WQ0040198_Application (FTSE)_20180802

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Permit Number VVQ0040198 Permit Tracking Slip
77
Program Category Status Project Type _ s'
Non-discharge In review New Project
Permit Type Version Permit Classification
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Gravity Sewer Extension, Pump Stations,&Pressure Sewer Extensions A Individual
F _ i
Primary Reviewer Permit Contact Affiliation
helen.perez
Coastal SWRulle
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Permitted Flow
Facility
Facitty dame Major/Minor Region =
Glow Academy Private Sewer Minor Wilmington
L atio ocn Address County j
New Hanover
Facility Contact Affiliation
OWnet'
Owner Warne.: Owner Type
Glow NC Inc Non-Government
Owner Affiliation
Todd Godbey
PO Box 7621
Dates/Events Wilmington NC 28406762
Scheduled
Orig-.Issue App Received Draft Initiated issuance Public(Notice Issue Effective Expiration
8/2/2018
Regulated Activities Requested/Received Events
Additional information requested
Additional information received
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CLH design, .pa.
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G r 400 Regency Forest Drive,Suite 120 `
Cary,North Carolina 27518
P:919.319.6716 m
www.clhdesignpa.com µ
EI N R/ 9 R:
Letter of Transmittal �.:!� 0 2 2018 July 31,2018 f
CLH Project Number: 17-140 >>Vau4rQualit Regional
Operations Section
To: Dean Hunkele Wilmington Regional Office
Company: NCDEQ-DWR
Address: 127 Cardinal Drive Extension
City/State/Zip: Wilmington,North Carolina 28405
Phone: [phone]
Method: UPS Ground Delivery I.
Subject: GLOW Academy—Fast TrackSewerS stem Extension Application J Y Y pp
1
Prints x Originals x Specifications Applications x
Reports Copy of x Submittals Other: x
Letter
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Copies Date Description
2 7-31-18 Application Fee(Checks payable to NCDEQ-Private and Public)
2 7-31-18 Fast Track Application Form (FTA 04-16,Private and Public)- Original
2 7-31-18 Fast Track Application Form (FTA 04-16,Private and Public)- Copy
2 7-31-18 Cover Letters (Private Application Letter and Public Application Letter)
2 7-31-18 USGS Topographic Map j
2 7-31-18 Street Level Map
1 7-31-18 Article of Incorporation (G.L.O.W. NC,Inc.)
1 7-31-18 Flow Tracking Acceptance Form (FTSE 04-16, Private and Public)
1 7-31-18 11 x 17 Utility Site Plan
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Additional Remarks:
We are leased to submit the proposed Private and Public Fast Track Sewer System Extension
p p p Y �
Applications for GLOW Academy in Wilmington,NC.Please don't hesitate to contact me if you have
any questions or require additional information.
Thanks,
i
Zak Pierce, PLA, Prind
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Signed:
Cc: File
CLH design,p.a.
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• Upload a PDF Filing • Order4a Document Online • Add Entity to My Email Notification List • View Filings
Non-Profit Corporation
Legal Name
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Glow NC, Inc.
Prev Le al Name
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Girls Leadership Academy. of Wilmington
Prev Legal Name
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Leadership Academy for Young Women
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Information
S os i d: 1441806 i
Status: Current-Active
Citizenship: Domestic ,
Date Formed: 4/24/2015
Registered Agent: Girl's Leadership Academy of Wilmington Foundation
Addresses
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Principal Office Reg Off ice Reg Mailing
1705 Market Street 1705 Market Street PO Box 7621 �
Wilmington, NC 28403 Wilmington, NC 28403 Wilmington, NC 28406
Mailing
PO Box 7621
Wilmington, NC 28406
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State of North Carolina
Department of Environmental Quality
Division of Water Resources
DIOVR
15A NCAC 02T.0300—FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16&SUPPORTING DOCUMENTATION
4
Number:
to be com leted b DWR
Application
( p y )
All items must be completed or the application will be returned
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I. APPLICANT INFORMATION:
1. Applicants name: Glow NC,Inc.(company,municipality,HOA,utility,etc.)
2. Applicant type: ❑Individual Z Corporation ❑General Partnership ❑Privately-Owned Public Utility
❑Federal ❑ State/County ❑Municipal ❑Other
3. Signature authority's name:Todd Godbey per 15A NCAC 02T .0106(b)
Title: CEO
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4. Applicant's mailing address:P.O.Box 7621
City:Wilmington State:NC Zip:28406-
5. Applicant's contact information:
Phone number:[phone] Email Address:t og dbey(cr),glowacademy.net
II. PROJECT INFORMATION:
1. Project name:Glow New School Building
