WQ0040247_Application (FTSE)_20190409

CITY
V 00 07"
COUNCIL:
BARBARA G. VOLK
CITY OF HENDERSON Y7
JOHN F. CONNEET.
Mayor
The City of Four Seasons
City Manager
RON STEPHENS
SAMUEL H. FRrrscHNER
Mayor Pro Tern
City Attorney
STEVECARAKER
WATER AND SEWERDEPARTMENT
TAMMIE K. DRAKE
JERKY A.SMITH, 1R.
JEFF MILLERILLER
Lee Smith, Utilities Director
City Clerk
Pursuant to approval of the above referenced project, please find the following attached documents for
review:
• Application modification fee in the amount of $480.00
• 1 signed and "sealed and 1 signed and sealed copy of the NCDEQ DWR Fast Track
Sewer application, including:
➢ Existing Fast Track Sewer Permit (W00040247) dated August 23, 2018.
➢ USGS project site maps
➢ Watershed Classification (WSCAC-01-15)
➢ FEMA FIRM Maps
➢ USDA Soil Map
➢ I x17" design drawings
Should you have any questions and/or comments, please feel free to contact me.
305 Williams St. IsmithQhvinc.gov Phone: [phone]
Hendersonville, NC 28792-4461 ww x1tyofhendersonville.org

RAROAG VOLK r CITY OF HENDERSONVILLE JOHN F. CO NET
Mayor The City of Four Seasons City Manager
RON NS `r SAMUEL H. FRITSCHNER
STEVEMayyoror Pro Tern City Attorney
JERKY A. SMITH,
WATER AND SEWER DEPARTMENT TAMMIE K. DRAKE
JERKY MILLER
,1R. Lee Smith, Utilities Director City Clerk
JEFF MILLER
March 22, 2019 /t DO JDZ
Memorandum of Transmittal n(�I g O yl
To: Timothy Heim, PE
Engineer
NCDEQ— Water Quality Regional Operations
From: Adam A. Steurer, El 2 6 2019 1
Utilities Engineer /` fJa MAR
City of Hendersonville, NC (�CfTr
Water and Sewer Department
u ne
P tvator puen+� ,z
CC: Lee Smith - Utilities Director
Brent Detwiler— City Engineer
Re: Submittal f modificatio of Fast Track Sewer Permit application for
City of Hendersonvi
Henderson ille 2017 Sewer Improvements — WQ0040247
The above referenFed pEoject'c�nsis€s olItHree I' er n aln `Pei Iblece}he Jts/re ioutesi Patton Park, Allen
Branch at Lakewo✓d Road, an Comet 'Drive. he Comet D ive sits wAslnot included in the original
permit (WQ0040247) issued August 23, 2018. These sewer improvements were initiated by the City's
Multi -area Streambank RestorationProject and will be performed in conjunction with streambank
construction. No additional wastewater flows will be generated by this project at,either site.
The purpose of the Patton Park project is to replace existing, deteriorating clay sewer mains that travel
along an unnamed tributary to Britton Creek and Britton Creek, respectively. All existing sewer main in
this project are of clay material and in poor condition. The City has elected to open cut three sections of
sewer main instead of pipebursting due to cost and constructability concerns. By doing so, the
alignment of the new sewer and pipe size/material will be altered slightly from the current permit.
Approximately 490 feet of the previously pipebursted 28-inch HDPE (I.D. = 24.5") is now proposed as
24-inch PVC (I.D. = 23.4"). Please note, the size difference of the ID is minimal. This proposed main is
sized to have adequate capacity for 2040 projected flows during a 2-year storm event according to the
City's recent sewer master plan.
The purpose of the Allen Branch at Lakewood Road project is to reroute an existing 12-inch gravity
sewer main in which existing sewer main has been exposed due to streambank erosion. This portion of
the project has not changed from the original permit.
The purpose of the Comet Drive project is to eliminate an aerial sewer creek crossing and consists of
approximately 242 feet of 8-inch sewer main. This project site has been added to the modified permit.
305 Williams St. [e-mail] Phone: [phone]
Hendersonville, NC 28792-4461 mvw.cityofhendersonville.org

