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Home My WebLink AboutWQ0022038_Application (FTSE)_20021114 e 11/14/02 Permit Number WQ0022038 Permit Tracking S3 Program Category Status Project Type Non-discharge In review New Project Jon H.La Permit Type Fast Track version Permit Classification DonaldJ, Gravity Sewer Extension, Pump Stations, & Individual Thomas P Pressure Sewer Extensions James D. Primary Reviewer Permit Contact Affiliation forrest.westall Permitted Flow Facility Facility Name Major/Minor Region Hendersonville Mobile Estates Minor Asheville Location Address County Henderson Facility Contact Affiliation Owner owner Name Owner Type City of Hendersonville Government - Municipal Owner Affiliation Ezra Allman P.O. Box 1760 Hendersonville NC 287931760 Dates/Events Draft Scheduled Public Cris Issue App Received Initiated Issuance Notice Issue Effective Expiration 11/14/02 Regulated Activities Requested/Received Events NULL RO staff report .received RO staff report requested Additional information requested Additional information received Outfall .NULL Waterbody Name Stream Index Number Current Class Subbasin V LS NOV 1,82002 D WATER ppAUT(sEC710M ASP,E�II[ REGIONAL 0MCE Inn\A XXORRE d �.. Kerr T. Stevens, Director NCDENR-DWQ Non-Discharge Permitting Unit Page 2;November 7, 2002 City of Hendersonville Gravity Sewer Extension to serve Hendersonville Mobile Estates Henderson County LAA Job No. 02-325 If additional information is required or should you have any questions, please phone me at (828) 692-9089 or(800) 858-LAND. Facsimile (828) 693-8822. Respectfully submitted, LAUGHTER, AUSTIN AND ASSOCIATES, P.A. Jon H. Laughter, P.E. JHUJDC Enclosures:YES Proj.status:1PR Action:Review&approve cc:Project file M\CORRESP\CITY OF H'VILLE 0954V1ENDERSONVILLE 02133 SEWER AREA 21\LTR02133applic.doc -. 11/05/2002 23:29 4 PAGE 01 Tin Ub, U2 113: OIP Jon Laughter 9EBQS3aeEE P.3 LAA 02-325 State of'North Carolina Department of Environment and Natural Resources Division of Water Quality WATERSHED CLASSIFICATION ATTACHMENT Any changes trade to this form will result In the application being returned. (THIS FORMMAYBE PHOTOCOPIED FOR USE ASAN ORIGINAL) INSTRUCTIONS: To determine the classification of the watershed(s)in which the subject project will be located,you arc required to submit this form, with Items t through 9 completed,to the appropriate gMaton of water Quality Regional Office Water Quality Supervisor(see Page 2 of 2)prior to submittal of the application for review. At a minimum,you must include an 8.5" by I V copy of the portion of it 7.5-minute USGS T'ooppogmphie Map that shows the surface waters immediately downslope of the project. You most Identify the loclzm of the project and the closest downslope suffice waters (waters for which You are requarting the claaslffcation)on the submitted map copy. If the facility is located in the Neese River Baste, also include a cc& of the tail survey map for the project Ioeatitins .the corresponding non-discharge applleartoa may not be submitted until this form is completed by the,appropriite regional office and Included with the tubmlHLL 1. Applicant's name(name of the municipality,corporation,individual,etc.): (_11Y OF 111WERSONVILLE < y c� 2. Nome and complete address of applicant CITY OF HMERSONVILLE �< P_0_ BOX 1760 C r (;itY: _ :NO• NV saa: NC zip: 0*Fi(fl Telephone number: ( 829 ) 697-3063. Faeslmilenumbcr:(828 ) 697-1707 �n\� 3. Projcet name(name of the subdivision,facility or establishment,etc.): v, HUNDERSONVILLE MOBILE ESTATES GRAVITY SERWER EXTENSION 4. County where project is located: 5. Nam e(s)of closest surface waters: KM CREEK 6. River basin(s)in which the project is located: pMCH BgOApO Ili 7. Topographic map name and date: HENQERcjOMLLR �lVp�As,nvrrr, 02-SW 1978 �,�y1 N. North Caroline Professional Engineer's anal,sipatuns r ��'•� O � �� 1i<11 �2 'rA T TO: RECIONA1.O[FICS WATER QUALITYSUPBA LAVG?,�� Please provide me with the clasrificatioa(s)of We ,1fd4ttlYlletl(s),and appropriate river basin($)w etc these ocdvilies will occur,as identified on the ataehad map eeymCut Namc(s)of surface waters and river badb(s): 1 1_\V Classification(s)(as csmbliAcd by the SMC): rsC. rr �— Proposed elassification(s),if applicable: River basin buffer m1eS,if