WQ0021603_Permit (Issuance)_20020726

State of North Carolina
Department of Environment and Natural Resources
Asheville Regionalbffice
Michael F. Easley, Governor N C D EN R
William G.Ross,Jr., Secretary
Alan W. Mraely P.E.,Director NORTH CAROUNA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Division of Water Quality
WATER QUALITY SECTION
July 26, 2002
Mr. Ezra Allman, Director of Utilities
City of Hendersonville
Post Office Box 1760
Hendersonville, North Carolina 28793-1760
SUBJECT: Permit No. WQ0021603
City of Hendersonville
Carriage Park Section 9
Wastewater Collection System Extension
A Henderson County
Dear Mr. Allman: F
In accordance with your application,received on July 22, 2002, please find attached Permit No.
W00021603 for the construction and operation of the subject wastewater collection system extension.
This Permit shall be effective from the date of issuance until rescinded and shall be subject to the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.
Please pay particular attention to condition three (3) of the permit which requires that the
wastewater collection facilities be properly operated and maintained in accordance with 15A NCAC 2H
.0227 or any individual system-wide collection system permit issued to the Permittee.
Permitting of this project does not constitute acceptance of any part of the project that does
not meet 15A NCAC 2H .0200; 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 a North Carolina-licensed Professional Engineer in the application. It shall be the
Permittee'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.
1

• x
Ezra Allman r
July 26, 2002
Page Two
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, permission is hereby
granted to the City of Hendersonville for the construction and operation of approximately 1,227 linear
feet of 8 inch PVC gravity sewer and 1,519 linear feet of 8 inch ductile iron gravity sewer and the
discharge of approximately 9,360 gpd of wastewater into the City of Hendersonville's existing
sewerage system, pursuant to the application received on July 22, 2002 and in conformity with 15A
NCAC 2H .0200; the Division's Gravity 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.
The sewage and wastewater collected by this system shall be treated in the City of
Hendersonville's wastewater treatment facility (NPDES Permit No. NC0025534) prior to being
discharged into Mud Creek in the French Broad River Basin.
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 150B 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 Mr. Roy Davis at
828/251-6208.
Sincerely,
Alan W. Klimek, A. E.
Enclosure
xc: Henderson County Health Department
Non-Discharge Permitting Unit
Patterson & Patterson
Roy Davis
2

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
CITY of HENDERSONVILLE
CARRIAGE PARK SECTION 9
PERMIT NUMBER W00021603
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 2H .0200; 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 2H
.0227. If an individual permit is not required, the following performance criteria shall be met
as provided in 15A NCAC 2H .0227:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to surface waters, and any contravention of the groundwater standards in
15A NCAC 2L .0200 or the surface water standards in 15A NCAC 2B .0200.
b. A map of the sewer system shall be developed prior to January 1, 2004 and shall
be actively maintained.
C. An operation and maintenance plan shall be developed and implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every
day, as defined in 15A NCAC 213 .0503(5). 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 at least once per every six-month period
of time.
3

WQ0021603
f. A general observation of the entire sewer system shall be conducted at least once per
year.
g. Inspection and maintenance records shall be maintained for a period of at least three
years.
h. 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 143-215.1C.
4. This permit shall not be transferable. In the event there is a desire for the wastewater 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 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. Upon completion of construction and prior to operation of these permitted facilities, a
certification, a copy of the construction record drawings, as well as supporting design
calculations for any pump stations permitted as part of this project shall be received from a
North Carolina-licensed Professional Engineer certifying that the facilities have been installed
in accordance with this permit; 15A NCAC 2H .0200; 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 Main adopted June 1, 2000 as
applicable; and other supporting materials. If this project is to be completed in phases and
partially certified, you shall retain the responsibility to track further construction approved
under the same permit, and shall provide a final certificate of completion once the entire
project has been completed. A copy of the construction record drawings, indicating the
facilities constructed in the phase being certified, shall be submitted with each partial
certification. Mail the Engineer's Certification, one copy of the "Construction Record
Drawings", and one copy of the supporting design calculations to the Non-Discharge
Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
7. A copy of the construction record drawings shall be maintained on file by the Permittee for the
life of the wastewater collection facilities.
8. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2H
.0200; 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.
4

