WQ0045678_Application (FTSE)_20240805

Hanover Design Services, P.A.
Land Surveyors, Engineers, Land PlannersfP�
August 2, 2024
Tyler Benson
Department of Environment and Natural Resources
Division of Water Quality
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Re: Fales Landing New Permit
Tyler:
Hope you've been doing well. Attached is an application package for sewer
connection in the City of Wilmington for a new development "Fates Landing".
This project is located at 8055 Masonboro Sound Rd, Wilmington NC. This
development will include a total of 7 single family homes resulting in a total
average daily flow of 1,575 GPD being added to the system. The area will be
served by 377 If of proposed 6" private gravity sewer.
Received
Included in this package:
-Project narrative AUG 0 2 2024
-Developers Operational Agreement ucDEU
-LLC Report wonington Revi—it 'JH1Ce
-USGS Map
-FTA-1023
-FTSE
-Specifications
-$600 Check
If you have any questions or comments, please feel free to contact me. Thanks.
Sincerely,
Austin Scheib, -Tech
Hanover Design Services P.A.
[e-mail]
[phone] Office
[phone] Fax
1123 Floral Parkway Wilmington, N.C.28403 Phone[phone] Fax[phone]
Business Firm License No. C-0597

PROJECT NARRATIVE for
Fales Landing
Located in the City of Wilmington, New Hanover County, North Carolina
Prepared for:
8055 Masonboro LLC
6316 Merrywood Drive
Wilmington, NC 28409
910-279-3365
Owner:
8055 Masonboro LLC
6316 Merrywood Drive
Wilmington, NC 28409
910-279-3365
PROJECT DESCRIPTION—
This request is for the construction of 6" sewer main and infrastructure for 7 proposed
lots located at 8055 Masonboro Sound Road, Wilmington, NC. The daily flow allocation
is 1,575 GPD for the 7 single family units.
The portion of the proposed 6 sewer main will connect to an existing sewer manhole
located on Cabbage Inlet Lane. 211+/- LF of sewer main will be installed along the new
private access, as well as a manhole to serve 5 single family units.
An additional 166 LF of 6" Private sewer main will serve 2 lots that will connect to an
existing manhole inside an existing utility easement on the east side of the property.
Water QuaMry Regional
opetatlons on'al o8ice
Nlilmitow Reg

Cocanower, Jordan M
From: Austin Scheib <[e-mail]>
Sent: Wednesday, August 7, 2024 10:09 AM
To: Cocanower, Jordan M; Adam Grady; [e-mail]
Subject: [External] RE:WQ0045678 Fales Landing Sewer - Request for Additional Information
Attachments: DEV 12-23 signed.pdf
You don't often get email from [e-mail] :Lear[l why this is important
CAUTION: External email.Do not click links or open attachments unless verified.Report suspicious emails with:the Report.Message
button located on your Outlook menu baron the Home tab.
Jordan,
Please see the attached executed form.
We have planned on 3 bedroom for each lot.
Please Let us know if you need anything else.
Austin Scheib
i
Hatlover Design Services P.A.
Land Surveyors, Civil Engineers, Land Planners
1123 Floral Parkway
Wilmington. NC 28403
Phone: [phone] Fax; 910.343-9941
From: Cocanower,Jordan M <[e-mail]>
Sent:Tuesday,August 6, 2024 2:58 PM
To:Adam Grady<[e-mail]>; [e-mail]
Cc:Austin Scheib<[e-mail]>
Subject: WQ0045678 Fales Landing Sewer- Request for Additional Information
All,
I am writing to you regarding the fast-track sewer extension application Fates Landing Sewer(WQ0045678). Please
receive this message as a formal request for additional information
I have conducted a relimina review of the a Lication and supporting
p ry pp documents for the subject application. In
accordance with 15A NCAC 02T.0107, please provide the information requested below:
1. Please ctarify the unit size for each residential building the proposed sewer will be serving.
2. The Developer's Operational Agreement was provided using an expired form, DEV 03-19.Additionally,the
form was not signed by the applicant. Please provide the signed operational agreement on updated form
DEV 12-23(attached).This form can be provided electronically.
Per 15A NCAC 2T.0107(e)please submit this information within 30 days.
1

