WQ0045530_Application (FTSE)_20240618

Burd, Tina J
From: Burd, Tina J
Sent: Wednesday, June 19, 2024 9:04 AM
To: '[e-mail]'; Howard Resnik
Cc: Cocanower, Jordan M;Tharrington, Tom
Subject: WQ0045530 -Wrightsboro Commons Private Sewer
The Wilmington Regional Office of the Division of Water Resources,Water Quality Operations Section received the Fast
Track Sewer System Extension Application (FTA) and $600.00 fee for the subject project on June 18,2024. The project
has been assigned to Jordan Cocanower, cc'd. Please note that the FTA has been revised and requests the applicant to
identify if this project is ARPA funded. If you omitted this information from the FTA, please contact Bryan Lievre,email
below, so that we can update our records. Otherwise,you will be contacted by the applicable staff member if additional
information is needed.
Staff Reviewer Counties Served Contact Information
Tyler Benson Brunswick, Columbus, Duplin & Pender yler.benson_a eg,rlq„gov
Jordan Cocanower Carteret, New Hanover&Onslow jordan.cocanowerP ieg.nc.gov
Bryan Lievre All -ARPA Projects Only h.ry IRJiev_re-@ e_q.n!j,ov
Tom Tharrington All—Coordinator, Please Copy on All Emails tom.tharrin tonncie n�c ov
1. Please provide a copy of the entire application in digital format to your assigned reviewer indicated above. The
application and drawings should be provided as separate files.
2. Please indicate in the subject line of the email the permit number(if available), name of the project,and county
where the project is located. i
I
Please be advised that the construction of the proposed activities may not commence until the sewer permit is issued.
Best Regards,
Tina Burd
Administrative Associate II
Wilmington Regional Office
Division of Environmental Assistance &Customer Service
Phone [phone]
New email: [e-mail]
NCDEQ
Wilmington Regional Office
127 Cardinal Drive Ext.
Wilmington, NC 28405
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CSD
ENGINEERING
June 18, 2024
Jordan Cocanower Vw3e-Ned
North Carolina Department of 2024
Environmental Quality SUN 1
Division of Water Resources
127 Cardinal Drive Extension N��e ona� Uri'ce
Wilmington, North Carolina 28405 Wum,ngw
Re: Wrightsboro Commons, Phase 1
Private Sewer System Extension
New Hanover County
CSD Project No. 23-0653 I vvV
Dear Mr. Cocanower:
The enclosed private Fast Track sewer permit application package is for+/- 1,234 LF of 8" C-900 and 134 LF of 8" DIP
gravity sewer main to serve Wrightsboro Commons, a proposed 226-unit mixed-use development located off Castle
Hayne Road in New Hanover County. This will be a mix of 1, 2, and 3-bedroom units.The new 8" gravity main will
connect to an existing CFPUA manhole located in the northern right-of-way of Riverside Drive. A public sewer permit
application is being submitted concurrently for the short run of gravity sewer main from the site to the point of
connection. The main will be installed, owned, and maintained by the developer. Enclosed for your review and
approval please find:
- One (1) original and one (1) copy of Fast Track Sewer Application (FTA 10-23)
- One (1) original and one (1) copy of Flow Tracking for Sewer Ext. Application (FTSE 10-23)
- $600.00 application fee, check#11981
- Street View Map
- USGS Quad Map
If you have any questions or comments, please contact us at [phone] or by email at rnil<[e-mail].
Thank you for your assistance.
Sincerely,
Mike Broyhill
Engineering Technician
Encl.: As noted above
Cc: BRC Wrightsboro Commons, LLC; Wrightsboro Commons Partners, LLC
3805 Cherry Avenue-Wilmington, NC 28403-910 7914441 -www.csd-engineering.com—License#C-2710 (///LSD
ENGINEERING

