HomeMy WebLinkAboutwq0028587_Permit (Modification)_20090213„ r AJLA n I!
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North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
February 13, 2009
William Farris, Town Manager
Town of Leland
102 Town Hall Drive
Leland, NC 28451
Subject: CPermit--No—WQ0028587 M eio Ficarror)
Town of Leland
Brunswick Forest Sewer
Wastewater Collection System Extension
Brunswick County
Dear Mr. Farris:
In accordance with your application received January 26, 2009, we are forwarding herewith Permit No.
WQ0028587, dated February 13, 2009, to the Town of Leland for the construction and operation upon
certification of the subject wastewater collection system extension. This permit shall be effective from
the date of issuance until rescinded, shall void Permit No. WQ0028587 issued February 6, 2009, and shall
be subject to the conditions and limitations as specified therein. This cover letter shall be considered a
part of this permit and is therefore incorporated therein by reference.
This modification is for the addition of 12-inch and 8-inch gravity sewers, a pump station with 8-inch
force main, and incorporates permit modification WQ0028587 received January 27, 2009, for a
clubhouse with approximately 747 linear feet of 8-inch gravity sewer.
Please note the following standard conditions that are contained in this permit.
Condition 3: Requires that the wastewater collection facilities be properly operated and
maintained in accordance with 15A NCAC 2T .0403 or any individual system -wide
collection system permit issued to the Permittee.
Condition 6: Requires that the system be properly certified upon completion of construction
and prior to being placed into operation.
Condition.7: Regarding the installation of gravity sewer at greater than ten percent below the
minimum required slope per the Division's Gravity Sewer Minimum Design Criteria
shall not be acceptable and shall not be certified until corrected.
Condition 12: Regarding Division notification should the system fail to operate including the loss
of wastewater from the collection system. In addition, note Permit Condition 13
regarding the posting of pump stations with emergency contact information.
Wilmington Regional Office One
127 Cardinal Drive Extension Wilmington, NC 28405 NorthCarolina
Phone: 910-796-7215 / FAX: 910-350-2004 ;Vahalally
Internet: www,ncwaterquality.orq
An Equal Opportunity/Affirmative Action Employer Customer Service 1-877-623-6748
50% Recycled/10% Post Consumer Paper
Town of Leland `f
WQ0028587 Modification
February 13, 2009
Permitting of this project does not constitute an acceptance of any part of the project that does not
meet 15A NCAC 2T; the Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria
adopted February 12, 1996 as applicable; and the Division's Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable, unless specifically
mentioned herein. Division approval is based on acceptance of the certification provided by the North
Carolina -licensed Professional Engineer named in the application.
It shall be the Town of Leland's responsibility to ensure that the as -constructed project
meets the appropriate design criteria and rules. Failure to comply may result in penalties
in accordance with North Carolina General Statute § 143-215.6A through § 143-215.6C,
construction of additional or replacement wastewater collection facilities, and/or referral
of the North Carolina -licensed Professional Engineer to the licensing board.
A stormwater management plan shall be submitted to and approved by the Wilmington Regional
Office in accordance with 15A NCAC 2H .1000.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150E of North Carolina General
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are made, this permit shall be final and binding.
If you need additional information concerning this matter, please contact Lamont Allen at (910) 796-
7215.
Sincerely,
for Coleen H. Sullins
Cc: David S. Hollis, P.E., Hanover Design Services
Tim Evans, Town of Leland Building Inspections
Jerry Pierce, Brunswick County Public Utilities
O;_Surface�UVater Protecfio�n=- t�orfheast-Brunswick-Regiona-(NC-00i -6e 179) S efwE)d. File
Central Files, Surface Water Protection Section
Pretreatment, Emergency Response and Collection Systems Unit Files
2
.1
NORTH CAROLINA
Ak ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, other applicable Laws, Rules, and Regulations, and in conformity with 15A NCAC 2T; the
Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 and Minimum Design
Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as
applicable; and other supporting data subsequently filed and approved by the Department of
Environment and Natural Resources and considered a part of this permit;
PERMISSION IS HEREBY GRANTED TO:
Town of Leland
BRUSWICK COUNTY
For the construction and operation upon certification of approximately 4,765 linear feet of 12-inch
gravity sewer, 13,696 linear feet of 8-inch gravity sewer; a 450-gallon per minute pump station with
duplex pumps, on -site audible and visual high water alarms, telemetry, and on -site generator with
automatic transfer switch with approximately 9,805 linear feet of 8-inch force main to serve 193 three -
bedroom residences, maintenance shed with wash bay, golf course restrooms, and a country club with
food service as part of the Brunswick Forest Phase 3.& Country Club project, and the discharge of 79,570
gallons per day of collected domestic wastewater into the Town of Leland's existing sewerage system,
pursuant to the applications received January 26, and 27, 2009.
