WQ0045575_Application (FTSE)_20240701

�&J -- I le r — U) a 00y,5575
WithersRavenel Letter of T1ggVagta1
219 Station Road, Suite 101
Wilmington, NC 28405
t: 910256.9277 I f: 919.467.6008
TO: NCDEQ - Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, INC 28405
WE ARE SENDING YOU THE FOLLOWING ITEMS:
® Attached ❑ Under Separate Cover Via
❑ Shop Drawings ❑ Prints ❑ Plans
❑ Copy of Letter ❑ Change Order ❑ Disk
JUN 2 6 2024
NCDEO
Wilmington Regional Office
!024 '•• • 03220251.01
System Extension Permit Department
Bolivia Heights
Sewer System Extension Permit
Application/Submittal #1
❑ Samples ❑ Specifications
❑ Other
COPIESDESCRIPTION
1
Cover Letter
2
Fast Track Sewer Extension Application (FTA 10-23) Pump Station, Forcemain and Gravity
(1 original and 1 copy)
2
Flow Tracking/Acceptance Form for Sewer Extension Applications (FTSE 10-18)
2
Brunswick County Adjusted Daily Flow Rate Approval Letter (WQCS00284)
2
Parcel Owner Information Exhibit
1
Project Narrative
1
USGS Map
1
Street Level Map
1
Check 6865, Amount $600.00 Sewer Application Review Fee
THESE ARE TRANSMITTED as checked below:
® For approval ❑ Approved as submitted
❑ For your use ❑ Approved as noted
❑ As requested ❑ Returned for corrections
❑ For review and comment
❑ For bids due
REMARKS:
Julie Wilson
[e-mail]
COPY TO: 910.899.4632
❑ Resubmit copies for approval
❑ Submit copies for distribution
❑ Return corrected prints
❑ Other
❑ Prints returned after loan to us
Joseph Boyd, PE
[e-mail]
SIGNED: 910.509.6505
Received:
If enclosures are not as noted, kindly notify us at once.

State of North Carolina
DWR Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Divlslon of Water Resources �y / FTA 10-23 & SUPPORTING DOCUMENTATION
Application Number:%(i6(007S5/ryry,�tobecompletedbyDWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
I. Applicant's name: Brunswick County,s (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: William Pinnix. P.E. per 15A NCAC 02T .0I06(b)
Title: Director of Engineering
4. Applicant's mailing address: 75 Courthouse Drive, NE, Building I
City: Bolivia State: NC Zip: 28422-_
5. Applicant's contact information:
Phone number: [phone] Email Address: william.pinnix(a),brunswickcountvnc.gov
II. PROJECT INFORMATION:
Project name: Bolivia Heights -9 e"Oer
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000_ 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: W000
3. County where project is located: Brunswick
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.0626' Longitude:-78.1530'
5. Parcel ID (if applicable): 140AA002 (or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
1. Professional Engineeicense Number: 39113
Firm: WithersRavenel
Mailing address: 219 Station Road, Suite 101
City: Wilmington State: NC Zip: 28405-
Phone number: [phone] Email Address: iboyd [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: West Brunswick Permit Number: W00023693
Owner Name: Brunswick County
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
RECEIVED/NCDENPJMNR
jUN 2 6 ZR4
Water QuaAN Regional
Operations Seagon
WAmington Regional p(rbe
I. Perm itNumber(s): WQR023692
2. Downstream (Receiving) Sewer Information: 8 inch ❑ Gravity M Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00284
Owner Name(s): Brunswick County
FORM: FTA 10-23 Page 1 of 5

VI. GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No N N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Aereement (FORM: DEVI been attached?
❑ Yes ❑ No N N/A
3. If the Applicant is a Home/Property Owners' Association, has an HOA/POA Operational Agreement (FORM: FICA) and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
❑ Yes ❑ No N N/A
4. Origin of wastewater: (check all that apply):
N 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 0 % Commercial 0 % Industrial (See 15A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f)? N 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 1.1,
No. of Units
Flow
Single-family Residential (4-bedroom)
; 280 gal/unit
83
23,&LWGPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Totat
23,gHVGPD
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).
It 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: 23 40GPD (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):
JUN 2 6 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):
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 C900 PVC
➢ Section 11 & I I I 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
Vill. PUMP STATION DESIGN CRITERIA (If Applicable) —02T s03O5 & 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: Bolivia Heights Pump Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 34.0624' Longitude:-78.1525'
3. Total number of pumps at the pump station
3. Design flow of the pump station: 0.173 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): q 2LO`gallorts-per minute (GPM) at'201 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
4 C900 PVC
RECEIVED/NCDENR/DWI
JUN 2 6 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 2.0IC.1.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

