WQ0040736_Application (FTSE)_20190429

Central Files.-. APS SWID
3/26/2019
Permit Number WQ0040736
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 Name Major/Minor Region
WT School Creek Force Main Relocation Minor Wilmington
Location Address County
Onslow
Facility Contact Affiliation
Owner
Owner Name Owner Type
City of Jacksonville Government - Municipal
Owner Affiliation
Richard L. Woodruff
PO Box 128
DateslEvents Jacksonville NC 28541012
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
3/26/2019
,Regulated Activities Requested /Received Events
Additional information requested

WD C <SON
community Intrastrualuw consutt-anf s
March 22, 2019
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
RE--. wardola-Thompson School Creek Rest+aration Prof ect --- Project No. CS370386-08
15A NNCAC 02T , 0300 — East `'rack Sewer System Extension Application
To whom It May Concern:
rz
7 <" ,
The- following application package indudes the followm:g: -
l . Past Track'(Form: ETA 0446) Application # MAR f
f
2. Site Maps` �7
a. USGS Project Localaion I-ap
b. Aerial Protect Locatiork.Map
3, fisting Permits
This protect is a replacement of dual 36' reinforced concrete pipes with a 27-foot span bridge. The
purpose of the proposed force amain relocation is to realign the force main to be installed on the
upstream side of the bridge. The force main will be replaced with 70 LF of restrained joint duce
iron pipe securely fastened to the side of the bridge. This pemmit is requested since the. sewer force
main will be relocated as a buried line to an aerial line securely fastened to the side of the bridge and
this line will be considered a �figh Priority Line.
Please feel .free to contact me anytime at 919=752-0495 or by email at mhorst anCwkdickson.com if
you have any questions. or concerns related to these comment responses. we look forward to
finalizing this design and address- any future questions or concerns.
Sincerely,
Marc Horstman, PE, PHj CPM
Project Mariager
W.K. Dicl<s�on & Co., Inc.
720 Corporate Center Drive
Raleigh, NC 27607
Tel. [phone]
Fax 919,782,9672
www.wl<dicl<son.com Transportation • water Resources -* Land Development • Geomatics

State of North Carolina
Department of Environmental Quality
Division of Water Resources
D.
15A NCAC 02T .030�0 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-1f & SUPPORTING DOCUMENTATION
Application Number: W CO 93�to be completed by DWR
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: City of Jacksonville (company, municipality, HOA., utility, etc.)
2. Applicant type: ❑ individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County Z Municipal ❑ Other
3. Signature authority's name: Dr. Richard woodruff per 15A NCAC 02T .0106{b)
Title: Ci , Manager .
4. Applicant's mailing address: 815 New Bridge Street or PO Box 128
City: Jacksonville State: NC Zip: 28541-
5. Applicant's contact information:
Phone number: 919) 938-6446 Email Address: [e-mail]
El. PROJECT INFORMATION:
1. Project name: wardola.-Thompson School Creek Restoration Project
2. Application/Project status:��Proposed (New Permit) it
/
Project
If a modification, provide the existing permit number: WQOO 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: 34,744839' Longitude:-77.429097'
5. Parcel ID (if applicable): 036189
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
i. Professional Engineer: Marc T. Horstman License Number: 041392
Firm: wK Dickson Co., & Inc.
Mailing address: 720 Corporate Center Drive
City: Raleigh State: NC Zip: 27607-
Phone number: (9U9 782-0495 Email Address: mhorstman@a,wkdickson.com
IV. WASTEWATER TREATMENT FACILITY ('WWTF) INFORMATION:
1. Facility Name: Jacksonville Land Treatment Facilfty Permit Number:
Owner Name: City of Jacksonville
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWT'F):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: inch
S,y lein wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
FORM: FTA 04-16 Pagel of 5

