WQ0021578_Permit (Issuance)_20020722

State of North Carolina 4-b
Department of Environment low
and Natural Resources
Asheville Regional Office A&W_ Iniq
i
N®
Michael F.Easley, Governor. N C D EN R
William G.Ross,Jr., Secretary
Alan W.Klimek,P.E.,Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND N. RA RESOURCES
Division of Water Quality
WATER QUALITY SECTION
July22, 2002
Mr. Ezra Allman, Director of Utilities
City of Hendersonville
Post Office Box 1760
Hendersonville, North Carolina 28793-1760
SUBJECT: Permit No. WQ0021578
City of Hendersonville
Mud Creek Sewer
Wastewater Collection System Extension
\ Henderson County
Dear Mr. Allman:
In accordance with your application received on July 17, 2002, please find attached Permit No.
WQ0021578 for the construction and operation of the subject wastewater collection system extension.
This Permit shall be effective from the date of issuance until rescinded and shall be subject to the
conditions and limitations as specified therein. This cover letter shall be considered a part of this permit
and is therefore incorporated therein by reference.
Please pay particular attention to condition three (3) of the permit which requires that the
wastewater collection facilities be properly operated and maintained in accordance with 15A NCAC 2H
.0227 or any individual system-wide collection system permit issued to the Permittee.
Permitting of this project does not constitute acceptance of any part of the project that does
not meet 15A NCAC 2H .0200; the Division of Water Quality's (Division) Gravity Sewer Minimum
Design Criteria adopted February 12, 1996 as applicable; and the Division's Minimum Design Criteria
for the Fast-Track Permitting of Pump Stations and,Force Mains adopted June 1, 2000 as applicable,
unless specifically mentioned herein. Division approval is based on acceptance of the certification
provided by a North Carolina-licensed Professional Engineer in the application. It shall be the
Permittee's responsibility to ensure that the as-constructed •project meets the appropriate design
criteria and rules. Failure to comply may result in penalties in accordance with North Carolina
General Statute 143-215.6A through 143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina-Licensed Professional Engineer
to the licensing board.
1

Ezra Allman
July 22, 2002
Page Two
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations, permission is hereby
granted to the City of Hendersonville for the construction and operation of approximately 33 linear
feet of 8 inch ductile iron gravity sewer, 40 linear feet of 30 inch ductile iron gravity sewer and
approximately 1,178 linear feet of 42 inch ductile iron gravity sewer line to allow the City of
Hendersonville to abandon portions of the existing 27 inch Mud Creek Outfall and the discharge of
the collected wastewater into the City of Hendersonville's existing sewerage system, pursuant to the
application received on July 17, 2002 and in conformity with 15A NCAC 2H .0200; the Division's
Gravity Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum
Design Criteria for the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1,
2000 as applicable; and other supporting data subsequently filed and approved by the Department
of Environment and Natural Resources and considered a part of this permit.
The sewage and wastewater collected by this system shall be treated in the City of
Hendersonville's wastewater treatment facility (NPDES Permit No. NC0025534) prior to being
discharged into Mud Creek in the French Broad River Basin.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have
the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request must be in the form of a written petition, conforming to Chapter 150B of
North Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail
Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be
final and binding.
If you need additional information concerning this matter, please contact Mr. Roy Davis at
828/251-6208.
Sincerely,
Alan W W. Klimek, P. E.
Enclosure
xc: Henderson County Health Department
Non-Discharge Permitting Unit
Michael S. Apke, P. E., McGill Associates, P.A.
Roy Davis
2

i
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
CITY of HENDERSONVILLE
MUD CREEK SEWER
PERMIT NUMBER WQ0021578
This permit shall be effective from the date of issuance until rescinded and shall be subject
to the following specified conditions and limitations:
1. This permit shall become voidable unless the wastewater collection facilities are constructed
in accordance with the conditions of this permit: 15A NCAC 2H .0200; the Division of Water
Quality`s (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump
Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials
unless specifically mentioned herein.
2. This permit shall be effective only with respect to the nature and volume of wastes described
in the application and other supporting data.
3. The wastewater collection facilities shall be properly maintained and operated at all times.
The Permittee shall maintain compliance with an individual system-wide collection system
permit for the operation and maintenance of these facilities as required by 15A NCAC 2H
.0227. If an individual permit is not required, the following performance criteria shall be met
as provided in 15A NCAC 2H .0227:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to surface waters, and any contravention of the groundwater standards in
15A NCAC 2L .0200 or the surface water standards in 15A NCAC 213 .0200.
b. A map of the sewer system shall be developed prior to January 1, 2004 and shall
be actively maintained.
C. An operation and maintenance plan shall be developed and implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every
day, as defined in 15A NCAC 213 .0503(5). Pump stations that are connected to a
telemetry system shall be inspected at least once per week.
e. High-priority sewer lines shall be inspected at least once per every six-month period
of time.
3

