NC0026697_Regional Office Physical File Scan Up To 6/15/2020 (2)

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
August 11, 2009
Mr. Doug Stuart, Senior Warden
Episcopal Church of the Good Shepherd
Post Office Box 677
Hayesville, North Carolina 28904
Subject: Permit No. WQ0034259
Episcopal Church of the Good Shepherd
Good Shepherd Episcopal Church
Wastewater Collection System Extension
Clay County
Dear Mr. Stuart:
In accordance with your application received on July 23, 2009 we are forwarding herewith
Permit No. WQ0034259 dated August 11, 2009, to the Episcopal Church of the Good Shepherd 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effective from the date of issuance until rescinded and shall be subject to the conditions and limitations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 incorporated
therein by reference.
Please pay particular attention to Permit Condition 3 which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 02T .0400 or
any individual system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 15A NCAC 02T .0305; 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 the North Carolina -licensed Professional Engineer named 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.
Asheville Regional Office
2090 US Highway 70, Swannanoa, NC 28778
DENR Customer Service Center
Internet http://h2o.enr.state.nc.us/
Telephone [phone] Fax [phone]
Telephone [phone]
An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper

Episcopal Church of the Good Shepherd August 11, 2009
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 Episcopal Church of the Good Shepherd for the construction and operation of
approximately 250 linear feet of 6-inch diameter gravity sewer, a 30 gallon per minute grinder style
duplex sewage pumping station with telemetry, audible and visual high water alarms and a connection
for a portable emergency power generator, and 120 linear feet of 2-inch diameter force main and to
serve the Good Shepherd Episcopal Church with the discharge of 1,250 gallons per day of collected
domestic wastewater, pursuant to the application received on July 23, 2009 and in conformity with 15A
NCAC 02T .0305 the Division's 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 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 Clay County Water
and Sewer District Wastewater Treatment Facility (Permit No. NC0026697) prior to being discharged
into the receiving stream.
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 Roy Davis at (828)
296-4659.
Nncerely,
for Colee . Sullins, Director
Division of Water Quality
cc: Clay County Building Inspector
Asheville Regional Office, Surface Water Protection (WWTF Permit No. NC0039578)
William A. Stillwell, PE
Water Quality Central Files
PERCS Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
EPISCOPAL CHURCH OF THE GOOD SHEPHERD
GOOD SHEPHERD EPISCOPAL CHURCH
CLAY COUNTY
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT WQ0034259
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 becomevoidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 02T .0305; 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 02T .0400. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 02T
.0403:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and any contravention of the groundwater standards in
15A NCAC 2L .0200 or the surface water standards in 15A NCAC 213.0200.
b. A map of the sewer system shall be developed 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 (i.e.
365 days per year). 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.
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.
1

August 11, 2009
4. This permit shall not be transferable. In the event there is a desire for the wastewater collection
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, pump stations, and force mains 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 02T .0305; 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 02T .0305;
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.
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 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands
under 15A NCAC 213.0200 and 15A NCAC 2H .0500.
11. Noncompliance Notification:
The Permittee shall report by telephone to a water quality staff member at the Asheville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours

just 11, 2009
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.
Voice mail messages or faxed information is permissible but this shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number [phone] or (919)
733-3300. Persons reporting any of the above occurrences shall file a spill report by completing
Part I of Form CS-SSO (or the most current Division approved form), within five days following first
knowledge of the occurrence. This report shall outline the actions taken or proposed to ensure that
the problem does not recur. Per Condition 1(2), Part II of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control.
Permit issued this the 11th day of August, 2009
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION.
1
for Coleen H. Ilins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0034259
3

August 11, 2009
ENGINEERING CERTIFICATION - POST CONSTRUCTION
System Description: approximately 250 linear feet of 6-inch diameter gravity sewer, a 30 gallon per
minute grinder style duplex sewage pumping station with telemetry, audible and visual high water
alarms and a connection for a portable emergency power generator, and 120 linear feet of 2-inch
diameter force main
Complete and submit this form to the Asheville regional office with the following:
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
• supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump
stations permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit, regulations or
minimum design criteria.
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. Therefore, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEERS CERTIFICATION
❑ Partial ❑ Final
1, , as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the above referenced
project for the 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:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
ROGER C. EDWARDS
SURFACE WATER PROTECTION SUPERVISOR
ASHEVILLE REGIONAL OFFICE
2090 US HIGHWAY 70
SWANNANOA, NC 28778
The Permittee is responsible for tracking all partial certifications up until a final certification is received. 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.

F E (Oel6rt� 4t � onment and Natural Resources
`7 la q D"—`� " Division of Water Quality
i I
J J L 2 3 2009 -TRACK APPLICATION
l t (FTA 12/07 very)
for G L V, ST TIONS, AND FORCE MAINS
(pros 8pemvt
,mtFp to included as part of this application package)
INSTRUCTIONS: Indicate that you have included/addressed the following list of required application package items by
checking the space provided next to each applicable item. Failure to submit all required items will lead to your application
being returned as incomplete. Forms are available from the web site or by calling the Regional Office serving your county:
http lh2o.enrstate.nc.usiperesICollection%2oSystems/CollectionSystemApplicationshtrnI
A. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. The application should include a project narrative describing the final build -out design (i.e. system and/or
pump station to ultimately serve 500 homes, but flow for only 100 homes being requested now). For modifications,
clearly explain the reason for the modification (i.e. adding another phase, changing line size/length, etc.). Only
include the modified information in this permit application - do not duplicate project information that has already
been included in the original permit.
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
Dead to s it dqLailed plansand ecifica ions unless ygy..Msoond NO o item SO3 .
§epaqtj ag2licatiang should I& rriggift for nogMntLqugu1 Iftwer s s ems.
B. Application Fee - Submit a check in the amount of $480 made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR). Checks shall be dated within 90 days of application submittal.
❑ C. 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 (CPCN)
which demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the
sewer extension. If a CPCN has not been issued, provide two copies of a letter from the North Carolina Utilities
Commission's Public Staff that states that an application for a franchise has been received, that the service area
is contiguous to an existing franchised area, and/or that franchise approval is expected. The project name in the
CPCN or letter must match that provided in Item A(2)a of this application.
ja D. Operational Agreements - Submit one original and two copies of a properly executed operational agreement, as
per 15A NCAC 02T .0115, if the application is submitted by a private applicant and will be serving residential or
commercial lots (e.g., houses, condominiums, townhomes, outparceis, etc.) that will be sold to another entity. if
the applicant is a home or property owner's association, use Form HOA 02/03. If the applicant is a developer,
use Form DEV 02/03. EVEN IF THE PROJECT MAY BE TURNED OVER TO A MUNICIPALITY UPON
5�/COMPLETION, FORM DEV 02/03 IS REQUIRED.
E- Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance - FORM FTSE 10/07 (Flow
Tracking/Acceptance for Sewer Extension Permit Applications) is required with every application. The applicant
(and owners of downstream sewers, pump stations and/or treatment facilities submitting FORM FTSE-10/07)
certifies that the addition of the volume of wastewater to be permitted in this project has been evaluated along the
route to the receiving treatment plant, and that the flow from this project will not cause capacity related sanitary
sewer overflows or overburden any downstream pump station en route to the receiving wastewater treatment
plant. Where the applicant is not the owner of the downstream sewer, submit two copies of FORM FTSE 10/07
from the owner of the downstream sewer and owner of the WWTF, if different. The flow acceptance indicated in
FORM FTSE-10/07 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 FTSE40107 Indicates that owner has adequate
C�/capacity and will not violate G.S.143-215.B7(a). Intergovernmental agreements or other contracts will not be
accepted in lieu of project -specific FTSE 10/07.
F Map — Submit an 8.5-inch by 11-inch COLOR copy of a USGS Topographic Map of sufficient scale to identify the
entire project area and the closest surface waters. Each map or maps must show the location of the sewer line
and pump stations and be of reproducible quality. Include a street level map showing the downstream connection
point, and the permit number for the downstream sewer, if known.

,z lassifications - Watershed Classiflcation Attachment (Form WSCAS42107) If any portion of the
system project is within 100 feet of any surface water or wetlands, the Watershed Classification Attachment
need to be completed. A variance must be requested for encroachment within required setbacks or buffers
,rsuant to 2T .0305 (f) and be indicated in Item 8-13 with supporting documentation1justification provided.
Environmental Assessments -- If this project is subject to an Environmental Assessment (EA) 115A NCAC
01% this application cannot be used. Send the project application on the most current version of Form
PSFMGSA to the Design Management Unit, 1633 Mail Service Center, Raleigh, NC 27699-1633. Applications
cannot be accepted until a Finding of No Significant Impact (FONSi) or Environmental Impact Statement (EIS)
has been issued. A copy is to be submitted with that permit application.
1. Flow Direction — Many wastewater treatment systems are entering into agreements for regionalization efforts
and emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be directed
to more than one treatment facility. If this is the case with this project, please indicate in B(12) and give the permit
number of the second treatment facility.
©° J. Certifications — Section C
The application must be certified by both the applicant and the design engineer who is a North Carolina
Registered Professional Engineer (PE). The applicant signature must match the signing official listed in item
A(1b). The PE should NOT certify the application if he/she is unfamiliar with 15A NCAC Chapter 2T, the Gravity
Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project.
THE COMPLETED FTA 12107 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
DOCUMENTS AND $480 FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL_ OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Palk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Hamett, Hoke,
Fayetteville, North Carolina 28301-5094
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Berne, Camden, Chowan, Craven,
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
585 Waughtown Street
Alamance, Alleghany, Ashe, Caswell, Davidson,
Winston-Salem, North Carolina 27107
Davie, Forsyth, Guilford, Rockingham, Randolph,
[phone]
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone] Fax
For more information, please visit our web site at:
h#p.Ilh2o.enrstate nc.us/peresJCo/lecdon%2oSystems/CollectionSystemsHome,html
or contact the Regional Office serving your county.

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Application Number.
HE TAB KEY TO MOVE FROM FIELD TO HELD! (to be corroded by DM)
a=4Y.C+WZ:a7--MWMx1-4Aff,;
1c The legal entity who will own this system is
[ Federal ®Muniap2d�y [] StatelCounty ®Prinrate e 3 Q CoEpora6a
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11d. PO Box677
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Address
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State
Zip Cow
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1h. 828-389-3397 (ii. 828-389-8304
low
Telephone Facsimile
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2...._P%hct tFaeilfty) Information:
_... __ .
WATER
_.a._._..____..._..._......._.._....__.-._.-_.._._.........-._._____._____..._...__..____....._
2aGood Sheafrerd Qwrch San. $irlAFer Irriiarotreriert#s
gt#Ciit�
1.2b.
Q-
Brief Project Name (permit will refer to th� name)
Cotmty Where Prt�jectis
Contwt
3a. Alec Sti1Me11, Pr+a�ct Freer
Name and Affiliation of See V" Can Answer Questions About this Application
3b. 828-586-8f188 _
-c. w sdltweil #"�
Phone Numb 1
E
11. Project is 0 New ❑ Modification (of an existing permit)
if Modification, Permit No.:
2.
Owner is ❑ Public (&Vp to Item W3)) Private (go to Item 2(a))
Via.
tf private, plicarit will be: 2b. N S� � owned by a (must choose
® Retaining Owner" (i e. slnre, t ttutli, since office, etc.) or ❑ Public UftKy (Instruction C)
❑ Leasing antis (bLa, towMtomes, eta. - sli a to tlom 8(3)) 0 Ho AssocJDeveloper (n buction D)
rl Selling tmits (bts, townhomes, etc. - go to /terra 8i2bn
3.Clay
County Water and District
Owner of Wastewater Treatment Facgty (V WCF) Taming Wastewrater From This Project
Aa.
_Clay County WastewaW Treaknent Plant 4b. NC 0026697
Name of V4WTF WWTF Permit Pb.
Sa.
Clay Co. Water & Sew. fist. 5b. it Gravity Vie- WQfib28%4
Owner of Dcsnnstream Sewer Receiving Sewer Size Force Main 1 Permit # of Downstream Sewer (Instruction E)
_........._...__..__.__._.__._
6.._....-_The
.................._.__.._._.._.._..___._..__.............._.. ........ _.-__...__....-------- --- __.._..._...._.__............... ..._...... .------- ..__............_.......
Viat
orign_teis waste±nrter 4 lPP!ya ......... ............. __.....__.____._............-............ .._.
❑ Residential Sub ion ( Retall (Stores, gopping centers) 100 % Domesfidcommerdal
C7 jjj D institiation % Industrial (attach
i) Hospital
® Mobile Horne Park ®Sdwol
yam Regional Office
(RO
❑ Rat 0 Nth Home
❑ Office 0 Other (specify): Pretreatment staii)
% Other (may):
7.
Volume e of wastewater to be allocated or for this gallons day
*Do not � fps f m or previously 'n - ��
8.
!€ thpe�.pye.�rrr zero, mda� why.
{ `_ ��y�,} .(w , y
��y,�,, p��� will
Station.
a PUMP P Statio1a Vllltlgl� or l��tir U* !Ytwe Ilow will be permitted it stt�, permits OW conned to tht line
❑ Flow has already been aliOr in Permit No.
❑ Rehabilitatiort or replacement of existing sewer wlh no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)

•
YJ'
,iavide the wastewater ftwcalculationsused in deterrttiring the pmIfted flow in accordance with 15A NCAC 2T .0114 fo
the value in Rom SM AMM the design tow for Tie or pump station sift if a reduced or zero flow is being requested in
Item S(n. Values dhw than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater us+
data in accordance with 15A NCAC 2T .0114 (f).
Church Seater Capacity at 5 Gam per seat per daft for a total of 1,280 Goons per Day
10. &mgneryt of Sew Lines to be PernMed (arch additional sheets if necessary)
Design Flow Power Rellabliky Option
(l GD) ai Point i - Permanent w/AT3; Force 0�in Size Force Hair Length
t,,M CbTVH i 2 - w
-__._.__._...._.__......__.._._.......___--...__.__._.w_._____._.__.___.__._.._._.._...__................. ........_..._......_......... ...
__._- _._._..........._.__._._.__._.._..._ __.___._..._.____._.._...___.__.._...
.0013 130 126 Tt)H I 2 2" 120
Station Location tti (self dxmen - as shown on planeftap for rderence)
f]jrt tyf Optioin
t D tionai Pots 1- pennanerd germAw w/ATS; ' Force Main Size Force Main Length
CPM @1M2 - porbJ* generator VWKM {
Station Location ID (self d*me n - as shown on pbnWmap for )
Power �Y Option
D ? t>pe i Point s 1- perfoansit generator wiATS; Farce 1arrt S ee ; Farce Lkin Length
2 r portWW& generator wMM
YM the matewater flow in the proposed rv�ri lines orpump stations be i�i to be directed to another W
Yes ® No if Yes, pennit madw of a trealment WRY
) — if to 8.12 please contact the Central Office PERCS Unit)
f': 1 �+tG: !P'. .�_ '•.i 'It k r.. l-:� a�. i:'- t: f
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3INEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
LUCAMON_ THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR
OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
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P.O. Box 838
332 Fullwood Lane
Sylva, NC 28779
Phone: [phone]
Fax: [phone]
July 22, 2009
North Carolina Dept. of Environment * Natural Resources
Division of Water Quality
Asheville Regional Office
2090 US HWY 70
Swannanoa, NC 28778
RE: Episcopal Church of the Good Shepherd Sanitary Sewer Improvements
Owner - Episcopal Church of the Good Shepherd
Haye5vllle, NC
SUBJECT: FTA PROJECT NARRATIVE
Dear Sir or Madam:
The above referenced project consists of the installation of a G" diameter pvc gravity building sewer that will
transport sanitary flow generated by the existing church and future addition to be constructed. This gravity
line transports the Sewer to a proposed dual grinder pump station and from there, transported through a 2"
diameter force main to an existing 8" diameter force main owned by the Clay County Water and Sewer District.
The design flow being permitted in this application 15 based upon a 25G seating capacity at 5 gal/day/seat for a
total of 1 ,280 GPD. However, future expansion may increase the Seating capacity to 350 seats for a total of
1 ,750 GPD over the life of the facilities, which 15 what the facilities design 15 based upon.
If you have any questions, please contact me at your convenience.
Sincerely,
' W. Alec Stillwell, P.E.
Cc: Mr. David Smucker — Episcopal Church of the Good Shepherd
Mr. Layton Schuh — Clay Co. Water and Sewer District
Attachments

�111iff3ililrltgE',P,�•�u���'i .'T•�i�1�11�1��'111'ii�1�FTt�T'�"d�'*3.►'
03:56P Stillwell Engineering, PR 82858665GS p.2
OF Wq���? State of North Carolina
�Qr; QG Department of Environment and Natural Resources
�r r SON Z Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE-10/07)
Project Applicant Name: G,_ ood Sid Episcopal Church
Project Name for which flow is being requested: smo Shcoberd c XM r Chwch qMarM FAM 109MMOLS
More than one nSE-10/07 may 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.
omolete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Clav Coun�
b. WVn P Facility Permit #: _,_ NC 0
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the
e. WWTP facility's actual avg. flow
£ Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
WWTP
. eye
.0013
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
Pump Station Name Approx. Capacity, MGD Approx. Current Avg.
(Firm/Design) Daily Flow, MGD
III. Certification Statement:
L �c-p aEp -r GH cots , certify that, to the best of my knowledge, 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. 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 for which 1 am the responsible party. Signature of this form indicates

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Texttheword IGMAPVto466453
A. Episcopal Church of the Good
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495 Herbert Hills Dr, Hayesville, NC -
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http://maps.google.comlmaps?oe=UTF-8&ie—UTF8&q=good+shepherd+episcopal+churc... 7/22/2009

9

,BILE COPY
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
Asheville Regional Office
October 24, 2008
Mr. Herbert Cheeks
Clay County Water and Sewer District
Post Office Box 118
Hayesville, North Carolina 28904
Subject: Permit No. WQ0033529
Clay County Water and Sewer District
David Shook Sewer Line
Wastewater Collection System Extension
Clay. County
Dear Mr. Cheeks:
In accordance with your application received on October 17, 2008 we are forwarding herewith
Permit No. WQ0033529, dated October 24, 3008, to Clay County Water and Serer District 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 incorporated
therein by reference. Please send Roy Davis a copy of the "notice to proceed" issued to your
contractor for this collection system extension.
Please pay particular attention to Permit Condition 3 which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2T .0403 or any
individual system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 15A NCAC 2T; 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
the North Carolina -licensed Professional Engineer named 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.
Regional Office Internet www.ncwaterquality.org one
Asheville Re g NorthCarolina
2090 US Highway 70, Swannanoa, NC 28778 Telephone [phone] Fax [phone] �Vatura!!y
DENR Customer Service Center Telephone [phone]
An Equal Opportunity Action Employer 50% recycled/10%o post -consumer paper

z G.� r..k ....�

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 Clay County Water and Sewer District to construct and operate approximately 670 linear
feet of 8-inch diameter gravity sewer to serve a proposed commercial development on U.S. 64-Bypass.
This permit is issued pursuant to the application received on October 17, 2008 and in conformity with
15A NCAC 2T.0305; the Division's 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 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 Clay County Water
and Sewer District Wastewater Treatment Facility (Permit No. NC0026697) prior to being discharged
into the receiving stream.
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 Roy Davis at (828)
296-4500.
Sincerely,
for Co�leen H. Sullins, Director
Division of Water Quality
cc: Clay County Building Inspector
ARO, Surface Water Protection (WWTF Permit No. NC0026697)
T. Dean Haney, PE
Surface Water Protection Section Central Files
PERCS Files
G:\WPDATA\DEMWQ\CLAY\Clay County W&S Collection System\W00033529 CCWSD-Commercial.doc

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
CLAY COUNTY WATER and SEWER DISTRICT
DAVID SHOOK SEWER
CLAY COUNTY
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT WQ0033529
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC .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 2T .0403. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2T
.0403:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or 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 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 (i.e.
365 days per year). 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.
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 §143-215.1 C.

__ _� _ . �_,._. n_ _. ,�,_. _ _ �x _ _ �_�.�,�._�,,��,,,��

Permit No W00033529 Clay County Water and Sewer District Davis Shook Sewer. Clay. County . 24 20Q8
4. This permit shall not be transferable. In the event there is a desire for the wastewater collection
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, pump stations, and force mains 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 2T; 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 2T.; 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.
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 15A NCAC 213 .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands
under 15A NCAC 213.0200 and 15A NCAC 2H .0500.
11. Noncompliance Notification:
The Permittee shall report by telephone to a water quality staff member at the Asheville Regional
Office, telephone number [phone], 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:
2

Permit No W00033529 Clay County Water and Sewer District, Davis Shook Sewer Clay County Oct 24, 2008
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.
Voice mail messages or faxed information is permissible but this shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number [phone] or (919)
733-3300. Persons reporting any of the above occurrences shall file a spill report by completing
Part I of Form CS-SSO (or the most current Division approved form), within five days following first
knowledge of the occurrence. This report shall outline the actions taken or proposed to ensure that
the problem does not recur. Per Condition 1(2), Part II of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control.
Permit issued this the 24th day of October, 2008
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
el`t�
for Col en H. Sullins, Director f
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0033529

Permit No WQ0033529 Clay County Water and Sewer District Davis Shook Sewer Clay County Opt 24 2008
ENGINEERING CERTIFICATION — POST CONSTRUCTION
System Description: approximately 670 linear feet of 8-inch diameter gravity sewer
Complete and submit this form to the Asheville regional office with the following:
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
• supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three .year outage reliability option selected) for any pump
stations permitted as part of this project
• Changes to the project should be clearly identified on the record drawings Orin written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit regulations or
minimum design criteria.
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. Therefore, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEERS CERTIFICATION
❑ Partial ❑ Final
as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the above referenced
project for the Per mittee 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 2T; 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:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
ROGER C. EDWARDS
SURFACE WATER PROTECTION SUPERVISOR
ASHEVILLE REGIONAL OFFICE
2090 US HIGHWAY 70
SWANNANOA, NC 28778
........ ................................. ......._..__
The Permit....tee is responsible for tracking all partial certifications up until a final certification is received. 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.

