WQ0040179_Application (FTSE)_20180815

Permit Number WQ0040179
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
dean.hunkele
Coastal SWRule
Permitted Flow
350
Facility
Facility Name
Live Oak Warehouse Private Pump Station
Location Address
Owner
Owner Name
Live Oak Development LLC
Dates/Events
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
Ponder
Facility Contact Affiliation
Owner Type
Non -Government
Owner Affiliation
Andrew M. Furr
1730 Scotts Hill Loop Rd
Wilmington NC 28411
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
7/18/2018
Regulated Activities Requested /Received Events
Domestic, other Additional information requested
Office Additional information received
Wastewater collection
Outfall
Waterbody Flame Streamindex Number Current Class Subbasin
LIVE OAK DEVELOPMENT LLC 66-1246/531 10 1 2
1730 SCOTTS HILL LOOP RD.
WILMINGTON, NC 28411
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STROUD ENGINEERING, P.A.
102-D Cinema Drive
Wilmington, NC 28403
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WE ARE SENDING YOU �.gttached El Under separate cover via � � - the following items:
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❑ Shop drawings ❑ Prints El Plans ❑ Samples El Specifications
❑ Copy of letter ❑ Change order ❑
COPIES
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THESE ARE TRANSMITTED as checked below:
[(For approval ❑ Approved as submitted
❑ For your use ❑ Approved as noted
❑ As requested ❑ Returned for corrections
For review and comment ❑
❑ FORBIDS DUE ❑
REMARKS
❑ Resubmit copies for approval
❑ Submit copies for distribution
❑ Return corrected prints
PRINTS RETURNED AFTER LOAN TO US
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SIGNED:
/f enclosures are not as noted, kindly notify us at once.
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STROUD ENGINEERING, P. A.
CONSULTING ENGINEERS
102D CINEMA DRIVE
WILMINGTON, NORTH CAROLINA 28403
WWW.STROUDENGINEER.COM
LICENSE NO. C-0647
July 17, 2018
NCDEQ Division of Water Resources
Water Quality Permitting
1601 Mail Service Center
Raleigh, NC 27699-1601
Attn: Dean Hunkele
RE: Pressure Sewer Extension
Lots 1R & 2R Dorothy Nixon Div., 16625 US HWY 17
Hampstead, Pender County, NC
Dear Mr. Hunkele,
Please find the attached application for a proposed sewer service to serve a small
commercial strip center at the subject address. The project proposes 170 lineal feet of 2 inch
SDR 21 PVC and a two horsepower duplex grinder pump station. This station will tie to the
existing 10 inch force main on US Highway 17 permitted and operated by Pluris Hampstead, LLC.
The daily design flow for this commercial use is 360 gallons per day. The project proposes a
duplex pump station to enable future expansion. The duplex pump station will be configured
with a. manual transfer switch and a receptacle to receive a mobile generator adequate to
power both pumps simultaneously. The 2 inch force main will be plumbed to connect to the
existing force main. I am including the attached FTA,. FTSE and supporting submittals detailing
the proposed connection. Please consider all for approval.
Thank you in advance for your attention to this matter. Please let me know if you have
any questions or concerns.
attachments
Cc Randy Hoffer
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file: w:\master\PW-1255\SEWER\NCDEQ Cover Letter.doc
107E COMMERCE STREET 102D CINEMA DRIVE
GREENVILLE, NORTH CAROLINA 27868 WILMINGTON, NORTH CAROLINA 28403
252.756.9352 910.815.0775
3302C BRIDGES STREET
MOREHEAD CITY, NORTH CAROLINA 28557
252.247.7479

