WQ0041190_Application (FTSE)_20190920

mcg111W� y Shaping Communities Together
September 13, 2019
NCDEQ D Asheville Regional Office Sip
Water Quality Section / ,
2090 US Highway 70 Wa 9 Zal9 /!
Swannanoa, North Carolina 28778 ter �Jua/it
RE: Fast Track Sewer System Extension Application n VIegi on�,, rcr9ti0nc
i/ 0/fibs
Dear Mr. Heim,
Please find included with this letter the Fast Track Sewer System Application (FTA 04-16) with
supporting documentation for the Haywood Crossing Subdivision project. A gravity sewer
system has been approved by CCSD to serve a proposed 20 lot subdivision (one -single family
per lot) located near 123 Haywood Park Dr, Hendersonville, NC 28791. One sewer service is to
be installed per lot, and a maximum of 9,600 gpd has been approved by MSD in an allocation
approval dated 8/15/19. Lastly, 2752 LF oi8" DIP is proposed to be installed.
I
In addition to the Fast Track Sewer System Application the following has been included:
1. An application fee in the amount of $480.00
2. Form FTSE 04-16 and FTSE 10-18
3. MSD Allocation Approval
4. Vicinity Map
5. USGS Quad Map
Sincerely,
MCGILL ASSOCIATES, P.A.
-7
TREVOR HENDRIX
Engineering Associate
MCG ILL ASSOCIATES 55 BROAD STREET, AS HE VILLE, NC 28801 /828.252.0575 / MCC I LLASSOCI ATE S.COM

State of North Carolina
DWR Department of Environmental Quality
Division of Water Resources
I5A NCAC 02T .0J00- FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources ETA 04-16 & SUPPORTING DOCUMENTATION
waooyngt�
Application Number: (to be[mnicted by DWR)
All items must be conrrdeted or the anulication will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Cane Creek Sewer District (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ® Other
3. Signabu'e authority's name: Marcus A. Jones perl5ANCACO2T.0106(b) D�(
Title: Director of Enei teen ng
4. Applicant's mailing address: I Histar'c Cot 91rot se Square, Suite 6 1 �
City: Hendersonville State: NC Zip: 28792-SEP /
_ 82p/g `l
5. Applicant's contact information: Water QUdl
Phonenumber.(828)N4-6526 Email Address: i.Rov Ash@yj//(y Re�lOnl)QI,
s Re9iona! Office eons
II. PROJECT' INFORMATION:
I. Project name: Haywood Crossing Subdivision
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQOO and issued date: _
Ifuew construction but pan ofa master plan, provide the existing permit number: WQOO_
3. County where project is located: Henderson
4. Approximate Coordinates (Decimal Degrees); Latitude: 35.365°Longitude:-82.520-
5. Parcel ID(ifapplicable):
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION
I. Professional Engineer: Scott Burwell License Number: 039177
Firm: McGill Associates
Mailing address: 55 Broad Street
City: Asheville State: NC Zip: 28801-_
Phone number: [phone] Email Address: scott barwellfa nce'llassoc'ates corn
IV. WASTEWATERTREATIVIEN7'FACILITY(WWTF) INFORMATION:
Wmoe<i✓ WWT!
I. Facility Name: WaterReeMnredetrFaeihly Permit Number: N00024911
Owner Name: CaxeSreek—WekrandSewscDisWG-M5� a<'Uuti z v,H_sE
V. RECEIVING DOWNSTREAM SEWER INFORMATION(ifdifferentillan WWTF):
I. Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: 12— inch
System Wide Collection System Permit Nt nbe'(s) fit applicable): WQCSQQ/— D¢
Owner Neuritis): �A-N6� ziy;,r 4VrAY�G2 �q ✓v'K D/r Y2 zGy
FORM: PTA 04-16 Page I of 5

