WQ0040222_Application (FTSE)_20180815

July 26, 2018
JUL 3 0 2018 ±i
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Mr. Tim Heim, PE
NCDEQ/DWR
Water Quality Permitting
2090 US Highway 70
Swannanoa, NC 28778
828-296-4500
Subject: Sewer Extension Permit Application
NCDOT TIP No: U-5840
Hendersonville, NC
Dear Mr. Heim,
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STV has completed the design of the above subjected project and attached please find the
following documents:
1. Cover Letter
2. Check in the Amount of $480.00
3. SSEA 04-16 Sewer System Extension Application Instructions marked
4. SSEA 04-16 Sewer System Extension Application — original signed plus one copy
5. Flow Tracking/Acceptance Form (FTSE 04-16)
6. Two (2) Sets of signed and sealed plans
7. Engineering Calculations for Capacity signed and sealed
8. Site Maps (street level and USGS map).
9. Cane Creek Water and Sewer District — Sewer Service Requests
10. Special Provisions
Please refer to sheet no. UC -3 of the attached plans, attached standard special provision,
and NCDOT's "Standard Specifications for Roads and Structures", dated January 2018,
for specifications of the project.
Should you have any questions or need additional documents or information, please feel
free to contact me at [phone] or by email at andrew.vane�cgstvinc,com.
Sincerely,
STV ENGINEERS INC.
Andrew S. Vane, PE
Sr. Project Manager
900 WEST TRADE STREET, SUITE 715
AN EMPLOYEE -OWNED COMPANY PROVIDING QUALITY SERVICE SINCE 1912 I CHARLOTTE, NORTH CAROLINA 28202-1144
[phone] FAX: (]04) 372-3393

61,
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
ROY COOPER
GOVERNOR
DATE: April 12, 2018
ID#: U-5840
COUNTY:HENDERSON
WBS: 50231.2.1
CE'C FEE" QWIt
APR 17 2018
STV MC.
Charlotte, NG
JAMES H. TROGDON, III
SECRETARY
DESCRIPTION: SR 1547 (OLD AIRPORT RD) FROM US 25 (HENDERSON-VILLE RD)
TO: DREW VANE
FROM: FRANKIE J DILLS, Jr., 0-4SI-4-
DIVISION RIGHT OF WAY AGENT
SUBJECT: SEWER SERVICE REQUESTS
Drew as per our phone conversation I have attached the original forms signed by
parcel 16 Jerry Souther and Parcel 10 David Puckett for their sewer service request.
FJD,Jr:sa
Mailing Address:
NC DEPARTMENT OF TRANSPORTATION
RIGHT OF WAY DIVISION 14
1594 E MAIN ST
SYLVA, NC 28779
Telephone: [phone]
Fax: [phone]
Customer Service: 1-877-368-4968
Website.: w Yncdorgov
e�l
4 JUL 3 0 2018
Location:
1594 EAST MAIN STREET
SYLVA, NC 28779

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:
222
1. APPLICANT INFORMATION:
I . Applicant's name: Cane Creek Water & Sewer District
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State N Municipal
3. Signature authority's name: Marcus Jones per 15A NCAC 02T 0106(b)
Title: Director of Engineering
4. Applicant's mailing address: I Historic Courthouse Square, Suite 6
City: Hendersonville State: NC Zip: 28792-
5. Applicant's contact information:
Phone number: [phone] Email Address: maiones .hendersoncountvnc org
DWR)
❑ Privately -Owned Public Utility
❑ County
11. PROJECT INFORMATION:
I. Project name: NCDOT TIP Project: U-5840
2. Application/Project status: N Proposed (New Permit) ❑ Existing Permit/Project
3. If a modification, provide the existing permit number: WQ00 and issued date:
4. If new construction but partof a master plan, provide the existing permit number: W000
5. County where project is located: Henderson
6. Approximate Coordinates (Decimal Degrees): Latitude: 35.43680 Longitude: -82.4930o
111. CONSULTANT INFORMATION:
I. Professional Engineer: Andrew S. Vane License Number: 025221
Firm: STV Engineers
Mailing address: 900 West Tade Street, Suite 715
City: Charlotte State: NC Zip: 28202-1144
Phone number: [phone] Email Address: andrew.vane(&,stvinc.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Water Reclamation Facility Permit Number: NCO02491 t
Owner Name: MSD Buncombe County
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQCS00004
System Wide Collection System Permit Number(s)>
Owner Name(s): MSD of Buncombe County Collection System
2
JUL 3 0 2018 P
FORM: SSEA 04-16 Page 1 of 6

VI. GENERAL REQUIREMENTS
I. 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 Operalional1Aereencm (FORM: DEV) been submitted?
[:]Yes ❑No ®N/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational A reement FORM: HOA been submitted?
[]Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
® Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
® Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ 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 %Otherwaste —specify:.
% Industrial (See 15A NCAC 02T.0 101M)
7. Wastewater generated by project: 1080 GPD (per 15A NCAC 02T .0114)
Has a flow reduction been approved under 15A NCAC 02T .0114(fl? ❑ Yes ❑ No
If yes, provide a copy of Row reduction approval letter
8. Summarize wastewater generated by project:
Establishment Type
Daily Design Flow'.'
No. of Units
Flow
Dwellings
360 gal/day
3
1080 D
gal/
0 GPD
gal/
0 GPD
gal/
0 GPD
gal/
0 GPD
gal/
0 GPD
Total
1080 6PD
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 ofthe Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T.0 I 14(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:
I. Summarize Gravity Sewer to be permitted:
Size (inches)
Length (feet)
Material
8
418
DIP PC350
6
35
DIP PC350
4
26
DIP PC350
SVC?
VIII. PUMP STATION DESIGN CRITERIA -02T.0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
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 the 100 -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
Pump -Off
Elevation feet
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 Discharge
Elevation (feet) Elevation (feet)
Pump -Off
Elevation feet
13. Air release valve station locations per 15A NCAC 02T .0305(1):
Air Release Valve # Station Plan Sheet Reference
FORM: SSEA 04.16 Page 4 of 6

