WQ0045651_Application (FTSE)_20240726

Burd, Tina J
From: Burd, Tina J
Sent: Friday,July 26, 2024 1:43 PM
To: [e-mail];Jason Clark; Amy Norris
Cc: Cocanower, Jordan M; Tharrington, Tom
Subject: WQ0045651 - The Proximity Blue Clay LLC Public 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 July 26,2024. The project
has been assigned to Jordon 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 ty_Ier_benson@degnc.,goy
Jordan Cocanower Carteret, New Hanover&Onslow [e-mail]
Bryan Lievre All -ARPA Projects Only bry_an.lieyreade_g,nc,gov
Tom Tharrington All-Coordinator, Please Copy on All Emails tom.tharrin€;[e-mail]
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.
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
to an(i.from lhis i'1Cl`dre'ss is sutycx-t to the
ofith (.arofiloa Flublir,; Records t.itl-v and may he disck.)s'tl to i?)ird p carho's
1

NORRIS & TUNSTALL
CONSULTING ENGINEERS P.C.—
2602 Iron Gate Drive,Suite 102 John S.Tunstall,P.E.,Principal
Wilmington,NC 28412 T.Jason Clark,P.E.
[phone] Robbie P. Hennelly,E.I.
[phone] Fax J.Phillip Norris,P.E.,Consultant
July 25, 2024
NC DEQ
Division of Water Resources 1
Water Quality Regional Operations Section JUL 2 6 2024 �
Wilmington Regional Office
127 Cardinal Drive Extension BY.
Wilmington, NC 28405
Re: Gravity Sewer Extension Fast-Track Permit Application (PUBLIC)
The Proximity Blue Clay, LLC
3651 Blue Clay Road
New Hanover County
N&T Project No. 23057
Dear Sir or Madam:
Enclosed is one (1) original application form with one (1) copy, one (1) original flow letter from
the CFPUA with one (1) copy, two (2) copies of the NCSOS documents, two (2) 8 % x 11 color
USGS Topographic Maps, two (2) copies of the Sewer Narrative, two (2) copies of the CFPUA
Pump Station Design Calculations, two (2) site plans (ledger size) and a $600.00 check for the
processing fee.
Please review this information for approval and contact us with any questions or comments you
may have. Thank you for your assistance on this project.
Sincerely,
NORRIS & TUNSTALL
CONSULTING ENGINEERS, P.C.
W UAk 13�
T. Jason lark, P.E.
TJC/asn
23057 07-25-24-s-swr-Itr(public)
Enclosures
NCBELS License C-3641

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
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&Pumn Stations/Force Mains)and that plans, specifications and supporting documents
have been prepared in accordance with 15A NCAC 0 IT 15A NCAC 02T and
that
Division policies,and good engineering documents
s.
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): �Al Ak OrL�vtj�
➢ 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;
um s• �ku
➢ 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 priorntgfp {W.
➢ Payable to North Carolina Department of Environmental Quality(NCDEQ)
D. Fast Track Application(Required for All Application Packages,Form FTA 10-23): JUL 2 6 2024
® Submit the completed and appropriately executed application.
➢ If necessary for clarity or due to space restrictions,attachments to the application may be made Water Qua Operatio tiontyRegional
ns Section
❑ If the Applicant Type in Item I.2 is a corporation or company, provide documentation it is regimiton Regional Office
stered for business with the
North Carolina Secretary of State.
❑ 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.
® 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 Engineer.
INSTRUCTIONS FOR FORM: FTA 10-23&SUPPORTING DOCUMENTATION
Pagel 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. RECEIVED/NCDENR/DWR
H. Power Reliability Plan(Required if portable reliability option utilized for Pump Station): JUL 2 6 2024
El 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 Water Quality Regional
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the appN.,
t` 1ri on�opetible with
the station. The Division will accept a letter signed by the applicant(see 15A NCAC 02T .010 or pr�posl offs 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 timefromes,shall
be provided in the case of a multiple station power outage.(Required at time of certification)
I. Certificate of Public Convenience and Necessity(All Application Packages for Privately-Owned Public Utilities):
❑ Per 15A NCAC 02T.0115(a)(1)provide the Certificate of Public Convenience and Necessity from the North Carolina Utilities
Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the sewer
extension,or
❑ Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an application
for a franchise has been received and that the service area is contiguous to an existing franchised area or that franchise approval
is expected.
J. Operational Agreements(Applications from HOA/POA and Developers for lots to be sold):
❑ Home/Property Owners' Associations
❑ Per 15A NCAC 02T.0115(c),submit the properly executed Operational Agreement(FORM: HOA).
❑ Per 15A NCAC 02T.0115(c),submit a copy of the Articles of Incorporation,Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T.0115(b),submit the properly executed Operational Agreement(FORM: DEV).
For more information, visit the Division's collection systems website
INSTRUCTIONS FOR FORM:FTA 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
JUL 2 6 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: WQu0 (to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: Cape Fear Public Utility Authority(company,municipality,HOA,utility,etc.)
2. Applicant type: ❑ Individual ❑Corporation ❑General Partnership ❑ Privately-Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ® Other
3. Signature authority's name: Jeff Theberge, P.E. per 15A NCAC 02T.0106(b)
Title: En ing eering Manager
4. Applicant's mailing address: 235 Government Center Drive
City: Wilmington State:NC Zip:28403-
5. Applicant's contact information:
Phone number: [phone] Email Address: Jeff.Theberge n,cfpua.ore
Il. PROJECT INFORMATION:
1. Project name: The Proximity Blue Clay, LLC Pu��t�'S&LL
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: 34.3092' Longitude: -77.90078'
5. Parcel ID(if applicable): R02600-003-003-000 (or Parcel ID to closest downstream sewer)
RECEIVED/NCDENR/DWR
I11. CONSULTANT INFORMATION:
1. Professional Engineer: T.Jason Clark, P.E. License Number: 030869 NC JUL 2 6 2024
Firm:Norris&Tunstall Consulting Engineers,P.C.
Water Quality Regional
Mailing address: 2602 Iron Gate Drive, Suite 102 Operations Section
Wilmington Regional Office
City: Wilmington State: NC Zip:28412-
Phone number: [phone] Email Address: [e-mail] & anorris a,ntengineers.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: James A. Loughlin(Northside WWTP) Permit Number:NC 0023965
Owner Name: Cape Fear Public Utility Authority_
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ
2. Downstream(Receiving)Sewer Information: 12 inch ❑ Gravity Z Force Main
3. System Wide Collection System Permit Number(s)(if applicable): WQCS
Owner Name(s): Cape Fear Public Utility Authority
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 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,b No.of Units Flow
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
Total 0 GPD
a See 15A NCAC 02T.0114(b), (d).(e)(1)and(e)(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.01141 shall be
determined using available flow data,water using fixtures,occupancy or operation patterns,and other measured data.
8. Wastewater generated by project:0 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:
❑ Rehabilitation or replacement of existing sewers with no new flow expected RECEIVED/NCDENR/DWR
❑ Other(Explain):
JUL 2 6 2024
Water Quality Regional
Operations Section
Wilmington Regionai Office
FORM: FTA 10-23 Page 2 of 5

