WQ0043896_Final Permit_20221104

WGLA
Engineering
WGLA Engineering, PLLC
724 5th Avenue West
Hendersonville, NC 28739
[phone] wgla.com
November 2, 2022
Mr. Tim Heim, P.E.
Water Quality Section
NCDEQ
2090 US Highway 70
Swannanoa, North Carolina 28778
RE: City of Hendersonville
Judges Tract Sewer Extension
Dear Mr. Heim:
303
NUV " 3 2022
Water Quality Regional Operations
Asheville Regional Office
Please find enclosed a submittal package for the proposed sewer extension to serve a future
development adjacent to Interstate 26. Note this is a zero flow extension as there is not a specific
user identified for the property. The line is being installed in conjunction with a proposed access
road. This is a proposed extension of the City of Hendersonville system.
In addition to the completed fast track application (original and one copy), the following items are
included with this letter:
-application fee of $480.00
-site maps
Note that we have not included a flow tracking form since there is no flow associated with this
application. If you have any questions or need additional information, don't hesitate to contact our
office.
Sincerely,
WGLA Engineering, PLLC
William R. Buie, P.E.
CIVIL ENGINEERS & LAND PLANNERS

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DocuSign Envelope ID: C3028C46-ED2C-4858-8B50-93973D0A886A
DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: City of Hendersonville Water and Sewer Department (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation El General Partnership ❑ Privately -Owned Public Utility
0 Federal 0 State/County ® Municipal
3. Signature authority's name: Lee Smith per 15A NCAC 02T .0106(b)
Title: Utilities Director
4. Applicant's mailing address: 305 Williams Street
City: Hendersonville State: NC Zip: 28792-
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
II. PROJECT INFORMATION:
1. Project name: Judges Tract Sewer Extension
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Henderson
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.301°Longitude: -82.412°
5. Parcel ID (if applicable): 9558-22-1126
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: William R. Buie License Number: 022989
Firm: WGLA Engineering, PLLC
Mailing address: 724 5th Avenue West
City: Hendersonville State: NC Zip: 28739-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Hendersonville WWTP Permit Number: NC0025534
Owner Name: City of Hendersonville
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ
Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
0 Other
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Water Quality Regional Operations
Asheville Regional Office
FORM: FTA 04-16 Page 1 of 5

DocuSign Envelope ID: C3028C46-ED2C-4858-8B50-93973D0A886A
VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ®N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, malls)
❑ Residential Leased ❑ Retail with food preparation/service
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities
111 Food and drink facilities ❑ Church
❑ Businesses / offices / factories ❑ Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool /Clubhouse
❑ Swimming Pool/Filter Backwash
® Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic/Commercial % Commercial
% Industrial (See 15A NCAC 02T .0103(20))
>Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ❑ No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow a,b
No. of Units
Flow
Sewer line is for future development
gal/
0 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
0 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 [in table 15A NCAC 02T.0 114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per 15A NCAC 02T .0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16
Page 2 of 5

DocuSign Envelope ID: C3028C46-ED2C-4858-8B50-93973D0A886A
VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02'F .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
205
PVC/SDR-35
8
244
DIP
> Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 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. Design flow of the pump station:
4. Operational point(s) of the pump(s):
millions gallons per day (firm capacity)
gallons per minute at
5. Summarize the force main to be permitted (for this Pump Station):
feet total dynamic head (TDH)
Size (inches)
Length (feet)
Material
6. Power reliability in accordance with I5A NCAC 02T .0305(h)(1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B):
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility
Or if the pump station has an average daily flow Less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
> If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

DocuSign Envelope ID: C3028C46-ED2C-4858-8B50-93973D0A886A
IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(0):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (g)
➢ 15A NCAC 02T.0305(f) 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
III 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 ❑ N/A
> 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: FTA 04-16 Page 4 of 5

DocuSign Envelope ID: C3028C46-ED2C-4858-8B50-93973D0A886A
X. 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), 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:
I William R. Buie, P.E.
attest that this application for
(Professional Engineer's name from Application Item III.1.)
Judges Tract Sewer Extension
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 the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains (latest version). 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):
I, Lee Smith, Utilities Director
(Signature Authority's name & title from Application Item I.3.)
Judges Tract 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 documentation and attachments are not included, this
application package is subject to being returned as incomplete. 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.
attest that this application for
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: Leeterniti Oct 31,202210:02EDT) Date:
Oct 31, 2022
FORM: FTA 04-16 Page 5 of 5

20221031 _FTARev_22111
Final Audit Report
2022-10-31
Created: 2022-10-31
By: Deborah Sholl ([e-mail])
Status: Signed
Transaction ID: CBJCHBCAABAAAeEMZdOw09xkUW51vFiJNAZmVperFBP-
"20221031 _FTARev_22111 " History
n Document created by Deborah Sholl ([e-mail])
2022-10-31 - 12:05:32 PM GMT
E-21 Document emailed to Lee Smith ([e-mail]) for signature
2022-10-31 - 12:07:45 PM GMT
t Email viewed by Lee Smith ([e-mail])
2022-10-31 - 2:01:55 PM GMT
aQ Document e-signed by Lee Smith ([e-mail])
Signature Date: 2022-10-31 - 2:02:35 PM GMT - Time Source: server
® Agreement completed.
2022-10-31 - 2:02:35 PM GMT
Adobe Acrobat Sign

Sewer Layers
Gravity Main
♦ Public Gravity Main
♦ Public Force Main
♦ Proposed Gravity Main
— • Abandoned
Water Layers
Fire Hydrants
T City Fire Hydrant
Water Main
— City Water Main
— Private Fire Line
— Proposed Water Main
Abandoned Water Main
Road Layers
- State Maintained Road
__ Non -State Maintained Road
CITY OF HENDERSONVILLE
UTILITY AVAILABILITY
Judges Tract
MAY 2022
Judes Tract
PIN:'9588-22-1126
Blue Ridge'Fire District
Fire Chief:' W Sheehan
The City of Hendersonville makes every effort to confirm the accuracy of this information;
however, it does not warrant or guarantee that any information provided is accurate or current.
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November 2, 2022
THIS IS NOTASURVEY.
All information or data provided, whether subscribed, purchased or otherwise
distributed, whether in hard copy or digital media, shall be at the user's own risk.
Henderson County makes no warranties or guarantees, including the warranties of
merchantability or of fitness for a particular purpose. Map data is not appropriate for,
and is not to be used as, a geodetic, legal, or engineering base system. The data is
not intended as a substitute for surveyed locations such as can be determined by a
registered Public Land Surveyor, and does not meet the minimum accuracy standards
of a Land Information System/Geographic Information System Survey in North
Carolina (21 NCAC 56.1608).
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