WQ0021578
f. A general observation of the entire sewer system shall be conducted at least once per
year.
9. Inspection and maintenance records shall be maintained for a period of at least three
years.
h. Overflows and bypasses shall be reported to the appropriate Division Regional Office
in accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as
required by North Carolina General Statute 143-215.1C.
4. This permit shall not be transferable. In the event there is a desire for the wastewater facilities
to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by documentation from the parties involved,
and other supporting materials as may be appropriate. The approval of this request shall be
considered on its merits and may or may not be approved.
5. Construction of the gravity sewers shall be scheduled so as not to interrupt service by the
existing utilities nor result in an overflow or bypass discharge of wastewater to the surface
waters bf the State.
6. Upon completion of construction and prior to operation of these permitted facilities, a
certification, a copy of the construction record drawings, as well as supporting design
calculations for any pump stations permitted as part of this project shall be received from a
North Carolina-licensed Professional Engineer certifying that the facilities have been installed
in accordance with this permit; 15A NCAC 2H .0200; the Division's Gravity Sewer Design
Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for
the Fast-Track Permitting of Pump Station and Force Main adopted June 1, 2000 as
applicable; and other supporting materials. If this project is to be completed in phases and
partially certified, you shall retain the responsibility to track further construction approved
under the same permit, and shall provide a final certificate of completion once the entire
project has been completed. A copy of the construction record drawings, indicating the
facilities constructed in the phase being certified, shall be submitted with each partial
certification. Mail the Engineer's Certification, one copy of the "Construction Record
Drawings", and one copy of the supporting design calculations to the Non-Discharge
Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
7. A copy of the construction record drawings shall be maintained on file by the Permittee for the
life of the wastewater collection facilities.
8. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2H
.0200; the Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable;
the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Station and
Force Mains adopted June 1, 2000 as applicable; and other supporting materials may subject
the Permittee to an enforcement action by the Division, in accordance with North Carolina
General Statutes 143-215.6A through 143-215.6C.
4

W Q0021578
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 NCG0100000, and any requirements
pertaining to wetlands under 15A NCAC 2B .0200 and 15A NCAC 2H .0500.
11. Non-compliance Notification:
The Permittee shall report by telephone to the Asheville Regional Office, telephone number
828/251-6208 as soon as possible, but in no case more than 24 hours or on the next working
day, following the occurrence or first knowledge of the occurrence of either of the following:
a. Any.process unit failure, due to known or unknown reasons, that renders the facility
incapable of adequate wastewater transport, such as mechanical or electrical failures of
pumps, line blockage or breakage, etc.; or
b. Any failure of a pumping station or sewer line resulting in a by-pass directly to receiving
waters without treatment of all or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report in letter form
within five days following first knowledge of the occurrence. This report must outline the
actions taken or proposed to be taken to ensure that the problem does not recur.
Permit issued this the 22nd day of July, 2002.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
DIan W. Klimek, P.E., Director
ivision of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0021578
5

Permit No. WQ0021578
July 22, 2002
ENGINEERS CERTIFICATION
Partial Final
I, , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the.
project, Mud Creek Sewer, City of Hendersonville, Henderson County, for the Permittee hereby
Project Name Location and County
state that, to the best of my abilities, due care and diligence was used in the observation of the
construction such that the construction was observed to be built within substantial compliance of this
permit; 15A NCAC 2H .0200; the Division of Water Quality's (Division) Gravity Sewer Minimum
Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for
the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable;
and other supporting materials.
North Carolina Professional Engineer's seal, signature, and date:
The above Engineer's Certification shall be completed and submitted to the address below with one
copy of the "Construction Record Drawings" of the wastewater collection system extension as well
as supporting design calculations for any pump stations permitted as part of this project. This project
shall not be considered complete nor allowed to operate until this Engineer's Certification and all
required supporting documentation have been received by the Division. Any wastewater flow made
tributary to the wastewater collection system extension prior to completion of this Engineer's
Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions.
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
NON-DISCHARGE PERMITTING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
6

