WQ0045595_Application_20240710

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — ALTERNATIVE SEWER EXTENSION APPLICATION
Division of Water Resources ASEA 10-23 & SUPPORTING DOCUMENTATION
Application Number: (to be completed by DWR)
I. APPLICANT INFORMATION:
1. Applicant's name: CFPUA (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ❑ Municipal X Other - Authority
3. Signature authority's name: Jeff Theberee. PE per I SA NCAC 02T .0106ib�
Title: Engineering Maria
4. Applicant's mailing address: 235 Government Center Drive
City: Wilmington State: NC Zip: 28403-_
5. Applicant's contact information:
Phone number: 910 332-6560 Email Address: Jeff theberQeaa,cfpua.org
II. PROJECT INFORMATION:
l . Project name: Enclave
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project ❑ ARPA funded
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: New Hanover
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.1339° Longitude:-77.8801
III. CONSULTANT INFORMATION:
1. Professional Engineer: W. Shane Lippard License Number: 023917
Finn: Right Angle Engineering, PC
Mailing address: 212 Princess_ Street
City: Wilmingmn State: NC Zip: 28401
Phone number: 9(_10) 251-8544 Email Address: raencslnabellsouth.net
1V. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
M'Kean-Moffit SSWWTF,(NPDES NC 0023973),.
1. Facility Name:3aie�s � t` Permttt Number: NC ^ °^ 5
Owner Name: CFPUA
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): W00016464; 8" Gravity Main
System Wide Collection System Permit Number(s):
Owner Name(s): CFPUA
RECEIVED
JUL 10 2024
NCDEQ1DWR/NPDES
FORM: ASEA 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 submitted?
❑ Yes ❑No ®NIA
2. If the Applicant is a Developer of lots to be sold, has a Develo ver's O er tional Agreement FORM: DEV) been submitted?
❑ Yes E]No ®N/A
3. If the Applicant is a Home/Property Owners' Association, has an O erati mal Agreement FORM: HOA been submitted?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
® Residential 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. Is/was an Environmental Assessment required under 15A NCAC 01C? ❑ Yes ® No
If yes, submit the appropriate final environmental document (FONSI, ROD, etc.)
6. Nature of wastewater: 100 % Domestic/Commercial % Other waste — specify:
Industrial ( See 15 A NC.AC 02T .0103E 2U])
7. Wastewater generated by project: 3600 GPD (per 15A NCAC 02T .0114 and G.S. 1 -21 s
Has a flow reduction been approved under l 5A NCAC 02T .01141 ? ❑ Yes ® No
If ves. provide a cony of annroval
8. Summarize wastewater generated by project:
Establishment Type
Daily Design Flow"
No. of units
Flow
3 BDRM House
225 gal/day
gal/ -
10
-
2250 GPD
GPD
gal/
GPD
gal/
GPD
gal/
GPD
_
gal/
GPD
Total
2250 GPD
a See 15A NCAC 02T .01 14(b). (d): le)(1) and te(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G;S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified below shall be determined using available
flow data, water using fixtures, occupancy or operation patterns, and other measured data.
FORM: ASEA 10-23 Page 2 of 5