ET'�;LIE, E 33 sadW0003352%,
R P
*fie a ant Hof Environment and Natural Resources
4G .
y ;1 Division of Water Quality
o <
FAST -TRACK APPLICATION
(FTA 12/07 very)
for GRAVITY -SE n. UMP STATIONS, AND FORCE MAINS
(Pressure & Vacuum sewer systems are not to be included as part of this application package)
INSTRUCTIONS: Indicate that you have included/addressed the following list of required application package items by
checking the space provided next to each applicable item. Failure to submit all required items will lead to your application
being returned as incomplete. Forms are available from the web site or by calling the Regional Office serving your county.,
http://h2o. enr. state. nc. us/peres/Collection%20SystemsICollectionSystemApplications. html
A. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. The application should include a project narrative describing the final build -out design (i.e. system and/or
pump station to ultimately serve 500 homes, but flow for only 100 homes being requested now). For modifications,
clearly explain the reason for the modification (i.e. adding another phase, changing line size/length, etc.). Only
include the modified information in this permit application - do not duplicate project information that has already
been included in the original permit.
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 B(13).
Separate applications should be made for non-contiguous sewer systems.
ED B. Application Fee - Submit a check in the amount of $480 made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR). Checks shall be dated within 90 days of application submittal.
❑ C. 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 (CPCN)
which demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the
sewer extension. If a CPCN has not been issued, provide two copies of a letter from the North Carolina Utilities
Commission's Public Staff that states that an application for a franchise has been received, that the service area
is contiguous to an existing franchised area, and/or that franchise approval is expected. The project name in the
CPCN or letter must match that provided in Item A(2)a of this application.
❑ D. Operational Agreements — Submit one original and two copies of a properly executed operational agreement, as
per 15A NCAC 02T .0115, if the application is submitted by a private applicant and will be serving residential or
commercial lots (e.g., houses, condominiums, townhomes, outparcels, etc.) that will be sold to another entity. If
the applicant is a home or property owner's association, use Form HOA 02/03, If the applicant is a developer,
use Form DEV 02/03. EVEN IF THE PROJECT MAY BE TURNED OVER TO A MUNICIPALITY UPON
COMPLETION, FORM DEV 02/03 IS REQUIRED.
E. Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance — FORM FTSE 10/07 (Flow
Tracking/Acceptance for Sewer Extension Permit Applications) is required with every application. The applicant
(and owners of downstream sewers, pump stations and/or treatment facilities submitting FORM FTSE-10/07)
certifies that the addition of the volume of wastewater to be permitted in this project has been evaluated along the
route to the receiving treatment plant, and that the flow from this project will not cause capacity related sanitary
sewer overflows or overburden any downstream pump Station en route to the receiving wastewater treatment
plant. Where the applicant is not the owner of the downstream sewer, submit two copies of FORM FTSE 10/07
from the owner of the downstream sewer and owner of the WWTF, if different. The flow acceptance indicated in
FORM FTSE-10/07 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 FTSE40107 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 project -specific FTSE 10/07.
[ F Map — Submit an 8.5-inch by 11-inch COLOR copy of a USGS Topographic Map of sufficient scale to identify the
entire project area and the closest surface waters. Each map or maps must show the location of the sewer line
and pump stations and be of reproducible quality. Include a street level map showing the downstream connection
point, and the permit number for the downstream sewer, if known,
FTA 12/07

.earn Classifications — Watershed Classification Attachment (Form WSCAS-12/07) If any portion of the
sewer system project is within 100 feet of any surface water or wetlands, the Watershed Classification Attachment
may need to be completed. A variance must be requested for encroachment within required setbacks or buffers
pursuant to 2T .0305 (f) and be indicated in Item B-13 with supporting documentation/justification provided.
/❑ H Environmental Assessments — If this project is subject to an Environmental Assessment (EA) 115A NCAC
01C], this application cannot be used. Send the project application on the most current version of Form
PSFMGSA to the Design Management Unit, 1633 Mail Service Center, Raleigh, NC 27699-1633. Applications
cannot be accepted until a Finding of No Significant Impact (FONSI) or Environmental impact Statement (EIS)
has been issued! A copy is to be submitted with that permit application.
❑ 1. Flow Direction - Many wastewater treatment systems are entering into agreements for regionalization efforts
and emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be directed
to more than one treatment facility. If this is the case with this project, please indicate in 8(12) and give the permit
number of the second treatment facility.
J J. Certifications — Section C
The applicationmust be certified by both the applicant and the design engineer who is a North Carolina
Registered Professional Engineer (PE). The applicant signature must match the signing official listed in Item
A(l b). The PE should NOT certify the application if he/she is unfamiliar with 15A NCAC Chapter 2T, the Gravity
Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project.
THE COMPLETED FTA 12107 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
DOCUMENTS AND $480 FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Swannanoa, North Carolina 28778
Avery, Buncombe, Burke, Caldwell, Cherokee,
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Montgomery, Moore, Robeson, Richmond,
Fayetteville, North Carolina 28301-5094
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Mooresville, North Carolina 28115
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Onion
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
Chatham, Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mail
Beaufort, Bertie, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Washington, North Carolina 27889
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
Brunswick, Carteret, Columbus, Duplin, New
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
586 Waughtown Street
Winston-Salem, North Carolina 27107
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
[phone]
Stokes, Suny, Watauga, Wilkes, Yadkin
[phone] Fax
For more infonnation, please visit our web site at:
http://h2o.enr state.nc.uslpores/Collection%2oSystemslcollecdonSystemsHome.html
or contact the Regional Office serving your county.
FTA 12/07

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
Application Number: WQ003 52 ;
(to be completed by DWQ)
J.
Owner/Permittee: _ _------ -------_------_--_ 3
1a.
CLAY COUNTY WATER and SEWER DISTRICT
Full Legal Name (company, municipality, HOA utility, etc.)
0
1b.
HERBERT CHEEKS
Signing Official Name and Title (Please review 15A NCAC 2T 0106 (b) for authorized signing officials!)
Q
1c.
The legal entity who will own this system is:
❑ Individual ❑ Federal ® Municipality ❑ State/County 0 Private Partnership [1 Corporation n Other
1 d.
PO BOX 118 1 e. HAYESVILLE
LLMailing
City
Address
.�
--
1 f.
NC
Z
State ZipCode
-
1h.
828-389-0089 1i. 828-389-9749 1j•
1
QTelephone
Facsimile E-mail
r-role rrdf4eK[y/ u.ev.,..ws,v...
Sewer Line' Extension for David Shook 2b. ay
Brief Project Name (permit will refer to this name) County Where Project is Located
--------------
Contact Person:
T Dean Haney Engineer
Name and Affiliation of Someone Who Can Answer Questions About this Application
B28-683-9219 3c. tdhengineerpa aol.com
Phone Number E-mail
Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.:
2. Owner is ® Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
2a. If private, applicant will be: 2b. If sold, facilities owned by a (must choose one
❑ Retaining Ownership (i.e. store, church, single office, etc.) or ❑ Public Utility (Instruction C)
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3)) ❑ Homeowner Assoc./Developer (Instruction D)
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
3. Clay Coun Water and Sewer District
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a. Clay County WWTP 4b. NC 0026697
Name of WWTF WWTF Permit No.
Clay County WSD 5b. 8 ® Gravity 15C.
Owner of Downstream Sewer Receiving Sewer Size Force Main permit # of Downstream Sewer (Instruction E)
_ --- --
The origin of this wastewater is (check all that a ply):------ - - - -- -- 100 % Domestic/Commercial
❑ Residential Subdivision ® Retail (Stores, shopping centers)
❑ Apartments/Condominiums ❑ Institution %Industrial (attach
[] Mobile Home Park ❑ Hospital description.)
❑ School ❑ Church (RO: contact your Regional Office
❑ Restaurant [] Nursing Home Pretreatment staff)
❑ Office ❑ Other (specify):
Other (specify):
_ -- -- --- - - --- — --- - - --
7. Volume of wastewater to be allocated or permitted for this particular project: 1,125 gallons per ay
*Do not include future flows or previously permitted allocations
8. If the permitted flow is zero, indicate why:
❑ Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit No.
❑ Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)
FTA12/07

d. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item B(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114
9 Commercial/Retail Units with 5 Employees Each @ 25 gpd/emp = 1125 gpd
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
0
Length (feet) New Gravity or Additional
Force Main
670 Gravity
1. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additionalsheetsas necessary)
self chose - as shown on plansimap for reference)
Station Location ID -_� n --____--
Design Flow Power Reliability Option
(MGD) Operational Point 1 - permanent generator w1ATS; Force Main Size Force Main Length
GPM @TDH 2 - portable generator wIMTS
Station Location ID (se chosen - as shown on plans/map for reference)
c - _
Design Flow Operational Point Power Reliability Option
(MGD) GPM @TDH 1 -permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
Yes ® No If Yes, permit number of 2"d treatment facility ,_
J — if "yes" to B,12 please contact the Central Office PERCS Unit)
13 Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as
applicable?
® Yes ❑ No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
FTA 12/07

a"following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401 Certification? []Yes ❑ No ®N/A
Sedimentation and Erosion Control Plan? ❑ Yes ❑ No ® N/A
Stormwater? ❑ Yes ❑ No ® N/A
15. Does this project include any high priority lines, [see 15A NCAC 02T .0402 (2)] involve aerial lines, siphons, or interference
manholes)? These lines will be considered high Priority and must be checked once every, six months
Check if Yes: ❑ and provide details
. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1, HERBERT CHEEKS , attest that this application for SEWER LINE EXTENSION FOR DAVID SHOOK
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. Note: In accordance with North Carolina
General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, of
certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000
as pena es up to $?5, 0qq per violation.
-71NEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
'LICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXI
OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
1, T DEAN HANEY , attest that this application for SEWER LINE EXTENSION FOR DAVID SHOOK_ has been
reviewed by me and is accurate, complete and consistent with the information 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 and the watershed classification in accordance with Division guidance.
Although other professionals may have developed certain potions of this submittal package, inclusion of these materials
under my signature and seal signifies that t 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 143-215.6B, 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.
Alexander i2e. NC 2f. 287
city State Zip
Ci 1
828 683-9219 2h 828-683-9219 2i. tdhengineerpa@a
Telephone Facsimile E-mail
.com
NC PE Seal, Signature & Date
PTA!

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01 WAT, ca stela efNerth Csralke
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Division a(WOW QMWY
of.
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�TO Mbdid"v Flaw Tradkfag/lleetuptanesa for Sewo Exteasks 1'ernodi:t AEIkl
protect AppMeent Waft: CLAY Mal MM Od MMM - -
pmject Nine for which flaw is being tqueaded:
MOV OMW OWF7W&WMWbarrwry+iikwAvoskakpMetwifenOWMr4r8MWwrpisOW "*all
�P a�fon�dierorrs�'disp��.wtew�tt�l�ow�
I. Cm*te this aectaem OWY if you are+ the ewer Of the Ste' lam'
g WWTP Fae ity Nme:..M..MMM dMM tars' MWX
b. V/VnP Facikty Permit #• NC — All flaws us is MD
c. WWTP titdlwo permitted flow ..
CL EsteMIOd oWigdW flow not yet tts`bsttacy to the WWTP man
e. WWTP adlws actual Avg. flaw anal aoc U.
f Tow flow aw a& spdf c wpm MIS M3L_
& Tagil Actual and obligaed flows to the fadlity � �--
lt pax4 t of permltiod flaw used 1,i7d
II. Compkic this umdon fa' each ;pmnp atatia4 YOU are 'blc for aeoog the route of this
waSewaiar now.
List pump swkw kind betwu, the paoject counbcdon poeat end *9 WWTP
Pump StatioOkNowe
�. ('e[matios smemeDt: the ad�tion of the
INR�I �HEEiEB - irY tlse. to the heft of my lcnowiadRs,
volme, of wastewater to be permitted in this pitect has been Wlstutmd ate dw raoe b dw reoelving
wa�avwKar br ►t fsd tsr mi that the fbw tom two p gjeet is net anticipated to cause my eapah'Y
r+elow awitary ssa W.Wflaae or oveffiard" any dovnam"M pump dwas on route to trio s+eadveng
tt+eam ma plat under scrun l "0 M IN NIXON. This i MOSis l+as bee R t in a<cooedsaw -with form
pMt saA proead--B unitsg dw bast avaiMb daft. This ceat+t MMIGa a ISS dles >l�eoe It he es
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.47AM Clay County water & sewer [phone] P.2
County
Water & sewer District
3.1 hisim Stmet * P.O. BOx V39
Hayesvii* No"b CWOHM MM
[phone] * W' [phone]
pe,brmy 6, 20ft
)&. ROW C. gdww* RqOqn4 Supavimr
Noft CUVUm Division of WmW Quality
2080 U.S. Highway 70
Swmmms,NC29793
S*mt-. Episcopal C4urdt-94mw P046d
Deerfidd I=-Seww Ptqwt
U.S. Hwy 64 ByVM Od NC Hwy 49 BuWnm Diskid-SmOr Pf*JGM
*=Cqm'iY-W=WW*WTNftvmp'"
Permit No. NCO026M
Clay County Wm&r and Sawa nwbft
Deaf` Mr. FAwst4s:
In mmm4mm Wj* my rOMM ommsoons wi* W Ray Davis of YOW OWUM. I gm ftmrdft
two 10mr mivaft your I- am to Mmve ft Oove-mmdonad sewerprojeft bmd on ft
fouowft upftw bdmmdm
See recebft Me DbedoesApil-13.2= Wow that ouditmod DWWz po"Ob GA MWW
dons made and the VWWW&W UV64"'. plot =*a =pocky *a muming =don has been
tat= by at Clay CovoW WIM md Sewer Dh&kl:
1. Have nu& q*UWm ad hxvo mdved a modified
NMES pmak to vqwnd VIWT fim 0.300 MOD to
0.640 MOD.
2. Hxv6 cCUftOftdvi& MOM Amodst"to PV*W
swage ftw "d bum out m A - 1, ha I of 000M and
fWwc ggym pt*a& Bawd on ** F400dm and
Cq*dty of ft *wyavftw pbmt would pmbdy not be
mcceftd umM 2OW2012. 2007 AVOMP d8AY WWT
gfflumt flow wo 0.099 MGD.

..-47AM Gla8 Gountm Water & Sewer [phone] p.3
3. HaVe mod a SuppU tar" spoficatim with too
Rwd Cemtar tb Vxpaaadtbm'9 WT $n»m 0,300 MGD to
0 47014 OD, 00=Vftd 00st MUM MMMM NNW
&Ymd would be S500, 00. gwxnsStl gtmns to be a"waded
by G-1-O8.
TUEogwpd Cif p1am i8 to mgmad dwir hdffdyto 300 sews wbh an
wMemd
mwagp now of ISM V& "i m Chula is looms an U.S.Hwy
64 Eva and to im�ll 8
lift SUM=1�0 PWnp to � 9"` � atest% and dmim$c1d
as ho&qude sad she dm& 18*8 available JMd m UPBM& tbak axis M *! --Bald.
The DxdW Inn Am is to oona d a dupl ac Uft SWOR to *10 motel and #bmr
tar bo914 20 CoON& u"IW dotal wwqp now wmo uld be 10,000 WKL I ho Domfidd h mt is kwftd
on U��//.3_��``.�Hwy 64 But and i8 mWg a scoc tank and pm1 +c vWn-fidd, bap had some
ir ��B eddes &M tWo amdowdpmjoft tbace an mvag PVP$Cdm OR 6U.S. Hwy 64 BY, VM
and NC Hwy 69 *9 NO in dw PkAOW6 Oftft *& 8 dm 1000 LFS r gmVity
� awain see to m and aMd buaiaewsk w1* acp�aad au
ad tomvw V Saw of abom 2,000
V& The U.S Hwy 64 B"m and tore adjamast NC H" 69 m, i ,are sww caosidmad dw mda b imm
di8arW fat and cbw Caumly and dcv is tei' t ' m tlra 1ooa1
ec000m.
Thea , bmd on dw ' ao. ptavulad, dw C1W CON* Wam &ad Sewet DisWM Teets
that it brr the O*Bft in the abort tee 10 paavide &Mtioaal, limited wwap
a0oc+doas and is .yam 13a 's of toe above Pm� if*4
Fast T=d F we $led.
Hym bwe, qaoowm piema comma me at M 3S9. '10,
c4y�zszouuhulk
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1 t..Dowd,..O M t

T. D. Haney
Consuiting Engineers, PAS! �a
9
October 16, 2008
Mr. Roger Edwards
Division of Water Quality
Non -Discharge Permitting Unit
North Carolina Department of
Environment and Natural Resources
2090 US Highway 70
Swannanoa, North Carolina 28778
OCT 17 2008
RE: Sewer Line Extension
For David Shook
Clay County Water and Sewer
Authority
Clay County, North Carolina
Dear Mr. Edwards:
Please find enclosed, for your review, the following:
One (1) original and one (1) copy of the executed Fast Track Application for Gravity
Sewers, Pump Stations and Force Mains, with supporting documents.
e Two (2) copies of the location map.
• Checks in the amount of $480.00.
The project involves the construction of approximately 670 linear feet of 8-inch gravity
sewer line. The proposed sewer line will be constructed of SDR 35 PVC and DR 9 HDPE pipe.
The proposed project is designed to serve a new commercial/retail area with approximately 45
employees, with an estimated average flow of 1,125 gpd. Note: This is one of the projects
discussed in the letter, dated February 6, 2008, from Mr. Layton Schuh. A copy of the letter is
enclosed.
if you have any questions, or require additional information, do not hesitate to call.
Enclosures
cc: Layton Schuh
Richard Kelley
Sincerely,
T. D. Haney Co suiting Engineers, PA
� f
T. Dean Haney, PE 1
69 Jenkins ValleN koad Alexander, North Carolina 28701
[phone] phone/ FAX
08-105/reI6ocx0S

r
0
6

s Michael Elmer, Go rn,
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
Asheville
January 25, 2007
Ms. Elise David, Owner
Timberlake Residential Home Builders
347 C N. Main Street
Hiawassee; GA 30546
Subject: Permit No. WQ0031251
Timberlake Residential Home Builders
River's Edge Subdivision
Wastewater Collection System Extension
Clay County
Dear Ms. David:
In accordance with your application received on January 12, 2007, we are forwarding herewith
Permit No. WQ0031251, dated January 25, 2006, to Timberlake Residential Home Builders 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 incorporated
therein by reference. Please notify Roy Davis or Don Price in writing when you begin construction of
this collection system extension.
Please pay particular attention to Permit Condition 3 which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2T .0403 or any
individual system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 15A NCAC 2T .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 the North Carolina -licensed Professional Engineer named 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 §143-21.5.6C, construction of additional or replacement wastewater collection
facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing board.
Asheville Regional Office Internet www.ncwaterquality.org
2090 US Highway 70, Swannanoa, NC 28778 Telephone [phone] Fax [phone]
DENR Customer Service Center Telephone [phone]
An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper
NorthCarolina
;Vaturall ,

Timberlake Residential Home Builders January 25, 2007 Page 2
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 Timberlake Residential Home Builders for the copstruction and operation of
approximately 2,279 linear feet of 8-inch diameter gravity sewer; a 30—gallon per minute sewage
pumping station with duplex pumps, on -site audible and visual high water alarms, a portable generator
and portable generator receptacle with telemetry as well as approximately 285 linear feet of 4-inch
force main to serve River's Edge Subdivision and the discharge of 18,000 gallons per day of collected
domestic wastewater into Clay County Water& Sewer District's existing sewerage system, pursuant to
the application received on January 12, 2007 and in conformity with 15A NCAC 2T .0200; the
Division's 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 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 Clay County Water
& Sewer District's Wastewater Treatment Facility (Permit No. NC0026697) prior to being discharged
into the receiving stream.
The Operational Agreement between the Permittee and the Environmental Management
Commission is incorporated herein by reference and shall be a condition of this permit. Noncompliance
with the terms of the Operational Agreement shall subject the Permittee to all sanctions provided by
North Carolina General Statutes §143-215.6A to §143-215.6C for violation of or failure to act in
accordance with the terms and conditions of this permit.
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 Roy Davis at (828)
296-4500.
Sincerely,
rr -^ a
for Alan Klimek, P.E., Director
Division of Water Quality
cc: Clay County Building Inspector
ARO, Surface Water Protection (WWTF Permit No. NC0026697)
Kevin R. Alford, PE
Clay County Water & Sewer District
PERCS Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
TIMBERLAKE RESIDENTIAL HOME BUILDERS
RIVER'S EDGE SUBDIVISION
CLAY COUNTY
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT WQ0031251
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 .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 2T .0403. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2T
.0403:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and any contravention of the groundwater standards in
15A NCAC 2L .0200 or the surface water standards in 15A NCAC 213 .0200.
b. A map of the sewer system shall be developed 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 (i.e.
365 days per year). 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.
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 fora period of at least three years.
h. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 213 .0506(a), and public notice shall be provided as required by
North Carolina General Statute §143-215.1 C.
1

Y"4..✓.w-.:i �E�. t74tt1hn�1-1nr.t. r..__i_ _ � � .-. . .. _ .. - _
4. This permit shall not be transferable. In the event there is a desire for the wastewater collection
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, pump stations, and force mains 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 2T .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 2T .0200; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996as 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.
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 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands
under 15A NCAC 2B .0200 and 15A NCAC 2H .0500.
11. Noncompliance Notification:
The Permitteeshallreport by telephone to a water qualitV staff member at the Asheville Regional
Office, telephone number [phone], 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:
2

Fit No WQ0031251 Timberlake Residential Home Builders River's Edge Subdivision . Clay Co.. Jan. 25, 2007
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.
Voice mail messages or faxed information is permissible but this shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number- [phone] or (919)
733-3300. Persons reporting any of the above occurrences shall file a spill report by completing
Part I of Form CS-SSO (or the most current Division approved form), within five days following first
knowledge of the occurrence. This report shall outline the actions taken or proposed to ensure that
the problem does not recur. Per Condition 1(2), Part II of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control.
Permit issued this the 251h day of January, 2007
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0031251

ENGINEERING CERTIFICATION - POST CONSTRUCTION
System Description:
2,2 79 linear feet of -inch diameter gravity sewer, a 30 GPM sewage pumping station with duple: pumps; audible
and visual high neater alarms, o portable generator and portable generator receptacle with tele net'y and 285
linear feet of 4-inch diameter force main
Complete and submit this form to the Asheville regional office with the following:
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
• supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump
stations permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit regulations or
minimum design criteria.
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. Therefore, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
❑ Partial ❑ Final
1, , as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the above referenced
project for the 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 2T .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:
.....................................................................................................
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
ROGER C. EDWARDS
SURFACE WATER PROTECTION SUPERVISOR
ASHEVILLE REGIONAL OFFICE
2090 US HIGHWAY 70
SWANNANOA, NC 28778
The Permittee is responsible for tracking all partial certifications up until a final certification is received. 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.

CAROLINA
[..VQ0031251
Clay OPERATIONAL AGREEIVI b J A N 1 2 2007 ...., �
4 d en�intn this n day of
This AGREEMENT made pursuant to G.S. 1-215.1 dl 3 ( } . r _
WATER
by and between the ordf GAt10ib E0 v4o.1- .. l anagement
Commission, an agency of the State of North Carolina, hereinafter known as the COMMISSION; and
Timberlake Residential Home Builders , a corporation/general partnership registered/licensed to do business
in the State of North Carolina, hereinafter known as the DEVELOPER.
WITNESSETH:
1. The DEVELOPER is the owner of the certain lands lying in Clay County, upon
which it is erecting and will erect dwelling units and other improvements, said development to be known
as River's Edge Subdivision _ (hereinafter the Development).
2. The DEVELOPER desires, to construct a wastewater collection system with pumps, wastewater treatment
works, and/or disposal facilities (hereinafter Disposal System) to provide sanitary sewage disposal to serve
the Development on said lands.
3. The DEVELOPER has applied to the COMMISSION for the issuance of a permit pursuant to G.S. 143-
215.1 to construct, maintain, and operate the Disposal System.
4. The DEVELOPER has created or shall create unit ownership in said dwellings units, other improvements
and lands through filing of a Declaration of unit Ownership (hereinafter Declaration), pursuant to Chapter
47C of the North Carolina General Statutes.
5. The DEVELOPER has caused to be formed or will cause to be formed at the time of filing of the
Declaration, the {[Tait Owners' Association) (hereinafter
Association), a non-profit corporation organized and existing under and by the virtue of the laws of the
State of North Carolina, for the purpose, among others, of handling the property, affairs and business of
the Development; of operating, maintaining, re -constructing and repairing the common elements of the
lands and improvements subject to unit ownership, including the Disposal System; and of collecting dues
and assessments to provide funds for such operation, maintenance, re -construction and repair.
6. The COMMISSION desires to assure that the Disposal System of the Development is properly
constructed, maintained and operated in accordance with law and permit provisions in order to protect the
quality of the waters of the State and the public interest therein.
NOW, THEREFORE, in consideration of the promises and the benefits to be derived by each of the parties
hereto, the COMMISSION and DEVELOPER do hereby mutually agree as follows:
1. The DEVELOPER shall construct the Disposal System in accordance with the permit and plans and
specifications hereafter issued and approved by the COMMISSION, and shall thereafter properly operate
and maintain such systems and facilities in accordance with applicable permit provisions and law,
2. The DEVELOPER shall not transfer ownership and/or control of the Disposal System to the Association
until construction has been completed in accordance with the permit and approved plans, and the staff of
the Division of Water Quality has inspected and approved of the facilities. In order to change the name of
the permit holder, the DEVELOPER must request that the permit be reissued to the Association. The
request must include a copy of the Association Bylaws and Declaration.
3. The DEVELOPER shall not transfer, convey, assign or otherwise relinquish or release its responsibility
for the operation and maintenance of its Disposal System until a permit has been reissued to the
DEVELOPER!s successor.
FORM: DEV 09-06 Page 1 of 2

JPER shall provide in the Declaration and Association Bylaws that the Disposal System and
.,vices thereto are part of the common elements and shall thereafter be properly maintained and
-4d in conformity with law and the provisions of the permit for construction, operation, repair, and
antenance of the system and facilities. The Declaration and Bylaws shall identify the entire wastewater
'treatment, collection and disposal system as a common element, which will receive the highest priority for
ar Federal, State, and local taxes and insurance.
expenditures by the Association except f
5, The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System will
be maintained out of the common expenses. In order to assure that there shall be funds readily available to
repair, maintain or construct the Disposal System, beyond the routine operation and maintenance
expenses, the Declaration and Association Bylaws shall provide that a fund be created out of the common
expenses. Such fund shall be separate from the routine maintenance funds allocated for the facility and
shall be part of the yearly budget.
6. In the event the common expense allocation and separate fund are not adequate for the construction,
repair, and maintenance of the Disposal System, the Declaration and Association Bylaws shall provide for
special assessments to cover such necessary costs. There shall be no limit on the amount of such
assessments, and the Declaration and Bylaws shall provide that such special assessments can be made as
necessary at any time.
7. If a wastewater collection system and wastewater treatment and/or disposal facility provided by any city,
town, village, county, water and sewer authorities, or other unit of government shall hereinafter become
available to serve the Development, the DEVELOPER shall take such action as is necessary to cause the
existing and future wastewater of the Development to be accepted and discharged into said governmental
system, and shall convey or transfer as much of the Disposal System and such necessary easements as the
governmental unit may require as condition of accepting the Development's wastewater.
8. Recognizing that it would be contrary to the public interest and to the public health, safety and welfare for
the Association to enter into voluntary dissolution without having made adequate provision for the
continued proper maintenance, repair and operation of its Disposal System, the DEVELOPER shall
provide in the Association Bylaws that the Association shall not enter into voluntary dissolution without
first having transferred its said system and facilities to some person, corporation or other entity acceptable
to and approved by the COMMISSION by the issuance of a permit.
9. The agreements set forth in numbered paragraphs 1, 2, 3, 4, 5, 6, 7, and 8 above shall be conditions of any
permit issued by the COMMISSION to the DEVELOPER for the construction, maintenance, repair and
operation of the Disposal System.
10. A copy of this agreement shall be filed at the Register of Deeds in the County(ies} where the Declaration is
filed and in the offices of the Secretary of State of North Carolina with the Articles of Incorporation of the
Association.
IN WITNESS WHEREOF, this agreement was executed in duplicate originals by the duly authorized
representative of the parties hereto on the day and year written as indicated by each of the parties named below:
FOR THE ENVIRONMENTAL Timberlake Residential Home Builders
MAZ4AGEMENT COMMISSION Name ER
V-Z��1 4-��,,� B
Alan W. kiirAek, P.E., Director (Signs e)
Division of Water Quality
_Elise David, Owner
Print Name and Title
(Date)
(Date)
FORM: DEV 09-06 Page 2 of 2

