WQ0040639_Application (FTSE)_20190603

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L E T T E R 0 F T R A N S M I T T _A
:.To. NCDEQ Date: April 24, 2019
127 Cardinal Drive Extension
Wilmin0on, NC 28405 e: Hawthorne at Pine Forest
.,
Attu: Dean Hunkele ProfeTtN.O.. 18242.PE
*e2are wsending:l E Originals ❑Prints ❑Shop Drawings ❑Calculations
The f6llowleh g : �items: ❑ Correspondence ❑Plans ❑Specifications ❑Other as listed below
1QuantityDescription . . Date:,: Dwg. No. Des c 'P t*
$480 - Check #11715
�Ssue:Statusd ❑For Approval As Requested ❑Construction ❑Bid
❑ For Your Use ❑For Review and Comment Approved as Noted ❑See Remarks
A c tio n' Taken: El No Exceptions Taken ❑Make Corrections Noted ❑Amend & Resubmit
F] Rejected -See Remarks ❑Approved as Submitted ❑Other
JRe'*marks:1

4
; . Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
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: Brunswick County (company, municipality, HOA, utility, etc.) _
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ® State/County ❑ Municipal ❑ Other
3. Signature authority's name: William Pinnix per 15A NCAC 02T .0106(b)
Title: Director of Engineering
4. Applicant's mailing address: PO Box 249
City: Bolivia State: NC Zip: 28422-
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
II. PROJECT INFORMATION:
1. Project name: Hawthorne at Pine Forest
2. Application/Project status: UPr65osed (New Permit) XExisting Permit/Proj ect
1 6co f )
If a modification, provide the. existing permit number: WQ00 and issued date: �r G
If new construction but part of a master plan,provide the existing permit number. W 00
3. County where project is located: Brunswick
4. Approximate Coordinates (Decimal Degrees): Latitude: 33.973 'Longitude: -78.125 °
5. Parcel ID (if applicable): 2030001712
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Christopher Millis License Number: 036235
Firm: Paramounte Engineering, Inc.
Mailing address: 122 Cinema Drive
City: Wilmington State: NC Zip: 28403-
Phone number: [phone] Email Address: cmillisgparamounte-eng.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Brunswick County West Regional WWTF Permit Number: WQ0023693
Owner Name: Brunswick County Sewer System
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ0039987 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00284
Owner Name(s): Brunswick County Sewer System
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 Developers Operational Agreement (FORM: DE V l been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a Hoine/.Property% Owners` Association, has an Operational Agreement (FORM: HOA) been 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
❑ 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 ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
% Industrial (See .1.5A NCAC 02T .01.03{20})
Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .01 14{11? . ® Yes ❑ No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.4114{f))
Daily Design Flow ',b
No. of Units
Flow
1 & 2 B dr. Multifamily Units
140 gal/unit
144
20,160 GPD
3 B dr. Multifamily Units
210 gal/unit
24
5,040 GPD
Clubhouse
5 gal/seat
86
430 GPD
Pool Area
10 gal/person
70
700 GPD
gal/
GPD
gal/
GPD
Total
26,330 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.011.4] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 26,330 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) :
FORM: FTA 04-16 Page 2 of5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 861 C-900 (DR18) 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 MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (.Pump Stations/Force'1:ains}:
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) I Length (feet) I Material
6. Power reliability in accordance with 15A NCAC; 02T .0345�1�}(l. }:
❑ 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
.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. j
➢ 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 a
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 f�& ��)
1 5 A WA C VT 0105(f) c-.nntainc minimum cenaratinn.q th2t s11 fll be nrnvided for sewer vwsterns-
® Yes [:]No
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 interce for drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ 15A NCAC OZT.0305( ) contains alternatives where separations in 02T.0305(j) cannot be achieved.
➢ "Stream Stream classifications can be identified using the Division's NC: Surface Water Classifications webpage
➢ If noncompliance with 02T.0305(t) or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® 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 .02009 ® Yes ❑ No
➢ This would include Trout Buffered Streams per 15A NCAC 1B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® 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 15ANCAC 02T.0105�c,}(6) (additional permits/certifications)? M Yes ❑ No
Per 15A NCAC 02T.01.05(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
➢ 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

