WQ0041053_Application (FTSE)_20190828

Central Files: APS — SVVP -
7/29/2019
Permit Number WQ0041053 Permit Tracking Slip
Program Category Status Project Type
Non -discharge In review New Project
Permit Type Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions A Individual
Primary Reviewer
dean.hunkele
Coastal SWRule
073111�. 1�
Permit Contact Affiliation
Facility Name Major/Minor Region
Rough and Ready Road Sewer Extension Minor Wilmington
Location Address County
Columbus
No=
Owner Name Owner Type
Town of Fair Bluff Government - Municipal
Owner Affiliation
Billy W. Hammond
PO Box 157
Dates/Events Fair Bluff NC 28439015
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
7/26/2019
Regulated Activities Requested Meceived Events
Additional information requested
Additional information_ received

OR
ID�0
..� U r _.__
ENGINEERING AND DESIGN
708 Abner Phillips Road
Warsaw, NC 28398
Phone [phone]
Fax [phone]
Pusan License No. C- 438
l 3 1713101411
WilmingtonRegional#
127 i �`
r. Ext
Wilmington, NC 28405
•
Ref Town of Fair Bluff
New Sewer Permit Application
i
F#,'lease find all necessary documents for the application of Sewer Permit for a short 8" gravity
line, new 4" force main and a complete pump station for . new Apartment , tr • - sate
east of Bluff on Rough & Ready i application will co of the construction of
0* linear feet 1 r complete duplex pump station,••t linearof
xn�� Rou��h & Readp Rd, that will dum�_v into the existing manhole that belonWs t*
the Town of Fair Bluff,
Enclosed please find 2 copies of the following:
Fast -'Wrack Application
- Narrative
- TDH Calculation
- Flow 'Tracking Form
- Waste Flaw Map to the Fairmont Waste Water 'Treatment Facility
- Surface Water Classification Map
-- Check for $480,00
&itchell
The Adams Company, Inc.

State of North Carolina
01 115, 117 Department of Environmental Quality
I V VAR 11
Division of Water Resources
N
15A NCAC 02T.0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Divislon of %-Valer Resources ETA 04-16 & SUPPORTING DOCUMENTATION
Application Number: 'ipJ "Sk- (to be completed by DWR)
1. Applicant's name: Town of Fair Bluff (company, municipality, HOA, utility, etc.)
2. Applicant type: F-1 Individual
F-1 Corporation F1 General Partnership
❑ Federal
El State/County Z Municipal
1 Signature authority's name: Billy
Hammond per 15A NCAC 02T.0106(b)
Title: Mayor
4. Applicant's mailing address: P.O. Box 157
City: Fair Bluff State: NC
Zip: 28439-
5. Applicant's contact information:
Phone number: (9 10) 649-7426
Email Address: townoffairbluffl,((brsnet.org
El Privately -Owned Public Utility
El Other
1. Project name: Sewer Main — Rough/Ready Rd., Fair Bluff
2. Application/Project status: Z Proposed (New Permit) F-1 Existing Permit/Project
If a modification, provide the existing permit number: WQOO_ and issued date:
If new construction but part of a master plan, provide the existing permit number: WQOO
3. County where project is located: Columbus
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.3140' Longitude: -79.0068'
5. Parcel ID (if applicable): 99442
(or Parcel ID to closest downstream sewer)
I . Professional Engineer: M. Floyd Adams, PE License Number: 12273
Firm: M. Floyd Adams, PE
Mailing address: 708 Abner Phillips Rd.
City: Warsaw State: NC Zip: 28 -398
Phone number: [phone] Email Address: ml`adams1223(q),gmai.cqm
0 'NIL 0 ZINIVATOW I OftNTANTRIFIS
i V IF I V _Rmn
1. Facility Name: Fairmont Re �ioqal Wastewater Plant Pen -nit Number: NC 0086550
Owner Name: City of Fairmont
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: 8" inch
System Wide Collection System Permit Number(s) (if applicable): WQCS254
Owner Narne(s): Fair Bluff
FORM: ETA 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?
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEBT) been attached.
,g_
10 7-SMM-
1 If the Applicant is a Home/Property Owners." Association
, n_has an Operational Agreement (FORM.--HOA) been attached?
70 � 4
4, Origin of wastewater: (check all that apply):
Residential Owned E] Retail (stores, centers, malls) F-1 Car Wash
Residential Leased El Retail with food preparation/service 0 Hotel and/or Motels
F-1 School / preschool / day care F] Medical / dental / veterinary facilities F-1 Swimming Pool /Clubhouse
❑ Food and drink facilities F-1 Church R Swimming Pool/Filter Backwash
F� Businesses / offices / factories 0 Nursing Home F1 Other (Explain in Attachment)
5, Nature of wastewater: 100 % Domestic/Commercial % Commercial
% Industrial (See 15A NCAC 02T.0103(20)
L-----> Is there a Pretreatment Program in effect? F-1 Yes E] No
6. Hasa flow reduction been approved under 15A NCAC 02T.01 14(f)? E]Yes ®No
If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01 14f
Daily Design Flow ,b
No. of Units
Flow
Residential Apts, 24 @ 2-Bed
240 gal/Day
24
5,760 GPD
Residential Apts, 8 @ 3-Bed
360 gal/Day
8
2,880 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
13,640 GPD
a See 15A NCAC 021' .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 .O I 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0 1141 shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 8 �640 GPD (per 15A NCAC 02T .0114)
Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
Fl Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
OrIVIVOINIMMMM,
F-1 Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