State of North Carolina
DWR
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: 1R0'D q56 7S (to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: 8055 Masonboro LLC (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: Perry Caleb Kratsa per 15A NCAC 02T.0106(b)
Title: Owner
4. Applicant's mailing address:6316 Marywood Drive
City: Wilmington State:NC Zip: 28409-
5. Applicant's contact information:
Phone number:[phone] Email Address:calebticekra.com
11. PROJECT INFORMATION:
1. Project name:Fales LandingeV)k2('
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 RECEIVED/NCDENR/DWH
3. County where project is located:New Hanover
4. Approximate Coordinates(Decimal Degrees):Latitude: 34.1637.' Longitude:-77.8569' 'AUG D 5 2024
5. Parcel ID(if applicable): R07200-002-006-000(or Parcel ID to closest downstream sewer) Water Ouaityge9ionat
Operations Section
III. CONSULTANT INFORMATION: W`tn"n9fOnnesionaloffice
1. Professional Engineer:Adam H Grady. License Number: 43166
Firm:Hanover Design Services.P.A � R
Mailing address: 1123 Floral Parkway rRR fqW F/ WK
City:Wilmington State:NC Zip:28403- "���Gp
Phone number:[phone] Email Address: agrady -Mdsilm.com 1Y] (��+52a"�`a
�4
IV. WASTEWATER TREATMENT FACILITY(WWTF)INFORMATION: w tit all Re ionai
1. Facility Name:M•Kean-M°rfltssWWTF Permit Number: eNPOESNcoo2as731. w n es' ai fftt'ce
Owner Name: cFPUA
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ Unknown
2. Downstream(Receiving)Sewer Information: 8 inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s)(if applicable):WQCS
Owner Name(s): CFPUA
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.0I 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(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 I' No. of Units Flow
g Residential =- �(� 225 gal/day 7 1575 GPD
Pt'r 01\14-0 gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
L i
Total 1575 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.0114]shall be
determined using available flow data,water using fixtures,occupancy or operation patterns,and other measured data.
8. Wastewater generated by project: 1575 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: RECEIVED/NCDENR/DWR
❑ Rehabilitation or replacement of existing sewers with no new flow expected AUG 0 5 2024
❑Other(Explain):
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& i1IDC(Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size(inches) Length(feet) Material
6 Private 377 C900
➢ Section II&III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA(If Applicable)—02T.0305& MDC(Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. Pump station number or name:
2. Approximate Coordinates(Decimal Degrees):Latitude: 0Longitude:- °
3. Total number of pumps at the pump station:
3. Design flow of the pump station: millions gallons per day(firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s)per pump(s): gallons per minute(GPM)at feet total dynamic head(TDH)
5. Summarize the force main to be permitted(for this Pump Station):
Size(inches) Length(feet) Material
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.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

IX. SETBACKS&SEPARATIONS—(02B.0200& 15A NCAC 02T.0305(f)):
l. Does the project comply with all separations/alternatives found in 15A NCAC 02T.0305(fl&(g)? ® Yes ❑No
15A NCAC 02T.0305 contains minimum separations that shall be provided for sewers stems:
Setback Parameter* Separation Required
Storm sewers and other utilities not listed below(vertical) 18 inches
'Water mains(vertical-water over sewer preferred,including in benched trenches) 18 inches
'Water mains(horizontal) 10 feet
Reclaimed water lines(vertical-reclaimed over sewer) 18 inches
Reclaimed water lines(horizontal-reclaimed over sewer) 2 feet
**Any private or public water supply source,including any wells,WS-1 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 1AU06
5 feet
Any swimming pools Water Quality Regional 10 feet
Final earth grade(vertical) operations section 36 inches
winington Regional office
➢ If noncompliance with 02T.0305(f)or(g,),see Section X.1 of this application
*15A NCAC 02T.0305(e)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 webpal?e
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 213.0202
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 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

