WQ0031893_Application (FTSE)_20190522

Central Files- APS SVVP
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Per mn't Nu-nibef- WQ0031893 19
Permit Tracking Slip
Program Category
Non -discharge Status Project Type
In review Major modification
Permit Type
Gravity Sewer Extension: Pump Stations, & Pressure Sewer Extensions Version Permit Classification
B Individual
Primary Reviewer
dean.hunkele Permit Contact Affiliation
Coastal SWRule
Permitted Flow
2,400
Facili-Ity
Facility Name
Pelffer Avenue Campus Private Sewer
Major/Minor Region
Location Address
Minor Wilmington
County
New Hanover
Facility Contact Affiliation
Owner
Owner Name
Friends School Of Wilmington Inc Owner Type
Non -Government
Owner Affiliation
Ethan Williamson
Headmaster
DaMs/Events-z 350 Pelffer Ave
Wilmington NC 28409
Orig Issue App Received Draft Initiated Scheduled
7/20/2007 Issuance Public Notice Issue Effective
4/18/2019 Expiration
Four

CZSE)
ENGINEERING
April 15, 2019
Dean Hunkele
North Carolina Department of
Environmental Quality
Division of Water Resources
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
Re: Friends School of Wilmington
Private Sewer System (WQ0031893)
Permit Modification
New Hanover County
CSD Project No. 05-0040
Dear Mr. Hunkele:
The enclosed permit modification application is for +/- 256 LF of 8" C-900 private gravity sewer main t p g Y o serve a proposed
expansion of the existing. Friends School of Wilmington Peiffer campus in New Hanover Co. This line will connect to an
existing CFPUA sewer main located in'the right=of-wa`y of Camellia Lane by installation of a new, cut -in manhole. The
privatemain will be installed,, owned and --maintained by the developer. The existing permit
p g p m it allocates a flow of 2,400
GPD. We are proposing an increase of 1,35.0 GPD. The FTSE reflects the new total of 3 750 GPD. On Page
g two of the
Fast Track Application we show the new total in' Section 7. In Section 8 we show the additional flow of 1,350
0 GPD
requested for the expansion of the school. Enclosed please find:
- One (1) original and one (1) copy of Fast Track Sewer Application (FTA 04-16)
- One (1) original and one (1) copy of Flow Tracking/Acceptance form (FTSE 10-18)
$480.00 application fee, check #17807
- Street view map
- USGS map
If you. have any questions or comments, please feel free to contact us. Thank you for your assistance.
Sincerely,
'00 0. 4 0
Mike Broyhill
Encl.: As noted above
Cc: Friends School of Wilmington
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805 Cherry Avenue -Wilmington, NC 28403 - 910- 7914441- www.csd-engineering.com — License # C-2710
CSD
ENGINEERING

State of North Carolina
Department of Environmental Quality
Division of Water Resources
...............
15A NCAC 02T .0300 —FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 &SUPPORTING DOCUMENTATION
Application Number:
(to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Friends School of Wilmington,Inc. (company, municipality, HOA, utility, etc.)
2. Applicant type: [:] Individual ® Corporation El General Partnership Ej Privately -Owned Public Utility
El Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: Brenda Esch per 15A NCAC 02T .0106�b
Title: Head of School
4. Applicant's mailing address: 350 Peiffer Ave.
City: Wilmington State: NC Zip: 28403-_
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
II. PROJECT INFORMATION:
1. Project name: Friends School of Wilmington
2. Application/Project status: ❑ Proposed (New Pe 't Z Existing Permit/Project
If a modification, provide the existing permit numb : WQ0031893 nd issued date: July 20, 2007
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: New Hanover
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.203458' Longitude:-77.846198'
5. Parcel ID (if applicable): R06200-003-064-000
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Howard Resnik License Number: 25483
Firm: CSD Engaineering
Mailing address: PO BOX 4041
City: Wilmington State: NC Zip: 28406-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Southside NVWTP Permit Number: NCO023973
Owner Name: CFPUA
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ CM!62� Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System :Permit Number s i ! applicable): : WQCS
Owner Name(s): CFPUA
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 er's Operational Agreement (FORM: been attached?
El Yes []No ®N/A
3. If the Applicant is a Home/Pro ert
O�wnei. 'Association, has an Operational Agree-ment.(FORM: Hbeen attached?
❑ Yes [:]No ®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
N School / preschool / day care
El Medical / dental / veterinary facilities
❑ Swimming Pool /Clubhouse
❑ Food and drink facilities
❑ Church
❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories
❑ Nursing Home
❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
% Industrial (See 15A ICAC 02T .01J)3(2() )
Is there a Pretreatment Program in effect? [:]Yes ❑ No
6. Has a flow reduction been approved under 15ANCAC 02T .0114(f)? El Yes N No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 2T.:1.14 f)
Daily Design Flow a,b
No. of Units
Flow
School (250 students x 15 gpd/each)
3,750 gal/DAY
1
31750 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gall
GPD
gal/
GPD
Total
31750 GPD
a See 15A NCAC 0',2T ------ 01.14(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 1.5A NCAC 02T.0.11.41 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 1,350 GPD (per 15A .NCAC.:' 02'T .0.11.4)
➢ 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