WQ0021603
9. 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.
10. 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 15A7NCAC 2B .0200, erosion and sedimentation control requirements in 15A
NCAC Ch. 4 and under the Division's General Permit NCG0100000, and any requirements
pertaining to wetlands under 15A NCAC 213 .0200 and 15A NCAC 2H .0500.
11. Non-compliance Notification:
The Permittee shall report by telephone to the Asheville Regional Office, telephone number
828/251-6208 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, process unit failure, due to known or unknown reasons, that renders the facility
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 directly to receiving
waters without treatment of all or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report in letter form
within five days following first knowledge of the occurrence. This report must outline the
actions taken or proposed to be taken to ensure that the problem does not recur.
Permit issued this the 26t' day of July, 2002.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Alan W. li k, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0021603
5

Permit No. WQ0021603
July 26, 2002 -
ENGINEERS CERTIFICATION
Partial Final
I, as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full timef the construction of the
project, Carriage Park Section 9, City of Hendersonville. N.C., Henderson County, for the
Project Name Location and County
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 2H .0200; 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, signature, and date:
The above Engineer's Certification shall be completed and submitted to the address below with one
copy of the "Construction Record Drawings" of the wastewater collection system extension as well
as supporting design calculations for any pump stations permitted as part of this project. This project
shall not be considered complete nor allowed to operate until this Engineer's Certification and all
required supporting documentation have been received by the Division. 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.
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
NON-DISCHARGE PERMITTING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
6

07/24/02
Permit Number WQ0021603 Permit Tracking S7
Program Category Status Project Type
Non-discharge In review New Project
Permit Type Fast Track Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Individual
Pressure Sewer Extensions
Primary Reviewer Permit Contact Affiliation
forrest.westall
Permitted Flow
Facility
Facility Name Major/Minor Region
Carriage Park Section 9 Minor Asheville
Location Address County
Henderson
Facility Contact Affiliation
Owner
Owner Name Owner Type
City of Hendersonville Government - Municipal
Owner Affiliation
Ezra Allman
P.O. Box 1760
Hendersonville NC 287931760
Dates/Events
Draft Scheduled Public
Orig Issue App Received Initiated Issuance Notice Issue Effective Expiration
07/22/02
Regulated Activities Requested/Received Events
NULL RO staff report received
RO staff report requested
Additional information requested
Additional information received
Outfall NULL
Waterbody Name Stream Index Number Current Class Subbasin
JUL 2 5 2002�1.
PJATER O AUTY SEGTION
�ASHFVILLE_I;CGIOtL OFFICE

OFFICERS: - CITY OF HEND�ERSONVILLE °`"°°°"CIL:
Fred H.Niehoff,.Jr. - BARBARA VOLK
"The The City of Four.Seasons"
'Mary Jo Padgett' - - MARY Jo PADGETT
Mayor Pro-Tem James L. Patrick, P.E.
Chris A.Carter LONDA MURRAY
City Manager- City-Engineer
Tammie K.Drake , RON STEPHENS
City Clerk -
-LETTER OF TRANSMITTAL
Mr. Kim H. Colson,P.E..Supervisor July 17, 2002
N.C.D.E.N.R.Division of Water Quality
16.17 Mail"Service Center JUL 2 5 2002
Raleigh,N.C. 27699-1617
r I,
Attached;we are sending.you(TWO(2) COPIES of FAST-TRACK APPLICATION for
GRAVITY SEWERS;. PUMP STATIONS, AND FORCE MAINS and the .$400
APPLICATION FEE),and (ONE COPY of a CAPACITY ACCEPTANCE LETTER)
for Carriage Park Section 9—Sewer Extension.
This project is being forwarded to you for your review and-approval.'
Submitted By: Pv; Jr
Engineering Department
CITY OF HENDERSONVILLE
cc: Project File
JUL 2 2 P002 j
- k
�V(JN-DI$CHNHGE PERIJI"iTth'G
145 Fifth Avenue East P.O.Box 1670 Phone:: [phone]
Hendersonville,NC 28792-4328 Hendersonville,NC 28793-1670 " Fax: [phone]
e-mail:[e-mail] - Wwi.v.cityofhendersonville.org