acs?
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)
THIS FORM&MY BE PHOTOCOPIED FOR USE ASAN ORIGINAL.
INSTRUCTIONS: Indicate that you have included the following list of required application package items by signing your
initials in the space provided next to each item. Failure to submit all required items will lead to additional processing and review
time for the permit application.
_S(A. Application Form-Submit one original and one copy of the completed and appropriately executed application form.
Any changes to this form will result in the application being returned. The Division of Water Quality(Division)will
only accept application packages that have been fully completed with all applicable items addressed. You do not need
to submit detailed plans and specifications unless you respond NO to item IV.6.and/or item IV.10.
B. Attachment- Submit the completed and properly executed Form WSCA 10/99 for each watershed within the project
location. NOT APPLICABLE—NO PUMP STATION
Qma
l,T7C.Application Fee-Submit a check in the amount of$400 made payable to:North Carolina Department of Environment
and Natural Resources(NCDENR).
D. Certificates of Public Convenience and Necessity—If the application is being submitted in the name of a privately-
owned public utility, submit two copies of the Certificate of Public Convenience and Necessity, which demonstrates
that the public utility is authorized to hold the utility franchise for the area to 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 10/99. If the applicant is a developer,use Form DEV 10/99.
F. Flow Acceptance Letters —If the owner of the downstream sewers and/or W WTF is different from the applicant,
submit two copies of a flow acceptance letter from the owner of the downstream sewers and W WTF. Flow acceptance
letters must contain the following minimum information: applicant and project name, amount of flow accepted, and
name and permit number of the receiving sewers/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.
THE COMPLETED APPLICATION PACKAGE,INCLUDING ALL SUPPORTING INFORMATION AND
MATERIALS,SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
NON-DISCHARGE PERMITTING UNIT
By U.S.Postal Service: By Courier/Special Delivery:
1617 MAIL SERVICE CENTER 512 NORTH SALISBURY STREET,SUITE 1219
RALEIGH,NORTH CAROLINA 27699-1617 RALEIGH,NORTH CAROLINA 27604
1 TELEPHONE NUMBER: [phone]
FACSIMILE NUMBER: [phone]
For more information, visit our rveb site at:h2o.enrstnte.nc.us/ndP+d
9LIU 'I
'
FORM: FTA 06/00 Page I of 5

Application Number: _r completed by DWI)
I. GENERAL INFORMATION:
1. Applicant's name(name of the municipality,corporation, individual, etc.):
City of Hendersonville.North Carolina
2. Owner's or signing official's name and title(15A NCAC 2H .0206(b)):
Ezra Allman. �irecto ofiLx;:rte
3. Name and complete address of applicant: l�Iios @ffic Box YM
City: en¢crsonville State: No CaiAl`ma Mtn: 28.� 50fJ
Telephone number: (828) 697-3063 Facsimile number: (8� 697-1707
4. Project name(name of the subdivision, facility or establishment,etc.):
42-Inch Mu Craek Svv,.... Line
5. County where project is located: Henderson
6. Fee submitted: $ 400.00 (See Instruction C.)
7. Name and complete address of engineering firm: McGill Associates, P.A.
55 Broad Street
City: Asheville State: North Carolina Zip: 28801
Telephone number: (828) 252-0575 Facsimile number: (828) 252-2518_�---;—i
8. Name and affiliation of contact person who can answer questions about applicatioon � �. �-7'--1 i�� 4
ul chael_S.Anlee., II D� t
I VUL
J
II. PERMIT INFORMATION:
17ATFfi . ; S;p,F_j
1. Project is: X new; modification SHEVILIF ftC�°! '_'
2. If this application is being submitted as a result of a modification to an existing permit, provide:
existing permit number N/A and the issuance date
3. Applicant is: X public private
If private,units(lots, townhomes, etc.)are: leased(Skip to item III.); sold
If sold,facilities owned by a: public utility(See Instruction D.);
homeowners' association/developer(See Instruction E.)
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.):
Nearly all wastewater generated in the Citv of Hendersonville
2. Volume of wastewater generated by this project: N/A gallons per day
3. Explanation of how wastewater flow was determined(15A NCAC 2H.0219(I)): N/A — no new
flow will be added(Existing 27-inch line will be abandoned and replaced with a new 42-inch line)
4. Nature of wastewater: 86 %Domestic/Commercial; 14 %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: When necessary, wastewater has been ore-treated per the
Citv's pre-treatment program.
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: Installation of approximately 1.251 lineal feet of 8-inch, 30-inch, and
42-inch ductile iron sewer line to allow the existing 27-inch VCP sewer along Mud Creek to be
abandoned.
2. Owner and name of wastewater treatment facility(WWTF)receiving wastewater(See Instruction F.): _
Hendersonville WWTP
3. WWTF permit number(NC00***** orW000*****):NG
4. List the owner(s) of any intermediate sewers if different from applicant or owner of WWTF (See
Instruction F.): N/A
5. Summary of GRAVITY SEWER to be permitted:
Diameter Length
(inches) (linear feet)
Smart 33
34
6. Does the subject gravity sewer collection system comply with the most recent version of the Gravity
Sewer Minimum Design Criteria and 15A NCAC 2H .0200? X Yes; No. If no, please
- identify criteria and explain:
7. Summary of PUMP STATIONS to be permitted:
No. or Design Flow Pump Operational Points Reliability Option
Name (MGD) _GPM @_feet TDH Selected
N/A
FORM: FTA 06/00 Page 3 of 5