AND
The continued construction and operation upon certification OR operation of the sewer infrastructure as
described below and previously permitted In accordance with the provisions of Article 21 of Chapter
143, General Statutes of North Carolina as amended, and other applicable Laws, Rules, and
Regulations and in conformity with 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria
adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting
data subsequently filed and approved by the Department of Environment and Natural Resources and
considered a part of this permit:
February 6, 2009
For the construction and operation upon certification of approximately 3,988 linear feet of 8-inch gravity
sewer to 48 three -bedroom residences (17,280 gpd) and 72 two -bedroom residences (17,280 gpd) as
part of the Brunswick Forest Phase 1 Section 2 Village 2-A Sewer project, and the discharge of 34,560
gallons per day of collected domestic wastewater into the Town of Leland's existing sewerage system,
pursuant to the application received January 9, 2009.
January 30, 2009
The continued construction operation upon certification of approximately 13,192 linear feet of 4 in4 f
gravity sewer, approximately 1,564 linear feet of 10-inch gravity sewer, approximately 2,531 linear feet of
12-inch gravity sewer; a 550-gallon per minute pump station with duplex pumps, on -site audible and
visual high water alarms, telemetry, on -site generator with automatic transfer switch with approximately
10,325 linear feet of 10-inch force main to serve 324 residential lots x 360 gpd/lot as part of the Brunswick
Forest Phase 5A Pump Station and Force Main Sewer project, and the discharge of 116, 640 gallons per
day of collected domestic wastewater into the Town of Leland's existing sewerage system, pursuant to
the application received December 22, 2008.
October 17, 2008
The continued construction operation upon certification of approximately 4,607 linear feet of 8-inch
gravity sewer to serve as a gravity sewer outfall or interceptor line for future upstream or tributary sewer
systems as part of The Villages at Brunswick Forest project with no additional discharge of collected
domestic wastewater into Town of Leland's existing sewerage system, pursuant to the application
received September 26, 2008.
August 1, 2008
For the continued construction and operation upon certification of approximately 599 linear feet of 8-
inch gravity sewer to serve a 3,511 gallons per day medical office building as part of the South Village
Phase-1 project, and the discharge of 3,511 gallon per day of collected domestic wastewater into the
Town of Leland's existing sewerage system, pursuant to the application received June 19, 2008.
July 18, 2008
For the continued construction and operation upon certification of approximately 1,630 linear feet of 8-
inch gravity sewer to serve a 49,170 sf Grocery Store (4,920 gpd), 84,370 sf of Retail Space with no food
services (8,437 gpd), a 13,225 sf Pharmacy (1,325 gpd), a 30 space Restaurant Drive-Thru (1,500 gpd)
and a 50 seat Restaurant (2,000 gpd) as part of the East Village Phase-1 project, and the discharge of
18,182 gallon per day of collected domestic wastewater into the Town of Leland's existing sewerage
system, pursuant to the application received June 19, 2008.
October 12, 2007 Modification
The continued operation of approximately 1,174 linear feet of 8-inch gravity sewer to serve 62 three -
bedroom and 10 two -bedroom residences as part of the Phase 1 Section 2 Village 4-A project, and the
discharge of 24,720 gallons per day of collected domestic wastewater into the Town of Leland's existing
sewerage system, pursuant to the application received September 18, 2007. This system was certified as
complete on July 31, 2008.
September 7, 2007 Modification
Continued operation and of approximately 2,952 linear feet of 8-inch gravity sewer to serve 72 three -
bedroom residences as part of the Phase 1 Section 2 Village 1-A project, and the discharge of 25,920
gallons per day of collected domestic wastewater into the Town of Leland's existing sewerage system,
pursuant to the application received July 25, 2007. This system was certified complete on July 31, 2008.
June 8, 2007 Modification
Continued operation of approximately 1,393 linear feet of 8-inch gravity sewer to serve Lots 1 & 2 for a
bank with 10 employees (250 gpd) and an unspecified development on the other (will require
allocation to be added prior to connection) as part of the East Village Commercial Center project, and
the discharge of 250 gallons per day of collected domestic wastewater into the Town of Leland's
existing sewerage system, pursuant to the application received May 16, 2007. This system was certified
as complete on December 6, 2007.
0)
Ai�-Nl ?V;'2007 Modification
ti
-Continued operation of approximately„5,065 linear feet of 8-inch gravity sewer to serve 94 three-
1 bearoom single-family residences as part of the Brunswick Forest Phase 1 Section 3 project, and the
discharge of 33,840 gallons per day of collected domestic wastewater into the Town of Leland's existing
sewerage system, pursuant to the application received March 29, 2007. This system was certified as
complete on August 6, 2008.
