed by a principal executive officer of at least the level of vice-president or his authorized representative for a corporation; by a general partner for a partnership or limited partnership; by the proprietor for a sole proprietorship; and by either an executive officer, an elected official in the highest level of elected office, or other authorized employee for a municipal, state, or other public entity. 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(6). ❑ If this project is for a renewal without modificationuse the Non -Discharge System Renewal (FORM: NDSR) application. There is no fee for permit renewal without modification. A Existing Permit: (All Modification Packages): ® Submit the most recently issued existing permit. ® Provide a list of any items within the permit the Applicant would like the Division to address during the permit modification (i.e., compliance schedules, permit description, monitoring, permit conditions, etc.). ONE ORIGIANL AND TWO COPIES OF THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO: NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES WATER QUALITY PERMITTING SECTION NON -DISCHARGE PERMITTING UNIT By-U.S. Postal Service: By CourierlSuecial Delivery: 1617 MAIL SERVICE CENTER 512 N. SALISBURY STREET RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604 TELEPHONE NUMBER: (919) 807-6464 FAX NUMBER: (919) 807-6496 INSTRUCTIONS FOR FORM: RWPI 06-16 & SUPPORTING DOCUMENTATION Page 2 of 2 Division of Water Resources I. GENERAL .INFORMATION: State of North Carolina Department of Environmental Quality Division of Water Resources 15A NCAC 02U — RECLAIMED WATER SYSTEMS -- PROJECT INFORMATION FORM: RWPI 06-16 1. Applicant's nacre: Brunswick County Mailing address: PO Box 249 City: Bolivia State: NC Zip: 28422 Telephone number: 910) 253-2460 Email Address: utilityadmin@branswickcountync.gov 2. Signature authority's name: John Nichols (per 15A NCAC2-U .0106) 3. Applicant type (check all that apply): ® Government --- ---> ❑ Federal ❑ State ❑ Individual ❑ Corporation Title: Public Utilities Director ❑ Municipal ® County ✓ For new permits, submit documentation that the company is registered for business with the NC Secretary of State. ❑ General Partnership ✓ For new permits, submit a copy of the certificate filed with the Register of Deeds in the county of business. ❑ Privately Owned Public Utility ✓ For new permits, submit a Certificate of Public Convenience and Necessity from the NC Utilities Commission, or a letter from the NC Utilities Commission's Water and Sewer Division Public Staff stating an application for a franchise has been received and that the service area is contiguous to an existing franchised area or that franchise approval is expected. ❑ Home Owners Association ✓ For new permits, submit a properly executed Qperational A Bement(FORM: HOA ; and proposed or approved Articles of Incorporation, Declarations and By-laws. ❑ Developer (where residential lots are to be sold) ✓ For new permits, submit a properly executed Operational Agreement (FORM: DM 4. Demonstration of historical consideration for permit approval: Has the Applicant or any parent, subsidiary or other affiliate exhibited the following? a. Has been convicted of environmental crimes under Federal law or G.S. 143-215.6B? ❑ Yes or ® No b. Has previously abandoned a wastewater treatment facility without properly closing that facility? ❑ Yes or ® No c. Has unpaid civil penalty where all appeals have been abandoned or exhausted? ❑ Yes or ® No d. Is non -compliant with an existing non -discharge permit, settlement agreement or order? ❑ Yes or ® No e. Has unpaid annual fees in accordance with 15A NCAC 02T .0105(c)(2)? ❑ Yes or ® No FORM: RWPI 06-16 Page 1 of 3 11. PROJECT INFORMATION 1. Application type: Major Modification (See Instruction B) Fee Submitted NIA (See Instruction B) 2. For modifications, provide the existing permit number: WQ0006085 and most recent issuance date: 2018-08-29 3. Provide a brief description of the activities proposed for permitting: Extension of reclaimed water line 4. What is the status of the following associated permits and/or certifications? (if not applicable, please mark as NIA) Permit/Certification Date Submitted Date Approved Permit/Certification No. Agency Reviewer Collection System (O 200,000 GPD Dam Safety Erosion & Sedimentation Control Plan Nationwide 12 / Section 404 Pretreatment Sewer System Stormwater Management Plan Other: ✓ For any of the permits and certifications listed above that will directly impact the construction of the proposed reclaimed water project, please provide documentation of permit approval or final certification. Note: This application may be considered incomplete, or the resulting permit may be issued conditionally if a pending issuance of any of the related permits/certifications directly impacts the proposed facility. 5. Documentation of the presence or absence of threatened or endangered aquatic species at the project site utilizing information provided by the Department's Natural Heritage Pro rgram is required for construction of all new WWTP projects and/or non - conjunctive utilization sites, and for any project involving expansion of a WWTP and/or non -conjunctive utilization site in accordance with 15A NCAC 02T .0105(c)(10). Provide the location in application package where this documentation is located: NIA; or explain why this item is N/A. 6. Does this project utilize public monies or lands? ® Yes or ❑ No ✓ If yes, was an Environmental Assessment required under 15A NCAC 01 C? Yes ❑ No Include one of the following final environmental documents with this submittal: ® Finding of No Significant Impact, or ❑ Record of Decision Describe any mitigating factors from the Environmental Assessment that impact the design and/or construction of the reclaimed water project: N/A 7. Is any portion of the proposed project (reclaimed water treatment units, storage units, distribution lines, or utilization areas) located within the 100 year flood plain? ❑ Yes or ® No ✓ If yes, specify which portion(s) of the project are affected? ✓ If yes, has the Applicant submitted written documentation of compliance with & 143 Article 21 Part 6? ❑ Yes or ❑ No Documentation should consist of a letter from the local authority (i.e., county/municipality) stating that the project complies with any local floodplain ordinance that may apply FORM: RWPI 06-16 Page 2 of 3 Applicant's Certification (signing authority most be in compliance with 15A NCAC 02U .0106): I, John Nichols Public Utilities Director (signing authority name — PLEASE PRINT) (title) attest that this application for Ocean Isle Beach WWTP Reclaimed Water (facility name) has been reviewed by me and is accurate and complete to the best of my knowledge. 