',. .{r.. ti.M.e+0.-iG+;r,�.n,Y.na3
6
�. 0031251
State of North Carolina
�FR JAN 12 2007 pertinent of Environment and Natural Resources
QG Division of Water Quality
�-� WATER QUALITY SECTION FAST -TRACK APPLICATION
-� ASHEVILLE REGIONAL OFFICE
G,AVITY SE � RS, PUMP STATIONS, AND FORCE MAINS
F my: �res�ure sewers systems are not to be included as part of this application package)
e items by
INSTRUCTIONS: Indicate that you have included/addressed the following list of required application illad o youckagapplication
checking the space provided next to each applicable item. Failure to subrequired
being returned as incomplete. This form may be photocopied for use as an original.
® 1. 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 clans and specifications unless you respond NO to Item 13(12).
® II. Application Fee - Submit a check in the amount of $400 made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR). Checks shall be dated within 90 days of application submittal.
[� III. Certiflcates 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 (CPCN)
which demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the
sewer extension. If a CPCN has not been issued, provide two copies of a letter from the North Carolina Utilities
Commission's Public Staff that states that an application for a franchise has been received, that the servicein the
area
is contiguous to an existing franchised area, and/or that franchise approval is expected. The project name
CPCN or letter must match that provided in Item A(2a) of this application.
® IV. Operational Agreements — Submit one original and two copies of a properly executed operational agreement if
the sewer extension is permitted by a private applicant and will be serving residential or commercial lots (e.g.,
houses, condominiums, townhomes, outparcels, etc.) that will be sold to another entity. If the applicant is a
homeowners' association, use Form HOA 02103. If the applicant is a developer, use Form DEV 02/03. EVEN iF
THE PROJECT WiLL BE TURNED OVER TO A MUNICIPALITY, FORM DEV 02103 IS REQUIRED.
® V. Flow Acceptance Letters — If the owner of the downstream sewers and/or WWTF is different from the applicant,
submit two copies of a flow acceptance letter from the owner of the downstream sewers and WWTF, if different.
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/WWTF. The flow acceptance must not
expire prior to permit issuance and must be dated less than a year prior to the application date.
intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific flow acceptance
letter.
® VI. Map — Submit an 8.5-inch by 11-inch COLOR copy of the portion of a 7.5-minute USGS Topographic Map along
with this form. The map should identify the entire project area location as well as the closest downslope surface
waters as clearly as possible. Each map portion must be labeled with the map name and number, the identified
location of the sewer line and pump stations, and be of clear and reproducible quality. For instance, if the project
involves .4 miles of interceptor sewer that traverses over or near several different waterbodies (or counties,
basins, etc.), the map should have bcation I[Ys shown for each different waterbody (where the sewer line is within
100 feet of such waterbody - see Instruction VII). This location ID is self chosen and used to cross reference the
location in Section C of the permit application.
® VII. Stream Classifications — Section C
+ If any portion of the project is within 100 feet of any down slope surface water, Section C must be completed
for the pertinent sections.
If the entire project area is a minimum of 100 feet away from any down slope surface waters BUT there is a
• pump station involved where a history of power outage is to be used to provide adequate design storage
instead of dual feed or permanent or portable generator, Section C must be completed to demonstrate that
the closest down slope surface water is Class C (see 15A NCAC 2H .0219(h)(3)(D))•
• Use the guidance document entitled, "Determining Watershed Classifications for Form FTA 02/03 (Fast -Track
Sewer Systems) available from http://h2o enr state.nc.us/peres or by contacting the appropriate regional
office.
FTA 02/03 - Rev. 3 04/05

for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 2
, rivironmental Assessments — If this project is subject to an Environmental Assessment (EA) 115A NCAC
01% this application can not be used. Send the project application on Form PSFMGSA 10/99 to the PERCS
Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. Applications can not be accepted until a Finding of No
Significant Impact (FONSI) or Environmental Impact Statement (EIS) has been issued. A copy is to be submitted
with that permit application.
® IX. Certifications — Section D
The application must be certified by both the applicant and a North Carolina Registered Professional Engineer
(PE). The applicant signature must match the signing official listed in Item A(1b). The PE should NOT certify the
application if he/she is unfamiliar with 15A NCAC 2H .0200, the Gravity Sewer Minimum Design Criteria (most
recent version) and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
(most recent version), as applicable to the project. Certification by a PE who is unfamiliar with these documents
is subject to NC Board referral.
® X. Downstream Sewer & Wastewater Treatment Plant Capacity
The applicant has assured downstream pipe, pump station and treatment plant capacity. The addition of new
sources of wastewater from this project has been evaluated along the route to the receiving treatment plant. The
flow from this project will not cause capacity related sanitary sewer overflows or overburden any downstream
pump station en route to the receiving wastewater treatment plant_ If the applicant is not the owner of the
downstream sewer or receiving treatment plant, submittal of flow acceptance letter(s) indicates that owner has
adequate capacity and will not violate G.S. 143-215.67(a).
THE COMPLETED FTA 02103 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING DOCUMENTS AND $400
FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell,
Swannanoa, North Carolina 28778
Cherokee, Clay, Graham, Haywood,
(828) 296-45M
Henderson, Jackson, Macon, Madison,
(828) 2W7043 Fax
McDowell, Mitchell, Polk, Rutherford,
Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett,
Fayetteville, North Carolina 28301
Hoke, Montgomery, Moore, Robeson,
[phone]
Richmond, Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue, Suite 301
Alexander, Cabarrus, Catawba,
Mooresville, North Carolina 28115
Cleveland, Gaston, tredell, Lincoln,
[phone]
Mecklenburg, Rowan, Stanly, Union
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance,
[phone] Fax
Wake, Warren, Wilson
Washington Regional Office
943 Washington Square Mail
Beaufort, Bertie, Camden, Chowan,
Washington, North Carolina 27889
Craven, Currituck, Dare, Gates, Greene,
[phone]
Hertford, Hyde, Jones, Lenoir, Martin,
[phone] Fax
Pamlico, Pasquotank, Perquimans, Pitt,
Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin,
Wilmington, North Carolina 28405
New Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
585 Waughtown Street
Alamance, Alleghany, Ashe, Caswell,
Winston-Salem, North Carolina 27107
Davidson, Davie, Forsyth, Guilford,
[phone]
Rockingham, Randolph, Stokes, Surry,
[phone] Fax
Watauga, Wilkes, Yadkin
For more information, visit our web site at htlpJlh2o.enr.state. no. ustperrst
FTA 02/03 - Rev. 3 04/05

.___ ..._ _��_ _ �,�_� .m�m.�.�,�,��� ,���_ . _ � � �� �,�� �.�.,

-
.CATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 3
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Appucanon Number: `,`, (��U31251
(to be completed by DWQ)
1.
Owner- i
la.
Timberlake Residential Home Builders
Full Legal Name (company, municipality, HOA, utility, etc.)
o
11 b.
Elise David, Owner
Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!)
1 c.
The legal entity who will own this system is:
Q Individual ❑ Federal ❑ Municipality ❑ State/County ® Private Partnership Q Corporation ❑ Other (specify):
Q
1 d.
347 C N. Main Street le. Hiawassee
ZMailing
Address City
1 f.
GA 1 g. 30546
Z
State Zip Code
1 h.
706-896-8459 1 i. 706 896-9496 1 j. [e-mail]
Q
Telephone Facsimile E-mail
U
2.
Project (Facility) Information: _
J
2a.
River s Edge Subdivision 2b. Clay
CL
a__
Brief Project Name (permit will refer to this name) County Where Project is Located -
- - -- - --- -- --
�j
3.
Contact Person:
F Q
3a.
Elise David
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b
706-896-8459 .3c. [e-mail]
E
Phone Number E-mail
1.
Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.:
For modifications, attach a separate sheet clearly explaining the reason for the modification (i.e. adding another
phase, changing line sizellength, etc.). Only include the modified information in this permit application - donot
duplicate
project information in B(7) and B(10-11) that has already been included in the original permit.
2.
Owner is ❑ Public (skip to Item B(3)) ® Private (go to Item 2(a)) 1
2a.
If private, applicant will be: 2b. if sold, facilities owned by a (must choose one
Q Retaining Ownership (i.e. store, church, single office, etc.) or, ❑ Public Utility (Instruction III)
Z
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3)) ® Homeowner Assoc./Developer (Instruction IV)
0
Q Selling units (lots, townhomes, etc. - go to Item B(2b))
H
3.
Clay County Water and Sewer
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project _
4a.
Clay County Water and Sewer 4b. NC 0026697
0
Name of WWTF WWTF Permit No.
LL
5a.
Clay County Water and Sewer5b.
W DIP
❑ Gravity
C.
Permit Number of Downstream Sewer (if known)
Z
Owner of Downstream Sewer
Receiving Sewer Size
�ID Force Main
�--
6.
The origin of this wastewater is (check all that apply): _ T
® Residential Subdivision Q Car Wash
W❑
Apartments/Condominiums Q Institution 100 % Domestic/Commercial
❑ Mobile Home Park ❑ Hospital
a
❑ School Q Church 6 Industrial
,...�,61 y, 3 a-.-.-.--
❑ Restaurant ❑ Nursing Home r _ �lo.pther (specity):
❑ Office Q Other (specify):
7.
Volume of wastewater to be allocated for this particular project: 18,,000 g I
*Do not include previously permitted allocations
l
8.
If the permitted flow is zero, indicate why: 2 2007
❑ Interceptor Line - Flow will be permitted in subsequent permits that connect this ine
❑ Flow has already been allocated in Permit No. p `
Q Rehabilitation or replacement of existing sewer with no new flow expect d<' WATFF; �Ku a ; SECT10N
F
i
ASHFVII LF Fi}Nr L )�Fi :` _s

V
U.
z
g 12. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC 2H .0200 as applicable?
W ® Yes ❑ No If no, please reference the pertinent minimum design criteria or regulation and indicate why a
IL variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
m
13. Have the following
permits/certifications been submitted for approval?
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes ❑ No ® N/A
Sedimentation and Erosion Control Plan? ® Yes ❑ No ❑ N/A..
Stormwater? ❑ Yes ❑ No ® N/A
14. Does this project involve aerial lines or siphons? Check if yes: ❑
15. Does this project have gravity sewer lines designed at minimum slopes? ❑
Be aware that the Division will not accept installed lines more than 10% flatter than the minimum slope. Lines installed outside this tolerance should be
corrected prior to submitting the final engineering certification- -
FTA 02/03 - Rev. 3 04/05

-ICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 5
1. Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02/03
(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as
necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality
Zz regional office (see instructions for addresses) OR indicate the following:
❑ A Stream Classification is not needed because all parts of the project are at least 100 feet away from any down slope
Q waterbody AND,
— - -- - — _- -- -- -- --- -- - - _
V ❑ A Stream Classification is not needed because the design does not depend on wet well storage as a power reliability
option for any pump station -near a Class C down slope waterbody.
Location ID on Map
U) (self chosen - as shown on Name of Waterbody Stream Waterbody
map for cross-reference) Waterbody County River Basin Index Classification
(� Hiwassee River Hiwassee River Clay Hiwassee 1-(1) B
W
U
Submit the 8.5" x 11" COLOR topographic map as required in Instruction VI
regardless of whether a classification is provided!
i1. Applicant's Certification:
1, Elise David, attest that this application for River's Edge Subdivision has been reviewed by me and is accurate and
complete to the best of my knowledge. I understand that if all required pats 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. Note: In accordance with North Carolina General Statutes 143-215.6A and 143-215.6B,
any person who knowingly makes any false statement, representation, or certification in any application shall be guilty of
a Glass 2 misdemeanor which may include a line not to exceed $10,000 as well as civil penalties up to $25,000 per-
i Glass
.
i
1 a.
Sigknidificial St ature Date
U) 2. Professional Engineer's Certification:
Z I attest that this application for Kevin R. Alford, PE has been reviewed by me and is accurate, complete and consistent
0 with the information in the engineering plans, calculations, and all other supporting documentation to the best of my
f- knowledge. I further attest that to the best of my knowledge the proposed design has been prepared in accordance with
Q the applicable regulations, Gravity Sewer Minimum Design Criteria for Gravity Sewers adopted February 12, 1996,, and the
V Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 and the
LI. watershed classification in accordance with Division guidance. 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 l have
reviewed this material and have judged it to be consistent with the proposed design. Note: In accordance with NC
W General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or
ci certification in any application shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed $10, 000 as
Q well as civil penalties up to $25, 000 per violation.
2a. Kevin R. Alford, PE ®�►►e�� 10l
Professional Engineer Name
2b. Alford Engineering, RLLP ��, E`88
Engineering Firm r -G
- ---- -- — -- — ., e
2c. PO Box 1930
Mailing Address20
2d C gie Valley 2e. SNC t to 2f. 28751 ±���1 ®IN
- - - --- ---- ---.v
2g 828-926-8341 2h. 828 926-8341 2i. [e-mail]
Telephone Facsimile E-mail Seal, Signature & Date
FTA 02/03 - Rev. 3 04/05

& �Seou. �;Qta�t
33 DL4, 6twa * R.a. @. 838
10/23/2006 [phone] * [phone]
Ms. Elise Davis
Timberlake Residential Home Builders
347 C N. Main Street
Hiawassee, GA 30546
RE: River's Edge Subdivision
Privately Owned Sewage Collection System
Hayesville, NC
SUBJECT: FLOW ACCEPTANCE LETTER
To Whom It May Concern:
Your request for a flow acceptance of 18,000 gallons per day for the referenced River's Edge
Subdivision for (5) 2 bedroom homes, (32) 3-bedroom homes and (11) 4-bedroom homes
calculated at 120-gallons per bedroom per day is approved.
This flow will be treated at our wastewater treatment facility.
Owner of Facility: Clay County Water and Sewer District
Name of Facility: Clay County Wastewater Treatment Plant
WWTF Permit: NC 0026697
Sinc r jy,
7-
�-Laytoli chuh
Director, Clay County Water and Sewer District
cc: Alford Engineering, RLLP

drl
1
Rev,' Il /Z/ a+`
"- - ► r&S �, r / 2-2 / o
FAST -TRACK APPLICATION REVIEW PROCEDURES
Project Name: CW S� -- C�-t �p Review Date:
Project Number: W QOO 3 2 5 ,NJ Reviewer:
All fast -track projects should be submitted on the application entitled "Fast -Track Application for
Gravity Sewers, Pump Stations, and Force Mains" (FORM: FTA 02/03 Rev 3,currently) unless
otherwise directed by the PERCS. Any pump station/force main projects that require an
Environmental Assessment (EA) are excluded from the Fast -Track review process, and should be
submitted for full review to the Central Office (PERCS) on FORM: PSFMGSA 10/99. Additionally,
any projects involving a flow reduction request must receive approval for the flow reduction from
the central office.
PRE -REVIEW
Does the application package appear to be generally complete (i.e. all attachments, check, key
questions answered)? If any portion of the application is not complete, or if any required
instruction items have been omitted, RETURN the application package and supporting
documents to the applicant using the Project Return Letter template. Send the package and
letter via certified mail to the applicant, and a copy of the letter to the engineering consultant.
Any projects that are to be returned shall be returned prior to accepting the application (i.e.,
before logging in the application and depositing the check). After a project has been accepted,
any information that is found to be incorrect and/or lacking must be requested via an Additional
Information Request in accordance with 15A NCAC 2H .0208(e).
L//Ensure that a check for $400 is submitted and made out to NCDENR. All new projects and major
modifications to existing projects require an application fee. A major modification includes any
changes to permitted flow volumes, changes in pipe diameter, changes in pipe length greater that
10% of the originally permitted length, changes in the operating points of a pump station, etc.
SECTION A — Application Information
L/ If the applicant is private (Item B(2)) and listed as a corporation, check the NC Department of the
Secretary of State's web site at http://www.secretary.state.nc.us/Corporations/ to ensure that the
Applicant is registered with the Secretary of State to conduct business as a corporation in the
State of NC. Developer's and HOA's should be listed.
sure that the signing official meets the requirements of 15A NCAC 2H .0206(b). If they do not,
request a revised application that has been completed by an appropriate official or a letter from
an appropriate official that indicates the person in question is delegated to sign the application on
the applicant's behalf. A current list of Delegated Signing Officials can be obtained from the
PERCS. If a new delegated signing official letter is presented with the application, forward a copy
to the central office so that the person may be added to the Delegated Signing Official list. The
central office will send E-mails to the appropriate region if a new signing official has been added
so that the most current list can be used. The Non -Discharge Permitting Unit has an example
delegated signing official letter from http://h2o.enr.state.nc.us/PERCS/spraypol.htmI#DELEG.
SECTION B — P formation
Proje is new Modification? If the project is a modification to an existing permit, be sure to
enter t plication into BIMS as a permit modification (i.e. "renew/modify application" and not
"create new project"). BIMS will pull the previous signing official and affiliations information.
Please go through all the tabs and ensure the information is correct for the current project.
7 Applicant a public entity (e.g. county, town, sanitary district)?
Applicant a private entity?
Own (i.e. lease) units, lots, parcels, etc?
1
FAST -TRACK Application Review Procedures 2003 (Rev 2/06)

../ Sell units, lots, parcels, etc?
Certificate of Public Convenience and Necessity? 2H .0205(d)(2)
s Required if the applicant is a public utility. In lieu of a Certificate of Public
Convenience and Necessity, they may submit written approval from the
North Carolina Utilities Commission's Public Staff that states that the utility is
allowed to provide utility service in the subject project area. Note that the
project name on the application and on the CPCN must match. Contact the
NCUC Public Staff if questions arise. This is NOT REQUIRED for a
municipality or county! Examples of companies that would provide a CPCN
are Heater Utilities or Carolina Water Service, etc.
O***OR*******
perational Agreement? 2H .0205(d)(2
♦ Operational Agreements are only required if the applicant is not a public
entity (i.e. Town, County, etc.) or public utility as designated by the North
Carolina Utilities Commission AND the lots being served by the collection
system are to be sold to individual owners.
1 ,\ ♦ If the applicant is a developer, they must fill out the DEVELOPER
��/ 0 Operational Agreement (FORM: DEV 02/03) A developer maybe
responsible for the system for an interim period until the homeowners
06�'( association is.formed, at which time a Permit Name/Ownership Change
� request (FORM: PNOCF 06/00) will be needed to transfer the permit to
1 the HOA.
c ♦ If the applicant is a homeowners' association (HOA), they must fill out
the ASSOCIATION Operational Agreement (FORM: HOA 02/03 The
HOA must be registered with the Secretary of State's office and must
provide a copy of the Associations' Bylaws and Articles of Incorporation.
These documents should be reviewed to ensure that all applicable
language regarding the collection system is included as is required by
the Operational Agreement.
♦ The Operational Agreement should be attached to the permit and
incorporated into the language of the permit. Please note that Operational
Agreement language should not be altered without approval from the
Attorney General's Office. Operational Agreements are available at
http://h2o.enr.state.ne.us/PERCS/ from the collection system applications
page.
1=. Approval of flow to receiving sewers and WWTF? (i.e. P4 procedure, but now in-house!)
♦ Ensure that the receiving sewers and WWTF have adequate capacity available to accept the
flow volume that is being requested, and that the WWTF has been in compliance with their
treatment and disposal permit.
Flow acceptance letter(s) from the owner of the WWTF and owner of any intermediate sewers (if
different from WWTF owner and applicant)? 2H .0205(d)(3)(C)
♦ Required only if the applicant and the owner of the WWTF/intermediate sewers are not the
same entity.
♦ Project specific flow acceptance letters are required.
Ensure that the following items appear in the flow acceptance letter: applicant's name,
project name, amount of wastewater flow accepted, date that the flow acceptance was
granted, expiration date of the acceptance, and name/permit number of the receiving WWTF.
Do not accept a flow acceptance letter that was issued more than one year- prior to the
receipt of the package.
♦ Ensure that the owner accepted the entire volume of flow listed in application.
2
FAST -TRACK Application Review Procedures 2003 (Rev 2/06)

Main Problems Noted: A flow acceptance letter is provided by the receiving WWTP owner but
not the downstream sewer owner, which both are different from the applicant. 'Example, private
developer in Knightdale. Both Knightdale and Raleigh would need to provide a flow acceptance
letter as Knightdale will transport the wastewater and Raleigh will treat the wastewater.
✓Wastewater industrial or omestic i nature?
♦ Most projects will b or w water that is domestic in nature, however, if Item B.6 indicates
that the wastewater is industrial in nature, notify the Regional Office Pretreatment
Coordinator or the WQ Pretreatment Unit Central Office to determine if a pretreatment permit
is needed or if a program already in place and compliant.
Flow volume calculated correctly? 2H .0219(/)
♦ Ensure that the daily design flow in the application is based on the guidance provided in the
regulations or existing flow, and that the explanation as to how this volume was determined is
very specific (i.e., 22 three -bedroom homes, 50,000 s.f. of retail space, 18 employees, etc).
This information will be included in the description of the system in the permit. Our regs say
120 gpd/bedroom for residential. Note that for one -bedroom the minimum they can use is
240 gpd.
♦ If daily design flow is not based on regulations, ensure that the applicant has an approved
flow reduction of daily design flow rate on file with the Division. A list of approved flow
reductions may be obtained from the DWQ Intranet or by contacting the PERCS. Flow
reduction requests are to be reviewed by the central office, and must be reviewed and
approved before the application is accepted by the regional office for review.
♦ On occasion, there may be an instance where supporting documentation is submitted with
the application for a specific facility. Contact PERCS to determine a course of action.
♦ Ensure that the flows shown on the application match up to what is shown on the plans (if
available for review). For example, if the application states that 100 lots are to be developed,
ensure that there are 100 lots, and not 150 lots, shown on the plans. Plans are only required
for review if the applicant is requesting a variance to the MDC or the .0200's.
♦ Do not allocate "future" wastewater flows (i.e., that based on speculative development).
These would be permitted in future wastewater collection system extensions. Although, we
do allocate "unknown" flows on a per acre basis for industrial/commercial park applications.
Generally, the Division has accepted between 900 gpd/acre —1500 gpd/acre. Let the
engineer support his calculation.
y' Adequate information provided regarding the proposed gravity sewer and/or force main (if
applicable)?
Note 1: An Environmental Assessment may be required if there are 3 miles of gravity sewer over
18-inches in diameter (15A NCAC 1C .0100). Environmental Assessment projects can NOT go
Fast -Track!
Main Problems Noted: A public entity specifies 6-inch line when 8-inch is required; 4-inch line is
specified and no variance requested
equate information provided regarding the proposed pump station(s) (if applicable)?
Note: An Environmental Assessment may be required if the pump station(s) have a firm capacity
of 1,750 GPM or greater (15A NCAC 1C .0100). If there are any questions about whether an EA
may be required, discuss with your supervisor or contact Alex Marks of the Planning Branch's
Local Government Assistance Unit.
♦ Power reliability at the pump station provided in accordance with Section 5.04 of the
Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
document (i.e. dual line feed, portable generator w/telemetry, permanent generator with
automatic transfer switch, wet well storage if near Class C waters)? Note 1: Section C of the
FTA has to be completed and show a Class C down slope water in order to use wet well
storage as a reliability option. Include the special condition in the permit. You will need to
ask for storage calculations and the power outage data. Note 2: Ensure telemetry is specified
if a portable generator is called out. Check with the engineer if unsure. Note 3: Ensure an
automatic transfer switch (ATS) is specified if a permanent (standby) generator is specified.
Check with the engineer if unsure.
Main Problems Noted: Failure to specify appropriate or applicable power reliability option
3
FAST -TRACK Application Review Procedures 2003 (Rev 2106)

