You can copy wsconfig.exe to the server hosting Apache and run it there. The wsconfig.exe can run independently and doesn't even require being on the same server as ColdFusion itself (A "distributed configuration" is typically configured by copying wsconfig to the webserver on a remote machine and using the tool there to connect to CF on a different machine).
To get wsconfig.exe, you could do a temporary install of CF on a "dummy" or test machine, grab the wsconfig.exe, then copy it to the server with Apache.
See:
Running Macromedia ColdFusion MX in distributed mode
http://www.adobe.com/support/coldfusion/administration/cfmx_in_distrib uted_mode/
Some details have been changed since this article, but the gist still applies.
