WQ0041599_Final Permit_20200402

March 26, 2020
Memorandum of Transmittal
To: NCDEQ
Asheville Regional Office
2090 US Highway 70
Swannanoa, NO 28778
From: Jeffrey T. Brown, PE
President
Cc: David Lutz
City of Brevard — Public Services Director
Re: Pisgah Drive Sewer Extension
Transylvania County, NC
The fast -track application attached is for the City of Brevard in Transylvania County. The
proposed project is to extend the existing gravity sewer on Pisgah Drive. This project will consist
of installing approximately 282 linear feet of 8 inch DIP gravity sewer line and 2 manholes.
Please find the following attached items for the referenced project:
1. Two (2)
— Signed & Sealed Fast Track Application
2. One (1) —
Check in the amount of $480
3. Two (2)
— Signed FTSE 04-16 Form
4. Two (2)
— Site Map and Location Map
Should there be any questions, please call. (C
RIMAR 31120020 D
Water Quality Regional Operations
Asheville Regional Office
30 Ben Lippen School Road, Suite 202, Asheville, NC 28806> 828.350.7683 [office] > NC License No.: C-3214> www.brownpa.net

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 INSTRUCTIONS FOR FORM: ETA 04-16 & SUPPORTING DOCUMENTATION
This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of 15A NCAC 02T and the Division's
Minimum Design Criteria and that plans, specifications and supporting documents have been prepared in accordance with, 15A
NCAC 02T, 15A NCAC 02T.0300, Division policies and good engineering practices.
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design
documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design
calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum design criteria. These
documents shall be available upon request by the Division.
Projects that are deemed permitted (do not require a permit from the Division) are explained in 15A NCAC 02T.0303.
Projects not eligible for review via the fast track process (must be submitted for full technical review):
➢ Projects that require an environmental assessment in accordance with 15A NCAC I .0100;
➢ Projects that do not meet any part of the minimum design criteria (MDC) document;
➢ Projects that involve a variance from the requirements of 15A NCAC 2T;
➢ Pressure sewer systems utilizing septic tank -effluent pumps (STEPS) or simplex grinder pumps;
➢ STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains);
➢ Vacuum sewer systems.
General — When submitting an application, please use the following instructions as a checklist in order to ensure all required
items are submitted. Adherence to these instructions and checking the provided box w time
and reduce the amount of requested additional information. Failure to submit all re r e s t tional
processing and review time, and may result in return of the application. Unless o e p ]i al ubmit
one original and one copy of the application and supporting documentation.
A. One Original and One Copy of Application and Supporting Documents MAR 3 12020
® Required unless otherwise noted
Water Quality Regional Operations
R. Cover Letter (Required for All Application Packages): Asheville Regional Office
® List all items included in the application package, as well as a brief description of the requested permitting action.
➢ Be specific as to the system type, number of homes served, flow allocation required, etc.
➢ If necessary for clarity, include attachments to the application form.
C. Application Fee (All New and Major Modification Application Packages):
® Submit a check or money order in the amount of $480.00 dated within 90 days of application submittal.
➢ Payable to North Carolina Department of Environmental Quality (NCDEQ)
D. Fast Track (Form: ETA 04-16) Application (Required for All Application Packages):
® Submit the completed and appropriately executed application.
➢ If necessary for clarity or due to space restrictions, attachments to the application may be made.
❑ If the Applicant Type in Item 1.2 is a corporation or company, provide documentation it is registered for business with
the North Carolina Secretary of State.
❑ If the Applicant Type in Item I.2 is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of
Deeds in the county of business.
® The Project Name in Item I1,1 shall be consistent with the project name on the flow acceptance letters, agreements, etc.
® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North
Carolina licensed Professional Eneineer.
® The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 02T .0106(b).
Per 15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if a delegation letter is
provided f om a person who meets the criteria in 15A NCAC 02T .0106(b).
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 1 of 3

E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (HApplicable):
® Submit the completed and executed FTSE form from the owners of the downstream sewers and treatment facility.
➢ Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different.
➢ The flow acceptance indicated in form FTSE must not expire prior to permit issuance and must be dated less than one
year prior to the application date.
➢ Submittal of this application and form FTSE indicates that owner has adequate capacity and will not violate G.S. 143-
215.67(a).
➢ Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific FTSE.
F. Site Maps (All Application Packages):
® Submit an 8.5-inch x 1 i-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project
area and closest surface waters.
➢ Location of the project (gravity sewer, pump stations & force main)
➢ Downstream connection points and permit number (if larown) for the receiving sewer
❑ Include a street level map showing general project area.
G. Existing Permit (All Modification Packages):
❑ Submit the most recently issued existing permit.
❑ Provide a list of any items within the permit the Applicant would like the Division to address during the permit
modification (i.e., permit description, flow allocation, treatment facility, etc.).
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per 15A NCAC 02T .0305(h)(1), submit documentation of power reliability for pumping stations.
➢ This alternative is only available for average daily flows less than 15,000 gallons per day
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is
compatible with the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or
proposed contractor, stating that "the portable power generation unit or portable, independently -powered pumping
units, associated appurtenances and personnel are available for distribution and operation of this pump 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
timoframes, shall be provided in the case of a multiple station power outage. (Required at time of certification)
I. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0115(a)(1) provide the Certificate of Public Convenience and Necessity from the North Carolina
Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be sewed by
the sewer extension, or
❑ Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an
application for a franchise has been received and that the service area is contiguous to an existing franchised area or
that franchise approval is expected.
J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(e), submit the properly executed Operational Agreement (FORM: FICA ).
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (FORM: DEV).
For more information, visit the Division's collection systems website
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 2 of 3

