WQ0041081_Application (FTSE)_20190913

Permit Number WQ0041081
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
dean.hunkele
Coastal SWRuIe
Permitted Flow
Facility
Facility Name
Ansley Park Private Sewer
Location Address
Owner
Owner Name
Arris Wilmington LLC
Dates/Events
Central Files. APS _ SWP
8/6/2019
Permit Tracking Slip
Status
Project Type
In review
New Project
Version
Permit Classification
A
Individual
Permit Contact Affiliation
Major/Minor Region
Minor Wilmington
County
New Hanover
Facility Contact Affiliation
Owner Type
Non -Government
Owner Affiliation
Chip Dillard
3340 Peachtree Rd
Atlanta GA 30326
Scheduled
Ong Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
8/6/2019
Regulated Activities Requested /Received Events
Additional information requested

FORESITE
Date: July 30, 2019
Project Name: Ansley Park
Job Number: 038.153
To: NC DEQ Division of Water Resources
Wilmington Regional Office — Water Quality Section
127 Cardinal Drive Extension
3740 Davina Court, Suite 100
Peachtree Corners, Georgia 30092
770.368.1399
770.368.1944
www.fg-inc.net
Wilmington, NC 28405 RECFiLIE WNW BENR/PWR
Attn: Dean Hunkele [phone]
We are sending these by
❑ us mail
❑ Other:
We are sending you
JUL 3 1 2019
® FedEx ❑ Hand Deliver Water Quality
Onnratinnt
❑ Attached ❑ Under separate cover via
Wi
the following
❑ Shop Drawings ® Prints/Plans ❑ Samples ❑ Specifications ❑ Change Orders
❑ Other: See below
Copies
Date
No.
Description
1
7/30/19
1
NC DEQ Sanitary Sewer Submittal Packet for Ansley Park
These are transmitted as checked below:
❑ For your use ❑ Approved as submitted ❑ Resubmit ❑ Copies for approval
❑ As requested ❑ Approved as noted ® Submit ❑ Copies for distribution
❑ For review and comment ❑ Returned for corrections ❑ Return ❑ Corrected prints
Remarks: Please do not hesitate to contact me with any questions
Copy to: Signed Will Avant — [phone]
ONce
-`Ok:1Vf
p�'
AUG 0 6 2019

Ansley Park — Project Scope Narrative
Ansley Park is a proposed multi -use development located at 4456 Fairview Drive, Wilmington,
NC 28412 (see vicinity map below). The current proposed scope of development is only for the
residential portion, which consists of the construction of ten (10) apartment buildings, a club
house and pool, a mail kiosk, parking lots, driveways, landscaped areas, a stormwater pond, and
all other associated infrastructure. Three (3) other future development parcels are located on
the subject site and will connect to the proposed sanitary sewer infrastructure. Cape Fear Public
Utility Authority (CFPUA) is the owner of the downstream sewer treatment facility and will
service the subject development. Ansley Park will include public portions of sanitary sewer
located along Ansley Drive and will also include private portions of sanitary sewer to service
other portions of the apartment complex.
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Figure I — Vicinity Map
Establishment Type (see 02T.0114(t)1
Daily Design Flow R.b
No. of Units
Flow
1-Bedroom Apartments
240 gaVday
132
31.680 GpD
2-Bedroom Apartments
240 gaVday
120
28,800 GPD
3-Bedroom Apartments
360 gal/day
24
8,640 GPD
Clubhouse
2 gaVday
276
552 GPD
Future Development Areas = 6.25 acres
880 gaVday/acre
5.25 acres
4.620 GPD
gal/
GPD
Iola!
74.292 GPD
Table I — Sewer Flow Breakdown

(PRIVATE PORTION) State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T.0300— FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
DMslon of Water Resources ��(( ter/ 1.`�� (� FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: XG6(* (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
Arris Wilmington, LLC
1. Applicant's name: _ (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ® Other (Developer)
Chip
3. Signature authority's name: Dillard per ISA NCAC 02T .0106tb)
Title: Vice President
4. Applicant's mailing address: 3340 Peachtree Road, Suite 1660
City: Atlanta State: GA Zip: 30326
5. Applicant's contact information:
Phone number: 404 504.8777 Email Address: [e-mail]
II. PROJECT INFORMATION:
I. Project name: Ansley Park
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000_ and issued date: _
If new construction but part of a master plan, provide the existing permit number: W000_
3. County where project is located: New Hanover
4. Approximate Coordinates (Decimal Degrees): Latitude:34. 1651361° Longitude: 77.9.16666T
5. Parcel ID (if applicable): R07000-003-205-000 & R07000-003-204-000
(or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
1. Professional Engineer: Brett Basquin License Number: 044984
Firm: Foresite Group, Inc.
Mailing address: 3740 Davinci Ct., Suite 100
Peachtree
City: Corners State: GA Zip: 30092_
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I, Facility Name:M'Ihean-Moffit SSWWiF Permit Number: NPDES NCO023973
Owner Name: Cape Fear Public Utility Authority
V. RECEIVING DOWNSTREAM SEWER INFORMATION (tfdifferentthan WWTF):
1. Permit Number(s): WQ Unknown Downstream (Receiving) Sewer Size: 10 inch
System Wide Collection System Permit Numberfsl(ifayolicable): WQCS_
Owner Name(s): _
FORM: FTA 04-16 Page I of 5