V1. GENERAL REQUIREMENTS
I . If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes []No HN/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DE been attached?
[:]Yes ❑NTo NN/A
3. If the Applicant is a Hone/Property Owners' Association, has an Operational Agreement (FORM: HOAR been attached?
❑ Yes ❑No ®NIA
4. Origin of wastewater: (check all that apply):
❑ Residential Owned El Retail (stores, centers, malls) ❑ Car wash
❑ Residential Leased ❑ Retail with food preparation/service ❑ 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 El Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater N Domestic/Comri�ercial % Commercial
% Industrial (See 15A NCAC 02T .0143 (20)}
Is there a Pretreatment Program in effect? ❑ Yes ❑ Na
6. Hasa flow reduction been approved under 15A NCAC 02T .01 I4 ? ❑ 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')'
No. of Units
Flow
gall
GPD
This is a relocation of a Sanitary Sewer
Force Main. No addition or reduction of
sewer will occur.
gal/
GPD
gal/
GPD
gaU
GPD
gal/
GPD
gal/
GPD
Total
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: 0 GPD (per 15A NCAC 02T .0114)
➢ Do not include future flows or previously permitted allocations
If pennitted 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
❑ Omer (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
N/A Sewer Force Main
Relocation
➢ 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
VIU. PUM ? 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:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
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
16
70
RJDIP
6. Power reliability in accordance with 15A NCAC 02T..0305(h}( }:
El 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 low 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 .0305(h)(1)(C).
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (drab 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 4 of 5

IK. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(t)):
I . Does the project comply with all separations found in 15A NCAC 02T .0305(D & [—]Yes No
➢ � 5A NC�A�`.' t}2T'_��t�5(fl cnntain� minim»m cQnaratinn� that al�all �P nrnvir�Pr� fnr �Pwer cvci-Pm�•
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-1 waters of Class I or
Class 11 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
54 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 swinuning pools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0345( } contains alternatives where separations in 02T.0305M cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC Surface Water Classifications ffebpage
➢ If noncompliance with 02T.0305(o or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes Z 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 15.A. 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 ❑ Yes E 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 El No
Per 15A NCAC 02T. 0 105 (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.04021, "High -priority sewer" means "any aerial sewer, sever contacting surface waters, siphon, or sewer
positioned parallel to strearnbanks that is subject to erosion that undermines or deteriorates the sewer.
® Yes ❑ 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 5 of 5

X. CE13:TNICATIONS:
1. Does file submitted system comply with 15A NCAC 42T, the Minimuni Design Criteria. for the Permitting of Pump Stations
and Force Mains latest version and the Gr�ty Sever M1nu11«m Design Criteria (latest versions as applicable?
M Yes ❑ No
Tf No, complete and submit tho Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is recluired pria to submittal of the Fast Track Application and supportine documents..
2. Professional Engineerts Certification:
L
(Professi
Engineer's name from Application Item TILT.)
attest that this application for
has been reviewed by ibe and is accurate, complete and consistent with the .information supplied ill the. p.laasi 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 Cri�tetia for Gravity Sewers (latest version), and the Minimum Design Criteria for the Past -Track Perrnit�ng
of Pump Stations and Eorpe Maui as (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 revvicwed this material and
havejudged it to be consistent witli the proposed design.
NOTE — In accordance with General Statates 143-2.15.6A and 143-215.6% any person who knowingly makes any false
statement, representation, or certification in any application package shall be guitty of a Class 2 misdemearror, which - may
include a fine- not to emceed I O,o00, as well as. civil penalties --up to $25,000 per violation.
North Carolina Professional Engrneerf s seal, sign.atu-rr &; and. date:
3. Applicants Certification . er 15A NCAC 02T-,0106(b):
(Signature Authority. YAne &c title from .Application Items I.1)
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attest that this application for
has been reviewed by me and is. accurate and complete to the best of my l0iowjedge. I understand that if -all xequir-ed parts of
this application are not completed and that if all required supporting documentation anal attachments are not ineltided, this
application package is subjfact to- being returned as incomplete. I understand that any discharge of wastewater front. this non -
discharge systew to surface.wat�rs or the land will. resu t in .aii immediate enforcemcnt. action that may include ci�r'I 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 a required pea•ts of this application package are not completed and that if
all requited supporting infoknation aiid attachments are not included, this application package will be returned to nee as
incomplete.
NOTE — In accordance ,with General Statutes 143-215.6A and 141-215.6% airy person who knowingly i-nakes any false
statement, representation, or certification inn any application package shall be guilty of a Class 2 misdemeanors which may
include a fine not to exceed.$10,000 .as well as civil penalties up to $25,O00 per violation.
Signature:
Date;
FORM: FTA 04-16 Page 6 of 5

lie M:apS 34044141.4"N 77025'44.8"W
Map data ©2019 Google 100 ft .
3/26/2019,

N 0��� 6�6 , �,200
v v I < WardolawThompson School creek Restoration Project Fee
ivDICKSON wW,- E Project No. c 3�'�38f -08 1 inch = 660 feet
communfly Inkosiruclure consullanls USCS Project Location Figure