Project designed in accordance with 15A NCAC 2H .0200, the Gravity Sewer Minimum Design
Criteria and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains document (as applicable)? NO will be checked in Item B(12) of the FTA. If NO,
forward one copy of the supporting documents to the Central Office for review, indicating the
permit number, owner and protect name The Central Office will review the variance request, and
if approvable specific language regarding the variance will be forwarded to the Regional Office
reviewer to incorporate into the permit A copy of the variance letter provided by the central office
should be kept with the application file. If you catch something in the application or supporting
documents that is not in accordance with our regs or MDC, send an additional information
request.
Main Problems Noted: A public entity specifies 6-inch line when 8-inch is required; 4-inch line is
specified and no variance requested; supporting documents show slope issues...
SECTION C —Watershed Classification
Color topographic map submitted?
-check" the classification(s).
Watershed classification required? If YES, you are advised to spot
If NO, ensure the applicant/engineer has indicated why one is not required. BOTH BOXES IN
SECTION C MUST BE CHECKED TO NOT PROVIDE A CLASSIFICATION!
SECTION D —Applicant Certifications
✓Signing Official's signature? 2H .0206(b)
♦ Ensure that the applicant's signature is the same person as that listed as the applicant's
signing official on Page 1 of the application form.
LI PE stamped, signed, and dated application, plans, specifications, and calculations (if applicable)?
2H .0205(d)(1)(A)(N)
♦ Ensure that the same engineer has signed, sealed, and dated the application and all the
items, with the exception of items designed by specialty disciplines (i.e., architectural,
structural, plumbing, and electrical plans). If not, an explanation and/or authorization is
required.
t✓/ Adequate information provided for the engineer/engineering firm?
�—� PE with active license in North Carolina? 2H .0205(d)(1)(A)(iii) or 2H .0203(28)
♦ Ensure that ALL pertinent P.E's have active licenses by checking the NC Professional
Engineer's Board web site (www.ncbels.org - the PE number must be six digits, use leading 0
when needed).
♦ If the PE seal number does not show up on the web site database, call the PE Board for
verification [phone] .
Drafting a Permit
♦ In order to be consistent, use the most current version of the Fast -Track permit shell. This permit
shell contains specific language with respect to the Minimum Design Criteria, regulations, and
collection system permitting. The PERCS will notify you of any changes to this permit shell.
♦ Be specific with respect the system description and information. Indicate the flow, what the project
will be serving, length and size of gravity sewer lines and force mains, etc. For projects involving
pump stations, the size of the pump stations, as well as the reliability option and any additional info
(telemetry, odor control system, etc) should be included. A sample permit is on the DWQ Intranet.
♦ Add or remove any special conditions as neces§_g . Please call attention to any non-standard permit
conditions in the cover letter of the permit and include the permit condition where necessary. See the
Example Special Conditions document.
♦ If the project is a modification, don't forget to include the system description from the previous permit
and void the previous permit in the language! Some of these can be tricky so feel free to run the
drafted permit through PERCS first before issuance. .
♦ It is preferable if Fast -Tracks are saved electronically by permit number under issued year and month.
4
FAST -TRACK Application Review Procedures 2003 (Rev 2106)

..eying a Project
♦ If the Reviewer/Supervisor determines that an application package should be denied because it can
not meet NC Statutes, rules or regulations, then a denial letter should be drafted. Special attention
should be paid to the statutory deadline for permitting. If it is thought that a project might be
denied, it is important to review it and draft the denial letter as soon as possible._ There must
be time allowed for the denial letter to be sent up to the [Arector and signed prior to the
statutory date.
♦ The Reviewer should use the Application Denial Letter template to prepare a denial package for the
Supervisor's review and submittal to the Director for signature. The letter should not be dated, but
instead will be dated after the Director signs it. A memo to the Director should be attached to the top
of the denial package summarizing the reasons for denial. This package must be singed off on by the
reviewer, supervisor, Section Chief, and Director. Distribute the letter as directed in "Issuing a
Permit" below.
Issuing a Permit
♦ Permits should be signed only by those delegated to sign for the Director.
♦ Permits should be distributed as follows (include the signed Operational Agreement with the
permit and all distribution copies if applicable!):
✓ Original to the Permittee
✓ Copy to the consulting engineer
✓ Copy to the county health department
✓ Copy to the Mecklenburg County Department of Environmental Protection for all projects located
in Mecklenburg County
✓ Copy(ies) to the owner of the WWTF and owner of the downstream sewers (if different than the
Permittee)
✓ Electronic Copy and Hard Copy to the PERCS for our files
✓ Copy to Central Files (attach application package and any supporting documents with a staple —
do not include any plans unless they are small and can be folded up into an 8.5" x 11" sheet)
✓ Save an electronic version named WQOOXXXXX.doc in a folder on your office shared drive or
hard drive. Try to keep your drafts and issued files separate. SEND ELECTRONIC COPIES TO
PERCS on a frequent basis — weekly or monthly!
Permit Corrections
♦ If a permit has been issued but an error discovered MADE BY US internally or by the Permittee or
their engineer, a permit correction is necessary.
♦ Pull the original permit and make the corrections — do not change issue dates or enter a new
application in BIMS — resave the permit
♦ Prepare the permit correction cover letter modifying as applicable — the corrections need to be
distributed to the same people/agencies who received the orginal permit
♦ Print the corrected permit and permit correction letter — sign if needed
♦ Maintain Permit in BIMS — add permit corrected event date and comments as to what was corrected
♦ Copy and distribute
The Certification
♦ Final engineering certifications will be submitted back to your office when the project is complete.
These should be.date stamped (the certification page, record drawings and calculations, if applicable)
♦ Construction, Grants & Loans (CGL) may request and audit some of these certifications
♦ Regardless of whether the region or CGL reviews a certification, the receipt date must be logged into
BIMS. Perform the following: Maintain Permit, Enter Permit No., Go to Events Tab, Add Event, Select
Engineering/Tech Specialist Certification Received, Enter Receipt Date
♦ If the certification sheet is marked partial — put partial in the event comment field.
♦ If the certification seems incomplete — missing plans or calculations or no PE seal — note incomplete
in the comment field. Send an incomplete certification letter. The certification page in the permit
explains exactly what the engineer is to provide.
♦ If the certification is provided to CGL — maintain the engineer certification received event and put "to
CGL for review on DATE" in the event engineer certification received comment field.
5
FAST -TRACK Application Review Procedures 2003 (Rev 2/06)

♦ If the region wishes to perform a detailed review — look for items not meeting the minimum design
criteria or outside of the permit. For instance, minimum cover; slope; minimum separation distances;
line size changes; length; reroutes; additional lots than permitted; pump station alarms; pump cycle
times; no indication of record drawing (as-builts) on plans; no PE seal or note about record drawings
(land surveyor seals are not appropriate). A certification checklist is being developed.
♦ Regardless of review, certifications need to be processed as this closes out the permit. Follow the
processing engineering certifications guidance document.

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Permit No WQ0031251 Timberlake Residential Home Builders River's Edge Subdivision Clay Co Jan. 25 2007
ENGINEERING CERTIFICATION - POST CONSTRUCTION
System Description: ,.
i� FEB 2 5 M
2 ,279 linear foet c," 3-inch diameter gravity sewer. a 30 GPM sewage pumping stati n wit duplex pumps, audi
I
and visual high water alarms, a portable generator and portable generator receptaci wit ��°-
lA 1 tk- ,. 5'-571 ' TIC%
linear feet o; 4-inch diameter force main ASNX"! 1 ! L Ri G'C NIAL GFi=ICE
Complete and submit this form to the Asheville regional office with the following:
• One copy of the project record drawings (plan &profile views of sewer lines) of the wastewater collection
system extension
• supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump
stations permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit regulations or
minimum design criteria.
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. Therefore, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
❑ Partial Final
I, as a registered Professional Engineer in the State of North Carolina, having
been authorized to observe ( periodically, ❑ weekly, ❑ full time) the construction of the above referenced
project for the 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 2T .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:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
ROGER C. EDWARDS
SURFACE WATER PROTECTION SUPERVISOR
ASHEVILLE REGIONAL OFFICE
2090 US HIGHWAY 70
SWANNANOA, NC 28778
The Permittee is responsible for tracking all partial certifications. up until a final certification is received. 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.

a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable
of adequate wastewater transport, such as mechanicalor electrical failures of pumps, line
blo e 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.
Voice mail messages or faxed information is permissible but this shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number [phone] or (919)
733-3300. Persons reporting any of the above occurrences shall file a spill report by completing
Part I of Form CS-SSO (or the most current Division approved form), within five days following first
knowledge of the occurrence. This report shall outline the actions taken or proposed to ensure that
the problem does not recur. Per Condition 1(2), Part II of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control.
Permit issued this the 25`" day of January, 2007
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0031251

�:zsy
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
Asheville
November 1, 2006
6
Mr. Stephen Sellers, Chairman
Clay County Water & Sewer District
Post Office Box 118
Hayesville, North Carolina 28904
Subject: Permit No. WQ0030955
Clay County Water & Sewer District
Briar Creek Sewer Pump Station Upgrade
Wastewater Collection System Extension
Clay County
Dear Mr. Sellers:
In accordance with your application received on October 26, 2006 we are forwarding herewith
Permit No. WQ0030955, dated November 1, 2006 to the Clay County Water & Sewer District for the
construction and operation of the subject sewage pumping station upgrade. 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 incorporated
therein by reference. Please notify Roy Davis or Don Price by fax or telephone (numbers below) when
you begin construction of this collection system extension.
Please pay particular attention to Permit Condition 3, which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2T .0403 or any
individual system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 15A NCAC 2T .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 the North Carolina -licensed Professional Engineer named 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.
Asheville Regional Office Internet www.ncwaterquality.org
2090 US Highway 70, Swannanoa, NC 28778 Telephone [phone] Fax [phone]
DENR Customer Service Center Telephone [phone]
An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper
NorthCarolina
Naturally

Clay County Water & Sewer District November 1, 2006
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 Clay County Water & Sewer District to rebuild the Blair Creek sewage pumping station
resulting in a 50 GPM duplex style station with audible and visual high water alarms, a quick disconnect
for a portable generator and telemetry to serve the Blair Creek area and the discharge of 7,200
gallons per day of wastewater into the Clay County Water & Sewer District's existing sewerage system,
pursuant to the application received on October 26, 2006 and in conformity with 15A NCAC 2T .0200;
the Division's 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 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 Clay County Water
& Sewer District's Wastewater Treatment Facility (Permit No. NC0026697) prior to being discharged
into the receiving stream.
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 Roy Davis at (828)
296-4500.
Sincerely,
.for Alan W. Klimek, P.E., Director
Division of Water Quality
cc: Clay County Building Inspector
ARO, Surface Water Protection (WWTF Permit No. NC0026697)
Michael T. Dowd, PE
PERCS Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
CLAY COUNTY WATER & SEWER DISTRICT
BLAIR CREEK SEWAGE PUMPING STATION UPGRADE
CLAY COUNTY
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT NUMBER WQ0030955
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 .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 2T .0403. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2T
.0403:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and any contravention of the groundwater standards in
15A NCAC 2L .0200 or the surface water standards in 15A NCAC 213 .0200. -
b. A map of the sewer system shall' be developed 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 (i.e.
365 days per year). 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.
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 213 .0506(a), and public notice shall be provided as required by
North Carolina General Statute §143-215.1 C.

4. This permit shall not be transferable. In the event there is a desire for the wastewater collection
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, pump stations, and force mains 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 2T .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 2T .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.
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 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands
under 15A NCAC 2B .0200 and 15A NCAC 2H .0500.
11. Noncompliance Notification:
The Permittee shall report by telephone to a water quality staff member at the Asheville Regional
Office, telephone number [phone], 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.
Voice mail messages or faxed information is permissible but this shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number [phone] or (919)
733-3300. Persons reporting any of the above occurrences shall file a spill report by completing
Part I of Form CS-SSO (or the most current Division approved form), within five days following first
knowledge of the occurrence. This report shall outline the actions taken or proposed to ensure that
the problem does not recur. Per Condition 1(2), Part II of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control
Permit issued this the 1st day of November, 2006
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Aldn W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0030955
3

ENGINEERING CERTIFICATION - POST CONSTRUCTION
System Description:
Rebuilding of the existing Blair Creek Sewage Pumping Station resulting in a 50 GPM station capacity, with
audible and visual high water alarms, a quick disconnect for a portable emergency power generator and telemetry
Complete and submit this form to the Asheville regional office with the following:
• One copy of the project record drawings (plan &profile views of sewer lines) of the wastewater collection
system extension
• Supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump
stations permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit regulations or
minimum design criteria.
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. Therefore, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
❑ Partial ❑ Final
1, , as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the above referenced
project for the 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 2T .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:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
ROGER C. EDWARDS
SURFACE WATER PROTECTION SUPERVISOR
ASHEVILLE REGIONAL OFFICE
2090 US HIGHWAY 70
SWANNANOA, NC 28778
The Permittee is responsible for tracking all partial certifications up until a final certification is received. 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.

M AA 945
State of North Carolina
lent and Natural Resources
Division of Water Quality
FAST -TRACK APPLICATION
for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
(Pressure sewers systems are not to be included as part of this application package)
INSTRUCTIONS: Indicate that you have included the following list of required application package items by checking the
space provided next to each item. Failure to submit all required items will lead to your application being returned as
incomplete or additional processing and review time. This form may be photocopied for use as an original.
® I. 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 B(12).
® II. Application Fee - Submit a check in the amount of $400 made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR). Checks shall be dated within 90 days of application submittal.
❑ III. 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 (CPCN)
which demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the
sewer extension. If a CPCN has not been issued, provide two copies of a letter from the North Carolina Utilities
Commission's Public Staff that states that an application for a franchise has been received, that the service area
is contiguous to an existing franchised area, and/or that franchise approval is expected. The project name in the
CPCN or letter must match that provided in Item A(2a) of this application.
❑ IV. Operational Agreements - Submit one original and two copies of a properly executed operational agreement if
the sewer extension is permitted by a private applicant and will be serving residential or commercial lots (e.g.,
houses, condominiums, townhomes, outparcels, etc.) that will be sold to another entity. If the applicant is a
homeowners' association, use Form HOA 02/03. If the applicant is a developer, use Form DEV 02/03. EVEN IF
THE PROJECT WILL BE TURNED OVER TO A MUNICIPALITY, FORM DEV 02/03 IS REQUIRED.
❑ V. Flow Acceptance Letters — If the owner of the downstream sewers and/or WWTF is different from the applicant,
submit two copies of a flow acceptance letter from the owner of the downstream sewers and WWTF, if different.
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/WWTF. The flow acceptance must not
expire prior to permit issuance and must be dated less than a year prior to the application date.
Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific flow acceptance
letter.
❑ VI. Map — Submit an 8.5-inch by 11-inch COLOR copy of the portion of a 7.5-minute USGS Topographic Map along
with this form. The map should identify the entire project area location as well as the closest downslope surface
waters as clearly as possible. Each map portion must be labeled with the map name and number, the identified
location of the sewer line and pump stations, and be of clear and reproducible quality. For instance, if the project
involves 4 miles of interceptor sewer that traverses over or near several different waterbodies (or counties,
basins, etc.), the map should have location ID's shown for each different waterbody (where the sewer line is within
100 feet of such waterbody - see Instruction VII). This location ID is self chosen and used to cross reference the
location in Section C of the permit application.
❑ VII. Stream Classifications — Section C
• If any portion of the project is within 100 feet of any down slope surface water, Section C must be completed
for the pertinent sections.
• If the entire project area is a minimum of 100 feet away from any down slope surface waters BUT there is a
pump,station involved where a history of power outage is to be used to provide adequate design storage
instead of dual feed or permanent or portable generator, Section C must be completed to demonstrate that
the closest down slope surface water is Class C (see 15A NCAC 2H .0219(h)(3)(D)).
• Use the guidance document entitled, "Determining Watershed Classifications for Form FTA 02/03 (Fast -Track
Sewer Systems)" available from http://h2o.enr.state.nc.us/ndpu or by contacting the appropriate regional
office.
FTA 02/03 -Rev. 3 04/05

.',for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 2
.;,vital Assessments — If this project is subject to an Environmental Assessment (EA) [15A NCAC
a500], this application can not be used. Send the project application on Form PSFMGSA 10/99 to the
.on -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. Applications can not be
processed until a Finding of No Significant Impact (FONSI) or Environmental Impact Statement (EIS) has been
issued. A copy is to be submitted with that permit application.
❑ IX. Certifications — Section D
The application must be certified by both the applicant and a North Carolina Registered Professional Engineer
(PE). The applicant signature must match the signing official listed in Item A(1 b). The PE should NOT certify the
application if he/she is unfamiliar with 15A NCAC 2H .0200, the Gravity Sewer Minimum Design Criteria (most
recent version) and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
(most recent version), as applicable to the project. Certification by a PE who is unfamiliar with these documents
is subject to NC Board referral.
THE COMPLETED FTA 02/03 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING DOCUMENTS AND $400
FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
Avery, Buncombe, Burke, Caldwell,
2090 US Highway 70
Cherokee, Clay, Graham, Haywood,
Swannanoa, North Carolina 28778
Henderson, Jackson, Macon,
[phone]
Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania,
Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett,
Fayetteville, North Carolina 28301
Hoke, Montgomery, Moore, Robeson,
[phone]
[phone] Fax
Richmond, Sampson, Scotland
Mooresville Regional Office
610 E. Center Avenue, Suite 301
Mooresville, North Carolina 28115
Alexander, Cabarrus, Catawba,
[phone]
Cleveland, Gaston, Iredell, Lincoln,
[phone] Fax
Mecklenburg, Rowan, Stanly, Union
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe,
Raleigh, North Carolina 27699-1628
Franklin, Granville, Halifax, Johnston,
[phone]
Lee, Nash, Northampton, Orange,
[phone] Fax
Person, Vance, Wake, Warren,
Wilson
Washington Regional Office
Beaufort, Bertie, Camden, Chowan,
943 Washington Square Mall
Craven, Currituck, Dare, Gates,
Washington, North Carolina 27889
Greene, Hertford, Hyde, Jones,
[phone]
Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington,
Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus,
Wilmington, North Carolina 28405
Duplin, New Hanover, Onslow,
[phone]
Pender
[phone] Fax
Winston-Salem Regional Office
585 Waughtown Street
Alamance, Alleghany, Ashe, Caswell,
Winston-Salem, North Carolina 27107
Davidson, Davie, Forsyth, Guilford,
[phone]
Rockingham, Randolph, Stokes,
[phone] Fax
Surry, Watauga, Wilkes, Yadkin
For more information, visit our web site at: http://h2o.enr.state.nc.us/ndpu/
FTA 02/03 - Rev. 3 04/05

GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 3
TAB KEYTO MOVE FROM FIELD TO FIELD! Application Number:
(to be completed by DWQ)
a. Clay County Water and Sewer District
Full Legal Name (company, municipality, HOA, utility, etc.
1 b. Stephen C. Sellers, Chairman of the Board
Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized sig
1 c. The legal entity who will own this system is:
❑ Individual ❑ Federal ❑ Municipality ® State/County ❑ Private Partnership ❑ Corp
2. Proiect (Facility) Information:
f
officials!)
Other
Blair Creek Sewer Pump Station Upgrade 2b. Clay
Brief Project Name (permit will refer to this name) County Where Project is Located
......... ..... .........
Contact Person:
.........
Layton Schuh, Director of Water and Sewer
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. [phone] 3c.
Phone Number E-mail
1. Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.:
......._..... ......... _.......................... __............................. _..... _............................. _.__....__._........................... _.............. ........_...._............._............._._..........:.......................................................... _......._................ _......... .._._............ .............................................. ................................. ................................. _..............
.
For modifications, attach a separate sheet clearly explaining the reason for the modification (i.e. adding another
phase, changing line size/length, etc.). Only include the modified information in this permit application - do not
-duplicate project information in B(7) and B(10-11) that has already been included in the original permit.
2. Owner is ® Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
2a. If private, applicant will be: 2b. If sold, facilities owned by a (must choose one)
❑ Retaining Ownership (i.e. store, church, single office, etc.) ori Public Utility (Instruction III)
❑ Leasing units (lots, townhomes, etc. -skip to Item 8(3)) ❑ Homeowner Assoc./Developer (Instruction IV)
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
Clay County Water and Sewer District
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
Hayesville Wastewater Treatment Plant 4b. NCO026697
Name of WWTF WWTF Permit No.
Clay County 5b. WWTF ❑ Gravity 15c.
Owner of Downstream Sewer Receiving Sewer Size ❑ Force Main Permit Number of Downstream Sewer (if known)
LJ Interceptor Line - Flow will be permitted in subsequent permits that conned to,this line -
Flow has already been allocated in Permit No. W00021957
❑ Rehabilitation or replacement of existing sewer with no new flow expected
TA 6 /03 R'eV 5 64/05

GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 4
Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
.0219(I) for Item B(7) or the design flow for line or pump station sizing if zero flow in the space below. Values other than
that in 15A NCAC 2H .0219(1)(1-2) must be supported with actual water or wastewater use data in accordance with 15A
NCAC 2H .0219(I)(3).
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
ENTER TOTAL LINE LENGTH IN MI
Length (feet)
1. Summary of Pump Stations to be Permitted (attach additional sheets as necessary)
Gravity or Force Main
(use the pull down men
Location ID Power Reliability Option
(self chosen - as shown on Design Flow Operational Point (1- dual line feed; 2 permanent generator w/ATS; 3-
plans for cross-reference) (MGD) GPM R TDH portable generator w/telemetry; 4-wet well storage)
Blair Creek PS 0.036 50R134'
3
2. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC 2H .0200 as applicable?
® Yes ❑ No If no, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
3. Have the following permits/certifications been submitted for approval?
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes ❑ No ® N/A
Sedimentation and Erosion Control Plan? ❑ Yes ❑ No ® N/A
Stormwater? ❑ Yes ❑ No ® N/A
.......... _...............__------------- __ ..._... .......... ....... , ...... _............ _ .._
4. Does this project involve aerial lines or siphons? ❑
lines will be considered high priority and must be checked once every six months
FTA 02/03 - Rev. 3 04/05

ION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 5
;se the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02/03
(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as
necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality
regional office (see instructions for addresses) OR indicate the following:
........ _ ......... _.......... ......... -- ............_ ........... _............. .................... .
❑ A Stream Classification is not needed because all parts of the project are at least 100 feet away from any down slope
waterbody; AND,
�_... _ _ . _ - ............. .......... ... .... ....... ...._
❑ A Stream Classification is not needed because the design does not depend on wet well storage as a power reliabilitym
option for any pump station near a Class C down slope waterbody.
Location ID on Map
(self chosen - as shown on Name of
map for cross-reference) Waterbod,
a.
Applicant's Certification:
Waterbody Stream
River Basin Index
Waterbody
Classification
WS-IV
1, Stephen C. Sellers, Chairman of the Board of Clay County Water and Sewer District„ attest that this application for
Blair Creek Pump Station Upgrade 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.
Note: In accordance with North Carolina General Statutes 143-215.6A and 143-215.6B, 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.
Signing O*ial Sigl-iAture Date
... ...... ......... ..... ..........
Professional Engineer's Certification:
I attest that this application for Blair Creek Pump Station Upgrade has been reviewed by me and is accurate, complete
and consistent with the information in the engineering plans, 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 adopted February
12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June
1, 2000 and the watershed classification in accordance with Division guidance. 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 143-215.6B, 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.
a. Michael T. Dowd, P.E.
Professional Engineer Name
b. McGill Associates, P.A.
Engineering Firm
C. P. O. Box 2259
Mailing Address
d. Asheville
City
....
g [phone] 2h [phone]
Telephone E Facsimile
NC 2f 2880211
State Zip
2C3a
[e-mail]
E-mail Seal, Signature & Date
FTA 02/03 - Rev. 3 04/05