applicable: Signature of regional office personnel: Date: _r FORM: WSCA 10/99 Page I oft State of North Carolina �� Department of Environment 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) I THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL INSTRUCTIONS: Indicate that you have included the following list of required application package tilems;by,sigEing-your' initials in the space provided next to each item. Failure to submit all required items will lead to additional p�ocessmg,and-re5iew� time or the permit application. A.Application Form-Submit one original and,one co of the completed and appropriately executed application form. X PPPY P 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 sMcifications unless you respond NO to item IVA.and/or item IV.10. I B.Attachment - Submit the completed and properly executed Form WSCA 10/99 for each watershed within the project location. .YQ- X pplication Fee-Submit a check in the amount of$400 made payable to:North Carolina Department of Environment and Natural Resources(NCDENR). D. Certificates of Public Convenience and Necessity—If the application is being submitted in the name.of a privately- , owned public utility, submit two copies of the Certificate of Public Convenience and Necessity, which demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the sewer extension. If a Certificate of Public Convenience and Necessity has not been issued, provide two copies of a letter from the NC Utilities Commission's Public Staff that states that an application for a franchise has been received,that the service area is contiguous to an existing franchised area,and/or that franchise approval is expected. E. Operational Agreements—Submit one original and two copies of a properly executed operational agreement if the sewer extension will be serving residential or commercial lots (e.g., houses, condominiums, townhomes, outparcels, etc.) that will be owned by a homeowners' association or developer. If the applicant is a homeowners' association,use Form HOA 10199, If the applicant is a developer,use Form DEV 10/99. F. 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. 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 ex!ie prior�to permit issuance and must be dated less than a year prior to the application date. Intergovemment �greerr�ents?'other contracts will not be accepted in lieu of a project-specific flow acceptance letter. tl/�✓ d, U C/5p THE COMPLETED APPLICATION PACKAGE,INCLUDING ALL SUPPORTING INFORMATIOay f MATERIALS,SHOULD BE SENT TO THE FOLLOWING ADDRESS/ ff ,.,. NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES°R CC DIVISION OF WATER QUALITY eVl11pUG1l7ysn NON-DISCHARGE PERMITTING UNIT S Q v/j 0- N By U.S.Postal Service: By Courier/Special Delivery: 1617 MAIL SERVICE CENTER 512 NORTH SALISBURY STREET,SUITE 1219 RALEIGH,NORTH CAROLINA 27699.1617 RALEIGH,NORTH CAROLINA 27604 TELEPHONE NUMBER: (919)733-5083 FACSIMILE NUMBER: (919)715-6048 For more information, visit our web site at:h2o.enc.state.uc.usbtdpu/ FORM: FTA 06/00 Page 1 of 5 Application Number:- (to be completed by DWQ) I. GENERAL INFORMATION: 1. Applicant's name(name of the municipality,corporation,individual,etc.): City of Hendersonville WATER Q�AEWFy �r's or st ning official's name and title(15A NCAC 2H.0206(b)): W Allman, Director, Water & Sewer Department Nov , Q3.�t �me ndc mpleteaddressofapplicant: City of Hendersonville P . 6. OX 1760 NON.p1st yARGE aey�ltt Ge dersonville State: NC Zip: 28793 e number: (828 ) 697-3063 Facsimile number: (8 28 ) 697-1707 4. Project name(name of the subdivision, facility or establishment,etc.): Hendersonville Mobile. Estates Gravity Sewer Extension 5. County where project is located: Henderson 6. Fee submitted:$ 400 . 