WQ0040450_Application (FTSE)_20181218

Central Files- APS SWP
11/20/2018
P6,-rnflf Nurnbsl- WQ0040450 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
Facility Name Major/Minor Region
I Pump Station 14 Relocation Minor Wilmington
Location Address County
Brunswick
Facility Contact Affiliation
r�.
Own.le. r
Own . er Name Owner Type -
Town of Leland Government - Municipal
Owner Affiliation
David A. Hollis
PE
102 Town Hall Dr
Da`?'e-is/Evenils
Leland NC 28451
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
11/19/2018
ul
'e T ate d. AJI cAUV fides -quested I R_-ceoived Events
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ENO1NEERiNO & November 19, 2018
CONSTRUCTION
Mr. Dean Hunkele
Supervisor, Wastewater Projects Unit
State of North Carolina Department of Environmental Quality
Wilmington Regional Office Water Quality Section
127 Cardinal Drive Extension
Wilmington, NC 28405
Re: Fast Track Sewer System Extension Permit Application
Project Name - Town of Leland Lift Station 14 Improvements
SEPI Project Number: SE17.162
Mr. Hunkele,
Please, find .enclosed the. sewer system, extension permit application (FTA) for
the referenced project, including USGS and aerial site maps of the project
area, lift station calculations, and the $480.00 application fee. A Fi"SE form
was not applicable due to no increase in flow.
This project scope is to replace and relocate the existing. sanitary sewer lift
station, gravity sewer, and force main at Leland Lift station # 14. Th.is
application replaces the existing submersible pump lift station directly
serving 280 single-family and multi -family parcels With a new 832 GPM @
101 TDH lift station, 132 linear FT of gravity sewer, and. 30 linear FT of 8"
forcemain meeting MDC requirements. The existing lift station site will be
demolished and disposed of While abandoning in place the existing 12"
gravity and 8" forcema i n.. The relocated lift . station will have no increase i n .
flow and maintain the existing 832 GPM pumping rate. The new forcemain
will make a connection via wet tap to the existing 16" Brunswick County
forcemai,n along South Nevassa. Rd..AII components possible will be relocated
to the new lift station site.
RECEIVED/ski BNR TAIR
Please contact me, if you have any questions.
0 E i
James S. Craig, PE per2l'Licn
1lVilrrtln -on Rey ,;un-! ��';�i-e
Site/Civil Department
Cc: Lynn Vetter, Town of Leland; Greg Thompson, SEPI Engineering
5,030 New Centre Drive I Suite B I Wilmington.. NC 128403 I Phone: [phone]
Fax: [phone] sepiengineering.corn I @SEPIengineers

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
Application Number: 11a 0 7�' (to be completed by Dwx)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Leland (company, municipality, HOA, utility, etc.)
2. Applicant type: R Individual El Corporation 0 General Partnership
E] Federal ❑ State/County ® Municipal
3. Signature authority's name: David Hollis per 15A NCAC 02T .0106(b�
Title: Town Manager
4. Applicant's mailing address: 102 Town Hall Dr
City: Town of Leland State: NC Zip: 28451-
5 Applicant's contact information:
Phone number: [phone] Email Address: dhollis _,townofleland.com
E] Privately -Owned Public Utility
� Other
II. PROJECT INFORMATION:
1. Project name. Lift Station # 14
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: 34.243210 Longitude:-78.001464'
5. Parcel ID (if applicable): 030OA004
(or Parcel ID to closest downstream sewer)
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M. CONSULTANT INFORMATION•. + 9fe}
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1. Professional Engineer: James S. Craig, License Number: 20132NOV 19 2018
z
Firm: SEPI Engineering & Construction K
Mailing address: 5030 New Centre Drive, Suite B
City: Wilmington State: NC Zip: 28403-
Phone number: (910) 338-213.4 Email Address: icraig_(c sepien imering.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1 Facility Name: Northeast Brunswick Regional WWTP Permit Number: NCO086819
Owner Name: Brunswick County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQDownstream (Receiving) Sewer Size: 16 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00333
Owner Name(s): Town of Leland
FORM: FTA 04-16
Page 1 of 5

V1. GENERAL REQUIREMENTS
1. If the Applicant, is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes [:]No NN/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 ON/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement FORM: HOA) been attached?
E]Yes E]No ®N/A
4. Origin of wastewater: (check all that apply):
ED Residential Owned El Retail (stores, centers, malls)
ED Residential Leased El Retail with food preparation/service
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities
❑ Food and drink facilities ❑ Church
Businesses / offices / factories ❑ Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
Swimming Pool /Clubhouse
Swinuning Pool/Filter Backwash
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. Hasa flow reduction been approved under 15A NCAC 02T.01 14(f 1? [:]Yes Z No
If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01140
Daily Design Flow a,b
No. of Units
Flow
Existing residential
360 gal/unit
280
1009800 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
100,800 GPD
a See 15A NCAC 02T .0114( ), (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.01141 shall be
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 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

VH. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
12 132 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.
VIH. 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: LS#14
2. Approximate Coordinates (Decimal Degrees): Latitude: 34.243210' Longitude:-78.001464'
3. Design flow of the pump station: 0.20 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 832 gallons per minute at 101 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
8 30 PVC
6. Power reliability in accordance with 15A NCAC 02T .0305(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
.0305(h)(1)(C)
or
El 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

14
IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f))o
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (g) ® Yes [:] No
15A 1V('`/�C n?T_(i�n_5(fl cnnt�inc minimum cP»aratinnc that shall hP »rnvir�Pr� fnr cPwPr cvetPme•
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 drinkin water
100 feet
**Waters classified CIS (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
Drama e systems and interce for drains
5 feet
Any swimminag pools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305( ) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **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
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) 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 .02009 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 0 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)? 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.
El Yes N 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 sue -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 versionZ and the Gravity Sewer Minimum Desigp 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 and supporting documents.
2. Professional Engineer's Certification:
I, v2 �, attest that this application for
(Professional Engimeer's name from Application Item 111. 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.
.......................................................................................
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North Carolina Professional Engineer's seal, signature, and date:
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3. Applicant's Certification per 15A NCAC 02T.0106(b):
attest that this application for
(Signature Authority's name & title from Application Item 1.3.)
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 in unctive 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 1-41-215.6A 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:
FORM: FTA 04-16 Page 5 of 5

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12/18/2018