WQ0043327_Application (FTSE)_20220411

Cpc
Design
Concepts, PA
March 29, 2022
NCDEQ/DWR
Water Quality Permitting — PERCS Unit
1617 Mail Service Center
Raleigh, NC 27699-1636
RE: Waynesville Inn & Golf— Cottages
CDC Project No.: 22105
Sewer Extension
RECEIVED
,i/J 3 0 2022
NCDEQ/DWR/NPDES
On behalf of WGC Hospitality LLC, we are requesting your review and approval of sewer
extension plans for the subject project located on Chelsea Road in Waynesville, NC. The
proposed project consists of approximately 1040-LF of public 8" PVC, 24-LF of public 8" DIP,
and appurtenances to serve the proposed 8-home residential area.
Please find enclosed the following items for your review and approval:
• Cover Letter
• Check for $480 for sewer extension review
• SSEA 04-16 (Sewer System Extension Application)
• FTSE 10-18 (Flow Tracking)
• Two (2) copies of 24" x 36" Engineering Plans
• Specifications
• 8.5" x 11" USGS Map
• Street Level Reference Map
If you should have any questions or need any additional information during your review, please
do not hesitate to call our office.
Sincerely,
David Braun, P.E.
Civil Design Concepts, P.A.
[e-mail]
Mailing Address: P.O. Box 5432, Asheville, NC 28813
168 Patton Avenue Asheville, NC 28801 52 Walnut Street — Suite 9, Waynesville, NC 28786
Phone [phone] Fax [phone] Phone: [phone] Fax: [phone]

Q3&R
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Town of Waynesville
Project Name for which flow is being requested: Waynesville Inn & Golf - Cottages
More than one FTSE 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.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Town of Waynesville WWTP
b. WWTP Facility Permit #: NC 0025321
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. 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
6.O MGD
4.2 MGD
0.0038 MGD
70%
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 Pump
Station Station
(Name or Permit
Number) No.
Firm
Capacity, *
MGD
(A)
Design
Average
Daily Flow**
(Firm / pf),
MGD
(B) (C) (D)=(B+C) (E)=(A-D)
Obligated,
Approx. Not Yet Total Current
Current Tributary Flow Plus
Avg. Daily Daily Flow, Obligated
Flow, MGD MGD Flow
Available
Capacity***
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < O.
Downstream Facility Name (Sewer):
Downstream Permit Number:
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Jeff Stines certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and II plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
`g 10)g Official Signature
Director of Public Services
Title of Signing Official
Date
Page 2 of 6
FTSE 10-18

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — SEWER SYSTEM EXTENSION APPLICATION
SSEA 04-16 & SUPPORTING DOCUMENTATION
Application Number: (to be completed by DWR)
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Waynesville
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ® Municipal
3. Signature authority's name: Jeff Stines per 15A NCAC 02T .0106(b)
Title: Director of Public Services
4. Applicant's mailing address: 129 Legion Drive
City: Waynesville State: NC Zip: 28786-
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
❑ County
II. PROJECT INFORMATION:
1. Project name: Waynesville Inn & Golf - Cottages + Development Areas
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
3. If a modification, provide the existing permit number: WQ00 and issued date:
4. If new construction but part of a master plan, provide the existing permit number: WQ00
5. County where project is located: Haywood
6. Approximate Coordinates (Decimal Degrees): Latitude: 35.47050 Longitude: -82.99930
III. CONSULTANT INFORMATION:
1. Professional Engineer: David Braun License Number: 030669
Firm: Civil Design Concepts, PA
Mailing address: 168 Patton Ave.
City: Asheville State: NC
Phone number: [phone]
Zip: 28787-
Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Waynesville WWTP Permit Number: NC0025321
Owner Name: Town of Waynesville
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQCS 00039
System Wide Collection System Permit Number(s):
Owner Name(s): Town of Waynesville
FORM: SSEA 04-16 Page 1 of 6