OFFICERS: CITY OF HENDERSONVILLE CITY COUNCIL:
Fred H.Niehotf,Jr. `The Cily of Four Seasons" BARBARA VOLK
Mayor
Mary Jo Padgett MARY JO PADGM
Mayor Pro WATER AND SEWER DEPARTMENT
Chris A.Carte[er LONDA HURRAY
City Manager Ezra Allman, Director
Tammie K.Drake e-mail:[e-mail] RON STEPHENS
City Clerk
July 17, 2002
Mr.Kim H. Colson, P.E., Supervisor
N.C. Department of Environment &Natural Resources
Division of Water Quality —t
1617 Mail Service Center
Raleigh,NC 27699-1617
� - `IUI
Re: Gy r� CC101110W
LETTER m� .�UL 2 5 ` 2 C
*atria e Par Sec-f
Sewer me xtens - r
Dear Mr. Colson:
This is to advise you that I have reviewed the plans and specifications prepared by Mr. R. Paul
Patterson;P.E., of Patterson & Patterson,Hendersonville,N.C. for the referenced project.
It is my opinion that the City of Hendersonville has the capacity to accept the additional wastewater
flows that will be generated by the referenced project.
The project is being submitted via Fast-Track for your review and approval.
If you have any questions, feel free to contact me at [phone].
Sincerely,
Ez Mlrman, DirectcrC
Water and Sewer Department
CITY OF HENDERSONVILLE
lit
cc: Project file f '=Ct!TY sEC7I N
� r I
JUL 2 2 2002 ;!
1140
��-pISCHA_..-_�`___r,
318 Fourth Avenue East P.O.Box 1760 Phone:. [phone]
Hendersonville,NC 28792-4428 Hendersonville,NC 28793-1760 - Fax:, [phone]
e-mail:[e-mail] v .cityofhendersonville.org

,. ,
:�
,L

State of North Carolina
Department of Environment, Health and Natural Resources
Division of Water Quality
FAST-TRACK APPLICATION
for GRAVITY SEWERS, PUMP STATIONS,AND FORCE MAINS
(Pressure sewer systems are not to be included as part of this application pac age nn 2 1I
11SAN
MATHISFORMYBEPHOTOCOPIEDFOR USEAORIGRVAL
RR
INSTRUCTIONS: Indicate that you have included the following list of required application package•i[ems_by signing your
44ae ei,.��.
initials in the space provided next to each item. Failure to submit all required items will lead to additional processiirgand,;ieview
9r the permit application
A. Application Form-Submit one original and one copy of the completed and appropriately executed application form.
Any changes to this forth will result in the application being returned. The Division of Water Quality(Division)will
only accept application packages that have been fully completed with all applicable items addressed. You do not need
Qto submit detailed plans and specifications unless you respond NO to item IV.6.and/or item IV.10.
(B Attachment-Submit the completed and properly executed Form WSCA10/99 for each watershed within the project
location.
C. Application Fee-Submit a check in the amount of$400 made payable to:North Carolina Department of Environment
and Natural Resources(NCDENR).
D. Certificates of Public Convenience and Necessity-If the application is being submitted in the name of a privately-
owned public utility,submit two copies of the Certificate of Public Convenience and Necessity,which demonstrates
that the public utility is authorized to hold the utility franchise for the area to he served by the sewer extension. If a
Certificate of Public Convenience and Necessity has not been issued,provide two copies of a letter from the NC
Utilities Commission's Public Staff that states that an application for a franchise has been received,that the service
area is contiguous to art existing franchised area,and/or that franchise approval is expected.
E. Operational Agreements-Submit one original and two copies of a properly executed operational agreement if the
sewer extension will be serving residential or commercial lots(e.g.,houses,condominiums,townhomes,outparcels,
etc.)that will be owned by a homeowners'association or developer. If the applicant is a homeowners'association,use
Form HOA 10/99. If the applicant is a developer,use Form DEV 10199.
F. Flow Acceptance Letters-If the owner of the downstream Sewer and/or W WTF is different from the applicant,
submit two copies of a flow acceptance letter from the owner of the downstream sewers and W WTF. Flow acceptance
letters must contain the following minimum information:applicant and project name,amount of flow accepted,and
name and permit number of the receiving sewers/W WTF.The flow acceptance must not expire prior to permit
issuance and must he dated less than a year prior to the application date.Intergovernmental agreements or other
contracts will not he accepted in lieu of a project-specific now acceptance letter.
THE COMPLETED APPLICATION PACKAGE,INCLUDING ALL SUPPORTING INFORMATION AND
MATERIALS,SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
NON-DISCHARGE PERMITTING UNIT
By U.S.Postal Service: By Courier/Special Delivery:
1617 MAIL SERVICE CENTER 512 NORTH SALISBURY STREET,SUITE 1219
RALEIGH,NORTH CAROLINA 27699-1617 RALEIGH,NORTH CAROLINA 27604
TELEPHONE NUMBER:[phone]
FACSIMILE NUMBER:[phone]
'f — OUAI!TY S For more injormafim4 visit our web site at:h2o.ennsrare.nc.a/mi
. ---`- ECT
zooz )
FORM: FTA 06/00 Page I of 5
NON-D
rSCHARGE rERr,CITTrN.G

