WQ0041125_Application (FTSE)_20240806

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Burd, Tina J E
From: Burd, Tina J
Sent: Wednesday, August 7, 2024 11:25 AM
To: [e-mail]; Howard Resnik
Cc: Cocanower, Jordan M;Tharrington, Tom
Subject: WQ0041125 - Fawn Valley Sewer formerly Miller Tract Condos
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The Wilmington Regional Office of the Division of Water Resources,Water Quality Operations Section received the Fast
Track Sewer System Extension Modification Application (FTA)and $600.00 fee for the subject project on August 6,
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.
Staff Reviewer Counties Served Contact Information
Tyler Benson Brunswick, Columbus, Duplin & Pender tyler,bensondec1 nov
Jordan Cocanower Carteret, New Hanover&Onslow iord an.coca ngwer@de_qnc.gov
Bryan Lievre All-ARPA Projects Only bry�n_lievre,[e-mail]
Tom Tharrington All-Coordinator, Please Copy on All Emails tom.tharrington(@ deq.nc.yov
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: tina.burd de .nc. ov
NCDEQ
Wilmington Regional Office
127 Cardinal Drive Ext.
Wilmington, NC 28405
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CSD
ENGINEERING
August 6, 2024
Jordan Cocanower
North Carolina Department of
Environmental Quality
Division of Water Resources
127 Cardinal Drive Extension Received
Wilmington, North Carolina 28405
Re: Fawn Valley(Formerly Miller Tract) AUG 0 6 2024
Public Sewer Permit Modification NCOEO
WQ0041125 Wilmington Regional Office
New Hanover County
CSD Project No. 17-0402
Dear Jordan:
The enclosed permit modification application is for+/- 2,115 LF of 8" C-900 and 40 LF of 8" DIP gravity sewer main to
serve the Fawn Valley subdivision, a proposed 49-lot single-family development in New Hanover County.This project
was originally permitted as Miller Tract, a multi-family development but was never constructed. The owner has chosen
to change the project to a single-family development.These will be 4-bedroom homes.The change has resulted in a
reduction of the flow for the project. This main will connect to an existing CFPUA manhole located on Fawn Settle Drive.
The main will be installed by the developer and owned and maintained by CFPUA. Enclosed please find:
- One (1)original and one (1) copy of Fast Track Sewer Application (FTA 10-23)
- One (1)original and one (1) copy of Flow Tracking/Acceptance Application (FTSE 10-18)
- One (1) copy of CFPUA Approval Letter
- $600.00 application fee, check#10044
- One (1) copy of current permit WQ0041125
- Street view map
- USGS map
If you have any questions or comments, please feel free to contact us. Thank you for your assistance.
Sincerely,
101Z;K z
Mike Broyhill 7
Encl.: As noted above
Cc: River Road Construction, LLC
3805 Cherry Avenue-Wilmington, NC 28403 -910 7914441-www.csd-engineering.com—License#C-2710
ccDNG

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State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRUCTIONS FOR FORM: FTA 10-23&SUPPORTING DOCUMENTATION
This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of I � \ \C AC' 02 1 and the Division's
Minimum Design Criteria((;ray it\ seN\r& Pump Stations_1 orce \twins)and that plans,specifications and supporting documents
have been prepared in accordance with (:+A NCAC 02T, 15, Division policies,and(_,00d enainecrina practices.
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 ) 1 _.0 0 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 1 iA NCAC 02T.0303.
Projects not eligible for review via the fast track process(must be submitted for full technical review):
➢ Projects that do not meet any part of the minimum design criteria(MDC)documents;
➢ Projects that involve more than one variance from the requirements of 15A NCAC 02T;
➢ Pressure sewer systems utilizing simplex septic tank-effluent pumps(STEPS)or simplex grinder pumps;
➢ Simplex STEP or simplex grinder pumps connecting to pressurized systems(e.g.force mains);
➢ Vacuum sewer systems.
General—When submitting an application,please use the following instructions as a checklist in order to ensure all required items are
submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the
amount of requested additional information. Failure to submit all required items will necessitate additional processing and review
time,and may result in return of the application. Unless otherwise noted, the Applicant shall submit one original and one copy of
the application and supporting documentation.
A. One Original and One Copy(second copy may be digital)of Application and Supporting Documents
® 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 prior to apl9FM16f;WK0tftlt/DWH
➢ Payable to North Carolina Department of Environmental Quality(NCDEQ)
D. Fast Track Application(Required for All Application Packages, Form FTA 10-23): AUG 0 6 2024
® Submit the completed and appropriately executed application. Water ouatity Regional
If necessaryor car or due o space restrictions,attach h ments to the application may e made. operations Re section
f clarity d t ti
p ppliti Y b d Wilmington Regional Office
❑ If the Applicant Type in Item 1.2 is a corporation or company, provide documentation it is registered for business with the
orth Carolina Secretary of titan.
