WQ0040773_Application (FTSE)_20190514

Central Files-
APS SWP
4/8/2019
P, eip - rN -u; t N, U mb e r VVQ0040773 Permit Tracking Slip
Program Category
atatus Project ype
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 c' i I, i ity
Facility Name Major/Minor Region
Sea Breeze RV Park Public Force Main Minor Wilmington
Location Address County
Brunswick
Facility Contact Affiliation
0 w n r
Owner Name Owner Type
Brunswick County Government - County
Owner Affiliation
Ann B. Hardy
PO Box 249
Da-t,es/Evenys Bolivia NC 28422024
Scheduled
Or"Jig Issue App"Deceived Draft Initiated Issuance Public Notice Issue Effective Expiration
4/4/2019
ed est n' Regulated AActivitiesR e -w/Reeivedvet
Additional information requested
Additional information received
0 [A f 4-1- r
Waterbody Name Streamindex Number Current Class Subbasin
. ...........
X

NORRIS & TUNSTALL
CONSULTING ENGINEERS P.C.
1900 Eastwood Rd., Suite #11
Wilmington, NC 28403
[phone]
[phone] Fax
John S. Tunstall, P.E.
T. Jason Clark, P.E.
April 2, 2019
Dean Hunkele
NCDEQ - Water Quality Division
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
Re: Gravity Sewer Extension Fast -Track Permit Application
Sea Breeze RV Park
Brunswick County, NC
N&T Project No. 18032
Dear Mr. Hunkele,
n.
1429 Ash -Little River Road
Ash, NC 28420
[phone]
[phone] Fax
J. Phillip Norris, P.E.
Thomas J. Scheetz, E.I.
Enclosed is the original application form, a copy of the Sewer Narrative, the Flow Tracking /
Acceptance Form (FTSE 04-16) from the Brunswick County Public Utilities, a copy of the letter
from Brunswick County indicating sufficient treatment capacity, two (2) 8 '/2 x 11 color USGS
Topographic .Maps, two (2) site plans (ledger. size) and a $480.00 check (Sea Breeze
Campground, LLC # 1025)-for the processing fee.
Please review this information for approval and contact us with any questions or comments you
may have. Thank you for your assistance on this project.
Sincerely,
NORRIS & TUNSTALL
CONSULTING NGINEERS, P.C.
Thomas J. cheetz, E.I.
TJ S/ttw
18032 04-02-19 s- ft swr-public-Itr
Enclosures
cc: Samuel Varnam
NCBELS License C-3641

�Jmk-- qo3 t-)
State of North Carolina
aim
Department of Environmental Quality
Division of Water Resources
, A— N.
15A NCAC 02T .0300 —FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 &SUPPORTING DOCUMENTATION
Application Number: L46 6 4 Or) be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Brunswick Co (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation [:] General Partnership ❑ Privately -Owned Public Utility
❑ Federal Z State/County ❑ Municipal ❑ Other
3. Signature authority's name: William Pinnix, P.E. per 15A NCAC 02T .0106 , )
Title: Director of Engineering
4. Applicant's mailing address: PO Box 249, 75 Courthouse Drive NE
City: Bolivia State: NC Zip: 28422-
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
H. PROJECT INFORMATION:
1. Project name: Sea Breeze RV Park �4�b`k C A
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: 33.9398° Longitude:-78.2983°
5. Parcel ID (if applicable): 21500063
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: J. Phillip Norris License Number: 11966
Firm: Norris & Tunstall Consulting Engineers, P.C.
Mailing address: 1429 Ash -Little River Rd
City: Ash State: NC Zip: 28420-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: West Brunswick WWRF Permit Number: W00023693
Owner Name: Brunswick County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ0029934 Downstream (Receiving) Sewer Size: 18 inch
System Wide Collection Stem Permit Numbers)(if applicable): WQCS00284
Owner Name(s): Brunswick County
FORM: FTA 04-16 Page 1 of 5

VI. 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?
❑ Yes [:]No EIN/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA2 been attached?
❑ Yes ONo E]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 ❑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 Z 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 .0114(f)? ❑ Yes ® No
➢ If , :es, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow 19b
No. of Units
Flow
r
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
GPD
a See 1 SA NCAC 02T .011 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.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 14,360 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
Z Other (Explain): 14,360 GPD requested in an additional FTA app.; this app. is only for the SSFM within NCDOT R/W
FORM: FTA 04-16 Page 2 of 5

