WQ0043302_Application (FTSE)_20220421

Permit Number WQ0043302
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
tyler.benson
Coastal SWRule
Permitted Flow
Facility
Facility Name
Clewis Avenue Sewer
Location Address
Owner
Central Files: APS _ SWP _
3/24/2022
Permit Tracking Slip
Status
Project type
In review
New Project
Version
Permit Classification
A
Individual
Permit Contact Affiliation
Major/Minor Region
Minor Wilmington
County
New Hanover
Facility Contact Affiliation
Owner Name Owner Type
Cape Fear Public Utility Authority Government - Municipal
Owner Affiliation
Kenneth Waldroup
Director Executive
235 Government Center Dr
Dates/Events Wilmington NC 28403
Scheduled
Ong Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
3/22/2022
Regulated Activities Requested /Received Events
— - _ Additional information requested

PORT CITY CONSULTING ENGINEERS, PLLC
6216 STONEBRIDGE ROAD
WILMINGTON, NORTH CAROLINA,
28409
[phone]
TO: Dean Hunkele
NCDEQ
127 Cardinal Drive
Wilmington, NC 28405
MEE (OP VG3QMMMA
DATE 3/22/22
JOB NO.
ATTENTION
PHONE#
BE: Clewis Avenue Water & Sewer
Sewer Permit Submittal
Public Sewer
Water Quality Regional
WE ARE SENDING YOU ® Attached ❑ Under separate cover
❑ Shop Drawings ❑ Prints ❑ Plans ❑ Samples
❑ Copy of Letter ❑ Change order ❑ Diskette ❑
Wilmington Regional onme
the following items:
❑ Specifications
COPIES
DATE
NO,
DESCRIPTION
1
Check for 480 each for application fee
2
One Original & one copy of: Fast Track Application and
Flow Tracking Form
1
USGS Quad Sheet
1
Sewer Narrative
F7
THESE ARE TRANSMITTED as checked below:
® For approval
❑ For your use
❑ As requested
❑ For review and
comment
❑ FOR BIDS DUE
❑ copies for
❑ Approved as submitted Resubmit approval
copies for
❑ Approved as noted ❑ Submit distribution
❑ Returned for corrections ❑ Return _ corrected prints
20 ❑ PRINTS RETURNED AFTER LOAN TO US
COPY TO: File SIGNED: Mcwk� N. }EAN',g-t ayev
If enclosures are not as noted, kindly notify us at once.

SEWER NARRATIVE
CLEWIS AVENUE WATER & SEWER
SEWER DESCRIPTION
The proposed sewer extension will serve three existing lots off of Clewis Avenue in New
Hanover County. The total length of gravity line is 253 if of 8" C900 PVC. The gravity sewer
will connect to an existing gravity system owned and maintained by CFPUA.

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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: LOU L' 32 (to be completed by DWR)
All items must be comDleted or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Cape Fear Public Utility Authority (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ® Other Authority
3. Signature authority's name: Jeff Theberge. PE per 15A NCAC 02T .0106(b)
Title: En ing eering Manager
4. Applicant's mailing address: 235 Government Center Drive
City: Wilmington State: NC Zip: 28403-
5. Applicant's contact information:
Phone number: (2a M-6673 Email Address: jefftheberge6z1cf12ua.org
11. PROJECT INFORMATION:
1. Project name: Clewis Avenue Water & Sewer
2. Application/Project status: ® Proposed (New Permit) ❑ 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: WQ00_
3. County where project is located: New Hanover
4. Approximate Coordinates (Decimal Degrees): Latitude: 43 2936° Longitude: -77 8397°
5. Parcel ID (if applicable): R03511-001-006-000 (or Parcel ID to closest downstream sewer)
HI. CONSULTANT INFORMATION:
1. Professional Engineer: Mark N. Hargrove License Number: 019742
Firm: Port City Consulting Engineers, PLLC
Mailing address: 6216 Stonebrid a Road
City: Wilmington State: 1,LC Zip: 28409-
Phone number: [phone] Email Address: markQVortciJyeng,com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: James A. Laughlin NSWWTP Permit Number: NC 0023965
Owner Name: Cane Fear Public Utility Authority
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ0030851
2. Downstream (Receiving) Sewer Information: 8 inch M Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS_
Owner Name(s): CFPUA
FORM: FTA 06-21 Page I of 5