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 ETA 04-16 & SUPPORTING DOCUMENTATION
Application Number: (to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: City of Brevard (company, municipality, RCA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's time: James Finland per 15A NCAC 02T .0106(b)
Title: City Manager /// Y7q q��
4. AppCity: ant'srevs mailing address: 95 W. Main St H • (( p . / i y
City: Brevard State: NC Zip: 28712-_ (((\\\111JI I�JJ�J!. �7 "I I�Y,��������//////
5. Applicant's contact information: MAR 3 12020
Phone number: 828 885-5602 Email Address: jim fatlariMcitvotbrevard corn
D. PROJECT INFORMATION: Wafer Quality Regional Operations
1. Project time: Pisgah Drive Sewer Extension Asheville Regional Office
2. Application/Project stains: ®Proposed (New Permit) El 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: Transylvania
4. - Approximate Coordinates (Decimal Degrees): Latitude: 35.236627' Longitude:-82.738329°
5. Parcel ID (if applicable):
(or Parcel ID to closest downstream sewer)
IR. CONSULTANT INFORMATION:
1. Professional Engineer: Jeffrey T.. Brown License Number: 28289
Firm: Brown Consultants PA
Mailing address: 30 Ben Lippert School Road Suite 202
City: Asheville State: NC Zip: 28806-_
Phone number: 828) 350-7683 Email Address: itbrown(albrownpamet
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Brevard W WTP Permit Number: NCO060534
Owner Name: City of Brevard
V. RECEIVING DOWNSTREAM SEWER INFORMATION(ifdifferent than WWTF):
1. Permit Nmnber(s): WQ_ Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00084
Owner Name(s): City of Brevard
FORM: PTA 04-16 Page 1 of