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. I further certify that the applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02U .0105. Note: In accordance with NC General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false statement, representation, or certification in any appli tion ackage shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000 as well as civil pepa t es u tqf $ 5,000 per violation. Signature: Date: FORM: RWPI 06-16 Page 3 of 3 CAPE FEAR ENGINEERING December 13, 2021 NCDEQ Public Water Supply Section Office 1304-C, 13" Floor Archdale Building 512 Salisbury Street Raleigh, NC 27604 Subject: Design Report — Ocean Ridge Reclaimed Waterline Dear Sir or Madam: The project is located along the south side of Old Georgetown Road SW (SR 1163) where it ties into an existing 10" stub at the Ocean Isle WWTF Spray Fields and continues in a southwestern direction until reaching Dartmoor Way at Ocean Ridge Plantation. At Dartmoor Way the waterline will cross under Old Georgetown Road SW (SR 1163) and continue along the west side of Dartmoor Way to the Ocean Ridge Point of Connection. The proposed waterline improvements will be part of the Brunswick County water distribution system. This waterline is a reclaimed water line carrying non -potable water. Proposed improvements consist of the installation of approximately 7,156 linear feet of 16-inch water mains and appurtenances which connects at the 10" stub located on the southern side of Old Georgetown Road SW (SR 1163) and continues southwest where it turns at Dartmoor Way. There will be a new 8" waterline that crosses Old Georgetown Road SW (SR 1163) and runs along Dartmoor Way for approximately 747 linear feet before terminating at the Ocean Ridge Point of Connection. The waterline will feed into the existing Ocean Ridge irrigation system, All water supply improvements shall be in compliance with North Carolina Administrative Code Title 15A, subchapter I 8C and Brunswick County Standards. Brunswick County owns, operates and maintains the supply and distribution of wholesale water in accordance with Water System Management Plan (WSMP) No. 16-00759 currently on file with the State of North Carolina. Brunswick County has a sufficient quantity of water to supply the addition of this system to the Brunswick County Water System, I trust this information is sufficient for your review and approval. If you have any questions, comments, or require additional information regarding this matter, please contact this office. Sincerely, Kyle Herring, PE cc: file 839-04 "35" 4��CAR ° d® a00 S SEAL o SA g 048839 e 151 Poole Road, Suite 100 • Beiville, NC 28451 • TEL. (910)383-1044 • FAX (910)383-1045 www.copefearenginecting.com Water Distribution System Modeling Design Narrative and Calculations For Ocean Ridge Reclaimed Waterline Brunswick County, North Carolina Prepared for: Date: December 2021 ��dp44D0�0ap0 SEAL o r Prepared by: Cape Fear Engineering, Inc. 151 Poole Road, Suite 100 Belville, NC 28451 (910) 383-1044 NC License No. C-1621 DESIGN NARRATIVE L GENERAL: On behalf of Brunswick County, Cape Fear Engineering is submitting for a Water permit for the Ocean Ridge Reclaimed Waterline Project. The subject project location begins at the 10" stub tie in near the Ocean Isle Beach WWTF Spray Fields off Old Georgetown Rd SW (SR 1163) in Ocean Isle Beach, North Carolina and traverses approximately 1.5 miles to its termination point, the Ocean Ridge re -use irrigation system. Brunswick County owns, operates, and maintains the supply and distribution of the water system in accordance with Water System Management Plan (WSMP) No. 16-00759 currently on file with the State of North Carolina. Brunswick County has a sufficient quantity of water to supply the addition of this system to the County system. All water supply improvements shall be in compliance with North Carolina Administrative Code Title 15A, subchapter18C and Brunswick County Water System Standards. 2. WATER SYSTEM DESCRIPTION: The proposed water distribution system will consist of the installation of approximately 7,156 linear feet of 16" waterline and appurtenances which connects at the 10" stub located on the southern side of Old Georgetown Road SW (SR 1163) and continues southwest where it turns at Dartmoor Way. There will be a new 8" waterline that crosses Old Georgetown Road SW (SR 1163) and runs along Dartmoor Way for approximately 747 linear feet before terminating at the Ocean Ridge Point of Connection. The waterline will feed into the existing Ocean Ridge irrigation system. The proposed waterlines will connect to an existing waterline in the two (2) following locations: • The first location is near the Ocean Ridge WWTF Spray Fields where the proposed line will tie to an existing 10" waterline on Stone's Throw Drive (just south of Old Georgetown Rd SW) • The second location is near the Ocean Ridge Plantation Property where the proposed line will tie to an existing 8" waterline on SW Dartmoor Way. The primary purpose of this water distribution system is to extend the existing 10" reclaimed waterline to serve developments along the Ocean Ridge Plantation Property. 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