^ Application Number: V" b b Zi i&to be completed by DWQ)
L GENERAL INFORMATION:
1. Applicant's name(name of the municipality,corporation.individual,etc.): City of Hendersonville
2. Owners or signing official's name and title(15A NCAC 2H.0206(b)): Ezra Allman-Director
3. Name and complete address of applicant: City of Hendersonville
P.O.Box 1760
City: Hendersonville State: NC Zip: 28793-1760
Telephone Number: 828 697-3063 Facsimile Number: 828 697-1707
4. Project Name(name of the subdivision,facility or establishment,etc.): Carriage Park,Section 9
Sewer Extension
5. County where project is located: Henderson
6. Fee Submitted:$ 400 (See Instruction C.)
7. Name and complete address of engineering fine: Patterson&Patterson
c/o Paul Patterson-P.E.,P.O.Box 1189
City: Hendersonville State: NC Zip: 28793-1189
Telephone Number: 828 692-6629 Facsimile Number:l_ 828 692-6629
8. Name and affiliation of contact person who can answer questions about application: Paul Patterson.P.E.or
Ezra Allman-Director @ City of Hendersonville F'I y3 n
11. PERMIT INFORMATION: ? JUL 2 5 2002
1. Project is: X new; modification. -
2. If this application is being submitted as a result of a modification to an existing permit,provide:,-
existing permit number and the issue date_
3. Applicant is X public _private.
If private,units(lots,townhomes,etc.)are:_ leased(Skip to item III); :_ sold
If sold,facilities owned by a: public utility(See Instruction D.);
homeowners'association/developer(See Instruction E.)
in. INFORMATION ON WASTEWATER:
1. Please provide a one-or two-word description specifying the origin of the wastewater(school,
subdivision,hospital,commercial facility,industry,apartments,condominiums,etc.): residential subdivision
2. Volume of wastewater generated by this project: gallons per day.
3. Explanation of how wastewater flow was determined(15r A�NCCAA�C�2H.0219(l)): 26 homes @ 3 bedrooms(a�
120 gallons per day—9,360 GAD
4. Nature of Wastewater. 100 %Domestic/Commercial; %Industrial —
_%Other(specify) 4t;A:•c;; ;_,,,� ".e G - —..._ -.
- +UT'r F`crrrrTd �
JUL 2 2 2002 ,
FORM: FTA 06/00 Page 2 of 5
IgONr-DISCHARRCC p�Fh;li inG