00 (See Instruction C.) 7. Name and complete address of engineering firm: Laughter, Austin & Associates , PA 131 Fourth Avenue East City: Hendersonville State: NC Zip: 28792 Telephone number: ( 828 ) 692-9089 Facsim4e number: (828) 693-8822 8. Name and affiliation of contact person who can answer questions about application: Jon H. Laughter, PE., Project Engineer II. PERMIT INFORMATION: 1. Project is: XX new; modification 2. If this application is being submitted as a result of a modification to an existing permit, provide: existing permit number and the issuance date 3. Applicant is: XX public private If private,units(lots,townhomes,etc.)are: leased(Skip to item III.); sold If sold, facilities owned by a: public utility (See Instruction D.); homeowners' association/developer(See Instruction E.) III. INFORMATION ON WASTEWATER: 1. Please provide a one- or two-word description specifying the origin of the wastewater (school, subdivision,hospital,commercial facility,industry,apartments,condominiums,etc.): Trailer Park 2. Volume of wastewater generated by this project: 6 , 600 gallons per day 3. Explanation of how wastewater flow was determined (15A NCAC 2H.0219(I)): 55 spaces @ 120 gpd/space= 6600 gpd 4. Nature of wastewater: 100 %Domestic/Commercial; %n Industrial; %Other waste-specify: FORM: FTA 06/00 Page 2 of 5 5. If wastewater is industrial in nature: a. Level of pretreatment that has been provided to ensure protection of the receiving collection system and wastewater treatment facility: NIA . b. If a pretreatment permit is required, has one been issued? n/a Yes; ' No; If.yes,please attach a copy of the pretreatment permit. If no,provide date application was submitted: IV. DESIGN INFORMATION: 1. Brief project description: _8-inch gravity sewer extension to 'serve existing, trailer Dark 2. Owner and name of wastewater treatment facility(WWTF)receiving wastewater(See Instruction F.): _ City of Hendersonville—Balfour VNITP 3. WWTF permit number(NC00***** orWQ00*****): NCO025534 4. List the owner(s) of any intermediate sewers if different from applicant or owner o JWTF (See Instruction F.): N/A O n Summary of GRAVITY SEWER to be permitted: _ . CD `o m Diameter Length A hm (inches)- (linear feet) m w rn 8 508 m ! ' ni nm 0 s o L (7 6. Does the subject gravity sewer collection system comply with the most recent version of the Gravity Sewer Minimum Design Criteria and 15A NCAC 2H .0200? XX Yes; No. If no, please identify criteria and explain: 7. Summary of PUMP STATIONS to be permitted: No. or Design Flow Pump Operational Points Reliability Option Name (MGD). GPM @_feet TDH Selected NIA FORM: FTA 06/00 Page 3 of 5 8. Summary of FORCE MAIN to be permitted: Diameter Length (inches) (linear,feet) N/A 9. List any equipment being utilized that is not specifically mentioned elsewhere in the application or as part of the Minimum Design Criteria (e.g., telemetry, hoist, odor control equipment, mechanical bar screens,etc.): N/A 10. Do the subject pump stations and force mains comply with the Minimum Design Criteria for the Fast- Track Permitting of Pump Stations and Force Mains document adopted June 1, 2000 and 15A NCAC 2H .0200? Yes; No.If no,please identify criteria and explain: N/A NOTE: If you responded NO to item IVA and/or item IV.10.,above, two (2) copies of detailed plans, specifications, supporting information, and any other materials pertaining to the identified criteria should be submitted with the completed and appropriately executed application form. FORM: FTA 06/00 Page 4 of 5 V. CERTIFICATIONS Professional Engineer's Certification: 1 Jon H. Laughter attest that this application for Hendersonville Mobile Estates Gravity Sewer Extension 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. 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. North Carolina Professional Engineer's seal,signature, and date: CA ,��rnnnnhq No.4 a "•, may;'-.._UG.�., '9 c. C �9 2 Applicant's Certification: I, Ezra W. Allman attest that this application for Hendersonville Mobile Estates Gravity Sewer Extension has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information and attachments are not included, this application package will be returned to me as incomplete. Note: In accordance with NC General Statutes 143-215.6A and 143-215,6B, 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 yupp to$25,000 per violation. / Signature: Ertl `� Date: �/— l0 —y 'NOV, 8 2002 NAVE Au1Y ASNEVii 0 REGIONA(OTFTy FORM: FTA 06/00 Page 5 of 5 �• In(1, q �C� 326 9 HENDERSONVILLE MOBILE ESTATES,INC. - 60 GREENVILLE HM. HENDERSONVILLE,=28792 6"6-531 PAY �/� DATE— To THE .N C. YJ ( (jJ OR Oi 1J lS Jy: Q (/�a'1 G o ARs 6 CGYtfd{Cd[OIID2 H2D1(196 I ••��..AA.•�6LL\\ a�levrrwenoMOutlleaffi139 FOR 11 00000 3 26n•. 1:0531004554 29 1 27609n- r Srn 14A