❑ 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 11.1 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 Nonni Carolina
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 I�,.\ V' \( u' 1 .l)1 noi.h). 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. RECEIVED/NCDENR/DWR
➢ Submittal of this application and form FTSE indicates that owner has adequate capacity and will not violate G.S. 1-1 1I 5._6aa)).
➢ Intergovernmental agreements or other contracts will not be accepted in lieu of a project-specific FTSMG U 6 2024
F. Site Maps(All Application Packages): Water Cluality Regional
® Submit an 8.5-inch x I 1-inch color copy of a USGS Topographic Map of sufficient scale to identiN,,A%,rgX%J%rAj%t 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.
H. Power Reliability Plan(Required if portable reliability option utilized for Pump Station):
❑ Per I.\ V-\(=_l11 I _t i. u_ Ih l�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
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible with
the station. The Division will accept a letter signed by the applicant(see 15A NCAC 02T .0106(b)) or proposed contractor,
stating that"the portable power generation unit or portable, independently-powered pumping units, associated appurtenances
and personnel are available for distribution and operation of this pump station."
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations'
storage capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall
be provided in the case of a multiple station power outage.(Required at time of certification)
I. Certificate of Public Convenience and Necessity(All Application Packages for Privately-Owned Public Utilities):
❑ Per 15A NC A( W I .ii I I )provide the Certificate of Public Convenience and Necessity from the North Carolina l_til_iti
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 forth Carolina Utilities Commission',, Water,iiid Sex<<r IUi,\is-ioii Public Stafl'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 I SA NCAC' 0_'h.(I1 15tcj,submit the properly executed Operational .Agreemcwt I ( h\1_ 110A).
❑ 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 I�.\ NC \C tt' V .O t l 5(h),submit the properly executed Operational Agi-Qemem ,1 ORAL UI X)4
For more information, visit the Division's collection systems u_c/hsite
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 REGIONA1.
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
Raleicah 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 Rectional 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
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INSTRUCTIONS FOR FORM: FTA 10-23 & SUPPORTING DOCUMENTATION Page 3 of 3

State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23&SUPPORTING DOCUMENTATION
Application Number:DD� +��� (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: CFPUA(company,municipality, HOA, utility,etc.)
2. Applicant type: ❑ Individual ❑Corporation ❑ General Partnership ❑ Privately-Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ® Other
3. Signature authority's name: Jeff Theberge, PE per..I 5A Nt,,\( u?1 .01 Uot b)
Title: Engineering 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&fpua.org
If. PROJECT INFORMATION:
1. Project name: Fawn Valley
2. Application/Project status: ❑ Proposed(New Permit) ® Existing Pertnit/Project ❑ ARPA funded
If a modification,provide the existing permit number: WQ0041125 and issued date: 10-4-2019,
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: 34.1127' Longitude: -77.8914'
5. Parcel ID(if applicable): R07900-003-030-000(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
. Professional Engineer: Howard Resnik,PE License Number: 025483
Firm: CSD En ineering
Mailing address: PO Box 4041
City: Wilmington State:NC Zip: 28406- RECEIVED/NCDENR/DWR
Phone number: [phone] Email Address: howard a.csd-en ink eering com AUG 0 6 2024
IV. WASTEWATER TREATMENT FACILITY(WWTF)INFORMATION: water QualtyRegional
1. Facility Name: WWTP Permit Number:NC 0023973 operations section
Wilmington Regional office
Owner Name:CFPUA
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ0019800
2. Downstream (Receiving)Sewer Information: 8 inch ® Gravity El Force Main
3. System Wide Collection System Permit Nutnber(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 D n el"er's Operational.r\_<_ic�nient_ [t�L_U_I_,\�been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a Home/Property Owners'Association,has an 11OA_110A peratikmal Agreement(FOR\-1: I IOA)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 0' I .01I i)1(20))
If Industrial, is there a Pretreatment Program in effect?❑ Yes❑No
6. Has a flow reduction been approved under 1 ,\ W/\C 02"f__01 L 11 fj? ❑ Yes ®No
➢ If yes,provide a copy of flow reduction approval letter with this anplication
7. Summarize wastewater generated by project:
Establishment Type(see 02T.0114(f)) Daily Design Flow°,n No. of Units Flow
Single Family(4 Bedroom) 300 gal/day 49 14,700 GPD
Amenity Center Pool 10 gal/day 100 1,000 GPD
Amenity Center Seats 5 gal/day 100 500 GPD
gal/ GPD
gal/ GPD
gal/ GPD
Total 16,200 GPD
a See I5A NCAC 021 AI 14(b). (d). (e)(I) and (0 ?) 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_`___1_'_� ).