CERTIFICATIONS:
1, boes- the subnlitted s OMPIA, With
N. "7
ysteill fie %--fi;
t 11�1 Dc, .�i C ir
..........
k 1S v� jik. . I t io2�. s aplic"ble.J................. .?
Inj Ye 5 No
S �vv docurne.ilts I'VI
.11*No. core lets and submit the Variance/Alte:rnative besion Request up 4kation (VADC 10-14)and upportiti,
P
re --View.. Approval of the re nest is re aired pr*tor. to -submittal of the Fagt Track .-A iuRlica tion., and.su 1gporting.documents.
I 1 � I
. ProfessionalEngineer' Certificati.
atlest Out -this application ft)t-'
(Profe-5sional Engine name frog Applica-tion Ite 11.11.11.10
HAvj-1- an e- *'rZn 11%;
hZI-5 be'c n* reviewed bv me and is aCCUM.0i- e'
'ciW1 plete and consistnt itli thc inforniation su phedidiclansspelIcat.o.
gineerinur alcula i ns, and atl other supporting. documentation to the, best of imt knowledge'. I further attest that -to the best
on
t 0
I' ni kno ed:
Y W1 ge the proposed de,,sign has been prepared in aceordaiw w-ft.11 the a p*ipfitcable re'&-Wations. Gravity Sev�,vr
Criteria for Gravity Sovers.(Iatest versioii.). an.*.d the.Mi- it rita or -Track Permitting
ni uni De C i - sign.. r te f theRist
0-rPu 111P.S. tat lolls aild. Force Mains (lateSt Vers*-J'.
fon')!i Although.other prot'esiion a -Is may have developed certain portions of this
submittal- Packaec. inclus*
ton oftlwse mate.Hals. under my signature, and: sea[ -vie -�ed- this material and
signi Fies :that I have re. p �x
have *udaed it to be consistent With the proposed des ig-a.
NOTE — In accordance with General Statutes 143— 1 5 6A and 143 115 .6B. an- porson � w -Winviv makes Unv.ral.,qe
Y ho kno
suatement, representation. or, cer 'ication inany appfi` ti p •'c ka a
ca on a ge sh-all. begutilty. of a Class "d '.r. Miich may
W C mis- eineano
-a
include -a fine not: to exc ed 5 -1 We'l, I as -C i v` H pien alties up. to $1 �'
010M as: 00.0 per vi I ti.4
0. tioll
C,AiT
iNo.:rt'hCarol.i.naP.rofiessionA]E,n *n:e r's -ure, and date4
seal,:signat z
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3. Applicant s erotica k�n per I 55A NCA C 02T 0 1 06(b)
drat t ` his- appli. cation- f
L OF attest I I or
j y s name &Jitt i A ; Ii ii. t j 6. ,1 r t e .11.
.(.Sig'll,a,t,Uti-.*.A'uLhor.'t,q 1�0 n �:� -C ni 13 PP.1 .. .....
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Ve and com I telo the best of my knowledge latide tandilt': if -all rc4uired-�An­
fia5 bec.n,rP*V1e%V* d bY nic and is -A. p e its at .1 LS Of
lire 1101. C ofnp ete a j a required �supportina- docurneftut 'Atta-16ments arc, not itxtuded:- �thi
this:, *, appli,e4tion I d..and th t. i F 11 ;tttoll a0d
..plicatioti pjc 'b -=t to be.�ing.:returned as incom 1; e� -stand flua :discMn*e� of..
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p et funder. W.asrte.x. aterft ti thi i. is non
'a �may .111clade OVH petialtles
dlkharcye systt,.n to surface waters- r the lan.d. w. i 11 res 1.0 u in an inimediate L :11t Action ft I
It!) U net 'Jve.retief, and/6r'-ctim.i.nal.:prosecut*l.on, I wi I I niiike:no� C1 aim a Miist tffie DivisiOn of Water. kes 0*ui rte S sh( -d a eQnd"
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of this.permlt e. V. sd .s.sbiolated. alsoundertanthat iall i-equ rdpartOf this applfiauon pakage are not. cot 1 -1: tc.d and that if
all 'r*-eq'u't,red support ng infornitation. and attachments.. are not. inchide. d... this application pacUixe will be turtied to file •ils re
a e 5 6 and 111 person who ktiow Agly- makes any - false
e a A
NOTE —In ac.,cordance wi.th Gen" r I St - tut - s 1:4! a 6 13
�jpy
statement. represt!!,ntation.. M Cern'ric'atibn inany app W
lication. pac�-ag�: shall be Wfltv of Class 2 misd hich nlay
emeanor,
inctude a fine not to'exx-eed S1:0.0001as well as 'civil pemaltie*S,0TtoS2500 per Vi olation.
Date:
FOR M - FT A 04- 1 A pntyti 5 e-%f 15

State of North Carolina
Department of Environmental uality
l
Division water Resou
rces
es
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Brunswick Count Public Utilities
Project Marne for ,which flow is being requested: 'Hawthorne at Pine Forest
More than utre .FTSE may be required for a single project Mire owner of the X'.P is not responsible for all pump
stations along the route of the proposed wastewaterf f%w.
1. 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 #: WQ0023693
all ows are in MGD
e. WWTP facility's permitted flow 6.00
d. Estimated obligated flow not yet tributary to the WWTP 0.743
e. WWTP facility's actual avg. flow 2.998
f: Total flow for this specific request 0.02633 It��
g. Total actual and Obligated flows to the facility 3.767
h. Percent of permitted flow used 62.75%
If. Complete thl's 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)=(+C) (E)=(A-.D)
Design
Average
.Approx.
Obligated,
Pump
Pump
Daily
Current
Not Yet
Total Current
Station
Station
Firm
Plow"
Avg. Daily
Tributary
Flow Plus
(Name or
Permit
Capacity,
(Firm I pf),
Flow,
Daily Flow,
{obligated Available
Number)
No.
MGD
MGD
MGD
MGD
Flow Capacity"*
Pine
WQ0039987
0.893
0.357
0.00
0.0469
0.0469 0.311
The Firm Capacity (design flow) of any pump ,station is defined as the maximum pumped flow
that can he 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 he attached for each pump station located
between the project connection point and the WWTP where the Available. Capacity is < o.
Downstream Facility Name. (Serer): Pine Forest Phase 1 Section l Residential
Downstream Permit Number: WQ0039987
Page 1 of 6

ill. Certification Statement:
I Wm.f,. 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 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 11 plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system of treatment
works has adequate capacity to transport and treat the proposed new wastewater.
igning Ufficral,Signatur-e
'//��667rL 06)
Title of Signing Official
M,,f"Nj.v
--a / �-2to� J
Dire
Page 2 of 6