WQ0040337_Application (FTSE)_20181024

Central Files- APS SVVP
10/4/2018
a r ift .\;-u i -i -i b - - WQ0040337 '+ U� Permit Tracking Slip
P.
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
F �a:rnt': '.
Hiti,
Facility Name Major/Minor Region
Davis Drive Sewer Basin CDBG 2016 1 Minor Wilmington.
Location Address County
Columbus
Facility Contact Affiliation
owl-4-0 r
Owner Name Owner Type
Town of Brunswick Government - Municipal
Owner Affiliation
Nancy Hill
PO Box 68
DaitesILE-ve nt.6 Brunswick NC 28424006
Scheduled
{frig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
10/3/2018
Regulated Activities Reciumst,ed,lReceived r-irents
Subdivision Additional information requested 10/4/18
.. . .......

1 1N
THE R `. INC.
a.
ENGINEERING AND DESIGN
708 Abner Phillips Road
Warsaw, NC 28398
Phone [phone]
Fax [phone]
Firm License No. C-4438
Dean Hunkele
NCDEQ-Dept. of Water Quality
Wilmington Regional Office
127 Cardinal Dr. Ext.
Wilmington, NC 28405
Dear Dean,
September 28, 2016 ,
RECEIVED/MCDENR/DWR
OCT 13 2018
Nater Quality Regional
Operations Section
V ilminciot n, Reoional Office
Ref: Town of Brunswick
Sewer Extension Permit Application
Please find all necessary documents for the application of Sewer Permit for a sewer line
extension for the Town of Brunswick. This application will consist of the construction of
1,800 linear feet of 8" gravity sewer along Davis and Bishford Street that will dump into the
proposed Davis Street lift station. The proposed Davis Street lift station will pump via a 4"
PVC force main to an existing manhole that flows to the Leach Street lift station. The flow to
be permitted is 7,200 gpd.
Enclosed please find 2 copies of the following:
- Fast -Track Application
- Narrative
- Flow Tracking Forms
Waste Flow Map to the Whiteville Water Reclamation Facility
USES Topo Map
TDH Calculation
- Check for $480.00
Please do not hesitate to call me at 910-293 -2770 if you have any questions.
LSince ly,
' c ell
The Adams Company, Inc.
Encl.

1
D in 'EK
VVR
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
ji���� t�� completed DWR Application Number. ���11 3 to be co eted b
pp ( p y
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Brunswick (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual El Corporation ❑ General Partnership
❑ Federal ❑ State/County Z Municipal
3. Signature authority's name: Nancy Hill per 15A NCAC 02T .0106(b)
Title: Mayor
4. Applicant's mailing address: P.O. Box 68
City: Brunswick State: NC Zip: 28424-
5. Applicant's contact information:
Phone number: [phone] Email Address: tobrunswickgcentur_ylink. net
❑ Privately -Owned Public Utility
❑ Other
tIT
"r cc,
II. PROJECT INFORMATION:
1. Project name: z er T _ ��� 2016-I
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: Columbus
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.29520 Longitude:-78.7119'
5. Parcel ID (if applicable): 077320
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: M. Floyd Adams License Number: 12273
Firm: The Adams Company Inc
Mailing address: 708 Abner Phillips Rd.
City: Warsaw State: NC Zip: 28398-
Phone number: [phone] Email Address: mfadams1223ggmail.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Whiteville Water Reclamation Facility Permit Number: NC 0021920
Owner Name: City of Whiteville
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ0034221 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): Town of Brunswick
FORM: FTA 04-16
Page 1 of 5

kv I
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 Developer's Operational Agreement (FORM: DEV) been attached?
El Yes ®No ❑N/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement(FORM: HOA) been attached?
EJ 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 EJ 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 % 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)? ❑ Yes E 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
Homes (3 BR)
360 gal/Day
20
79200 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
75200 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: 7,200 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:
❑ 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
15800
PVC
➢ 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: Davis Street
2. Approximate Coordinates (Decimal Degrees): Latitude: 34.2952' Longitude:-78.7119°
3. Design flow of the pump station: 175,000 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 100 gallons per minute at 24 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
4
796
PVC
6. Power reliability in accordance with 15A NCAC 02T.0395 (h)(1):
Z 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
.03 05(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(t) & () ❑ Yes ❑ No
➢ 15A NCAC 02T_0305(f) contains minimum separations that shall he nrovided for sewer systems-
Setback Parameter*
Separation Required
-Storm sewers and other utilities not fiAed 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 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 interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ 15A NCAC 02T.0305W) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ "Stream Stream classifications can be identified using the Division's NC Surface Water Classifications webpag_e
➢ If noncompliance with 02T.0305( or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes El No El 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? Z 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 El Yes Z 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)? Z 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.
❑ Yes Z 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 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=1A) 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:
ok",� vto�-
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
statement, representation, or certification in any application package shall be guilty of a
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
U AL
z i 227 �
�0.
w�
........................................... ..........................
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
c. . AY )t4 r 0
(Signature Authority's name & title from Application Item I.3.)
who knowingly makes any false
Class 2 misdemeanor, which may
attest that this application for
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: Date:
kd�___Ium ow
W W'W— 7
FORM: FTA 04-16 Page 5 of 5

