WQ0045642_MOD Application FTSE_20241017

October 16, 2024
N.C. Dept. of Environmental Quality
Division of Water Resources
Asheville Regional Office
2090 US Hwy 70
Swannanoa, NC 28778-8211
RE: Bedrock Development
Sylva, NC
StillwellEn ginee ring. net
d'' icf uurli hnnl (' nilwi.
SUBJECT: Fast Track Application Cover Letter —PERMIT MODIFICATION WQ0045642 ISSUE DATE 7/29/24
Dear Sir or Madam:
Bedrock Rentals, LLC is submitting a Fast Track Application for sanitary sewer line modifications to existing permit
number WQ0045642 issued on July 29, 2024. The following summarizes the modifications and final quantities for
this permit:
1. Addition of 129 LF of 6-inch diameter SDR 35 PVC gravity sewer for a final total permitted length of 614 LF
of 6-inch diameter SDR 35 PVC gravity sewer.
2. Flow for this permit is remaining at 500 GPD (no changes to permitted flow).
In conclusion, no construction of the existing permit has begun to date.
Attached with this letter are the following:
1. 1 original and 1 copy of FTA 30-23
2. Application Fee of $600.00
3. One original and one copy of required FTA documentation
4. Two copies of Wastewater Collection System Extension Permit WQ0045642
5. Two copies of 8.5"x11" USGS Topographical Map identifying the entire project area and closest surface
waters
6. Two copies of a street level map showing the general project area
Sincerely, n
Yra,lLy
W. Alec Stillwell, P.E.
Attachments
42 Marsh Lily Drive Ph: 828.586.6066 PO Box 838
Sylva NC 28779 Fx: 828.586.6566 Sylva NC 28779

State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRUCTIONS FOR FORM: FTA 10-23 & SUPPORTING DOCUMENTATION
This application is for sewer extensions invo� rig' gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of 15A NCAC 021f and the Division's
Minimum Design Criteria (Gravity Sewer & Pump Stations/Force Mains) and that plans, specifications and supporting documents
have been prepared in accordance with 15A NCAC 02T, 15A NCAC 02T.0300, Division policies, and good engineering practices.
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design
documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design
calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum design criteria. These
documents shall be immediately available upon request by the Division.
Projects that are deemed permitted (do notrequire a permit from the Division) are explained in 15A NCAC 02T.0303.
Projects not eligible for review via the fast track process (must be submitted for full technical review):
➢ Projects that do not meet any part of the minimum design criteria (MDC) documents;
➢ Projects that involve more than one variance from the requirements of 15A NCAC 02T;
➢ Pressure sewer systems utilizing simplex septic tank -effluent pumps (STEPs) or simplex grinder pumps;
➢ Simplex STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains);
➢ Vacuum sewer systems.
General — When submitting an application, please use the following instructions as a checklist in order to ensure all requited items are
submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the
amount of requested additional information. Failure to submit all required items will necessitate additional processing and review
time, and may result in return of the application. Unless otherwise noted, the Applicant shall submit one original and one copy of
the application and supporting documentation.
A. One Original and One Copy (second copy may be digital) of Application and Supporting Documents
® Required unless otherwise noted. Signatures on original must be "wet ink" or secure digital signatures.
Please do not submit engineering design plans with the application unless specifically requested-
B. Cover Letter/Narrative Description (Required for All Application Packages):
® List all items included in the application package, as well as a brief description of the requested permitting action.
➢ Be specific as to the system type, number of homes served, flow allocation required, etc.
➢ Include the permit number/status of any other required sewer permits (downstrearampstream)
➢ If necessary for clarity, include attachments to the application form.
➢ If the project is funded by American Rescue Plan Act (ARPA) funds, please include the ARPA project number in the cover
letter and in parentheses under Project Name (Section IL 1. of the application).
C. Application Fee (All New and Modification Application Packages):
® Submit a check or money order in the amount of $600.00, dated no more than 90 days prior in application submittal.
➢ Payable to North Carolina Department of Environmental Quality (NCDEQ)
D. Fast Track Application (Required for All Application Packages, Form FTA 10-23k
® Submit the completed and appropriately executed application.
➢ if necessary for clarity or due to space restrictions, attachments to the application may be made.
® If the Applicant Type in Item L2 is a corporation or company, provide documentation it is registered for business with the
North Carolina Secretar off.
❑ If the Applicant Type in Item 1.2 is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of Deeds in
the county of business.
❑ The Project Name in Item 11.1 shall be consistent with the project time on the flow acceptance letters, agreements, etc.
® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North Carolina
licensed Professional Enmineer.