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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 art of a master plan,provide the existing permit number:WQ00
p p
3. County where project is located:New Hanover
4. Approximate Coordinates(Decimal Degrees): Latitude: 34.2521° Longitude:-7.7.8986
5. Parcel ID(if applicable): 3138-24-9548
(or Parcel ID to closest downstream sewer)
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III. CONSULTANT INFORMATION:
1. Professional Engineer:Kenneth A.Loring License Number:23953
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Firm: CLH Design,p.a.
Mailing address:400 Regency Forest Drive, Suite 120
City: C State:NC Zip:27518-8599
Phone number: [phone] Email Address:kloringAclWesignpa.com
IV. WASTEWATER TREATMENT FACILITY(WWTF)INFORMATION:
1. Facility Name:James A.Loughlin(NSWWTF) Permit Number:NCO023965
Owner Name: CFPUA
V. RECEIVING DOWNSTREAM SEWER FORMATION(if different than WWTF):
1. Permit Number(s):WQ Downstream(Receiving)Sewer Size: 8 inch ,
System Wide Collection System Permit Number(s) if applicable):WQCS _
Owner Name(s):CFPUA
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?
EI 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 Operational Agreement(FORM:HOA)been attached?
El Yes E]No ®N/A j
4. Origin of wastewater: check all that apply):
g (
Residential Owned ❑Retail(stores,centers,malls) ❑Car Wash
Residential Leased ❑Retail with food preparation/service El Hotel and/or Motels
® School/preschool/day care ❑Medical/dental/veterinary facilities ❑ Swimming Pool/Clubhouse
Food and drink facilities ❑Church El Swimming Pool/Filter Backwash
Businesses/offices/factories ❑Nursing Home ❑Other(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 .0114(f)? El Yes Z No
➢ If yes,provide a copy of flow reduction approval letter r
7. Summarize wastewater generated by project:
Establishment Type(see 02T.01140 Daily Design Flow a,b No.of Units Flow
Schools w/Cafeteria 12 gal/student 725 8,700 GPD
gal/ GPD
g
al/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
Total 89700 GPD
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a See 15A NCAC 02T .0114(b), (d)�e)(1) and el(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 j
in G.S.42A-4).
b Per 15A NCAC 02T.0114(c),design flow rates for establishments not identified[in table 15A NCAC 02T.0114] shall be
determined using available flow data a r using fixtures,occupancy or operation patterns,and other measured data.
8. Wastewater generated by proje GPD er 15A NCAC 02T .0114)
➢ Do not include future flows viousl rmitted allocations
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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
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❑Flow has already been allocated in Permit Number:
❑Rehabilitation or replacement of existing sewer with no new flow expected
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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" 697.13 PVC
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> 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
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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: i
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
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6. Power reliability in accordance with 15A NCAC 02T.0305
❑ 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 i
Or if the pump station has an average daily flow less than 15,000 gallons per day:
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0 Portable power source with manual activation,quick-connection receptacle and telemetry- 15A NCAC 02T
.0305(h)(1)(C)
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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) 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 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 j
Any basement 10 feet
Top slope of embankment or cuts of 2 feet or more vertical height 10 feet i
Drainage,systems and interceptor drains 5 feet
Any swimming pools 10 feet
Final earth grade vertical 3 6 inches
➢ 15A NCAC 02T.0305O contains alternatives where separations in 02T.0305(f)cannot be achieved.
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➢ **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
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2. Does the project comply with separation requirements for wetlands? (50 feet of separation) El Yes [:]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? EJ Yes [:]No ®N/A i
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
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4. Does the project require coverage/authorization under a 404 Nationwide or El Yes ®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.010 (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.
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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

