WQ0045419_Application (FTSE)_20240520

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NORRIS & TUNSTALL
CONSULTING ENGINEERS P.C.
2602 Iron Gate Drive,Siute 102 John S.Tunstall,P.E.,Principal
Wilmington,NC 28412 'r.Jason Clark,P.E.
[phone] Robbie P. Hennelly,E.I.
[phone] Fax J. Phillip Norris,P.E.,Consultant
May 20, 2024
NC DEQ
Division of Water Resources
Water Quality Regional Operations Section
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
Re: Gravity Sewer Extension Fast-Track Permit Applica�
Cape Fear Academy Modular Classroom Addition
4008 South College Road
New Hanover County MAY 2 0 2024
N&T Project No. 24006 NCDEO
Dear Sir or Madam: wiim,ngton Reg,onal Office
Enclosed is one (1) original application form with one (1) copy, two (2) cnnios of the Sewer
Narrative, one (1) original Flow Tracking /AccPn+or— the Cape Fear
Public Utility Authority with one (1) coK �r (1,250 GPD)
with one (1) copy), two (2) 8 % x 11 co s plans (ledger
size) and a $600.00 check for the proce
Please review this information for appro, v S� C� :omments you
may have. Thank you for your assistant
Sincerely,
NORRIS & TUNSTALL �-
CONSULTING ENGINEERS, P.C.
T. Jason C rk, P.E.
TJC/asn
24006 05-20-24-s-swr-Itr(private)
Enclosures
cc: Shana W. Barclay / Cape Fear Academy (By E-Mail Only)
NCBELS License C-3641

State of North Carolina
Department of Environmental Quality WIRDivision of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRUCTIONS FOR FORM: FTA 10-23&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(Gravity Sewer& Pump Stations/Force Mains)and that plans,specifications and supporting documents
have been prepared in accordance with 15A NCAC 02T.15A NCAC 02T.0300,Division policies,and good engineering practices.
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design
documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design
calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum design criteria. These
documents shall be immediately 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): NT :ft
➢ Projects that do not meet any part of the minimum design criteria(MDC)documents;
➢ Projects that involve more than one variance from the requirements of 15A NCAC 02T; r vr1 1 D
➢ Pressure sewer systems utilizing simplex septic tank-effluent pumps(STEPs)or simplex grinder pumps;("? N'•�[,
➢ Simplex 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(second copy may be digital)of Application and Supporting Documents
® Required unless otherwise noted.Signatures on original must be"wet ink"or secure digital signatures.
Please do not submit engineering design plans with the application unless specifically requested.
B. Cover Letter/Narrative Description(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.
➢ Include the permit number/status of any other required sewer permits(downstream/upstream)
➢ If necessary for clarity,include attachments to the application form.
➢ If the project is funded by American Rescue Plan Act(ARPA) funds,please include the ARPA project number in the cover
letter and in parentheses under Project Name(Section II.1.of the application).
C. Application Fee(All New and Modification Application Packages):
® Submit a check or money order in the amount of$600.00,dated no more than 90 days prior to aR�W a/�AV' a�.
➢ Payable to North Carolina Department of Environmental Quality(NCDEQ) DWR
D. Fast Track Application(Required for All Application Packages,Form FTA 10-23): MAY 2 0 2024
® Submit the completed and appropriately executed application.
➢ If necessary for clarity or due to space restrictions,attachments to the application may be made. Olar aQualitytions Section
Operations section
❑ If the Applicant Type in Item I.2 is a corporation or company, provide documentation it is regis%qM11VebE( ffM with the
North Carolina Carolina Secreta�of State.
❑ If the Applicant Type in Item I.2 is a partnership or d/b/a,enclose a copy of the certificate filed with the Register of Deeds in
the county of business.
® The Project Name in Item II.1 shall be consistent with the project name on the flow acceptance letters,agreements,etc.
® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North Carolina
licensed Professional licensed Professional Engineer.
INSTRUCTIONS FOR FORM: FTA 10-23&SUPPORTING DOCUMENTATION Paget of 3