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers :
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 256 C-900
➢ 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
VIII. 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:
2. Approximate Coordinates (Decimal Degrees): Latitude: 0Longitude: - °
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
6. Power reliability in accordance with .15A N*C:AC 02T .0305 h a ` :
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B)i
➢ 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(f)):
1. Does the project comply with all separations found in 1. 5.A .NCAC: 02T .0305 (fl & (g) ® Yes ❑ No
➢ 15A NCAC 02T_0'305(f1 cnntaing minimum cenarntinnv, that chnll he nrnvided fnr cPwer cvetPmc-
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 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 interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ 1.5.A. NCAC 02T.0305(g- contains alternatives where separations in 02T.0305(1-) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications we awe
➢ If noncompliance with 02T.0305 ( or 0 see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) El 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 1.5A NCAC 02:B .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 ® No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the .401 & B ut-4'er Perinittinor Branch
5. Does project comply with .15A NCAC 02T.0105) (additional permits/certifications)? ® Yes El No
Per 1.5A 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 1.5A .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:
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?
® 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 W ��f�� cCLZ ( 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 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.
North Carolina Professional Engineers seal, signature, and date: `�y�►,�� (; A,l�ff
SSA• �'' --
L
• 25483
GI N� • • #N
%.........................14t .,.*....«�....A. N-%0..`.................
3. Applicant's Certification per 15A NCAC 02T .0106(b):
(Signature Authority's name & title J
m 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 143-215.6B, 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.
0V
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FORM: FTA 04-16 Page 5 of 5

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State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Friends School of Wilmington, Inc
Project Name for which flow is being requested: Friends School
More than one FTSE may be required for a singleproject if the owner of the WWTP is not responsible for allpump
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: M'Kean Maffitt (Southside) WWTP
b. WWTP Facility Permit #: NPDES NC 0023 973
All flows are in MGD
c. WWTP facility's permitted flow 12.000
d. Estimated obligated flow not yet tributary to the WWTP 2.125
e. WWTP facility's actual avg. flow 8.044
f. Total flow for this specific request 0.003750
g. Total actual and obligated flows to the facility 10.173
h. Percent of permitted flow used 84.8%
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
Obligated,
Pump Pump
Average
Approx.
Not Yet Total Current
Station Station
Firm Daily Flow* *
Current
Tributary Flow Plus
(Name or Permit
Capacity, * (Firm / p f),
Avg. Daily
Daily Flow, Obligated
Available
Number) No.
MGD MGD
Flow, MGD
MGD Flow
Capacity* * *
39 N/A
1.800 0.720
0.228
0.005 0.233
0.487
34 N/A
14.976 5.760
4.016
0.082 4.098
1.662
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumpea now
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): Cape Fear Public Utility Authority
Downstream Permit Number: WQ0005358
Page 1 of 6
FTSE 10-18

A
P
III. Certification Statement:
I Matthew Tribett, CFPUA Eng. Mgr 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 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
ti
" 65, es —
Title of Signing Official
Date'
Page 2 of 6
FTSE 10-1 8