DocuSign Envelope ID: 435607E2-7370-413D-9C35-1 D5576C6955
ROY COOPER
Gmrmor
MICHAEL S. RECAN
se<rewo,
LINDA CULPEPPER
laredni Dlremor
August 23, 2018
Lee Smith, Utilities Director
City of Hendersonville
305 Williams Street, Ste 119
Hendersonville, NC, 28792
Subject: Permit No. WQ0040247 -
City of Hendersonville
Hendersonville 2017 Sewer Improvements
Wastewater Collection System Extension Permit
Henderson County
Dear Mr. Smith:
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Uiya 110"d ca.
plvls an of OR 2 6 2019`
relua
Wetcrgr Irv6�>'=
net-�-•... -..
In accordance with your application received August 15, 2018, we are forwarding herewith Permit No.
WQ0040247 dated August 23, 2018, to the City of Hendersonville (Permittee) for the construction and
operation upon certification 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 the following conditions contained within this permit:
Condition 11.1: This permit shall not be automatically transferable; a request must be made and
approved.
Condition 11.4: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T.0403 or any individual system -wide collection system
permit issued to the Permittee.
It shall be the responsibility of the Permittee 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.
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.
2090 LL5. 70 Highway, Swannanoa, NC 28778
Phone: [phone]\ Internet: www.ncwatergualltY.org
An Equal Opportunity \ Affirmative Actlon Employer— Made in part by recycled paper

Docagign Envelope lD:435607E2-7370-413D-9C35-1D5576C69554
Hendersonville 2017 Sewer Improvements
Permit No. WO0040247
If you need additional information concerning this matter, please contact Tim Heim at [phone] or
via e-mail at [e-mail].
Sincerely,
ComSlpnW by:
[per' A'
reenreaaese4ec:..
G. Landon Davidson, Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
cc: Brent Detwiler, P.E.— City of Hendersonville(electronic copy)
Regional Office Files - LF
Water Resources Central Files -1617 MSC
PERCS (electronic copy - LF)
20180823_WQ0040247_PERM.docx
Page 2 of 9

DocuSign Envelope ID: 435607E2-7370-413D-9C35-1 D5576C69554
N
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
City of Hendersonville
Henderson County
for the construction and operation of 490 lineal feet of 28-inch pipe, 976 lineal feet of 24-inch pipe
(Patton Park Site) and 319 lineal feet of 18-inch pipe, 361 lineal feet of 12-inch pipe (Allen Branch Site)
to serve as sewer rehabilitation as part of the Hendersonville 2017 Sewer Improvements project, and
the discharge of zero additional gallons per day of collected wastewater into the City of Hendersonville's
existing sewerage system, pursuant to he application received August 15, 2018, and in conformity with
15A NCAC 2T; 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.
o«uaianm ny:
]E81]A302PSBCBG..
G. Landon Davidson, Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office, Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number: WQ0040247
Permit Issued: August 23, 2018
6dAR 2 6 7oill
Page 3 of 9

Docul Envelope ID: 43560]E2-7370-413D-9035-1D55]6C69554
SUPPLEMENT TO PERMIT COVER SHEET
City of Hendersonville is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension.
The sewage and wastewater collected by this system shall be treated in the City of Hendersonville
Wastewater Treatment Facility in accordance with Permit Number N00025534.
Permitting of this project does not constitute an acceptance of any part of the project that does not
meet 15A NCAC 2T; the Division's 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. -
i
Construction and operation is contingent upon compliance with the Standard Conditio'q,,4��iperit Pied) ',
below.
STANDARD CONDITIONS
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
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. [15A NCAC 02T.0104; G.S 143-215.1(d3)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; 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 materials unless specifically mentioned herein. [15A NCAC 02T.0110]
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T.0110]
4. 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 2T .0403. If an individual
permit is not required, the following performance criteria shall be met: [15A NCAC 02T.0108(b)]:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or
surface water standards.
It. A map of the sewer system shall be developed and shall be actively maintained.
Page 4 of 9

DoceSign Envelope ID: 435661E2-1310413D-9035g05516C69554
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). 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 -months and inspections
are documented. '
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 28.0506(a), and public notice shall be provided as required by North
Carolina General Statute §143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal meansto require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j.. Documentation shall be kept for Subparagraphs (a)through (i) of this Rule for a minimum of
three years with exception of the map, which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Asheville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours,
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 S5O and/or spill over 1,000 gallons; or
c. Any S50 and/or spill, regardless ofvolume, that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number [phone] or (919)
Page 5 of 9