® 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).
E. Flow Tracking/Acceptance Form (Form:FTSE 10-23)(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,
including the closest surface waters.
➢ General location of the project components(gravity sewer,pump stations,&force main)
➢ Downstream connection points and permit number(if known)for the receiving sewer
® Include an aerial location map showing general project area(such as street names or latitude/longitude)so that Division staff
can easily locate it in the field.
G. Existing Permit(Application Packages for Modifications to an Existing Permit):
❑ Submit a copy of the most recently issued existing permit.
® Include a descriptive and clear narrative identifying the previously permitted items to remain in the permit,items to be
added,and/or items to be modified(the application form itself should include only include items to be added/modified).The
narrative should also include whether any previously permitted items have been certified.
® The narrative should clearly identify the requested permitting action and accurately describe the sewers to be listed in
the final permit.
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
p Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Sta an a lication
for a franchise has been received and that the service area is contiguous to an existing franchised area or OVARP � MP
is expected.
MAY 2 0 2024
J. Operational Agreements(Applications from HOA/POA and Developers for lots to be sold):
❑ Home/Property Owners' Associations Water Quality Regional
operations Section
❑ Per 15A NCAC 02T.0I 15(c),submit the properly executed Operational Agreement FORM:HN pe1 ,glon Regional office
❑ 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: DEW
For more information, visit the Division's collection systems website
INSTRUCTIONS FOR FORM: FTA 10-23&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 2090 US Highway 70 Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section Swannanoa, North Carolina 28778-8211 Clay, Graham, Haywood, Henderson, Jackson,
[phone] Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax Rutherford, Swain,Transylvania, Yancey
Fayetteville Regional Office 225 Green Street Suite 714 Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Section Fayetteville, North Carolina 28301-5095 Montgomery, Moore, Robeson, Richmond,
[phone] Sampson, Scotland
[phone] Fax
Mooresville Regional Office 610 E. Center Avenue Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section Mooresville, North Carolina 28115 Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone] Stanly, Union
[phone] Fax
Raleigh Regional Office 3800 Barrett Drive Chatham, Durham, Edgecombe, Franklin,
Water Quality Section Raleigh, North Carolina 27609 Granville, Halifax, Johnston, Lee, Nash,
[phone] Northampton, Orange, Person, Vance, Wake,
[phone] Fax Warren,Wilson
Washington Regional Office 943 Washington Square Mall Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section Washington, North Carolina 27889 Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone] Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax Perquimans, Pitt,Tyrrell,Washington,Wayne
Wilmington Regional Office 127 Cardinal Drive Extension Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section Wilmington, North Carolina 28405 Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office 450 W. Hanes Mill Road Alamance,Alleghany,Ashe, Caswell, Davidson,
Water Quality Section Suite 300 Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105 Stokes, Surry,Watauga, Wilkes,Yadkin
[phone]
[phone] Fax
RECEIVED/NCDENR/DWR
MAY 2 0 2024
Water Quality Regional
Operations section
Wilmington Regional Office
INSTRUCTIONS FOR FORM: FTA 10-23 & SUPPORTING DOCUMENTATION Page 3 of 3