V'II. 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 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/ForceMains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: 33.9377° Longitude:-78.2994°
3. Design flow of the pump station: 0.1152 millions gallons per day ( capacity)
4. Operational point(s) of the pump(s): 80 gallons pe 15.62 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this p Station):
Size (inches)
Length (feet)
Material
4
105
HDPE
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
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 (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(#)):
W
1. Does the project comply with all separations found in 15A NCAC 02T .0305(#) & (g) ® Yes ❑ No
15A NCAC O7T_010,5(f) cnntainc minimum cenarstinnc that qha]] he nrnvided fur sewer cvgte.mc-
Setback Parameter*
Se aration Re uired
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
building foundation
5 feet
-Any
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
swimming pools
10 feet
-Any
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(fl cannot be achieved.
➢ "Stream Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
➢ If noncompliance with 02T.0305()or a), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) E]Yes ❑ No 0 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? ❑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 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)? ED 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 ®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:
d
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?
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 requi,=prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
attest that this application for
(Professional Engineer's name from Application Item III.1.)
Gar -
has been reviewed by me and 1s 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.
.......................................q y A•:•7.i.1� _., .......................
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North Carolina Professional Engineers seal, signature, and date. _ _ _ ,0
A
. :
a
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:..................................�.e� .. �o�°................
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, Ill% � �� 2vn i.-, i i n n i Y, P � �� D � r�� D-� �r� / attest that this application for
(Signature Authority's named title from Application Item I.r.
Spa, 90ree--L�--e 40 Part
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 relied 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: 3
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Samuel Varnam
Project Name for which flow is being requested: Sea Breeze RV Park
More than one FTSE may be required for a single project if the owner o f 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: WEST BRUNSWICK WRF
b. WWTP Facility Permit #: WQ 0023693
A11 flows are in MGD,
c.
WWTP facility's permitted flow
6.00
d.
Estimated obligated flow not yet tributary to the WWTP
0.826
e.
WWTP facility's actual avg. flow
2.998
f.
Total flow for this specific request
0.01436
g.
Total actual and obligated flows to the facility
3.838
h.
Percent of permitted flow used
63.97%
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)
Design
Pump Pump
Average
Station Station
Firm Daily Flow*
(Name or Permit
Capacity, * (Firm / p f),
Number). No.
MGD MGD
(B)
(C)
(D)=(B+C) (E)=(A-D)
Obligated,
Approx.
Not Yet
Total Current
Current
Tributary
Flow Plus
Avg. Daily
Daily Flow,
Obligated Available
Flow, MGD
MGD
Flow Capacity* * *
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 < 0.
Downstream Facility Name (Sewer):
Downstream Permit Number:
18" FM on Holden Beach Rd
WQ0029934
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I William L. Pinnix, P.E. 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 arld 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.
2-7 le
Signing Official Signature ate
Title of Signing Official
Page 2 of 6
FTSE 10-18

SEINER NARRATIVE
SEA BREEZE RV PARK.
Holden Beach, Brunswick County
For
Air_Ini LLB
1874 Monster Buck Estates It
Supply, NC 28462
910-443-4245
a e
am
�. ti 119 t
f ,era
��® III J� • '� ir' ,::.4� ..
February, 2019
Prepared by
NORRIS & TUNSTALL CONSULTING ENGINEERS, P.C.
14297 Ash LiitleRiver Road
Ash, Norkh arolina 28420
(.9.1.0).:287-'5900
(9 1 0) 287-8902 (Fax)
License # -3641
N&T Pr'oiect No. 1.8032

NARRATIVE
SEWER SYSTEM:
This private gravity system is designed to service a proposed. RV cam.pgroun
with 115 kV sites, an office, and amenities including a pool and recreational areas.. A
total of 3,6821 LF of 6-inch sewer line will be needed to complete the gravity portion of
the s stem. This new system vrtll rewire a pump station to connect to the existing 1 8"
Y
force main. A total of 19 LF of 3-inch. P.V and 105 LF of 4-inch HDPE will be
.needed to complete the. force main portion of the system, The total flow for the project
is 14,360 GPD. The private gravity sewer collection system and pump station ''Will be
owned and operated b Samuel Varnarn. The 4-inch H DPE section is under INC 1 v
p Y
and will `be o n6d by Brunswick COUnty.

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4/8/2019