WQ0040206_Application (FTSE)_20180904

NORRIS & TUNSTALL
CONSULTING ENGINEERS P.C.
902 Market Street
Wilmington, NC 28401
[phone]
[phone] Fax
John S. Tunstall, P.E.
T. Jason Clark, P.E.
July 31, 2018
NC DEQ
Division of Water Resources
Water Quality Regional Operations Section
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
Re: Gravity Sewer Extension Fast -Track Permit Application
Dabney Park Subdivision
N&T Project No. 16136
Dear Sirs:
1429 Ash -Little River Road
Ash, NC 28420
[phone]
[phone] Fax
J. Phillip Norris, P.E.
RECEIVED/NMENR/DWR
AUG 03 2018
Water Quality Regic,nai
Operations Section
Wilmington Regional Office
Enclosed- is one (1) original application form with one (1) copy, two (2) copies of the Sewer
Narrative, one (1) original Flow Tracking /Acceptance Form (FTSE 04-16) from Brunswick
County with one (1) copy, one (1) original Flow Tracking /Acceptance Form (FTSE 04-16) from
H2G0 with one (1) copy, two (2) 8 '/z x 11 color USGS Topographic Maps, two (2) site plans
(ledger size) and a $480.00 check for the processing fee.
Please review this information for approval and contact us with any questions or comments you
may have. Thank you for your assistance on this project.
Sincerely,
NO-RRIS & TUNSTALL
CONSULTIN ENGINEE , P.C.
r
J. hillip rri .
J P /ttw
36 07-31-18-s-fast track swr-Itr
Enclosures
cc: Steve Cashwell
NCBELS License C-3641

SEWER NARRATIVE
DABNEY PARK SUBDIVISION
Brunswick County
For
Dabney Park, LLC
P.O. Box 1586
Wrightsville Beach, NC 28480
[phone]
July, 2018
Prepared by:
NORRIS & TUNSTALL CONSULTING ENGINEERS, P.C.
1429- Ash — Little River Road
Ash, North Carolina 28420
[phone]
[phone] (Fax)
License # C-3641
N&T Project No. 16136

SEWER SYSTEM:
This public gravity sewer system is designed to service 69 three -bedroom residential
lots with a flow of 14,490 GPD.
A total of 3,429 LF of 8" gravity sewer line will be needed to complete the system. This
new system will not require a pump station as it will connect into an existing manhole in
an existing public right-of-way adjacent to King Road.
This system will be served by the Brunswick Regional Water & Sewer H2GO.

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: Qd L1.11 � (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: H2GO Brunswick Regional Water & Sewer (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation El General Partnership El Privately -Owned Public Utility
El Federal ❑ State/County ❑ Municipal Other
3. Signature authority's name: Bob Walker per 15A NCAC 02T .0106 b)
Title: Director
RT :1
4. Applicant's mailing address: P.O. Box 2230 s
City: Leland State: NC Zip: 2$451-
AUG 03 2018
5. Applicant's contact information:
;° '
Phone number: [phone] Email Address: bwalker@h,�2poonline.com
II. PROJECT INFORMATION:
1. Project name: Dabney Park Subdivision
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: Brunswick
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.2425' Longitude:-78.05306'
5. Parcel ID (if applicable): 03700056
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: J. Phillip Norris License Number: 11966
Firm: Norris & Tunstall Consulting Engineers, P.C.
Mailing address: 1429 Ash -Little River Rd
City: Ash State: NC Zip: 28420-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Northeast REgional WWTP
Owner Name: Brunswick County
Permit Number: NCO086819
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ0016854(m)
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): Brunswick Regional Water & Sewer, H2GO
FORM: FTA 04-16 Page 1 of 5