McGiff
A S S O C I A T E S
October 23, 2006
Mr. Roy Davis
N. C. Department of Environment
& Natural Resources
2090 U.S. Highway 70
Swannanoa, North Carolina 28778
Re: Blair Creek Pump Station Upgrade
Clay County Sanitary Water & Sewer District
Clay County, North Carolina
Dear Mr. Davis:
Please find enclosed one signed original and one copy of a completed Fast -Track
application form (FTA 02/03), and a check in the amount of $400 for the application fee. Also
enclosed is a portion of a color quad map with the project area noted.
This project will include the replacement of existing sewer pump station pumps and
appurtenances in the Blair Creek Pump Station near the Town of Hayesville in Clay County.
The proposed pumps are designed to process the existing flow as well as an anticipated flow of
7,200 gpd from a long term care facility presently under construction near the pump station.
Please review the enclosed information and contact our office if you have any questions
on the project. If you require additional information, please contact Mike Dowd or myself at
any time.
Sincerely,
McGILL ASSOCIATES, P.A.
.�_
4j�6�0
GORDON H. WILSON
Engineering Technician
Enclosures
cc: Layton Schuh, Director of Water and Sewer
Paul Leek, Clay County Manager
Stephen C. Sellers, Chariman, Clay County Water and Sewer District
Jeff Bishop, P.E.
Mike Dowd, P.E.
2006\06555\letters\ROY DAVIS 23oct06.doc
Engineering • Planning • Finance
McGill Associates, P.A. P.O. Box 2259, Asheville, NC 28802 • 55 Broad Street, Asheville, NC 28801
828-252-0575 • Fax: [phone]

s �u1 7-2 /4 C�
FAST -TRACK APPLICATION REVIEW PROCEDURES
Project Name:
1.�� �� Review Date: 0
Project Number: _ Ps Reviewer: �
All fast -track projects should be submitted on the application entitled "Fast -Track Application for
Gravity Sewers, Pump Stations, and force Mains" (FORM: FTA 02/03 Rev 3,currently) unless
otherwise directed by the PERCS. Any pump station/force main projects that require an
Environmental Assessment (EA) are excluded from the Fast -Track review process, and should be
submitted for full review to the Central Office (PERCS) on FORM: PSFMGSA 10/99. Additionally,
any projects involving a flow reduction request must receive approval for the flow reduction from
the central office.
PRE -REVIEW
ci"Does the application package appear to be generally complete (i.e. all attachments, check, key
questions answered)? If any portion of the application is not complete, or if any required
instruction items have been omitted, RETURN the application package and supporting
documents to the applicant using the Project Return Letter template. Send the package and
letter via certified mail to the applicant, and a copy of the letter to the engineering consultant.
Any projects that are to be returned shall be returned prior to accepting the application (i.e.,
before logging in the application and depositing the check). After a project has been accepted,
any information that is found to be incorrect and/or lacking must be requested via an Additional
Information Request in accordance with 15A NCAC 2H .0208(e).
Ensure that a check for $400 is submitted and made out to NCDENR. All new projects and major
modifications to existing projects require an application fee. A major modification includes any
changes to permitted flow volumes, changes in pipe diameter, changes in pipe length greater that
10% of the originally permitted length, changes in the operatingpoints of a pump station, etc.
ION A — Application Information
tf"the applicant is private (item 8(2)) and listed -as a corporation, check the NC Department of the
Secretary of State's web site at http://www.secretary.state.nc.us/Corporations/ to ensure that the
Applicant is registered with the Secretary of State to conduct business as a corporation in the
State of NC. Developer's and'HOA's should be listed.
Ensure that the signing official meets the requirements of 15A NCAC 2H .0206(b). If they do not,
request a revised application that has been completed by an appropriate official or a letter from
an appropriate official that indicates the person in question is delegated to sign the application on
the applicant's behalf. A current list of Delegated Signing Officials can be obtained from the
PERCS. If a new delegated signing official letter is presented with the application, forward a copy
to the central office so that the person may be added to the Delegated Signing Official list. The
central office will send E-mails to the appropriate region if a new signing official has been added
so that the most current list can be used. The Non -Discharge Permitting Unit has an example
delegated signing official letter from http://h2o.enr.state.nc.us/PERCS/spraypol.html#DELEG.
SECTION. — Permit ormation
Project - ew? odification? If the project is a modification to an existing permit, be sure to
enter the application into BIMS as a permit modification (i.e. "renew/modify application" and not
"create new project"). BIMS•will pull the previous signing official and affiliations information.
Please go through all the tabs and ensure the information is correct for the current project.
Applicant a public entity (e.g. county, town, sanitary district)?
144Vpplicant a private entity?
Own (i.e. lease) units, lots, parcels, etc?
1
FAST -TRACK Application Review Procedures 2003 (Rev 2/06)

Sell units, lots, parcels, etc?
Certificate of Public Conven\dNeand Necessity? 2H .0205(d)(2)
♦ Required if the applicanublic utility. In lieu of a Certificate of Public
Convenience and Necey may submit written approval from the
North Carolina Utilities Css� n's Public Staff that states that the utility is
allowed to provide utilitye in he subject project area. Note that the
project name on the appn an n the CPCN must match. Contact the
NCUC Public Staff if quarise. This is NOT REQUIRED for a
municipality or county! les of c panies that would provide a CPCN
are Heater Utilities or CWater Se ice, etc.
******OR*******
Operational Agreement? 2H(d)(2
♦ Operational Agreements are only required if th applicant is not a public
entity (i.e. Town, County, etc.) or public utility as Xesignated by the North
Carolina Utilities Commission AND the lots being 1Xrved by the collection
system are to be sold to individual owners.
♦ If the applicant is a developer, they must fill out thet EVELOPER
Operational Agreement (FORM: DEV 02/03). A d ve!oper may be
responsible for the system for an interim pe/dto
ntil the homeowners
association is formed, at which time a Perme/Ownership Change
request (FORM: PNOCF 06/00) will be neetransfer the permit to
the HOA.
♦ If the applicant is a homeowners' asso Cation (HOA), they must fill out
the ASSOCIATION Operational Agre ment (FORM: HOA 02/03 The
HOA must be registered with the S retary of State's office and must
provide a copy of the Association Bylaws and Articles of Incorporation.
These documents should be revO wed to ensure that all applicable
language regarding the collect n system is included as is required by
the Operational Agreement.
♦ The Operational Agreement gKould be attached to the permit and
incorporated into the langu a of the permit. Please note that Operational
Agreement language sho d not be altered without approval from the
Attorney General's Offic . Operational Agreements are available at
htt://h2o.enr.state.nc. /PERCS/ from the collection system applications
page.
Approval of flow to receiving sewers and WWTF? (i.e. P4 procedure, but now in-house!)
♦ Ensure that the receiving sewers and WWTF have adequate capacity available to accept the
flow volume that is being requested, and that the WWTF has been in compliance with their
treatment and disposal permit.
L_ Flow acceptance letter(s) from the owner of the WWTF and owner of any intermediate sewers (if
different from WWTF owner and applicant)? 2H .0205(d)(3)(C)
Required only if the applicant and the owner of the WWTF/intermediate sewers are not the
same entity.
♦ Project specific flow acceptance letters are required.
♦ Ensure that the following items appear in the flow acceptance letter: applicant's name,
project name, amount of wastewater flow accepted, date that the flow acceptance was
granted, expiration date of the acceptance, and name/permit number of the receiving WWTF.
Do not accept a flow acceptance letter that was issued more than one year prior to the
receipt of the package.
♦i Ensure that the owner accepted the entire volume of flow listed in application.
2
FAST -TRACK Application Review Procedures 2003 (Rev 2/06)

Main Problems Noted: A flow acceptance letter is provided by the receiving WWTP owner but
not the downstream sewer owner, which both are different from the applicant. Example, private
developer in Knightdale. Both Knightdale and Raleigh would need to provide a flow acceptance
letter as Knightdale will transport astewater and Raleigh will treat the wastewater.
Wastewater industria or domestic in n ure?
♦ Most projects will e for wa ter that is domestic in nature; however, if Item B.6 indicates
that the wastewater is industrial in nature, notify the Regional Office Pretreatment
Coordinator or the WQ Pretreatment Unit Central Office to determine if a pretreatment permit
is needed or if a program already in place and compliant.
Flow volume calculated correctly? 2H .0299(I)
♦ Ensure that the daily design flow in the application is based on the guidance provided in the
regulations or existing flow, and that the explanation as to how this volume was determined is
very specific (i.e., 22 three -bedroom homes, 50,000 s.f. of retail space, 18 employees, etc).
This information will be included in the description of the system in the permit. Our regs say
�— 120 gpd/bedroom for residential. Note that for one -bedroom the minimum they can use is
-r 240 gpd.
♦ If daily design flow is not based on regulations, ensure that the applicant has an approved
flow, reduction of daily design flow rate on file with the Division. A list of approved flow
reductions may be obtained from the DWQ Intranet or by contacting the PERCS. Flow
�` reduction requests are to be reviewed by the central office, and must be reviewed and
approved before the application is accepted by the regional office for review.
�� O8 ��---♦ On occasion, there maybe an instance where supporting documentation is submitted with
the application for a specific facility. Contact PERCS to determine a course of action.
♦ Ensure that the flows shown on the application match up to what is shown on the plans (if
available for review). For example, if the application states that 100 lots are to be developed,
ensure that there are 100 lots, and not 150 lots, shown on the plans." Plans are only required
for review if the applicant is requesting a variance to the MDC or the .0200's.
♦ Do not allocate "future" wastewater flows (i.e., that based on speculative development).
These would be permitted in future wastewater collection system extensions. Although, we
do allocate "unknown" flows on a per acre basis for industrial/commercial park applications.
Generally, the Division has accepted between 900 gpd/acre —1500 gpd/acre. Let the
engineer support his calculation.
,,/V�.Adequate information provided regarding the proposed gravity sewer and/or force main (if
applicable)?
Note 1: An Environmental Assessment may be required if there are 3 miles of gravity sewer over
18-inches in diameter (15A NCAC'1C .0100). Environmental Assessment projects can NOT go
Fast -Track!
Main Problems Noted: A public entity specifies 6-inch line when 8-inch is required; 4-inch line is
C",�specified and no variance requested
Adequate information provided regarding the proposed pump station(s) (if applicable)?
Note: An Environmental Assessment may be required if the pump station(s) have a firm capacity
of 1,750 GPM or greater (15A NCAC 1 C .0100). If there are any questions about whether an EA
may be required, discuss with your supervisor or contact Alex Marks of the Planning Branch's
Local Government Assistance Unit.
♦ Power reliability at the pump station provided in accordance with Section 5.04 of the
Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
document (i.e. dual line feed, portable generator w/telemetry, permanent generator with
automatic transfer switch, wet well storage if near Class C waters)? Note 1: Section C of the
FTA has to be completed and show a Class C down slope water in order to use wet well
storage as a reliability option. Include the special condition in the permit. You will need to
ask for storage calculations and the power outage data. Note 2: Ensure telemetry is specified
if a portable generator is called out. Check with the engineer if unsure. Note 3: Ensure an
automatic transfer switch (ATS) is specified if a permanent (standby) generator is specified. _
Check with the engineer if unsure.
Main Problems Noted: Failure to specify appropriate or applicable power reliability option
3
FAST -TRACK Application Review Procedures 2003 (Rev 2106)

Project designed in accordance with 15A NCAC 2H .0200, the Gravity Sewer Minimu
Criteria and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations ant,
Force Mains document (as applicable)? NO will be checked in Item B(12) of the FTA. If NO,
forward one copy of the supporting documents to the Central Office for review, indicating the
permit number, owner and project name. The Central Office will review the variance request and
if approvable, specific language regarding the variance will be forwarded to the Regional Office
reviewer to incorporate into the permit. A copy of the variance letter provided by the central office
should be kept with the application file. If you catch something in the application or supporting
documents that is not in accordance with our regs or MDC, send an additional information
request.
Main Problems Noted: A public entity specifies 6-inch line when 8-inch is required; 4-inch line is
specified and no variance requested; supporting documents show slope issues...
SECTI C — Watershed Classification
or topographic map submitted?
Watershed classification required? If YES, you are advised to "spot-check" the classification(s).
If NO, ensure the applicant/engineer has indicated why one is not required. BOTH BOXES IN
SECTION C MUST BE CHECKED TO NOT PROVIDE A CLASSIFICATION!
SECTPON D —Applicant Certifications
�--'Signing Official's signature? 2H .0206(b)
♦ Ensure that the applicant's signature is the same person as that listed as the applicant's
signing official on Page 1 of the application form.
PE stamped, signed, and dated application, plans, specifications, and calculations (if applicable)?
2H .0205(d)(1)(A)(iii)
♦ Ensure that the same engineer has signed, sealed, and dated the application and all the
items, with the exception of items designed by specialty disciplines (i.e., architectural,
structural, plumbing, and electrical plans). If not, an explanation and/or authorization is
required.
Adequate information provided for the engineer/engineering firm?
i. 1__1rPE with active license in North Carolina? 2H .0205(d)(1)(A)(iii) or 2H .0203(28)
♦ Ensure that ALL pertinent P.E's have active licenses by checking the NC Professional
Engineer's Board web site (www.ncbels.org the PE number must be six digits, use leading 0
when needed).
♦ If the PE seal number does not show up on the web site database, call the PE Board for
verification [phone].
Drafting a Permit
♦ In order to be consistent, use the most current version of the Fast -Track permit shell. This permit
shell contains specific language with respect to the Minimum Design Criteria, regulations, and
collection system permitting. The PERCS will notify you of any changes to. this permit shell.
♦ Be specific with respect the system description and information. Indicate the flow, what the project
will be serving, length and size of gravity sewer lines and force mains, etc. For projects involving
pump stations, the size of the pump stations, as well as the reliability option and any additional info
(telemetry, odor control system, etc) should be included. A sample permit is on the DWQ Intranet.
♦ Add or remove any special conditions as necessary_ Please call attention to any non-standard permit
conditions in the cover letter of the permit and include the permit condition where necessary. See the
Example Special Conditions document.
♦ If the project is a modification, don't forget to include the system description from the previous permit
and void the previous permit in the language! Some of these can be tricky so feel free to run the
drafted permit through PERCS first before issuance.
♦ It is preferable if Fast -Tracks are saved electronically by permit number under issued year and month.
4
FAST -TRACK Application Review Procedures 2003 (Rev 2/06)

.g"a Project
If the Reviewer/Supervisor determines that an application package should be denied because it can
not meet NC Statutes, rules or regulations, then a denial letter should be drafted. Special attention
should be paid to the statutory deadline for permitting. If it is thought that a project might be
denied, it is important to review it and draft the denial letter as soon as possible. There must
be time allowed for the denial letter to be sent up to the DSrector and signed prior to the
statutory date.
♦ The Reviewer should use the Application Denial Letter template to prepare a denial package for the
Supervisor's review and submittal to the Director for signature. The letter should not be dated, but
instead will be dated after the Director signs it. A memo to the Director should be attached to the top
of the denial package summarizing the reasons for denial. This package must be singed off on by the
reviewer, supervisor, Section Chief, and Director. Distribute the letter as directed in "Issuing a
Permit" below.
Issuing a Permit
o Permits should be signed only by those delegated to sign for the Director.
♦ Permits should be distributed as follows (include the signed Operational Agreement with the
permit and all distribution copies if applicable!):
✓ Original to the Permittee
✓ Copy to the consulting engineer
✓ Copy to the county health department
✓ Copy to the Mecklenburg County Department of Environmental Protection for all projects located
in Mecklenburg County
Copy(ies) to the owner of the WWTF and owner of the downstream sewers (if different than the
Permittee)
✓ Electronic Copy and Hard Copy to the PERCS for our files
✓ Copy to Central Files (attach application package and any supporting documents with a staple —
do not include any plans unless they are small and can be folded up into an 8.5" x 11" sheet)
✓ Save an electronic version named WQOOXXXXX.doc in a folder on your office shared drive or
hard drive. Try to keep your drafts and issued files separate. SEND ELECTRONIC COPIES TO
PERCS on a frequent basis - weekly or monthly!
Permit Corrections
♦ If a permit has been issued but an error discovered MADE BY US internally or by the Permittee or
their engineer, a permit correction is necessary.
♦ Pull the original permit and make the corrections — do not change issue dates or enter a new
application in BIMS — resave the permit
♦ Prepare the permit correction cover letter modifying as applicable — the corrections need to be
distributed to the same people/agencies who received the orginal permit
♦ Print the corrected permit and permit correction letter— sign if needed
♦ Maintain Permit in BIMS — add permit corrected event date and comments as to what was corrected
♦ Copy and distribute
The Certification
♦ Final engineering certifications will be submitted back to your office when the project is complete.
These should be date stamped (the certification page, record drawings and calculations, if applicable)
♦ Construction, Grants & Loans (CGL) may request and audit some of these certifications
Regardless of whether the region or CGL reviews a certification, the receipt date must be logged into
BIMS. Perform the following: Maintain Permit, Enter Permit No., Go to Events Tab, Add Event, Select
Engineering/Tech Specialist Certification Received, Enter Receipt Date
♦ If the certification sheet is marked partial — put partial in the event comment field.
♦ If the certification seems incomplete — missing plans or calculations or no PE seal — note incomplete
in the comment field. Send an incomplete certification letter. The certification page in the permit
explains exactly what the engineer is to provide.
♦ If the certification is provided to CGL — maintain the engineer certification received event and put "to
CGL for review on DATE" in the event engineer certification received comment field.
5
FAST -TRACK Application Review Procedures 2003 (Rev2/06)

♦ If the region wishes to perform a detailed review— look for items not meeting the minimum Q
criteria or outside of the permit. For instance, minimum cover; slope; minimum separation distan�
line size changes; length; reroutes; additional lots than permitted; pump station alarms; pump cycle `
times; no indication of record drawing (as-builts) on plans; no PE seal or note about record drawings
(land surveyor seals are not appropriate). A certification checklist is being developed.
♦ Regardless of review, certifications need to be processed as this closes out the permit. Follow the
processing engineering certifications guidance document.
6
FAST -TRACK Application Review Procedures 2003 (Rev 2106)

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ENGINEERING CERTIFICATION — POST CONSTRUCTION
i
System Description:
Rebuilding of the existing Eclair Creek Sewage Pumping Station resulting in a 50 GPM station capacity, wi
audible and visual high water alarms, a quick disconnect for a portable emergency pointer -generator and t
Complete and submit this form to the Asheville regional office with the following:
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
• Supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump
stations permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit regulations or
minimum design criteria.
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. Therefore, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
❑ Partial ® Final
1, Michael T . Dowd , as a' duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe ([I periodically, ❑ weekly, ❑ full time) the construction of the above referenced
project for the 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 2T .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:
1,1
zE "�
SEND THIS FORM & SUPPORTING DOCUMENTATION
0
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
1 C'
ROGER C. EDWARDS
IT
SURFACE WATER PROTECTION SUPERVISOR
irk
ASHEVILLE REGIONAL OFFICE
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2090 US HIGHWAY 70
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SWANNANOA, NC 28778
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:........ ........... .........
............. ...........................
The Permittee is responsible for tracking all partial certifications up until a final certification is received. 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.

McGill
A S S O C I A `T E S
January 16, 2008
Mr. Roger C. Edwards
Surface Water Protection Supervisor
North Carolina Division of Water Quality
Asheville Regional Office
2090 US Highway 70
Swannanoa, North Carolina 28778
Dear Roger:
RE: Engineering Certification
Blair Creek Pump Station
Clay County Water and Sewer
District
Permit No. WQ0030955
On behalf of the Clay County Water and Sewer District, we hereby submit the
Engineering Certification for the above referenced project. If you have any questions or if you
need additional information, please feel free to call.
Please note that the original permit application was made for an upgrade to the existing
pump station and the project, as constructed, consisted of the replacement of the existing pump
station with a new pump station. This change was verbally approved by Mr. Roy Davis during a
phone conversation on January 29, 2007 who advised to proceed with bidding and construction of
the project under the permit issued for the replacement and to note this change with the transmittal
of the Record Drawings.
As always, please feel free to call with any comments or questions.
Sincerely,
McGILL ASSOCIATES, P.A.
MICHAEL T. DOWD, E.
Project Manager
Enclosures
cc: Mr. Layton Schuh w/encl.
Mr. Paul Leek
Mr. David Penland
/0 5/letters/re16'an08.doc
n g i n e e r i n g P l a n n i n g F i n a n c e
McGill Associates, P.A. • P.O. Box 2259, Asheville, NC 28802 • 55 Broad Street, Asheville, NC 28801
828-252-0575 • Fax: [phone]

__ _ — -
__
__ �__ �__ � _.�� � ._��„nr. �,.�,� �.�,r�,�.w.,����,,;�

'70"" L
Michael F. Easley, Governol'
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
Asheville
October 30, 2006
Mr. Nelson Hendrikse, Trustee
Southeast Properties Group 401 K Plan
7401 Southwest 1481h Street
Miami, Florida 33158
Subject: Permit No. WQ0030951
Southeast Properties Group 401 K Plan
Southern Living Apartments
Wastewater Collection System Extension
Clay County
Dear Mr. Hendrikse:
In accordance with your application received on October 12, 2006, we are forwarding herewith
Permit No. WQ0030951, dated October 30, 2006, to Southeast Properties Group 401 K Plan 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 incorporated
therein by reference. Please notify Roy Davis or Don Price by fax or telephone (numbers below) when
you begin construction of this collection system extension.
Please pay particular attention to Permit Condition 3 which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2T .0403 or any
individual system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 15A NCAC 2T .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 the North Carolina -licensed Professional Engineer named in the application. It shall be the
Permittee's responsibility to ensure that the as -constructed project meets the appropriate designcriteria
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.
Asheville Regional Office Internet www.ncwaterquality.org
2090 US Highway 70, Swannanoa, NC 28778 Telephone [phone] Fax [phone]
DENR Customer Service Center Telephone [phone]
An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper
NorthCarolina
Natunii&

Southeast Properties Group 401 K Plan October 30, 2006 Page 2
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 Southeast Properties Group 401 K Plan for the construction and operation of
approximately 1,635 linear feet of 6-inch diameter gravity sewer; a 45—gallon per minute pump station
with duplex grinder pumps, on -site audible and visual high water alarms, a portable generator
receptacle with telemetry as well as approximately 675 Linear feet of 2.5-inch force main to serve
Southern Living Apartments, having 69 two bedroom units, and the discharge of 13,335 gallons per day
of collected domestic wastewater into Clay County Water & Sewer District's existing sewerage system,
pursuant to the application received on October 12, 2006 and in conformity with 15A NCAC 2T .0200;
the Division's 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 data subsequently filed and approved by the
Department of Environment and Natural Resources and considered a part of this permit; AND,
The sewage and wastewater collected by this system shall be treated in the Clay County Water
& Sewer District's Wastewater Treatment Facility (Permit No. NC0026697) prior to being discharged
into the receiving stream.
The Operational Agreement between the Permittee and the Environmental Management
Commission is incorporated herein by reference and shall be a condition of this permit. Noncompliance
with the terms of the Operational Agreement shall subject the Permittee to all sanctions provided by
North Carolina General Statutes §143-215.6A to §143-215.6C for violation of or failure to act in
accordance with the terms and conditions of this permit.
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 Roy Davis at (828)
296-4500.
Sincerely,
-
for All W. Klimek, P.E., Director
Division of Water Quality
cc: Clay County Building Inspector
ARO, Surface Water Protection (WWTF Permit No. NC0026697).dw
T. Dean Haney, PE
Clay County Water & Sewer District
PERCS Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
SOUTHEAST PROPERTIES GROUP 401 K PLAN
SOUTHERN LIVING APARTMENTS
CLAY COUNTY
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT WQ0030951
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 .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 2T .0403. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2T
.0403:
a. The sewer ,system shall be effectively maintained and operated at all times to prevent
discharge to land or 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 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 (i.e.
365 days per year). 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.
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 §143-215.1 C.

4. This permit shall not be transferable. In the event there is a desire for the wastewater collection
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, pump stations, and force mains 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 2T .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 2T .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.
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 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands
under 15A NCAC 213.0200 and 15A NCAC 2H .0500.
11. Noncompliance Notification:
The Permittee shall report by telephone to a water quality staff member at the Asheville Regional
Office, telephone number [phone], 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.
Voice mail messages or faxed information is permissible but this shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number [phone] or (919)
733-3300. Persons reporting any of the above occurrences shall file a spill report by completing
Part I of Form CS-SSO (or the most current Division approved form), within five days following first
knowledge of the occurrence. This report shall outline the actions taken or proposed to ensure that
the problem does not recur. Per Condition 1(2), Part II of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control.
Permit issued this the 30th day of October, 2006
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
�57>
for Ian W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number W00030951
3

ENGINEERING CERTIFICATION POST CONSTRUCTION
System Description:
1,635 linear feet of 6-inch diameter gravity sewer, a 45 GPM sewage pumping station with grinder type duplex
pumps, audible and visual high water alarms, a portable generator receptacle with telemetry and 675 linear feet of
2.5 inch diameter force main
Complete and submit this form to the Asheville regional office with the following:
• One copy of the project record drawings (plan &profile views of sewer lines) of the wastewater collection
system extension
• supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump
stations permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit, regulations or
minimum design criteria.
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. Therefore, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
❑ Partial ❑ Final
as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the above referenced
project for the 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 2T .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:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
ROGER C. EDWARDS
SURFACE WATER PROTECTION SUPERVISOR
ASHEVILLE REGIONAL OFFICE
2090 US HIGHWAY 70
SWANNANOA, NC 28778
....................
The Permittee is responsible for tracking all partial certifications up until a final certification is received. 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.

eRTH CAROLINA
JF CLAY
DEVELOPED
Permit
WATER,
This AGREEMENT made pursuant to G.S. 143-215.1 (dl) and `.nt6-.'thls day of
�.
s t Zd ® 6 , by and between the North Carolina Environmental Management
Commission, an agency of the State of North Carolina, hereinafter known as'the"Cb- MMSSIOand "
SOUTHEAST PROPERTIES GROUP 401K PLAN, a corporation/general partnership registered/licensed to do
business in the State of North Carolina, hereinafter known as the DEVELOPER.
WITNESSETH:
1. The DEVELOPER is the owner of the certain lands lying in CLAY County, upon which
it is erecting and will erect dwelling units and other improvements, said development to be known as
SOUTHERN LIVING APARTMENTS (hereinafter the Development).
2. The DEVELOPER desires, to construct a wastewater collection system with pumps, wastewater treatment
works, and/or disposal facilities (hereinafter Disposal System) to provide sanitary sewage disposal to serve
the Development on said lands.
3. The DEVELOPER has applied to the COMMISSION for the issuance of a permit pursuant to G. S. 143-
215.1 to construct, maintain, and operate the Disposal System.
4. The DEVELOPER has created or shall create unit ownership in said dwellings units, other improvements
and lands through filing of a Declaration of Unit Ownership (hereinafter Declaration), pursuant to Chapter
47C or 47F of the North Carolina General Statutes.
5. The DEVELOPER has caused to be formed or will cause to be formed at the time of filing of the
Declaration, the ON/A) (hereinafter
Association), a non-profit corporation organized and existing under and by the virtue of the laws of the
State of North Carolina, for the purpose, among others, of handling the property, affairs and business of the
Development; of operating, maintaining, re -constructing and repairing the common elements of the lands
and improvements subject to unit ownership, including the Disposal System; and of collecting dues and
assessments to provide funds for such operation, maintenance, re -construction and repair.
6. The COMMISSION desires to assure that the Disposal System of the Development is properly
constructed, maintained and operated in accordance with law and permit provisions in order to protect the
quality of the waters of the State and the public interest therein.
NOW, THEREFORE, in consideration of the promises and the benefits to be derived by each of the parties
hereto, the COMMISSION and DEVELOPER do hereby mutually agree as follows:
1. The DEVELOPER shall construct the Disposal System in accordance with the permit and plans and
specifications hereafter issued and approved by the COMMISSION, and shall thereafter properly operate
and maintain such systems and facilities in accordance with applicable permit provisions and law.
2. The DEVELOPER shall not transfer ownership and/or control of the Disposal System to the Association
until construction has been completed in accordance with the permit and approved plans, and the staff of
the Division of Water Quality has inspected and approved of the facilities. In order to change the name of
the permit holder, the DEVELOPER must request that the permit be reissued to the Association. The
request must include a copy of the Association Bylaws and Declaration.
The DEVELOPER shall not transfer, convey, assign or otherwise relinquish or release its responsibility for
the operation and maintenance of its Disposal System until a permit has been reissued to the
DEVELOPERs successor.

