WQ0040181_Application (FTSE)_20180807

Perrnit Number . WQ0040181
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
helen.perez
Coastal SWRule
Permitted Flow
Facilitv
Facility Mame
Orange Street Sewer Replacement
Location Address
Owner
Central Files: APS . SWP
7/26/2018
Permit Tracking Slip
Status
Project Type
In review
New Project
Version
Permit Classification
A
Individual
Permit Contact Affiliation
Major/Minor Region
Minor Wilmington
County
Carteret
Facility Contact Affiliation
Owner Marne owner Type,
Town of Beaufort Government - Municipal
Owner Affiliation
Richard L. Stanley
PO Box 390
Dates/Events Beaufort NC 28516039
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
C7/24/2018
•Regullated Activities Requested /Received Events
Additional information requested
Additional information received

:

To •
NCDEQ-WATER QUALITY SECTION
127 CARDINAL DRIVE EXT
WILMINGTON, NC 28405
WE ARE SENDING YOU:
THE C U LLI P H E R GROUP, P.A.
ENGINEERING & SURVEYING SERVICES
HESTRON PLAZA TWO
151-A NC HWY 24
MOREHEAD CITY, NC 28557
P:[phone]
F:[phone]
kqFCF'VED/NCDENR/DWR
JUL g 5 2018
Nater Qu,@14 Regional
. Operations Section
Wilmington Regional Office
e
DATE 07/20/18
JOB NO. PM493-34E ORANGE STREET
ATTENTION DEAN HUNKELE
RE:
ORANGE STREET IMPROVEMENTS
BEAUFORT, CARTERET COUNTY
COPIES
DATE
NO.
DESCRIPTION
1
COVER LETTER
1/1
ORIGINAL AND COPY FTA 04-16 APPLICATION
1
APPLICATION FEE $480.00(rnailed separately by Town of Beaufort)
2
USGS TOPO MAP
2
STREET LEVEL MAP
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑Resubmit copies for approval
❑ For your use Submit copies for distribution
F-1 As requested ZFor review and comment
F-1 FOR BIDS DUE
El PRINTS RETURNED AFTER LOAN TO US
REMARKS
PLEASE CALL OR EMAIL WITH ANY QUESTIONS.
[e-mail]
COPY TO
SIGNED RONALD D. CULLIPHER, PE

CI�
THE CULLIPHER GROUP, P.A.
ENGINEERING & SURVEYING SERVICES
July 20, 2018
NCDEQ
Wilmington Regional Office
Water Quality Section
127 Cardinal Drive Extension
Wilmington, NC 28405
RE: Orange Street Improvements
Modification to WQ (unknown)
Town of Beaufort, Carteret County
This request for modification is to remove and replace the existing 8" gravity sewer at the
southern end of Orange Street, between Ann and Front Streets. There is no additional flow requested
for the project.
The following are included in the application package:
• Check # in the amount of $480.00
(#047845 mailed separately)
� FTA 04-16
• USGS Topographic Map
• Street level map
If you have any questions or concerns please do not hesitate to contact me.
Sincerely,
� • ! e i
Ronald D. Cullipher, PE, : SEAL ;
Q 13343
HESTRON PLAZA TWO
151-A NC HWY 24
MOREHEAD CITY, NC 28557
[phone]

r It
D:WR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T.0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number:
Whoa �(u (81
(to be completed by DWR)
All items must be comuieted or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Beaufort (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 Day per 15A NCAC 02T .0106(b)
Title: Town Manager
4. Applicant's mailing address: 701 Front Street �r
City: Beaufort State: NC Zip: 28516-
5. Applicants contact information:
JUL 2
6
Phone number: 252) 728-2141 Email Address: [e-mail] BY:
H. PROJECT INFORMATION:
1. , Project name: Orange Street
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: Carteret
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.718° Longitude: -76.667°
5. Parcel ID (if applicable): N/A
(or Parcel ID to closest downstream sewer)
M. CONSULTANT INFORMATION:
1. Professional Engineer: Ronald D Cullipher License Number: 13343
Firm: The Cullipher Group, PA
Mailing address: 151-A Highway 24
City: Morehead City State: NC Zip: 28557 -
Phone number:2( 52) 773-0090, Email Address: ron @ tcgpa.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Beaufort WWTP Permit Number: NC 0021831
Owner Name: Town of Beaufort
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
FORM: FTA 04-16 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 ❑ZN/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEBT} been attached?
❑ Yes []No ®NIA
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HDA) been attached?
❑ Yes []No NN/A
4. Origin of wastewater: (check all that apply):
® Residential Owned ❑ Retail (stores, centers, malls) E:] Car Wash
❑ Residential Leased ❑ 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 [:1 Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories El Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
% Industrial (See 15A NCAC 02T.01 (20)}
is there a Pretreatment Program in effect? ❑ Yes El No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(f}? ❑ Yes No
➢ If y,es, grlvide a co,lpy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f)) Daily Design Flow a,b No. of Units Flow
gal/ GPD
gal/ GPD
gal/ GPD
gall GPD
gal/ GPD
gall 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., 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.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)
➢ 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
EJ Flow has already been allocated in Permit Number:
Z Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

b
VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) -02T.0305 & IDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
479
SDR35
8
40
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 (lamp Stations/Force Mains):
COMPLETE FOR EACH PUMP, STATION INCLUDED IN TTI1IS 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) Length (feet) 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)`
➢ 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(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (g) El Yes ❑ No
15A NCAr n2T_nIn5(f)cnntninc minim»m cennrntinnc that shall hP nrnvidt-ti fnr cPwPr evctPmc•
Setback Parameter*
Se aration 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 buildingfoundation
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 ools
10 feet
Final earth grade (vertical)
36 inches
➢ 15A NCAC 02T.030_ 5() contains alternatives where separations in 02T.0305(fl cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
➢ If noncompliance with 02T.0305(f) or (g)see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) 0 Yes EI 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? ❑ Yes ❑ No ® NIA
➢ This would include Trout Buffered Streams per 15A NCAC 2B .0202
4. Does the project require coverage/authorization under a 404 Nationwide or El Yes EJ 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.
El 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 -'Vide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATION'S:
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?
N Yes [:1 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 sum 1 of the Fast Track Application and uuporting documents.
2. Professional Engineer's Certification:
I, Ronald D. Cullipher, PE 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 143-215.613, 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:CA
•G 114
► ..............................:.A'! - �... ,�....... .......
,,��rl�
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, John Day, Town Manager attest that this application for
(Signature Authority's name & title from Application Item I.3.)
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 143-215.613, 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.
Signature: Date:
FORM: FTA 04-16 Page 5 of 5

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