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 021'. 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?
.4 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 grill 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
significant portion of the project,the full technical review is required
2. Professional Engineer's Certification: , �---L
I,_ l.lZ �_ _,attest that this application for r L kj
(Professional Engineer's name from Application Item Ill.1.) (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 Carolina-licensed Professional Engineer to referral to the licensing board.(21 NCAC 56.0701)
North Carolina Professional Engineers seal,signature,and date: `i�+�N CARO���i
Q y ,
�a SEAL
166
IN
i K
3. Applicant's Certification per 15A NCAC 02T.0106(b):
Perry Caleb Kratsa Fales Landing
I, attest that this application for
(Signature Authority Name from Application Item 1.3.) (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.
I understand that if all required parts of this application are not completed and that if all required supporting documentation
and attachments are not included, this application package is subject to being returned as incomplete. I understand that any
discharge of wastewater from this non-discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties,injunctive relief,and/or criminal prosecution. I will make no claim against the Division
of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application
package are not completed and that if all required supporting infonnation 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: 6/18/2024
FORM: FTA 10-23 Page 5 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?
J4 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 reguirin¢ a variance approval may be subiect to longer
review times.For projects requiring two or more variances or where the variance is determined by the Division to be a
siQnifjcant portion of the protect,the full technical review is required
2. Professional Engineer's Certification:
I, , 1p attest that this application for
(Professional Engineer's name from Application Item I11.1.) (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 Punia Stations and Force Mains(latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed$10,000,as well as civil penalties up to$25,000 per violation.Misrepresentation of the application
information,including failure to disclose any design non-compliance with the applicable Rules and design criteria,may subject
the North Carolina-licensed Professional Engineer to referral to the licensing board.(21 NCAC 56.0701)
................................................................................
North Carolina Professional Engineer's seal,signature,and date: `++++%�1 CARO���i
RECEIVED/NCDENR/DWR
O .y
AUG 0 5 2024 :•ate SEAL fir: —_
166
� 1
Water Qual ty Regional
Operations Section /� IN
Wilmington Regional Office
3. Applicant's Certification per 15A NCAC 02T.0106(b):
Perry Caleb Kratsa Fales Landing
. ..._..,attest that tliis application for
(Signature Authority Name from Application Item 1.3.) (Projec(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.
I understand that if all required parts of this application are not completed and that if all required supporting documentation
and attachments are not included, this application package is subject to being returned as incomplete. I understand that any
discharge of wastewater from this non-discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties,injunctive relief,and/or criminal prosecution. I will make no claim against the Division
of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application
package are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
NOTE - In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed$10,000 as well as civil penalties up to$25,000 per violation.
Signature: Date:
6/18/2024
FORM: FTA 10-23 Page 5 of 5

State of North Carolina
i s, _
ti P. Department of Environmental Quality
Division of Water Resources
D10sion of Water Resotitccs Flow Tracking for Sewer Extension Applications
(FTSE 10-23)
Entity Requesting Allocation: Fales Landing
Project Name for which now is being requested: 8055 Masonboro, LLC
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater,/low.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: M'Kean Maffit(Southside) WWTP
b. WWTP Facility Permit#: NPDES NC 0023973
All flows are in MGD
c. WWTP facility's permitted flow 12.000
d. Estimated obligated flow not yet tributary to the WWTP 3.709
e. WWTP facility's actual avg. flow 8.044
f. Total flow for this specific request 0.001125
g. Total actual and obligated flows to the facility 11.754
h. Percent of permitted flow used 98.0
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***
76 WQ0035061 5.616 2.246 1.066 0.644 1.710 0.536
71 WQ0036178 1.800 0.720 0.563 0.043 0.606 0.114
72 N/A 0.253 0.101 0.038 0.008 0.046 0.055
*The Firm Capacity(design flow)of any pump station is defined as the maximum pumped flow that can be
achieved with the largest pump taken out of service.
**Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor(pf)not
less than 2.5,per Section 2.02(A)(4)(c)of the Minimum Design Criteria.
***A Planning Assessment Addendum shall be attached for each pump station located between the
project connection point and the WWTP where the Available Capacity is<0.
Downstream Facility Name (Sewer): Cape Fear Public Utility Authority
Downstream Permit Number:
Page 1 of 6
FTSE 10-23

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.
3W-17tebeiae 08/01/2024
Jeff Theberge(Aug 1,2024 4:08 EDT)
Signing Official Signature D[!IP
Engineering Manager
Title of Signing Ojjtcial
Page 2 of 6
FTSE 10-23