VI. GENERAL REQUIREMENTS
I. Ifthe Applicant is a Privately -Owned Public Utility, has a Cei iflcate 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 D v I o Operational Agreement (FORNf DEVI been attached?
❑ Yes ❑No ®N/A
7. Ifthe Applicant is a Home/Property
Owners' Associafo t has air Operational Agreement (FORM: HOA) been attached?
❑ 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 andlm Motels
❑ School / preschool / day cam
❑
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. Nmureafwastewater: 100%Domestic/Commercial ^ho Commercial
_ % Industrial (See 15A NCAC 02T .0107(20))
"Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a Row reduction heart approved under 15A NCAC 021.O114(f) ❑ Yes ® No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114fU1
Daily Design Flow""
No. of Units
Flow
Dwelling (Single Family)
480 gal/unit
20
9,600 D
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
480 &q"'
a See 15A NCAC 02T 0114(b) (d) (ell l) and (e)(2) for caveats to wastewater design Row rates (i.e., minimum flow per
dwelling; proposed unknown non-resideurial development uses; public access facilities located nearhigh public use areas;
and residential property located South or east ofthe Atlantic Intracoastal Waterway to be used as vacation remals 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, er using frxtmrs, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 9 600 PD (per 15A NCAC 02T.0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number: _
❑ Rehabilitation m replacement ofexisting sewer with no new flow expected
❑ Other (Explain): _
FORM: FTA 04-I6 Page 2 of 5

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable)-02T.0305& hIDC(Gravily Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 2752 DIP
Section 11 & III offl a MDC for Permitting of Gravity Sewers contains information iclated to design criteria
➢ Section III contains information related to minimum Slopes forgravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed And a violation of the NIDC
Vill. PUMP STATION DESIGN CRITERIA (IfApplicable)-02T.0305 & MDC(Pump Slations/Fore¢Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. Pump station number or name: _
2. Approximate Coordinates (Decimal Degrees): Latihude: Longitude: -
3. Design Row ofthe pump station: _ millions gallons perday (Firm capacity)
4. Operational point(s) ofthe pmmp(s): gallons perminute 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 02T 0305(I)(I):
❑ Standby power source m pump with automatic activation and telemetry - 15A NCAC 02T.0305(h)(I)(B)1
'v Required for all pump stations with an aver age daily Row greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility
Or ifthe pump station has an average daily Flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick-conuection receptacle and telemetry- ISA NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T.0305(h)(I)(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.
7 If the portable power source or pump is dedicated to multiple pump stations, an evaluation ofall the pump stations'smrage
capacities and the iotation schedule ofthe portable power source or pump, including travel timefiames, shall be provided
in the case Of. multiple station power outage.
FORM: FTA 04.16 Page 3 of 5

IS. SETBACKS&SEPARATIONS—(02B4O200& 15ANCACO27'.0305(0):
1. Does the project comply with all separatima found in 15A NCAC 02'f 0305(D & (e) ® Yes [:]No
Y I;A Ur A mTnmern.,..,,n:.,e.,,ln:...u.,, ee.- (......J...,..6.uA.........:1.A G.. ee...e....,e,a.,.e.
Setback Parameter*
Separation Required
Smrut sewers and other utilities not listed below vertical
24 inches
Water mains vortical -water over sewer including in benched trenches
IS inches
Water mains horizontal
10 feel
Reclaimed water lines vertical- i cultired over sewer
IS inches
Reclaimed water lines than izontal - reclaimed aver sewer
2 feet
**Any private or public water supply source, including any wells, WS-1 waters of Class I or
Class II impounded reservoirs used as a source of drinking water
100 feet
**Waler's classified WS (except WS-I of WS-V), B, SA, ORW, HQW, or SB from normal
high water or tide elevation and wetlands see item IX.2
50 reef
**Any otherstream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope ofentloankment or cuts of2 feet or more vertical height
10 feet
Drains e s stems and interce for drains
5 feet
An swimmin ools
10 feet
Final earth grade vertical
36 inches
D 15A NCAC 02T 0305(e) contains alternatives where separations in 2T0 0305(o cannot be achieved.
D **Stream classifications can be identified using the Division's NC Surface Water Classifications webnaee
D If noncompliance with 02T.0305(B or (2), see Section X oflhis application
2. Does the project comply with separation requirements for wetlands? (50 feet ofsepamtion) ®Yes []No ❑ N/A
Seethe Division's draft separation requirements for situations where separation cannot be meet
D No variance is required if the alternative design criteria specified is utilized in design and construction
i 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
D 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?
D Information can be obtained from tte 401 & Br ffer Perntittiae Branch
5. Does project comply with ISA NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environnncutal 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, storntwater 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 nerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ❑ No ® N/A
D 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 lie, mittee or its representativeat 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-I6 Page 4 of 5