Vt. 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, DEVI been attached?
❑ Yes ❑No [—]N/A
3. If the Applicant is a Home/Property Owners' Association. has an Operational Agreement (FORM HOA) been attached?
4. Origin of wastewater: (check all that apply):
® Residential Owned
❑ Residential Leased
❑ School/preschool/day care
❑ Food and drink facilities
❑ Businesses / offices / factories
❑ Yes ❑No ❑N/A
❑ Retail (stores, centers, malls)
❑ Retail with food preparation/service
❑ Medical / dental / veterinary facilities
❑ Church
❑ Nursing Home
5. Nature of wastewater: 100 % Domestic/Commercial 0%Commercial
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool /Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
0 %Industrial (See 15A NCAC 02T.0103(20))
"Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under l5A NCAC 02T .O114(t)? ❑ Yes ®No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project
Establishment Type (see 02T.0114(D)
Daily Design Flow',b
No. of Units
Flow
Single Family Residential (3 Bedroom)
360 gal/day
4
1440 PD
gaV
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
1440,61)
a See 15A NCAC 02T .0114(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 in east of the Atlantic Intracoastal Waterway to be used as vacation rentals
as defined in G.S. 42A-4).
b Per 15A NCAC 02T .0114(e), design flow rates for establishments not identified [in table 15A NCAC 02T 0114] shall
be determined using available flow dat , water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 1440 (per 15A NCAC 02T .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 40305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
282 /
DIP
➢ Section II & III 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 A305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: N/A
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational pombs) 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) Material
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 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T.0305(f) & (a) ® Yes []No
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
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 sewer
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I 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 sloe of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming arts
10 feet
Final earth grade vertical
36 inches
➢ t5A 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 webmage
➢ If noncompliance with 02T.0305(f) or (a) see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ 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. Does the project comply with all setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ 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.0105(c)(6) (additional permitsociffieations)? ® Yes ❑ No
Per 15A NCAC 02T.0 1 05(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, stormwater 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 put she] to streambanks that is subject to erosion that underm/itu s or deteriorates the sewer.
[-]Yes ® kd'o
➢ If yes, include an attaclunent with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permitter 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 MlnlmumtksieQCriteeria for the Pemtj0(nn of Pmnu Smtans
and FMains (latest versio)and the Gravity Sewer. Minimum Design C_rilerl (1 t @tye�sigp]uapplicable)
® yes ❑ No
If No, complete and submit the VmiancefAlternlive Design Request application (VADC 10-14) and supporting dacuseenla
for review. Appal of the oast is rumored Prior to submittal of the Fast Track Amilleallon and sumeartho,
documents.
2. Professional Engineer's CeMticatian:
6.__sal •. efw. to , _ what that this application for
(profess nal En ineer's name from Appliciafluri Item 111,1.)
has been reviewed by me and is eccumns, complete and consistent with the Information supplied in the plans, specifications,
engineering calculations, and all othersupporting documeomdon to the but ofmy 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 Qatut version), and the Minimum Design Criteria for the Fnst-Treck
Permitting of Pump Students and Force Mains (Infest vamioa). Although ether professionals may have developed certain
portions of this submittal package, Inclusion of than materials under my signature and seal signifies that 1 havereviowed this
material and havejudged It to be consistent with the proposed design.
NOTE — In accordance with Gamest Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or cer"cation'in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not accused $10,000, u well as civil penalties up to $25,000 per violation.,1111 Itopr„
North Carolina Professional Engineer's seal, signature, add date:
3. Applicant's Certification per 15ANCAC 02T.0106(b):
i"i:Nf"► ALA i�i p, lr.ii5j" (•e'Ls 1W) pnut that this application for
(Sigualam Authority's nataa &fide testa Application Item l..)
has been reviewed by me and is accurate and complete to the best army knowledge. I understand that if all required pans of
this application arc, not completed and that if all required supporting documentation and attachments we not Included, this
application package is subject to being remmed as incomplete. I understand that any discharge of wastewater from this non.
discharge system to surface waters or the Ind will result in an immediate enforcement action that may Include civil penalties,
injunctive relief, and/or criminal prosecutin. 1 will make no claim against the Division of Water Resources should a
condition of this permit be violated. I also understand that if all required parts cfthis application package are not completed
and that if all required supporting intervention and attachments are not included, this application package will be returned to
me es incomplete.
NOTE — In accordance with General Su mtes 11J3 21$,6A and -2 5.6D any person who knowingly makes my false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine nut to exceed $111,000 us well as civil penalties up to $25,000 per violation.
Sign(�
. 2O2G/a
FORM:

iS��y I State of North Carolina
1 ' O�) MAR 3 12020 Department of Environmental Quality
61 i�,i Division of Water Resources
QualityRggp� J�4 .'J"Wr
Division of Water acsourtes '.r::heville Reg ona Ce rSewer Extension Applicators
(FTSE ] 0-] 8)
Entity Requesting Allocation: _ City ofBrevard
Project Name for which flow is being requested: Pisgah Drive Sewer Extension
More than one FTSEmay be regnlred for a single pmjecrijlhe owner of the WIPTP is nor respanslbtefor all pump
nations along rite role ofrheproposed wastewater flow:
I. Complete this section only if you me the owner of the wastewater treatment plant.
a W WTP Facility Name: Brevard W rn?
In. WWTP Facility Permit#: NCO060534
All flows are in MGD
c. W WTP facility's permitted flow 2.5
d. Estimated obligated flow not yet tributary to the W WTP 0.01546
e. W WTP facility's actual avg. flow 1,24824
E Total flow for this specific request 0.00144
g. Total actual and obligated flows to die facility 1.26514
h. Percent of permitted flow used 50.6% '
B. Complete this section for each pump station you are responsible for along the mute of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A)
(a)
(C)
(D)=(9+C)
(E)=(A-D)
Design
Obligated,
Pump
Pump
Average
Approx.
Not Yet
Total Current
Slogan
Station
Firm Daily Flow--
Current
Tributary
Flow Plus
(Name or
Permit
Capacity, • (Firm Ip0,
Avg. Daily
Daily Flow,
Obligated
Available
Number)
No.
MOD MOD
Flow, MOD
MOD
Flow
Capacity".
* The Firm Capacity (design flow) of any pump station is defined as tilt maximum pumped flow
tint can be achieved with the largest pump taken out of service.
** Design Average Dully Flow is the firm capacity of the pump station divided by a pecking factor
(pl) 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 W WTP where the Avallable Capacity is < 0.
Downstream Facility Name (Sewer): Brevard WWTP/Collection
Downstream Penuit Number: NC0060534/WQCS00084
Page I of 6
FTSE 10-18

M. Certification Statement:
I James Fadand, City Manager certify to the beat 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 11 plus all attached planning assessment
addendums for which I am the responsible party. Signature of this form certifies that the receiving
collection system or trenant works has adequate capacity to transport and treat the proposed new
wastewater. _f�
Page 2 of 6
FTSE 10-18