VIL PRESSURE SEWER DESIGN CRITERIA —15A NCAC 02T .0305:
1. Number of simplex pump stations (STEP tanks/effluent pumps, vacuum pits, etc.) provided: 10
2. What is the nearest I00-year flood elevation to the facility? 14 feet mean sea level.
Is any of the proposed project located within the 100-year flood plain? ❑ Yes ®No
3. if Yes, are the following items provided per 15A NCAC 02T .0305i e):
Water -tight seals on all station hatches and manholes; and
Control panels vents extend two feet above thel00-year flood plain elevation? ❑ Yes ❑ No ® N/A
If No, what measures are being taken to protect them against flooding?
4. Volume of storage in wet well above pump on elevation: 360 Gallons (include calculations)
5. How power reliability will be provided in accordance with 15A NCAC 02T .0:105(h)(D):
® Wet well storage provides 24 hours worth ofwastewater storage; or
❑ Wet well storage provides wastewater storage based on power reliability and response times
(5ce"Poli) for Meeting ReliabityRequirements")
D Provide 3 years of power history date in the area.
i- Provide response time to replace a failed pump. This would include travel time, time to replace pump, etc.
D Wet well storage would be based on whichever is greater.
All other pump stations meet the reliability requirements of 15A NCAC t?2T.0 05(h)! 1): ❑ Yes ❑ No ❑ N/A
6. Summarize simplex pump station design elements:
Design Element
Plan Sheet
Reference
Specification
Reference
Emergency Contact Placard or Sticker
D5
333217
Screened Wet Well Vent
D5
333217
Restricted Access Details
D5
333217
Control Panel
D5
333217
High Water Alarms (Audible & Visual)
D5
333217
Valves (Check, Gate, etc)
D5
333217
Air Relief Valves
D5
333217
7. Summarize the pipe length by diameter to be permitted. Lines from a building to the septic or pump tank should be excluded.
(provide attachments if necessary)
Zone
From Node
To Node
Diameter (in)
Length (feet)
# Pumps in Zone
Pump Model
Specified for Zane
1
J2
Rl
4
232
5
Barnes ZOGP 2HP
2
J5
J6
3
1050
98
Barnes ZOGP 2HP
3
J3
J1
2
450
10
Barnes ZOGP 2HP
8. Air release valve station locations per 15A NCAC 02T .0305(i) (provide attachments if necessary)
Air Release Valve #
Station
Plan Sheet Reference
1
0+90
C5
FORM: ASEA 10-23 Page 3 of 5

VUL SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 92T .0305(f) & (g) ® Yes ❑ No
>- I SA 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}
24 inches
Water mains vertical -water over sewer including in benched trenches)
IS 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-1 waters of Class I or
Class 11 impounded reservoirs used as a source of drinking water
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 {see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any buildina foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical hei t
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade vertical
36 inches
5- 15A NCAC 02T.0305fd} contains alternatives where separations in M.0305(f) cannot be achieved.
Y **Stream classifications can be identified using the Division's NC Surface Water Classifications webnaee
Y If noncompliance with 02T.0305(b or (s). see Section IX of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes [-]No ®N/A
Y See the Division's draft separation requirements for situations where separation cannot be meet
Y No variance is required if the alternative design criteria specified is utilized in design and construction
Y As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC: 0213.0200? ❑ Yes ❑ No ® N/A
Y This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
Information can be obtained from the 401 & Suffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105 c '6 (additional permits/certifications)? ED 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
Y If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall he 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: ASEA 10-23 Page 4 of 5

IX, CERTIFICATIONS:
1. Does the submitted system comply with l 5A NCAC 02T, the Minimum Design Criteria for the Permittin+.. Pump Stations
and Force. Mains (latest version], and the Gravity, Sewer Minimur Design Criteria (;latest version) as applicable?
® yes © No
If No, complete and submit the Variance/Alternative Design Request application (VADC l 0-14) and supporting documents for
review. Approval of the request is required prior to submittal of the Fast Track A �lication and sunportinn documents
2. Professional Engineer's Certification:
__attest that this application for
(Professional Engineer's n4rrlu from Application Item III.1.)
CA
(Facility name from Application Item II.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 this application package and its instructions, as
well as all applicable regulations and statutes. Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it 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.
North Carolina Professional Engineer's seal, signature, and date: '• �`�'`'a�0� +'; i "0a,,�
�y' � GrVJC.'fG.�- �•' r•�.
i n SEAL , µ6
c•
92 0239V
4
a�
3. Applicant's Certification per 15ANCAAC 02T.0106tb1: °�t�eroei sec�4""�e
I, . Jeff Theber e, P.E., Engineering Manager attest that this application for
(Signature Authority's name & title from Application Item 1.3.)
The Enclave
(Facility name from Application Item II.1.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any discharge of
wastewater from this non -discharge system to surface waters or the land will result in an immediate enforcement action that
may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water
Resources should a condition of this permit be violated. I also understand that if all required parts of this application package
are not completed and that if all required supporting information and attachments are not included, this application package
will be returned to me as incomplete. As the 7ermittee for the pressure sewer s� stem, I understand I will be required to
own. maintain, and operate all individual pump stations.
NOTE — In accordance with General Statutes 143-2136A and 143-215.6 _, 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.
Je be Jun 28 2024
Signature: .berge�Jun 29,2D24 8:35 ED., 7
Date:
FORM: ASEA 10-23 Page 5 of 5