CERTIFICATIONS,
I. Does the submitted system comply with 15A NCAC 02T, the Minimum D slat UiErlit for the Pdaninfln, of PuantISIIII211s
unit Llama Mallet (latest version), and the Gravity Sewer Minimum Design Criteria (latest version l as npplicable?
® Yes ❑ No
IfNo, complete and submit the VoriancolAlternativo Design Request application (VADC 10.14) and supporting documents for
review. Amnmyol artful largesti. recoiled nrior to submittal oftla, Ismit7rockA II tl t supports, documents.
2. Professional Enginece5CIenificm atio1
I, SW�'r er"f Lie attest that this application for
(Professional Engineer's name 0om Application Item III.I.)
has been reviewed by me and Is accurate, complete and consistent with the information supplied In the plats, speei0oatlons,
engineering calculations, aid all other supporting documentation to the best of my knowledge. 1 lumber agent that to the best
of my knowledge the proposed design has been prepared in accordance will, the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Servers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Maine (latest vemlon). Although otherprolhsslonals may have developed certain ponimis 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 143815.6A and 143.215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall W guilty of a Class 2 misdemeanor, which may
Include a 0le not to exceed $10,000, as well as civil penalties no to $25.000 oar violation.
North Carolina Professional Engineer's seal, signature, and date;
3. Applicant's Certification per BA NCAC 02T.0106(b):
I, 11111�-g F-f. >7 4,Ve,1A1A?i5ttest that this application for
(Signature Authority's name & title from Application Item 1.3.d
has been reviewed by me and is accurate and complete to the best of my knowledge, I understand that if all required pans of
this application are not completed and that if all required supporting documentation and allechnients are not Included, this
application package Is subject to being returned as Incomplete. I understand that any discharge of wastewater front this ace.
discharge system to surface waters or the loud will result In an immediate enforcement action that may include civil penalties,
itUanclive relief, anNor criminal prosecntian. I will make no claim against Ike Division of Water Resources should a condition
ofthls permit be violated. I also understand that If all required parts of this application package are not completed and that if
all required supporting information and atmchmenis are not Included, this application package will be returned to me as
incomplete.
NOTE — In accordance with General Statutes 14,1 -2 ,6A and 1,4$_2-15.611 any person who knowingly makes any false
smtemeet, representation, or codification 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.
sigaimro: Date:
FORM: FTA 04.16 Page 5 of 5

State of North Carolina
DWR Department of Environmental Quality
Division of Water Resources
15A NCAC 02T.0300 - FAST' TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources wa ooqif t FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number, (to 6e compleltd by DWR)
All items most be camoleted or the aonlication will be returned
1. APPLICANT INFORMATION:
I. Applicant's name: Cone Creek Sewer District(company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Mmticipal ® Other
3. Signature authority's name: Marcus A. Jones perl5ANCACO2T.0106(b)
Title: Director ofEne'seer'te
4. Applicmd's mailing address: I Historic Courthouse Square, Suite
City: Hendersonville State: NC Zip: 28792-
5. Applicant's contact information:
Phone number. [phone] Entail Address: mionesGDhendersoncountvnc.gov
11. PROJECT INFORMATION: �/
1. Project name: Haywood Crossing Subdivision diAshe y i((l
l Regional
2. Application/Project status: ®Proposed (New Permit) ❑ Existing Permi ermiin'giCnd/ �per=7i%O
Ifa modification, provide the existing permit number: WQOO and issued date: _ �ffCa nS
If new construction but part of a master plait, provide the existing permit number: WOOD_
3. County where project is located: Henderson
4. Approximate Coordinates(Decimal Degrees): Latitude: 35.365°Longitude:42.524°
5. Parcel ID(ifapplicabley _
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION
I. Professional Engineer: Scott Burwell License Number: 039177
Firm: McGill Associates
Mailing address: 55 Broad Street
City: Asheville State: NC Zip: 28801-_
Phone number: [phone] Email Address: scou.burwell 0ntegillassociates com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
WererIv WW7-=
I. Facility Name: Woret-ReclantaHnn-Facility Permit Number: NCO024911
Owner Name; 6ane6reek-iA'afewuxd-Sewer-DislricF M5p F< ZY �^ ee K�a6
V. RECEIVING DOWNSTREAM SEWER INFORMATION(ifdifferentihan WWTF):
1. Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: /2- inch
System Wide Collection System Pe nit Nunber(s)(ifapplicable): WQCSJOZ D¢
Owner Name(s): �Rrv6 �.r-�r�ic. 4VrN y'�x re, --�z rvv-rr .Dvs-yam eGy
FORM: FTA 04-16 Page I of 5

