WQ0040061_Application (FTSE)_20180710

3
Central Files- APS SWP
6/11 /2018
Pe.im=t Nunnber VVQ0040061 Permit Tracking Slip
Program Category Status Project Type
Non -discharge In review New Project
Permit Type Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions A Individual
Primary Reviewer
dean.hunkele
Coastal S!/l/Rule
Permitted Flow
1,800
FaciIity
Facility Name
Skyway View at Topsail Subdivision
Location Address
0w- neA
Permit Contact Affiliation
Major/Minor
Minor
Facility Contact Affiliation
Region
Wilmington
County
Pender
Owner Name Owner Type
Town of Surf City Government - Municipal
Owner Affiliation
Ashley Loftis
PO Box 2475
Dates/Events Surf City NC 28445247
Scheduled
Orig Issue App Received Draft Initiated issuance
6/8/2018
Regulated Activities
Subdivision
Wastewater collection
Outfall
Public Notice Issue Effective Expiration
Requested [Received Events
Additional information requested
Additional information received

PORT CITY CONSULTING ENGINEERS, PLLC
6216 STONEBRIDGE ROAD
WILMINGTON, NORTH CAROLINA.
. 28409
[phone]
TO: Dean Hunkele
127 C-ardind ®dove
DATE 5/24/18
JOB No.
ATTENTION
PHONE#
RE: Skyway View at Topsail
Sewer Permit Submittal
Public Sewer
the following items:
F1 specific cot'lons
COPIES DATE NO. DESCR]PTI®N
Check for $480 for.application fee
One Original & one copy of: Fast Track Application for
2 (Public Sewer System)
USGS Quad Sheet
z L 17
Sewer Narrative
C- Fi- 51 P- V-1i
lifj AV A
-rz
act 1 0-
W, I IN! U v0V r 10
THESE ARE TRANSMITTED as checked below:
REMARKS:
COPY TO: File
SIGNED:
If enclosures are not as noted, kindly notify us at once.
dorm

State of North Carolina
Department of Environmental Quality
Division of Water Resources
D11
1-111
15A NCAC 02T .0300 —FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 &SUPPORTING DOCUMENTATION
Application Number:(AGOqC6
(to be completed by DWR
)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Surf City (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation El General Partnership ❑ Privately -Owned Public'Utility
El Federal Ej State/County Z Municipal ❑ Other
3. Signature authority's name: Ashley Loftis per 15A NCAC 02T .0106f b)
Title: Town Manager
4. Applicant's mailing address: PO Box 2475
City: Surf Cily State: NC Zip: 28445-
5. Applicant's. contact information:
Phone number: [phone] Email Address: aloftisgtownofsurfcity.com
II. PROJECT INFORMATION:
1. Project name: Skyway View at Topsail
2. Application/Project status: Z 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: Pender
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.42' Longitude:-77.55'
5. Parcel ID (if applicable): 4234-68-5271-0000, 4234-68-4294, 4234-68-5104-0000
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION: �
1. Professional Engineer: Mark N. Hargrove License Number: JUN
Firm: Port Ci1y Consulting Engineers, PLLC
0
Mailing address: 6216 Stonebridge Road
City: Wilmin on State: NC Zip: 28409-
Phone number: [phone] Email Address: mhargrove(2ec.rr.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Surf City Waste Water Treatment Facility Permit Number: WQ0000795
Owner Name: Surf Cily
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQCS00278
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): Surf City
FORM: FTA 04-16 Page 1 of 5

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGION.AL, OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778
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, Harriett, Hoke,
Water Quality Section
Fayetteville, North Carolina 28301-5094
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
RaleighRegional Office
1628 Mail Service Center
Chatham., Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Wgshington Regional Office
943 Washington Square Mail
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 Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Qua Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Req:ional, 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]
INSTRUCTIONS FOR FORM: FTA. 04-16 & SUPPORTING DOCUMENTATION Page 3 of 3

VL GENERAL REQUIREMENTS
1. If the Applicant is a Privately Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
E]'Yes nNo ON/A
2. If the Applicant is a Developer of lots to be sold, has a Qevelooer's C�r -id.o_ n;-d ALvreement, (FORDEV) M: been attached?
L
El Yes ❑No ZN/A.
3. If the Applicant is a Hotne/properLv 1� _atL e - t I - i e- i � i t Ll Ll\�L I J- 0
Q V g:,,, i ;icy - u Ll A i - L
_A been attached?
El Yes []'No (ON/A.
4. Origin of wastewater: (check all that apply):
Z Residential Own-ed E] Retail (stores, centers, malls) 0 Car Wash
[I Residential Leased [I Retail with food preparation/service Hotel and/or Motels
F1 School / preschool / day care El Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
F1 Food and drink facilities El Church El Swimming Pool/Filter Backwash
❑ Businesses / offices / factories E] Nursing Home ❑ Other (Explain in Attaclunent)
5. Nature of wastewater: Domestic/Commercial _...2%.Connmercial
% Industrial (See I 5-A NC, CO2'L,.0 103(2.0))
Is there a Pretreatment Program in effect? E:] Yes Z No
6. Has a flow reduction been approved under(0. 9 ❑ Yes Z No 15ANCACQ,2,r,oj14-
If yesprovide a copy of flow reduction ap1groyal letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0!14Jfj)
Daily Design Flow a,b
No. of Units
Flow
Dwelling Unit
360 gal/day
5
15800 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
I NO GPD
a See 5A I . 1.) and 40(.2.) for caveats to wastewater design. flow rates (i.e., minimum flow per
' I " N(I"ALO-21 -0]
dwelling; proposed unknown. tion-residential development uses; public access facilities located near high public use
areas; and residential property located south oreast of the Atlantic Intracoastal Waterway to be used as vacation rentals
as defined in (i.S. 42A-4).
b Per t5A NCAC 02T.01.14(c), design flow rates for establishments not identified [in table 15A _NCAC 0')T.0 114] shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 2 GPD (per 15A NCAC 02T_.0114)
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
E] Flow has already been allocated in Permit Number: -
E] Rehabilitation or replacement of existing sewer with no new flow expected
[] Other (Explain):
FORM: FTA 04-16 Page 2 of 5