® The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 02T .0106(b). Per
15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if a delegation letter is provided from
a person who meets the criteria in 15A NCAC 02T .0106(b).
E. Flow Tracking/Acceptance Form (Form: FTSE 10-23) (If Applicable):
❑ Submit the completed and executed FTSE form from the owners of the downstream sewers and treatment facility.
➢ Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different.
➢ The flow acceptance indicated in force FTSE 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 FTSE indicates that owner has adequate capacity andwill not violateGS 143-21567(a).
➢ Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific FTSE.
F. Site Maps (All Application Packages):
® Submit an 8.5-inch x 11-inch color copy of a OSGS Topographic Map of sufficient scale to identify the entire project area,
including the closest surface waters.
➢ General location of the project components (gravity sewer, pump stations, & force main)
➢ Downstream connection points and permit number (if known) for the receiving sewer
® Include an aerial location map showing general project area (such as street names or latitude/longitude) so that Division staff
can easily locate it in the field.
G. Existing Permit (Application Packages for Modifications to an Existing Permit):
® Submit a copy of the most recently issued existing permit.
® Include a descriptive and clear narrative identifying the previously permitted items to remain in the permit, items to be
added, and/or items to be modified (the application form itself should include only include items to be added/modified). The
narrative should also include whether any previously permitted items have been certified.
® The narrative should clearly identify the requested permitting action and accurately describe the sewers to be listed in
the final permit.
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per 15A NCAC 02T.0305(h)(1), submit documentation of power reliability for pumping stations.
This alternative is only available for average daily flows less than 15,000 gallons per day
It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible with
the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or proposed contractor,
stating that "the portable power generation unit or portable, independently -powered pumping units, associated appurtenances
and personnel are available for distribution and operation of this pump 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. (Required at time of certification)
f. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0115(a)(I) provide the Certificate of Public Convenience and Necessity from the North Carolina Utilities
Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the sewer
extension, or
❑ Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an application
for a franchise has been received and that the service area is contiguous to an existing franchised area orthat franchise approval
is expected.
J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ Home/Property Owners' Associations
❑ Per 15A NCAC 02T.0I 15(c), submit the properly executed Operational Am cement (FORM: HOA).
p Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b) submit the properly executed Operational Agreement (FORM' DEV)
For more information, visit the Division's collection systems ep bsite

THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OPFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778-8211
Clay, Graham, Haywood, Henderson, Jackson,
(828) 2964500
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Section
Fayetteville, North Carolina 28301-6095
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabanas, Catawba, Cleveland,
Water Quality Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
3800 Barrett Drive
Chatham, Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27609
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section
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
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pander
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Alamance, Allegheny, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Water Quality Section
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
[phone] Fax

State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources ETA 10-23 & SUPPORTING DOCUMENTATION
Application Number: tv Q&24SG 2t2 (m be completed by DvM)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Bedrock Rentals LLC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual
M Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal
❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: Wayne Smith per 15A NCAC 02T .0I 06(b)
Title: Managing Member
4. Applicant's mailing address: PO
Box 1905
City: Sylva State: NC
Zip: 28779-_
5. Applicant's contact information:
Phone number: 228) 269-0253
Email Address: iackofsvlva(a aol corn
H. PROJECT INFORMATION:
1. Project name: Bedrock Development
2. Application/Project status: ❑ Proposed (New Permit) M Existing Permit/Project ❑ ARPA funded
If a modification, provide the existing permit number: W00045642 and issued date: 7/29/24
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of a master plan, provide the existing permit number: W000
3. County where project is located: Jackson
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.387. Longitude:-83.212�
5. Parcel ID (if applicable): 7642-42-9496 (or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION
1. Professional Engineer: William A. Stillwell License Number: 026081
Finn: Stillwell Engineering, PA
Mailing address: PO Box 838
City: Svlva State: NC Zip: 28779-_
Phone number: 828 586-6066 Email Address: w.sdtlwell@stillwellen ing eering.net
W. WASTEWATER TREATMENT FACILITY(WWTF) INFORMATION:
1. Facility Name: TWSA WWTP#1 Permit Number: NCO039578
Owner Name: Tuckaseigee Water and Sewer Authority
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
L Permit Number(s): W OOQ 45630
2. Downstream (Receiving) Sewer Information: 8 inch M Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00108
Owner Name(s): Tuckaseigee Water and Sewer Authority

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 Oporational Aereement (FORM: DE V) been attached?
❑ Yes ❑ No ® N/A
3. Iftbe Applicant is a Home/Property Owners' Association, has an HOA/POA Operatio ral Aiu ee vent (FORM: HOA) and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
4. Origin of wastewater: (check all that apply):
❑ Residential (Individually Owned)
❑ Residential (Lemed)
❑ School / preschool / day care
❑ Food and drink facilities
❑ Businesses / offices / factories
❑ Yes ❑ No ®N/A
❑ 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 PooVFilter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater: %Domestic 100 % Commercial % Industrial (See 15A NCAC 02T.0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T 0114(fl? ❑ Yes ®No
➢ H yes. Provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow','
No. of Units
Flow
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
T,ml
GPD
a See 15A NCAC 02T 0114(b) (d). (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e. 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.0114] 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 and G.S. 143-215.1)
Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
® Flow has already been allocated in Permit Number: WO0045642 Issuance Date: 7/29/24
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):

