WQ0040774_Application (FTSE)_20190514

Pel-milt Nurinber VVQ0040774
Central Files: APS SVVP
4/8/2019
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 Cont-act Affiliation
dean.hunkele
Coastal SWIRLde
Permitted Flow
Facility Name Major/Minor Region
Sea Breeze RV Park Private Pump Station &.Sewer Minort Wilmington
Location Address County -
Brunswick
Facility Contact Affiliation
Ovi-ner
Owner Name
Owner Type
All -in LLC
Non -Government
Owner Affiliation
Samuel Varnam
1574 Monster Buck. Estates
Da-T'es/Events
Supply NC 28462
Scheduled
Orig Issue
App Received Draft Initiated
Issuance Public Notice. Issue Effective Expiration
4/4/2019
Regina e d A cit i v i t *1 e s
Requesti-ed /ReceMed Events
Additional information reqUested
Additional information received
otattf'c 114
Waterbody Name
Streamindex Number Current Class Subbasin

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,
1429 Ash -Little River Road
Ash, NC 28420
[phone]
[phone] Fax
J. Phillip Norris, P.E.
Thomas J. Scheetz, E.I.
F
ta t 5:
1.
APR 0 4 2010
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 #1026) for the processing fee.
Please review this information for approval and contact us with an questions or comments you
any
may have. Thank you for your assistance on this project.
Sincerely,
NORRIS & TUNSTALL
CONSULTING ENGINEERS, P.C.
Thomas J. S eetz,
TJ S/ttw
18032 04-02-19 s-fast track swr-private-Itr
Enclosures
cc: Samuel Varnam
NCBELS License C-3641

State of North Carolina
Department of Environmental Quality
Division of Water Resources
..wR
15A NCAC 02T .0300 —FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 &SUPPORTING DOCUMENTATION
n
1��3a C ��
Application N bOka!� o b completed b DWR Number: (t ey )
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: All -In, LLC (company, municipality, HOA, utility, etc.)
2. Applicant type: ZIndividual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal El Other
3. Signature authority's name: Samuel Varnam per 15A NCAC 02T .0106(b)
Title: Owner
4. Applicant's mailing address: 1574 Monster Buck Estates
City: Super State: NC Zip: 28462-
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
H. PROJECT INFORMATION:
1. Project name: Sea Breeze RV Park �riV4,VC.
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 WVVRF Permit Number: W00023693
Owner Name: Brunswick County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ00299<4 q4993 Downstream (Receiving) Sewer Size:A00i(nch
System Wide Collection System Permit Number(s) (if applicable). WQCS00284 V
Owner Name(s): Brunswick County
FORM: FTA 04-16 Page 1 of 5

LW
GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No E]N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agleement FORM: DEVI been attached?
❑ Yes nNo ON/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes E]No ZN/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑Retail (stores, centers, malls) ❑Car Wash
❑ Residential Leased ❑Retail with food preparation/service El Hotel and/or Motels
❑ School /preschool /day care ❑Medical /dental /veterinary facilities ED Swimming Pool /Clubhouse
Food and drink facilities ❑Church ❑Swimming Pool/Filter Backwash
Z 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 yes, provide a cop-v=flow reduction letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01140
Daily Design Flow a,b
No. of Units
Flow
Parks & rec - campground with water &
sewer
100 al/cam site
g p
115
11 500 GPD
'
Shopping center & mall with food service
130 gal/1000sf
22
2,860 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
149360 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.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
El 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 (GravitySewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
6" 39682 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 AMC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Niains):
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 (firm capacity)
4. Operational point(s) of the pump(s): 80 gallons per minute at 115.62 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
3
1197
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 Beater 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 .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

