WQ0037863_Application (FTSE)_20190626

WQ0037863
Program Category
Non -discharge
Pen -nit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
dean.hunkele
Coastai SWRtfle
Permitted Flow
37,125
-acuity Narne
Hardison Tract Commercial Development Sewer
Location Address
0-vvner
Owner Name
Pluris Hampstead LLC
Dafasi'Eve-ntel
Central Files. APS SVVP
6/31/2019
sfafus
Protect Twre
In review
Major modification
Vam ion
Permit 01!assifi"'rion
B
Individual
Permit Conaac' A,�'Mation
Major/Wno r Reaior,
Minor Wilmington
County
Pender
Facility Cor-tao" AffiliaUon,
0,mner Type
Non -Government
Owner Affiliation
Maurice W. Gallarda
PE
2100 McKinney Ave
Dallas TX 75201
Scheduled
Orig Issue App Received Draft Initiated issuance Publilc Notice sssue Effective Expiration
6/25/2015 5/3V2019
Rau atad AdUvi"L�C-s eh -'ad
Food preparation, other Additional information requested
Restaurant Additional information received
Retail
Wastewater collection
0-
------------
VIVaterbody Na )asir,
rrya

0
DeanHunkehe
Senior Environmental Specialist
Surface Water Protection
NCDENK'DVV{lVV|RD
127Cardinal Drive
Wilmington, NC 28403
May 31,2019
yT*TITIIFI.. W.
Dean,
Please find attached a fast track application package for the Hampstead Station Outparcel B
project. This package includes the application fee and two copies of:
w Two copies ufapplication form FTAD4'16
a Two USBSmaps showing the site.
m Two copies ofthe original permit.
* The application fee of$480.
m Two copies ofthe easement for the station.
Please let the following serve asabrief narrative fortheproject:
This project isamodification ofthe Hardison Tract Commencia|Deve|opment3ewerpenmb
issued June Z5,IO15. This |sazero flow modification. The sole purpose ofthis modification istn
address the upsizing of the station to accommodate pumps capable of providing scouring velocity of the
downstream 1Z'sewer force main. The lift station pump operating point will beQOOgpnnat138.5feet
ofTDH.
The lengths of the gravity sewer line and the force main have changed to fit the new location of
the plan.
|fyou have any questions please feel free tocall meatg1O.448.1O46.
Sincerely,
M 16kae|[Gallant, PE
[e-mail]
�0, Box4039

Department EIEnvironmental Quality
Division of Water Resources
15A NCAC 02T.0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
DIvislon of Water
Application Number:
(to be completed by DWR)
1. Applicant's name: Pluris Hampstead, LLC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ❑ Municipal
3. Signature authority's name: Randy Hoffer per 15A NCAC 02T .0106(b)
Title: Regional Manager
4. Applicant's mailing address: 1095 H1 210
City: Sneads Ferry State: NC Zip: 28460-
5. Applicant's contact information:
Phone number: [phone] Email Address: rhofferCa?,plurisusa.com
1. Project name: Pluris Regioanl Lift Station
® Privately -Owned Public Utility
❑ Other
2. Application/Project status: ❑ Proposed (New P-rrrit)—� _, ® Existing Permit/Project
If a modification, provide the existing permit number: WQ0037863 �nd issued date: 6/25/I5
If new construction but part of a master plan, provide the exist ng-1 rmit number: WQ00
3. County where project is located: Pender
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.36459' Longitude:-77.7164'
5. Parcel ID (if applicable): 3282-65-9723-0000
(or Parcel ID to closest downstream sewer)
ff' i E`�EEi E
I. Professional Engineer: Michael C. Gallant. PE License Number: 25572
Firm: Michael C. Gallant, PE, PA
Mailing address: PO Box 4039
City: Surf City State: NC Zip: 28445-
Phone number: 910) 448-1046 Email Address: [e-mail]
L Facility Name: Pluris Hampstead WWTF Permit Number: WQ0037287
Owner Name: Pluris Hampstead, LLC
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WW'ITF):
1. Permit Number(s): WQ0037324 Downstream (Receiving) Sewer Size: 12 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): Pluris Hampstead, LLC
FORM: FTA 04-16 Page 1 of 5

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: DEY) been attached?
❑ Yes [:]No ®N/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ®NIA
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
[l 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 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 ves, Drovide a eowy of flow reduction a2aroval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02I.0114{fi)
Daily Design Flow a,b
No. of Units
Flow
ZERO FLOW
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
0 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 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: WQ0037863
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of

1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 34 C-900
12 18 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
VIIl. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mainsl°
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: LS 1
2. Approximate Coordinates (Decimal Degrees): Latitude: 34.36459° Longitude:-77.7164'
3. Design flow of the pump station: 0.500 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 900 gallons per minute at 138.5 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
12 1757 C-900
6. Power reliability in accordance with 15A NCAC 02T .0305{h)(1):
® Standby power source or pump with automatic activation and telemetry - 15A NCAC 021' .0305(h)(1)(B)_
Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
)I;, 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 - I5A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
9 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

1. Does the project comply with all separations found in 15A NCAC 02T .0305(fl & (g) ❑ Yes ❑ No
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
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
1.0 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
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 webpne
If noncompliance with 02T.0305(f) or g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes [:]No ❑NIA
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
A 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? [:1 Yes ❑ No ® N/A
This would include Trout Buffered Streams per 15A NCAC 213.0202
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 & Buffer Permittin2 Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(cX6), 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).
FORA: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted systern comply with 15A NCAC 02T, the N!1 - i , i - i , irrium - Design Criteria far._the Perinitting-pf Pump Stations
and Force Mains (Latest version). and the Gravity Sewer i0inkoLUMDellign .Criteriaflatest version) as applicable?
--------- J—
M Yes El 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 supportin
documents.
2, Professional Engineer's Certification:
A,
t attest that this application for
(Professional Engineer's name from Application Item IIIA.)
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 143-215.613, 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.
M
North Carolina,:Professioliai Engineer's seal, signature, and date.
Authority's name & title from Application Item U.)
,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,
i
njunctive 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 143-2 1 5.6A and 143-215,613, 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 Lip to $25,000 per violation,
Z/
Signature: ....... . ..... Date:
FORM: FTA 04-16 Page 5 of 5