b Per 15A NCAC 02T.01 14(c),design flow rates for establishments not identified [in table_I�,A_NCAC 02 LO 1 141 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.I i;\ NCAC 02T .01 14 and G.S. 14?-2 15.1)
➢ 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: W00041125 Issuance Date: 10-4-2019
❑ Rehabilitation or replacement of existing sewers with no new flow expected RECEIVED/NCDENR/DWR
❑Other(Explain): AUG 0 6 2024
Water Quality Regional
Operations Section
Wilmington Regional Office
FORM: FTA 10-23 Page 2 of 5

VI1. GRAVITY SEWER DESIGN CRITERIA(If Applicable)- 02T .0305& MDC (GraN itN Sep%ers):
l. Summarize gravity sewer to be permitted:
Size(inches) Length(feet) Material
8 2,115 C-900
8 40 DIP
➢ Section 11& 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(Puma Stations/Force Mains):
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: 34.112091' Longitude:-77.888082'
3. Total number of pumps at the pump station:2
3. Design flow of the pump station: 0.0342 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): 97 gallons per minute(GPM)at 31.6 feet total dynamic head(TDH)
5. Summarize the force main to be permitted(for this Pump Station):
Size(inches) Length(feet) Material RECEIVED/NCDENR/DWR
4 1,167 C-900 PVC AUG 0 6 2024
Water Ouaty 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 2.01C.I.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑Other(please specify)
6. Power reliability in accordance with \(_\C 021 .0305(h)(I):
® Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry- 15A NCAC 02T.0305(h)(1)(B)_
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 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)):
I. Does the project comply with all separations/alternatives found in 15A \C;1C 02T .0305 t ® 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
'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-1 or WS-V),B,SA,ORW,HQW,or SB from normal
high water(or tide elevation)and wetlands associated with these waters(see item IX.2) 50 feet
**Any other stream,lake, impoundment,or ground water lowering and surface drainage
ditches,as well as wetlands associated with these waters or classified as WL. 10 feet
Any building foundation(horizontal) 5 feet
Any basement(horizontal) 10 feet
Top slope of embankment or cuts of 2 feet or more vertical height 10 feet
Drainage systems and interceptor drains 5 feet
Any swimming pools 10 feet
Final earth grade(vertical) Water QuaRty Regional 36 inches
➢ If noncompliance with 02['.0305 t or .see Section X.l of this apl4lr IfFtssectfon
contains alternatives where separations in 02T.0305(1)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 webpaae
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 NQUirements for situations where separation cannot be met.
➢ No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? ❑ Yes Basin name: ®No
If yes,does the project comply with setbacks found in the river basin rules per 1 5A \C'AC 0213 .0200? ❑Yes ❑No
➢ This includes Trout Buffered Streams per 15A NCAC 213,0201
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 1 iA VCAC 021.0105(c)(6)(additional permits/certifications)? ® Yes ❑No
Per I irk N(_z,W 011.0105(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,stonnwater management plans,etc.).
7. Does this project include any sewer collection lines that are deemed"high-priority?" ❑Yes ®No
Per.1.i_\ \C,1(' 02 f_.e)10","high-priority sewer"means any aerial sewer,sewer contacting surface waters,
siphon, or sewers positioned parallel to streatnbanks that are subject to erosion that undennines 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:
I. Does the submitted system comply with the
arr.l ( �l�e �i ia>(I,i y>t �:r;r:ui,and the 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 requirine a variance approval may be subject to loneer
review times. For projects requiring two or more variances or where the variance is determined by the Division to be a
sienificant portion of the proiect,the full technical review is required.
2. Professional Engineer's Certification:
1, Howard Resnik attest that this application for Fawn Valley-_
(Professional Engineer's name from Application Item III I ) (Project Name from Application Item II 1)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications,engineering calculations,and all other supporting documentation to the best of my knowledge. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum De;i::n Criteria for Gravity Seteers�latest emersion),and the Mininium Design Criteria tier the I•asl- lack Permittin_
�C Pump 5l;lllo_i_s_pnd I_o cc__M,,iin> {I llc;t _?i.;inn I. 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 Engineer's seal,signature,and date:
RECEIVED/NCDENR/DWR ��� �N CA,9
/04:
AUG 0 6 2024 _ •4 SEAL 7
025483
Water puaNty Regional
R I
Operations section J MM 77 Q`,••�
Wilmington Regional Office /-`/V—hY ''./O�i�yG1 N��
R S
3. Applicant's Certification per 15A NCAC 02T.0106(b): f /1111\0�
1, Jeff Theberge. Engineering Manager attest that this application for F.aw..n.Y_aLl_e
(Signature Authority Name from Application Item 13) (Project Name from Application Item II 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 pennit 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 and 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.