State of North Carolina
`�' WR
Department of Environmental Quality
Division 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_I.iA NUAC 0-,f and the Division's
Minimum Design Criteria (c,ii ��it\ ti<«cr & Nimp-Si,.iton,;l oi_ck: \1_iin_<) and that plans, specifications and supporting documents
have been prepared in accordance with 15A NCAC 021'. 15 \ NCAC 02T.0300.Division policies,and good ciaincerinc itrnetices. !
i
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 pen-nit application to the Division. This would include plans, design
calculations, and project specifications referenced in _I_ \_c.',\C t1-1_.010 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 l ,;\,\(;:1�'_0`1..0"(0
Projects not eligible for review via the fast track process (must be submitted for full technical review):
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;
Pressure sewer systems utilizing simplex septic tank-effluent pumps(STEPs)or simplex grinder pumps;
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
E 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):
E 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(downstreain/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 11.1. of the application). 1
C. Application Fee(All New and Modification Application Packages): f
E Submit a check or money order in the amount of$600.00,dated no more than 90 days prior to application submittal.
Payable to North Carolina Department of Environmental Quality(NCDEQ)
D. Fast Track Application (Required for All Application Packages,Form FTA 10-23):
E Submit the completed and appropriately executed application.
7 If necessary for clarity or due to space restrictions, attachments to the application may be made.
E If the Applicant Type in Item 1.2 is a corporation or company, provide documentation it is registered for business with the
V,1-111 c an)Fwl ti Clv(ilr\ of tatc.
❑ If the Applicant Type in Item 1.2 is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of Deeds in
the county of business. j
E The Project Name in Item II.1 shall be consistent with the project name on the flow acceptance letters,agreements,etc.
E The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a \orth i_arohlw
lic�n��J 1'n�1�� iunal I.�t��inc:r. -- ----
INSTRUCTIONS FOR FORM: FTA 10-23 & SUPPORTING DOCUMENTATION Page 1 of 3

® The Applicant's Certification on Page 5 of the application shall be signed in accordance with I-;:\ V' V o I .()I oo ht. 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. 14_1,-'1 ;(,-7
➢ 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 1 1-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 f
the final permit.
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per 1 5_1 'N,(AC 0-11 _._0 3O5 11J( I), 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)
1. Certificate of Public Convenience and Necessity(All Application Packages for Privately-Owned Public Utilities):
❑ Per_I_ AC 0? 1__01 1 iLo)(_I )provide the Certificate of Public Convenience and Necessity from the\o(tli C;irolin i L_trlitic �
(omnii„ion demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the sewer i
extension, or 1
❑ Provide a letter from the N''orth Crrolilm t lilitrc C'orlwiv�ioll__ \1 ttu_uiid Sr«cr Di\i>iun_PLINiC Stallstating an application
for a franchise has been received and that the service area is contiguous to an existing franchised area or that franchise approval j
is expected. �
J. Operational Agreements(Applications from HOA/POA and Developers for lots to be sold):
❑ Home/Property Owners' Associations
❑ Per 1 5,\ \C \('_c1__[ _(t I I I_c_>, submit the properly executed Oper,rtiuiml \L rcenicw Lc N:U__1 IO;11.
❑ Per 15A NCAC 02T.0I 15(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per I; \ U_l. 1 i_h). submit the properly executed OLj�i,rtitrn,r_!_ \ Lr_ciiient_(I (W\I:_D \_)_
For nro•e information, visit the Division's collection systems
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 APPROPIMV1'1: RF(;ION; k1.
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
Washinnton_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 Reuional 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 Qualia ty Section Suite 300 Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105 Stokes, Surry, Watauga,Wilkes, Yadkin
[phone]
[phone] Fax
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INSTRUCTIONS FOR FORM: FTA 10-23 & SUPPORTING DOCUMENTATION Page 3 of 3