(PRIVATE PORTION) State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T.0300— FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-I6 & SUPPORTING DOCUMENTATION
Application Number._ _ (to be completed byDWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
Core Property Capital, LLC
1. Applicant's name: (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑Individual ❑Corporation ❑ General Partnership ❑ Pryely-Owned Public Utility
❑ Federal ❑ StateJCounty Municipal Other (Developer)
Chip
3. Signature authority's name: Dinars r I J,A NCAQ02T.0106Ib1
Title: Vice President
4. Applicant's mailing address: 3340 Peach ee Road, Suite 1660
City: AUanla State: GA Zip: 0326
5. Applicant's contact information:
Phone number: (404) 504 _8777 Email Add s: hdillard@mrepropert pital.com
H. PROJECT INFORMATION:
I. Project name: Ansley Park
2. Application/Project status: Q Proposed IN w Pe it) ❑ Existing Permit/Project
If a modification, provide the existing permit number: 00_ and issued date:
If new construction but part of a master plan, provide existing permit number: W000_
3. County where project is located: New Hanover
4. Approximate Coordinates (Decimal Degrees): L itude 34. 51361° Longitude: 77, 9.16666r
5. Parcel ID (if applicable); R07000-003-205-000 R07000-003- 4-000
(or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
I. Professional Engineer: Brett Basquln cense Number:044984
Firm: Foresite Group, Inc.
Mailint address: 3740 Davinci Ct, S to 100
eachtree
City: Corners State: GA Zip: 30092_
Phone number: 3( 344 887 _6064 Email Address: [e-mail]
IV. WASTEWATER TREATMENT ACILITY(WWTF)INFORMATION:
I. Facility Name:M'Ihean-Molfit SSWWTF Permit Number: NPDES NCO023973
Owner Name: Cape Fear Public Utility Authority
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Unknown Downstream (Receiving) Sewer Size: 10 inch
S s1 tem Wide Collection Ssstem Permit Number(sl.(if a_pplicable : WQCS
Owner Name(s): _
FORM: FTA 04-16 Page I 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 E]NIA
2. If the Applicant is a Developer of lots to be sold, has a D�ovebtt�. s�?Ileretionat Asr n„timentflPQR - DEVI been attached?
[]Yes ❑No x❑N/A
3. If the Applicant is a I IomdPM9yUy Owners' Association ha an Qperetional Agf ment {FOR! t NQj1 been attached?
[]Yes []No ❑x N/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
x❑ Residential Leased (Apartments) ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School I preschool / day care ❑ Medical / dental I veterinary facilities ❑x Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pcol/Filter Backwash
❑ Businesses / offices/ factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater. 10o %Domestic/Commercial _%Commercial
_ % Industrial (&L15A NCAC 02T 9iO3(20))
L---.O.ls there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under ISA NCAC 02T 0t 14ff1? []Yes x❑ No
➢ It yes, provide a copy o ow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T,0114(f))
Daily Design Flow `b
No. of Units
Flow
1-Bedroom Apartments
240 gal/day
132
31,680 GPD
2-Bedroom Apartments
240 gaUday
120
28,800 GPD
3-Bedroom Apartments
360 gal/day
24
8,640 GPD
Clubhouse
2 gal/day
276
552 GPD
Future Development Areas = 6.25 acres
880 gal/day/acre
5.25 acres
4.620 GPD
gal/::J
I
GPD
Total 1
74,292 GPD
a See 15A NCAC 027 0114(b). (d). (eN 1) and fep21 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 Cr,S. 41.A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table ISANCAQ 02 shall be
determined using available flow I-atR w crust ng fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by projeai,"rtDpor 3SANCACJt 2T.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 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) . 02T_0305 & MDC fGravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8"
280
PVC
8"
430
DIP
8"
448
PVC
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
D Section III contains information related to minimum slopes for gravity sewer(s)
D Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
Vlll. PUMP STATION DESIGN CRITERIA (if Applicable) SI&106&MOC(PumoStations/ForceMains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: ° Longitude: - °
3. Design Dow of the pump station: _ millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): _ gallons per minute at _ feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Materiel
6. Power reliability in accordance with 15A NCAC I):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(hx I)(B)_
➢ Required for all pump stations with an average daily Dow greater than or equal to 15,000 gallons per day
D Must be permanent to facility
Or if the pump station has an average daily Dow 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)(t)(C):
D 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 slations'storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04.16 Page 3 of 5