VL GENERAL REQUIREMENTS
1. 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 HOA/POA 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: !W% Domestic _% Commercial _ % Industrial (See 15A NCAC 02T .0103(2Q)1
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(t)? ❑ Yes ® No
➢ If yes provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow °,"
No. of Units
Flow
Single Family Residences
360 gal/Residence
3
1,080 GPD
gall
gal/
GPD
gal/
GPD
gall
GPD
gall
GPD
Total
1,080 GPD
a See 15A NCAC 02T 0114(b) (d) (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 1.080 GPD (per 15A NCAC 02T .0114)
➢ Do not include future 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 timeframe 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 2 of 5

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 253 C900 PVC
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal 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 diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01 C. Lb. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - 15A NCAC 02T.0305(h)(1)(B)_
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility 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):
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
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(fl contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
'Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
2Water 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, W S-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands 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 (a), see Section X.1 of this application
*15A NCAC 02T.0305(g) 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 weblage
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(f) 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 identifying the areas of non-conformance.
➢ Seethe 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 .0200? ❑ Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑ Yes ® No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.010$(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per I SA 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, stormwater management plans, etc.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes ® No
Per I SA NCAC 02T.0402, "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict 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 l5A NCAC 02T, the Minimum Design Criteria for the Permitting of Pumn Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Desipp 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. Anoroval of the reuuest will be issued
2. Professional Engineer's Certification:
I Mark N. Hargrove attest that this application for Clewis Avenue Water & Sewer
(Professional Engineer's name from Application Item UD'.) (Project Name from Application Item it.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 Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. 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)
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North Carolina Professional Engineer's seal, signature, and date:
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3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, Jeff Theberge, Engineering Manager , attest that this application for Clewis Avenue Water & Sewer
(Signature Authority Name from Application Item 1.3.) (Project Name from 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. 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.
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.
FORM: FTA 06-21 Page 5 of 5

FTA-06-21 CFPUA 022322 to be signed
Final Audit Report 2022-03-18
Created:
2022-03.16
By:
Kyle Lewis ([e-mail])
Status:
Signed
Transaction ID:
CBJCHBCAABAALF1hlxwXw3GOkourHwlarrlZbW7tLitX
°FTA-06-21 CFPUA 022322 to be signed" History
n Document created by Kyle Lewis ([e-mail])
2022-03-16 - 6:58:07 PM GMT- IP address: 70.63.90.214
124 Document emailed to Jeff Theberge [e-mail]) for signature
2022-03-16 - 6:58:48 PM GMT
Email viewed by Jeff Theberge [e-mail])
2022-03-17 - 0:54:09 AM GMT- IP address: 104.28.33.42
6© Document e-signed by Jeff Theberge [e-mail])
Signature Date: 2022-03-18 - 1:13:15 PM GMT - Time Source: server- IP address: 70.63.90.214
Agreement completed.
2022-03-18 - 1:13:15 PM GMT
RP Adobe Sign

r,
a
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Chaucer Construction, LLC
Project Name for which flow is being requested: Clewis Avenue
More than one FTSE maybe required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: James A. Loughlin (Northside) WWTP
b. WWTP Facility Permit #: NPDES NC 0023965
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
A11 flows are in MGD
16.000
3.959
10.661
0.001080
14.621
91.4
H. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
Pump
Pump
Station
Station
(Name or
Permit
Number)
No.
(A)
(B)
Design
Average
Approx.
Daily
Current
Firm Flow**
Avg. Daily
Capacity, * (Firm / pt),
Flow,
MOD MOD
MOD
(C)
(D)—(B+C) (E)=(A-D)
Obligated,
Not Yet
Total Current
Tributary
Flow Plus
Daily Flow,
Obligated Available
MOD
Flow Capacity***
89 WQ0013551 14.583 5.833 4.177 1.763 5.940 -0.107
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Cape Fear Public Utility Authority
Downstream Permit Number:
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Jeff Theberge, CFPUA Eng. Mgr certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and II plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
_ I.:NC�It�LI_1�1N(� f"1AN/{GI:Z
Title of Signing Official
Page 2 of 6
FTSE 10-18

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section II where Available Capacity is <
0.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
29.68 % and 1.763 MGD of the Available Capacity (E) in Pump Station
PS 89 ; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
N/A MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
Sidbury Road Force Main is in design or under construction with
planned completion in 2022 ; and/or
d. The following applies:
The Sidbury Road force main is under construction and is permitted such that flow can
either flow through Pump Station 89 or down the Blue Clay Road force main. CFPUA has a
funded Developer Capital project to complete the tie in and send Sidbuly Road FM flow
through the Blue Clay Road FM as planned. This will reduce the permitted flow through
PS 89 leaving adequate capacity for this project.
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow
this flow to be permitted, without a significant likelihood of over -allocating capacity in the system
infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste disposal
system.
T
Page 3 of 6
FTSE 10-18