VU. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T.0305 & MDC (GravitNT Sewers):
1. Summarize gravity sewer to be perraitted:
Size (inches) Length (feet) Material
8 203 DIP
)0-, 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
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: 0 Longitude: - 0
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 dynarnic 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.0305(h)(1)(B)*1
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons Baer 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
E] 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 con1patible 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 04-1.6 Page 3 of 5

Ix. SETBACKS & SEPARATIONS — (02B.0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all. separations found in 15 A N (" A (�' 0
ISA mrAr OIT Mfliqtfl inf%eill tft.-m Lft*-e%V1,1*AAA 4v,.*.
04-MMOM
Setback Parameter*
Separation 1.eAuired
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-1 waters of Class I or
Class 11 impounded reservoirs used as a source of drinking water
I 00feet
"Waters classified WS (except WS-I or WS-V), B, SA,.ORW, HQW, or S13from normal
high water or tide elevationandwetlands (see item IX.2)
50 feet
"Any other stream, take, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any buildM' foundation
5 feet
An basement
10 feet
To slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage syOems and interceptor drains
5 feet
An swirm-ning pools
10 feet
I Final earth grade (vertical )
36inches
➢ 15A. CAC 02T.0305(al-) contains alternatives where separations in cann ot be achieved.
I
> "Stream classifications can be identified using the Division's urt Lq�', .
ace,, S')LV r Clas'fi
Li t y, i cation.&�yj-.I_t,
> If noncompliance with see Section. X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) Yes [:]No
> 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 all setbacks found in the river basin rulesper15A. N'CACO2B .0200? N Yes ONo
);> This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does theprojectcomply with an individual 404 Permit or any 401 Certifications? E Yes 0 No
➢ Wetland -related pen -nits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
> Information can be obtained from the 401 & Buffer Permittin anch
5. Does project comply with 15UNCAC 02T.0 . 1, L)5_(c)J_6) (additional permits/certifications)? Z Yes [:]No
Per 15A MIA(' 11 oo,ro I q5Jc)J6 , d irectly related environmental permits or certification applications are being prepared, have
- )
been applied for, or have been obtained. Issuance of this pennit 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 NCA " (] 02)T.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 2 No
> If yes, include an attachment with details for each line, including type (aerialline, 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 02rr .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-02"I'l-T, the Minimum Desion Criteiia for the Permitting of Pump Statiolls
and Forcc Mains Hatest versions and the Gravlty..Sewer Minimum QcSI
sm Cr*I el ia latestversiLoiij as applicable?
0 Yes EJ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 1044) and supporting documents
for review. Approval of the request is required VjLior to submittal of the Fast Track AWication and supvorting
documents.
2. Professional Engineer's Certification:
(Professional
ineer's name from Application Item ITT. L)
attest that this application for
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 (late'st version).' Although other professionals may have developed certain
portions of this submittal package, inclusion of these materials tinder 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.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T.0106(b):
(Sign4ture A.
ty's name & title from Apl9lication Ttem. 1.3.)
...................... ............... I ............... ..............................
19742
Aw
INE
% ..... . ......... ........ ....................................... ....... ........ :
attest that this application. for
has been reviewed by me and is accurate and complete to the best of my knowledge. T 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
- plication 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 crin-iinal 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 Gcneral Statutes 1..:...41,33-:2-15.0A and .143-2115-6B, 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: 10. f Date:
5.11 q., to
FORM: FTA 04-16 Page 5 of 5

111, Certlit""Ication Statement
Sign-11 Mg. Iclai
Pag'e 2 of 6
Date

SEWER NARRATIVE
SKYWAY VIEW AT TOPSAIL
SEVER DESCRIPTION
The proposed residential development consists of 5 residential lots located off of NC HWY 50 in
Surf City. The total length of pipe is 2031f of 8" Ductile Iron Pipe. Anew manhole will be
installed on an existing line and the new line will be installed into the site.

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Map data @2018 Google 200 ft - - - A
7/10/2018