8. Summary of FORCE MAIN to be permitted:
Diameter Length
(inches) (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

f000-©o
V. CERTIFICATIONS
Professional Engineer's Certification:
I, Michael S.Apke,P.E. attest that this application for 42-inch Mud Creek Sewer Line 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 143-215.6E, 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:
,PNN W unpry�
OFCi....... s
: 739 4
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0-77160�
':�/C•ENGINE 'Q`�,a
ygEL S.
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Applicant's Certification:
I, Ezra Allman,Director of Utilities , attest that this application for 42-inch Mud Creek Sewer Line
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all
required parts of this application are not completed and that if all required supporting information and
attachments are not included, this application package will be returned to me as incomplete. Note: In
accordance with NC General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any
false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor
which may include a fine not to exceed
$10,000 as well as civil penalties up to$25,000 per violation.
ud
Signature: `�e Date: Z
fL nri 17 2002 innn!
FORM: FTA 06/00 Page 5 of 5

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)
THIS FORM MAYBE PHOTOCOPIED FOR USERS AN ORIGINAL.
INSTRUCTIONS: Indicate that you have included the following list of required application package items by signing your
initials in the space provided next to each item. Failure to submit all required items will lead to additional processing and review
time for the permit application.
�A. Application Form- Submit one original and one copy of the completed and appropriately executed application form.
Any changes to this form will result in the application being returned. The Division of Water Quality (Division)will
only accept application packages that have been fully completed with all applicable items addressed. You do not need
to submit detailed plans and specifications unless you respond NO to item IV.6.and/or item IV.10.
B.Attachment-Submit the completed and properly executed Form WSCA 10/99 for each watershed within the project
a location. NOT APPLICABLE—NO PUMP STATION
64C.Application Fee-Submit a check in the amount of$400 made payable to:North Carolina Department of Environment
and Natural Resources(NCDENR).
D. Certificates of Public Convenience and Necessity—If the application is being submitted in the name of a privately-
owned public utility, submit two copies of the Certificate of Public Convenience and Necessity, which demonstrates
that the public utility is authorized to hold the utility franchise for the area to 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 10/99. 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 W WTF. Flow acceptance
letters must contain the following minimum information: applicant and project name, amount of flow accepted, and
name and permit number of the receiving sewers/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.
THE COMPLETED APPLICATION PACKAGE,INCLUDING ALL SUPPORTING INFORMATION AND
MATERIALS,SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
NON-DISCHARGE PERMITTING UNIT
By U.S.Postal Service: By Courier/Special.Delivery:
1617 MAIL SERVICE CENTER 512 NORTH SALISBURY STREET,SUITE 1219
RALEIGH,NORTH CAROLINA 27699-1617 RALEIGH,NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone]
FACSIMILE NUMBER: [phone]
For more information,visit our web site at.ie2o.ennstate.ne.us/ndpu/ 6 l.% L2 D
vAIT pui1L�j7YgE�ij0P1 L PSHFVILLERE_r,IOfJNLrFFGE
FORM: FTA 06/00 Page 1 of 5 —

