WQ0043668_Application (FTSE)_20220810

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Project Narrative for Fast -track Application (FTA 12/07)
2023 and 2025 South Virginia Dare Trail
Kill Devil Hills, Dare County, North Carolina
Design flow = 6,000 gpd
Property Location and Property Data:
2023 S. Virginia Dare Trail, Lot 3, Block B, Section 4, Nags Head Shores Amended
Kill Devil Hills, Dare Co, NC
Street Address: 2023 S. Va. Dare Trail, Kill Devil Hills, NC 27948
Recorded Reference: P.C. 1 SI. 179, D.B. 2056 Pg. 0096
Parcel: 008502000 Pin: 9893 13 24 1105
And
20253 S. Virginia Dare Trail, Lot 3, Block B, Section 4, Nags Head Shores Amended
Kill Devil Hills, Dare Co, NC
Street Address: 2025 S. Va. Dare Trail, Kill Devil Hills, NC 27948
Recorded Reference: P.C. 1 SI. 179, D.B. 2056 Pg. 0096
Parcel: 008502000 Pin: 9893 13 24 1105
Proposed Development:
Two Residential Dwellings each with 22 bedrooms and 25 habitable rooms.
Project Wastewater Design Flow:
2023 South Virginia Dare Trail
Design Flow: 22 Bedroom Residence with 25 habitable rooms at 120 gpd per habitable
room = 25 x 120 = 3,000 gpd
2025 South Virginia Dare Trail
Design Flow: 22 Bedroom Residence with 25 habitable rooms at 120 gpd per habitable
room = 25 x 120 = 3,000 gpd
Total Design flow = 6,000 gpd.
The utility will be owned and operated by the public wastewater utility permitted as
KDHWWTP, LLC by permit WQ0002829. The service district addition is pending by the
NC Utilities Commission.

V'1Q noLeak
Michael W. Robinson, P.E., P.L.S.
August 04, 2022
NCDENR, Division of Environmental Quality
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Engineering and Surveying
Mailing Address: P.O. Box 2852 (104 Jester Court)
Kill Devil Hills, North Carolina 27948
[e-mail]
Phone: [phone]
Re: 2023 and 2025 South Virginia Dare Trail
Fast Track Application (FTA 04-16)
For Receiving Sewer Utility - KDHWWTP, LLC
Wastewater Collection System Extension (Pump Station and Force Main)
Kill Devil Hills, Dare County, North Carolina
Dear Sir/Madame,
Enclosed please find FTA 04-16 and supporting data for a pump station and force main
addition to the KDHWWTP, LLC wastewater utility.
The following information is included with this submittal:
1. Fast Track application form completed and signed.
2. Project narrative with flow justification.
3. FTSE 04-16 signed.
4. Quad Sheet with project identified.
5. Current permit for receiving sewer (WQ0002829)
6. Reduced scale plans and details.
7. Application fee of $480.00.
Thank you for your assistance with this project.
If you have any questions please feel free to call me at 252-255-8026. I can also be
reached by email at mrobinson@a,obxengineering.com.
Sincer
Michael W. n P.E., P.L.S. fECEIVED/NCDENRIDWR
AUG 10 2022
Water Quality
Regional Operations Section
Washington Regional Office

OiYR
Division of Water Resources
01Qo0il3c0c0g
State of North Carolina
Department of Environmental Quality
Division of Water
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION AP ResoTION
urces
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION
This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of 15A NCAC 02T and the Division's
Minimum Design Criteria and that plans, specifications and supporting
NCAC 02T, 15A NCAC 02T .0300, Division policies and good engineerine nr
documents have been prepared in accordance with, 15A
actices.
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305 b design
plans, p
documents must be prepared prior to submittal of a fast track permit application to the Division. This would include design
calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum design criteria. These
a. 'se
documents shall be available upon request by the Division.
Projects that are deemed permitted (do not require a permit from the Division) are explained in 15A NCAC 02T.0303.
Projects not eligible for review via the fast track process (must be submitted for full technical review):
> Projects that require an environmental assessment in accordance with 15A NCAC IC .0100;
> Projects that do not meet any part of the minimum design criteria (MDC) document;
➢ Projects that involve a variance from the requirements of 15A NCAC 2T;
> Pressure sewer systems utilizing septic tank -effluent pumps (STEPs) or simplex grinder pumps;
> STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains);
> Vacuum sewer systems.
General — When submitting an application, 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 requested additional information. Failure to submit all required items will necessitate additional
processing and review time, and may result in return of the application. Unless otherwise noted, the Applicant shall submit
one original and one copy of the application and supporting documentation.
A. One Original and One Copy of Application and Supporting Documents
El Required unless otherwise noted
B. Cover Letter (Required for All Application Packages):
® List all items included in the application package, as well as a brief description of the requested permitting action.
> Be specific as to the system type, number of homes served, flow allocation required, etc.
> If necessary for clarity, include attachments to the application form.
C. Application Fee (All New and Major Modification Application Packages):
® Submit a check or money order in the amount of$480.00 dated within 90 days of application submittal.
➢ Payable to North Carolina Department of Environmental Quality (NCDEQ)
1�ECENEDINGDENRlDW�
D. Fast Track (Form: FTA 04-16) Application
(Required for All Application Packages):
® Submit the completed and appropriately executed application.
> If necessary for clarity or due to space restrictions, attachments to the application may be made. AUG 1 O al ty
❑ If the Applicant Type in Item 1.2 is a corporation or company, provide documentation it is re i
the North Carolina Secret of State.et�ater �n�
❑ If the Applicant Type in Item 1.2 is a partnership or d/b/a, enclose a copy of the certificate Washington Regional veo
Deeds in the county of business. cate filed with the Register of
® The Project Name in Item II.1 shall be consistent with the project name on the flow acceptance letters, agreements, etc.
D The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North
22
Carolina licensed Professional En ineer.
® The Applicant's Certification on Page 5 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).
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION
Page I of 3