DocuSigr Envelope ID: 435607E2-7370-413D-9C35-1 D5576069554
733-3300. Persons reporting any of the above occurrences shall file a spill report by completing and
submitting Part I of Form CS-550 (or the most current Division approved 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. Part 11 of Form CS-S50 (or the most current
Division approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-
215.1C(a1)]
6. Construction of the gravity sewers, pump stations, and force mains 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 of the State. [15A NCAC 02T.0106(b)]
7. Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification form attached to this permit shall be submitted with the required
supporting documents to the address provided on the form. A complete certification is one where
the form is fully executed and the supporting documents are provided as applicable. 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.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted with
the certification. -
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
number/type of connections), regulations, or the Minimum Design Criteria. Requested
Page 6 of 9

DocuSign Envelope ID: 435607E2-7370413D-9C35-1 D5576C69554
modifications or variances to the Minimum Design Criteria will be reviewed on a case -by -case basis
and each on its own merit. Please note that variances to the Minimum Design Criteria should be
requested and approved during the permitting process prior to construction. After -construction
requests are discouraged by the Division and may not be approved, thus requiring replacement or
repair prior to certification & activation. [15A NCAC 02T.01161
8. Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified
until corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case -by -case basis. Resolution of such request shall be evident prior to completing and
submitting the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities. [15A NCAC 02T .0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; 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, construction of additional or replacement wastewater collection facilities,
and/or referral of the North Carolina -licensed Professional Engineer to the licensing board. [15A .
NCAC 02T.0104; 15A NCAC 02T.0108(b-c)]
11. 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. [15A NCAC 02T.0110; 15A NCAC 02T.0108(b)]
12. 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 the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 9

NCDEQ DWR Fast Track Sewer Application

' I State of North Carolina
DWR0 y�0 'z 7 Department of Environmental Quality
{{{ Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION
This application is for sewer extensions involving 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 02T and the Division's
Minimum Design Criteria 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 available upon request by the Division.
Projects that are deemed permitted (do not require 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 require an environmental assessment in accordance with 15A NCAC I .0100;
➢ Projects that do not meet any part of the minimum design criteria (MDC) document;
➢ Projects that involve a variance from the requirements of ISA NCAC 2T;
➢ Pressure sewer systems utilizing septic tank -effluent pumps (STEPS) or simplex grinder pumps;
➢ 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 required 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 of Application and Supporting Documents
® Required unless otherwise noted
B. Cover Letter (Required for All Application Packages):
N 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.
➢ If necessary for clarity, include attachments to the application form.
C. Application Fee (All New and Major Modification Application Packages):
® Submit a check or money order in the amount of $480.00 dated within 90 days of application submittal.
➢ Payable to North CarolinaDepartment of Environmental Quality CNCDEQ)
D. Fast Track (Form: ETA 04-16) Application (Required for All Application Packages):
® 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 1.2 is a corporation or company, provide documentation it is registered for business with
the North Carolina Secretary of State.
Cl 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 II.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 En
® 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).
INSTRUCTIONS FOR FORM: ETA 04-16 & SUPPORTING DOCUMENTATION Pagel of3

E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (If Applicable): N h PO (10VIa1 View J.
❑ 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 form 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 and will not violate G.S. 143-
215.67 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 USGS Topographic Map of sufficient scale to identify the entire project
area and closest surface waters.
➢ Location of the project (gravity sewer, pump stations & force main)
➢ Downstream connection points and permit number (if known) for the receiving sewer
❑ Include a street level map showing general project area.
G. Existing Permit (All Modification Packages):
® Submit the most recently issued existing permit.
® Provide a list of any items within the permit the Applicant would like the Division to address during the permit
modification (i.e., permit description, flow allocation, treatment facility, etc.).
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per 15A NCAC 02T 0305(h)(]) submit documentation of power reliability for pumping stations. NIA
➢ 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)
I. Certificate of public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities): Al
❑ Per 15A NCAC 021' 0115(a)(1) provide the Certificate of Public Convenience and Necessity from the North Carotin
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 Watei 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 or that
franchise approval is expected.
J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ Home/Property Owners' Associations NB
❑ Per ISA NCAC 02T 01 IS(o), submit the properly executed Operational Aereement (FORM, HOA).
❑ 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 website
INSTRUCTIONS FOR FORM: FTA 04-I6 & SUPPORTING DOCUMENTATION Page 2 of