State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23& SUPPORTING DOCUMENTATION
Application Number: T5J3 (to be completed by DWR)
All items must be comaleted or the aoalication will be returned
I. APPLICANT INFORMATION: BRC Wrightsboro Commons,LLC and
1. Applicant's name: Wrightsboro Commons Partners,LLC as co-permittees (company,municipality, HOA,utility,etc.)
2. Applicant type: ❑ Individual ® Corporation ❑General Partnership ❑ Privately-Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑Other
3. Signature authority's name: Tom Flanagan per 15_;\ NCAC 021'.0106(b)
Title: Authorized Si ng atoty
4. Applicant's mailing address: 5826 Samet Drive
9ECENED/NCDENR/01NR
City: High Point State:NC Zip:27265- JUN 1 g 2024
5. Applicant's contact information:
Phone number:�)889-1546 Email Address: tflana an ,bluerid ecom anies.com waterotionsSualty �ron�
g-p operations Soma'°��
Wilmington Reg
Il. PROJECT INFORMATION: (]
1. Project name: Wrightsboro Commons pry�a- &,,)e r
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: 34.287224' Longitude:-77.923269'
5. Parcel ID(if applicable): (or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
1. Professional Engineer: Howard Resnik, PE License Number: 025483
Firm: CSD En ineering
Mailing address: PO Box 4041
City: Wilmington State:NC Zip: 28406-
Phone number: [phone] Email Address:howardRcsd-en meering com
IV. WASTEWATER TREATMENT FACILITY(WWTF)INFORMATION:
I. Facility Name: Permit Number:
Owner Name: Cape Fear Public Utility Authority
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
I. Permit Number(s): WQ
2. Downstream(Receiving)Sewer Information: 8 inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Numbers)(if applicable): WQCS
Owner Name(s): Cape Fear Public Utility AuthgLay
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 1),!\k:lo or's Opaatlonal :1 .reentew i I:(W\1: IA V)been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a Home/Property Owners'Association, has an I k).\ 1'()\_(_ per iiiuir_il 1_reen3 ni.�l_(_WN- 1:_I IC,)._�1 and
supplementary documentation as required by 15A NCAC 02T.01 15(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(S� 15A ();1_010 ('[o))
If Industrial, is there a Pretreatment Program in effect?❑ YesFJ No
6. Has a flow reduction been approved under l \ NC':\(_0-I I .0 1 14(_t;)? ❑ Yes ®No
➢ If yes, provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type(see 02T.0114(f)) Daily Design Flow a,n No. of Units Flow
1-Bedroom Apartments 150 gal/day 34 5,100 GPD
2-Bedroom Apartments 150 gal/day 48 7,200 GPD
3-Bedroom Apartments 225 gal/day 36 8,100 GPD
Amenity Center(150@10 gpd ea for pool 10 gal/day 150 1,500 GPD
and 60 seats @ 5 gals/seat for clubhouse) 5 gal/day 60 300 GPD
gall GPD
Total 22,200 GPD
a See 11�,-\ _ 0)1 _U„I„I_ISUL�1) (c}( I and c.;){.'I 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 6.S._41,,\-3).
b Per 15A NCAC 02T.01 14(c), design flow rates for establishments not identified [in table 15,A \(_\C:02 1..0 f_I_{] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns,and other measured data.
8. Wastewater generated by project: 22,200 GPD(per I�;A NCAC_0 1' .01 1-1 mid al"' I„1 _
v 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. j
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other(Explain):
FORM: FTA 10-23 Page 2 of 5