TOWN OF BRUNSWICK
______201.6-I_CDB_G_Se_wer--Line Extension__
Brunswick, NC
Columbus County
9/07/ 18
NARRATIVE
1. Project Title: Brunswick 2016-I CDBG Sewer Line Ext.
2. Location: Davis Street, Bishford Rd., Brunswick, NC
3. Additions/Improvements: 1,800 LF of 8" Gravity Sewer, 7 manholes, Complete Pump Station,
(incl. Duplex pump system, On -site generator, telemetry system) and 796 LF of 4" Force Main
4. System will serve 20 residents; total added flow — 7,200 GPD.
5. Waste Water Treatment Facility — City of Whiteville, NC (NC 0021920)
6. Future service potential — The gravity lines would not serve any additional units. The pump
system is set up to handle additional flow for adjacent areas
7. All proposed gravity lines and Davis Street lift station will be owned and operated by the Town
of Brunswick.
8. This area is located in the Waccamaw River watershed.
9. No Historic Sites are a part of this project.
10. None of the proposed facilities will be located in the 100 year flood zone.
11. None of the proposed facilities will be located in wetlands.

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
--------- --- FTSE 0813
Project Applicant Name: Town of Brunswick
Project Name for which flow is being requested: Brunswick 2016 CDBG Sewer
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: Whiteville Water Reclamation Facility
b. WWTP Facility Permit #: NC 0021920
All f Zows are in MGD
c. WWTP facility's permitted flow
3.000
d. Estimated obligated flow not yet tributary to the WWTP
0.314
e. WWTP facility's actual avg. flow
1.240
f. Total flow for this specific request
0.007
g. Total actual and obligated flows to the facility
1.561
h. Percent of permitted flow used
52%
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)
(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*
r .. n 1 A n n ncQ
n nnn
n nn7 n nn7 n (I Az 1
,. n 1100 n 1 1 C n Al n n 0n'7 n n74 A AA")
* 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.
Page 1 of 6
FTSE 08-13

III. Certification Statement:
I Nancy Hill, Mayor 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 Off�e'lal Signature
r21-18
Date
Page 2 of 6
FTSE 08-13

State of North Carolina
Department of Environment and Natural Resource
s
Division of Water Resources
Z
___Flow�'�acking/Accep-tan-ce fo-r-Sewer-Extens-i-on A-li-cati-ons
(FTSE 08-13 )
Project Applicant Name: Town of Brunswick (Whiteville Flow
Project Name for which flow is being requested: Brunswick 2016 CDBG Sewe
r
More than one FTSE may be required for a single project if the owner of the WWTP is not f pump
a or e res onsibl
p P
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatmen
t plant.
a. WWTP Facility Name: Whiteville Water Reclamation Facility
b. WWTP Facility Permit #: NC 0021920
c. WWTP facility's permitted flow All f lows are in MGD
3.000
d. Estimated obligated flow not yet tributary to the WWTP 0.314
e. WWTP facility's actual avg. flow 1.240
f. Total flow for this specific request 0.007
g. Total actual and obligated flows to the facility 1.561
h. Percent of permitted flow used 52%
II. Complete this section for each pump station you are responsible for along g the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP:
TP.
(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
ble
Number)
Whiteville-
MGD
MGD
MGD
MGD
Flow
Capacity*
Lift Stations
7.920
3.168
1.121
0.007
1.128
2.040
Downstream Facility Name (Sewer): Whiteville Collection System
Downstream Permit Number: WQCS00072
The Firm Capacity of any pump station is defined as the maximum flow that
pumped
can be achieved with the largest pump taken out of service.
* * Design Average Daily Flow is the firm capacity of the pumpstation divided b a peaking y p g
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each um station located
pump
between the project connection point and the WWTP where the Available Capacity is < 0.
P ty _
Page 1 of 6
FTSF, 09-1 1

III. Certification Statement:
I Newlyn McCullen certify to the best of my knowledge that the addition of
---- - t e vo-l-ume-cif-wastewater-to-be-permitted-in this project -has-been evaluated -along the route io--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
FTSE Q4-16

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