E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (If Applicable):
® Submit the completed and executed FTSE form from the owners of the downstream sewers and treatment facility.
➢ Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different,
➢ The flow acceptance indicated in form FTSE must not expire prior to permit issuance and must be dated less than one
year prior to the application date.
➢ Submittal of this application and form FTSE indicates that owner has adequate capacity and will not violate G.S. 143-
215.67(a).
➢ Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific FTSE.
F. Site Maps (All Application Packages):
® Submit an 8.5-inch x 11-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project
area and closest surface waters.
> Location of the project (gravity sewer, pump stations & force main)
> Downstream connection points and permit number (if known) for the receiving sewer
® Include a street level map (aerial) showing general project area so that Division staff can easily locate it in the field.
G. 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., permit description, flow allocation, treatment facility, etc.).
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
® Per 15A NCAC 02T .0305(h)(1), submit documentation of power reliability for pumping stations.
> This alternative is only available for average daily flows less than 15,000 gallons per day
> It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is
compatible with the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or
proposed contractor, stating that "the portable power generation unit or portable, independently -powered pumping
units, associated appurtenances and personnel are available for distribution and operation of this pump 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 in the case of a multiple station power outage. (Required at time of certification)
I. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
® Per 15A NCAC 02T .0115(a)(1) provide the Certificate of Public Convenience and Necessity from the North Carolina
Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by
the sewer extension, or
❑ Provide a letter from the North Carolina 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.
J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (FORM: HOA).
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (FORM: DEV).
For more information, visit the Division's collection systems website
INSTRUCTIONS FOR FORM: FTA 04- 16 & SUPPORTING DOCUMENTATION Page 2 of 3

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
Water Quality Section
2090 US Highway 70
Swannanoa, North Carolina 28778
[phone]
[phone] Fax
Avery, Buncombe, Burke, Caldwell, Cherokee,
Clay, Graham, Hay
wood, ywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Fayetteville, North Carolina 28301-5094
[phone]
[phone] Fax
Anson, Bladen, Cumberland, Harnett, e
Montgomery, Moore, Robeson, Richmond,
Sampson, Scotland
Water Quality Section
Mooresville Regional Office
Water Quality Section
610 E. Center Avenue
Mooresville, North Carolina 28115
[phone]
[phone] Fax
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
Stanly, Union
Raleigh Regional Office
Water Quality Section
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
[phone]
(
Washington Regional Office
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
Beaufort, Bertie, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Water Quality Section
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
Brunswick, Carteret,
Hanover, Onslow, Pende Columbus, Duplin, New
Water Quality Section
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Winston-Salem, North Carolina 27105
[phone]
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
Water Quality Section
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION
Page 3 of 3

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
W Q OQ �
Application Number: (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1.Applicant's name: KDHWWTP, LLC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual 0 Corporation ❑ General Partnership
❑ Federal ❑ State/County ❑ Municipal
3. Signature authority's name: George E. Goodrich per 15A NCAC 02T .0106(b)
Title: Managing Partner
4. Applicant's mailing address: P.O. Box 3629
City: Kill Devil Hills State: North Carolina Zip: 27948-
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
II. PROJECT INFORMATION:
1. Project name: 2023 and 2025 South Virginia Dare Trail
2. Application/Project status:
® Privately -Owned Public Utility
❑ Other
Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Dare
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.99542° Longitude: -75.64596°
5. Parcel ID (if applicable):
(or Parcel ID to closest downstream sewer)
II1. CONSULTANT INFORMATION:
1. Professional Engineer: Michael W. Robinson, P.E. License Number: NC 18994
Firm: Michael W. Robinson, P.E., P.L.S.
Mailing address: P.O. Box 2852
City: Kill Devil Hills State: NC Zip: 27948-
Phone number: [phone] Email Address: rnrobinsonna,obxengineering.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: KDHWWTP, LLC Permit Number: W00002829
Owner Name: KDHWWTP, LLC
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ0002829 Downstream (Receiving) Sewer Size: 6 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): KDHWWTP, LLC
FORM: FTA 04-16
Page I of 5

VI. 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 ZN/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ZN/A
4. Origin of wastewater: (check all that apply):
® Residential Owned
❑ Residential Leased
❑ School / preschool / day care
❑ Food and drink facilities
❑ Businesses / offices / factories
0 Retail (stores, centers, malls)
❑ Retail with food preparation/service
❑ Medical / dental / veterinary facilities
0 Church
O Nursing Home
5. Nature of wastewater : 100 % Domestic/Commercial % Commercial
% Industrial (See 15A NCAC 02T .0103(20))
> Is there a Pretreatment Program in effect?
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool /Clubhouse
0 Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
❑ Yes
6. Has a flow reduction been approved under 15A NCAC 02T .0114(f)? 0 Yes ® No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
❑ No
Establishment Type (see 02T.0114(f9
Daily Design Flow s'b
No. of Units
Flow
2023 S. Va. Dare Trail
120 gaUday
25
3,000 GPD
2025 S. Va. Dare Trail
120 gal/day
25
3,000 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
6,000 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 .01I4(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0I 14] shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 6,000 GPD (per I5A NCAC 02T .0114)
Si. Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
0 Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16
Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
➢ Section 1I & 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 requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: 1
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.99542° Longitude: -75.64596°
3. Design flow of the pump station: 0.2592 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 180 gallons per minute at 59 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
4
6
Length (feet)
20
760
6_ Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or pump with 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
Or if the pump station has an average daily flow less than 15,000 gallons per day:
® Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
Material
C900
C900
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305 h 1 C :
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
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 in the case of a multiple station power outage.
FORM: FTA 04-16
Page 3 of 5

e
IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(0 & (g)
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Storm sewers and other utilities not listed below (vertical)
Water mains (vertical -water over sewer including in benched trenches)
Water mains (horizontal)
Reclaimed water lines (vertical - reclaimed over sewer)
Reclaimed water lines (horizontal - reclaimed over sewer)
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class 1I impounded reservoirs used as a source of drinking water
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands (see item IX.2)
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
® Yes ❑ No
Separation Required
24 inches
18 inches
10 feet
18 inches
2 feet
100 feet
Any building foundation
Any basement
Top slope of embankment or cuts of 2 feet or more vertical height
Drainage systems and interceptor drains
Any swimming pools
50 feet
10 feet
5 feet
10 feet
10 feet
5 feet
10 feet
36 inches
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
➢ If noncompliance with 02T.0305(f) or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes > See the Division's draft separation requirements for situations where separation cannot be meet No ❑ N/A
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
> As built documents should reference the location of areas effected
Final earth grade (vertical)
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes ❑ No ® N/A
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or
individual permits or 401 Water Quality Certifications? ❑Yes ®No
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ❑ Yes
® No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are 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.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ®No ❑ N/A
➢ 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 permitee's individual System -Wide Collection permit.
FORM: FTA 04-16
Page 4 of 5

