WQ0036073_Application (FTSE)_20240624

v MCIQM&CREED
May 14, 2014
Mr. Tyler Benson
127 Cardinal Drive Extension
Wilmington, NC 28405
00, 003&09,3 maol-
ENGINEERS
S U R V E Y O R S
PLANNERS
00069-0040(40)
RECENED1N0DENRID`NR
MAY 15 2024
RE: Commerce Pump Station Improvements R
W 0028422 Permit Modification Wa`• Quality�^ s``w
Q W playwal OKtte
Dear Mr. Benson, n 003073
73
On behalf of the Brunswick Cb my Public Utilities, we are pleased to submit this
modification to permit=WrQ1 or the existing Commerce Pump Station.
The Commerce Pump Station was originally designed as a triplex pump station,
however, initially only 2 pumps were permitted for initial flows. This permit
modification will provide for the addition of a third pump and increasing the
station capacity from 805 GPM to 2200 GPM (3.168 MGD with 2-duty pumps and
1-standby). Please find enclosed the following documentation:
• One (1) original and One (1) copy of application form
• Two (2) copies Project Narrative
• Two (2) copies of 8.5 x 11 color USGS Topographic map
• Two (2) copies of 8.5 x 11 aerial map
• $600 check (permit fee)
• One (1) copy of existing flow reduction letter
Please note that this is an application for a zero flow permit; therefore, an FTSE
form has not been submitted. If you have any questions, please do not hesitate to
contact me.
Sincerely,
243 North Font St,-
W iln,ioyro n, NC 28401
Tony Boahn, PE
Vice -President
910.343 104E
910 2 51 8282 cc: Donald Dixon, Deputy Director of Wastewater Operations, Brunswick County

BRUNSWICK COUNTY ADMINISTRATION
BRUNSWICK COUNTY GOVERNMENT CENTER
DAVID R. SANDIFER COUNTY ADMINISTRATION BUILDING
30 GOVERNMENT CENTER DRIVE, N.E.
MAILING ADDRESS: BOLIVIA, NORTH CAROLINA 28422 TELEPHONE
[phone]
POST OFFICE Box 249 [phone]
BOLIVIA, NORTH CAROLINA 28422
FAX
[phone]
July 30, 2018
Mr. William L. Pinnix, P.E.
Director of Engineering
Mr. John Nichols, P.E.,
Director of Public Utilities
Re: County Signatory Authority
Dear Mr. Pinnix and Mr. Nichols:
You are hereby authorized to sign the following permit applications and certification related
documents:
• NCDEQ-PWSS Water Permit Applications
• NCDEQ-DWQ Sewer Permit Applications
• NCDEQ-DWQ FTSE -04/16 Sewer Flow Tracking Applications
• NCDOT Encroachment Permit Applications
• County Letter (ref: contractor's bond) required for the NCDOT Encroachment Permit
• Partial and / or Final Applicant's Certifications for Water Main Extensions
• Partial and / or Final Applicant's Certifications for Sewer Main Extensions
• NCDEMLR— Land Quality Sedimentation & Erosion Control Permit Applications (for County
CIP projects)
Please let me know if you have any questions.
Sincerely,
Ann B. Hardy
County Manager

DWR
Division of Water Resources
Application Number:
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 10-23 & SUPPORTING DOCUMENTATION
(to be completed by DWR)
All items must be completed or the application will be returned
lllllW\9WiMi;YJlI►I1111TJF 4R930
1. Applicant's name: Brunswick County (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: John Nichols per 15A NCAC 02T .0106(b)
Title: Public Utilites Director
4. Applicant's mailing address: PO Box 249
City: Bolivia State: NC Zip: 28422-
5. Applicant's contact information:
Phone number: [phone] Email Address: john.nichols �brunswickcountync.gov
11. PROJECT INFORMATION: Wq 0o 3b()73
1. Project name: Commerce Pump Station Improvements
2. Application/Project status: ❑ Proposed (New Permit) /Xisting Permit/Project ❑ ARPA funded
If a modification, provide the existing permit number: 3A[9092 t—Q, and issued date: August 24, 2012,
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: Brunswick
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.271958' Longitude:-78.058770'
5. Parcel ID (if applicable): N/A no parcel ID available (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Anthony W. Boahn License Number: 025512
Firm: McKim & Creed, Inc.
Mailing address: 243 N. Front Street
City: Wilmingom State: NC Zip: 28401-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Northeast Brunwick Regional W WTF Permit Number: NCO086819
Owner Name: Brunswick County
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
I. Permit Number(s): WQ 0040995
2. Downstream (Receiving) Sewer Information: 16 inch ❑ Gravity N 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
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.01 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: 0 % 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)? ®Yes ❑ No
➢ If yes, provide a cony of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow a"
No. of Units
Flow
N/A Capacity increase for PS Only
gal/
0 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
0 GPD
a See 15A NCAC 02T .0114(b), (d), (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e. proposed unknown
non-residential development uses; public access facilities located near high public use areas; and residential property
located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per 15A NCAC 02T .0114 and G.S. 143-215.1)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
® Other (Explain): Project will increase capacity of the pump station for future capacity needs
FORM: FTA 10-23 Page 2 of 5