�IeffSignature: lh Date: Aug2 2024
FORM: FTA 10-23 Page 5 of 5

Final Audit Report 2024-08-02
Created: 2024-08-01
By: Bernice Johnson([e-mail])
Status: Signed
Transaction ID: CBJCHBCAABAAUgE1C8F456okX4hkaXGCRESicRf<Rm4j
TTA 10-23_public_signed" History
Document created by Bernice Johnson ([e-mail])
2024-08-01 - 11:04:20 PM GMT
Document emailed to Jeff Theberge ([e-mail]) for signature
2024-08-01 - 11:05:31 PM GMT
�L Email viewed by Jeff Theberge ([e-mail])
2024.08-02-2:16:26 PM GMT
Document e-signed by Jeff Theberge (Jeff,[e-mail])
Signature Date:2024.08.02-2:17:39 PM GMT-Time Source:server
Agreement completed.
2024-08-02-2:17:39 PM GMT
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Adobe Acrobat Sign

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section II where Available Capacity is<
0.
Pump Station(Name or Number):
Given that:
a. The proportion and amount of Obligated,Not Yet Tributary Daily Flow (C)accounts for
47.5 _%and 0.813 MGD of the Available Capacity(E)in Pump Station
PS 69 ; and that
b. The rate of activation of this obligated,not yet tributary capacity is currently approximately
TBD MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
PS 69 Motts Creek Upgrade is in design or under construction with
planned completion in 2024 ; and/or
d. The following applies:
The PS 69 Motts Creek Upgrade is currently completing;desigii and construction via a
Desi n-Build Contract.This project has been entirel •funded as a Capital Improvements
Project and once complete will provide adequate capacity for this project. -
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow
this flow to be permitted, without a significant likelihood of over-allocating capacity in the system
infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste disposal
system.
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Sigr in fficial Si nature Date -
Page 3 of 6
FTSL 10-18

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IMCape Fear
Public Utility Authority
Stewardship.Sustainabiliity.service. RECEIVED/NCDENR/DWR
March 27,2024 AUG 0 6 2024
i River Road Construction, LLC i WaterQuaAtY R
Attention: James Yopp Regional Operations section
7150 River Road Wilmington Regional office
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Wilmington, NC 28412
RE: Fawn Valley
i CFPUA File#313315.003 (Public Sewer Main Extension)
(You must sign and return prior permit application approval)
Dear Mr.Yopp,
The Cape Fear Public Utility Authority currently has the capacity to accept the sewage flow of 0
(GPD) Gallons Per Day from the above referenced project. The receiving wastewater treatment plant will
be the M'Kean-Moffit SSWWTF(NPDES NC 0023973).
In order to receive sewer from CFPUA, any private system, must have its design approved by the
Authority and will require a copy of the permit application, State permit, and Engineer's certification.
Private systems must construct services to Authority specifications and install sewer guards at each
manhole including grease traps. Any private pump station's top elevation must be constructed at two(2)
feet above the routed 100-year storm elevation or FIRM maps 100-year flood, whichever is higher. All
private systems must be upgraded to the Authority specifications, at no cost to the Authority, if in the
future it is desired to convey the system to the Authority. Private systems must employ or contract with a
system operator on a 24 hour/ 7-day basis and provide names and contact numbers to the Authority.
Maintenance in private systems is the responsibility of the owner/operator; private system location is
determined as designated on certification.
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If the sewer is a public system, the Authority must approve the design and sign the State permit
application. Any permits, public encroachments, and/or easements outside the development parcel(s)
must be obtained by the developer and the agreement(s) recorded prior to the required pre-construction
meeting. The Authority will not participate financially in a project if an agreement is not mutually signed
prior to the pre-construction meeting. Please see the attached public utility easement document.All offsite
easements must be approved, acquired, and recorded prior to the pre-construction meeting. No buildings,
structures, ponds, obstructions, trees, fences, or berms shall be placed, constructed, or situated within
the rights-of-way and the easements, whether existing or to be granted. The only exception is a security
fence (perpendicular to the main line, adjacent to a right-of-way, not applicable to individual lots) with
removable paneling may be granted but must be submitted for approval on a case-by-case basis, and in
any event a "Hold Harmless" agreement must be executed or incorporated into the conveyance. All
easements must be a minimum of 30 feet in width unless otherwise approved by the Authority.
