WQ0040052_Application (FTSE)_20180710

Central Files- APS SWID
6/6/2018
Permit Number WQ0040052 Permit Tracking Slip
Program Category Status Project Type
Non -discharge In review New Project
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
dean-hunkele
Coastal SWRule
Permitted Flow
Facility
Facility Name
Skylars Cove Subdivision DRY Sewer
Location Address
Owner
Owner Name
Brunswick Regional Water and Sewer H2go
Version Permit Classification
A Individual
Permit Contact Affiliation
Major/Minor Region
Minor Wilmington
County
Brunswick
Facility Contact Affiliation
Owner Type
Government - County
Owner Affiliation
Robert Walker
PO Box 2230
Dates/ I Events Leland NC 28451223
Scheduled
Orig Issue App Received Draft Initiated Issuance
6/5/2018
Regulated Activities
4
Subdivision
Public Notice Issue Effective. Expiration
Requested /Received Events

(._a 6 R
Application Number. W �� � (to be completed by DWR)
pp
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Brunswick Regional Water & Sewer H2GO (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership El Privately -Owned Public Utility
El Federal ❑ State/County ❑ Municipal ® Other
3. Signature authority's name: Bob Walker per 15A NCAC 02T .01.06(b)
Title: Executive Director
4. Applicant's mailing address: P.O. Box 2230
City: Leland State: NC Zip: 28451-
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
II. PROJECT INFORMATION: % �
1. Project name: Skylars Cove Subdivision
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Brunswick County
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.2438' Longitude: -78.0193'
5. Parcel ID (if applicable): 029MA00509 & 029NIA006
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Justin C. Bishop License Number: 036232
Firm: Malpass Engineering & Surveying P.C.
Mailing address: 1134 Shipyard Blvd
City: Wilmington State: NC Zip: 28412 -
Phone number: [phone] Email Address: justinbishopgbizec.rr.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: f�Al
1. Facility Name: Northeast Brunswick Regional WWTF Permit Number: NC00$3$i'9
Owner Name: Brunswick Regional Water &Sewer H2G0
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQU0 , Downstream (Receiving) Sewer Size: inch
System Wide Collection Svstem Permit Number(s) (if applicable): WQCS
Owner Name(s):
V
FORM: FTA 04-16
Page 1 of 5

VI.
rQ
GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes E]No HN/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV been attached?
❑ Yes E]No EN/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been. attached?
❑ Yes EJNo EN/A
4. Origin of wastewater: (check all that apply):
Residential Owned E] Retail (stores, centers, malls) El Car Wash
❑ Residential Leased E:]Retail with food preparation/service ❑Hotel and/or Motels
❑ School /preschool /day care El Medical /dental /veterinary facilities ❑Swimming Pool /Clubhouse -
❑ Food and drink facilities r_1 Church [:] Swimming Pool/Filter Backwash
❑ Businesses /offices /factories El Nursing Home FOther (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
% Industrial (See 15A NCAC 02T .0103(20))
Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .? El Yes ® No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01
Daily Design Flow a,b
No. of Units
Flow
N/A
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
GPD
a See 15A NCAC 02T .0114(b)(d), (e)(1) and (e)�2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; 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.01.141 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 15A NCAC 02T.01. 14)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
® Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T.0305 &MDC {Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 113.93 DIP
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T.0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: 0Longitude: - °
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) I Length (feet) I Material
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .03 05(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
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
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
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B.0200 & 15A NCAC 02T .0305(1)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(1) & (g) E]Yes ® No
➢ 15A NCAC 02T_0305(f) contains minimum senarations that shall he nrovided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
24 inches
Water mains (vertical -water over sewer 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 -I waters of Class I or
Class II impounded reservoirs used as a source of drinking water
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 (see item IX.2)
50 feet
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
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
➢ 1.5A NCAC 02T.0305� contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
➢ If noncompliance with 02T.0305(f) or ( ), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) F-1 Yes E No ❑ N/A
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B.0200? E]Yes ONo EN/A
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or E]Yes 0 No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. 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 are 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.).
6. Does this project include any sewer collection lines that are deemed "high-priority?"
Per 15A NCAC 02T.0402, "high-priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
® Yes ❑ No ❑ N/A
➢ 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 permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 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?
0 Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is required prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
llishop attest that this application for
(Professional Engineer's name from Application Item 111. 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, Gravity Sewer
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.
................................... ....11.....................-
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North Carolina Professional Engineer's seal, signature, and date:a ►�'r -�j.
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3. Applicant's Certification per 15A NCAC 02T .0106(b):
I,
SVG• � �c2 !' ��e�C, u�`��V2.� )'rec�'o r'
(Signature Authority's name &title from Application Item I3.)
attest that this application for
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 143-215.6.B, 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: 9---- 3 6 ---- / F
FORM: FTA 04-16 Page 5 of 5