IX. SETBACKS & SEPARATIONS —(028.0200 & 15A NCAC 02T.0305(f):
1. Does the project comply with all separations found in I5A NCAC 02T.0305(f) & (e) ® Yes ❑ No
> 15A NCAC 02T.0305(f) contains minimum separations that shal I he nrnvided fnr sewer systems-.
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 1 or
Class 11 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 1X.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 rade (vertical)
36 inches
> 15A NCAC 02T.0305(a) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications weboaae
➢ 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 ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/cerli£cations)? ® Yes ❑ No
Per 15A NCAC 02T.O105(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 eteriorates the sewer.
El 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 I5A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: SSEA 04-16 Page 5 of 6

IX. CERTIFICATIONS:
I. 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, Andrew S. Vane attest that this application for
(Professional Engineer's name from Application Item 111. 1.)
Cane Creek Water & Sewer District
name from Application Item 11.
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. 1 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
havejurged 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 ISA NCAC 02T.0106(b):
Marcus Jones, Director of
name
Cane Creek Water & Sewer District
(Facility name from Application Item II.1.)
that this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 understand that any discharge of
wastewater from this noir-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. 1 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 a plication package shall be guilty of a Class 2 misdemeanor, which may
includes fine not to%exc d $10,000 as well ase nl penalties up to $25,000 per violation.
ture:2/_�
Date:
//,/A
FORM: SSEA 04-16 Page 6 of 6

NCDOT TIP Project U-5840
Fast— Track Rec'd July 30, 2018
Henderson County
r_ :FID(U`ICP9'4`oOCUMENTd.P.PIR4EO€UN"y.F1EMIP)B
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III. Cc lificatit) n Statement:
1 LXGt/�fnl��� certify to the best of my kno\\Icdge that the addition ul'lhe volume of \mste+\'ater to be permitted
in this project has been evaluated alone the route to the receiving n•asle\s;ucr Irrnmcnt Ihcility and dint the 11oa from (Ills project isnot
anticipated to cause nn} capaciq related sanitary sc\rer ovarllu\cs or urerburden unp do\cnsu Cam pump stmioo en route to the Neck aQ
Ircaunent plant under normal circum sources, given (he implementation of the planned improvements idcntihetl in the plam\ing assessment
\\'hell` applicable. ThIs:II1.I \'Slti has bCCn pCl'Inl'nte`d
in accordance x0th local established policies and procedures using the best ,I% tillable
daut.'Ihis certif icalion applies to (hose imams listed AMC C in Sections 1 laid 11 plus all attached planning assessment addctidums Ion' which I
am tltc responsible pa rly. Signature 01 this lurm indicates acceptm\ce of this wasle\+•aler Ilo\v.
Page 2 o1' 2 P"I'SE 04-16

State of North,Carolina
Department of Environment Quality
111111111M
fillllllll�WQQQ4Q222 Division of Water Resources
Division Of Water Re50UICE5 DWARN&
Tracking/Acceptance for Sewer Extension Applications
(FTSE -04-16)
FntityApplicant Manic: CANE CREEK SEI ERDISTItICT
Projccl Name for which flow is being requested: 2018154 - NCDOT/OLD AIRPORT ROAD-CCWSD V00076CC
,110re than one FTSE nigr he inquired (vn.ringle prni"Ct if the owner n/'(he II'11 TP is mmol rraprui.vihle Jin' u1l tnimpstaimns ulnng the mune n% rhe
proposedira.ste+ratem_/lou'.
I. Complete this section only if you are the owner of the wastewater ocauncnl plant.
a. WWTP Facility Name: Water Reclamation Facility
b. WWI P Facility Permit 9: N00024911
All/laws are ie d/CD
c. WW I'll klcility's permitted lhat: 40
d. Estimated obligated Iloo not yet tributary to WWTP: 6.5087
c. WWTP facility's ❑coal avg Dow: 20.9545
f.'total naw for this specific request: 0.0009
g. Total actual and obligated flows to the Flcility: 27.4632 /
It. Percent ul'pern ued clow used: 69%
11. Complete this section 1'01-cach pump station you are responsible for along the route of this proposed water flow.
List pump stations located between the project connection point and the WWTP
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Approx. Obligated, Not Total Current
Pump Station Firm Average Daily Current Avg, Yet Tributary Flow plan Available
(Name or Capacity." Flow"* (Firm / Daily Flow. Daily Floe, obligated Capacity
Number) MGD pf) NIGD MGD MGD Flose !++
Carrier Bridge 22.600 9.040 7.358 1.6246 8.983 0.057
The Firm Capacity of any pump station is defined as the maximum pumped now that can be
achieved with the largest pump taken out of service.
"" Design Average Daily Flow is the firm capacity or the pump station divided by a peaking
factor (pf) not less than 2.5. .
"^ A Planning Assessment Addendum shall be attached rot, each pump station located
between the project connection point and the WWTP where the Available Capacity is <= 0.
Downstream Faciliq' Name (Sewer): AND of Buncombe County Collection System
DoN\'nstrcanr Permil Number. WQCS00004
Pane I ol'2 F"FSE 04-16