IX. SETBACKS& SEPARATIONS —(02B.0200&15ANCACO2T.0305(f)):
1. Does the project comply with all separations found in 15jj NCAV 02T .0305(f) & tc) x❑ Yes ❑ No
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer cvcremm
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 sewerl
2 feet
"Any private or public water supply source, including any wells, W S-1 waters of Class I or
Class 11 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, take, 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 prade vertical
36 inches
➢ ISA NCAC 02T.0305(a) contains alternatives where separations in 02T.0305(tl cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC. urftet Water Classifications webtreae
➢ If noncompliance with 02T.03051Q mr (a). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No x❑ 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
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per ISA NCAC 02(3 :92M ❑ Yes ❑ No ❑ N/A
➢ This would include Trout Buffered Streams per j5A NCAC 26.0292
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes x❑ No
individual permits or401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permittina Branch
5. Does project comply with f SA N(_'AC 02T.0105(cIM (additional permitsleertifications)? JD Yes ❑ No
Per BA NCAC 02TA105(e)(61, 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, slormwater 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 [D No ❑ NIA
➢ 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 permltee's Individual System -Wide Collection permit.
FORM: FTA 04.16 Page 4 of 5

X. CERTIFICATIONS:
I. Does the submitted system comply with ISA NCAC 02T the Minimum Designn C'riterin for she Permitting of Pump Stations
and.Fomc Mains (latest version). and the Suavity Sewcr Minimum DesignCriteriallatest versionl as applicable?
❑ Yes ❑ No
If No, complete and submit the Variance/Altemative Design Request application (V ADC 10.14) and supporting documents for
review. Approval of the reavestIs reuu(redjtrlor to submittal ofthe Fast Track Application and sunrmrsinrtdocuments.
2. Professional gineer's Cenniffiisscat��ion:
)•.. r wey/_,Sr(t�� attest that [his application for
fessional neer's name from Application Bern fii.1.)
has been reviewed by me end 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. 1 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 Fora Mains (latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143.215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a One not to exceed $10,000, as well as civil penalties up to $25,000 per violation. \`)i(1111114
A�.._...
North Carolina Professional Engineer's seal, signature, and date: CO.R,/i���.��
o.�ESSJpy'y'P�� �
a:� SEAL �•:
:a- 044964
q•
1
3. Applicant's Certification per 15A NCAC 02T .0106(b):
�- _attest that this application for
(Signal 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. 1 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. 1 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 14I-2I5_,Gl;i, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Clan 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: / _ _._ _ Date:
FORM: FTA 04.16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Arris Wilmington, LLC
Project Name for which flow is being requested: Ansley Park
More than one FTSE maybe 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.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: M'Kean Maffitt (Southside) WWTP
b. WWTP Facility Permit #: NPDES NC 0023973
AlI lows are in MGD
c. WWTP facility's permitted flow 12.000
d. Estimated obligated flow not yet tributary to the WWTP 2.200
e. WWTP facility's actual avg. flow 8.044
f. Total flow for this specific request 0.074292
g. Total actual and obligated flows to the facility 10.319
It. Percent of permitted flow used 86.0%
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:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm / pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
076 N/A 5.616 2.246 1.025 0.607 1.632 0.615
* The Firm Capacity (design Bow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is <0.
Downstream Facility Name (Sewer): Cape Fear Public Utility Authority
Downstream Permit Number: N/A
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Jeff Theber_e, CFPUA Eng. M4,r certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and II plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Sign g ficial Sie
�NGIN�cR1NG A-JMAGt:R
Title of Signing Official
Page 2of6
FTSE 10-18

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Limited Liability Company
Legal Name
Arris Wilmington, LLC
Information
Sosld: 1859920
Status: Current -Active
Annuat Report Status: Current
Citizenship: Foreign
Date Formed: 6/25/2019
State of Incorporation:
DE
Registered Agent: Corporation Service Company
Addresses
Reg Office Reg Mailing Mailing
2626 Glenwood Ave Ste 550 2626 Glenwood Ave Ste 550 3340 Peachtree Road, Suite 1600
Raleigh, NC 27608 Raleigh, NC 27608 Atlanta, GA 30326
Principal Office
3340 Peachtree Road, Suite 1600
Atlanta, GA 30326
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.

General Info
LICENSE LOOKUP
Brett C. Basquin
Foresite Group Inc
2128 Moores Mill Rd Ste C
Auburn, AL 36830
License: 044984
Status: CURRENT
Expires: 12/31/2019
Disciplinary Actions
None found
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Note: Licensees may submit corrections to this information by clicking the Renewals link at the top. Please contact the Board office if
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