5. If wastewater is industrial in nature:
a. Level of pretreatment has been provided to ensure protection of the receiving collection system
and wastewater treatment facility: N/A
b If a pretreatment permit is required,has one been issued? N/A Yes No. If yes,please
attach a copy of the pretreatment permit. If no,provide date application was submitted
IV. DESIGN INFORMATION:
1. Brief project description: Proposed subdivision of 26 lots/units with gravity sewer to an existing sewer
manhole. ��-
2. Owner and name of wastewater treatment facility(W WTF)receiving wastewater(See Instruction F.):
City of Hendersonville W WTF
3. WWTF permit number(NC00*****or WQ00*****): NCO025534
4. List the owner(s)of any intermediate sewers if different from applicant or owner of W WTF(See
Instruction F.) N/A
5. Summary of GRAVITY SEWER to be permitted:
Diameter Length
(inches) (linear feet)
"SDI235 PYG -
6. Does the subject gravity sewer collection system comply with the most recent version of the Gravity
Sewer Minimum Design Criteria and 15A NCAC 2H.0200? X Yes No. If no,please
identify criteria and explain
7. Summary of PUMP STATIONS to be permitted:
No. or Design Flow Pump Operational Pints Reliability Option
Name (MGD) GPM feet TDH Selected
N/A
FORM: FTA 06/00 Page 3 of 5

8. Summary of FORCE MAIN to be permitted:
Diameter Length
inches uearfeet
N/A
9. List any equipment being utilized that is not specifically mentioned elsewhere in the application or as
part of the Minimum Design Criteria(e.g.,telemetry,hoist,odor control equipment,mechanical bar
screens,etc.): N/A
10. Do the subject pump stations and force mains comply with the minimum Design Criteria for the Fast-
Tract Permitting of Pump Stations and Force Mains documents adopted June 1,2000 and 15A NCAC 2H
.0200? Yes; No. if no,please identify criteria and explain:
N/A
NOTE: If you responded NO to item IVA and/or item IV.10. above, two (2) copies
of detailed plans, specifications, supporting information, and any other materials
pertaining to the identified criteria should be submitted with the
completed and appropriately executed application form.
V ATFRAL/7Y Sc_
JUL 2 2 @02
FORM: FTA 06/00 Page 4 of 5
NON —oe P
ER!✓.•1�i fNr

V. ,CERTIFICATIONS
Professional Engineer's Certification:
I, Robert Paul Patterson attest that this application for Carriage Park,Section 9-Sewer Extension _
has been reviewed by me and is
accurate,complete and consistent with the information supplied 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. Although certain portions of
this submittal package may have been developed by other professionals,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 143-215.613,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.
North Carolina Professional Engineer's Seal,Signature,and Date: 14 CA/�O
�O
_0 023131 $Z
Applicant's Certification:
I, Ezra Allman.Director attest that this application for Carriage Park, Section 9-Sewer Extension _
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 information and attachments are not included,this
application package will be returned to me as incomplete.Note: In accordance with NC General Statutes
143-215.6A and 143-215.613,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.
Signature C Z4,a Date
JUL 2 5 2002
Rio,0 p,ems.UFM,
1^.'/-FR 1I4L��,'
JUL 2 2 2002
f
FORM: FTA 06/00 Page 5 of 5 �—---____. __ -
JIJ-DISCH _
ARGE