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACI£ SEWER SYSTEM EXTENSION APPLICATION
Divislon of Water Resources ETA 04-16 & SUPPORTING DOCUMENTATION
Application Numbe. y to, e completedbYDWR)
All items must be completed or the application ill be returned
L APPLICANT INFORMATION:
1. Applicant's name: City of Hendersonville (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Lee Smith per 15A NCAC 02T .0106(bl
Title: Utilities Director
4. Applicant's mailing address: 304 Williams Street
City: Hendersonville State: NC Zip: 28792
5. Applicant's contact information:
Phone number: [phone] Email Address: ] 'th@hvhrc e
H. PROJECT INFORMATION:
1. Project name: Hendersonville 2017 Sewer Improvements
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: W00040247 and issued date: 8/23/2018
If new construction but part of a master plan, provide the existing permit number: W000
3. County where project is located: Henderson
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.334144' Longitude:-82.46914°
5. ParcellD(if applicable): 9569537877
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer. Brent Detwiler License Number NO,
03490E
Firm: City of Hendersonville
MAR 2 G 2919
Mailing address: 304 Williams Street
City: Hendersonville State: NC Zip: 28792-_ Water Qm+gb
-sons
Phone number: 828 233-3060 Email Address: [e-mail] P 1 ^ _
IV. WASTEWATER TREATMENT FACILITY(WWTF) INFORMATION:
1. Facility Name: City ofHendesonville WWTP Permit Number NCO025534
Owner Name: City of Hendersonville
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: 2 sites 24-inch one site 8-inch inch
System Wide Collection System Permit Number(s) (if applicable): WQCS00070
Owner Name(s): City of Hendersonville _
FORM: ETA 04-16 Page 1 of

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: FLY) been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a Home/Property Owners' Association has an 02erationai Agreement (FORM. HOAI been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply)
M 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 _
M Food and drink facilities
❑ Church
❑ Swimming Pool/Filter Backwash
M Businesses / offices / factories
❑ Nursing Home
❑ Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic/Commercial 0 % Commercial
Industrial (See ISA NCAC 02T 0103(20)1
"Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T 0114(fl? ❑ Yes M No
➢ if Yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01I4(Dl
Daily Design Flo -,h
No. of Units
'Flow
REHABILITATION/REPLACEMENT NO
NEW FLOWS
0 gal/day
0
0 GPD
gal/
GPD
gaV
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
0 D
a See 15A NCAC 02T .0114(b) (it), (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 new 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 C.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T 01141 shall be
determined using available flow data, water rising fixtures, occupancy or operation patterns, and other measured data.
S. Wastewater generated by project 0 D (per 15A NCAC 02T .0114)
➢ Do not include future flows or reviously 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 ah'eady been allocated in Permit Number:
M Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 At MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
M
;SDR
➢ Section II & M 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
I. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational points) of the pump(s): gallons per minute at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliability in accordance with 15A NCAC 027 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 awned 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 0416 Page 3 of 5

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) ® Yes ❑ No
➢ 15A NCAC 02T.0305(t) contains minimum separations that shall he nravided for 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 fact
Reclaimed water lines vertical - reclaimed over sewer)
18 inches
Reclaimed water Imes(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
hi a water or fide elevation and wetlands see item IX.2
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
An buildiniz foundation
5 feet
Any basement
10 feet
Top sloe of embankment or cuts of 2 feet or more vertical height
10 feet
Drama e systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305(e) contains alternatives where separations in 02T 0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Sri face Water Classificationswebnaae
➢ If noncompliance with 02T.0305(fl or (a) see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No
9 See the Division's draft separation requirements for situations where separation cannot be meet
9 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 all setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ❑ Yes ® No
9 Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
9 Information canoe obtained from the 401 & ➢uffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105 e 6 (additional permits/cerdfieations)? ❑ Yes ® No
Per 15A NCAC 02T 0105(e)(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, stornrwater 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. wk 4?Vsi ^
❑ Yes ®No ' i11
➢ If yes, include an attachmentwith 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

