WQ0040598_Application (FTSE)_20190129

Central Files- AIDS
.1 12.8/26'1
Plelrrnht Nk4mber WQ0040598
Permit Tracking Sh . ......
P
Program Category
Status Project Type- -------
Non-discharge
In review New Project
Permit Type
cation-:
Version Permit Classifi 4
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
A Individual
Primary Reviewer,,
Permit Contact Affiliation
dean.hunkele
Coastal SWRule
Permitted Flow
F 11 i h
Y
Facility Name
Major/Minor Region
H&M. Farms LLC Private Pump Station
Minor Wilmington.
Location Address
County
Onslow
Facility Contact Affiliation
Owner
Owner Name
Owner Type
H&M Farms LLC Non -Government
Owner Affiliation
John Moore
Dates/ E-vents 102 Seth Thomas Ln
------ Swansboro NC 28584
Scheduled
Orig Issue App Received Draft Initiated Issuance
12/18/2018
Regulated ActJvffies
Public Notice .. Issue Effective Expiration
ReqUested /Received Events'
Additional information requested
_

Intracoastal ngineeringPLLC
December 18th, 2018
NCDENR
Division of Water Quality
1-27 Cardinal Drive Extension
Wilmington, NC 28405
Re: 102 Seth Thomas Ln
PN 2018-oi9
h C iili "''l
7 s ���LlUL
DEC IS 218
,- 1j IZI -3t � ��J
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7.
Dear To Whom It May Concern,
Please find enclosed (1) original and (1) copy of Fast -Track Application, (1) FTSE
Form, (1) fee check ($480.00), and (1) USGS Topographic Map Sheet.
Please review for approval and contact us with any questions, comments or additional
information needed.
Sincerely,
Intracoastal Engineering PLLC
5725 Oleander Dr. Unit E-7 Wilmington, NC 28403 (91O)859-8983

State of North Carolina
Department of Environmental Quality
Division of Water Resources
DVVR
15A NCAC 02T .0300 —FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 &SUPPORTING DOCUMENTATION
Application Number: U`� I�LV o qU J Rr (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: H&M Farms LLC. (company, municipality, HOA, utility, etc.)
2. Applicant type: El Individual E Corporation ❑ General Partnership
❑ Federal ❑ State/County ❑ Municipal
3. Signature authority's name: John Moore per 15A NCAC 02T .010Fb)
Title: Member/Manager
4. Applicant's mailing address: 102 Seth Thomas Ln.
City: Swansboro State: NC Zip: 28584-
5. Applicant's contact information:
Phone number: [phone] Email Address: libeMautospakyahoo.com
❑ Privately -Owned Public Utility
❑ Other
II. PROJECT INFORMATION:
1. Project name: 102 Seth Thomas Ln.
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: Onslow
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.707° Longitude:-77.159'
5. Parcel ID (if applicable): 535503334388
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Charles D. Cazier License Number: P-0662
Firm: INTRACOASTAL ENGINEERING
Mailing address: 5725 Oleander Dr. Unit E-7
City: WILMINGTON State: NC Zip: 28403-
Phone number: [phone] Email Address: Charlie o,intracoastalen ineering 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): WQ0022802 Downstream (Receiving) Sewer Size: 2 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): ONWASA
FORM: FTA 04-16 Page 1 of 5

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k5EiNr,icAL icEquucr.ivMivia
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: DES been attached?
❑ Yes 0No NN/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes []No NN/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑Retail (stores, centers, malls) El Car Wash
❑ Residential Leased ❑Retail with food preparation/service D Hotel and/or Motels
❑ School /preschool /day care El Medical /dental /veterinary facilities El Sw` *Ing Pool /Clubhouse
❑ Food and drink facilities ❑Church ❑Swimming Pool/Filter Backwash
0 Businesses /offices /factories El 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 .011(D? ❑ Yes ZNo
➢ H yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
8.
Establishment Type (see 02T.0114
Daily Design Flow','
No. of Units
Flow
Warehouse
100 gal/Loading Bay
1
100 GPD
General Business
25 gal/Employee/Shift
6
150 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
250 GPD
a See 15A NCAC 02T .0114f 2)5 Q., (e)(1) and. (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unlmown 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 fxtures, occupancy or operation patterns, and other measured data.
Wastewater generated by project: 250 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):

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity 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 muzimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VHI. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC LPump 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: 34.707' Longitude:-77.159'
3. Design flow of the pump station: 0.00025 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 37 gallons per minute at 35 feet total dynamic head (TDI)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
2
210
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
(Jr if the pump station has an average daily flow less than 15,000 gallons per day:
Z 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.