V11. GRAVITY SEWER DESIGN CRITERIA(If Applicable)-02 [_,030; & N1D _Sc�%Crs):
1. Summarize gravity sewer to be permitted:
Size(inches) Length (feet) Material
8 1,234 C-900
8 134 DIP
I
➢ 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)—L) l .030:+& Nll)c_(_I_'iimp St;itioos/l orcc Nl;;ins):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates(Decimal Degrees): Latitude: Longitude: -
3. Total number of pumps at the pump station:
3. Design flow of the pump station: millions gallons per day(firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s)per pump(s); gallons per minute(GPM)at feet total dynamic head(TDH)
5. Summarize the force main to be permitted(for this Pump Station):
Size(inches) Length(feet) Material
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01 C.Lb. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other(please specify)
6. Power reliability in accordance with I_ _\ VC 0-1 1__0_101�(h)�I �:
❑ 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 I SA 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 f
as part of this permit application in the case of a multiple station power outage.
i
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 15-\ \( ,1C_0.1 I .0105l(h& t _i". ® 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 E
I
Reclaimed water lines(horizontal- reclaimed over sewer) 2 feet
**Any private or public water supply source, including any wells, WS-1 waters of Class 1 or
Class II impounded reservoirs used as a source of drinking water,and associated wetlands. 100 feet
**Waters classified WS(except WS-1 or WS-V), B, SA,ORW, HQW,or SB from normal
high water(or tide elevation)and wetlands associated with these waters(see item IX.2) 50 feet
**Any other stream, lake, impoundment,or ground water lowering and surface drainage
ditches,as well as wetlands associated with these waters or classified as WL, 10 feet
Any building foundation(horizontal) 5 feet
Any basement(horizontal) 10 feet
Top slope of embankment or cuts of 2 feet or more vertical height 10 feet
Drainage systems and interceptor drains 5 feet
Any swimming pools 10 feet
Final earth grade(vertical) 36 inches
➢ If noncompliance with 02T,0305c f or(g). see Section X.1 of this application
*I \ \C 1C 0,1 .0305J_� contains alternatives where separations in 02 1'.0 305 ! 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 I-,LFr1`tc ,Water Ckissil ic,uiun'�
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 draf'l ��!pitr,nion_r_Q�luirvmont_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 1 \_,1,X A(-_02111_0100" ❑ Yes ❑No
➢ This includes Trout Buffered Streams per] :\ V AC.'113_)20-.
E
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.
i
6. Does project comply with_I, o" 1.0105(.c)LO)(additional permits/certifications)? ® Yes ❑ No f
Per 1, N c'_1C 0_1,0105(c_ti 6j, directly related environmental permits or certification applications must be being prepared,
have been applied for,or have been obtained. Issuance of this permit is contingent on issuance of dependent permits(erosion
and sedimentation control plans,stormwater management plans, etc.).
7. Does this project include any sewer collection lines that are deemed"high-priority?" ❑ Yes ® No
Per 15 \_ti�('_;1C_i>_'.1_.t�-lit,',"high-priority sewer" means any aerial sewer,sewer contacting surface waters, �
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ If yes, include an attachment with details for each line, including type(aerial line, size,material,and location).
High priority lines shall be inspected by the permittee or its representative at least once every six-months and
inspections documented per 15A NCAC 02T.0403(a)(5)or the permittee's individual System-Wide Collection permit.
FORM: FTA 10-23 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T,the Minimum Demon Criteria for the Pennitting of Pump Stations
and Force Mains(latest version) and the Gravity Sewer Minimum Design Criteria(latest version)as applicable?
®Yes ❑No
If no, for projects requiring a single variance, complete and submit the Variance/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 projects requiring a variance approval may be subject to longer
review times.For projects requiring two or more variances or where the variance is determined by the Division to be a
sienilicant portion of the project,the full technical review is required
2. Professional Engineer's Certification:
I, H OV JA r2Q IR t$5N 11C I PC- ,attest that this application for W Rl GTS(j020
(Professional Engineer's name from Application Item III I ) (Project Name from Application Item 11 1)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications,engineering calculations,and all other supporting documentation to the best of my knowledge. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria for Gravity Sewers(latest version),and the Minimum Design Criteria for the Fast-Track Permitting
of Pump Stations and Force Mains(latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE -- In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed$10,000,as well as civil penalties up to$25,000 per violation.Misrepresentation of the application
information,including failure to disclose any design non-compliance with the applicable Rules and design criteria,may subject
the North Carol ina-I icensed Professional Engineer to referral to the licensing board.(21 NCAC 56.0701)
... ..............................................................................
North Carolina Professional Engineer's seal,signature,and date: I I I I►r
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11
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3. Applicant's Certification per 15A NCAC 02T.0106(b):
1, Tom Flanagan ,attest that this application for Wrightsboro Commons
(Signature Authority Name from Application Item 13) (Project Name from Application Item 11 1)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
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. I will make no claim against the Division
of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application
package are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed$10,000 as well as civil penalties up to$25,000 per violation.
Signature: - Date: 12`2,3_
FORM: FTA 10-23 Page 5 of 5

State of North Carolina
Department of Environmental Quality
.,_ Division of Water Resources
Division of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-23)
Entity Requesting Allocation: Wrightsboro Commons Partners, LLC
Project Name for which flow is being requested: Wrightsboro Commons - Phase 1
More titan one FTSE maybe required for a single project if the o►vner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: James A. Loughlin(Northside) WWTP
b. WWTP Facility Permit#: NPDES NC 0023965
AlIflows are in MGD
c. WWTP facility's permitted flow 16.000 RECF1VF1)iNQ pENRi
d. Estimated obligated flow not yet tributary to the WWTP 5.074 °wR
e. WWTP facility's actual avg. flow 10.661 18
f. Total flow for this specific request 0.022200 SUN 2024
oate`Q�a��YH
g. Total actual and obligated flows to the facility 15.756 W/;m;�e°ah.onsSeeao"a!
h. Percent of permitted flow used 98.5 peg1p^a/On1
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 Approx. Obligated, Total
Pump Pump Average Current Not Yet Current Flow
Station Station Firm Daily Flow** Avg. Daily Tributary Plus
(Name or Permit Capacity, * (Firm/pf), Flow, Daily Flow, Obligated Available
Number) No. MGD MGD MGD MGD Flow Capacity***
102 WQ0034426 0.304 0.101 0.022 0.075 0.097 0.004
*The Firm Capacity(design flow)of any pump station is defined as the maximum pumped floN% 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): Northside WWTP
Downstream Permit Number: NC 0023965
Page 1 of 6
I I SI: 10-21