X. CER.CIFICATIONS:
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, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents
for review. Approval of the request is required prior to submittal of the Fast Track Application and supporting
documents.
2. Professional Engineer's Certification:
i, Mloa,.lt L. W . ttp t31 l.1 Sb N R E , attest that this application for
(Professional Engineer's name from Application Item III. 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, Gravity Sewer
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 143-215.6E, 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.
°0iVi Ca'7
SfAL
Nortb Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
� t /t `' .7 t L, 1Y- attest that this application for
(Si ature Authority's name & title from Application Item f 3.)
;fGz'i
ri ee e o e CAN .s.._.,
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 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. 1 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 arts 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 fuze not to exceed 510,000 as well as civil penalties up to $25,000 per violation.
S ignature:
Date:
FORM: FTA 04-16
Page 5 of 5

f Water Resource-s
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: KDHW WTP, LLC
Project Name for which flow is being requested: 2023 and 2025 South Virginia Dare Trail
More than one FTSE may be 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.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: KDHW WTP, LLC
b. WWTP Facility Permit #: WQ0002829 (July 29,2022)
All flows are in MGD
c. WWTP facility's permitted flow 0.660000
d. Estimated obligated flow not yet tributary to the WWTP 0.20065
e. WWTP facility's actual avg. flow 0.232124
f. Total flow for this specific request 0.00600
g. Total actual and obligated flows to the facility 0.438774
h. Percent of permitted flow used 66.5
II. 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:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity, * (Firm / pt), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
n/a
* The Firm Capacity 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.
*** 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):
Downstream Permit Number:
Page 1 of 6
FTSE 04-16

M. Certification Statement:
I George E. Goodrich, Managing certify to the best of my knowledge that the addition of
Partner
the volume of wastewater to be permitted in this project has been evaluateitalong 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 indicates acceptance of this wastewater flow.
t--2�
Signing Octal Slip re Date
Page 2 of 6
FTSE 04-16

•
-
X
-
MANTEO QUADRANGLE
NORTH CAROLINA—DARE CO.
7.5 MINUTE SERIES (TOPOGRAPHIC)
2 990 000 FEET WRIGHT MEMOR AL 1.8 MI
--
43
75°37'30"
36°00/
2023 and 2025 South Virginia Dare Trail
Kill Devil Hills, Dare County, NC
c)-5
ngageme HitI
•
3983
830 000
FEET
3982
3381
3980

ROY COOPER
Governor
ELIZABETH S. BISER
Secretory
RICHARD E. ROGERS, JR.
Director
GEORGE E. GOODRICH — MANAGER
KDHWWTP, L.L.C.
POST OFFICE Box 3629
KILL DEVIL HILLS, NORTH CAROLINA 27948
Dear Mr. Goodrich,
NORTH CAROLINA
Environmental Quality
July 29, 2022
Subject: Permit No. WQ0002829
KDHWWTP
Reclaimed Water Generation,
Dedicated Utilization, and
High -Rate Infiltration System
Dare County
In accordance with your permit renewal request received May 6, 2022, we are forwarding herewith
Permit No. WQ0002829 dated July 29, 2022, to KDHWWTP, L.L.C. for the continued operation of the
reclaimed water generation, high -rate infiltration, and dedicated reclaimed utilization facilities , as well as
the continued operation and subsequent conversion of the Train A reclaimed water generation facilities.
This permit shall be effective from the date of issuance through April 30, 2029, shall replace Permit
No. WQ0002829 issued July 14, 2017, and shall be subject to the conditions and limitations therein. The
Permittee shall submit a renewal application no later than November 1, 2028.
Please pay attention to the monitoring requirements listed Attachments A, B, and C for they may
differ from the previous permit issuance. Failure to establish an adequate system for collecting and
maintaining the required operational information shall result in future compliance problems.
The Division has removed the following permit conditions since the last permit issuance dated
July 14, 2017:
> Old Condition I.1 — This condition has been removed as the Town of Kill Devil Hills does not
own any of the reclaimed water irrigation sites.
> Old Condition I.2 — This condition has been met.
> Old Condition 1.6 — This condition is no longer required.
> Old Condition II.6 — This condition has been removed as the green area requirements have been
repealed.
> Old Condition III.20 — This condition has been removed because it is inherently covered under
new Condition I1I.8.
M�CAliCuNA
nD
Oe W.tmenl of Environmental Onal\
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mall Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

Mr. George E. Goodrich
July 29, 2022
Page 2 of 2
The following permit conditions are new since the last permit issuance dated July 14,
Condition I.2 — This condition requires that the Permittee notify the WashingtonRegionaln:
Office at least two business days in advance of initial operation of the modified facilities so
that the Division can conduct an inspection.
�
Conditions 1I.11, 1I.12, and 11.13 — These conditions denote separation distances for the
reclaimed water distribution lines.
> Condition 111.4 — This condition requires an operator be on call 24 hours per day.
> Condition III.7 — This condition requires that irrigation not occur during incle
Condition 1II.8 — This condition requires metering equipment be tested andment weather.
Condition III.25 — calibrated annually.
This condition requires continuous online monitoring and recording of
turbidity.
Condition 111.26 — This condition requires the Permittee to notify the public and its employees
about the use of reclaimed water.
Condition I11.27 — This condition requires the Pennittee to develop and implement an education
program to inform users and its employees about the proper use of reclaimed water.
Condition IV.5 — This condition has been revised to include additional recording re w
> Condition VI.3 — This condition states that there are no variances to administrative codes or or
general statutes governing the construction or operation of the facilities permitted herein.
If any parts, requirements, or limitations contained in this permit are unacceptable, the
ee
has the right to request an adjudicatory hearing upon written request within 30 days
this permit. This request shall be in the form ofa written petition, conforming to Chapter Per No th
Carolina General Statutes, and filed with the Office of Administrative Hearings y following receipt of
Center, Raleigh, NCS 27699-a714. P r 14 Mail the North
g ' Otherwise, this permit shall be final and binding. at 6714 Service
If you need additional information concerning this permit, please contact Lauren Rau -Plummer at
[phone] or Lauren.Plummer ncdenr. ov.
p
cc: Dare County Health Department (Electronic
Washington Regional Office, Water Quality
Laserfiche File (Electronic Copy)
Digital Permit Archive (Electronic Copy)
Sincerely,
‘,..ciir
7 Richard E. Rogers, Jr., Director
Division of Water Resources
Copy)
Regional Operations Section (Electronic Copy)