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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?
[KF1 Yes EIFINo
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:
I
I, r attest that this application for
(Professional Engineer's namelfrom Application Item III.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.
.................,��� '�. ............... ..`'.,:...............
North Carolina Professional Engineers seal,signature,and date. �.� ,..= •••••.0,�, j,♦
` . �
dop
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.40 2395
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3. Applicant's Certification per 15A NCAC 02T.0106(b): `""""""""""""""""""""""""""""'..............................:
I, 0 PT5ff%e 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 sub j ect 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.
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NOTE — In accordance with General Statutes 143-2 .6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in an -ap ication package shall be guilty of a Class 2 misdemeanor, which may I
include a fine not to exceed$10,000 as well iv' penalties up to$25,000 per violation.
Signature: Date: l •�
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FORM:FTA 04-16 Page 9 of 5

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NCDWQ Fast-Track Application Attachment—Project Narrative
Project: Glow Academy—New School Building
Owner: GLOW NC,Inc.
Engineer: CLH Design,PA
Date: 03-July-2018
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Anew private elementary school is proposed at 2100 Sunglow Drive in Wilmington,NC. A
gravity sewer extension will be required to serve the new facilities.
The school building will be sized for 725 students. Applying the"Elementary School"
wastewater design flow rate of 12-gpd per student, the expected Average Daily Flow for the
facility is 8,700-gpd.
The nearest public sewer, an existing 8-in gravity sewer main is owned and operated by gFPUA,
and exists in Manly Avenue to the west of the proposed school site. The system eventually flows
to CFPUA's James A. Loughlin Wastewater Treatment Facility(NCO023965).
An 8-in gravity sewer system is proposed to convey wastewater from the school building to the
existing public gravity sewer in Manly Avenue.
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No wetlands or streams exist within 100-ft of the proposed sewer lines or pump station.
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State of North Carolina
z � : ::;... Department of EnvironmentalQuality. :
......::::..:....:
.i ..... Division of Water Resources'..;
;� -urcEx- Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: GLOW NC, Inc.
Project Name for which flow is being requested: GLOW NC School Building
More than one FTSE may be re uired or a single project a the owner o the WWTP is not res onsible or all um
Y q f g p J .f f p f p p
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
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a. WWTP Facility Name: James A. Loughlin (Northside) WWTP
b. WWTP Facility Permit#: NPDES NC 0023965
All flows are in MGD
c. WWTP facility's permitted flow 16.000
d. Estimated obligated flow not yet tributary to the WWTP 2.606
e. WWTP facility's actual avg. flow 10.661
f. Total flow for this specific request 0.008700
. Total actual and obligated flows to the facility g g y 13.276
h. Percent of permitted flow used 83.0%
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II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List um stations located between the project connection point and the WWTP:
pump p J
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity, * (Firm/p f), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity*
010 14.832 5.933 3.472 0.374 3.846 2.087
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest um taken out of service.
g pump
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor(pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is<00
Downstream Facility Name (Sewer): Cape Fear Public Utility Authority
Downstream Permit Number:. Not Available
Page 1 of 6
FTSE 04-16

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III. Certification Statement:
I Matthew Tribett,CFPUA Eng. Mgr certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the
receiving wastewater treatment facility and that the flow from this project is not anticipated to
cause any capacity related sanitary sewer overflows or overburden any downstream pump station
en route to the receiving treatment plant under normal circumstances, given the implementation of
the planned improvements identified in the planning assessment where applicable. This analysis
has been performed in accordance with local established policies and procedures using the best
available data. This certification applies to those items listed above in Sections I and II plus all
attached planning assessment addendums for which I am the responsible party. Signature of this
form indicates acceptance of this wastewater flow.
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Signing Official Signature Date
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Page 2 of 6
FTSE 04-16

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QUAD MAP:- WILMINGTON, CASTLE HA ME
DA TE: 2016 SCALE 1" 1000(
w Acederr�y
M MINUON, NC CLH DESIGN, PA
DA TE JULY 2018 Regency Park
PROJECT NO. 17-140
400 Regency Forest Drive r
Suite 120
Cary, North Carolina 27518
KNEW HMOV& COUW AD hW Phone: [phone]
Fax: [phone]
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