April 13, 2007 Modification
Continued operation of approximately 5,126 linear feet of 8-inch gravity sewer to serve 56 three -
bedroom single-family residences and 30 three -bedroom & 30 two -bedroom townhomes as part of the
Brunswick Forest Phase 6 Sections 1-B & 2 project, and the discharge of 38,610 gallons per day of
collected domestic wastewater into the Town of Leland's existing sewerage system, pursuant to the
application received March 9, 2007. This system was certified as complete on November 30, 2007.
December 22, 2006 Modification
Construction and operation upon certification of approximately 13,874 linear feet of 8-inch gravity
sewer; a 387-gallon per minute pump station with duplex pumps, on -site audible and visual high water
alarms, telemetry, and on -site generator with automatic transfer switch; as well as approximately 3,520
linear feet of 6-inch force main to serve 193 three -bedroom residences as part of the Brunswick Forest
Phase 1 Section 2 project, and the discharge of 69,480 gallons per day of collected domestic
wastewater into the Town of Leland's existing sewerage system, pursuant to the application received
December 1, 2006.
October 27. 2006 Modification
Continued operation of approximately 1,008 linear feet of 8-inch gravity sewer to serve future
development including a sales center & wellness facility in Brunswick Forest Phase 6 Section 1-A as part
of the Brunswick Forest project and the discharge of 800 gallons per day of collected domestic
wastewater into the Town of Leland's existing sewerage system, pursuant to the application received
September 15, 2006. This system was certified as complete on June 15, 2007.
May 26, 2006 Modification
Continued operation of approximately 5,926 linear feet of 8-inch gravity sewer; a 380-gallon per minute
pump station with duplex pumps, on -site audible and visual high water alarms, telemetry, and on -site
generator with automatic transfer switch; as well as approximately 3,915 (increased from 2,821 feet per
modification issued November 3, 2006) linear feet of 6-inch force main to serve 149 three -bedroom
residences as part of the Jefferson Landing at Brunswick Forest Phase 2 (aka Phase 1 Section 1-B)
project, and the discharge of 53,640 gallons per day of collected domestic wastewater into the Town of
Leland's existing sewerage system, pursuant to the application originally received April 24, 2006 and
subsequent modification request received September 25, 2006. This system was certified as complete
on March 27, 2007.
April 7, 2006 Modification
Continued operation of approximately 793 linear feet of 10-inch, and 2,329 (reduced from 3,830) linear
feet of 12-inch gravity sewer to serve as a gravity sewer outfall or interceptor line for future upstream or
tributary sewer systems as part of the Brunswick Forest Phase 3 project with no additional discharge of
collected domestic wastewater into the Town of Leland's existing sewerage system, pursuant to the
application received February 16, 2006. This system was certified as complete on March 15, 2007.
3
March 10, 2006 Modification '00
Continued operation of approximately 6,741 linear feel of 8-inch gravity sewer to serve 131 three- } R
bedroom residences as part of the Jefferson Landing at Brunswick Forest Phase 1 (aka Phase 1 Section
1-A) project, and the discharge of 47,160 gallons per day of collected domestic wastewater into the
Town of Leland's existing sewerage system, pursuant to the application received February 14", 2006. This
system was certified as complete on December 22, 2006.
JULY 21, 2005 MODIFICATION
Construction and operation upon certification of approximately 25 linear feet of 8-inch and 3,290 linear
feet of 12-inch gravity sewer to serve as a gravity sewer outfall or interceptor line for future development
upstream of the previously approved sewer listed below as part of the Brunswick Forest Phase 2 project,
and with no additional discharge of collected wastewater into the Town of Leland's existing sewerage
system, pursuant to the application received June 15, 2005.
March 24, 2005 Original Permit
Continued operation of approximately 868 linear feet of 8-inch, 3,414 linear feet of 10-inch, and 3,141
linear feet of 12-inch gravity sewer; a 1500-gallon per minute pump station with duplex pumps, on -site
audible and visual high water alarms, telemetry/autodialer, and on -site generator with automatic
transfer switch; as well as approximately 20,650 total linear feet of 10-inch force main (dual force mains)
to serve this large residential and commercial development as part of the Brunswick Forest Phase 1
project with no discharge of wastewater into the Town of Leland's existing sewerage system, pursuant to
the application received March 11, 2005. This system was certified as complete on March 15, 2007.
From the oriainal permit 26,007 apd of commercial flow allocation remains in reserve as of the October
17 2008 modification.
In summary, this permit authorizes the potential connection of 1,258 three -bedroom & 112 two -bedroom
residences, a sales center, a wellness facility, a bank, a garden center, grocery store, retail space,
pharmacy, restaurant drive-thru, a restaurant and a medical office building for a total discharge of
546,883 gallons per day.
The sewage and wastewater collected by this system shall be treated in the Northeast Brunswick
Wastewater Treatment Facility (Permit No. NC0086819) prior to being discharged into the receiving
stream.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
1. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division of Water Quality's
(Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the
Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
adopted June 1, 2000 as applicable; and other supporting materials unless specifically mentioned
herein.
2. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2T
.0403:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and any contravention of the groundwater standards in
15A NCAC 2L .0200 or the surface water standards in 15A NCAC 2B .0200.
4
A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency,
preventative maintenance schedule, `spare parts inventory, and overflow response shall be
developed and implemented.
d. Pump stations that are not connected to a telemetry system (i.e. remote alarm system) shall
be inspected by the Permittee or its representative every day (i.e. 365 days per year). Pump
stations that are connected to a telemetry system shall be inspected at least once per week.
e. High -priority sewer lines shall be inspected by the Permittee or its representative at least once
per every six-month period of time.
A general observation of the entire sewer system shall be conducted by the Permittee or its
representative at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by
North Carolina General Statute § 143-215.1 C.
h. A Grease Control Plan shall be implemented as follows:
1. For publicly owned collection systems, the Program shall include at least bi-annual
distribution of educational materials for both commercial and residential users and the
legal means to require grease interceptors for new construction and retrofit, if necessary, of
grease interceptors at existing establishments. The Program shall also include legal means
for inspections of the grease interceptors, enforcement for violators, and the legal means
to control grease entering the system from other public or private satellite sewer systems.
2. For privately owned collection systems, the Program shall include at least bi-annual
distribution of educational materials to all users of the collection system by the Permittee or
its representative.
3. Grease education materials shall be distributed more often than required in Parts 1 or 2 of
this sub -paragraph if necessary to prevent grease -related sanitary sewer overflows.
Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
Documentation shall be kept on file for Sections (a.) through (i.) of this rule for a minimum of
three (3) years with the exception of the map, which shall be maintained for the life of the
system.
4. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by documentation from the parties involved, and
other supporting materials as may be appropriate. The approval of this request shall be considered
on its merits and may or may not be approved.
5. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State.
6. Per 15A NCAC 2T .0116, upon completion of construction and prior to operation of these permitted
facilities, the completed Engineering Certification form attached to this permit shall be submitted
with the required supporting documents (as -built or recording drawings and pump station designs, if
applicable) to the address provided on the form. A complete certification is one where the form is
fully executed and the supporting documents are provided as applicable. Any wastewater flow
made tributary to the wastewater collection system extension prior to completion of this Engineer's
Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement then a copy of the Articles
of Incorporation. Declarations, and Bylaws that have been appropriately filed with the applicable
County's Register of Deeds office shall be submitted with the certification.
5
A complete certification is one where the form is fully executed and the supporting docum6ints &T
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer linen&
force mains) of the wastewater collection system extension. Record drawings are defined as
the design drawings that are marked up or annotated with after construction information and
show required buffers, separation distances, material changes, etc.
b. One copy of the supporting pump station design calculations (selected pumps, system curve,
operating point, buoyancy calculations, available storage if portable generators) or storage
greater than longest past three year outage reliability option selected) for any pump stations
permitted as part of this project.
C. Changes to the project that do not result in non-compliance with this permit, regulations, or
the Minimum Design Criteria should be clearly identified on the record drawings, on the
certification in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting in
non-compliance with this permit (including pipe length increases of 10% or greater, increased flow,
pump station design capacity design increases of 5% or greater, and increases in the number/type
of connections), regulations, or the Minimum Design Criteria. Requested modifications or variances
to the Minimum Design Criteria will be reviewed on a case -by -case basis and each on its own merit.
Please note that variances to the Minimum Design Criteria should be requested and approved
during the permitting process prior to construction. After -construction requests are discouraged by
the Division and may not be approved, thus requiring replacement or repair prior to certification &
activation.
Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified
until corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting
documentation. This shall be done through a permit modification with fee. Such variance requests
will be evaluated on a case -by -case basis. Resolution of such request shall be evident prior to
completing and submitting the construction certification.
8. A copy of the construction record drawings and pump station designs, if applicable, shall be
maintained on file by the Permittee for the life of the wastewater collection facilities.
Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes § 143-
215.6A through § 143-215.6C.
10. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities.
11. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by other government agencies (local, state
and federal) which have jurisdiction, including but not limited to applicable river buffer rules in 15A
NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4 and under the
Division's General Permit NCGO10000, and any requirements pertaining to wetlands under 15A
NCAC 2B .0200 and 15A NCAC 2H .0500.
9
Y 12. .ION -COMPLIANCE NOTIFICATION:
The Permittee shall verbally report .to a Diz-vision of Water Quality staff member at the Wilmington
Regional Office, telephone number (910) 796-7215, as soon as possible, but in no case more than
24 hours or on the next working day, following the occurrence or first knowledge of the occurrence
of either of the following:
a. Any failure, due to known or unknown reasons, that renders the system incapable of
adequate wastewater transport, such as mechanical or electrical failures of pumps, line
blockage or breakage, etc.; or
b. Any failure of a pumping station or sewer line resulting in a by-pass of any wastewater directly
to receiving waters from the station or sewer line.
