WQ0041121_Application (FTSE)_20191003

Permit Number WQ0041121
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
Town Park East Private Pump Station
Location Address
Owner
Owner Name
Town Of Carolina Shores
Central Files: APS _ SWP
8/21/2019
Permit Tracking Slip
Status
Project Type
In review
New Project
Version
Permit Classification
A
Individual
Permit Contact Affiliation
Major/Minor Region
Minor Wilmington
County
Brunswick
Facility Contact Affiliation
Owner Type
Government - Municipal
Owner Affiliation
John Elliott
PO Box 4038
Dates/Events Calabash NC 28467
Scheduled
0 rig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
8/21/2019
Regulated Activities Requested /Received Events
Additional information requested

East Coast Engineering & Surveying, P.C.
ENGINEERS -PLAN NERS•SURVEYORS
August 20, 2019
Mr. Dean Hunkele
Division of Water Quality
NC Department of Environment and Natural Resources
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
Subject: Carolina Shores Town Park East
Brunswick County, North Carolina
Fast Track Sewer Submittal
Dear Mr. Hunkele:
Please find enclosed the following items required for the Fast Track Wastewater Collection Permit for the
subject project:
1. One (1) executed original and one (1) copy of the Fast -Track Sewer System Extension
Application (FTA 04-16);
2. One (1) executed copy of the Flow Tracking/Acceptance for Sewer Extension Application
(FTSE 08-13);
3. One (1) copy of the project narrative;
4. One (1) 24"x36" copy of the Sewer System Plans;
5. One (1) copy of the USGS Quad Map;
6. One (1) Site Distance Exhibit Map;
7. Check #2771 in the amount of $480 to cover the required application fee; and
8. One (1) copy of the average outage received from Brunswick Electric.
Should you have any questions or require additional information, please contact our office at your
convenience.
Sincerely,
RECEIVED/NCDENRMR
AUG 2 1 2019
Jac son Starling, E.I.
Water Quality Regioual
Enclosures Operations Section
Wilmington Regional Office
pc: Mr. Jon Mendenhall, Carolina Shores Town Administrator, via email
File: 4100.36 (Carolina Shores Town Park East)
4918 MAIN STREET *POST OFFICE BOX 2469 •SHALLOTTE, NORTH CAROLINA 28459 •TEL:9io-754-8oa9 *Fax: [phone]
FIRM LICENSE NUMBER: C-3014

State of North Carolina
DW R Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 - FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: U W(3 q (�gA _ (to be completed by DwR)
All items must be completed or the avolication will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: Town of Carolina Shores (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
El Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Jon Mendenhall per 15A NCAC 02T .0106(b)
Title: Town Administrator
4. Applicant's mailing address: 200 Persimmon Road
City: Carolina Shores State: NC Zip: 28467
5. Applicant's contact information:
Phone number: 910 575-4877 Email Address: jmendenhaD@atmc net
H. PROJECT INFORMATION:
I. Project name: Carolina Shores - Town Park East
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00_ and issued date:
If new construction but part of a master plan, provide the existing permit number: W000_
3. County where project is located: Brunswick
4. Approximate Coordinates (Decimal Degrees): Latitude: 33.910°Longitude: -78.5580
5. Parcel ID (if applicable): 2410003301
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: J. Christian RussellLicense Number: 035054
Firm: East Coast Engineering & Survevine P.C.
Mailing address: PO Box 2469
City: Shallotte State: NC
Phone number: (91Q) 754-8029
Zip: 28459-_
Email Address: crusselina,eces.biz
W. WASTEWATER TREATMENT FACILITY (W WTF) INFORMATION:
Facility Name: Sea Trail W WTP Permit Number: WO 0012748
Owner Name: Brunswick County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ0029871 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): Brunswick County
FORM: FTA 04-16 Page 1 of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ®N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes []No ®N/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ® Other (Explain in Attachment)
5. Nature of wastewater: _%Domestic/Commercial 100 % Commercial
_ % Industrial (See I SA NCAC 02T .0103f20))
"Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ®No
➢ If provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.01140
Daily Design Flow "-b
No. of Units
Flow
Parks with reslrooms
250 gal/batbroom
2
500 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
500 GPD
a See 15A NCAC 02T .0114(b). (d), (e)(I) 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. 42A4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 500 GPD (per 15A NCAC 02T .01141
➢ 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