III. Certification Statement:
I Jeff Theberge, CFPUA Eng. Mgr. certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and II plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
_qi( r(
06/17/2024
Jchebeiye tun IY,202Y1;5:3.1 EDT'
Signing Official Signature Date
Engineering Manager
Title of Signing Official
i
Page 2 of 6
I: I-SI. 10-'_

i
Final Audit Report 2024-06-17
Created: 2024-06-17
By: Jeff Theberge([e-mail])
Status: Signed
Transaction ID: CBJCHBCAABAAaNdwrAzpOC6-fjLrSe5y3cUKy-w671VO
"Flow Tracking for Sewer Extension Permit Application" History
Document created by Jeff Theberge ([e-mail])
2024-06-17-8:26:41 PM GMT
Document emailed to Jeff Theberge ([e-mail]) for signature
2024-06-17-8:26:46 PM GMT
Document e-signed by Jeff Theberge ([e-mail])
E-signature obtained using URL retrieved through the Adobe Acrobat Sign API
Signature Date:2024-06-17-8:31:05 PM GMT-Time Source:server
Agreement completed.
2024-06-17-8:31:05 PM GMT
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State of North Carolina
Department of Environmental Quality
Division of Water Resources
W4wv.
� ;,;,:>
"Division of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-23)
Entity Requesting Allocation: BRC Wrightsboro Commons, LLC and Wrightsboro Commons Partners, LLC
Project Name for which flow is being requested: Wrightsboro Commons- Phase 1
More than one FTSE may be required for a single project{f the owner of the IYWTP is not responsible for all pump
stations along the route of'the proposed wasteh,ater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: James A. Loughlin (Northside) WWTP
b. WWTP Facility Permit#: NPDES NC O023965
All flowv are in MGD
c. WWTP facility's permitted flow 16,000
d. Estimated obligated flow not yet tributary to the WWTP 5.074
e. WWTP facility's actual avg. flow 10.661
£ Total flow for this specific request 0.022200
g. Total actual and obligated flows to the facility 15.756
h. Percent of permitted flow used 98.5
11. 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 Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm i pf), Avg. Daily Daily Flow, Obligated Available
Number) No, MGD MGD Flow,MGD MGD Flow Capacity***
102 WQ0034426 0.304 0.101 0.022 0.075 0.097 0.004
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 f
project connection point and the WWTP where the Available Capacity is<0.
Downstream Facility Name (Sewer): Northside WWTP
Downstream Permit Number: NC 0023965
Pagel of 8
FTSE 1 a-23 �

i
CONSENT TO ACTION
July 28,2023
The undersigned (together, the "Owners"), being the fee simple owners of that certain
real property more particularly described in Book 6270, Page 1088,New Hanover Registry (the
"Property`'), hereby recite and record the following action by this formal written consent to
action, having the same force and effect as if taken at a duly called and constituted meeting of
the Owners:
STATEMENT OF BACKGROUND
In connection with the development of the Property, the Owners are required to execute
various documents, instruments, contracts and/or plats with or in favor of certain governmental
authorities, third parties, and/or design professionals (collectively, the "Development
Documents"). The purpose of this resolution is to empower an Authorized Signatory to execute
the Development Documents on behalf of each of the Owners.
NOW, THEREFORE, IT 1S RESOLVED, THAT Thomas P. Flanagan, as an Authorized !
Signatory for each Owner, respectively, acting alone, is hereby authorized, directed and
empowered to execute the Development Documents on behalf of each of the Owners.
IT IS FURTHER RESOLVED THAT Thomas P. Flanagan may effect such transaction
acting alone and with the joinder of no other person.
OWNERS:
BRC WRIGHTSBORO COMMONS, LLC,
a North Carolina limited liability company
By
NamgChristoph r Dunbar
Title:Manager i
i
i
WRIGHTSBORO COMMONS PARTNERS, LLC,
a North Carolina limited liability company
By:
IA-
Name:Christoph Dunbar
Title:Manager
I
I