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
RALEIGH
RECLAIMED WATER GENERATION, DEDICATED UTILIZATION, AND HIGH -RATE
INFILTRATION SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
KDHWWTP, L.L.C.
Dare County
FOR THE
operation of a 660,000 gallon per day (GPD) reclaimed water generation, dedicated utilization, and high -
rate infiltration facility consisting of the:
continued operation and subsequent conversion (as permitted December 9, 2016) of: the existing 312,000
gallon extended aeration "Train A" into a 5-stage Bardenpho Process with Integrated Fixed Film Activated
Sludge (IFAS) configuration consisting of: a 70,097 gallon pre -anoxic Zone 1 with four 2 horsepower (hp)
mixers; a 32,903 aeration Zone 1 A with high -density polyethylene (HDPE) media; a 47,208 gallon aeration
Zone 1 B with HDPE media; a 55,791 gallon aeration Zone 2A with HDPE media; a 24,319 gallon aeration
Zone 2B with HDPE media and two 350 gallon per minute (GPM) recycle pumps; a 55,791 gallon post -
anoxic Zone 1 with three 2 hp mixers and a carbon chemical feed system; a 22,889 re -aeration Zone 1 with
an alum chemical feed system; and all associated piping, valves, controls, and appurtenances; the
continued operation of a 660,000 GPD reclaimed water generation system consisting of: a stainless steel
mechanically -cleaned helical fine screen; a 43,000 gallon flow equalization basin A; a 118,000 gallon
aerated flow equalization basin C; a 38,630 gallon aerated flow equalization basin B with two 416 GPM
equalization pumps; an aluminum flow splitter box with an alkalinity chemical feed system; a 312,000
gallon extended aeration "Train A"; a 310,000 gallon 5-stage Bardenpho Process "Train B" with a 70,195
gallon pre -anoxic Zone 2 with two 0.75 hp mixers and one 1.5 hp mixer, an 84,234 gallon aeration Zone 3,
an 81,426 gallon aeration Zone 4 and two recycle pumps, a 56,156 gallon post -anoxic Zone 2 with one 1.5
hp mixer and a carbon chemical feed system, and a 16,846 gallon re -aeration Zone 2 with an alum chemical
feed system; two 91,000 gallon clarifiers with rotating skimmers and served by two 600 GPM variable
speed sludge return pumps; a 35,000 gallon filter dosing tank with two 833 GPM filter dosing pumps; two
156 square foot (ft') rapid sand filters served by a 781 cubic foot per minute (CFM) air scour blower; a
20,000 gallon mudwell with two 280 GPM retum pumps; two 71,655 aerated sludge digesters with a decant
pump; four 1,479 CFM rotary positive blowers, and an 800 CFM centrifugal blower serving the flow
equalization, aeration, and sludge digester basins; a 50,000 gallon clearwell with two 957 GPM pumps; an
effluent flow meter; a turbidimeter; an ultraviolet (UV) disinfection system with four banks each rated at
400,000 GPD; a stand-by power system consisting of a 45 kilowatt (kW) generator; a 115 kW generator;
and all associated piping, valves, controls, and appurtenances; the
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H.
continued operation ofa high -rate spray infiltration system consisting of: three 7.5 hp
pumps; a 1.35 acre high -rate spray infiltration area consisting of eight spray beds; and all associated i in
valves, controls, and appurtenances; the pumps; seven 15 hp
PP g,
continued operation ofa low -flow infiltration pond consisting of a 2,000 gallon pump station with
hp pumps and alarms; a 2.1 acre infiltration pond (Le., Pond 1); and all associated piping, valy two 7.5 and appurtenances; and the
es, controls,
continued operation of a dedicated reclaimed water utilization system consisting of: an irrigation
station with a 25 hp pump and a 3 hp pump; a 24.55 acre of spray irrigation area consistingof seven
and all associatedpiping,valves, controls, and appurtenancesg n pump
n zones;
to serve the KDH W WTP, with no discharge of wastes to surface waters, pursuant to the application re
May 6, 2022, and in conformity with the Division -approved plans and specifications considers
this permit.
received
dapartof
This permit shall be effective from the date of issuance through April 30, 2029, shall replace Permit No.
WQ0002829 issued July 14, 2017, and shall be subject to the following conditions and limitations:
P
I. SCHEDULES
1. Upon completion of construction and prior to operation of the permitted modifications, the Permittee
shall submit an engineering certification from a North Carolina licensed Professional Engineer
certifying that the permitted facility has been constructed in accordance with G.S. .1,
Administrative Code Title 15A Subchapter 02T, this permit, and the Division-approvedplansan
specifications. For phased and partially certified facilities, the Permittee shall retain143-ib responsibility
to track further construction approved under this permit, and shall provide a final engineering
and
certification upon project completion. Mail the Engineering Certification the responsibility
Resources, Non -Discharge Branch, 1617 Mail Service Center, Raleigh, NC 27699-161 ,oNon
Discharge.Renorts(cr�ncdenr.eov. [15A NCAC 02T .0116(a)] to the Division of Water
7, or Non-
2. The Permittee shall notify the Washington Regional Office, telephone number [phone],
two business days in advance of initial operation of the modified facilities so that the Division can
conduct an inspection. [15A NCAC 02T .0108 b 1 B at least
3. The Permittee shall request renewal of this permit on Division -approved forms no later than November
1, 2028. [15A NCAC 02T .0105(b), 02T .0109]
PERFORMANCE STANDARDS
1. The Permittee shall maintain and operate the subject non -discharge facilities so there is no discharge
surface waters, nor any contravention of groundwater or surface water standards. In the event theto
facilities fail to perform satisfactorily, including the creation of nuisance conditions poimproper
operation and maintenance, or failure of the infiltration areas to assimilate the effluent,the
ee
shall take immediate corrective actions, including Division required actions, due to improper
of additional or replacement reclaimed water generation, utilization, or disposal facilities. LIA NCAC
such as the construction
02T .0108(b)(1)(A)] P acilities. [15A NCAC
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or
surface
water resulting from the operation of this facility. [ISA NCAC 02T .0108(b)(1)(A)]
3. Groundwater monitoring wells shall be constructed in accordance with 15A NCAC 02
(Standards of Construction for Wells Other than Water Supply), C .0108
regulations pertaining to well construction. [15A NCAC 02C .0�108� any other jurisdictional laws and
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4. Effluent quality shall not exceed the limitations specified in Attachment A. [15A NCAC 02T .0705(b),
02U .0301]
5. Application rates, whether hydraulic, nutrient, or other pollutant, shall not exceed those specified in
Attachment B. [15A NCAC 02T .0705(m), 15A NCAC 02U .0401(g)]
6. All reclaimed water valves, storage facilities, and outlets shall be tagged or labeled to warn the public
or employees that the water is not intended for drinking. [15A NCAC 02U .0403(b)]
7. All reclaimed water piping, valves, outlets, and other appurtenances shall be color -coded, taped, or
otherwise marked to identify the source of the water as being reclaimed water as follows:
a. All reclaimed water piping and appurtenances shall be either colored purple (Pantone 522 or
equivalent) and embossed or integrally stamped or marked "CAUTION: RECLAIMED WATER -
DO NOT DRINK" or be installed with a purple (Pantone 522 or equivalent) identification tape or
polyethylene vinyl wrap. The warning shall be stamped on opposite sides of the pipe and repeated
every three feet or less;
b. Identification tape shall be at least three inches wide and have white or black lettering on purple
(Pantone 522 or equivalent) field stating "CAUTION: DRINK". Identification tape shall be installed on top of reclaimed water pelf es, fasten dOat leaNOT
t
every 10 feet to each pipe length and run continuously the entire length of the pipe; and
c. Existing underground distribution systems retrofitted for the purpose of conveying reclaimed water
shall be taped or otherwise identified as noted in 1I.7.a. and II.7.b. This identification need not
extend the entire length of the distribution system but shall be incorporated within 10 feet of
crossing any potable water supply line or sanitary sewer line.
[15A NCAC 02U .0403(c)]
8. All reclaimed water valves and outlets shall be of a type, or secured in a manner, that permits operation
by personnel authorized by the entity that operates the reclaimed water system. [15A NCAC 02U
.0403(d)]
9. Hose bibs shall be located in locked, below grade vaults that shall be labeled as being of non -potable
quality. As an alternative to the use of locked vaults with standard hose bib services, other locking
mechanisms such as hose bibs that can only be operated by a tool may be placed above ground and
labeled as non -potable water. [15A NCAC 02U .0403(e)]
10. There shall be no direct cross -connections between the reclaimed water and potable water systems,
unless such connection has been approved by the Department pursuant to 15A NCAC 18C .0406. [15A
NCAC 02U .0403(0]
11. Reclaimed water distribution lines shall be located at least 5 feet horizontally from and 18 inches below
any water line if practicable. If these separation distances cannot be met, the piping and integrity testing
procedures shall meet water main standards in accordance with 15A NCAC 18C. [15A NCAC 02U
.0403(g), 02U .0403(h)]
12. Reclaimed water distribution lines shall not be less than 50 feet from a well unless the piping and
integrity testing procedures meet water main standards in accordance with 15A NCAC 18C, but in no
case shall they be less than 25 feet from a private well. [15A NCAC 02U .0403(g), 02U .0403(i)]
13. Reclaimed water distribution lines shall meet the separation distances to sewer lines in accordance with
15A NCAC 02T .0305. [15A NCAC 02U .0403(g), 02U .0403(j)]
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14. The compliance and review boundaries for the reclaimed utilization system permitted prior to