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(fl & (s) 0 Yes ❑ No
15A NCAC OT_0305(f) nnntsinq minimum cPnaratinnc that ehnll hP nrnvidPd fur ePwPr cvctPmc-
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 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
To slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
An swimmin Dols
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpae
➢ If noncompliance with 02T.0305(1) 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 .0200? ❑Yes El No 0 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 E]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)? El 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. CERTMCA TIONS
:
comply w -CAC 02T the Minimum Design Criteria for the Perinitt of Puml
1. Does the submitted, system with 15A in p st,-,tfions
and Force Mafiis (latest version) and the Gravit Sewer Minimum Desioprn Criteria (latest versi as applicable?
Yes (
No
1fNO,.complete and submit the Vagiiance/Alternative Design -Request Application (VADC.10-14) and supporting documents for
review. ARproval of the reguest is reairedprio ' to submittal of the Fast Tracyication and ,supporting documents.
U
2. Professional. Engineer's Certification:
Le 1 attest that this application. for
(Professional En s name. gmeer' from. Application Item 111. 1.)
6Y
eAl , L. . * I tent, with the informatiol . 1 -supplied in the plans, �specifications,
has been reviewed b a, Ad is: accurate comple and consistent wi
ee y me.
146 a] other lation to the best knowledge.I further attest that � to the best
engimpring.calcu 1,01fts-, and 1 er supporting. documen
MY
of MY knowledge. the proposed design has. been. prepared mi.accordance with the applicable regulations., Gravity Sewer
Minimum Design.eriia�f6r Gravity Sewers (latest: versio-n)., and the Minimum Design Criteria for the Fast -Track Permitting
Crit.
M
of Pump StatiOns:,and Force wins latest version). Although ther essionals may have developed certain portions of this
UMP gh o prof
submittal ackage inclusion ofthe e materia
ls under any signature and seal .signifies that I have reviewed this material and
e h e proposed design.
have judged it, to be consistent with the se.
NOTE In accordance with General Statutes143-215.6A and 143-215.68,.any.person who knowingly makes any fillse
statement., representation, or certification -m' any application package shall be guilty ..of aClass2 mi8detneanor,4hich may
include a:fino mot to exceed $ 1 0:1000, as well as civil penalties up to $25.000 per violation.
..............................
I � t* 7 ... ................
CAR �,'
North Carolina Professional Engineer seal, sigrnature,:and date:
N , I -
_el Ali,
119
C/ )
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0- < Z- z. 's
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HILU
........... .... . .........
4, 01.
3. Applicants Certification per 15A NCAC 02T.0106(b):
GW(­NCUN-\ Attest. tbat .this awlication for
(Sigma W6 Authority, 9 nam& title from Application Item 1.3
i
:has been reviewed by me and is accurate and: complete to the best of m: knowledge. I understand that if all required parts of
,this appli"catio-n are not completed and that if alLrequired. supporting documentation and attaclinients are not included, this
application package s subject
ftom. thil.,
to being returned as incomplete. I understand that any discharge of wastewater this non-
discharge system to surface waters or the. land will result in an. hm.ediate enforcementaction that: may include civil penalties
injunctive. relief, and/or criminal prosecution. I will make no.claim. against. the Division of Water Resources shou. Id a condition
of this permit. be violated,. I also undersiand.that if all required parts of thig application package are. -not c.9 leted and that if
uire "on and. attachments are not included, this hcation� pai*age: Will be returned to me as
all -req d supporting -.informati application
incomplete.
NOTIE, in accordance with General Statutes 143-2 15.6A.and 1,43-215.6 any person who knowingly 'makes any false
statement, represent n,. or- cmtfification� in - any .application packagp. shall, be ilty f Clas& 2 misdemeanor, which guilty o a meanor,, wh may
violation.
Include a fine not to Geed :$1 0,00.0 as well: as civil penalties up to $25,000 per vio, . ion.
a r alll ni2 M
Signature. Date:
FORM: FTA 04-16 Page 5 of 5