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,ELOPER shall provide in the Declaration and Association Bylaws that the Disposal System and
.znances thereto are part of the common elements and shall thereafter be properly maintained and
;;rated in conformity with law and the provisions of the permit for construction, operation, repair, and
,maintenance of the system and facilities. The Declaration and Bylaws shall identify the entire wastewater
treatment, collection and disposal system as a common element which will receive the highest priority for
expenditures by the Association except for Federal, State, and local taxes and insurance.
5. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System
will be maintained out of the common expenses. In order to assure that there shall be funds readily
available to repair, maintain or construct the Disposal System, beyond the routine operation and
maintenance expenses, the Declaration and Association Bylaws shall provide that a fund be created out
of the common expenses. Such fund shall be separate from the routine maintenance funds allocated for
the facility and shall be part of the yearly budget.
6. In the event the common expense allocation and separate fund are not adequate for the construction, repair,
and maintenance of the Disposal System, the Declaration and Association Bylaws shall provide for special
assessments to cover such necessary costs. There shall be no limit on the amount of such assessments, and
the Declaration and Bylaws shall provide that such special assessments can be made as necessary at any
time.
7. If a wastewater collection system and wastewater treatment and/or disposal facility provided by any city,
town, village, county, water and sewer authorities, or other unit of government shall hereinafter become
available to serve the Development, the DEVELOPER shall take such action as is necessary to cause the
existing and future wastewater of the Development to be accepted and discharged into said governmental
system, and shall convey or transfer as much of the Disposal System and such necessary easements as the
governmental unit may require as condition of accepting the Development's wastewater.
8. Recognizing that it would be contrary to the public interest and to the public health, safety and welfare for
the Association to enter into voluntary dissolution without having made adequate provision for the
continued proper maintenance, repair and operation of its Disposal System, the DEVELOPER shall
provide in the Association Bylaws that the Association shall not enter into voluntary dissolution without
first having transferred its said system and facilities to some person, corporation or other entity acceptable
to and approved by the COMMISSION by the issuance of a permit.
9. The agreements set forth in numbered paragraphs 1, 2, 3, 4, 5, 6, 7, and 8 above shall be conditions of any
permit issued by the COMMISSION to the DEVELOPER for the construction, maintenance, repair and
operation of the Disposal System.
10. A copy of this agreement shall be filed at the Register of Deeds in the County(ies) where the Declaration is
filed and in the offices of the Secretary of State of North Carolina with the Articles of Incorporation of the
Association.
IN WITNESS WHERE OF, this agreement was executed in duplicate originals by the duly authorized
representative of the parties hereto on the day and year written as indicated by each of the parties named below:
FOR THE ENVIRONMENTAL
MANAGEMENT COMMISSION
Alan Klimek, P.E., Director
Division of Water Quality
,X e 6
(Date)
SOUTBEAST PROPERTIES GROUP 401K PLAN
Name of DEVELOPER
B :X / �M,JCdts
(Si re)
NELSON HENDRIKSE TRUSTEE
Print Name and Title
�-t
"Tu.f/l_ .Jre r
(Date)
id/s/®0

e

u fi A y ,WIERSS l
OCT 1 2 20,0, i
WATER, OUn{ I�-lE�r+�. jj
t .4` ASN'EVIL' f i f: Q I _•-
e. 1
State of North Carolina
lepartment of Environment and Natural Resources
Division of Water Quality
tS, PUMP STATIONS, AND FORCE MAINS
sewers systems are not to be included as part of this application package)
INSTRUCTIONS: Indie-that you have' incldd6g/adiesse:t following list of required application package items by
checking the space provided next to each applicable item. Failure to submit all required items will lead to your application
being returned as incomplete. This form may be photocopied for use as an original.
® I. 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 1302Z
® ll. Application Fee - Submit a check in the amount of $400 made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR). Checks shaft be dated within 90 days of application submittal.
❑ III. 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 (CPCN)
which demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the
sewer extension. If a CPCN has not been issued, provide two copies of a letter from the North Carolina Utilities
Commission's Public Staff that states that an application for a franchise has been received, that the service area
is contiguous to an existing franchised area, and/or that franchise approval is expected. The project name in the
CPCN or letter must match that provided in Item A(2a) of this application.
IV. Operational Agreements — Submit one original and two copies of a properly executed operational agreement if
the sewer extension is permitted by a private applicant and will be serving residential or commercial lots (e.g.,
houses, condominiums, townhomes, outparcels, etc.) that will be sold to another entity. If the applicant is a
homeowners' association, use Form HOA 02/03. If the applicant is a developer, use Form DEV 02/03. EVEN IF
THE PROJECT WILL BE TURNED OVER TO A MUNICIPALITY, FORM DEV 02/03 IS REQUIRED.
V. Flow Acceptance Letters — If the owner of the downstream sewers and/or WWTF is different from the applicant,
submit two copies of a flow acceptance letter from the owner of the downstream sewers and WWTF, if different.
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/WWTF. The flow acceptance must not
expire prior to permit issuance and must be dated less than a year prior to the application date.
Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific flow acceptance
letter.
® VI. Map — Submit an 8.5-inch by 11-inch COLOR copy of the portion of a 7.5-minute USGS Topographic Map along
with this form. The map should identify the entire project area location as well as the closest downslope surface
waters as clearly as possible. Each map portion must be labeled with the map name and number, the identified
location of the sewer line and pump stations, and be of clear and reproducible quality. For instance, if the project
involves 4 miles of interceptor sewer that traverses over or near several different waterbodies (or counties,
basins, etc.), the map should have location ID's shown for each different waterbody (where the sewer line is within
100 feet of such waterbody - see Instruction VII). This location ID is self chosen and used to cross reference the
location in Section C of the permit application.
® VII. Stream Classifications — Section C
If any portion of the project is within 100 feet of any down slope surface water, Section C must be completed
for the pertinent sections.
If the entire project area is a minimum of 100 feet away from any down slope surface waters BUT there is a
pump station involved where a history of power outage is to be used to provide adequate design storage
instead of dual feed or permanent or portable generator, Section C must be completed to demonstrate that
the closest down slope surface water is Class C (see 15A NCAC 2H .0219(h)(3)(D)).
Use the guidance document entitled, "Determining Watershed Classifications for Form FTA 02/03 (Fast -Track
Sewer Systems)" available from http://h2o.enr.state.nc.us/ptrEq or by contacting the appropriate regional
office.

ATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 2
Aronmental Assessments — If this project is subject to an Environmental Assessment (EA) [I SA NCAC
this application can not be used. Send the project application on Form PSFMGSA 10/99 to the PERCS
Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. Applications can not be accepted until a Finding of No
Significant Impact (FONSI) or Environmental Impact Statement (EIS) has been issued. A copy is to be submitted
with that permit application.
® IX. Certifications —Section D
The application must be certified by both the applicant and a North Carolina Registered Professional Engineer
(PE). The applicant signature must match the signing official listed in Item A(1 b). The PE should NOT certify the
application if he/she is unfamiliar with 15A NCAC 2H .0200, the Gravity Sewer Minimum Design Criteria (most
recent version) and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
(most recent version), as applicable to the project. Certification by a PE who is unfamiliar with these documents
is subject to NC Board referral
❑ X. Downstream Sewer & Wastewater Treatment Plant Capacity
The applicant has assured downstream pipe, pump station and treatment plant capacity. The addition of new
sources of wastewater from this project has been evaluated along the route to the receiving treatment plant. The
flow from this project will not cause capacity related sanitary sewer overflows or overburden any downstream
pump station en route to the receiving wastewater treatment plant. if the applicant is not the owner of the
downstream sewer or receiving treatment plant, submittal of flow acceptance letter(s) indicates that owner has
adequate capacity and will not violate G.S. 143-215.67(a).
THE COMPLETED FTA 02/03 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING DOCUMENTS AND $400
FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell,
Swannanoa, North Carolina 28778
Cherokee, Clay, Graham, Haywood,
[phone]
Henderson, Jackson, Macon, Madison,
[phone] Fax
McDowell, Mitchell, Polk, Rutherford,
Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett,
Fayetteville, North Carolina 28301
Hoke, Montgomery, Moore, Robeson,
[phone]
Richmond, Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue, Suite 301
Alexander, Cabarrus, Catawba,
Mooresville, North Carolina 28115
Cleveland, Gaston, Iredell, Lincoln,
[phone]
Mecklenburg, Rowan, Stanly, Union
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance,
(919) 5714718 Fax
Wake, Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan,
Washington, North Carolina 27889
Craven, Currituck, Dare, Gates, Greene,
[phone]
Hertford, Hyde, Jones, Lenoir, Martin,
[phone] Fax
Pamlico, Pasquotank, Perquimans, Pitt,
Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin,
Wilmington, North Carolina 28405
New Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
585 Waughtown Street
Alamance, Alleghany, Ashe, Caswell,
Winston-Salem, North Carolina 27107
Davidson, Davie, Forsyth, Guilford,
[phone]
Rockingham, Randolph, Stokes, Surry,
[phone] Fax
Watauga, Wilkes, Yadkin
For more information, visit our web site at: http,I/h2o. enrstate_ nc. uslperes/

a,r TION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
I. Owner.
PAGE 3
Application Number: Il
,r a
(to be completed by DWo j
1 a.
Southeast Properties Group 401 K Plan
Full Legal Blame (company, municipality, HOA, utility, etc.)
............ .......
__..
1 b.
Nelson Hendrikse, Trustee
Signing Official Name and Title (Please review ISA NCAC 2H
.0206(b) for authorized signing officials!)
1 a
The legal entity who will own this system is:
❑ Individual ❑ Federal ❑ Municipality ❑ StatelCounty ❑ Private
Partnership ❑ Corporation ® Other
(�
1d.
7401 Southwest 148t' Street
1e. Miami
Mailing Address
City
It
Florida
1g. 33158
State
Zip Code
--- ---- --- - ...__... -
_
1 h.
305-588-9515 1 i
1 j-
Telephone Facsimile
E-mail
V
2.
Project (Facility) Information:
J
2a.
Sewer System Imp. For Southem Living Apartments
2b. Clay
Brief Project Name (permit will refer to this name)
County Where Project is Located
11RI121
For modifications, attach a separate sheet clearly explaining the reason for the modification (i.e. adding another
phase, changing line sizellength, etc.). Only include the modified information in this permit application - do not
duplicate project information in B(7) and B(10-11) that has already been included in the original permit.
2. Owner is ❑ Public (skip to Item B(3)) ® Private (go to Item 2(a))
2a. If private, applicant will be: 2b. If sold. facilities owned by a (must choose one)
.............:
rBi
❑ Retaining Ownership (i.e. store, church, single office, etc.) or ❑ Public Utility (Instruction 111)
Leasing units (fats, townhomes, etc. -skip to Item 8(3)) ❑ Homeowner Assoc./Developer (instruction IV)
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
Clay County Water and Sewer Authority
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
Clay County VWYTP 4b. 0
Name of WWTF WWTF Permit No.
5a. Clay Cty Water & Sewer Dist 15b. 8" U Gravity 15c. -
Owner of Downstream Sewer lReceiving Sewer Size ®Force Main Permit Number of Downstream Sewer (if known) [
B. The origin of this wastewater is (check all that apply)-
❑ Residential Subdivision _ ❑ Car Wash
® Apartments/Condominiums ❑ Institution 100 % D_ omestic/Commercial
❑ Mobile Home Park ❑ Hospitals
a ke flitldU$I IGI "i?,.. E.
❑ School ❑ Church
❑ Restaurant ❑ Nursing Home OthersP fy):
❑ Office ❑ Other (specify).
7. Volume of wastewater to be allocated for this particular project 3 Q
"Do not include previously permitted allocations -< g I t
8. If the permitted flow is zero, indicate why: � I
Interceptor Line - Flow will be ermined in subse cent ermits th con ct to this line
❑ P P q P v.
❑ Flow has already been allocated in Permit No. to r i �r !. = E
❑ Rehabilitation or replacement of existing sewer with no new flow peoted .
H.. _ .. ,... ,w.., _.__...._...

_4 for GRAVITY SEWERS, pUMp STATIONS, AND FORCE MAINS PAGE 4
rirovide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
.0219(l) for Item B(7) or the design flow for line or pump station sizing if zero flow in the space below. Values other than
that in 15A NCAC 2H .0219(1)(1-2) must be supported with actual water or wastewater use data in accordance with 15A
NCAC 2H.0219(l)(3).
69 Two Bedroom Apartments @ 240 gpd = 13,335 gpd
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
6
2.5
Length (feet) Gravity or Force Main
(use the pull down menu)
1635 Gravity
675 Force Main
. ..... . ...... ........ . . ...... far d Frce
e Fast Track Permitting of Pump Stations ano
12. Does the sewer system comply with the Minimum Design Criteria r th
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC 2H .0200 as applicable?
at
the pertinent minimum design criteria or regulation and indicate why a
Yes []No If no, please reference variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
13.
Have the following permitsicertifications eensubmitted for approval?
[]Yes 0 No N/A
General Permit or 401 Certification?
Wetland/Stream Crossings
...... ....
N/A
Hi Sedimentation and Erosion Control Plan? 0 Yes []No
0 Yes []No NIA
Stormwater?
14. Does this project involve aerial lines or siphons? Check i
yesThane Lines :
'it be every six
considerede., . montbs_
.biab. miority. and -must W checkedonc
i5. Does this project have gravity sewer lines designed at minimum slopes
Be aware that the Division wig not accept installed lines more than iflo/o flatter than the minimum slope- Lines installed outside this tolerance should be
a[ engineering certification.
corrected prior to submitting the fin

aN for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 5
,e the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02/03
"(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as
necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality
regional office (see instructions for addresses) OR indicate the following: y p
❑ A Stream Classification is not needed because all parts of the project are at least 100 feet awayfrom an down slope
waterbody, AND, __. _ __- _
❑ A Stream Classification is not needed because the design does not depend on wet well storage as a power reliability
option for any pump station near a Class C down slope waterbody.
-
...._....__.
Location ID on Map
F (self chosen - as shown on Name of Waterbody Stream Waterbody
E map for cross-reference} Waterbody Coun River Basin Index Classification
r ♦ 1 John Reese Branch Clay Hiwassee 1-18-2 C
Submit the 8.5" x 11" COLOR topographic map as required in Instruction VI
regardless of whether a classification is provided! — —�
1. Applicant's Certification:
f, NELSON HENDRIKSE attest that this application for Sewer System
Improvements for Southern Living Apartments 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_ Note: In accordance with North Carolina General Statutes 143-215 6A and 143-215.68,
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, er violation.
la
I T. DEAN HANEY attest that this application for Sewer Water and Sewer System Improvements for Robert Jones
'Z has been reviewed by me and is accurate, complete and consistent with the information in the engineering plans,
d calculations, and all other supporting documentation to the best of my knowledge. 1 further attest that to the best of my
H 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 and the watershed classification in
IUL accordance with Division guidance- Although certain portions of this submittal package may have been developed by
other professionals, inclusion of these materials under my signature and seat 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-
W'!
215.6A and 143 215.6E3 any person who knowingly makes any false statement, representation, or certification in any
application shall be guilty of a Gass 2 misdemeanor which may include a fine not to exceed $10, 000 as well as civil
penalties up to $25, 000 per violation.
& Date

e4 &"�4
C@. 838
Q 0n2 ✓l O GLfi l a cai n a 28904
[phone] * [phone]
Southeast Property Group I
F
P.O. Box 662
Hayesville, NC 28906
s
RE: Southern Living Apartments Sanitary Sewer Improvements
Hayesville, NC
SUBJECT: FLOW ACCEPTANCE LETTER
To Whom It May Concern:
Your request for a flow acceptance of 13,335 gallons per day for the Southern Living
Apartments Sanitary Sewer Improvements is approved.
This flow will be treated at our wastewater treatment facility.
Owner of Facility: Clay County Water and Sewer District
Name of Facility: Clay County Wastewater Treatment Plant
WWTF Permit: NC 0026697
Sincer ,
La oC Schuh
Director, Clay County Water and Sewer District
cc: T.D. Haney
Consulting Engineers, PA

9/25/2006
aXr4 & 64440V1 TUNA
33 �Jll , &.A * �.0. @. 838
28904
[phone] [phone]
Southeast Property Group
V
P.O. Box 662
Hayesville, NC 28906
RE: Southern Living Apartments Sanitary Sewer Improvements
Hayesville, NC
SUBJECT: FLOW ACCEPTANCE LETTER
To Whom It May Concern:
Your request for a flow acceptance of 13,335 gallons per day for the Southern Living
Apartments Sanitary Sewer Improvements is approved.
This flow will be treated at our wastewater treatment facility.
Owner of Facility: Clay County Water and Sewer District
Name of Facility: Clay County Wastewater Treatment Plant
WWTF Permit: NC 0026697
SincerAy,
La Schuh
Director, Clay County Water and Sewer District
cc: T.D. Haney
Consulting Engineers, PA

cul 0, W nZ $17.00
SUn of W ML BS M EM
-_ $ 000.00
0241-M K:1M F1
BY: LUM
NORTH CAROLINA WARRANTY jZRED
Excise Tax $800.00 Deed Stamps Recording Time, Book and Page
70.03-42-6734 (16.39 acres)
Tax Lot No........................................................................................ Parcel Identifier No.: WQ.03-42-.R34-M ..... L.2.07...acms)...
Verified by ..................Clay ... ,. .................. County on the .,27th... day of..... January , 2005...................................
by...................................................................................................................................................................................................
Mailafter recording to.................................................................................................................................................................................
..................................................................................................................................................................................................................... .
This instrument was prepared by ... Nichols, NICHOLS & NICHOLS, P.Q. Box 525t Hayesville; NC 28904
.................................................... ...................
Brief description for the Index 16.39 ac & 2.07 ac U.S. Hwy 64 East, Hiawassee Tt%p.
THIS DEED made this .....27th....... day of ............January 2005,by and between
GRANTOR
MARCOT, LLC, a North Carolina
Limited Liability Company
P. O. Box 662
Hayesville, NC 28904
GRANTEE
NELSON J. HENDRIKSE,
TRUSTEE of the Southeast
Property Management, Inc.,
401(K) Plan, anc his
successors in office
13200 S.W. 128 Street
Suite E-1
Miami, FL 33186

Mr. Roger Edwards
Division of Water Quality
Non -Discharge Permitting Unit
North Carolina Department of
Environment and Natural Resources
2090 US Highway 70
Swannanoa, North Carolina 28778
RE: Sewer System Improvements
Southern Living Apartments
Clay County, North Carolina
Dear Mr. Edwards:
Please find enclosed, for your review, the following:
• One (1) original and one (1) copy of the executed Fast Track Application for
Gravity Sewers, Pump Stations and Force Mains, with supporting documents.
• Two (2) copies of the location map.
• One check in the amount of $400.00.
The project is located on US 64, approximately 4.00 miles east of the Town of
Hayesville in Clay County, North Carolina, and involves the construction of
approximately 1,635 linear feet of 6-inch gravity sewer line, one (1) duplex grinder sewer
pump station and 675 linear feet of 2.5-inch sewer force main. The proposed gravity
sewer line will be constructed of SDR 35 PVC pipe and the sewer force main will be
SDR 21 PVC and HDPE pipe, and will be connected to an existing 8-inch sewer force
main located on US 64. The proposed sewer system improvements are designed to serve
existing and future buildings at the Southern Living Apartment complex and, with
approximately 69 two (2) bedroom apartments, and one (1) commercial building, with an
estimated average flow of 13,336 gpd. The sewer pump station will be equipped with an
auxiliary generator. The sewer improvements will be a private system, owned and
maintained by the Owner. The waste water flow will be treated by the Clay County Water
and Sewer Authority Waste Water Treatment Plant.
69 Je&ins Valleq Dead .4e ler, NcAli Carolina 28101
828) 68!3 -9219 Phones PAX

'C)f
If you have any questions, or require additional information, do not hesitate to
call.
Sincerely,
T. D. Haney Consulting Engineers, PA
-fA?I ,A
T. Dean Haney, PE
Enclosures
cc: Chris Cotton
Paul Leek

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/ FAST -TRACK APPLICATION REVIEW PROCEDURES /
c?
Project Name: Review Date:
. f
Project Number. Reviewer:
All fast -track projects should be submitted on the application entitled "Fast -Track Application for
Gravity Sewers, Pump Stations, and Force Mains" (FORM: FTA 02/03 Rev 3,currently) unless
otherwise directed by the PERCS. Any pump station/force main projects that require an
Environmental Assessment (EA) are excluded from the Fast -Track review process, and should be
submitted for full review to the Central Office (PERCS) on FORM: PSFMGSA 10/99. Additionally,
any projects involving a flow reduction request must receive approval for the flow reduction from
the central office.
PRE -REVIEW
Does the application package appear to be generally complete (i.e. all attachments, check, key
questions answered)? If any portion of the application is not complete, or if any required
instruction items have been omitted, RETURN the application package and supporting
documents to the applicant using the Project Return Letter template. Send the package and
letter via certified mail to the applicant, and a copy of the letter to the engineering consultant.
Any projects that are to be returned shall be returned prior to accepting the application (i.e.,
before logging in the application and depositing the check). After a project has been accepted,
any information that is found to be incorrect and/or lacking must be requested via an Additional
Information Request in accordance with 15A NCAC 2H .0208(e).
Ensure that a check for $400 is submitted and made out to NCDENR. All new projects and major
modifications to existing projects require an application fee. A major modification includes any
changes to permitted flow volumes, changes in pipe diameter, changes in pipe length greater that
10% of the originally permitted length, changes in the operating points of a pump station, etc.
N A -Application Information
If the applicant is private (Item B(2)) and listed as a corporation, check the NC Department of the
Secretary of State's web site at http://www.secretary.state.nc.us/Corporations/ to ensure that the
Applicant is registered with the Secretary of State to conduct business as a corporation in the
State of NC. Developer's and HOA's should be listed.
nsure that the signing official meets the requirements of 15A NCAC 2H .0206(b). If they do not,
request a revised application that has been completed by an appropriate official or a letter from
an appropriate official that indicates the person in question is delegated to sign the application on
the applicant's behalf. A current list of Delegated Signing Officials can be obtained from the
PERCS. If a new delegated signing official letter is presented with the application, forward a copy
to the central office so that the person may be added to the Delegated Signing Official list. The
central office will send E-mails to the appropriate region if a new signing official has been added
so that the most current list can be used. The Non -Discharge Permitting Unit has an example
delegated signing official letter from hftp:l/h2o.enr.state.nc.us/PERCS/spraypol.htmI#DELEG.
SECTION B — Perm' rmation
(.....-- Project new? edification? If the project is a modification to an existing permit, be sure to
enter th �Lion into BIMS as a permit modification (i.e. "renew/modify application" and not
"create new project"). B1MS will pull the previous signing official and affiliations information.
Please go through all the tabs and ensure the information is correct for the current project.
A/4—Applicant a public entity (e.g. county, town, sanitary district)?
t
lic a private entity?
Own (i.e. lease) units, lots, parcels, etc?
1
FAST -TRACK Application Review Procedures 2003 (Rev 2/06)