Voice mail messages or faxed information is permissible, but shall NOT be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number (800) 858-0368 or (919) 733-3300.
Persons reporting any of the above occurrences shall file a spill report by completing Part I of Form
CS-SSO (or the most current Division approved form), within five days following first knowledge of
the occurrence. This report shall outline the actions taken or proposed to ensure that the problem
does not recur. Part II of Form CS-SSO (or the most current Division approved form) can also be
completed to show that the SSO was beyond control.
13. Each pump station including simplex stations shall be clearly and conspicuously posted with the
telephone number and name of the owner/operator of the sewer system and instructions to call
the number in the event of alarm activation.
14. The Permittee shall provide for the pump station and force main the following items:
a. Pump on/off elevations located so that 2-8 pumping cycles may be achieved per hour in
the pump station,
b. An air relief valve located at all high points along the force main,
C. A screened vent for the wetwell,
d. Fillets located in the wetwell at the intersection of the flooring and sidewalls,
e. Three feet of cover (minimum) over the force main or the use of ferrous material where
three feet cannot be maintained,
f. Sufficient devices which will protect the pump station from vandals, and
g. Flood protection if the pump station is located below the 100-year flood elevation.
Permit issued this day: February 1-3, 2009
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
�A—
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0028587 Modification
0
FAST TRACK SEWER ENGINEERING CERTIFICATION
� z
1Y 1
PERMITTEE:
Town of Leland
PERMIT #:
WQ0028587 Modification
PROJECT:
Brunswick Forest Phase 3 & Country Club
ISSUE DATE:
February 13, 2009
COUNTY:
Brunswick
This project shall not be considered complete nor allowed to operate in accordance with Condition 6
of this permit until the Division has received this Certification and all required supporting documentation.
Consequently, it should be submitted in a manner that documents the Division's receipt. Send the
required documentation to the Regional Supervisor, Surface Water Protection Section at the address at
the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to -
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name, Title
Signature
ENGINEERS CERTIFICATION
Date
I, , as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the
project name and location as referenced above for the above Permittee hereby state that, to the best
of my abilities, due care and diligence was used in the observation of the construction such that the
construction was observed to be built within substantial compliance of this permit; 15A NCAC 2T; the
Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996
as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000 as applicable; and other supporting materials.
....................................................................................
North Carolina Professional Engineer's Seal w/signature & date
CERTIFICATION COMMENTS OR DETAILS`...................................................................................
❑ Final ❑ Partial
Comments:
NC Division of Water Quality 127 Cardinal Drive Extension Wilmington, NC 28405
Wilmington Regional Office Phone: 910-796-7215 FAX: 910-350-2004
I
USE THE TAB KEY TO MOVE FROM FIELD TO ;MELD!
Application Number: �> �p
(to be completed by DWQ)
1.
Owner/Permittee:
11a.
_
Town of Leland --- —-------- --
i
Full Legal Name (company, municipality, HOA, utility, etc.)
O
i1b.
William B. Farris Town Manager)
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!) -- —
Q
i1 c.
The legal entity who will own this system is:
�—
[]Individual[] Federal Z Munic_pality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify)_ _____
O
11d.
102 Town Hall Drive 1e. Leland �~ C�L \.7JR-
LL
I
Mailing Address City
Z
'if.
NC 1g. 28451 JAN 2 6 Z009
Z
j
State Zip Code
1h.
910-371-0148 ---- 910-371-10— --- '- -----------� — --- —
1 i.73 1 j.
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Telephone — Facsimile E-mail — — ---
2.
Proiect (Facility) Information_
J
�a.
— — —
Brunswick Forest Phase 3 (Residential) 2b. Brunswick
0-
�'
_
Brief Project Name (permit will refer to this name) County Where Project is Located
0.
Contact Person:
Q'3a.
David S. Hollis, PE, PLS Hanover Design Services, P.A.
(
Name and Affiliation of Someone Who Can Answer Questions About this Application
•3b.
910-343-8002 3c. dhollis@hdsilm.com
Phone Number E-mail
;1.
Project is ❑ New 21 Modification (of an existing permit) If Modification, Permit No.: WQ 0028587 MOD
2.
Owner is 0 Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
IPa.
If private, applicant will be:
2b. If sold, facilities owned by a (must choose one)
❑ Retaining Ownership (i.e. store, church, single office, etc.) or
❑Public Utility (Instruction C)
i
El Leasing units (lots, townhomes, etc. - skip to Item B(3))
❑ Homeowner Assoc./Developer (Instruction D)
l
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
j3.
Brunswick Count
Z
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
0 4a.
Northeast Brunswick Regional WWTF 1114b. NC 0086819
QName
of WWTF
WWTF Permit No.