September 1, 2006 (i.e., Pond 1 and utilization sites) are established at the property bounda ry. Any
exceedance of groundwater standards at or beyond the compliance boundary shall require corrective
P
action. Division -approved relocation of the compliance boundary shall be noted in Attachment B.
Multiple contiguous properties under common ownership and permitted for use as a disposal system
shall be treated as a single property with regard to determination of a compliance boundary. [15A
NCAC 02L .0106, 02T .0105(h), 02H .0219(k)(1)(C)0)(II1), G.S. 143-215.1(i), G.S. 143-215.1(k)]
15. The high -rate infiltration system (i.e., Basins 1-A, 1-B, 3, 4, 5, 6, 7-A, and 7-B) was individually
permitted on or after December 30, 1983, and therefore has a compliance boundary that is either 250
feet from the infiltration area, or 50 feet within the property boundary, whichever is closest to the
infiltration area. Any exceedance of groundwater standards at or beyond the compliance boundary
shall require corrective action. Division -approved relocation of the compliance boundary shall be noted
in Attachment B. Multiple contiguous properties under common ownership and permitted for use as a
disposal system shall be treated as a single property with regard to determination of a compliance
boundary. [15A NCAC 02L .0106(d)(2), 02L .0107(b), 02T .0105(h), G.S. 143-215.1(i), G.S. 143-
215.1(k)l
16. The review boundary for the high -rate infiltration system (i.e., Basins 1-A, 1-B, 3, 4, 5, 6, 7-A, and 7-
B) is midway between the compliance boundary and the infiltration area. Any exceedance of
groundwater standards at or beyond the review boundary shall require preventative action. [15A NCAC
02L .0106(d)(1), 02L .01081
17. The Permittee shall apply for a permit modification to establish a new compliance boundary prior to
any sale or transfer of property affecting a compliance boundary (i.e., parcel subdivision). [15A NCAC
02L .0107(c)]
18. No wells, excluding Division -approved monitoring wells, shall be constructed within the compliance
boundary except as provided for in 15A NCAC 02L .0107(g). [15A NCAC 02L .0107]
19. Except as provided for in I5A NCAC 02L .0107(g), the Permittee shall ensure any landowner who is
not the Permittee and owns land within the compliance boundary shall execute and file with the Dare
County Register of Deeds an easement running with the land containing the following items:
a. A notice of the permit and number or other description as allowed in 15A NCAC 02L .0107(0( 1 ;
b. Prohibits construction and operation of water supply wells within the compliance boundary;)
c. Reserves the right of the Permittee or the State to enter the roe
for purposes related to the permit. property rty within the compliance boundary
The Director may terminate the easement when its purpose has been fulfilled or is no longer needed.
[15A NCAC 02L .0107(0]
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[15A NCAC 02H .0219(k)(1)(C)(0]
c. The storage and treatment units were modified November 5, 2008. The setbacks for storage and
follows (all distances in feet):
treatment units originally permitted or modified from September 1, 2006 to August 31, 2018 are as
i. Each habitable residence or place of assembly under separate ownership: 100
li. Each on -property residential unit if the unit is to be sold:
10
20. The facilities herein were permitted per the following setbacks:
a. The high -rate infiltration sites (i.e., Basins 1-A, 1-B, 3, 4, 5, 6, 7-A, and 7-B) were originally
permitted June 21, 2004. The setbacks for infiltration sites originally
February 1, 1993 to September 1, 2006 are as follows (all distances in feeitted or modified from
t):
1. Each private or public water supply source:
ii. Surface waters: 100
ill. Groundwater lowering ditches: 200
iv. Surface water diversions (upslope): 200
v. Surface water diversions (downslope): 200
vi. Each well with exception of monitoring wells: 200
vii. Each property line: 100
viii. Top of slope of embankments or cuts of two feet or more in vertical 100
ical height: 50 '
ix. Each water line: 1
x. Each swimming pool: 10
xi. Public right of way: 100
xii. Nitrification field: 50
xiii. Each building foundation or basement: 20
xiv. Each impounded public surface water supply: 15
xv. Each public shallow ground water supply(less than 50 feet deep):
(e 500
Setbacks to property lines are not applicable when the Permittee, or the entity from whi hO0 the
Permittee is leasing, owns both parcels separated by the property line.
[15A NCAC 02H .0404(g), 02H .0219(j)(5)]
b. The reclaimed water irrigation sites were originally permitted June 16, 2006. The setbacks for
reclaimed irrigation sites originally permitted or modified from June 1, 1996 to August 31, 2006
are as follows (all distances in feet):
i. Surface waters classified SA:
li. Surface waters not classified SA: 100
25
iii. Each water supply well:
iv. Each non -potable well: 100
v. Each swimming pool: 10
25
v. Each well with exception of monitoring wells:
vi. Each property line: 100
Habitable residences or places of assembly under separate ownership constructed afterOthe
facilities herein were originally permitted or subsequently modified are exempt from this
setback.
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w. Each private or public water supply source:
iv. Surface waters: 100
50
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2 Setbacks to property lines are not applicable when the Permittee, or the entity from which the
Permittee is leasing, owns both parcels separated by the property line.
[I 5A NCAC 02H .0404(g), 02T .0706(d), 02T .0706(f), 02T .0706(g)]
III. OPERATION AND MAINTENANCE RE UIREMENTS
1. The Permittee shall operate and maintain the subject facilities as a non -discharge system. [15A NCAC
02T .0700, 02U .0101]
2. The Pennittee shall maintain an Operation and Maintenance Plan, which shall include:
a. A description of the operation of the system in detail to show what operations are necessary for the
system to function and by whom the operations are to be conducted;
b. A description of anticipated maintenance of the system;
c. Provisions for safety measures, including restriction of access to the site and equipment; and
d. Spill control provisions that include response to upsets and bypasses, including control,
containment, and remediation, and contact information for personnel, emergency responders, and
regulatory agencies;
[15A NCAC 02T .0707(a), 02U .0801(a)]
3. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the subject non -discharge facilities, the Permittee shall designate and employ a certified
operator in responsible charge (ORC), and one or more certified operators as back-up ORCs. The ORC
or their back-up shall operate and visit the facilities as required by the WPCSOCC. [15A NCAC 02T
.0117]
4. An operator certified by the Water Pollution Control System Operators Certification Commission
(WPCSOCC) of a grade equivalent or greater than the facility classification shall be on call 24 hours
per day. [15A NCAC 02U .0401(e)]
5. The Permittee shall maintain vegetative cover on the irrigation sites, such that crop health is optimal,
allows even effluent distribution, and allows inspection of the irrigation system. [15A NCAC 02U
.0801(b)]
6. The Permittee shall take measures to prevent effluent ponding in or runoff from the infiltration and
irrigation sites listed in Attachment B. [15A NCAC 02T .0707(c), 02U .0801(c)]
7. The Permittee shall not irrigate treated effluent during inclement weather, or when the soil is in a
condition that will cause ponding or runoff. [15A NCAC 02U .0401(k)]
8. All infiltration and irrigation equipment shall be tested and calibrated once per permit cycle. [15A
NCAC 02T .0707(d), 02U .0801(d)]
9. Only treated effluent from the KDHWWTP shall be infiltrated or irrigated on the sites listed in
Attachment B. [15A NCAC 02T .0701, 02U .0101]
10. The Permittee shall not allow vehicles or heavy machinery on the infiltration or irrigation areas, except
during equipment installation or maintenance activities. [15A NCAC 02T .0707(e), 02U .0801(e)]
11. The Permittee shall prohibit public access to the wastewater treatment, storage, and infiltration
facilities. [I5A NCAC 02T .0705(p), 02U .0402(e)]
12. Public access to reclaimed water utilization sites shall be controlled during active site use. Such
NCAC 02U .0501(a)(2)]
controls may include the posting of signs showing the activities being conducted at each site. [15A
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13. The Permittee shall dispose or utilize generated residuals in a Division -approved manner. [15A NCAC
02T .0708, 02T .1100, 02U .0802].
14. The Permittee shall not divert or bypass untreated or partially treated wastewater from the subject
facilities. [15A NCAC 02T .0705(i), 02U .0402(g)]
15. Freeboard in the infiltration basin (i.e., Pond 1) shall not be less than two feet at any time. [15A NCAC
02T .0705(c), 02U .0401(h)]
16. A gauge to monitor waste levels in the infiltration basin (i.e., Pond 1) shall be provided. This gauge
shall have readily visible permanent markings, at inch or tenth of a foot increments, indicating the
following elevations: maximum liquid level at the top of the temporary liquid storage volume;
minimum liquid level at the bottom of the temporary liquid storage volume; and the lowest point on
top of the dam.[15ANCAC 02T.0707(t),02U.0801(f)]
17. A protective vegetative cover shall be established and maintained on all berms, pipe runs, erosion
control areas, surface water diversions, and earthen embankments (i.e., outside toe of embankment to
maximum allowable temporary storage elevation on the inside of the embankment). Trees, shrubs, and
other woody vegetation shall not be allowed to grow on the earthen dikes or embankments. Earthen
embankments shall be kept mowed or otherwise controlled and accessible. [15A NCAC 02T .0707(g),
02U .0801(g)]
18. Metering equipment shall be tested and calibrated annually. [15A NCAC 02T .0707(d), 02U .0801(d)]
19. An automatically activated standby power source capable of powering all essential treatment units shall