LW
GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ONo ZN/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
Z Yes []No MN/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes �No ZN/A
4. Originof wastewater: (check all that apply):
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 ❑ Swimming Pool/Filter Backwash
� Businesses /offices /factories ❑Nursing Home ❑Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial 0 % Commercial
0 % Industrial (See 15A NCAC 02T .0103(20))
Is there a Pretreatment Program in effect? E]Yes ® No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(b? ® Yes [:] No
);;- If, yes, provide a copy 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
3 bedroom residential units
210 gal/unit
69
149490 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
141490 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.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 14,490 GPD (per 15A NCAC 02T .O l 14)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why: A)/g
❑ 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
3139
PVC
8
290
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
VIH. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump tations/Force 19iiains):
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) Length (feet) Material
6. Power reliability in accordance with 15A NCAC 02T .03050h)(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 .03 05 (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) &
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
Yes []No
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 orizontal
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 interce for drains
5 feet
Any swimming pools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305(g) 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( or (), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) Vyes ❑ No
);o, 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 rules per 15A NCAC 02B .0200? :Yes ❑ No
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? Yes [:]No
➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
➢ Information can be obtained from the 401 &Buffer PermittingBranch
ranch
5. Does project comply with 15A NCAC 02T.01.05(c)(6) (additional permits/certifications)?
Yes []No
Per 15A NCAC 02T.015(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 0 No
➢ 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?
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 lan=ppo=g documents.
1� 1 M�.��1
2. Professional Engineer's Certification:
I, JO A, � I r �Ajmer, S � attest that this application for
(Professional Engineer's name from Application Item III.l.)
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.
�rite�i►rrr r
...................�,�. ....... r..r.►.,,`��...... ......,
North Carolina Professional Engineer's seal, signature, and date: ' •,�
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3. Applicant's Certification per 15A NCAC 02T .0146(b):
C--x ?-CWiT � Il 4Q �D 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 143-215.6B, 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: � W
Date:
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
M
Division of Water Resources
91
r� �s Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Brunswick Regional Water & Sewer
Project Name for which flow is being requested: Dabney Park Subdivision
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Northeast Regional WWTP
b. WWTP Facility Permit #: NCO086819
All f lows are in MGD
c. WWTP facility's permitted flow 2.475
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request 0.0145
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
lI. 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) (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 / pf), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity*
T .q;� 11 ? R 1 1 1? 1)ti MQ 1115 -) ? M
T .�q# 16 1 074 4110 175 11114 4Q0 -) (ti)
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 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 < 0.
Downstream Facility Name (Sewer): Brunswick Regional Water &Sewer
Downstream Permit Number: WQ0016854(M)
Page 1 of 6
FTSE 04-16

III. Certification Statement:
I 766 WA 116ee- r 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
Date
Page 2of6
FTSE 04-16

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section II where Available
Capacity is < 0.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
66 %and .209 MGD of the Available Capacity (E) in Pump Station
Lei
C.
LS# 11 & LS# 16 ; and that
The rate of activation of this obligated, not yet tributary capacity is currently approximately
.203 MGD per year; and that
A funded Capital Project that will provide the required planned capacity, namely
Flow Reversal is in design or under construction with
planned completion in 01/2019 ; and/or
d. The following applies:
LS#11 and LS#16 flows are being redirected under current approved Modifications listed
under WQ0023744(M) WQ0016854(M) WQ0040039 WQ0032491(M)
Therefore:
Given reasonably expected c6nditions and planning information, there is sufficient justification
to allow this flow to be permitted, without a significant likelihood of over -allocating capacity in
the system infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S.
143-215.67(a) which prohibits the introduction of any waste in excess of the capacity of the
waste disposal system.
Signing Official Signature
Date
Page 3 of 6
FTSE 04-16

State of North Carolina.
Department of Environmental Quality
Division of Water Resources
`low Tracldng/Acceptance for Sewer Extension Applications
(FTSE 44-16)
Entity Requesting Allocation: Brunswick Regional water & Sewer
Project Marne for which flow is being requested.- Dabney Park Subdivision
More than one FTSE riay be required for a single project i f the owner ofthe the WWTP P is not responsrbl e f�r all pure p
stations along the route of the proposers wasteivaier,• floe.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name-, NORTHEAST BRUNSWICK WWTP
b. WWTP Facility Permit Wg.0086819
II flowsare ire MGD
c. WWTP facility's permitted flow
2.475
d. Estimated obligated flow not yet tributary to the WWTP 1.954
e. WWTP facility's actual avg. flow
1.952
f Total flow for this specific request
0.0145
g. Total actual and obligated flows to the facility
3.920
h. Percent of permitted flow used
158.4%
11. Complete this section for each pump station you are responsible for along the roue of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP.-
(A)
(C) (D)=(B+C) (E)=(A-D)
Design
Obligated,
Pump Average Daily Approx.
Not "het Total Current
Station Firm .Flog** Current Avg.
Tributary Flow Plus
(Name or Capacity, (Firm / pf), Daily Flow,
Daily Flow, Obligated Available
Number) MGD MGD MGD
MGD Flow Capacity***
rV
AUG 0 6 2,018
1
tl
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 Flow is the firm ca.pacify of the pump station divided by a pealdng
factor (Ft) not less than 2.5.
x� 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 Narne (Sewer):
Downstream Permit 'umber.
Page I of 6
17'1*'C' 1: AA 1 l

III. Certification Statement:
I Ann B. Hardy, County 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
Approved as to Form. �
000
. County Atfarney
71Z
Date
Page 2 of 6
FTSE 04-16

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LIMITS :OF DISTURBANCE
<,- FOWLER WILLIAM`&
// /OP. 9 BENCHMARK
PIN: 2188196034 SSMH
DB: 01391 PG: 101:1 BISHOPRIC OF THE TOP 39.61
CHURCH OF LATTER 8**PVC IN = 31.61
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DAY SAINTS 8-PVC OUT 151
CEMETERY
PIN: 218819603380 1 CNI
DB: 00521 PC: 0316
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BUFFER FOR FUTURE
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PIN: 218819603703
DB: 01982 PG: 0933
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Licence 4C-3641
16136
DES. TJS
CKO. JPN
DRYN. NSB
DATE 07/31/18
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