State of North Carolina
Department of Environment, Health and Natural Resources
Division of Water Quality
FAST-TRACK APPLICATION
for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
(Pressure sewer systems are not to be included as part of this application package)
THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL
INSTRUCTIONS: Indicate that you have included the following list of required application package items by signing your
initials in the space provided next to each item. Failure to submit all required items will lead to additional processing and review
GtJ�—i the permit application.
A. Application Form-Submit one original and one copy of the completed and appropriately executed application form.
Any changes to this form will result in the application being returned. The Division of Water Quality(Division)will
only accept application packages that have been fully completed with all applicable items addressed. You do not need
to submit detailed plans and specifications unless you respond NO to item IV.6.and/or item TV.10.
B. Attachment-Submit the completed and properly executed Form W SCA10/99 for each watershed within the project
n location.
C. Application Fee-Submit a check in the amount of$400 made payable to:North Carolina Department of Environment
and Natural Resources(NCDENR).
D. Certificates of Public Convenience and Necessity-If the application is being submitted in the name of a privately-
owned public utility,submit two copies ofthe Certificate of Public Convenience and Necessity,which demonstrates
that the public utility is authorized to hold the utility franchise for the area to he served by the sewer extension. If a
Certificate of Public Convenience and Necessity has not been issued,provide two copies of a letter from the NC
Utilities Commission's Public Staff that states that an application for a franchise has been received,that the service
area is contiguous to art existing franchised area,and/or that franchise approval is expected.
E. Operational Agreements-Submit one original and two copies of properly executed operational agreement if the
sewer extension will be serving residential or commercial lots(e.g.,houses,condominiums,townhomes,outparcels,
etc.)that will be owned by a homeowners'association or developer. if the applicant is a homeowners'association,use
Form HOA 10/99. If the applicant is a developer,use Form DEV 10/99.
F. Flow Acceptance Letters-If the owner of the downstream Sewer and/or W WTF is different from the applicant,
submit two copies of a flow acceptance letter from the owner of the downstream sewers and W WTF. Flow acceptance
letters must contain the following minimum information:applicant and project name,amount of flow accepted,and
name and permit number of the receiving sewers/W WTF.The flow acceptance must not expire prior to permit
issuance and must he dated less than a year prior to the application date.Intergovernmental agreements or other
contracts will not he accepted in lieu of a project-specific flow acceptance letter.
THE COMPLETED.APPLICATION PACKAGE,INCLUDING ALL SUPPORTING'vINFORMATION AND iVI II
MATERIALS,SHOULD BE SENT TO THE FOLLOWING ADDRESS:� JUL 2 5 20OZ f -�
Llll, p9
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY _ ;P:SfCTI�P!
NON-DISCHARGE PERMITTING UNIT t^.h°lu l' I,'_1j:iJAl O !U I�i
By U.S.Postal Service: By Courier/Special Delivery:
1617 MAIL SERVICE CENTER 512 NORTH SALISBURY STREET,SUITE 1219
RALEIGH,NORTH CAROLINA 27699-1617 RALEIGH,NORTH CAROLINA 27604
TELEPHONE NUMBER:[phone] ----...
FACSIMILE NUMBER.[phone] „ -I,, •.i '
For more information,visit our web site at.,h2o.encs1a1e.nc.us/ndpu1
- --- _-- JUL 2 2 2002
FORM: FTA 06/00 Page 1 of 5
L� DISCH/1R'_F PEF' y�.

1
Application Number: b16 (to be completed by DWt)
I. GENERAL INFORMATION:
1. Applicant's name(name of the municipality,corporation.individual,etc.): City of Hendersonville
2. Owners or signing official's name and title(I SA NCAC 2H.0206(b)): Ezra Allman,Director
3. Name and complete address of applicant City of Hendersonville
P.O.Box 1760
City: Hendersonville State: NC Zip: 28793-1760
Telephone Number: 828 697-3063 Facsimile Number: 828 697-1707
4. Project Name(name of the subdivision,facility or establishment,etc.): Carriage Park,Section 9
Sewer Extension
5. County where project is located: Henderson
6. Fee Submitted:$ 400 (See Instruction C.)
7. Name and complete address of engineering firm: Patterson&Patterson
c/o Paul Patterson P.E..P.O.Box It 89
City: Hendersonville State: NC Zip: 28793-1189
Telephone Number: 828 692-6629 Facsimile Number: L 828 692-6629
8. Name and affiliation of contact person who can answer questions about application: Paul Patterson,P.E.or
Ezra Allman.Director(a City of Hendersonville
H. PERMIT INFORMATION: I J, 7U1 5 Zppp D
1. Project is: X new; modification,
2. If this application is being submitted as a result of a modification to an exist d t p Tv SECTION
PP g g pernii 'i r01 e
existing permit number and the issue date ([GIONAL OFFIG
3. Applicant is X public _private.
If private,units(lots,townhomes,etc.)are:_ leased(Skip to item III); : sold
If sold,facilities owned by a: public utility(See Instruction D.);
homeowners'association/developer(See Instruction E.)
M. INFORMATION ON WASTEWATER:
1. Please provide a one-or two-word description specifying the origin of the wastewater(school,
subdivision,hospital,commercial facility,industry,apartments,condominiums,etc.): residential subdivision
2. Volume of wastewater generated by this project: 9,360 gallons per day.
3. Explanation of how wastewater flow was determined(15A NCAC 2H.0219(1)): 26 homes n 3 bedrooms
120 gallons per day=9,360 GPD
4. Nature of Wastewater: 100 %Domestic/Commercial; %Industrial;
%Other(specify)
FORM: FTA 06/00 Page 2 of 5

