WQ0040235_Application (FTSE)_20181001

Central Files: APS SWP
8/16/2018
Permit Number WQ0040235
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
Permit Contact Affiliation
dean.hunkele
Coastal SWRule
Permitted Flow
Facility
Facility Dame
West Swansboro Hwy 24 Force Main
Location Address
Owner
Owner Name
Onslow Water and Sewer Authority
Dates/Events
Scheduled
Orig Issue App Received Draft Initiated Issuance
8/16/2018
Regulated Activities
Outfaii
Major/Minor Region
Minor Wilmington
County '.
Onslow
Facility Contact Affiliation
Owner Type
Government - County
Owner Affiliation
Jeffrey L. Hudson
228 Georgetown Rd
Jacksonville
NC 28540
Public Notice • Issue Effective Expiration
Requested /Received Events
Additional information requested
Additional information received

� . �

N.C. Department of Environment
And Natural Resources
127 Cardinal Drive Extension .
Wilmington, NC 28405 .
JOHN L. PIERCE & ASSOCIATES P.A.
LAND SURVEYING — LAND PLANNING — MAPPING
P.O. BOX 1685
JACKSONVILLE, NC 28541
OFFICE: [phone] FAX: [phone]
E-MAIL: bettybkjlpnc.com
v
Or bAanl a it nc.com
DATE:
August 14, 2018
TO: Dean Hunkele ATTENTION:
Dean Hunkele
Re:
Mid -Atlantic Development LLC
Letter of Transmittal
COPIES DATE NUMBER DESCRIPTION
2 Fast -Track Applications for Sewer (Force Main Only) /with Street
view map & Quad Map I
1 Check in the amount of $480.00 (Force Main Onlv)
REMARKS:
SIGNED: Betty Bullock b � `

State of North Carolina
Department of Environmental Quality
Division of Water Resources
D­ VIR
15A NCAC 02T .0300 —FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dh4won of Water Resources FTA 04-16 &SUPPORTING DOCUMENTATION
Application Number: to be completed b
pp ��'� ( p Y DWR
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Onslow Water & Sewer Authority (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership El Privately -Owned Public Utility
El Federal El State/County E Municipal El Other
3. Signature authority's name: David M Mohr, PE per 15A NCAC 02T .0100 A
6(b)
Title. Engineering Director m
4. Applicant's mailing address: Z2 .$ Gr g aw n 13 4• AUG20
1
City: Jacksonville State: NC Zip: 28540,
ty p
�o
5. Applicant's contact information:�j�=-�=-
Phone number: [phone] Email Address: dmohrkonwasa.com
II. PROJECT INFORMATION:
1. Project name: ��;a "+1'^r;r npyPionment FcurL. m.:.,.�"T ` � Must �
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: Onslow
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.42 33.° Longitude: -77.09 54°
5. Parcel ID (if applicable): PIN 535503144532
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: David K. Newsom License Number: NC 18148
Firm: Crystal Coast Engineering, PA
Mailing address: 205-3 Ward Rd.
City: Swansboro State: NC Zip: 28584-
Phone number: [phone] Email Address: crystalcoasten kbizen .rr.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Swansboro WWTP Permit Number: WQ0023261
Owner Name: ONWASA
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ36935MOD
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): ONWASA
FORM: FTA 04-16
r�ded
Page 1 of

V1.
GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
F1 Yes ONo EN/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's-Ope al Agree. R D been attached?
El Yes [:]No EN/A
3. If the Applicant is a Rom e/Prop T11 A i,.asT r -an Operatio
nal ondl _.&-Lieem F-0- JTOA) been attached?
0 Yes []No EN/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned E Retail (stores, centers, malls) ❑Car Wash
R Residential Leased ❑Retail with food preparation/service ❑Hotel and/or Motels
El School / preschool / day care ❑Medical / dental / veterinary facilities ❑Swimming Pool /Clubhouse
R Food and drink facilities ❑Church ❑Swimming Pool/Filter Backwash
R Businesses / offices / factories ❑Nursing Home ❑Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
% Industrial (See 15ANCAC 02T,.-01.--,'03f2`0))
_>-Is there a Pretreatment Program in effect? r_1 Yes F-1 No
6. Hasa flow reduction been approved under. 15A NCAC 02T,.0I ? E Yes F] No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see,0.2 VL,_(.Q)
Daily Design Flow b
No. of Units
Flow
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
GPD
a See 15A N"CA!C 02T .0114 kLJLgX1)_and ke)Q 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
inG 42A-4).
b Per 15A NCAC 02T.01 14(c), design flow rates for establishments not identified [in table 15A NN"C-AC R 2TA114]shallbe
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 `N-CAC 02T z.-01 14)
➢ 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:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
t
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) 02'I' 305 &.MD- C (G_ra3ity Sewers)
1. Summarize 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) -0.2T .0305 & MDC Pump Statons%Fmrce Malns
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Mid Atlantic Development (PRIVATE - Separate Permit Application)
2. Approximate Coordinates (Decimal Degrees): Latitude: 34.42 33.° Longitude: -77.09 53.°
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
4"
25788
PVC
4"
490
DIP
6. Power reliability in accordance with -15A , ' CA-C 02T �03051:
❑ 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
Ej 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 M5( & g)
or ■
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be brovided for sewer systems:
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
-Any basement
10 feet
Jop slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
-Any swimming pools
10 feet
Final earth grade vertical
36 inches
➢ 15A � CAC 0:2T..030.5( ) contains alternatives where separations inO2T 3.05(.f) cannot be achieved.
➢ * * Stream classifications can be identified using the Division's NC 'Surface Water C1a-ss lt.cailons ebpa-e
➢ If noncompliance with 02-T 030:5 D. o see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) El Yes [:1 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 rules per. 15A I'�TCAC 02B 0200? E Yes ❑ No
➢ This. would include Trout Buffered Streams per 15A NCAAC 2B 02'0;2
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes El 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 & Bufffer Perinittin Branch
5. Does project comply with 15A NCAC 02T 01=05(c} 6 ) (additional permits/certifications)?
0 Yes ❑ No
Per 15A ; � CAC 02'I'.0105(c0( , 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 1SA ' ;CAC 02T t0402 , "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
➢ 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 s41
ix -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 _1 S A NX CAC 02 T the Mlnimwn . esj. Crr �e a far the Porm46g1� ° o=f Pun 8
Y p Y - P Statxc�ns
an fray-c.�_M1_(1att_yersln., and theGs rav1 Sewer.MnTmum Desi: ° . Cntera latesterson.
as applicable?
�� •
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,
fessional 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: o
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3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, 4D M
` �� ib%rCe_+0r—attest that this application for
(Signature Authority's nam &title fromApplication IfOn 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..bA and 14.3 :215.. 6 , 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: &,e20 1[3
FORM: FTA 04-16 Page 5 of 5