Application Number: . l LV 5 o be completed by DWQ)
I. GENERAL INFORMATION:
I. Applicant's name(name of the municipality,corporation, individual,etc.):
City of Hendersonville,North Carolina
2. Owner's or signing official's name and title(15A NCAC 2H.0206(b)):
Ezra Allman.Director of Utilities
3. Name and complete address of applicant: Post Office Box 1760
City: Hendersonville State: North Carolina Zip: 28793-1760
Telephone number: (828) 697-3063 Facsimile number:(828) 697-1707
4. Project name(name of the subdivision,facility or establishment,etc.):
42-Inch Mud Creek Sewer Line
5. County where project is located: Henderson
6. Fee submitted: $ 400.00 (See Instruction C.)
7. Name and complete address of engineering firm: McGill Associates,P.A.
55 Broad Street
City: Asheville State: North Carolina Zip: 28801
Telephone number: (828) 252-0575 Facsimile number: (828) 252-2518
8. Name and affiliation of contact person who can answer questions about application:-----------.--
ti�
Michael S.Apke,P.E. -'-='-- -�.---
�J l� 200?
II. PERMIT INFORMATION:
1. Project is: X new; modification 006`'f�0Efi OW, V,
_ASHEVILLE_REUKO-, ,H", _
2. If this application is being submitted as a result of a modification to an existing permit, provide:
existing permit number N/A and the issuance date
3. Applicant is: X public private
If private,units(lots,townhomes,etc.)are: leased(Skip to item III.); sold
If sold,facilities owned by a: public utility(See Instruction D.);
homeowners' association/developer(See Instruction E.)
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.):
Nearly all wastewater generated in the City of Hendersonville
2. Volume of wastewater generated by this project: N/A gallons per day
3. Explanation of how wastewater flow was determined(15A NCAC 2H .0219(1)): N/A - no new
flow will be added(Existing 27-inch line will be abandoned and replaced with a new 42-inch line)
4. Nature of wastewater: 86 %Domestic/Commercial; 14 %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: When necessary, wastewater has been pre-treated per the
City's are-treatment program.
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: Installation of approximately 1,251 lineal feet of 8-inch, 30-inch, and
42-inch ductile iron sewer line to allow the existing 27-inch VCP sewer along Mud Creek to be
abandoned.
2. Owner and name of wastewater treatment facility(WWTF)receiving wastewater(See Instruction F.): _
Hendersonville WWTP
3. WWTF permit number(NC00***** or W000*****):NCO025534
4. List the owner(s) of any intermediate sewers if different from applicant or owner of WWTF (See
Instruction F.): N/A
5. Summary of GRAVITY SEWER to be permitted:
Diameter Length
(inches) (linear feet)
8 33
30 40
42 1,178
6. Does the subject gravity sewer collection system comply with the most recent version of the Gravity
Sewer Minimum Design Criteria and 15A NCAC 2H .0200? X Yes; No. If no, please
identify criteria and explain:
7. Summary of PUMP STATIONS to be permitted:
No. or Design Flow Pump Operational Points Reliability Option
Name (MGD) _GPM @_feet TDH Selected
N/A
FORM: FTA 06/00 Page 3 of 5

8. Summary of FORCE MAIN to be permitted:
Diameter Length
(inches) (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

wa�ooa(C5 9g'
V. CERTIFICATIONS
Professional Engineer's Certification:
I, Michael S.Aoke, P.E. attest that this application for 42-inch Mud Creek Sewer Line 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 143-215.613, any person who knowingly makes any false statement, representation, or
certification in any application shall be guilty of a Class 2 misdemeanor which may include a fine not to
exceed$10,000 as well as civil penalties up to$25,000 per violation.
North Carolina Professional Engineer's seal,signature,and date:
I,,Ilaalalnnlll.�l...
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Applicant's Certification:
I, Ezra Allman,Director of Utilities ,attest that this application for 42-inch Mud Creek Sewer Line
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 up to$25,000 per violation.
Signature: `� >r� u`�-A'W W""L Date: 2—
FORM: FTA 06/00 Page 5 of 5

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@McGill
July 16, 2002
Mr. Roy Davis ' 7
Division of Water Quality WATER OUAtITySECTION
North Carolina Department of Environment, _ASHEVIttf:REG10Ngt OFFICE
and Natural Resources
59 Woodfm Place
Asheville, North Carolina 28801
Re: 42-inch Mud Creek Sewer Line
City of Hendersonville, North Carolina
Dear Mr. Davis:
Please find enclosed one (1) original and one (1) copy of the signed Fast Track
Application for Gravity Sewers, Pump Stations, and Force Mains for the above referenced
project along with a check for the permit processing fee in the amount of$400.00. The overall
project consists of the installation of approximately 1,178 lineal feet of 42-inch gravity sewer
line with related appurtenances to replace an existing 27-inch line along Mud Creek. The
sewer lines included in this project comply with the Gravity Sewer Minimum Design Criteria
issued by NCDENR.
If you have any questions concerning the enclosed applications, please feel free to give
me a call at 252-0575.
Sincerely,
McGI/L,.L�6ASoSOCIATES, P.A.
MICHAEL S. APKE, P.E.
r` Project Engineer
Enclosures
cc: Jim Patrick, P.E.
Ezra Allman
Projects/02721/rd 16ju12.doc
E 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 Sireer,Asheville, NC 28801
828-252-0575 • FAX [phone]

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