Sell units, lots, parcels, etc?
Certificate of Publit�,Convenience and Necessity? 2H .0205(d)(2)
s Required if the ap licant is a public utility. In lieu of a Certificate of Public
Convenience and cessity, they may submit written approval from the \
North Carolina UtilitiN Commission's Public Staff that states that the utility is
allowed to provide utiI service in the subject; project area. Note that the
project name on the ap service
and on the CPCN must match. Contact the
NCUC Public Staff if que tions arise. This is NOT REQUIRED for a
municipality or county! E mples of companies that would provide a CPCN
are Heater Utilities or Carol a Water Service, etc.
Operational Agreement? 2H.020 )(2
♦ Operational Agreements are only equired if the applicant is not a public
entity (i.e. Town, County, etc.) or p lic utility as designated by the North
Carolina Utilities Commission AND t e lots being served by the collection
system are to be sold to individual ow ers.
♦ If the applicant is a developer, they rNust fill out the DEVELOPER
Operational Agreement (FORM: DEV�02/03). A developer may be
responsible for the system for an interim p riod until the homeowners
association is formed, at which time a P mit Name/Ownership Change
request (FORM: PNOCF 06/00) will be eeded to transfer the permit to
the HOA.
♦ If the applicant is a homeowners' sociation (HOA), they must fill out
the ASSOCIATION Operational reement (FORM: HOA 02/03 The
HOA must be regi/An
ith th Secretary of State's office and must
provide a copy of tociaf ns' Bylaws and Articles of Incorporation.
These documents be viewed to ensure that all applicable
language regardinil ction system is included as is required by
the Operational Ag
♦ The Operational Agreehould be attached to the permit and
incorporated into the la of the permit. Please note that Operational
Agreement language sot be altered without approval from the
Attorney General's Offrational Agreements are available at
htt ://h2o.enr.state.nc.CS/ from the collection system applications
page.
Approval of flow to receiving sewers and,WWTF? (i.e. P4 procedure, but now in-house!)
♦ Ensure that the receiving sewers and WWTF have adequate capacity available to accept the
flow volume that is being requested, and that the WWTF has been in compliance with their
treatment and disposal permit.
Flow acceptance letter(s) from the owner of the WWTF and owner of any intermediate sewers (if
different from WWTF owner and applicant)? 2H .0205(d)(3)(C)
♦ Required only if the applicant and the owner of the WWTF/intermediate sewers are not the
same entity.
♦ Project specific flow acceptance letters are required.
♦ Ensure that the following items appear in the flow acceptance letter: applicant's name,
project name, amount of wastewater flow accepted, date that the flow acceptance was
granted, expiration date of the acceptance, and name/permit number of the receiving WWTF.
Do not accept a flow acceptance letter that was issued more than one year prior to the
receipt of the package.
♦ t Ensure that the owner accepted the entire volume of flow listed in application.
2
FAST -TRACK Application Review Procedures 2003 (Rev 2/06)

-roblems Noted: A flow acceptance letter is provided by the receiving WWTP owner but
c the downstream sewer owner, which both are different from the applicant. Example, private
developer in Knightdale. Both Knightdale and Raleigh would need to provide a flow acceptance
letter as Knightdale will tr astewater and Raleigh will treat the wastewater.
Wastewater industria ordomestic in ture?
♦ Most projects will ewater that is domestic in nature, however, if Item B.6 indicates
that the wastewater is industrial in nature, notify the Regional Office Pretreatment
Coordinator or the WQ Pretreatment Unit Central Office to determine if a pretreatment permit
is needed or if a program already in place and compliant.
low volume calculated correctly? 2H .0219(l)
♦ Ensure that the daily design flow in the application is based on the guidance provided in the
regulations or existing flow, and that the explanation as to how this volume was determined is
very specific (i.e., 22 three -bedroom homes, 50,000 s.f. of retail space, 18 employees, etc).
This information will be included in the description of the system in the permit. Our regs say
120 gpd/bedroom for residential. Note that for one -bedroom the minimum they can use is
240 gpd
♦ If daily design flow is not based on regulations, ensure that the applicant has an approved
flow reduction of daily design flow rate on file with the Division. A list of approved flow
reductions may be obtained from the DWQ Intranet or by contacting the PERCS. Flow
reduction requests are to be reviewed by the central office, and must be reviewed and
approved before the application is accepted by the regional office for review.
♦ On occasion, there may be an instance where supporting documentation is submitted with
the application for a specific facility. Contact PERCS to determine a course of action.
♦ Ensure that the flows shown on the application match up to what is shown on the plans (if
available for review). For example, if the application states that 100 lots are to be developed,
ensure that there are 100 lots, and not 150 lots, shown on the plans. Plans are only required
for review if the applicant is requesting a variance to the MDC or the .0200's.
Do not allocate "future" wastewater flows (i.e., that based on speculative development).
These would be permitted in future wastewater collection system extensions. Although, we
do allocate"unknown" flows on a per acre basis for industrial/commercial park applications.
Generally, the Division has accepted between 900 gpd/acre —1500 gpd/acre. Let the
engineer support his calculation.
equate information provided regarding the proposed gravity sewer and/or force main (if
applicable)?
Note 1: An Environmental Assessment may be required if there are 3 miles of gravity sewer over
18-inches in diameter (15A NCAC 1C .0100). Environmental Assessment projects can NOT go
Fast -Track!
Main Problems Noted: A public entity specifies 6-inch line when 8-inch is required; 4-inch line is
specified and no variance requested
C__--- ---Adequate information provided regarding the proposed pump station(s) (if applicable)?
Note: An Environmental Assessment maybe required if the pump'station(s) have a firm capacity
of 1,750 GPM or greater (15A NCAC 1 C .0100). if there are any questions about whether an EA
may be required, discuss with your supervisor or contact Alex Marks of the Planning Branch's
Local Government Assistance Unit.
♦ Power reliability at the pump station provided in accordance with Section 5.04 of the
Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
document (i.e. dual line feed, portable generator w/telemetry, permanent generator with
automatic transfer switch, wet well storage if near Class C waters)? Note 1: Section C of the
FTA has to be completed and show a Class C down slope water in order to use wet well
storage as a reliability option. Include the special condition in the permit. You will need to
ask for storage calculations and the power outage data. Note 2: Ensure telemetry is specified
if a portable generator is called out. Check with the engineer if unsure. Note 3: Ensure an
f automatic transfer switch (ATS) is specified if a permanent (standby) generator is specified.
Check with the engineer if unsure.
Main Problems Noted: Failure to specify appropriate or applicable power reliability option
3
FAST -TRACK Application Review Procedures 2003 (Rev 2/06)

Project designed in accordance with 15A NCAC 2H .0200, the Gravity Sewer
Criteria and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stati
Force Mains document (as applicable)? NO will be checked in Item B(12) of the FTA. If
forward one copy of the supporting documents to the Central Office for review indicating the
permit number, owner and project name. The Central Office will review the variance request and
if approvable, specific language regarding the variance will be forwarded to the Regional Office
reviewer to incorporate into the permit. A copy of the variance letter provided by the central office
should be kept with the application file. If you catch something in the application or supporting
documents that is not in accordance with our regs or MDC, send an additional information
request.
Main Problems Noted: A public entity specifies 6-inch line when 8-inch is required; 4-inch line is
specified and no variance requested; supporting documents show slope issues...
SECTION C — Watershed Classification
Color topographic map submitted?
tershed classification required? If YES, you are advised to "spot-check" the classification(s).
If NO, ensure the applicant/engineer has indicated why one is not required. BOTH BOXES IN
SECTION C MUST BE CHECKED TO NOT PROVIDE A CLASSIFICATION!
S EC D Applicant Certifications
0igning Official's signature? 2H .0206(b)
s Ensure that the applicant's signature is the same person as that listed as the applicant's
signing official on Page 1 of the application form.
`�-�""i stamped, signed, and dated application, plans, specifications, and calculations (if applicable)?
2H . 0205(d) (1) (A) (iii)
♦ Ensure that the same engineer has signed, sealed, and dated the application and all the
items, with the exception of items designed by specialty disciplines (i.e., architectural,
structural, plumbing, and electrical plans). If not, an explanation and/or authorization is
required.
lam'" Adequate information provided for the engineer/engineering firm?
�With active license in North Carolina? 2H.0205(d)(1)(A)(iii) or2H.0203(28)
♦ Ensure that ALL pertinent P.E's have active licenses by checking the NC Professional
Engineer's Board web site (www.ncbels.org - the PE number must be six digits, use leading 0
when needed).
♦ If the PE seal number does not show up on the web site database, call the PE Board for
verification [phone].
Drafting a Permit
♦ In order to be consistent, use the most current version of the Fast -Track permit shell. This permit
shell contains specific language with respect to the Minimum Design Criteria, regulations, and
collection system permitting. The PERCS will notify you of any changes to this permit shell.
♦ Be specific with respect the system description and information. Indicate the flow, what the project
will be serving, length and size of gravity sewer lines and force mains, etc. For projects involving
pump stations, the size of the pump stations, as well as the reliability option and any additional info
(telemetry, odor control system, etc) should be included. A sample permit is on the DWQ Intranet.
s Add or remove any special conditions as necessary. Please call attention to any non-standard permit
conditions in the cover letter of the permit and include the permit condition where necessary. Seethe
Example Special Conditions document.
♦ If the project is a modification, don't forget to include the system description from the previous permit
and void the previous permit in the language! Some of these can be tricky so feel free to run the
drafted permit through PERCS first before issuance.
♦ It is preferable if Fast -Tracks are saved electronically by permit number under issued year and month.
4
FAST -TRACK Application Review Procedures 2003 (Rev 2106)

ect
the Reviewer/Supervisor determines that an application package should be denied because it can
not meet NC Statutes, rules or regulations, then a denial letter should be drafted. Special attention
should be paid to the statutory deadline for permitting. If it is thought that a project might be
denied, it is important to review it and draft the denial letter as soon as possible. There must
be time allowed for the denial letter to be sent up to the Director and signed prior to the
statutory date.
♦ The Reviewer should use the Application Denial Letter template to prepare a denial package for the
Supervisor's review and submittal to the Director for signature. The letter should not be dated, but
instead will be dated after the Director signs it. A memo to the Director should be attached to the top
of the denial package summarizing the reasons for denial. This package must be singed off on by the
reviewer, supervisor, Section Chief, and Director. Distribute the letter as directed in "Issuing a
Permit" below.
Issuing a Permit
♦ Permits should be signed only by those delegated to sign for the Director.
♦ Permits should be distributed as follows (include the signed Operational Agreement with the
permit and all distribution copies if applicable!):
✓ Original to the Permittee
✓ Copy to the consulting engineer
✓ Copy to the county health department
✓ Copy to the Mecklenburg County Department of Environmental Protection for all projects located
in Mecklenburg County
✓ Copy(ies) to the owner of the WWTF and owner of the downstream sewers (if different than the
Permittee)
✓ Electronic Copy and Hard Copy to the PERCS for our files
✓ Copy to Central Files (attach application package and any supporting documents with a staple —
do not include any plans unless they are small and can be folded up into an 8.5" x 11" sheet)
✓ Save an electronic version named WQOOXXXXX.doc in a folder on your office shared drive or
hard drive. Try to keep your drafts and issued files separate. SEND ELECTRONIC COPIES TO
PERCS on a frequent basis— weekly or monthly!
Permit Corrections
♦ If a permit has been issued but an error discovered MADE BY US internally or by the Permittee or
their engineer, a permit correction is necessary.
♦ Pull the original permit and make the corrections — do not change issue dates or enter a new
application in BIMS — resave the permit
♦ Prepare the permit correction cover letter modifying as applicable — the corrections need to be
distributed to the same people/agencies who received the orginal permit
♦ Print the corrected permit and permit correction letter — sign if needed
♦ Maintain Permit in BIMS — add permit corrected event date and comments as to what was corrected
♦ Copy and distribute
The Certification
♦ Final engineering certifications will be submitted back to your office when the project is complete.
These should be date stamped (the certification page, record drawings and calculations, if applicable)
♦ Construction, Grants &Loans (CGL) may request and audit some of these certifications
♦ Regardless of whether the region or CGL reviews a certification, the receipt date must be logged into
BIMS. Perform the following: Maintain Permit, Enter Permit No., Go to Events Tab, Add Event, Select
Engineering/Tech Specialist Certification Received, Enter Receipt Date
♦ If the certification sheet is marked partial — put partial in the event comment field.
s If the certification seems incomplete — missing plans or calculations or no PE seal — note incomplete
in the comment field. Send an incomplete certification letter. The certification page in the permit
explains exactly what the engineer is to provide.
♦ If the certification is provided to CGL — maintain the engineer certification received event and put "to
CGL for review on DATE" in the event engineer certification received comment field.
5
FAST -TRACK Application Review Procedures 2003 (Rev 2106)

♦ If the region wishes to perform a detailed review —look for items not meeting the mini
criteria or outside of the permit. For instance, minimum cover; slope; minimum separation
Line size changes; length; reroutes; additional lots than permitted; pump station alarms; pu,
times; no indication of record drawing (as-builts) on plans; no PE seal or note about record drawinc
(land surveyor seals are not appropriate). A certification checklist is being developed.
♦ Regardless of review, certifications need to be processed as this closes out the permit. Follow the
processing engineering certifications guidance document.
6
FAST -TRACK Application Review Procedures 2003 (Rev 2106)

SOUTHEAST PROPERTY MGMT INC for8usiness 333
13200 SW 128TH ST # El RC Retirement Plans
,y MIAMI, FL 33186-5831 r
25-80/440

Consulting 1
November 7, 2006
Mr. Roger Edwards
Division of Water Quality
Non -Discharge Permitting Unit
North Carolina Department of
Environment and Natural Resources
2090 US Highway 70
Swannanoa, North Carolina 28778
®�c��o��
�3
III �
NOV — 8 2006
WATER QUA?_ITY SE.C:TI �1
pCt�t-vl�L fC=C?i: n- -�--
RE: Sewer System Improvements
Southern Living Apartments
Clay County, North Carolina
Permit #WQ0030951
Dear Mr. Edwards:
It has been brought to our attention that the application and subsequently the permit for
the above mentioned project contained erroneous informati
Project' the number of units listed in the applon. Due to a change in the scope of the
ication form was not revised. The project will
include fifty-four (54) two bedroom a
partmets an
approximately fifteen (15) employees. The total flow,as da (1)ed in the application vialbuilding
fl th
acceptance letter was correct. The total daily flow is estimated at 13,335 gallons per day ow
15 Units @ 240 gpd = 12,960 gpd
Employees @ 25 gpd = 375 gpd
Total Flow =
13,335 gpd
Please find enclosed two (2) copies of pages 3 and 4 of the application form, We
apologize for this inconvenience.
If you have any questions, or require additional information, do not hesitate to call.
Sincerely,
T. D, Haney Consulting Engineers, PA
T. Dean Haney, PE
Enclosures
cc: Layton Shuh016
69 Jerlkim, l`allesa road lcxandrr, Nord, Carolina 28701
(8z8) b85-9219 P[r pas

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! E�be t ted by DW4}
t Owner.
1a. Southeast Properties Group 401K Plan _
Full Legal Name (company, municipality, HOA, utility, etc.) WATER C2� aLITY SE Ticai� _
1 1b. Nelson Hendrikse, Trustee O HFVI�LE_R _�, o^ ���
AS
Signing Official Name and Title (Please review 15AA NCAC 2H .0 for authorized signing officials!)
; 1 c. The legal entity who will own this system is. N}
❑ Individual ❑ Federal ❑ Municipality ❑ State/County ❑ Private Partnership ❑ Corporation-®, Other (specify): 401 K
,1d. 7401 Southwest 14e Street 1e. Miami
Mailing Address City
__.
_ ........
Florida 1g_ 33158
State Zip Code
- ..... -- - _._ ......... _.- _...
1 h. 305-588-9515
Telephone Facsimile E-mail
2. Project (Facility) Information:
.J2a. Sewer System Imp. For Southern living Apartments 2b. Clay
�- Brief Project Name (permit will refer to this name) County Where Project is Located
3_ Contact Person.
d3a. T. Dean Haney - Engineer
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 828-683-9219 3c. [e-mail]
Phone Number E-mail
t . 1. Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.:
€ For modifications, attach a separate sheet clearly explaining the reason for the modification (i.e. adding another
phase, changing line sizellength, etc.). Only include the modified information in this permit application - do not
duplicate project information in B(7) and B(1041) that has already been included in the original permit.
12. Owner is ❑ Public (skip to Item B(3)) ® Private (go to Item 2(a)) ^� _
2a. If private, applicant will be. 2b. If sold, facilities owned by a (must choose one
❑ Retaining Ownership (i.e. store, church, single office, etc.) or ❑ Public Utility (instruction 111)
® Leasing units (lots, townhomes, etc_ -s)ip to Item B(3)) ❑ Homeowner Assoc./Developer (instruction IV)
f❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
Clay County Water and Sewer Authority
i Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a. Clay County K44TP 4a
01
Name of WWTF _ WWTF Permit No.
ILL. 5a. Clay Cty Water & Sewer Dist. 5b. 8" ❑Gravity 5c. -
f Owner of Downstream Sewer kReceiving Sewer Size i® Force Main Permit Number of Downstream Sewer (if known)
t
6. The origin of this wastewater is (check all that apply):
❑ Residential Subdivision ❑ Car Wash
!� ® Apartments/Condominiums ❑ Institution 100 % Domestic/Commercial
W'.; ❑ Mobile Home Park ❑ Hospital °lo Industrial
i Ida ❑ School ❑ Church
❑Restaurant ❑Nursing Home % Other (specify):
` ® Office ❑ Other (specify):
7. Volume of wastewater to be allocated for this particular project: 13,335 gallons per day
*Do not include previously permitted allocations
I - --
4
8. If the permitted flow is zero, indicate why:
i ❑ Interceptor Line - Flow will be permitted in subsequent permits that connect to this line
i ❑ Flow has already been allocated in Permit No.
❑ Rehabilitation or replacement of existing sewer with no new flow expected

r=TRACK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 4
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H 4
.0219(l) for Item B(7) or the design flow for line or pump station sizing if zero flow in the space below. Values other than
that in 15A NCAC 2H .0219(l)(1-2) must be supported with actual water or wastewater use data in accordance with 15A
NCAC 2H .0219(I)(3).
54 Two Sedr+oom Apartments @ M gpd=12,960gpd
E ..... .._...
i
15 Employees @ 15 gpd = 375 gpd Total Flow=13,335 gpd
_.._ - ......
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
#
Size (inches) Length (feet) Gravity or Force Main
(use the pull down menu)
f
6 1635 Gravity
2.5 675 Force Main
1
__-
.......... _ . .......... _. _ .....�
_
W
1
Z -
�
i
ENTER TOTAL LINE LENGTH IN MILES 0.44
......
I
11. Summary of Pump Stations to be Permitted (attach additional sheets as necessary)
E
Z
O
- Power Reliability Option
Location ID ttY pt�
(self chosen - as shown on Design Flow Operational Point (1- dual line feed; 2- permanent generator w/ATS, 3-
plans for cross-reference) (MGD GPM @ TDH portable generator witelemet 4-wet well storage)
�.
No.1 13,335 45 gpm @ 67 TDH 3
a '
�
i LL
j
l
1—
.. .
Does the sewer system comply with the Minimum Design Criteria for tine Fast Track Permitting of Pump Stations and Force;
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC 2H .0200 as applicable? 1
I W
® Yes ❑ No If no, please reference the pertinent minimum design criteria or regulation and indicate why a
10.
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS i
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
:
E
E
I
!
E
t
1
i
13. Have the following permits/certifications been submitted for approval? �
t
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes ❑ No ® N/A
f
Sedimentation and Erosion Control Plan? ❑Yes ❑ No ®N/A i
i
Stormwater? Q Yes D No ® N/A j
E-,.
___ ...___ ..._.. ..._.._ ......._i
14. Does this project involve aerial lines or siphons? Check if yes: ❑
These lines will be considered high-on,hiah-on, 0ty and muss be_checked_once everx_six months _. .................
15. Does this project have gravity sewer lines designed at minimum slopes? ❑
Be aware that the Division will notaccept installed lines more than 10% flatter than the minimum slope- Lines installed outside this tolerance should be
corrected prior to submitting the final engineering cedirmation. i

APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 3
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number:(to be completed by DWQ)
? Owner:
1a. Southeast Properties Group 401K Plan
Full Legal Name (company, municipality, HOA, utility, etc.)
1b. _Nelson Hendrikse, Trustee
Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!) j
The legal entity who will own this system is: y
Q Corporation ®Other (specify): 401 K
Individual ❑ Federal ❑ Municipality ❑ State/County Q Private Partnership ®
Q 1d. 7401 Southwest 14e Street 1e. Miami
�- Mailing Address City
_ 1 g. 33158
1f. Florida
State Zip Code
.�. A h. 305-588-9515 1 i• 11-
Telephone Facsimile E-mail _
�} 2. Project (Facility) Information:
J
_
2a. Sewer System Imp For Southern living Apartments 2b. Clay
�=- Brief Project Name (permit will refer to this name) County Where Project is Located `
3. Contact Person:
3a. T. Dean Haney Engineer
Name and Affiliation of Someone Who Can Answer Questions About this Application
3c. [e-mail]..3b. 828-683-9219
j
Phone Number E-mail
--
1. Project is ® New ❑ Modification (of an existing permit) if Modification, Permit o.:
For modifications, attach a separate sheet clearly explaining the reason for the modification (i.e. adding another
phase, changing line sizellength, etc.). Only include the modified information in this permit application - do not
duplicate project information in B(7) and B(1041) that has already been included in the original permit. _
Owner is ❑ Public (skip to item B(3))® Private (go to Item 2(a)) —
2a. If private, applicant will be: 2b. If sold, facilities owned by a {must choose one)
s etc. or Q Public Utility (instruction Ill)
Q Retaining Ownership (i.e. store, church, single office, )
® Leasing units (lots, townhomes, etc. - skip to item B(3)) ❑ Homeowner Assoc./Developer (Instruction IV)
Q Selling units (lots, townhomes, etc. - go to Item B(2b))
}+- ` ;3. C/a Count Water and Sewer Au#horit
Q . Owner of V►lastewater Treatment Facility (WWTF}Treating Wastewater From This Project
4a. C/ay County tNWTP 4b.
1JO..' 5a. C/a Ct Water &Sewer Dis#. b. $"----� Gravity �5c. -
Owner of Downstream Sewe Receiving Sewer Size Force Main Permit Number of Downstream Sewer (if known)
E..; 6_ The origin of this wastewater is (check all that apply):
' ❑ Residential Subdivision ❑Car Wash
® Apartments/Condominiums ❑Institution 100 % DamesticlCommercial i
fiLL1` ❑ Mobile Home Park ❑ Hospital d !nlI
�. ❑ School ❑ Church
❑ Restaurant ❑ Nursing Home 't f s�jef (specifjr)`.
Office ❑Other (specify): _
_allocated for this articular project 13.335 ga! s e a _
7. Volume of wastewater to be p
'Do not include previously permitted allocations-
-� NOV - 8 2006
8. if the permitted flow is zero, indicate why:
Q interceptor Line -'Flow will be permitted in subsequent permits that cone et
to is line
Flow has already been allocated in Permit No.
❑ y WATER GUAL.1 SEC
Q Rehabilitation or replacement of existing sewer with no new flow expect c S
{

APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 4
ENTER TOTAL, LINE LENGTH IN MILES 0.44
C)
11. Summary of Pump Stations to be Permitted (attach additional sheets as necessary) �yy
Power Reliability Option _
Location ID
® (self chosen - as shown on Design Flow Operational Point (1-dual line feed; 2- permanent generator w/ATS; 3- j
plans for cross-reference) (MGD) GPM @ TDH portable generator w/telemetry; 4-wet well storage) i
No.1 13,335 45 gpm @ 67' TDH _ 3
t
:Z
~ 12. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC 2H .0200 as applicable?
® Yes ❑ No If no, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
_.. PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
l
13. Have the following permitsrcerum;u bvin, u—s a 511ucv .u. �.p,p.....
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes ❑ No ® N/A
Sedimentation and Erosion Control Plan? ❑ Yes ❑ No ® N/A
Stormwater? ❑ Yes ❑ No N/A ®
1.
14. Cues this pr1. o11 ject involve aerial tines or siphons? Check if yes:
These tines vvi11_be considered biah Ddorrty and must be checked Once every six months
15. Does this project have gravity sewer lines designed at minimum slopes? ❑
Be aware that the Division vdl not accept installed fines more than 10% flatter than the minimum slope. lines installed outside this tolerance should be
corrected prior to submitfing the final engineering cer ir�aticm-

0
ENGINEERING CERTIFICATION — POST CONSTRUCTION
System Description:
1,635 linear feet of 6-inch diameter gravity sewer, a 45 GPM sewage pumping station with grinder type duplex
pumps, audible and visual. high water alarms, a portable generator receptacle with telemetry and 675 linear feet of
2.5 inch diameter force main
Complete and submit thh form to the Asheville regional office with the following:
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension ,
ng point, available storage if portable
supporting design calculations (selected pumps, system curve, operating
- generator(s) or storage greater than longest past three year outage reliability option selected) for any pump
stations permitted as part of this project
Chancies to the project should be clearly identified on the record drawings or in written summary form. Permit
... _ _ _ __._...-,:......... ,..aF. ilv -—if rcanuintinnc nr
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. Therefore, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
Partial j1 Final
1, P D8AIJ dA WE , as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe periodically, ❑ weekly, ❑ full time) the construction of the above referenced
project for the 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 ZT A200; the Division of Water Quality's (Division) Gravity Sewer Minimum Design k � \_
Criteria adopted February 12, 1996 as applicable; the Division's Minime
Permitting of pump Stations and Force Mains adopted June 1, 2000 as
materials;
North Carolina Professional Engineer's
seal, signature, and date:
SEND THIS
WITH REQUIRED ATTA+
Ipp
APA 17 2007
RM 8 $UPPORTiNG DOCUMENTAT
SEA ROGER C. EDWARDS
025893 IS
�n SURFACE WATER PROTECTION SUPERVISOR
�t+ t ASHEVILLE REGIONAL OFFICE
2090 US HIGHWAY 70
�In SWANNANOA, NC 28778
..
............ . ...... .......... ......_......... _.......... ___..............
The Permittee is responsible for tracking all partial certifications up until a final certification is received. 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. .