5a.
Town of Leland b. 12" Gravity c. WQ 002857-MOD Dated 7-21-05
CC
Owner of Downstream Sewer Receiving Sewer Size Force Main Permit # of Downstream Sewer (Instruction E)
LL [6_
------------
The origin of this wastewater is _(check all that apply):
Residential Subdivision ❑ Retail (Stores, shopping centers) 100 % Domestic/Commercial
❑ Apartments/Condominiums ❑ Institution % Industrial (attach
❑ Mobile Home Park ❑ Hospital description.)
UJ
❑ School ❑ Church
El Restaurant El Nursing Home (RO: contact your Regional Office
p.
Pretreatment staff)
❑ Office ❑ Other (specify):
% Other (specify):
,7.
Volume of wastewater to be allocated or permitted for this particular project: 79,570 gallons per day
*Do not include future flows or previously permitted allocations
;8.
If the permitted flow is zero, indicate why:
❑ Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
i
Flow has already been allocated in Permit No.
❑ Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)
FTA12/07
�
r
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114
for the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being
requested in Item B(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or
wastewater use data in accordance with 15A NCAC 2T .0114 (f). [69,480 GPD 193 lots x 360 gpd per lot]; [2,650 GPD
Golf Course Requirements]; [7,440 GPD Club House (124 Users x 60 GPD) ] Total=79,570 GPD
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
Length (feet)
New Gravity or Additional
Force Main
12
4,765
Gravity
F 8 �—
12,949
Gravity
j 8
9,805 (See Below)
Force Main
_
II
11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
.Z-.
;Pump Station Location ID _Brunswick Forest #4 (self chosen - as shown on plans/map for
-
�:.
Design Flow Operational Point Power Reliability Option
Z _
(MGD) GPM @TDH 1 - Permanent generator w/ATS; Force Main Size Force Main Length
0 -.
2 - portable generator w/MTS
V-
0.259
450gpm @89 TDH
1
8"
9,805 LF
Z
Q;
Pump Station Location ID (self chosen - as shown on plans/map for reference)
2 '
Design Flow
Power Reliability Option
(MGD)
Operational Point
GPM @TDH
1 - permanent generator w/ATS;
2 - portable generator w/MTS
Force Main Size
Force Main Length
0 1:
LL
Z','
- —
cc `:
Pump Station'Location ID (self chosen - as shown on plans/map for reference)
Lu -!
p, •
Design Flow
Power Reliability Option
m
(MGD)
Operational Point
GPM @TDH
1 - permanent generator w/ATS;
2 - portable generator w/MTS
Force Main Size
Force Main Length
I12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
Yes M No If Yes, permit number of 2nd treatment facility
�(RO — if "yes" to 13,12 please contact the Central Office PERCS Unit)
i13. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as
applicable?
Yes Q No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
I
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
FTA 12/07
4. Have the following permits/certifications been submitted for approval for the system or project to be served?
x Wetland/Stream Crossings -General Permit or 401 Certification? 21 Yes C1 No D N/A
Sedimentation and Erosion Control Plan?
I. Yes 0 No ❑ N/A
Stormwater? Yes ❑ No ®. N/A
15. Does this project include any high priority lines, [see 15A NCAC 02T .0402 (2)] involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
I
Check if Yes: II and provide details
Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1, _William B. Farris , attest that this application for Brunswick Forest Phase 3 (Residential) has
been reviewed by me and is accurate and complete to the best of my knowledge. l 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. Note: In accordance with North Carolina General
Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or
certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000
as Tell a civil penalties to $25,000 per violation.
a. / D
Signing Official Signature Dat
'ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
'APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
}2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
1, _David S. Hollis PE, PLS , attest that this application for Brunswick Forest Phase 3 (Residential) has been
reviewed by me and is accurate, complete and consistent with the information in the engineering plans, 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 adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump
Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with Division guidance.
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 NC General Statutes 143-215.6A and 143-215.6B, any person who knowingly
makes any false statement, representation, or certification in any application 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.
2a. David S. Hollis PE,PLS ;�Q"�� °p°, �!`"4�
Professional Engineer Name°°tirjSPQjjj°erg°�,
�2b. Hanover Design Services, P.A. ; r �s`
Engineering Firm :a
- - a
- 9 �OUi?t
!2c. 1123 Floral Parkway e3�
Mailing Address t
�2d. Wilmington - 2e. NC 2f. 28403 1_°��J ��a~
City
,2g. 910-343-8002
Telephone
2h. 910-343-9941
Facsimile
State Zip
dhollis@hdsilm.com
E-mail
NC PE Seal, Signature & Date
F FA 12/07
r
USE THE TAB KEY TO MOVE FROM FIELD TQ FIELD!
Application Number:
(to be completed by DWQ)
1.
Owner/Permittee:
j1 a.