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been submitted?
❑ Yes ❑No ®N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been submitted?
❑ Yes ❑No ®N/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been submitted?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
Residential Owned
❑ Residential Leased
❑ School / preschool / day care
❑ Food and drink facilities
❑ Businesses / offices / factories
❑ Retail (stores, centers, malls)
❑ Retail with food preparation/service
❑ Medical / dental / veterinary facilities
❑ Church
❑ Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool /Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Is/was an Environmental Assessment required under 15A NCAC 01 C? ❑ Yes ® No
If yes, submit the appropriate final environmental document (FONSI, ROD, etc.)
6. Nature of wastewater : 100 % Domestic/Commercial % Other waste — specify:
% Industrial (See 15A NCAC 02T .0103(20))
7. Wastewater generated by project: 3840 GPD (per 15A NCAC 02T .0114)
Has a flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ❑ No
If yes, provide a copy of flow reduction approval letter
8. Summarize wastewater generated by project:
Establishment Type
Daily Design Flow a,b
No. of Units
Flow
Residential
480 gal/unit
8
3840 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
3840 GPD
a See 15A NCAC 02T .0114(b), (d), (e)(1) and (e)(2) for caveats to wastewater design flow rates (i e , minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified below shall be determined using available
flow data, water using fixtures, occupancy or operation patterns, and other measured data.
FORM: SSEA 04-16
Page 2 of 6

VII. GRAVITY SEWER DESIGN CRITERIA - 15A NCAC 02T .0305:
1. Summarize Gravity Sewer to be permitted:
Size (inches)
Length (feet)
Material
8
1040
PVC
8
24
DIP
VIII. PUMP STATION DESIGN CRITERIA — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: - .
3. What is the nearest 100-year flood elevation to the facility? feet mean sea level. Source:
Is any of the proposed project located within the 100-year flood plain? ❑ Yes ❑ No
4. If Yes, are the following items provided per 15A NCAC 02T .0305(e):
Water -tight seals on all station hatches and manholes; and
Control panels vents extend two feet above the100-year flood plain elevation?
❑ Yes ❑ No ❑ N/A
If No, what measures are being taken to protect them against flooding?
5. Finish grade elevation of the pump station:
6. Design flow of the pump station: millions gallons per day (firm capacity)
7. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH)
8. Number of pumps provided:
9. Number of pump cycles at average daily flow: cycles per hour
10. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B):
> Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
> Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
> It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
> If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage.
FORM: SSEA 04-16 Page 3 of 6

VIII. PUMP STATION DESIGN CRITERIA (continued)
11. Summarize the pump station design elements:
Design Element
Plan Sheet
Reference
Specification
Reference
Power Reliability Source and Associated Elements
Screened Wet Well Vent
Check Valves, Gate Valves, etc.
Control Panel
Restricted Access Elements (Fence, Wet Well Lock, etc)
Audible and Visual Alarms
Telemetry/SCADA
Level Controls
Weatherproof Sign with Required Information
Air Relief Valves
12. Summarize the force main to be permitted:
Size (inches)
Length (feet)
Material
High
Elevation (feet)
Discharge
Elevation (feet)
Pump -Off
Elevation (feet)
13. Air release valve station locations per 15A NCAC 02T .0305(i):
Air Release Valve #
Station
Plan Sheet Reference
FORM: SSEA 04-16 Page 4 of 6

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (g)
➢ 15A NCAC 02T.0305(fl contains minimum separations that shall be provided for sewer systems:
® Yes ❑ No
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
24 inches
Water mains (vertical -water over sewer including in benched trenches)
18 inches
Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
➢ If noncompliance with 02T.0305(f) or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No ® N/A
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes ❑ No ® N/A
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
❑ Yes ® No
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑Yes ®No
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: SSEA 04-16 Page 5 of 6

IX. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains ( latest version i _ and the Gravity Sewer Minimum Design Criteria (latest version). as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents
for review. Approval of the request is required prior to submittal of the Fast Track Application and supporting
documents.
2. Professional Engineer's Certification:
David Braun, PE
(Professional Engineer's name from Application Item III.1.)
Town of Waynesville WWTP
attest that this application for
(Facility name from Application Item II.1.)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering 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 this application package and its instructions, as
well as all applicable regulations and statutes. Although other professionals may have developed certain portions of this
submittal package, 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 General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package 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:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
; %A O �.
!/ Z
: SEAL
O3i•69 ;
a0u1s1uu
I Jeff Stines, Director of Public Services
(Signature Authority's name & title from Application Item I.3.)
Town of Waynesville WWTP
,,,'"'3,.21-1.2
attest that this application for
(Facility name from Application Item II.1.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any discharge of
wastewater from this non -discharge system to surface waters or the land will result in an immediate enforcement action that
may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water
Resources should a condition of this permit be violated. I also understand that if all required parts of this application package
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 General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package 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: Date: 3124
FORM: SSEA 04-16
Page 6 of 6