be on site and operational at all times. If a generator is employed as an alternate power supply, it shall
be tested weekly by interrupting the primary power source. [15A NCAC 02T .0705(k), 02U .0401(d)]
20. If turbidity exceeds 10 NTUs or if the permitted pathogen levels cannot be met, all effluent shall be
routed to the high -rate infiltration spray beds 1-A and 1-B until the problems associated with the
reclaimed water generation system have been corrected. [15A NCAC 02U .0402(d)]
21. The infiltration areas shall be cleaned at least once per permit cycle to remove deposited materials that
may impede the infiltration process. Cleaning records shall be maintained at the facility for five years,
and shall be made available to the Division upon request. The Washington Regional Office, telephone
number [phone], shall be notified prior to each cleaning. [15A NCAC 02T .0707(h)]
22. Spray beds shall be raked as needed and all vegetation shall be kept out of the spray beds at all times.
The spray beds shall also be raked when solids and ruts develop within the beds, which results in uneven
infiltration. [15A NCAC 02T .0108(b)(1)(A)]
23. The application of chemicals to the high -rate infiltration spray beds is expressly prohibited. [15A
NCAC 02T .0108(b)(1)(A)]
24. Adequate measures shall be taken to divert stormwater from the high -rate infiltration sites, the
infiltration basin (i.e., Pond 1), and the dedicated reclaimed irrigation areas. [15A NCAC 02T
.0108(b)(1)(A)]
25. Continuous online monitoring and recording for turbidity or particle count and flow shall be provided
prior to storage, distribution, or utilization of reclaimed water. [15A NCAC 02U .0401(6)]
26. The Permittee shall provide notification to the public and its employees about the use of reclaimed
water, and that reclaimed water is not intended for drinking. Such notification shall be provided to
employees in a language they can understand. [15A NCAC 02U .0501(a)(2)]
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27. The Permittee shall develop and implement an education program to inform users and its employees
about the proper use of reclaimed water. Educational material shall be provided to all residents and/or
other facilities provided with reclaimed water, and these materials shall be maintained consistent with
the reclaimed water uses. All educational materials shall be made available to the Division upon
request. [15A NCAC 02U .0501(a)(4)]
IV. MONITORING AND REPORTING REQUIREMENTS
1. The Permittee shall conduct and report any Division required monitoring necessary to evaluate this
facility's impact on groundwater and surface water. [15A NCAC 02T .0108(c)]
2. A Division -certified laboratory shall conduct all analyses for the required effluent, groundwater, and
surface water parameters. [15A NCAC 02H .0800]
3. Flow through the treatment facility shall be continuously monitored, and daily flow values shall be
reported on Form NDMR. Facilities with a permitted flow less than 10,000 GPD may estimate their
flow from water usage records provided the water source is metered. [I5A NCAC 02T .0105(k), 02T
.0108(c)]
4. The Permittee shall monitor the treated effluent at the frequencies and locations for the parameters
specified in Attachment A. [15A NCAC 02T .0108(c)]
5. The Permittee shall maintain records tracking the amount of effluent infiltrated. These records shall
include the following information for each infiltration site listed in Attachment B:
a. Date of infiltration;
b. Volume of effluent infiltrated;
c. Site infiltrated;
d. Length of time site is infiltrated;
e. Loading rates to each infiltration site listed in Attachment B; and
f. Weather conditions.
[15A NCAC 02T .0108(c)]
6. The Permittee shall maintain records tracking the amount of reclaimed water irrigated/infiltrated. These
records shall include the following information for each irrigation site listed in Attachment B:
a. Date of reclaimed water utilization;
b. Volume of reclaimed water irrigated/utilized;
c. Site irrigated/utilized;
d. Length of time site is irrigated/utilized;
e. Continuous weekly, monthly, and year-to-date hydraulic (inches/acre) loadings for irrigation
sites;
f. Weather conditions; and
g. Maintenance of cover crops.
[15A NCAC 02T .0108(c)]
7. Freeboard (i.e., waste level to the lowest embankment elevation) in the infiltration basin (i.e., Pond 1)
shall be measured to the nearest inch or tenth of a foot, and recorded weekly. Weekly freeboard records
shall be maintained for five years, and shall be made available to the Division upon request. [15A
NCAC 02T .0108(c)]
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8. Three copies of all monitoring data (as specified in Conditions IV.3. and IV.4.) on Form NDMR for
each PPI, three copies of all operation and utilization records (as specified in Condition IV.6) on Form
NDAR-1 for every dedicated utilization site listed in Attachment B, and three copies of all operation
and disposal records (as specified in Conditions IV.5. and IV.7.) on Form NDAR-2 for every infiltration
site in Attachment B shall be submitted on or before the last day of the following month. If no activities
occurred during the monitoring month, monitoring reports are still required documenting the absence
of the activity. All information shall be submitted to the following address:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[15A NCAC 02T .0105(1)]
9. Pursuant to G.S. 143-215.1C(a), the Permittee shall provide to its users and the Division of Water
Resources an annual report summarizing the performance of the wastewater treatment, high -rate
infiltration, and reclaimed utilization facility and the extent to which the facility has violated this permit,
or federal or State laws, regulations, or rules related to the protection of water quality. This report shall
be prepared on either a calendar or fiscal year basis and shall be provided no later than 60 days after
the end of the calendar or fiscal year. Two copies of the annual report provided to the Permittee's users
shall be submitted to:
Division of Water Resources
Water Quality Permitting Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[G.S. 143-215.1 C(a)]
10. The Permittee shall maintain a record of all residuals removed from this facility. This record shall be
maintained for five years, and shall be made available to the Division upon request. This record shall
include:
a. Name of the residuals hauler;
b. Non -Discharge permit number authorizing the residuals disposal, or a letter from a municipality
agreeing to accept the residuals;
c. Date the residuals were hauled; and
d. Volume of residuals removed.
[15A NCAC 02T .0708(b), 02U .0802(b)]
11. A maintenance log shall be kept at this facility. This log shall be maintained for five years, and shall
be made available to the Division upon request. This log shall include:
a. Date of flow measurement device calibration;
b. Date of infiltration equipment calibration;
c. Date of turbidimeter calibration;
d. Date and results of power interruption testing on alternate power supply;
e. Visual observations of the plant and plant site;
f. Record of preventative maintenance (e.g., changing of equipment, adjustments, testing,
inspections, spray bed raking, and cleanings, etc.); and
g. Record of all discharges of reclaimed water to surface waters or the land surface, including the date
of occurrence, estimated volume, and corrective action taken.
[I5A NCAC 02T .0707(i), 02U .0801(h)]
12. Monitoring wells CW-A, CW-C, CW-D, CW-F, CW-G, C W-B-1, and CW-E-1, shall be sampled at the
frequencies and for the parameters specified in Attachment C. All mapping, well construction forms,
well abandonment forms and monitoring data shall refer to the permit number and the well
nomenclature as provided in Attachment C and Figure 1. [15A NCAC 02T.0105(m)]
WQ0002829 Version 3.0 Shell Version 200201
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13. Two copies of the monitoring well sampling and analysis results shall be submitted on a Compliance
Monitoring Form (GW-59), along with attached copies of laboratory analyses, on or before the last
working day of the month following the sampling month. The Compliance Monitoring Form (GW-59)
shall include this permit number, the appropriate well identification number, and one GW-59a
certification form shall be submitted with each set of sampling results. All information shall be
submitted to the following address:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[15A NCAC 02T .0105(m)]
14. Noncompliance Notification:
The Permittee shall report to the Washington Regional Office, telephone
within 24 hours of first knowledge of the following:
a. Treatment of wastes abnormal in quantity or characteristic, including
hazardous substance.
number [phone],
the known passage of a
b. Any process unit failure (e.g., mechanical, electrical, etc.) rendering the facility incapable of
adequate wastewater treatment.
c. Any facility failure resulting in a discharge to surface waters.
d. Any failure resulting in a discharge of reclaimed water directly to surface waters or any unpermitted
release of reclaimed water to land surface greater than or equal to 5,000 gallons. Unpermitted
releases less than 5,000 gallons to land surface shall be documented by the Permittee in accordance
with Condition IV.1 1.g. but do not require Regional Office notification.
e. Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
f. Ponding in or runoff from the infiltration and irrigation sites.
g. Effluent breakout from the infiltration basin (i.e., Pond 1).
Emergencies requiring reporting outside normal business hours shall call the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone]. All
noncompliance notifications shall file a written report to the Washington Regional Office within five
days of first knowledge of the occurrence, and this report shall outline the actions proposed or taken to
ensure the problem does not recur. [15A NCAC 02T .0108(b)(1)(A)]
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Page l0 of 13