X.
1. Does the submitted system comply with 15A NCAC 02T the Minimum Design Criteria fo'the Permitfne of PUMP Stations
and Force Mains (latest version) and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
E Yes ❑ No
If No, complete and submit the Valiance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Anproval of the request is required Prior to submittal of the Fast Track Application and supporting documents.
2. ProfessionalEngineer's Certification:
p
1, 'hl a A F attest that this application for
(Professional Engineer's time from Application Item Ill. 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 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 143-215.613, 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.
North Carolina Professional Engineer's seal,signature, and date:
I
3. Applicant's Certification per 15A NCAC 02T .0106(b):
this application for
(Signature Authority's name & title from Application Item 1.3.)
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 retained 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.
NOTE — In accordance with General Statutes 143-215.6A and 143-215,6E 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: d " Date: 7
FORM: FTA 04-16 Page 5 of 5

USGS Project Site Map

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DWR
Division of Weser &esources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Watershed Classification Attachment (WSCAS 01-15)
Along with this form, submit a color copy of a USES Topographic Map to identify the project area and
waterbodies. Each map or maps must show the location of the sewer system and include location Identifiers
where the system traverses over or near waterbodies. The map should have location ID's for each different
waterbody and corresponding classifications should be recorded.
Include the completed form and map portions with the permit application for submittal to the appropriate review
agency. A list of the Division's regional offices, their county coverage, and contact information can be obtained
from: http://portal.ncdenr.org/weblwq/home/ro
aterbody'
River
Basin
Waterbody
Index No.
Waterbody
Classification
reek
French Broad
6-55-9
C
n Creek
French Broad
6-55-9
C
ranch
French Broad
6-55-11-14
Creek
F ouch Broad
6-55-11-5
C
M
` If unnamed, indicate 'unnamed tributary to X", where X is the named waterbody to which the unnamed tributary joins.
I certify that as a Registered Professional Engineer in the State of
North Carolina that I have diligently followed the Divisions s"'tH�nAr'rir4 ,
instructions for classifying waterbodies and that the above
classifications are inclusive of the stated project complete and -8,
correct to the best of my knowledge and belief. of
3FXA`�
PE Seal, Signature and Date � 06

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Soil Map —Henderson County, North Carolina
Map Unit Legend
Soil Map - Allen Branch Site
Map Unit Symbol
Map Unit Name
Acresm A01
Percent of AOl
BaB
Branson gravelly loam, 2 to l
8.3
12.4%
percent slopes
Co
Caroms loam(arkaqua)
32.5
48.6%
EdE
Edneyville(enneNown) fine
109
15.1
sandy loam, 15 to 25
percent slopes
Up
Ed neyville(edneytown) fine
0.3
0.4%
sandy loam, 25 to 45
percent slopes
NYC
Hayesvllle loam, l to 15
13.4
20.0%
percent slopes
NYE
Hayesville loam, 15 to 25
2.4
3.5%
percent slopes
Totals for Area of Interest
66.9
100.0%
USDA Natural Resources Web Soil Survey 1/19/2016
Conservation Service National Cooperative Soil Survey Page 3of3

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Soil Map —Henderson County, North Carolina
Map Unit Legend
Sul Map - Patton Park Site
Map Unit Name
Acres In AOi-Percentof
AOl '
odorus loam (arkaqua)
261
36.1 %
E:07
elano (dillard) loam, 2 to ]
percentslopes
3.0
4.1
tboro loam
06
0.8%yesville
loam, Ito 15
percentslopes72.2
42.5
59.0%
100A%
WDA Natural Resources Web Soil Survey 1/19/2018
Conservation Service Natlonal Cooperative Soil Survey Page 3of3

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Soil Map —Henderson County, North Carolina
Comet Drive Sewer Replacement
Map Unit Legend
Map Unit Symbol
Map Unit Name
Acres in A01
Percent of AOl
BrC
Brevard loam] to 15 percent
slopes
2]
4.2%
Co
Codorus loam mrkaqua)
14.1
21.8%
Deft
Delanco(dillard) loam, 2 to]
percent slopes
6.0
9.2%
EnB
Elsinbom loam, 0 to 3 percent
slopes
9.3
14.3%
EwE
Evard soils, 15 to 25 percent
slopes
14.2
21.9
HyC
Hayesville loam, Ito 15
percent slopes
18.4
28.5%
Totals for Area of Interest
64.8
100.0%
USDA Natural Resources Web Soil Survey 3/19/2019
Conservation Service National Cooperative Sail Survey Page 3 of 3