State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 —FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 &SUPPORTING DOCUMENTATION
Application Number: 4(J M to be completed b DWR
pp � { p � )
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
LIVE OAK DEVELOPMENT LLC (company, municipality,HOA utili etc.)
1. Applicant's name: � ( p y, utility,
2. Applicant type: ® Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
• ANDREW M. FURR per 15A NCAC 02T .0106(b)
3. Signature authority's name.
l
ice, Va
Title. MANAGER �.
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4. Applicant's mailing address: 1730 SCOTTS HILL LOOP ROAD WILMINGTON, NC 28411
J1 8 20
City: State: Zip: -
f
5. Applicant's contact information: ®'•-.�---- � r
• Email Address: Phone number. ( ) E t s
II. PROJECT INFORMATION: 9 r
1. Project name: WW T QT 1 �-• -
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: FENDER
4. Approximate Coordinates (Decimal Degrees): Latitude: 34^23'13.28"N oLongitude: - . 77^41'16.63"W = LOT 1R
5. Parcel ID (if applicable): Latitude: 34^23' 14.23 "N Longitude: 77^41' 15.26"W = LOT 2R
(or Parcel ID to closest downstream sewer) LOT 1R : 3293-54-7563-0000 / LOT2R : 3293-54-8782-0000 & 3293-54-9569-0000
III. CONSULTANT INFORMATION:
1. Professional Engineer: JAMES H. FENTRESS, JR.,PE License Number: PE 20643
Firm: STROUD ENGINEERING, PA
Mailing address: 102 - D CINEMA DR. WILMINGTON, NC 28403
City: State: Zip: -
Phone number: (210 ) 815- 0775 Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: PLURIS HAMPSTEAD, LLC Permit Number: WQ 0037287
Owner Name: PLURIS HAMPSTEAD, LLC.
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
L Permit Number(s): WQ Downstream (Receiving) Sewer Size: 10 inch
System Wide Collection System Permit -Numbers) (if applicable): WQCS
Owner Name(s): PLURIS HAMPSTEAD, LLC
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 ❑No ❑N/A
2. If the Applicant is a Developer of lots to be sold, has a Developers 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?
❑ Yes ❑No ❑N/A
4. Origin of wastewater: (check all that apply):
❑ Residential 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: % Domestic/Commercial 100 % Commercial
% Industrial (See.15A NCAC 02T .0103(20))
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
7. Summarize wastewater generated by project:
Establishment Type (see 42T.0114(fl)
Daily Design Flow
No. of Units
Flow
WAREHOUSE 6400sf w/ 1 bay
1 00gpd/bay gal/
1
100 GPD
OFFICE 600sf w/ 10 employees
25gpd/employees gal/
250 GPD
gall
GPD
gall
GPD
gal/
GPD
gal/
GPD
Total
350 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 ofthe 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 I5A NCAC 02T.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. wastewater generated by project: 350 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
❑ Flow has already been allocated in Permit Number:
E]Rehabilitation or replacement of existing sewer with no new flow expected
E] Other (Explain):
FORM: FTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC Gravity Se�� e�•s :
1. Swnmarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
➢ 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: 1
2. Approximate Coordinates (Decimal Degrees): Latitude: 34.3895 ° Longitude: - 77.6875 °
3. Design flow of the pump station: 0.00035 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 20 gallons per minute at 90 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
2
170
PVC
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 timefiames, 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
� 1 S A 1�T(` A (' (17T (l�(lSffl rnntainc minimum cPnaratinnc thafi shall hP nrnvir�Pr� fnr cPuler CV4tP,mS_
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-1 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 swimmi pools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0contains alternatives where separations in 02T.0305(f) cannot be achieved.
"Stream classifications can be identified. using the Division's NC Surface Water Classifications webpaae
➢ If noncompliance with 02T.0305(f) or W. see Section X of this application
2. Does the project comply with separation requirements for wetlands? (5.0 feet of separation) ❑X 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 .020.0? ❑ Yes ❑ No N/A
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Perrnittinft Branch
5. Does project comply with 15A NCAC 02T.010 (c)(6) (additional permits/certifications)? FXYes ❑ 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 sewee' 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 0?T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravitv.Sewer Minimum Design Criteria latest version) as applicable?
Yes ❑ No
IfNo, 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 supportine documents.
2. Professional Engineer's Certification:
I,
JAMES H. FENTRES S, JR., PE
(Professional Engineer's name from Application Item III.1.)
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 (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 Engineer's seal, signature, and date:
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3. Applicant's Certification per 15A NCAC 02T .0106(b):
ec..j ryi Y P' - \ajthat 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 143-21.5.6A 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 $10000 as well as civil penalties up to $25,000 per violation.
Signature:
Date:
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
;.:.:
+- Division of Water Resources
Division of water Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting AIlocation: LIVE OAK DEVELOPMENT, LC
Project Name for which flow is being requested: NIXON TRACTS LOT 1 R & 211
More than one FTSF may be requiredfor a single project if the oivner of the WWTP is not responsible for all pump
stations along the route of the proposed wasteivater floor
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: PLURIS HAMPSTEAD, LLC
b. WWTP Facility Permit ##: WQ 0037287
A1I flows are in MGD
c. WWTP facility's permitted flow 0.250
d. Estimated obligated flow not yet tributary to the WWTP 0.110
e. WWTP facility's actual avg. flow 0.043
f. Total flow for this specific request 0.00035
g. Total actual and obligated flows to the facility 0.15372
h. Percent of permitted flow used 61 %
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (8) (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 MOD MGD MGD Flow Capacity***
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily FIow 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 < o.
Downstream Facility Name (Sewer): PLURIS HAMPSTEAD, LLC
Downstream Permit Number: WQ 0037324
Page l of 6
FTSE 04-16

III. Certification Statement:
j RANDY HOFFER, REGIONAL MANAGER 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.
Signing Official Signature
Page 2 of 6
Date
FTSE o4-16

7/17/2018
North Carolina Secretary of State Search Results
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online
Add Entity to My Email Notification List • View Filings • Print an Amended a Annual Report form o Print a
Pre -Populated Annual Report form
Limited Liability Company
Legal Name
Live Oak Development, LLC
Information
Sos I d: 0675673
Status: Current -Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 5/19/2003
Registered Agent: Keeter, Jeffrey P.
Addresses
Mailing Principal Office Reg Office
1730 Scotts Hill Loop Road 1730 Scotts Hill Loop Road 310 North Front Stret, Suite 200
Wilmington, NC 28411-6634 Wilmington, NC 28411-6634 Wilmington, NC 28401-5082
Reg Mailing
310 North Front Stret, Suite 200
Wilmington, NC 28401-5082
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager
Andrew M Furr
1730 Scotts Hill Loop Road
Wilmington NC 28411
https://www.sosne.gov/online_sbrvices/search/Business_Registration_Results 1/1

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PIN: 32 93 -54-9 56 9-00 00
Owner: FURR ANDREW M
1730 SCOTTS HILL LOOP RD
WILMINGTON, NC 28411
Deed Ref: 4210/226
Property
Address: US HWY 17
Description: L 2 PB 38/58 DOROTHY NIXON DIVISION
Sale Price: $12,000
Sale Date: 2013-02-21
Plat: 00380005
Account No: 955043
Township: TOPSAIL
Subdivision:
Tax Codes: G01 F22 R40
Acres:0.4
Pender County
Land Value: $69,696
Building Value: $4,222
Total value: $73,918
1:5,782
0 0.0425 0.085 0.17 mi
Deferred Value: $0
Exempt Amount:
0 0.05 0.1 0.2 km
PCL Class: R
1 inch = 482 feet N
Heated Sq Feet:
W ' ' E
July 18, 2018 .
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