t j3
State of North Carolina
Department of Envxronxnental Quality
j
; ; 1 f-t � t `s ''; Y Division. of Water Resources
MVf1,; ��� o Water � �_���� � Flow Tracking for Sewer Extension Appiicatia��s
(FTSE 10--18)
Entity Requesting Allocation: Samuel Varnam
Project Name for which flow is being requested; Sea Breeze RV Park
Mori 1jllln 4ll e 1''T ' tll(l ) be l`4 1 1rdf l' a .Oigle - roject �!, f ille o1pner D f the WWTP is not responsible for all pump
st rfia�ts along t1le roicte o, f tIleproposecispasteiUater floe.
I. Complete this. section only if you are the owner of the wastewater treatment plant.
a. WWTP.Facj.Ijty Name. "ST BR. UNSwICK WRF
-be W,.WTPFac"i"lityP'ei-rnit : VQ 0Q23693
ll flO vs are m MGD,
c. WWTP facility's permitted flow 6400
d. Estimated obligate: flow not yet tributary to the WWTP* 0.82
e. WWTP facility's actual avg. floe 2.998,
p .
f. Total flow for th S ecic request 0.40143.6,
-Total -actual and obligated flows to the facility 3083 8-1
h. Percent of permitted flow used 63.97% o
II. Complete -this section for each pump tation you are responsible for along the route of this proposed
Wastewater flow:
fist pump stations located between the project +connection point sand the WWTP.
(A). (B) (C) (D)=(B+C) (E)=(A-D)
Design Cblieated,
Pump Pump Average Approx. Not'Yet Total Current
Station Station Firm Daily Flow** . Current Tributary . Flow Plus
(Name or Permit Capacity, .(Firm / po; Avg. pally Daily Flow, Obligated Available
Ilunzbe) No. MGD MGD Flow, MGD MGD. Flow Capacity
x The Firm Capacity (desigi `flow) of any pump station is defined as the maximum pumpeI flow
that can be achieved with the largest. pump taken out of service.
DO - gx Average Daily Flow is the lxxria eapac�ty of fire pi��np station �l��ide�l by a peaking factor
(p not less than 2. per Sectio�.o(A�(4)(c) of the IVlinimum 'Design.Criteria.
x'cx
' A Planning Assessment Addendum' shall Abe attacl ed for each* pu-mD station located
between the ptaject cannectiori point and the ti'�wTP where:: the Available :capacity is o.
Dove nstream, Facility Name (Sewer-). 1.8" FM on Holde Beach Rd
Downstream Permit Number: WQO029934
Page 1 of 6
FTSE I O-- 18

f' `Ill. 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 routeto.. the receiving
wastewater treatment facility arld that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overfiovv or overburden any dovvnstzeam. pump station en route to the receiving
treatment plant under 'normal circumstances, given the implementation of the planned improvements
identified in .the P � lannin assessment where applicable. This analysis has been per ormed in accordance
with focal established policies and procedures usiiag the best available data. This. certification applies to
those items listed above in -Sections I and 11 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 leas adequate capacity to transport and treat the proposed new wastewater.
,
Signing civil. ,Signature cite
Rirap.
Title of A.4 o.ffilezal
Page 2 of 6
.FTSE 10.18

SEINER NARRATIVE
SEA.BR.E-EZE RV PARK
Holden Baach, Brunswick County
For
A*0-Int LLC
1574 Monster Buck Estates
Supply, NC 2846�2
10-443-4246.
Ali
�- - C
'.
r ••
°e A
February, 2019
Prepared' by
NORR.IS & TUNSTALL CONSULTING ENGINEERS, P.C.
142*9- Ash -- Little . Rlver Road
Ash, North Carolina 28420
(910), 287=5900
[phone] (Fax)
License # CI-3641,
N&T Project No 18032

NARRATIVE
SEWER SYSTEM.
This private gravity .system is designed t. service a proposed -
RV V campground
with 115 RV sites, an office, and .amenities including a pool and recreationai areas. A
total of 316821 LF of 5-inch sewer line will be needed to complete the gravity portion of
the system. This ne:w .system will require a pump Station to connect to the existing 18"
force main. A total of 1 7 1 97 LF of 3-inch PVC end 1.05 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 G:PD The private gravity sewer collection system _and pump station will be
owned and operated by Samuel Varnarn. The 4-inch HDPE s6ction is under NC 130
and will be owned by Brunswick County.

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an Amended a Annual Report form
Limited Liability Company
Legal Name
All -in, LLC
Information
Sosld: 0714371
Status: Current -Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 3/3/2004
Registered Agent: Varnam, Samuel N.
Addresses
Mailing
1574 Monster Buck Estates
Supply, NC 28462
Reg Mailing
1574 Monster Buck Estates
Supply, NC 28462
Company Officials
Principal Office
1574 Monster Buck Estates
Supply, NC 28462
Reg Office
1574 Monster Buck Estates
Supply, NC 28462
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Managing Member Managing Member
Lisa Lewis Varnam Samuel Varnam
1574 Monster Buck Estates 1574 Monster Buck Estates
Supply NC 28462 Supply NC 28462

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