Skylars Cove Subdivision Sewer Extension
Sanitary Sewer Narrative
Description:
Travel 1.69 miles north on Village Road from the overpass at US 74/76 (Andrew Jackson
Hwy) and NC 133 (River Road). Turn left onto Gardenview Court and travel 0.19 miles
to the site. The site is located on the west side of Gardenview Court.
The purpose of this project is to extend the existing gravity sanitary sewer main in
Creekview Estates from the cul-de-sac of Gardenview Court onto the adjacent property to
the west of Creekview Estates, in order to be able to serve the adjacent property with
gravity sanitary sewer. There is 113.93 LF of 8" public gravity sanitary sewer main
being proposed for this project. The length is based on the distance from inside wall of
manhole to inside wall of manhole. No flow is being permitted. A preliminary layout,
which is subject to change, for the adjacent property shows 36 single-family residential
lots. A separate sanitary sewer permit for flow and gravity main extension shall be
obtained for the adjacent property once it is designed.
95.24 LF of the 101.51 LF of the proposed sanitary sewer main from SSMH-1 to SSMH-
2 is within 50 feet of wetlands. The sanitary sewer main from SSMH-1 to SSMH-2 will
meet water main standards (15A NCAC 18C) for materials, testing methods and
acceptability standards.
SSMH-2 is within 50 feet of wetlands. SSMH-2 shall comply with the Division's draft
separation requirements for manholes within 50 feet of wetlands.
The proposed sanitary sewer main from SSMH-1 to SSMH-2 will be a "high priority
sewer" line. Approximately 44.5 5 LF of the proposed sanitary sewer main will be an
aerial line. The main becomes an aerial approximately 5.06 LF downstream of SSMH-2
(see provided plan profile).
The proposed gravity sanitary sewer main will discharge into an existing sanitary sewer
manhole at the cul-de-sac of Gardenview Court in Creekview Estates.

Skylars Cove Subdivision Sewer Extension
High Priority Sewer Line Information
Upstream MH Downstream MH Size (inches) Material Line Type
SSMH-2 SSMH-1 1 8 1 DIP I Aerial
*Approximately 44.55 LF of the above 101.51 LF of proposed sanitary sewer main from
SSMH-2 to SSMH-1 is aerial.

a Malpass Engineering &Surveying, P.C.
� 1134 Shipyard Blvd.
Wilmington, NC 28412
Phone: [phone]
i Fax: [phone]
License No. C-2320
June 5, 2018
To: Dean Hunkele
NCDEQ
Re: Skylars Cove Subdivision Sewer Extension
We are submitting a Fast -Track Application(FTA 04-16 for the abov) e referenced
project. The following items are provided: original and co of the application
py pp form,$480 application fee, two copies of the Sanitary Sewer Narrative, '
Priority
�� , y ve, two copies of the High
riority Line information, two copies of a color 8.5"x 11" Aerial Ma and
Map, two copies of
a color 8.5"x11" of USGS Topographic Map.
p
See Sanitary Sewer Narrative for project description.
Thanks,
Justin C. Bishop, P.E.
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