Summarize gravity sewer to be permitted:
I
Size (inches) Length (feet) Material I
8 208 SDR26 PVC
Section 1I & Ili 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
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
Pump station number or name: Rough/Read,
2. Approximate Coordinates (Decimal Degrees): Latitude: 34.31400 Longitude:-79.0068'
3. Design flow of the pump station:>l millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 00 gallons per minute at S1 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
4 4,966 SDR21 PVC
I '
I
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
® Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B)_
Required for all pump stations with an average daily flow 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

1. Does the project comply with all separations found in 15A NCAC 02T .0305LfJ & (g) M Yes [:]No
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
Setback Parameter* :]=S:e
aration Required
Storm sewers and other utilities not listed below (vertical)
I
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-1 waters of Class I or
Class II impounded reservoirs used as a source of drinking water
100 feet
"Waters classified WS (except WS-1 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
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 web�a c
If noncompliance with 02T.0305(f) or (2), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) M Yes El 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. 1 Does the project comply with all setbacks found in the river basin rules per 15A NCAC 02B .0200? M Yes F❑-1 No
This would include 'Front Buffered Streams per 15A NCAC 213.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? N Yes F-1 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 15A NCAC 02T.0 105(c)(6) (additional permits/certifications)? Z Yes El No
Per 15A NCAC 02T.0 105(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, storinwater 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.
If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
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?
N 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 Avolication and supporting
documents.
2. Professional Engineer's Certification:
I, M. Floyd Adams, PE attest that this application for
(Professional Engineer's name from Application Item 111.1.)
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 143-215.613, 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.
Worth Carolina Professional Engineer's seal, signature, and date:
AL� 4
tx
C rc
6 ,
t� 3'1n n
........................................................................................'
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, Silly Hammond, Mayor attest that this application for
(Signature Authority's name & title from Application Item 1.3.)
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 143-215.613, 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.
z
Signature:—
Z
Date:
FORM: FTA 04-16
Page 5 of 5

State or North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Flow Tracking/Acceptance for Sewer E-xtension Applications
(FTSF 08-13)
Project Applicant Name: Town of Fair Bluff
Project Name for which. flow is being requested: Fair Bluff Rough/Ready Apts.
iWore than one FTSE may be required for a single project if the owner of the WPTP is not responsible for all pump
stations along the rove of the proposed wastewater flow.
L Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Fairmont Regional Wastewater Plant
b. WWTP Facility Permit 9: N C008655 0
AlIflows are in JVGD
c. WWTP facility's permitted flow 1.750
d. Estimated obligated flow not yet tributary to the WWTP 0.468
e. 'XIWTP facility's actual avg. flow 1.133
E Total flow for this specific request 0.009
g. Total actual and obligated flows to the facility 1.610
h. Percent of permitted flow used 92%
11. 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
Firm
(Nanae or
Capacity,
Number)
MGT)
Boardman
Main
2.160
Cerro Gordo
Main
1.994
Fair Bluff
Main
1.152
Rough/Rea
Q�A
Apartments'
0.144
(A)
(B)
Design
Average Daily
Approx.
Flow"
CwTent Avg.
(Firm / pf),
Daily Flow,
MGD
MGD
0.864
0.188
0.797
0J882
0461
0183
0.036
0
(C)
(D)=(B+C)
(E)=(A-D)
Obligated,
Not Yet
Total Current
Tributary
Flow Plus
Daily Flow,
Obligated
Available
MGD
Flow
Capacity*
0.188
0.376
0A88
0.155
0.3432
0.4538
0.1.25
0.308
0.153
0.009
0.009
U27
FTSE 08-13

111. Certification Statement:
certifv 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 prQject 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 addendurns for which I any the responsible party.
Signature of this form indicates acceptance of this wastewater flow.
tal Signamre
Date
Page 2 of 6

Sewer Line Extension, Pump Station, Force Main
Golden Leaf Foundation Project FY2017-129
Fair Bluff, NC
Columbus County
7/22/19
12 Fkl 1214
1. Project Title: Fair Bluff Sewer Extension, Rough/Ready Rd.
2. Location: Rough & Ready Road, Fair Bluff, NC
3. Additions/Improvements: 208 LF of 8" Gravity Sewer, 3 manholes, Complete Pump Station,
(incl. Duplex pump system, On -site generator, telemetry system) and 4,966 LF of 4" Force
Main
4. System will serve 32 residents in apartment complex; total added flow — 8,640 GPD.
5. Waste Water Treatment Facility — City of Fairmont, NC (NC 0086550)
6. Future service potential — The gravity lines would not serve any additional units. The pumr
system is set up to handle additional flow for adjacent areas
7. All proposed gravity lines, force main lines and Rough/Ready Rd. lift station will be owned
and operated by the Town of Brunswick.
8. This area is located in the Waccamaw River watershed.
9. No Historic Sites are a part of this project.
10. None of the proposed facilities will be located in the 100 year flood zone.
11. None of the proposed facilities will be located in wetlands.

-,) o cl aps
34018'50.4° 79000'24.5°W
Map data ©2019 1000 fit s
7/29/2019