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23&SUPPORTING DOCUMENTATION
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: Cape Fear Academy(company,municipality,HOA,utility,etc.)
2. Applicant type: ❑Individual ❑Corporation ❑General Partnership ❑ Privately-Owned Public Utility
❑Federal ❑ State/County ❑Municipal ® Other S
3. Signature authority's name: Shang W.Barclay per 15A NCAC 02T.0106(b)
Title:Assistant Head of School for Finance&Opeartions
4. Applicant's mailing address: 3900 South College Road
City: Wilmington State:NC Zip:28412-
5. Applicant's contact information:
Phone number: 910 791-0287 Email Address: sbarclay(a),canefearacademy.org
II. PROJECT INFORMATION: / 5eVJ
1. Project name: Cape Fear Academy Modular Classroom Addition ,
2. Application/Project status: ®Proposed(New Permit) ❑Existing Permit/Project ❑ ARPA funded
If a modification,provide the existing permit number: WQ00 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: 34.16936' Longitude:-77.893096'
5. Parcel ID(if applicable): R06618-006-008-000(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: T.Jason Clark,P.E. License Number: 030869
Firm:Norris&Tunstall Consulting Engineers.P.C.
Mailing address:2602 Iron Gate Drive,Suite 102
City: Wilmington State:NC Zip:28412-
Phone number:[phone] Email Address:[e-mail]
1V. WASTEWATER TREATMENT FACILITY(WWTF)INFORMATION:
1. Facility Name:M'Kean Maffitt(Southside WWTP) Permit Number:NC 0023973
TECENED/NGDENR/DWR
Owner Name:Cape Fear Public Utility Authority
V. RECEIVING DOWNSTREAM SEWER INFORMATION: MAY 2 0 2024
1. Permit Number(s): WQ0002632 Water Quality Regional
Operations Section
2. Downstream(Receiving)Sewer Information: 8 inch Z Gravity ❑ Force Mtflrtington Regional office
3. System Wide Collection System Permit Number(s)(if applicable):WQCS
Owner Name(s):
FORM: FTA 10-23 Pagel 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 ❑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: 100%Domestic %Commercial %Industrial(See 15A NCAC 02T.0103(20))
If Industrial, is there a Pretreatment Program in effect?❑Yes❑No
6. Has a flow reduction been approved under 15A NCAC 02T.0114(f)? ❑Yes ®No
➢ If yes,provide a cony of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type(see 02T.0114(f)) Daily Design Flow a,b No. of Units Flow
School Classroom without Cafd or Gym 10 gal/Student 125 1,250 GPD
gall GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
Total 1,250 GPD
a See 15A NCAC 02T.0114(b),(d) (e)(1)and(ee)(2)for caveats to wastewater design flow rates(i.e. 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: 1,250 GPD(per 15A NCAC 02T.0114 and G.S. 143-215.1)
➢ 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:
ElRehabilitation or replacement of existing sewers with no new flow expected RECEIVED/NCDENR/DWR
❑Other(Explain): MAY 2 0 2024
Water Quality Regional
Operations Section
Wilmington Regional Office
FORM: FTA 10-23 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
6" 200 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: 0Longitude:- °
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 RECEIVED/NCDENR/DWR
MAY 2 0 2024
Water Quality Regional
Operations section
Wilmington Regional Office
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.l.b. ❑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 10-23 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(fl&(g)? ®Yes ❑No
15A NCAC 02T.0305 contains minimum separations that shall be provided for sewers stems:
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
'Water mains(horizontal) 10 feet
Reclaimed water lines(vertical-reclaimed over sewer) 18 inches
Reclaimed water lines(horizontal-reclaimed over sewer) 2 feet
**Any private or public water supply source,including any wells,WS-I waters of Class I or
Class 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(t)or(g),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 webnaee
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.
➢ See the Division's draft separation requirements for situations where separation cannot be met.
➢ No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? ❑Yes Basin name: ®No
If yes,does the project comply with setbacks found in the river basin rules per 15A NCAC 02B.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.0105(c)(6)(additional permits/certifications)? ❑ Yes ®No
Per 15A NCAC 02T.0105(c)(6),directly related environmental permits or certifJFw&W@VpJM&ffidWt 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.). MAY 2 0 2024
7. Does this project include any sewer collection lines that are deemed"high-priority?" ❑ Yes ®No
Per 15A NCAC 02T.0402,"high-priority sewer"means any aerial sewer,sewer con'@ iiRgloftfaeolwaters,
siphon,or sewers positioned parallel to streambanks that are subject to erosion tha `a�wA&iVf 4pteriorates 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 10-23 Page 4 of 5