Town of Leland
Full Legal Name (company, municipality, HOA, utility, etc.)
0
11b.
William B. Farris Town Manager)
F-
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
-
1 c.
The legal entity who will own this system is:
ElIndividual ElFederal 21 Municipality El State/County❑ Private Partnership El❑ Corporation --Other (specify)
CC -
uur,g
0
1 d.
102 Town Hall Drive 1 e. Leland
LL
Mailing Address City
Z
11 f. NC 1 g. 28451
Z
I
State Zip Code
0
1 h.
910-371-0148
1 i. 910-371-1073
1 j.
QTelephone
Facsimile
E-mail
V
:2.
PrRect (Facility) Information:
:3
a.
Brunswick Forest Golf Course Clubhouse
b. Brunswick
a
Brief Project Name (permit will refer to this name)
County Where Project is Located
Q3.
Contact Person:
3a.
David S. Hollis, PE, PLS Hanover Design Services, P.A.
Q
Name and Affiliation of Someone Who Can Answer Questions About this Application
-13b.
910-343-8002
c. dhollis@hdsilm.com
Phone Number
E-mail
1.
Project is ❑ New 0 Modification (of an existing permit) If Modification, Permit No.: WQ 0028587 MOD
�.
Owner is 0 Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
2a.
If private, applicant will be:
2b. If sold, facilities owned by a (must choose one)
I�
❑ Retaining Ownership (i.e. store, church, single office, etc.) or
❑ Public Utility (Instruction C)
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3))
❑ Homeowner Assoc./Developer (Instruction D)
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
i.
Brunswick County
Z
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
0_'
4a.
Northeast Brunswick Regional WWTF
b. NC 0086819
a
Name of WWTF
WWTF Permit No.
�5a.
Town of Leland b. 8" Gravity c. WQ 002857-MOD Dated 7-21-05
Owner of Downstream Sewer IReceiving Sewer Size Force Main Permit # of Downstream Sewer (Instruction E)
�p.
The origin of this wastewater is check all that apply):_
Z
H
0 Residential Subdivision ❑ Retail (Stores, shopping centers) 100 % Domestic/Commercial
❑ Apartments/Condominiums ❑ Institution % Industrial (attach
❑ Mobile Home Park ❑ Hospital description.)
W j
ElSchool ElChurch
❑ Restaurant El Nursing Home (RO: contact your Regional Office
a
❑Office ❑Other (specify): Pretreatment staff)
m
%Other (specify):
7
Volume of wastewater to be allocated or permitted for this particular project: 0 gallons per day
*Do not include future flows or previously permitted allocations
,8.
If the permitted flow is zero, indicate why:
❑ Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
Flow has already been allocated in Permit No. WQ 002857-MOD (See Phase 3)
I
❑ Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)
FTA 12/07
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114
for the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being
requested in Item 13(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or
wastewater use data in accordance with 15A NCAC 2T .0114 (f).
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
Length (feet)
New Gravity or Additional
Force Main
8
747
Gravity
11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
Lu'
Pump Station Location ID (self chosen - as shown on plans/map for reference)
Z.
_
Design Flow
Operational Point
Power Reliability Option
Z -
(MGD)
GPM @TDH
1 - Permanent generator w/ATS;
Force Main Size
Force Main Length
2 - portable generator w/MTS
Pump Station Location ID (self chosen - as shown on plans/map for reference)
Q.
Design Flow
Power Reliability Option
LL
(MGD)
Operational Point
GPM @TDH
1 - permanent generator w/ATS;
2 - portable generator w/MTS
Force Main Size
Force Main Length
,=
Pump Station Location ID (self chosen - as shown on plans/map for reference)
d'
Design Flow
Power Reliability Option
(MGD)
Operational Point
GPM @TDH
1 - permanent generator w/ATS;
2 - portable generator w/MTS
Force Main Size
Force Main Length
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
• I
Yes IR No, If Yes, permit number of 2"d treatment facility
(RO — if "yes" -to 13,12 please contact the Central Office PERCS Unit)
113. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as
applicable?
Yes II No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
FTA 12/07
--114. Have the following permits/certifications been submitted for approval for the system or project to be served?
' Wetland/Stream Crossings -General Permit or 401 Certification? II Yes 0 No N/A
Sedimentation and Erosion Control Plan? Yes 0 No II N/A
Stormwater? Yes ❑ No II N/A
�15. Does this project include any high priority lines, [see 15A NCAC 02T .0402 (2)] involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
,Check if Yes: II and provide details
1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1, _William B. Farris , attest that this application for Brunswick Forest Golf Course Clubhouse
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. Note: In accordance with North Carolina
General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or
certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000
as wg# asofyn penaltieqpp to $25,000 per violation.