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewersl:
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
N/A
➢ 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
1. Pump station number or name: Commerce Pump Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 34.271958' Longitude:-78.058770'
3. Total number of pumps at the pump station: Three 3
3. Design flow of the pump station: 3.168 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): 1 100 gallons per minute (GPM) at 220 feet total dynamic head (TDH) Z f,,_,P t=w wG
5. Summarize the force main to be permitted (for this Pump Station): 71 Zab 5~ IT-
Size (inches) Length (feet) Material
N/A
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.Lb. ❑ 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 orpump 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(t)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(fl & (g)? N Yes [-]No
15A NCAC 02T.0305(fl contains minimum separations that shall be provided for sewer systems:
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, W S-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
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ If noncompliance with 02T.0305(fl or (g), see Section X.1 of this application
*15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(fl 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/scaled 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? N Yes Basin name: Cape Fear ❑ No
If yes, does -the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? N 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 N 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)? N 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 N No
Per 15A NCAC 02T.04021 "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: FTA 10-23 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the nermit. 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
sieniticant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:
1, _ AgljkrJ V) . 'UQA�1 �� attest that this application for 2 .\. me JQJ�dy��ie-� C'`>
(Professional Engin er's name from Application Item 111.1.) (Project A ame 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. 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 snakes 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
North Carolina Professional Engineer's seal, signature, and date:
Applicant's Certification per 15A NCAC 02T .0106(b):
SEAL
025512
Af I
4 1J % e.b,,As ,attest that this application for Ca t o0
T rD/ex GLAD
(Signature Authority Name from Application Item I.3.) (Project Name from App icat_ Item IL 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:
FORM: FTA 10-23 Page 5 of 5

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
tSION APPLICATION
DOCUMENTATION
Application Numbei
All items must be ci
I. APPLICANT INFORMATION: _--
1. Applicant's name: Brunswick County (compan)
2. Applicant type: ❑ Individual ❑ Corpoi -Owned Public Utility
❑ Federal ® State/C
3. Signature authority's name: John Nichols per l5
Title: Public Utilites Director
4. Applicant's mailing address: PO Box 249
City: Bolivia State: NC Zip: 28422
5. Applicant's contact information:
Phone number: [phone] Email Address: iohn nichols@brunswickcountync sov
IL PROJECT INFORMATION:
1. Project name: Commerce Pump Station Improvements w Q 0a36 0
2. Application/Project status: ❑ Proposed (New P( it) ® Existing Permit/Project ❑ ARPA funded
If a modification, provide the existing permit number: wand issued date: Aueust 24, 2012,
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: 34.271958' Longitude:-78.058770'
5. Parcel ID (if applicable): N/A no parcel ID available (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Anthony W. Boahn License Number: 025512
Firm: McKim & Creed. Inc.
Mailing address: 243 N. Front Street
City: WilmineoM State: NC Zip: 28401-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Northeast Brunwick Reeional WWTF Permit Number: NCO086819
Owner Name: Brunswick County
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
I. Permit Number(s): WQ 0040995
2. Downstream (Receiving) Sewer Information: 16 inch ❑ Gravity ® Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00284
Owner Name(s): Brunswick County
FORM: FTA 10-23 Page I 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/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: 0 % 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)? ®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(0)
Daily Design Flow',b
No. of Units
Flow
N/A Capacity increase for PS Only
gal/
0 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
0 GPD
a See 15A NCAC 02T 0114(b) (d) (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e. proposed unknown
non-residential development uses; public access facilities located near high public use areas; and residential property
located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined in G S. 42A-4).
b Per 15A NCAC 02T .Ol 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per 15A NCAC 02T O114 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
® Other (Explain): Project will increase capacity of the pump station for future capacity needs
FORM: ETA 10-23 Page 2 of 5