VI1. GRAVITY SEWER DESIGN CRITERIA(If Applicable)-02T.0305&141DC(Gravity Sewers):
l. Summarize gravity sewer to be permitted:
Size(inches) Length(feet) Material
8" 11 DIP
➢ 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
Vlll. PUMP STATION DESIGN CRITERIA(If Applicable)—O2T.0305&MDC(Pill"n StationslForcc ry ins):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
l. Pump station number or name: 1
2. Approximate Coordinates(Decimal Degrees): Latitude:34.30921 Longitude:-77.9 078'
3. Total number of pumps at the pump station:2 /�t1F= 47d8UGpo
3. Design flow of the pump station:0.3fPOmillions gallons per day(firm capacity) /lIJ
Fir 49
➢ 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 510 Aj I d�tD'
1
6" 87 LF PVC/DIP "F d�, ISb ft Q— Sd-,
LRM CMACI-fY
250GA-L (OOMIN Z9 �
rM-M 1-1� DaY
If any portion of the force main is less than 4-inches in diameter,please identify the method of solids reduction per " .3(00t000
MDCPSFM Section 2.01 C.Lb. ❑Grinder Pump ❑ Mechanical Bar Screen ❑Other(please specify) 6-0
6. Power reliability in accordance with 15A NCAC 021'.0305(h)(1):
M Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry- 15A NCAC 02T.0305(h)(1)(13)_
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day RECEIVED/NCDENR/DWR
➢ 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- JUL 2 6 2024
or
Water Quality Regional
Portable pumping unit with plugged emergency pump connection and telemetry: operations section
Wilmington Regional Office
➢ 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 pen-nit 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(f)&(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
zWater mains(vertical-water over sewer preferred,including in benched trenches) 18 inches
zWater 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) RECEIVEDINGDENRIMAIR5 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 Water Ouauty Regional 10 feet
Final earth grade(vertical) Wilmington Regional office 36 inches
➢ If noncompliance with 02T.0305(f)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 webpUe
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 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 ISA NCAC 02T.0402,"high-priority sewer"means any aerial sewer,sewer contacting surface waters,
siphon,or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ If yes,include an attachment with details for each line,including type(aerial line,size,material,and location).
High priority lines shall be inspected by the permittee or its representative at least once every six-months and
inspections documented per 15A NCAC 02T.0403(a)(5)or the permittee's individual System-Wide Collection permit.
FORM: FTA 10-23 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T,the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains(latest version) and the Gravity Sewer Minimum Design Criteria(latest version)as applicable?
® Yes ❑No
If no, 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 subiect to longer
review times. For Protects reauirmg two or more variances or where the variance is determined by the Division to be a
significant Portion of the Project the full technical review is required
2. Professional Engineer's Certification:
I, Q Sd'(� t,�A ,_, , ,attest that this application for 1 L�
(Professional Engineer's name from Applicalion Item 111.1.) (Project Name from AppliJation Item II.I)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications,engineering calculations,and all other supporting documentation to the best of my knowledge. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria for Gravity Sewers(latest version),and the Minimum Design Criteria for the Fast-Track Permitting
of Pump Stations and Force Mains(latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed$10,000,as well as civil penalties up to$25,000 per violation.Misrepresentation of the application
information,including failure to disclose any design non-compliance with the applicable Rules and design criteria,may subject
the North Carolina-licensed Professional Engineer to referral to the licensing board.(21 NCAC 56.0701)
.............................. liiiii
............... . .............................
„uunir
...
North Carolina Professional Engineer's seal,signature,and date: I ;o``" fp0''',,
RECEIVED/NCDENR/DWR ` Lp
l-
030869
JUL 2 6 2024 _
GINS .•'PQ-,.
Water QuaMty Regional
Operations Section ''�o.�rS'0'Ii�j111G"�
Wilmington Regional Office ;,
.......................................................
3. Applicant's Certification per 15A NCAC 02T.0106(b):
attest that this application for
(Signatur uthority Name from Appli atio Item t.3.) (Project Name from Ap, li ation Item 1I.1)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
I understand that if all required parts of this application are not completed and that if all required supporting documentation
and attachments are not included, this application package is subject to being returned as incomplete. I understand that any
discharge of wastewater from this non-discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties,injunctive relief,and/or criminal prosecution. I will snake 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 143-215.613, 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.
Signature: Date:
05/02/2024
FORM: FTA 10-23 Page 5 of 5