���
'�_, j �,£

Sewer System Improvements
for
SOUTHERN LIVING APARTMENTS
Clay County, North Carolina
October, 2006
T. D. Haney
Consulting Engineers, PA
69 Jenkins Valley goad
Alexander, Nord Carolina 28701
[phone]

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PROJECT NAME -
PROJECT #
PUMP STATION NAME -
Q (Flow) =
L (Length) _
d (Diameter) _
C (Friction Coefficient) _
Southern Living Apartments
06-126
Southern Living #1
Hf = 0.002083 X L X (100/C)"1.85 X (Q"1.851d-4:8655)
4} gpm
675 ft
2.5 in
120 Hazen Williams
FROM US 64 SEWER FORCE MAIN
(ALEX STILLWELL, PE)
orce Main Bev_ @ Connection = 1690 ft
orce Main Elev. @ High Point = 1905 ft
orce Main Pressure @ Connection _ 6 psi
ressure Head @ Connection = 15 ft
SURVEY INFORMATION'
(SAM SPRINKLE, PLS)
Force Main Elevations Adjusted to Site Survey
Off Elevation =
Main Connection Elev.
Main Pressure @ Connection =
ure Head @ Connection
He (Elevation Head) =
(= Force Main Elev_ - PumP Off Elev. + Pressure
1936,25 ft
19-75 ft
6 psi
15ft
54 ft
Q
H f
He
TDH
40
11
5464
45
13
54
67
50
16
54
70
Design Flow = 45 gpm
TDH = 67 ft

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PROJECT NAME- Southern Living. Apartments
PROJECT # 06426
PUMP STATION NAME - Southern Living #1:
FORCE MAIN VELOCITY CALCULATIONS
i31A in
AREA W
FLOW ( m)
FLOW cfs)
V ft sec
2
0-02:
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1 0.067
3.07
2.5
0.03
49
0.100
2.94
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2.27

T. A Haney
Consulting Engineers, PA
Mr. Roger Edwards
Division of Water Quality
Non -Discharge Permitting Unit
North Carolina Department of
Environment and Natural Resources
2090 US Highway 70
Swannanoa, North Carolina 28778
Dear Mr. Edwards:
NtF
April 11, 20'
W.
Y?
}mod.
RE: Sewer Improvements
For Southern Living Apartments
Southeast Properties Group 401K Plan
Clay County, North Carolina
Permit No. W00030951
Please find enclosed one (1) copy of the Engineering Certification and one (1)
copy of Record Drawings for the above mentioned project.
If you have any questions, or require additional information, do not hesitate to
call.
Sincerely,
T. D. Haney Consulting Engineers, PA
T. Dean Haney, PE
Enclosures
cc: Chris Cotton w/encl.
Layton Shuh w/encl.
06-126/re I apr07
69 Jenkins Valley goad Alexander, North Carolina 28-701
( 626) 683-9219 Phone/ FAX

,� ',
7

I L
E"s .z
Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
Asheville
October 18, 2006
Mr. Stephen Sellers,Chairman
Clay County Water & Sewer District
Post Office Box 118
Hayesville, North Carolina 28904
Subject: Permit No. WQ0030904
Clay County Water & Sewer District
Elf School Development
Wastewater Collection System Extension
Clay County
Dear Mr. Sellers:
In accordance with your application received on October 10, 2006 we are forwarding herewith
Permit No. WQ0030904, dated October 18, 2006 to the Clay County Water & Sewer District 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 incorporated
therein by reference. Please notify Roy Davis or Don Price by fax or telephone (numbers below) when
you begin construction of this collection system extension.
Please pay particular attention to Permit Condition 3, which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2T .0403 or any
individual system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 15A NCAC 2T .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 the North Carolina -licensed Professional Engineer named 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.
Asheville Regional Office Internet www.ncwaterquality.org
2090 US Highway 70, Swannanoa, NC 28778 Telephone [phone] Fax [phone]
DENR Customer Service Center Telephone [phone]
An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper
NorthCarolina
Naturally

Clay County Water &Sewer District October 18, 2006
Page 2 `
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 Clay
County Water & Sewer District for the construction and operation of approximately 2,415 linear feet of
8-inch diameter gravity sewer, a 125 GPM duplex style sewage pumping station with audible and visual
high water alarms, a permanently installed standby generator, telemetry and 4,940 linear feet of 4-inch
diameter force main to serve the Elf School Development, a residential subdivision and restaurant,
and the discharge of 42,000 gallons per day of collected domestic wastewater into the Clay County
Water & Sewer District's existing sewerage system, pursuant to the application received on October 10,
2006 and in conformity with 15A NCAC 2T .0200; the Division's 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 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 Clay County Water
& Sewer District's Wastewater Treatment Facility (Permit No. NCO026697) prior to being discharged
into the receiving stream.
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 Roy Davis at (828)
296-4500.
Sincerely,
for Alan W. Klimek, P.E., Director
Division of Water Quality
cc: Clay County Building Inspector
ARO, Surface Water Protection (WWTF Permit No. NCO026697)
Shawn M. Lynch, PE
PERCS Files

AK -
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
CLAY COUNTY WATER & SEWER DISTRICT
ELF SCHOOL DEVELOPMENT
CLAY COUNTY'
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT NUMBER WQ0030900
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 .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 2T .0403. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2T
.0403:
a. The sewer 'system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and any contravention of the groundwater standards in
15A NCAC 2L .0200 or the surface water standards in 15A NCAC 213 .0200.
b. A map of the sewer system shall be developed 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 (i.e.
365 days per year). 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.
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 213 .0506(a), and public notice shall be provided as required by
North Carolina General Statute §143-215.1 C.
1

Permit No W00030900 Clay County Water & Sewer District Elf School Development Clay Co October 18 0006
4. This permit shall not be transferable. In the event there,is a desire for the wastewater collection
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, pump stations, and force mains shall be scheduled sous 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 2T .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 2T .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:
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 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands
under 15A NCAC 213.0200 and 15A NCAC 2H .0500.
11. Noncompliance Notification:
The Permittee shall report by telephone to a water quality staff member at the Asheville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours

Permit No. WQ0030900. Clav ounty Water & Sewer District Elf School Development Clay Co October 18 2006
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.
Voice mail messages or faxed information is permissible but this shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business flours may also be
reported to the Division of Emergency Management at telephone number [phone] or (919)
733-3300. Persons reporting any of the above occurrences shall file a spill report by completing
Part I of Form CS-SSO (or the most current Division approved form), within five days following first
knowledge of the occurrence. This report shall outline the actions taken or proposed to ensure that
the problem does not recur. Per Condition 1(2), Part II of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control.
Permit issued this the 18th day of October, 2006
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
r t
for Al*W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0030900
3

Permit No WQ0030900 Clay County Water & Sewer District Elf School, Development Clay Co October 18. 2006
ENGINEERING CERTIFICATION - POST CONSTRUCTION
System Description:
2,415 linear feet of 8-inch diameter gravity sewer, a 125 GPM duplex style sewage pumping station, with audible
and visual high water alarms, a permanently installed standby generator, telemetry and 4,940 linear feet of 4-inch
diameter force main
Complete and submit this form to the Asheville regional office with the following:
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
• Supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump
stations permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit, regulations or
minimum design criteria.
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. Therefore, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
❑ Partial ❑ Final
, as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the above referenced
project for the 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 2T .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:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
ROGER C. EDWARDS
SURFACE WATER PROTECTION SUPERVISOR
ASHEVILLE REGIONAL OFFICE
2090 US HIGHWAY 70
SWANNANOA, NC 28778
The Permittee is responsible for tracking all partial certifications up until a final certification is received. 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.

CATTON"for GRAVITY SEWERS.
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number:
(to be completed by DWQ)
1.
Owner:
11 a.
Clay County Water and Sewer District
Z
i
Full Legal Name (company, municipality, HOA, utility, etc
0
11 b.
Stephen Sellers, Chairman
Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!)
1c.
The legal entity who will own this system is:
El Individual 0 Federal El Municipality El State/Countv El Private Partnership El Corporation (specify)_—
0
11 d.
PO Box 838 1 e. Hayseville
LL
Mailing Address city
1f.
North Carolina 1 Q. 28904
Z
0
State Zip Code
1
11 h.
[phone] 1 i. [phone] 1j.
:
Telephone Facsimile E-mail
................................ ... . .......... .. ........ .... . .. . . ... ... ... . . ... ... ............. ....... .. .... .............. ............................. ...... ..... .......... . .. . . _ .. . . . .. . . . .. ........ .. .
L)
2.
. . ...............
Project (Facility) Information:
I-,
CL
I2a.
-------- ­­-- -----------
Elf School Development 2b. Clay
[L
. ................
Brief Project Name (permit will refer to this name) County Where Project is Located
- ....... .... ­ - 11 . ..... . .................. ................ .
3.
..... ........................... .................. ..........
Contact Person:
. ...... . ..... ... ......... . . . . ........ . . ..........
3a.
Shawn m. Lynch, PE, Brooks & Medlock Engineering
Name and Affiliation of Someone Who Can Answer Questions About this Application
.. . . .............
:3b.
. ................. . ... ...... .. . . ........ .... __ ................ . .. . .... ... ... . . ............... ... ...... . .. ... . ..... ........... ........... .. .. .. ........... ..... ...... .. .. ....... ........ . . ------ -_ __ ____ . .. .. ........... . .. ..... .. . ...... ................... . . .... . . . ......
[phone] 3c. [e-mail]
Phone Number E-mail
1.
Project is Z New 0 Modification (of an existing permit) If Modification, Permit No.:
For modifications, attach a separate sheet clearly explaining the reason for the modification (i.e. adding another
phase, changing line size/length, etc.). Only include the modified information in this permit application - do not
i duplicate project information in B(7) and B(1 0-11) that has already been included in the original permit.
I !2 .
Owner is 0 Public (skip to Item B(3)) El Private (go to Item 2(a))
'2a.
If private, applicant will be: 2b. If sold facilities owned by a (must choose one
Retaining Ownership (i.e. store, church, single office, etc.) or El Public Utility (Instruction 111)
Z
E] Leasing units (lots, townhomes, etc. - skip to Item B(3)) F❑I Homeowner Assoc./Developer (Instruction IV)
0
El Selling units (lots, townhomes, etc. - go to Item B(2b))
1:3.
Clay County Water And Sewer District
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
1,4b.
4a.
Hayesville WWTP NCO026697
0
1
Name of WWTF 1 WWTF Permit No.
U.
5a.
Clay County Water & Sewer
15b. 8-inch
Z Gravity 5c. WQ0030073
1
Owner of Downstream Sewer
Z
IReceiving Sewer Size
❑El Force Main Permit Number of Downstream Sewer (if known)
6.
The origin of this wastewater is (check all that apply):
Residential Subdivision
i
El Car Wash
UJ
❑ Apartments/condominiums❑Institution
El Mobile Home Park
El Hospital
100 % Domestic/Commercial
CL
El School
El Church
� Industrial
Restaurant
F� Office
❑ Nursing Home
El Other (specify):
% Ot�ecifft.
Fi� nr,
7.
Volume of wastewater to be allocated for this particular project: 42,000 gallonsf"
J y
LL
*Do not include previously permitted allocations
OCT 1 0 2006
8.
If the permitted flow is zero, indicate why:
El Interceptor Line - Flow will be permitted in subsequent permits that connect
line
El Flow has already been allocated in Permit No.
WAT' 7 R FQUALITY SECMON
El Rehabilitation or replacement of existing sewer with no new flow expected
ASHEVILLE RE,2'JOWAL OFFICE
FTA 02/03 - Rev. 3 04/05

r. �

0
W
M
Z
P
Z
0
V
Z
0
Q
Q
LL
Z
H
a
711
T°lON for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 4
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2H
.0219(I) for Item B(7) or the design flow for line or pump station sizing if zero flow in the space below. Values other than
that in 15A NCAC 2H .0219(I)(1-2) must be supported with actual water or wastewater use data in accordance with 15A
NCAC 2H .0219(I)(3).
.......
One 100 seat Restaurant @ 40 GPD/Seat, 20 - 4 bedroom Residential Units @ 1.20 GPD/Bed room and 77 — 3
Bedroom homes @ 120 GPD/Bedroom
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Gravity or Force Main
(use the pull down menu)
Gravity
Force Main
ENTER TOTAL LINE LENGTH IN MILES'; 1.39
1. Summary of Pump Stations to be Permitted (attach additional sheets as necessary)
Location ID ( iPower Reliability Option
(self chosen - as shown on Design Flow 1 Operational Point (1- dual line feed; 2- permanent generator WATS; 3-
plans for cross-reference) l (MGD) GPM @ TDH portable generator w/telemetrv; 4-wet well storaae)
0.042
Feet
2
2. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC 2H .0200 as applicable?
® Yes ❑ No If no, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
3. Have the following permits/certifications been submitted for approval?
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes ❑ No ® N/A
Sedimentation and Erosion Control Plan? ® Yes ❑ No ❑ N/A
Stormwater? ❑ Yes ❑ No ® N/A
........ ......
Does this project involve aerial lines or siphons? Check if yes. ❑
5. Does this project have gravity sewer lines designed at minimum slopes? ❑
Be aware that the Division will not accept installed lines more than 10% flatter than the minimum slope. Lines installed outside this tolerance should be
corrected prior to submitting the final engineering certification..
FTA 02/03 - Rev. 3 04/0

'LICA ' OI N�for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 5
1. Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02103
(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as
necessary) This document is available from our web site or by contacting the appropriate Division of Water Quality
O regional office (see instructions for addresses) OR indicate the following
....... .... ....... ......
j ❑ A Stream Classification is not needed because all parts of the project are at least 100 feet away from any down slope
waterbody; AND,
❑ A Stream Classification is not needed because the design does not depend on wet well storage as a power reliability
LL option for any pump station near a Class C down slope waterbody.
Location ID on Map
_._._-- --- ty
(self chosen - as shown on Name of Waterbody Stream Waterbody
map for cross-reference) Waterbody _ Coun j River Basin —Index i Classification
O A Chatuge Lake Clay Hiwassee 1 B
Q
W
F-
W
L---"
Submit the 8.5" x 11" COLOR topographic map as required in Instruction VI
regardless of whether a classification is provided!
Applicant's Certification:
1, Stephen Sellers, Chairman, attest that this application for Elf School Development 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. Note: In accordance with North Carolina General Statutes 143-215.6A and
143-215.6B, 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
a.
Signing Officia Signature Date
2. Professional Engineer's Certification:
Z I Shawn M. Lynch, PE attest that this application for Elf School Development has been reviewed by me and is accurate,
0 complete and consistent with the information in the engineering plans, 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
Q accordance with the applicable regulations, Gravity Sewer Minimum Design Criteria for Gravity Sewers adopted February
V I 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June
IL 1, 2000 and the watershed classification in accordance with Division guidance. 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/ have reviewed this material and have judged it to be consistent with the proposed design. Note: In
LU accordance with NC General Statutes 143-215.6A and 143-215.6B, 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
Q exceed $10,000 as well as civil penalties up to $25,000 per violation.
2a Shawn M. Lynch, PE XX��®,4tllgll''7�ia
Professional Engineer Name
...... e�� "�� • • • R® �s�
............... �� OP.• '� �i
2b Brooks & Medlock Engineering $$/
Engineering Firm
..- E
2c. 17 Arlington Street 039
Mailing Address
2d Asheville 2e. NC 2f. 28801 �is's,9 •.•GINfC�.-*G�����
City —State _ Zip M
2g. 828 232-4700 2h. [phone] 2i, [e-mail] Offff���r�,,,,` % •��•
Telephone Facsimile E-mail Seal, Signature &Date
FTA 02/03 - Rev. 3 04/05

°�M' R,x
3'

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Data use subject elicense.
»2&aLormeTopuSACDG£
_.del or Eem
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..-oath Carolina Waterbodies Listed by County
Note: Waterbodies are listed in more than one county if they cross county lines.
Report Date: 07125106
Records Found: 200
Search Parameters:
County: Clay
Class:
SpDes:
Name:
Desc:
Index#:
Name of Stream
Description
Curr, Class
Date Prop. Class
Basin
Stream Index #
HIWASSEE RIVER
From North
B
07/01/61
Hiwassee
1-(1)
(Chatuge Lake
Carolina -Georgia State
below elevation
line to Chatuge Dam
1928)
Bell Creek
From source to North
C;Tr
03/01/77
Hiwassee
1-2
Carolina -Georgia State
Line
Upper Bell Creek
From source to North
C
07/01/61
Hiwassee
1-2-1
Carolina -Georgia State
Line
Wood Creek
From source to North
C
07/01/61
Hiwassee
1-3
Carolina -Georgia State
Line
Sneaking Creek
From source to North
C
07/01/61
Hiwassee
1-4
Carolina -Georgia State
Line
Shooting Creek
From source to Chatuge
C;Tr
07/01/61
Hiwassee
1-5
Lake
Muskrat Branch
From source to Shooting
C;Tr
07/01/73
Hiwassee
1-5-1
Creek
Jake Branch
From source to Muskrat
C;Tr
07/01/73
Hiwassee
1-5-1-1
Branch
Thompson Creek
From source to Shooting
C
07/01/61
Hiwassee
1-5-2
Creek
Locust Log Branch
From source to Thompson
C
07/01/61
Hiwassee
1-5-2-1
Creek
Mill Creek
From source to Shooting
C;Tr
07/01/73
Hiwassee
1-5-3
Creek
Lynch Branch
From source to Shooting
C
07/01/61
Hiwassee
1-5-4
Creek
Vineyard Creek
From source to Shooting
C;Tr
07/01/73
Hiwassee
1-5-5
Creek
Eagle Fork Creek
From source to Shooting
C;Tr
07/01/73
Hiwassee
1-5-6
Creek
Ledford Creek
From source to Eagle
C;Tr
07/01/73
Hiwassee
1-5-6-1
Fork Creek
Page 1 of 10

Letter Of Transmittal
To:
NCDENR
Div. of Water Quality
2090 US Hwy. 70
Swannanoa, NC 28778
Project Name:
Elf School Development
Project No:
182106
From:
Shawn M. Lynch
Brooks & Medlock Engineering, PLLC
Date:
October 9, 2006
Attention:
Roy Davis
Document Description:
Date:
Use:
Sanitary Design Plans Reduced Set
9/28/06
Fast Tract Permit Application
10-05-06
Application Fee 400 Check
10-6-06
Comments:
Roy,
Attached is the Fast Track Permit Application
for the above -named
project.
Please call me with any questions that
you may ha
Sincerely,-E
V
r
Shawn Lynch
OCT 1 0 2006
F
WATER QUALITY SECTION
1 ASNEViLLE REGIONAL OFFIC
17 Arlington Street
Asheville, NC > 8
OL
CE

� • f

lWQ0030904
FAST -TRACK APPLICATION REVIEW PROCEDURES
:
Review Date:
Project Name
Reviewer:
Project Number:
U
All fast -track projects should be sub itted on the application entitled "fast -Track Application for
Gravity Sewers, Pump Stations, and Force Mains" (FORM: FTA 02/03 Rev 3,currently) unless
otherwise directed by the PERCS. Any pump station/force main projects that require an
Environmental Assessment (EA) are excluded from the Fast -Track review process, and should be
submitted for full review to the Central Office (PERCS) on FORM: PSFMGSA 10/99. Additionally,
any projects involving a flow reduction request. must receive approval for the flow reduction from
the central office.
PRE -REVIEW
___�Does the application package appear to be generally complete (i.e. all attachments, check, key
questions answered)? If any portion of the application is not complete, or if any required
instruction items have been omitted, RETURN the application package and supporting
documents to the applicant using the Project Return Letter template. Send the package and
letter via certified mail to the applicant, and a copy of the letter to the engineering consultant.
Any projects that are to be returned shall be returned prior to accepting the application (i.e.,
before logging in the application and depositing the check). After a project has been accepted,
any information that is found to be incorrect and/or lacking must be requested via an Additional
Information Request in acpordance with 15A NCAC 2H .0208(e).
l.� Ensure that a check for $400 is submitted and made out to NCDENR. All new projects and major
modifications to existing projects require an application fee. A major modification includes any
changes to permitted flow volumes, changes in pipe diameter, changes in pipe length greater that
10% of the originally permitted length, changes in the operating points of a pump station, etc.
S TION A — Application Information
If the applicant is private (Item B(2)) and listed -as a corporation, check the NC Department of the
Secretary of State's web site at hftp://www.secreta!y.state.nc.us/Corporations/ to ensure that the
Applicant is registered with the Secretary of State to conduct business as a corporation in the
State of NC. Developer's and HOA's should be listed.
Ensure that the signing official meets the requirements of 15A NCAC 2H .0206(b). If they do not,
request a revised application that has been completed by an appropriate official or a letter from
an appropriate official that indicates the person in question is delegated to sign the application on
the applicant's behalf. A current list of Delegated Signing Officials can be obtained from the
PERCS. If a new delegated signing official letter is presented with the application, forward a copy
to the central office so that the person may be added to the Delegated Signing Official list. The
central office will send E-mails to the appropriate region if a new signing official has been added
so that the most current list can be used. The Non -Discharge Permitting Unit has an example
delegated signing official letter from http://h2o.enr.state.nc.us/PERCS/spraypol.htmI#DELEG.
SECT�B — Permit Information
Project is new? Modification? If the project is a modification to an existing permit, be sure to
enter the application into BIMS as a permit modification (i.e. `'renew/modify application" and not
"create new project"). BIMS will pull the previous signing official and affiliations information.
Please go through all the tabs and ensure the information is correct for the current project.
Applicant a public entity (e.g. county, town, sanitary district)?
Applicant a private entity?
Own (i.e. lease) units, lots, parcels, etc?
1
FAST -TRACK Application Review Procedures 2003 (Rev 2106)

♦ Required if the applicant 's a public utility. In lieu of a Certificate of Public
Convenience and Necess y, they may submit written approval from the
North Carolina Utilities Co mission's Public Staff that states that the utility is
allowed to provide utility se ice in the subject project area. Note that the
project name on the applicati n and on the CPCN must match. Contact the
NCUC Public Staff if question arise. This is NOT REQUIRED for a
municipality or county! Examp S Of companies that would provide a CPCN
are Heater utilities or Carolina ater Service, etc.
******OR*******
Operational Agreement? 2H.0205(d)(
♦ Operational Agreements are only re ired if the applicant is not a public
entity (i.e. Town, County, etc.) or publ utility as designated by the North
Carolina Utilities Commission AND the ots being served by the collection
system are to be sold to individual own s_
♦ If the applicant is a developer, they m t fill out the DEVELOPER
Operational Agreement (FORM: DEV 0 03). A developer may be
responsible for the system for an interim eriod until the homeowners
association is.formed, at which time a P rmit Name/Ownership Change
request (FORM: PNOCF 06/00) will b needed to transfer the permit to
the HOA.
♦ If the applicant is a homeowners' association (HOA), they must fill out
the ASSOCIATION Operationa Agreement (FORM: HOA 02/03 The
HOA must be registered with e Secretary of State's office and must
provide a copy of the Associ ions' Bylaws and Articles of Incorporation.
These documents should b reviewed to ensure that all applicable
language regarding the cc ection system is included as is required by
the Operational Agreeme t.
♦ The Operational Agreeme should be attached to the permit and
incorporated into the Tang age of the permit. Please note that Operational
Agreement language sh Id not be altered without approval from the
Attorney General's Offi . Operational Agreements are available at
htt .//h2o.enr.state.nc. s/PERCS/ from the collection system applications
page.
_-'Approval of flow to receiving sewers and WWTF? (i.e. P4 procedure, but now in-house!)
Ensure that the receiving sewers and WWTF have adequate capacity available to accept the
flow volume that is being requested, and that the WWTF has been in compliance with their
treatment and disposal permit.
JFlow acceptance letter(s) from the owner of the WWTF and owner of any intermediate sewers (if
different from WWTF owner and applicant)? 2H .0205(d)(3)(C)
♦ Required only if the applicant and the owner of the WWTF/intermediate sewers are not the
same entity.
♦ Project specific flow acceptance letters are required.
♦ Ensure that the following items appear in the flow acceptance letter: applicant's name,
project name, amount of wastewater flow accepted, date that the flow acceptance was
granted, expiration date of the acceptance, and name/permit number of the receiving WWTF.
Do not accept a flow acceptance letter that was issued more than one year prior to the
receipt of the package.
♦i Ensure that the owner accepted the entire volume of flow listed in application.
2
FAST -TRACK Application Review Procedures 2003 (Rev 2/06)