v
5. If wastewater is industrial in nature:
a. Level of pretreatment has been provided to ensure protection of the receiving collection system
and wastewater treatment facility: N/A
b If a pretreatment permit is required,has one been issued? N/A Yes No. If yes,please
attach a copy of the pretreatment permit. If no,provide date application was submitted
IV. DESIGN INFORMATION:
1. Brief project description: Proposed subdivision of 26 lots/units with gravity sewer to an existing sewer
manhole.
2. Owner and name of wastewater treatment facility(W WTF)receiving wastewater(See Instruction F.):
City of Hendersonville W WTF
3. W WTF permit number(NC00*****or W000*****): NCO025534
4. List the owner(s)of any intermediate sewers if different from applicant or owner of W WTF(See
Instruction F.) N/A _
5. Summary of GRAVITY SEWER to be permitted:
Diameter Length
(inches) (linear feet)
8"SDR35 PVC 1,227
8"CL350 D.I. 1,519
6. Does the subject gravity sewer collection system comply with the most recent version of the Gravity
Sewer Minimum Design Criteria and 15A NCAC 211.0200? X Yes No. If no,please
identify criteria and explain
7. Summary of PUMP STATIONS to be permitted:
No.or Design Flow Pump Operational Pints Reliability Option
Name (MGD) GPM feet TDH Selected
N/A
FORM: FTA 06/00 Page 3 of 5

i
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8. Summary of FORCE MAIN to be permitted:
Diameter Length
inches (linear feet)
N/A
9. List any equipment being utilized that is not specifically mentioned elsewhere in the application or as
part of the Minimum Design Criteria(e.g.,telemetry,hoist;odor control equipment,mechanical bar
screens,etc.): N/A
10. Do the subject pump stations and force mains comply with the minimum Design Criteria for the Fast-
Tract Permitting of Pump Stations and Force Mains documents adopted June 1,2000 and 15A NCAC 2H
.0200? Yes; No. if no,please identify criteria and explain:
N/A
NOTE: If you responded NO to item IVA and/or item IV.10. above, two (2) copies
of detailed plans, specifications, supporting information, and any other materials
pertaining to the identified criteria should be submitted with the
completed and appropriately executed application form.
FORM: FTA 06/00 Page 4 of 5

V. CERTIFICATIONS
Professional Engineer's Certification:
h Robert Paul Patterson attest that this application for Can iage Park Section 9-Sewer Extension _
has been reviewed by me and is
accurate,complete and consistent with the information supplied 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. Although certain portions of
this submittal package may have been developed by other professionals,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 143-215.613,any person
who knowingly makes any Use 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.
North Carolina Professional Engineer's Seal,Signature,and Date:
,.`��oN CApli
,,, 9r
AL
EAL
_01 0231131 :Z=
OAUL_•pp�,O'
Applicant's Certification:
I, Ezra Allman,Director.attest that this application for Carriap_e Park.Section 9-Sewer Extension _
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 information and attachments are not included,this
application package will be returned to me as incomplete.Note: In accordance with NC General Statutes
143-215.6A and 143-215.613,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 upto$25,000 per violation.
C /
Signature -I A/0. V�,zo—ti Date
1 JUL 2 5 2002
14I'n.TF r, �gCIAI ITY SECTION
i
JUL 2 2 2002
FORM: FTA 06/00 Pa e 5 of 5 --` `�-
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