Whether permitted as a public or private sewer system, the Authority must always be notified 48
hours prior to construction. The material used to connect to the system must be per Authority technical
specifications and the work must be performed by a licensed utility contractor and approved by the
Authority.
235 Government Center Drive, Wilmington, NC 28403
t: 910-332-6560 f: 910-332-6353 www.cfpua.or

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Fawn Valley,CFPUA File#313315.003(Public Sewer Main Extension)
All additions to any Authority system will be documented by asbuilt drawings and per Authority
specifications. Information regarding additions shall be submitted to the Authority and shall include mylars
and a CD disk in AutoCAD format per CFPUA Technical Specifications before final inspection, approval,
and activation, Final acceptance of work is at the sole discretion of the Authority.
The owner is responsible to make all directed repairs at no cost to the Authority prior to activating
the system. All applicable fees and costs associated in connection with the Authority's sewer system must
be paid prior to or at time of application for service. Failure to pay all applicable fees and costs per the
Authority's Regulations and Ordinances may result in holds being placed on Certificate of Occupancy
and/or System Activation.
The Authority's one(1) year warranty will start from the date the system conveyance is recorded.
` Conveyance of the Public Utilities occurs upon approval of the certification from the Division of Water
I Quality.
j Per NCDENR, any constructed system will not be operated or otherwise activated until the
I. Engineer's and Applicant's Certifications have been submitted to and approved by NCDENR
Division of Water Quality. The following are required (to be provided by the developer) for the
Authority to approve certification:
1. The developer shall provide all monetary values of the Public utilities and descriptions on
i the attached standard template that will become the Authority's upon final approval by the
State.
2. The developer shall provide all lien waivers/release of liens and an affidavit that there are
no other liens against any infrastructure being certified.
3. The developer shall provide as-builts to the Authority Specifications.
4. The developer provides all public utility easements per the attached document.
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Any taps which may be deemed necessary to be installed, relocated, or abandoned will be the
responsibility of the Developer or owner at no cost to the Authority, in accordance with the Authority
specifications and approval. The Authority's inspector will perform all required cleanout inspections prior
to obtaining any Certificate of Occupancy
Unauthorized operation of CFPUA owned valves, hydrants, and other appurtenances, is
grounds for civil penalty assessment and/or other enforcement actions.
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This is not a commitment of capacity. It only indicates present availability. System capacity will
change as new connections are made, potentially impacting your ability to connect some or all of your
Proposed development into the Authority's system. Capacity is allocated by the Authority at the time the
NC Division of Water Quality Flow Tracking System evaluation is signed.
Regards,
f..
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Bernice S. Johnson, Senior Project Manager
Cape Fear Public Utility Authority
Engineering Department j
Development Services Division
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cc: Jeff Theberge, P.E., Engineering Manager
David Selke, CFPUA Construction Project Manager
Howard Resnick, P.E., CSD Engineering
235 Government Center Drive, Wilmington, NC 28403
t: 910-332-6560 f: 910-332-6353 tvvi ti ..!t.t)
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Fawn Valley, CFPUA File#313315.003(Public Sewer Main Extension)
I, James Yope, as property owner and/or responsible party, accept the above conditions of this
letter, I and my employees will disclose to all parties the directives as outlined in this letter. I further
understand that I must convey the system per the Authority's documents in a timely manner, as
determined by the Authority, or Certificate of Occupancy and permits, regardless of ownership, will be
held until the system is properly conveyed to the Authority.
1, 1 waive the option of requesting Authority cost participation in cost of this system.
tii t ii itial
I OR,
2. I am requesting cost participation. See my attached request for participation letter and three
(initial) independent bids for the project showing the showing the cost differences that I am
! requesting participation for, I acknowledge that participation agreements take a minimum of 45
days to execute and are at the sole discretion of the Authority.
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AND
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j 3 I agree that no utilities construction will commence before a participation agreement contract
(i ith fail is in place or I waive the participation offer(see above).
I - S' nature(required Date
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Item 1 OR 2 must be initialed prior to holding a preconstruction conference,
AND Item 3 must be initialed prior to holding a preconstruction conference.
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235 Government Center Drive, Wilmington, NC 28403
t: 910-332-6560 f: 910-332-6353 wvv%,4.cpua.oro