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
➢ Section II & 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
VILL PUMP STATION DESIGN CRITERIA (If Applicable) — 02T . 305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: 1
2. Approximate Coordinates (Decimal Degrees): Latitude: 33.910. Longitude:-78.558'
3. Design flow of the pump station:.0005 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 17 gallons per minute at 165 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
1.25
115
SDR 9 Poly
Tubing
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: PTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations found in I SA NCAC 02T.0305(f) & (e) ® Yes ❑ No
D 15A NCAC 02T.0305 contains minimum separations that shall he provided for sewers stems:
Setback Parameter;
Separation Reuired
Storm sewers and other utilities not listed below vertical
24 inches
Water mains vertical -water over sewer including in benched trenches
18 inches
Water mains horizontal
10 feet
Reclaimed water lines vertical - reclaimed over sewer
18 inches
Reclaimed water lines horizontal - reclaimed over sewer
2 feet
"Any private or public water supply source, including any wells, WS-I waters of Class I or
Class 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, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
-Any basement
10 feet
Jop 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
D 15A NCAC 02T.0305(e) contains alternatives where separations in 02T.0305(f) cannot be achieved.
D "Stream classifications can be identified using the Division's NC Surface Water Classifications weboage
D If noncompliance with 02T.0305(f) or (e). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No ®N/A
➢ 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 I SA NCAC 02B .02007 ❑ Yes ❑ No ® N/A
D This would include Trout Buffered Streams per I5A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or [-]Yes ® No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0 I 05(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(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, 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 ® No ❑ N/A
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be Inspected by the permittee or Its representative at least once every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

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?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Auvroval of the request Is required prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
J. Christian Russell, P.E. attest that this application for
(Professional Engineer's name from Application Item 11I.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 143-215.6B, 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 fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
SEAL —
35054
;�`•. %,,26-201GINe
�
5 .
'Sr'AN;RO `\"
3. Applicant's Certification per 15A NCAC 02T .0106(b):
14dn r x-.h(&atu/ attest that this application for
(Signature Authority's name & title from Application Item I.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 (bat 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 143-215.6B, any person who knowingly snakes 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.
Signature: /f wy�n�✓'�"'/
Date: 41 Q// 7
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Ok j%ioll of v%.,rri sZ, 5,, ,, < <•., Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Carolina Shores
Project Name for which flow is being requested: Carolina Shores Town Park East
More than one FTSE nzay 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: Sea Trail WWTP
b. WWTP Facility Permit #: WQ 0012748
All flows are in MGD
c. WWTP facility's permitted flow 0.300
d. Estimated obligated flow not yet tributary to the WWTP 1.017
e. WWTP facility's actual avg. flow 0.156
f. Total flow for this specific request 0.0005
g. Total actual and obligated flows to the facility 1.173
It. Percent of permitted flow used 391.2%
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:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Finn Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm / pO, Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
* The Firm Capacity (design flow) 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): Lighthouse Cove
Downstream Permit Number: W00029871
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I William L. Pinnix, PE; Dir of Engr 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.
Official
'�Af t es -up" n
of Signing Official
Ell
Page 2 of 6
FTSE 10-18

East Coast Engineering & Surveying, P. C
ENGINEERS -PLAN NERS•SURVEYORS
PROJECT NARRATIVE
for
Carolina Shores — East Park
Carolina Shores, North Carolina
August 2019
Carolina Shores East Park is located at 970 Thomasboro road SW, approximately 700 feet
North from the intersection of Lighthouse Cove Loop & Thomasboro road SW in Carolina
Shores. The Tax ID number for the property is 2410003301. The total project area is 2.04
acres, and is currently undeveloped.
WASTEWATER COLLECTION (SEWER)
The proposed Park will have a pavilion with 2 restrooms. The total flow allocation has been
determined at 500 gpd.
It will consist of a duplex grinder station and forcemain as well as the gravity lines for the
facility. The duplex grinder station will receive wastewater from the building via a 4" gravity
service line. Upon satisfactory completion of construction, all portions of the sewer system
will be owned and maintained by the developer.
The grinder station will pump wastewater via 115 LF of 1-1/4-inch forcemain to the point of
connection on Thomasboro road SW. The point of connection is a permitted 8-inch forcemain
along Thomasboro Rd SW that is owned by Brunswick County. A portable emergency
generator will be utilized to supply power to the lift station in the event of a power failure.
4918 MAIN STREET • POST OFFICE BOX 2469 •SHALLOTTE, NORTH CAROLINA 28459 •TEL: [phone] *Fax: [phone]
FIRM LICENSE NUMBER: C-3014

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