1 a. ! rj
Signing Official Signature Dat
7ENGINEERING
DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
O OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
Z
_O
1- '
Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
V
1, _David S. Hollis PE, PLS , attest that this application for_ Brunswick Forest Golf Course Clubhouse has been
LL
reviewed by me and is accurate, complete and consistent with the information in the engineering plans, 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
UJ,
for Gravity Sewers adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump
V -
Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with Division guidance.
- •_
V
Although other professionals may have developed certain portions of this submittal package, inclusion of these materials
_
under my signature and seal signifies that/ have reviewed this material and have judged it to be consistent with the
proposed design. Note: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who knowingly
makes any false statement, representation, or certification in any application 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.
eo�9oaeoeeae,,
CARQ�/r�"_°�
av
i2a. Did S. Hollis PE,PLS
_y O� •.°°epee �
Professional Engineer Name �'f,
s�+"e°C�°°e•OfE$$!Q�°°,•�
� 9
2b. Hanover Design Services, P.A. ®4° $E AL
Engineering Firm�0007 y
c. 1123 Floral Parkway
°
Mailing Address'°°;GI NEB �`,
•O°•aosae°° �/ •��
Fd. Wilmington !2e. NC 2f. 28403 Aj o��d $ NO 0a��
I
City State Zip
pg. 910-343-8002 12h. 910-343-9941 Z. dhollis@hdsilm.com �/�•'3 ( , �Cj
Telephone Facsimile E-mail NC PE Seal, Signature & Date
FTA 12/07
5V J�
2T
Resolution
Introduced by: Town Manager
Town Council
Town of Leland
North Carolina
Date: February 21, 2008
Resolution approving flow allocation for Brunswick Forest, Phase 3
INTENT/PURPOSE:
Brunswick Forest development requests approval of flow allocation of 79,570 gallons per
day for Phase 3 of the development. The details of the request are provided below:
Lots/uses Flow d
193 lots (360 gpd each) 69,480 gpd
I maintenance shed 1,650 gpd
1 clubhouse 7,440 gpd
2 golf course restrooms 1,000 gpd
This allocation brings the Brunswick Forest allocation'to 414,640 gpd and the Town's
total flow allocation to 2,248,460 gpd. According to Council policy, this flow allocation
approval expires after 12 months.
THEREFORE, BE IT RESOLVED:
THAT the Town Council of the Town of Leland hereby approves wastewater flow
allocation for the Brunswick Forest Phase 3 of 79,570 gallons per day.
This flow allocation expires on February 21, 2009.
Adopted at a regular meeting
on February 21, 2008
Attest:
i� uj`��►� �t7.
Walter B. Futch, Jr., Mayor
FORM WSCAS-12/0.7 Rp
WATERSHED CLASSIFICATION ATTACHMENT
FOR SEWER SYSTEMS
Applicant Name
Project Name
Funston Land & Timber ,LLC
Brunswick Forest
1007 Evangeline Drive Leland, NC 28451
Phase 3 (Residential)
910-383-1425 -
Professional Engineer Name
Engineering Firm Name
David S. Hollis PE,PLS
Hanover Design Services, P.A.
1123 Floral Parkway
Wilmington NC, 28403
910-343-8002
Location
ID
Name of Waterbodie
County
River
'Basin
Waterbody Stream
Index No.
Waterbody'
Classification
P. Station
#4
-Mallory Creek -
Brunswick
Cape Fear
C;Sw
If unnamed, Indicate "unnamed tributary to X", where X is the named waterbody to which the unnamed tributary joins.
1-certify that as a Registered Professional Engineer in the State of 0
North Carolina that I have diligently followed the Division's instructions
for classifying waterbodies and that the above classifications are 4 Z
inclusive of the. stated project, complete and correct to the best of my.
knowledge and belief. SEAL
ocri -
0
PE Seal, Signature and Date
i Cie' 117
END OF FORM WSCAS-12/07
FORM: WSCAS- 12107 Page, 1 of 1
` 1 0� W ATF,p State of North Carolina
�0t WG Department of Environment and Natural Resources
j ( Division of Water Quality
10
�c Flow 'Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE—10/07)
Project Applicant Name: Town of Leland
Project Name for which flow is being requested: Brunswick Forest Phase 3
More than one FTSE-10107 may be required for a single project if the owner of 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:
b. WWTP Facility Permit #:
All flows are in MGD
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
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
Pump Station Name Approx. Capacity, MGD Approx. Current Avg.
(Firm/Design) Daily Flow, MGD
Brunswick Forest # 19 0.222912 0.016254
Brunswick Forest #18 0.864 0.057774
Grandiflora Drive # 1 0.249984 0.063756
Timber Lane #3 0.288 0.3255483
III. ; Certification Statement:
I, I'./a4 U?J� , certify that, to the best of my knowledge, 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. 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 abo . in Sections I and II for which I am the responsible party. Signature of this form indicates
acc a#,6this was5ML9r flow.
i A
Signature U Date