VI. GENERAL REQUIRENIF.NTS
I. 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 Developerof lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a Home/Pro erl
Owners' Association has an Operational Agreement FORM. HOA been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
®
Residential Owned
❑ Retail (stores, centers, malls) ❑ Car Wash
❑
Residential Leased
❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑
School / preschool / day care
❑ Medical / dental / veterinary facilities ❑ Swinuning Pool /Clubhouse
❑
Food and drink facilities
❑ Church ❑ Swimming Pool/Filter Backwash
❑
Businesses / offices / factories
❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 1000/6Domestic/Commercial %Commercial
_ % Industrial (See 15A NCAC 02T .0103(201)
"Is there a Pretreatment Program in effect? ❑ Yes [:]No
6. Has a now reduction been approved under 15A NCAC 02T.0114(Fl? ❑ Yes ® No
➢ If yes, m ovide a copy of Dmv reduction main oval letter
J. Summarize wastewater generated by project:
Establishment Type (see 021.011
Daily Design Flow "^
No. of Units
Flow
Dwelling (Single Family)
480 gal/unit
20
9,600 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Totnl
480 GPD
a See 15A NCAC 02T 0114010 id), (elll) and (c)(2) for caveats to wastewater design now rates (i.e., minimum Row 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.& 42A-4).
b Per 15A NCAC 02T.0I 14(c), design Row rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available Row data, water using fixtures, occupancy cooperation patterns, and other measured data,
8. Wastewater generated by project: 9 600 GPD (per 15A NCAC 02T.0114)
➢ Do not include future Rows or previously permitted allocations
If permitted now is zero, indicate why:
❑ Pump Station or Gravity Sewerwhere Row will be permitted in subsequent permits that connect to this line
❑ Flow has alrendy been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new Row expected
❑ Other (Explain): _
FORM: PTA 04-16 Page 2 of 5

VII. GRAVI'rl'SEwER DESIGN CRITERIA (If Applicable).02T.0305& KDC(Gravity Severs):
I. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 ••-• 2752 DIP
Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MUG
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 021' .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 ofthe pump station: _millions gallons per day (firm capacity)
4. Operationalpoiid(s)ofthepmnp(s): _gallons per minute ot feel total dynamic head(TDfp
S. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Paver reliability in accordance with 15ANCAC 02T.0305fh)(I1:
❑ Standby power source or pump with automatic activation and telemetry- 15A NCAC 02T.0305(h)(1)(R).
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 - ISA NCAC 02T
.0305(h)(1)(C)
or
❑ Fourth Ia pumping trait with plugged emergency pump connection and telemetry- 15A NCAC 02T.0305(h)(1)(Cy
➢ 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 tine pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel bacchantes, shall he provided
in the case Of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SE'I'BACKS&SEPARA'1'IONS—(02R.0200& 15A NCACO2T.0305(0):
1. Does the project comply with NI separations found in 15A NCAC 021'.0305(f) & (e) ® Yes ❑ No
D 15ANCACO2T0305(A,unmins... into..... eona.nnnnc rhar et,nll Ha nr,.vidnd fur mwar werainc
Setback Pamnmter*
Se anmtion Required
Stornt sewers and other utilities not listed belmv 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
2feet
**Any private or public water supply source, including any wells, WS-1 waters of Class I or
Class 11 impounded reservoirs used as a source ofdriliking water
100 feet
**Waters classified WS (except WS-I or WS-V), B. SA, ORW, HQW, or SB from normal
bi h water or tide elevation and wetlands see item 1X.2
50 feet
**Any other snnant, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope ofetnbankinent or cats eft feet in more vertical [eight
10 feet
Drainage 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 02'r.0305(f) cannot be achieved.
D **Stream classifications cat, be identified using the Division's NC Surface Water Classifications weboaee
D If noncompliance with 021'0305(Hor Is) see Section X ofthis application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes []No ❑ N/A
D See the Division's drag 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
Y Asbuiltdomnnentsshonld referencethelocationofareaseffected
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 213.0202
4. Does the project require coverage/mmlurization undm a 404 Nationwide or ® Yes ❑ No
individual permits or 401 Water Quality Certifications?
➢ Information con be obtained from the 401 & Buffer Permitting Bra tch
5. Does project comply with ISA NCAC 02'E0105(c)(6) )(additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits m certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance ofdependent permits (erosion and
sedimentation control plans, sturniv ater 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 sever, sewer contacting surface waters, siphon, or sewer
positioned parallel to streautbanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes [:)No ® N/A
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be Inspected by the permittee or its representative at least once every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the permitee's individunl System -Wide Collection permit.
FORM: PTA 04-I6 Page 4 of 5