IN. SETBACKS & SEPARATIONS — (02B.0200 & 15A NCAC 02T.0305(f)):
I. Does the project comply with all separations/alternatives found in 15A NCAC 02T.0305(f) & (g)? N Yes ❑ No
15A NCAC 02T.0305(f) contains minimum senarations that shall be Drovided for sewer systems:
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
2Water 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(f) or (R), 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 webpage
2. Does this project comply with the minimum separation requirements for water mains? N 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? N 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: _ N 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 EIVED/NCDENR/DWR
5. Does the project require coverage/authorization under a 404 Nationwide/individuaJ�p1'n OON 2024 N Yes El No
or 401 Water Quality Certifications? �wv
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
Water Dualty Regional
opwar s Section Y No
6. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifitha6io�ts,21agmnal oKpe N es El
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 N No
Per 15A 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

DocuSign Envelope ID: B2F7188F-9E6F-443E-9478-1C2FB3AFC5AD
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 recluirine a variance approval may be subject to longer
review times. For projects requirine two or more variances or where the variance is determined by the Division to be a
sienificant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:
1, Joseph Boyd, P.E. , attest that this application for Bolivia Heights
(Professional Engineer's name from Application Item III.I ) (Project Name from Application 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. 1 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 Carolina -licensed Professional Engineer to referral to the licensing board. (21 NCAC 56.0701)
° N
North Carolina Professional Engineer's seal, signature, and date: CAR
o°O�( O�
GRAVITY SEWE[Ro/KDENMWR. °200�oF b
^ SEAL
o
JUN 2 6 2024 39113
Water Quality Regional Docu8iy(ned be Up
operations Section
Wilmington Regional otgce St,p(t �j�u°S�PH S.°g��
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, William Pinnix attest that this application for Bolivia Heights
(Signature Authority Name from Application Item I.3,) (Project Name from Application Item II.I )
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. 1 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: f �3 702
esvCST
FORM: FTA 10-23 Page 5 of 5

X. CERTIFICATIONS:
I. 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?
N 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 proieets 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
significant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:: 1 1
I,QK.4 e( �A. JAc , attest that this application forl1_jaa
t Professional Fri neer's name from Application Item III. I.) (Project Name fronn pliciuFon Mein 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 1 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 S 10,000, as well as civil penalties up to S25,000 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: " " "FJ
2 % AJ`
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°RECEIVED/NCDENR/DWR
��y'9i�, NCINEE.
JUN 2 6 2024 ,'pPE Vk �,, •,
3. Applicant's Certification per 15A NCAC 02T .0106(b): ..........
water qua W Regional
1, William Pinnix , attest that tg�a%wn for Bolivia Heights
(Signature Authornb \ame from Application Item 1.3.) Wilmington Regional unite (Project Name from Application Item II.I )
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. 1 will make no claim against the Division
of Water Resources should a condition of this permit be violated. I also understand that if all required 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: /+ t t � L ' Date:
S V 2
FORM: FTA 10-23 r CS
Page 5 of 5

RECEIVED/NCDENR/DWR
JUN 2 6 2024 State of North Carolina
Department of Environmental Quality
air
WatOperations Sedl
erpionsswuanty gionai O Division of Water Resources
DWJK%k O
Wilmington Regional Office
Divislon of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-23)
Entity Requesting Allocation: Brunswick County
Project Name for which flow is being requested: Bolivia Heights
More than one FTSE n:ay be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of Bee proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: WEST BRUNSWICK
b. WWTP Facility Permit #: WQ 0023693
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
6.00
1.77
3.938
0.02324
5.73
95.5%
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A)
(B)
(C)
(D)=(B+C) (E)=(A-D)
Design
Obligated,
Pump
Pump
Average
Approx.
Not Yet
Total Current
Station
Station
Firm Daily Flow**
Current
Tributary
Flow Plus
(Name or
Permit
Capacity, * (Firm / pf),
Avg. Daily
Daily Flow,
Obligated Available
Number)
No.
MGD MGD
Flow, MGD
MGD
Flow Capacity***
* 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): West Brunswick Transmission FM ($ J
Downstream Permit Number: WQ0023692
Pagel of 8
FTSE 10-23

III. Certification Statement:
I William L. Pinnix, P.E. certify to the best of my knowledge that the addition of
Engr Services Director
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.
S.S.
Signing Official Signature
�fl -0 - CA
Title of Signing Official
Z
RECEIVED/NCDENR/DWR
JUN 2 6 2024
Water Oually Regional
Operations Seotioo
Wileenglon Regional Office
Page 2 of 8
FTSE 10-23