X. CERTIFICATIONS:
l. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting f Pump Stations
and force Mains(latest version),and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the permit, and protects reguiringa variance approval may be sublet to longer
review times.For prooects requiring two or more variances or where the variance is determined by the.Division to be a
significant portion of the proiect,the full technical review is required
2. Professional Engineer's Certification: & ec � �ll1l�� rnu��(I�r
,attest that this application fo
(Professional Engineer's name from A plication Item Ill.l,) (Project ame�ftoApplimtion Item IL1)
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 Mininnun 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)
.....................................................................................
North Carolina Professional Engineer's seal,signature, and date:
SS• I
SEAL -- I
03 S'2, s
;9 •. PQ'
S •.NN...C/•`
...................................
3. Applicant's Certification per 15A NCAC 02T.0106(b): �
"1 p"1
attest that this application forUL
0
(Signs re Autho it a e o n Applicati It I. ) (Project Name from App!caq❑Item 1I,1) J�
�sisen�,_ o e�o6� ur- nanc�
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 00wr violation.
,•—'�""`— RECEIVED/NCDEW/D
Signature; MAY 2 0 2024 Date: '
Water Quality Regional
FORM; FTA 10-23 operations section
wimington Regional Office Page 5 of 5

SEWER NARRATIVE
CAPE FEAR ACADEMY MODULAR CLASSROOM ADDITION
4008 SOUTH COLLEGE ROAD
Wilmington, North Carolina
For
Cape Fear Academy
3900 South College Road
Wilmington, NC 28412
[phone]
•'°o s ��i,L
SEAL �•
030869-
NGINS .• PQ'``
' S0 N �.
RECEIVED/NCDENR/DWR
MAY 2 0 2024
May 2024
Water Quality Regional
Operations Section
Wilmington Regional Office
Prepared by:
NORRIS & TUNSTALL CONSULTING ENGINEERS, P.C.
2602 Iron Gate Drive, Suite 102
Wilmington, North Carolina 28412
[phone]
[phone] (Fax)
License # C-3641
N&T Project#24006

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NARRATIVE
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CAPE FEAR ACADEMY MODULAR CLASSROOM ADDITION
4008 SOUTH COLLEGE ROAD
SEWER SYSTEM:
The parcel / project site was formerly the Trinity United Methodist Church. Cape Fear
Academy has recently purchased the land. The original site included a six inch (6")
sewer service that runs through the parking lot toward the Cape Fear Academy School
to the North. The service connects to the Cape Fear Academy sewer.
A new modular building is being added to the existing site. The new sewer service from
the Modular will connect to the existing on-site six inch (6") sewer service, making it now
a main that must be permitted. This submittal is to permit this sewer as a private main.
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This private gravity system is designed to service one (1) modular building containing a
multiple classrooms and the on-site existing building on the former Trinity United
Methodist Church site, now Cape Fear Academy school site. A total of 200 L.F of 6-inch
PVC sewer line is being permitted to complete the system. This project will generate
1 ,250 GPD (125 Students x 10 Gallons / Student) of wastewater. This new system will
not require a pump station. i
This system will be served by the Cape Fear Public Utility Authority.

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State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Cape Fear Academy
Project Name for which flow is being requested: Cape Fear Academy Modular Classroom Addition}, `
More than one FTSE may be requires!for a single project if the owner of the WWTP is not responsible for ali pump
stations along the route of the proposed wasteivater,ft'ow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: M'Kean Maffttt (Southside) WWTP
b. WWTP Facility Permit#: NPDES NC 0023973
All flows are in MGD
c. WWTP facility's permitted flow 12.000
d. Estimated obligated flow not yet tributary to the WWTP 3.735
e. WWTP facility's actual avg. flow 8.044
f. Total flow for this specific request 0.001250
g. Total actual and obligated flows to the facility 11.780
h. Percent of permitted flow used 98.2
Il. 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
Average Approx. Obligated,
Pump Pump Daily Current Not Yet Total Current
Station Station Firm Flow** Avg. Daily Tributary Flow Plus
(Name or Permit Capacity,* (Firm/p fl, Flow, Daily Flow, Obligated Available
Number) No. MOD MOD MOD MOD Flow Capacity***
76 WQ0035061 5.616 2.246 1.066 0.643 1.709 0.537
71 WQ0036178 1.800 0.720 0.563 0.042 0.605 0.115
* 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 Theber e, 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.
.7h4 .. 05/20/2024
Signing Official Signature Date
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Engineering Manager
Title of Signing Official
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Page 2 of 6
FTSE 10-18