CERTIFICATIONS:
I. Does the submitted system comply with 15A NCAC 02T, [he M'r' na n Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version) and [Ire GravityGravily ScVgr MillijujiM Design Criteria (latest ) as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Amrraval of (lie renrest is read ired prior to submittal of the Fast Track A rpllcalimr and su mort'na documents,
2. Professional Engineer's Certification:
I, Id 191f UQll attest that this applicalion for
(Professional Engineer's name from Application Item III, I.)
has been reviewed by me and is accurate, complete and consistent with the information supplied in tine plans, specifications,
engineering calculations, and all other supposing 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 the applicable regulations, Gravity Steel
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria forms 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 143-215.6R, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T.0106(b):
1, �&-s ' --J '-�' � >7y!./iVEf tles[ that this application for
(Signature Authority's name & title from Application Item 1.1)
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, [his
application package is subject to being returned as incomplete. 1 understand that any discharge of wastewater from this nor.
discharge system to surface waters or the land will result iu an immediate enforcement action that may include civil penalties,
injunctive relief, end/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 ifall required parts of this application package are not completed and list if
all acquired 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
armament, 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: OK"�a Dale: y_T
FORM: FTA 04.16 Page 5 of 5

State of North Carolina
Department of Environment Quality
Division of Water Resources
Flow TrackinglAcceptance for Sewer Extension Applications
of Water Resources IFT.AP.nd-in)
Entity Applicant Name: CANE CREEK WATER AND 3GWER DIS'1'I21CT
Project Monte no which no", is being requested: 2019171 . HAY WOOD CROSSING SUBDIVISION -CC WSD Y00087CC
blare Ibnn one Mli.1, bs rvdabed fa'n.rlOBlu prrol.el lNa, mvuer ofoW IVO'71' 1. cal respomdbl.Jur nllpmnlr slnlaw. along lire mule s/Ne
prnposedlvngemnlmyl."
L Complete this section Only il'you are the owner of the wastewater hxntnrent pleat.
o. WWTP Facility Nairn: Water Reclamation Facility
b. WWTP Facility Permit l): NCO0249❑
AlI lows are in MGD
c. W W'I'P facility's pencilled new:
40
d. Estimated chligal.d flow not yet 1, bntury to W W'1'P:
7.9481
e. WWTP lacility's actual avg flaw:
20.7596
F. Total flow par this specific request:
0.0096
g.'1'otal actual and obligated flows to the Incility:
28.7078
h. Percent or permitted now used:
72
11. Complete this section tar each pump station you are responsible broiling [lie route orlbis proposed water Ilow,
List pump stations located blawcen the project connection point and the WWTP
(A)
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Design
Approx.
Obligated, Net
Total Current
Pmnp Station Firma Average Daily
Currenl Avg.
Yet Tributary
Flow Plus
Available
(Nano or Copaclty'. Plow••(1'irna/
Doily Flow,
Daily Flow,
Obligated
Capacity
Number) MOD pl) MOD
MOD
MOD
Plow
...
Carrier Bridge 22.600 9.040
7.758
2.2076
9.566
-0.526
The Firna Capacity orally pump station is defined as the maximum pungeA Dow that are b� /l�/�y,
ach
punip
nion
ofs
"Design Average
Daily
tlow Is
tthefiOut capacity
g/al,II�I r..:J
"^Design Average Dnfly plow is the Oro opacity of the pump station dlvidcA bynpenking
anclor(p) list less Ihmt 2.5. SFF' 8 019
ter A Planning Assessnseat Addend.... shall be attached for each pump station located d/-,P [ J
between the project connection point and the WWTP Ober. the Available Capacity Is o 0. Ildlif� F�
l;'a 010
Dowvnstream Facility Name (Sewer): MSD of Ouncanrbe Cunnly Collection Syslan �ftcVltlSPenal 0pOfBfjOnB
Downstream Permit Number: WOCS00004 aj Office
III. Cea�
rt-ifwatigon m Slatcenl:
1 Cal p/44(fca/'d certify tothe best ortay knowledge that the addition of the vohmac of wastewater to be permitted
in this project It been evaluated ulong the route to the receiving wastewater treatment fuel lily and Ihat the now Ilom this project is not
anticipated to cause any capacity related sanitary sower overflows or overburden any dovnshcom prune station all route to the receiving
treatment plant under Banal circumstances, given the implenmntalion of the planned improvennents identified in the planning assessment
where applicable. Phis analysis has been perl'anned in accordance will local esbabHaled politics and procedures using the best available
da(e. This ecru lic.lioa applies Io those items listed.hove in Secllons I and II plus all attached planning assessn end addendums for which I
Bill the respoexiJdb pat); Shantung o l'this form indicates acceptance ord is w.stewalano,.
M
Page I of I FTSE 04-16

PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning ossessnment addendum for each pump station listed in Section I I where Available Capacity is <
0,
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts For
23.1 % and 2.2076 MOD of the Available Capacity (E) in Pump Station
Carrier Bridge ; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, innately
Carrier Bridge PS Replacement is in design or under construction with
planned completion in Early 2023 ; and/or
d. The following applies:
The French Broad Interceptor- Carrier Bridge PER (completed by CDM Smith in 2019)
recommends replacing the existing um station with a new 34 MGD pump station to
accommodate future wastewater flows through 2070. The project will add approximately
12 MGD of additional firm capacity by early 2023, This project is being incorporated into
MSD's 10-yr Capital Improvement Plan and will provide funding for land purchase (in
FY 1920), engineering design (FY 19/20 and FY 20121), and construction (PY 21/22 and
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow
this flow to be permitted, without a significant likelihood of over -allocating capacity in the system
infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of time capacity of the waste disposal
system.
Signing tYfficial Signahire
Page 3 of 6
FTSE 10-18

SEP 18 2019
Water QualitV Reainnal Onnrnnnne
1.
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Trucking for Sewer Extension Applications
14114n (FTSE 10-18)
Entity Requesting Wilocation: Haywood LLC
Project Name for which flow is being requested: Haywood Crossing Subdivision
More than one FTSE nay be reguiredfor a single project if the owner of floe WWTP Is nol responsible for all pump
stations along the mule oflhe proposed waslewater flow.
Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name:
b. WWTP Facility Permit N:
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f: Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
11. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A)
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Design
Obligated,
Pump
Pump
Average
Approx.
Not Yet
Total Current
Station
Station
Firm
Daily Flow**
Current
Tributary
Flow Plus
(Nameor
Permit
Capacity,"
(Firm /pf),
Avg, Daily
Daily Flow,
Obligated
Available
Number)
No,
MGD
MGD
Flow, MGD
MGD
Flow
Capacity***
Mill Pond
0.279
0.1116
0.0256
0.010
0.0306
0.076
MudCreekl
1.282
U128
0.0586
0.12
0.1786
0.3341
MudCreekl
0.648
0.259
0.0506
0.12
0.1786
0.0806
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped now
that can he achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity Is 5 0.
Downstream Facility Name (Sewer): MSD of Buncombe
Downstream Permit Number: NC0024911
Page 1 of 6
FTSE 10-18

Ill. Certification Statement:
I Marcus A Jones certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and 11 plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Signing Official Signal u•e
�rvi Y �.o+i l=�ryG B�cS
Title o%Signing Official
Page 2 of 6
FTSE to -la

. a
Metropolitan Sewerage District
of Buncombe County, North Carolina
Allocation Approval
This approval is not to be used to obtain a building permit
and is for gravity sewer extension only.
Applicant:
CANE CREEK WATER AND SEWER DISTRICT Date: 8/15/2019
Company:
Mailing Address:
191 TRANSFER STATION ROAD, HENDERSONVILLE, NC 28791
Phone:
(Home) (Cell) 828-694-6608 (Work)
Project X:
2019171
Project Name:
HAYWOOD CROSSING SUBDIVISION-CCWSD Y00087CC
Project Location:
HAYWOOD PARK DRIVE
PIN:
9650175207
MSD of Buncombe County has approved your request for 9,600 GPD
The connection point (manhole k) will be CCWSD
The project will consist of (20) SINGLE FAMILY UNITS
Your final approval is contingent upon compliance of the items below:
A GRAVITY ONLY SEWER EXTENSION IS REQUIRED.
Comments:
The North Carolina Department of Environmental Quality (NCDEQ) requires MSD to issue this
approval based on line condition/capacity of the receiving sewer and remaining plant capacity.
This allocation approval will expire on 08/15/2020 if no construction has started.
If you have any questions, please contact MSD.
Kevi Johns
MSD Planning and Development