V. INSPECTIONS
1. The Permittee shall perform inspections and maintenance to ensure proper operation of the reclaimed
water generation, utilization, and infiltration facilities. [15A NCAC 02T .0707(j), 02U .0801(i)]
2. The Permittee shall inspect the reclaimed water generation, utilization, and infiltration facilities to
prevent malfunctions, facility deterioration, and operator errors that may result in discharges of wastes
to the environment, threats to human health, or public nuisances. The Permittee shall maintain an
inspection log that includes the date and time of inspection, observations made, and maintenance,
repairs, or corrective actions taken. The Permittee shall maintain this inspection log for a period of five
years from the date of the inspection, and this log shall be made available to the Division upon request.
[15A NCAC 02T .0707(i), 02T .0707(j), 02U .0801(i)]
3. Division authorized representatives may, upon presentation of credentials, enter and inspect any
property, premises, or place related to the reclaimed water generation, utilization, and infiltration
facilities permitted herein at any reasonable time for determining compliance with this permit. Division
authorized representatives may inspect or copy records maintained under the terms and conditions of
this permit, and may collect groundwater, surface water, or leachate samples. [G.S. 143-215.3(a)(2)]
VI. GENERAL CONDITIONS
I. Failure to comply with the conditions and limitations contained herein may subject the Permittee to a
Division enforcement action. [G.S. 143-215.6A, 143-215.6B, 143-215.6C]
2. This permit is effective only with respect to the nature and volume of wastes described in the permit
application, and Division -approved plans and specifications. [G.S. I43-215.1(d)]
3. Unless specifically requested and approved in this permit, there are no variances to administrative codes
or general statutes governing the construction or operation of the facilities permitted herein. [15A
NCAC 02T .0105(n)]
4. The issuance of this permit does not exempt the Permittee from complying with all statutes, rules,
regulations, or ordinances that other jurisdictional govemment agencies (e.g., local, state, and federal)
may require. [15A NCAC 02T .0105(c)(6)]
5. If the permitted facilities change ownership, or the Permittee changes their name, the Permittee shall
submit a permit modification request on Division -approved forms. The Permittee shall comply with
all terms and conditions of this permit until the permit is transferred to the successor -owner. [G.S. 143-
215.1(d3)]
6. The Permittee shall retain a set of Division -approved plans and specifications for the life of the facilities
permitted herein. [15A NCAC 02T .0105(o)]
7. The Permittee shall maintain this permit until the proper closure of all facilities permitted herein, or
until the facilities permitted herein are permitted by another authority. [15A NCAC 02T .0105(j)]
WQ0002829 Version 3.0
Shell Version 200201 Page 11 of 13