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-23)
Entity Requesting Allocation: Brunswick County
Project Name for which flow is being requested: Bolivia Heights
More than one FTSE may be required for a single project if the owner of lite WWTP is not responsible for all purup
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: WEST BRUNSWICK
b. WWTP Facility Permit #: WQ 0023693
All flows are in MGD
c. WWTP facility's permitted flow 6.00
d. Estimated obligated flow not yet tributary to the WWTP 1.77
e. WWTP facility's actual avg. flow 3.938
f. Total flow for this specific request 0.02324
g. Total actual and obligated flows to the facility 5.73
h. Percent of permitted flow used 95.5%
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm / pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
* 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. RECEIVED/NCDENR/DWR
*** 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. JUN 26 2024
Downstream Facility Name (Sewer): West Brunswick Transmission FM ��Ar)
Watts OuaAty Regional
Downstream Permit Number: WQ0023692 Operations Section
Wilmington Regional Office
Page I of 8

III. Certification Statement:
I William L. Pinnix, P.E. certify to the best of my knowledge that the addition of
Engr Services Director
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.
Officia//l��S��ignature
Title of Signing Official
z.
Page 2 of 8

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10 WithersRavenel
Oor Pzeule. Your Suaes�.
Sanitary Sewer System Narrative
Bolivia Height Subdivision Development
Bolivia, Brunswick County, NC
Site Location and Description
The purpose of this project is to construct a single-family residential development known as Bolivia
Heights, which is within the Town of Bolivia. Bolivia's water and sewer is provided by Brunswick
County who will be the utility provider for this project. The project consists of 83 single family
homes and was originally platted in 1901. The roadways as proposed following platted Right of
Ways from 1901 but were never constructed. To make the project work via the current
regulations, the development was reduced from 119 lots as platted in 1901 to 83 lots today. The
project will connect to US-17 Business (SR-1167) via four entrances. The property in which this
project is included is owned by 35 North Land Holding, LLC.
The project drains to the Middle Swamp (C;Sw), which is within the Lumber River Basin (HUC
0304020801).
Currently the site is mostly woodlands with a few open areas consisting of bushes and grasses.
The surrounding area includes wooden areas and residential to the north, and west, Galloway Road
to the south, and US-17 Business to the east.
Sewer Design
The project includes gravity sewer, a pump station and forcemain, which will all be owned and
maintained by Brunswick CmntT.
• The gravity sewer system includes the design and construction of approximately 3,495 LF
of 8-inch gravity sewer that will discharge into a proposed manhole that discharges directly
to the pump station. Sewer flow associated with the project totals 23,240 gpd. Do note
that Brunswick County has an approved flow reduction.
• The pump station includes 120 gpm pumps with 201 TDH and approximately 125 LF of 4-
inch pressure force main. There is no additional sewer flow associated with the pump
station as it is designed for this project's flow only.
Only a small portion of the project is located within the 100-year flood plain. No gravity sewer,
manholes or the pump station are located within the flood plain. There are wetlands onsite and
impacts are proposed. We are in the process of pursuing an Individual Permit for this project, once
obtained we will send you a copy.
Finally, there are 6 proposed gravity sewer manhole is within 50 feet of wetlands and they will be
constructed to meet the draft wetland separation policy.

;!WithersRavenel
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Sanitary Sewer System Narrative
Bolivia Height Subdivision Development
Bolivia, Brunswick County, NC
Site Location and Description
The purpose of this project is to construct a single-family residential development known as Bolivia
Heights, which is within the Town of Bolivia. Bolivia's water and sewer is provided by Brunswick
County who will be the utility provider for this project. The project consists of 83 single family
homes and was originally platted in 1901. The roadways as proposed following platted Right of
Ways from 1901 but were never constructed. To make the project work via the current
regulations, the development was reduced from 119 lots as platted in 1901 to 83 lots today. The
project will connect to US-17 Business (SR-1167) via four entrances. The property in which this
project is included is owned by 35 North Land Holding, LLC.
The project drains to the Middle Swamp (C;Sw), which is within the Lumber River Basin (HUC
0304020801).
Currently the site is mostly woodlands with a few open areas consisting of bushes and grasses.
The surrounding area includes wooden areas and residential to the north, and west, Galloway Road
to the south, and US-17 Business to the east.
Sewer Design
The project includes gravity sewer, a pump station and forcemain, which will all be owned and
maintained by Brunswick County.
• The gravity sewer system includes the design and construction of approximately 3,495 LF
of 8-inch gravity sewer that will discharge into a proposed manhole that discharges directly
to the pump station. Sewer flow associated with the project totals 23,240 gpd. Do note
that Brunswick County has an approved flow reduction.
• The pump station includes 120 gpm pumps with 201 TDH and approximately 125 LF of 4-
inch pressure force main. There is no additional sewer flow associated with the pump
station as it is designed for this project's flow only.
Only a small portion of the project is located within the 100-year flood plain. No gravity sewer,
manholes or the pump station are located within the flood plain. There are wetlands onsite and
impacts are proposed. We are in the process of pursuing an Individual Permit for this project, once
obtained we will send you a copy.
Finally, there are 6 proposed gravity sewer manhole is within 50 feet of wetlands and they will be
constructed to meet the draft wetland separation policy.

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