Flow Tracking for Sewer Extension Permit
Application
Final Audit Report 2024-08-01
Created: 2024-08-01
By: Jeff Theberge([e-mail])
Status: Signed
Transaction ID: CBJCHBCAABAAsiIJM4HordxAi9U5CM4G9uha1nrx7Yf
"Flow Tracking for Sewer Extension Permit Application" History
,J Document created by Jeff Theberge ([e-mail])
2024-08-01 -6:07:37 PM GMT
E-''+ Document emailed to Jeff Theberge ([e-mail])for signature
2024-08-01 -6:07:41 PM GMT
&Q Document e-signed by Jeff Theberge ([e-mail])
E-signature obtained using URL retrieved through the Adobe Acrobat Sign API
Signature Date:2024-08-01 -6:08:35 PM GMT-Time Source:server
0 Agreement completed.
2024-08-01 -6:08:35 PM GMT
Q Adobe Acrobat Sign

I
Burd, Tina J
From: Burd, Tina J
Sent: Monday, August 5, 2024 11:47 AM
To: [e-mail];Adam Grady
Cc: Cocanower, Jordan M;Tharrington, Tom
Subject: WQ0045678 - Fales Landing Sewer
l
i
The Wilmington Regional Office of the Division of Water Resources,Water Quality Operations Section received the Fast
i
Track Sewer System Extension Application (FTA)and $600.00 fee for the subject project on August 5, 2024. The project
has been assigned to Jordon Cocanower, cc'd. You will be contacted by the applicable staff member if additional
information is needed.
l
Staff Reviewer Counties Served Contact Information
Tyler Benson Brunswick, Columbus, Duplin & Pender tyler.bensor .�«�d.ed._r1c go_v
Jordan Cocanower Carteret, New Hanover&Onslow iordan.coca [e-mail]_ �
Bryan Lievre All-ARPA Projects Only bryan.iievrg v d_eet_r1c.. py !
Tom Tharrington All—Coordinator, Please Copy on All Emails [e-mail] !
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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, k
Tina Burd
Administrative Associate II
Wilmington Regional Office
Division of Environmental Assistance & Customer Service
Phone [phone]
New email: [e-mail]
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NCDEQ
Wilmington Regional Office
127 Cardinal Drive Ext.
Wilmington, NC 28405
` o^ ;der, f t t r i s 11 .
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"s{C?,'ii? l.i?IU`tl?C;1 !l(!1.)i Law and may l)@? third parfie"s
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LIMITED LIABILITY COMPANY ANNUAL REPORT
1/6/2022
NAME OF LIMITED LIABILITY COMPANY: 8055 Masonboro LLC
Filing Office Use Only
SECRETARY OF STATE ID NUMBER: 2301735 STATE OF FORMATION: NC E-Filed Annual Report
2301735
CA202405803248
REPORT FOR THE CALENDAR YEAR: 2024 2/27/2024 01:19
SECTION A: REGISTERED AGENT'S INFORMATION Changes
1. NAME OF REGISTERED AGENT: Kratsa, Perry Caleb
2. SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS &COUNTY 4.REGISTERED AGENT OFFICE MAILING ADDRESS
6316 Marywood Drive 6316 Marywood Drive
Wilmington, NC 28409 New Hanover County Wilmington, NC 28409
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: land management
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
6316 Marywood Drive 6316 Marywood Drive
Wilmington, NC 28409 Wilmington, NC 28409
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran-owned small business RECEIVED/NCDENR/DWR
❑ The company is a service-disabled veteran-owned small business AUG 0 5 20?4
SECTION C: COMPANY OFFICIALS Enter additional company officials in Section E. water
p y � operations
Operationss s Section
Wilmington Regional Office
NAME: Anita Kratsa NAME: Perry Caleb Kratsa NAME:
TITLE: Manager TITLE: Manager TITLE:
ADDRESS: ADDRESS: ADDRESS:
6316 Marywood Drive 6316 Marywood Drive
Wilmington, NC 28409 Wilmington, NC 28409
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Anita Kratsa 2/27/2024
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form.
Anita Kratsa Manager
Print or Type Name of Company Official Print or Type Title of Company Official
This Annual Report has been filed electronically.
MAIL TO:Secretary of State, Business Registration Division,Post Office Box 29525,Raleigh,NC 27626-0525

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