8. This permit is subject to revocation or modification upon 60-day notice from the Division Director, in
whole or part for:
a. violation of any terms or conditions of this permit or Administrative Code Title 15A Subchapter
02T;
b. obtaining a permit by misrepresentation or failure to disclose all relevant facts;
c. the Permittee's refusal to allow authorized Department employees upon presentation of credentials:
i. to enter the Permittee's premises where a system is located or where any records are required
to be kept;
ii. to have access to any permit required documents and records;
iii. to inspect any monitoring equipment or method as required in this permit; or
iv. to sample any pollutants;
d. the Permittee's failure to pay the annual fee for administering and compliance monitoring; or
e. a Division determination that the conditions of this permit are in conflict with North Carolina
Administrative Code or General Statutes.
[15A NCAC 02T .0110]
9. Unless the Division Director grants a variance, expansion of the facilities permitted herein shall not
occur if any of the following apply:
a. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has been convicted of
environmental crimes under G.S. 143-215.6B, or under Federal law that would otherwise be
prosecuted under G.S. 143-215.6B, and all appeals of this conviction have been abandoned or
exhausted.
b. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has previously abandoned
a wastewater treatment facility without properly closing the facility.
c. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has not paid a civil
penalty, and all appeals of this penalty have been abandoned or exhausted.
d. The Permittee or any parent, subsidiary, or other affiliate of the Permittee is currently not compliant
with any compliance schedule in a permit, settlement agreement, or order.
e. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has not paid an annual
fee.
[15A NCAC 02T .0120(b), 02T .0120(d)]
10. This permit shall not be renewed if the Permittee or any affiliation has not paid the required annual fee.
[15A NCAC 02T .0120(c)]
Permit issued this the 29th day of July 2022
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Richard E. Rogers, Jr., Director
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0002829
WQ0002829 Version 3.0 Shell Version 200201
Page 12 of 13

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