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- - rision Permit
Final Audit Report 2024-05-20
Created: 2024-05-20
By: Jeff Theberge([e-mail])
Status: Signed
Transaction ID: CBJCHBCAABAAinKG211xW8sMYSeaBeKlggD6xLzNb5v3 IIII
"Flow Tracking for Sewer Extension Permit Application" History
Document created by Jeff Theberge ([e-mail])
2024-05-20-1:05:41 PM GMT
3 I
Document emailed to Jeff Theberge ([e-mail])for signature
2024-05-20-1:05:45 PM GMT
1 Email viewed by Jeff Theberge ([e-mail])
2024-05-20-1:06:42 PM GMT
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Document e-signed by Jeff Theberge ([e-mail])
Signature Date:2024-05-20-1:06:53 PM GMT-Time Source:server
Agreement completed.
2024-05-20-1:06:53 PM GMT
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May 16, 2024
Cape Fear Academy
Attention: Shana W, Barclay, Assistant Head of School for Finance &Operations
3900 South College Road
Wilmington, NC 28412
RE: Cape Fear Academy Modular Classroom Addition
CFPUA File #313615.005 (Private Sewer Mainline Extension)
(You must sign and return prior permit application approval)
Dear Mr. Wells,
The Cape Fear Public Utility Authority currently has the capacity to accept the sewage flow of
1,250 (GPD) Gallons Per Day from the above referenced project. The receiving wastewater treatment
plant will be the M'Kean-Moffit SSWWTF (NPDES NC 0023973).
In order to receive sewer from CFPUA, any private system, must have its design approved by the
Authority and will require a copy of the permit application, State permit, and Engineer's certification.
Private systems must construct services to Authority specifications and install sewer guards at each
manhole including grease traps. Any private pump station's top elevation must be constructed at two (2)
feet above the routed 100-year storm elevation or FIRM maps 100-year flood, whichever is higher. All
private systems must be upgraded to the Authority specifications, at no cost to the Authority, if in the
future it is desired to convey the system to the Authority. Private systems must employ or contract with a
system operator on a 24 hour / 7-day basis and provide names and contact numbers to the Authority.
Maintenance in private systems is the responsibility of the owner/operator; private system location is
determined as designated on certification.
rf the sewer is a public system, the Authority must approve the design and sign the State permit
application. Any permits, public encroachments, and/or easements outside the development parcel(s)
must be obtained by the developer and the agreement(s) recorded prior to the required pre-construction
meeting. The Authority will not participate financially in a project if an agreement is not mutually signed
prior to the pre-construction meeting. Please see the attached public utility easement document. All offsite
easements must be approved, acquired, and recorded prior to the pre-construction meeting. No buildings,
structures, ponds, obstructions, trees, fences, or berms shall be placed, constructed, or situated within
the rights-of-way and the easements, whether existing or to be granted. The only exception is a security
fence (perpendicular to the main line, adjacent to a right-of-way, not applicable to individual lots) with
removable paneling may be granted but must be submitted for approval on a case-by-case basis, and in
any event a "Hold Harmless" agreement must be executed or incorporated into the conveyance. All
easements must be a minimum of 30 feet in width unless otherwise approved by the Authority.
Whether permitted as a public or private sewer system, the Authority must always be notified 48
hours prior to construction. The material used to connect to the system must be per Authority technical
specifications and the work must be performed by a licensed utility contractor and approved by the
Authority.
2.35 Government Gettter Drive, Wilmington, NC 28403
t: 910-332.-6560 f: 910-332-6353