IA. ;5E I ISAUPQN OL k'q YA1ZA 11V1r �5 — (ULIS .ULUU 4M 13A 1V %,AL, UL 1 .U-3U3k1)):
l . Does the project comply with all separations found in 15A NCAC 02T .0305(f,) W Z Yes [:]No
D 15 A NCB A C'' O'1T OIO S(f) rnntninc minimum cPnarntinnc that shall hP nrnvicied for .qPwPr cvctem.q'
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 mainshorizontal)
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 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
Anyswimmin pools
10 feet
Final earth de (vertical)
36 inches
➢ 15A NCAC 02T.03O5(o contains alternatives where separations in 02T.O305(f cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
➢ 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) Z Yes ❑ 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 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? JZ 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 Permitting_ Branch
5. Does project comply with 15A NCAC 02T.0105c)(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 ® 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 O2T.O4O3(a)(5) or the permitee's individual System -Wide Collection permit.

A. %1E A I lip it'A I IVlr kql):
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pg= Stations
and Force Mains (latest version), and the Gravity Sewer Minhn- un Design Criteria (latest version) as applicable?
0 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 CAVIZZI 1, CA UVL--� attest that this application for
(Professional Engineer's name from Application Item III.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 mum 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. x
North Carolina Professional Engineer's seal, signature, and date:
3 ; Applicant's Certification per 15A NCAC 02T .0106(b):
I,
ignature Authority's name & title from Application Item I.3.)
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 143-215.6E, 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:

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FT0. SE 10-18)
Entity Requesting Allocation: H & M Farms,, LLC
Project Name for which flow is being requested: 102 Seth Thomas Lane
More than one .FT,SE may be required for a single project if the owner of the WWTP is not responsible for all punW
stations along the route of the proposed waastewaterflow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Swansboro WWTP
b. WWTP Facility Permit #: WQ0023261
All, fVows are in MGD
c. WWTP facility's permitted flow .6
d. Estimated obligated flow not yet tributary to the WWTP .0956
e. WWTP facility's actual avg. flow .3591
f. Total flow for this specific request .00025
g. Total actual and obligated flows to the facility .4549
h. Percent of permitted flow used 76%
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
Average Approx. Obligated, Total
Pump Pump Daily. Current Not Yet Current
Station Station Firm Flow* * Avg. Daily Tributary Flow Plus
(Name or Permit Capacity, * (Firm / pt), Flow, Daily Flow, Obligated Available
Number) No. MGD MGD MGD MGD Flow Capacity* * *
Swansboro None
K A; A A I o f o Q` .26 .104 .0006 .00025 .0009 .1031
Halls
WQ0022802 1.584 .634 .359 .0959 .4549 .1791
* The Firm Capacity (design flow) 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, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
* * * 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):
Downstream Permit Number:
ONWASA
None - predates permit numbers
Page 1 of 6
F-TSE-10--1--8 - - -

III. Certification Statement:
I Dave M. Mohr, PE, Engineering certify to the best of my knowledge that the addition of
Director
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 certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Signing Official Signature
Title of Signing Official
IZ11-3 /2�P/
N
Page 2 of 6
- -- FTSEA O--w-1 -

12/18/2018
SewerNarrative
102 Seth Thomas
Swansboro, NC
PN 2018-019
102 Seth Thomas occupies an existing parcel totaling i.o1 acres located in
Swansboro, NC. We are proposing to serve an existing 3,000s.f. industrial building with
a failing septic system. The use is warehouse &general business. Flow generated by this
use is 25o GPD (loo GPD/Loading Bay + 6 Employees @ 25 GPD/Employee/Shift) The
flow will be routed to an Existing 2" Force Main by means of a proposed 2" force main
from an onsite pump station. The flow will ultimately reach ONWASA's Swansboro
WWTP treatment plant WWTF Permit No. WQ0023261.

• File an Annual Report/Amend an Annual Report • Up.load a PDF Filing • Order a Document Online •
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Pre -Populated Annual Report form
Limited Liability Company
Legal Name -
H & M Farms, LLC
Information
Sos1d: 0463306
Status: Current -Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 6/29/1998
Registered Agent: John Moore
Addresses
Mailing
317 Royal Bluff Rd
Jacksonville, NC 28540
Reg Mailing
317 Royal Bluff Rd
Jacksonville, NC 28540
Company Officials
Principal Office
317 Royal Bluff Rd
Jacksonville, NC 28540
Reg Office
317 Royal Bluff Rd
Jacksonville, NC 28540
P11 LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Member Member Member
Marie Heath John Moore Roy K Heath Family Trust
:317 Royal Bluff Rd 115 Lydia Dr 317 Royal Bluff Rd
Jacksonville NC 28540 Swansboro NC 28584 Jacksonville NC 28540

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Map data @2019 Google 200 ft
1/28/2019