VH. GRAVITY SEWER DESIGN CRITERIA (If Applicable) -02T.0305& MDC(Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size(inches) Length(feet) Material
6 129 SDR 35 PVC
➢ Section D & ID of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewers)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
Vill. PUMP STATION DESIGN CRITERIA (if Applicable) —02T.0305&MDC(Pmna Stations/Fo,c,M' ):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN TRIS PROJECT
1. Pump station number or name: N/A
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
3. Total number ofpurnps at the pump statiom
3. Design flow of the pump station: _ millions gallons per day (firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): _ gallons per minute (GPM) at feet total dynamic head (TDB)
5. Summarize the have main to be permitted (for this Pump Station):
r
(inches) Length (feet) Material
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01C.1.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
Power reliability in accordance with 15A NCAC 02T 0305(h)(1):
❑ Standby power source or ❑ Staadby pump
➢ Must have 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 and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant 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 tlmeframes, shall be provided
as part of this permit application in the case of a multiple station power outage.

IX. SETBACKS & SEPARATIONS — (02B.0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(fl & (g)? ® Yes ❑ No
15A NCAC 02T.0305 contains minimum separations that shall be provided for sewer stems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
x 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-1 waters of Class 1 or
Class 11 impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
"Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
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
➢ if noncompliance with 02T.0305(fl or (a) see Section X.1 of this application
'I 5A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(fl cannot be achieved. Please check "yes"
above if these alternatives me used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Water Classifications weboaee
2. Does this project comply with the minimum separation requirements for water mains? ®Yes []No ❑ N/A
➢ If no, please refer to 15A NCAC I8C.0906(t) for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ® Yes ❑ No ❑ N/A
➢ Please provide supplementary information identifying the areas ofnon-conformance.
➢ See the Division's draft separation requirements for situations where separation cannot be met.
➢ No variance is required if the alternative design criteria specified is utilized in design and construction.
4. is the project located in a river basin subject to any State buffer rules? ❑ Yes Basin name: ®No
If yes, does the project comply with setbacks found in the river basin rates per 15A NCAC 02B .0200? ❑ Yes []No
➢ This includes Trout Buffered Streams per 15A NCAC 213.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑ Yes ® No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0105(ch ) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02'f 0I05(c)(6), directly related environmental permits or certification applications must be 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.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes ® No
Per 15A NCAC 02T.0402, "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ 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 permtttee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Goshen Criteria for the Pe'nttne of Pump Stations
and Force Mains (latest version), and the Gravity Sewei Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the rem
2. Professional Engineer's Certification:
1 William A Stillwell attest that this application for Bedrock Development
(Professional Engineer's name from Application Item 111.1.) (Project Name from Application Itun It I)
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 father
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pr mn Stations and Force Mains (latest version). Although other professionals may have developed certain portions ofthis
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
havejudged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, 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. Misrepresentation of the application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board. (21 NCAC 56.0701)_
North Carolina Professional Engineer's seal, signature, and date:
SEAL
026081
VA
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1 Wayne Smith attest that this application for Bedrock Development
(Signature Authority Name from Application Item 19.) (Project Name from Application Item 111)
attest that this application 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. 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 ofthis permit be violated. I also understand that if all required pans of this application
package are not completed and that ifall 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 aClass 2 misdemeanor, which may
include a fine mato exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature:
Date: A2-- - ,%
FORM: FTA 10-23 Page 5 of 5

Docusign Envelope ID: D2AE20FF-90A9-4]C0-BC2]-3A624A9ACCCE
I@
NOR fH CAROLINA
Enw,ro .enrol Qxwlty
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
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
Bedrock Rentals, LLC
Jackson County
for the construction and operation of approximately 485 linear feet of 6-inch gravity sewer to serve a
proposed commercial lot as part of the Bedrock Development project, and the discharge of 500 gallons
per day of collected commercial wastewater into Tuckaseigee Water and Sewer Authority's existing
sewerage system, pursuant to the application received July 10, 2024 and in conformity with 15A NCAC
02T; 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 Environmental Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the specified
conditions and limitations contained therein.
Doeusien•d W
CAN NSS
E3 7183DAUFe41`1`
Daniel Boss, Asst. Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
By Authority of The Environmental Management Commission
Permit Number: WQ0045642
Permit Issued: July 29, 2024
Page 3 of

Docusno Envelope ID: D2AE20FF-90A9-4]CO-BC2]-3A524A9ACCCE
a°`
��r;. a
NORTH CAROLINA
Environmental Quality
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
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
Bedrock Rentals, LLC
Jackson County
for the construction and operation of approximately 485 linear feet of 6-inch gravity sewer to serve a
proposed commercial lot as part of the Bedrock Development project, and the discharge of 500 gallons
per day of collected commercial wastewater into Tuckaseigee Water and Sewer Authority's existing
sewerage system, pursuant to the application received July 10, 2024 and in conformity with 15A NCAC
02T; 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 Environmental Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the specified
conditions and limitations contained therein.
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Daniel Boss, Asst. Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
By Authority of The Environmental Management Commission
Permit Number: WQ0045642
Permit Issued: July 29, 2024
Page 3 of 8

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