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
N/A
➢ 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
Vill. 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
1. Pump station number or name: Commerce Pump Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 34.271958' Longitude:-78.058770'
3. Total number of pumps at the pump station: Three Q
3. Design flow of the pump station: 3.168 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): 1 100 gallons per minute (GPM) at 220 feet total dynamic head (TDH) 7 Q,,,, ee a4M .G�
5. Summarize the force main to be permitted (for this Pump Station):
2,2oDgaw sP? 27A�N<,d
Size (inches) Length (feet) Material
N/A
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.Lb. ❑ 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)):
I_ Does the project comply with all separations/alternatives found in 15A NCAC 02T 0305(fl & (e)? ® Yes ❑ No
win e n no r ninon ,, raHnnc that chall he nrnvided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
zWater mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
zWater mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
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 (a). 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 webnaae
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: Cape Fear ❑ 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 0I05(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 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/Altemative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the permit and projects requiring a variance approval may be subiect to longer
review times For 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: �F`2 Qun��c��ptJ
I &tlktl �\ attest that this application for 'L+1��4.ai�
(Professional Engin er's name from Application Item 111.1.) (Project 1�ame
from Application Item It.l)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications, engineering calculations, and all other supporting documentation to the best of my knowledge. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. Misrepresentation of the application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board. (21 NCAC 56t
.a111.1__ 1. 11111..................
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
SEAL
025512
9' 1
I, Its r1 r c. hc>\s ,attest that this application for Co r�+tc.0
(Signature Authority Name from Application Item I.3.) (Project Name from App ication Item i.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:
FORM: FTA 10-23 Page 5 of 5

COMMERCE PUMP STATION IMPROVEMENTS
PROJECT NARRATIVE
FINAL DESIGN
NOT RELEASED FOR CONSTRUCTION
Prepared for:
Brunswick County
Prepared by:
v MCKIM&CREED
243 NORTH FRONT STREET
WILMINGTON, NC 28401
PHONE: [phone]
LICENSE # F-1222
M&C Project # 0069-0040
April 30, 2024

COMMERCE PUMP STATION MODIFICATION
BRUNSWICK COUNTY
PROJECT NARRATIVE
This project involves a modification to the existing Commerce Pump Station. The Commerce
Pump Station was originally designed as a triplex pump station, however, initially only 2
pumps were permitted for initial flows. This permit modification will provide for the addition
of a third pump and increasing the station capacity from 0.3864 MGD to 1.2672 MGD (2-duty
pumps, 1-standby). The downstream sewer (Permit WQ0040995) is sufficiently sized to
accommodate the increase in capacity. The receiving WWTP is the Northeast Regional WWTF
(Permit NC0086819).
The major improvements to Commerce Pump Station as summarized below:
1. Add a third pump identical to the two existing pumps in the station. Minor piping
modifications and wiring to integrate the new pump at the existing pump station.
2. Increase capacity from 805 GPM to 2,200 GPM.
The downstream sewer (Permit WQ0040995) is sufficiently sized to accommodate the increase
in capacity. The receiving WWTF is the Northeast Regional WWTF operating under Permit
NC0086819.
End of Narrative

COMMERCE PUMP STATION IMPROVEMENTS
PROJECT NARRATIVE
FINAL DESIGN
NOT RELEASED FOR CONSTRUCTION
Prepared for:
Brunswick County
Prepared by:
v
l MCKIIVM�CIZEED
243 NORTH FRONT STREET
WILMINGTON, NC 28401
PHONE: [phone]
LICENSE # F-1222
M&C Project # 0069-0040
April 30, 2024

COMMERCE PUMP STATION MODIFICATION
BRUNSWICK COUNTY
PROJECT NARRATIVE
This project involves a modification to the existing Commerce Pump Station. The Commerce
Pump Station was originally designed as a triplex pump station, however, initially only 2
pumps were permitted for initial flows. This permit modification will provide for the addition
of a third pump and increasing the station capacity from 0.3864 MGD to 1.2672 MGD (2-duty
pumps, 1-standby). The downstream sewer (Permit WQ0040995) is sufficiently sized to
accommodate the increase in capacity. The receiving WWTP is the Northeast Regional WWTF
(Permit NC0086819).
The major improvements to Commerce Pump Station as summarized below:
1. Add a third pump identical to the two existing pumps in the station. Minor piping
modifications and wiring to integrate the new pump at the existing pump station.
2. Increase capacity from 805 GPM to 2,200 GPM.
The downstream sewer (Permit WQ0040995) is sufficiently sized to accommodate the increase
in capacity. The receiving WWTF is the Northeast Regional WWTF operating under Permit
NC0086819.
End of Narrative

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