Cape Fear Academy Modular Classroom Addition, CFPUA File#313515.005
(Private Sewer Mainline Extension)
All additions to any Authority system will be documented by asbuilt drawings and per Authority
specifications. Information regarding additions shall be submitted to the Authority and shall include mylars
and a CD disk in AutoCAD format per CFPUA Technical Specifications before final inspection, approval,
and activation. Final acceptance of work is at the sole discretion of the Authority.
The owner is responsible to make all directed repairs at no cost to the Authority prior to activating
the system. All applicable fees and costs associated in connection with the Authority's sewer system must
be paid prior to or at time of application for service, Failure to pay all applicable fees and costs per the
Authority's Regulations and Ordinances may result in holds being placed on Certificate of Occupancy i
and/or System Activation.
The Authority's one (1) year warranty will start from the date the system conveyance is recorded.
Conveyance of the Public Utilities occurs upon approval of the certification from the Division of Water
Quality.
Per NCDENR, any constructed system will not be operated or otherwise activated until the
Engineer's and Applicant's Certifications have been submitted to and approved by NCDENR
Division of Water Quality. The following are required (to be provided by the developer) for the
Authority to approve certification:
1. The developer shall provide all monetary values of the Public utilities and descriptions on
the attached standard template that will become the Authority's upon final approval by the
State. i
2. The developer shall provide all lien waivers/release of liens and an affidavit that there are
no other liens against any infrastructure being certified.
3. The developer shall provide as-builts to the Authority Specifications. '
4. The developer provides all public utility easements per the attached document.
Any taps which may be deemed necessary to be installed, relocated, or abandoned will be the
responsibility of the Developer or owner at no cost to the Authority, in accordance with the Authority
specifications and approval. The Authority's inspector will perform all required cleanout inspections prior
to obtaining any Certificate of Occupancy
Unauthorized operation of CFPUA owned valves, hydrants, and other appurtenances, is
grounds for civil penalty assessment and/or other enforcement actions.
This is not a commitment of capacity. It only indicates present availability. System capacity will
change as new connections are made, potentially impacting your ability to connect some or all of your
proposed development into the Authority's system. Capacity is allocated by the Authority at the time the
NC Division of Water Quality Flow Tracking System evaluation is signed.
Regards,
Bernice S. Johnson, Senior Project Manager
Cape Fear Public Utility Authority
Engineering Department
Development Services Division
cc: Jeff Theberge, P.E., Engineering Manager
David Selke, CFPUA Construction Project Manager
T. Jason Clark, Norris & Tunstall Consulting Engineers, P.C.
235 Goveroment Conter Drive, Wilmington, NC 2340:3
1: 910-332-6560 f: 910-332.-6353

Cape Fear Academy Modular Classroom Addition, CFPUA File#313515.005
(Private Sewer Mainline Extension)
I, Shana W. Barclay, as property owner and/or responsible party, accept the above conditions of
this letter. I and my employees will disclose to all parties the directives as outlined in this letter. I further
understand that I must convey the system per the Authority's documents in a timely manner, as
determined by the Authority, or Certificate of Occupancy and permits, regardless of ownership, will be
held until thp..system is properly conveyed to the Authority. 1
1. ! ,`I/ 1 waive the option of requesting Authority cost participation in cost of this system.
(inttiai) �
OR,
2. 1 am requesting cost participation. See my attached request for participation letter and three
(initial) independent bids for the project showing the showing the cost differences that f am
requesting participation for, I acknowledge that participation agreements take a minimum of 45
days to execute and are at the sole discretion of the Authority.
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AND
3 f agree that no utilities construction wilt commence before a participation agreement contract
116nitial) is in place or f waive the participation offer(see above).
Signatur equired) Date
Item 1 OR 2 must be initialed prior to holding a preconstruction conference,
AND Item 3 must be initialed prior to holding a preconstruction conference.
235 Govornrneni Center Drive, Wiliningion, NIC 28403
is 9 ill-332-6560 f: J'!0-33S2-63D3

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