23057 10-19-23-State Fast-Track Public Sewer
App. (FTA 10-23) - Rev 01 -18-24
Final Audit Report 2024-05-02
Created: 2024-05-02
By: Jeff Theberge([e-mail])
Status: Signed
Transaction ID: CBJCHBCAABAAN-t254pWPCYvZdHebG-Nrp_9uBRW3YAX
"23057 10-19-23-State Fast-Track Public Sewer App. (FTA 10-2
3) - Rev 01 -18-24" History
�'rl Document created by Jeff Theberge ([e-mail])
2024-05-02-5:25:57 PM GMT
Document emailed to Jeff Theberge ([e-mail])for signature
2024-05-02-5:26:06 PM GMT
ha Document e-signed by Jeff Theberge ([e-mail])
E-signature obtained using URL retrieved through the Adobe Acrobat Sign API
Signature Date:2024-05-02-5:27:14 PM GMT-Time Source:server
® Agreement completed.
2024-05-02-5:27:14 PM GMT
RECEIVED/NCDENWDWR
JUL 2 6 N24
N Nater ouallty Regional
operations Section
Wilmington Regional office
Adobe Acrobat Sign

SEWER NARRATIVE (PUBLIC & PRIVATE)
THE PROXIMITY BLUE CLAY, LLC
Wilmington, North Carolina
For
The Proximity Blue Clay, LLC
102 Autumn Hall Drive, Suite 210
Wilmington, NC 28403
[phone]
i
DECEIVED/NCDENR/DWR
0
JUL 2 6 2024
�!/•�� SEAL tir• ' water
QuaAty Regional
030869 g Operations Section
- i
Wilmngton Re
gional
' �'.. office
REVISED APRIL 2024
January 2024
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 No. 23057 (Public & Private)

RECEIVED/I�CDENR/D�yR
SEWER NARRATIVE
THE PROXIMITY BLUE CLAY, LLC
IuL 2 6 2024
Water qua ItY R
gional
SEWER SYSTEM wit O9ton'Regon Office
The Proximity Blue Clay, LLC project is located in the 3600 Block of Blue Clay Road in
Wilmington, NC and will be served by a Public forcemain. The Proximity Blue Clay, LLC
is a proposed new residential subdivision that will require Private Gravity Sewer and
Public Pump Station (CFPUA).
32, 1-Bedroom Townhomes @ 150 GPD / Unit = 4,800 GPD
134, 2-Bedroom Townhomes @ 150 GPD / Unit = 20,100 GPD
70, 3-Bedroom Townhomes @ 225 GPD / Unit = 15,750 GPD
7,860 SF Clubhouse @ 50 GPD / 100 SF = 3,930 GPD
250 Person, Pool @ 10 GPD / Person = 2,500 GPD
Total: 47,080 GPD
The Gravity Sewer will be PRIVATELY owned. The Gravity Sewer will consist of
approximately 2,714 LF of 8" PVC.
This new PS will be owned and operated by the Cape Fear Public Utility Authority.
This Public Pump Station, which will have two (2) operating conditions. The conditions
were provided by the CFPUA and their consultants.
Operation Point #1: This condition requires the station to obtain the Peak Flow required
with a minimum velocity of 2 FPS. This condition is when the Pump Station operates
alone. This is the Lower Head Condition.
Operation Point #2: The second condition is when other pumps upstream are on. This
condition must overcome the anticipated head from the upstream pumps while providing
the Peak Flow. This pressure head was provided by the CFPUA and their consultants.
Each condition above is to be met with the same pump and electrical components while
maintaining the required minimum of 2 fps in the new 6" SSFM.
This Pump Station will be Public and Owned by the CFPUA.
2