WQ0041320_Permit (Issuance)_20191204

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
NORTH CAROLINA
Errlr+ronfherttdf Qrlarrry
December 4, 2019
Mr. Mark Furlan, Managing Director of Healthcare Development
Pappas Midtown MOB Owner, LLC
4777 Sharon Road, Suite 550
Charlotte, NC 28210
Subject: Permit No. WQ0041320 Modification
Pappas Midtown MOB Owner, LLC
Kenilworth Medical Office Building I
Wastewater Collection System Extension Permit
Mecklenburg County
Dear Mr. Furlan:
In accordance with your application received on December 4, 2019, we are forwarding herewith Permit
No. WQ0041320 Modification dated December 4, 2019, to Pappas Midtown MOB Owner, LLC (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 This permit shall be effective from the date of issuance until rescinded, and shall be subject to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.
Permit WQ0041320 was originally on December 3, 2019, for the construction and operation of
approximately 178 linear feet of 8-inch gravity sewer to serve 70 physicians as part of the Kenilworth
Medical Office Building I project, and the discharge of 17,500 gallons per day of collected domestic
wastewater into the Charlotte Water existing sewerage system. This modification is for the change of the
applicant information from Pappas Midtown Berkeley Partners, LLC to Pappas Midtown MOB Owner, LLC,
and will not increase the permitted sewer line (178 linear feet of 8-inch gravity sewer) or flow of the
project (17,500 Gallons per day previously permitted). This modification will void all previous versions of
Permit No. WQ0041320.
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.
North Carolina Department of Environmental Quality I Division of Water Resources I Water Quality Regional Operations
Mooresville Regional Office 1 610 East Center Avenue, Suite 301 I Mooresville, North Carolina 28115
704-663-1699

Condition 11.4: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 02T .0403 or any individual system -wide collection system
permit issued to the Permittee.
Condition 11.7: Upon completion of construction and prior to operation of these permitted facilities, the
completed Engineering Certification form with checklist attached to this permit shall be
submitted with the required supporting documents to the address provided on the form.
Permit modifications are required for any changes resulting in non-compliance with
this permit, regulations, or the Minimum Design Criteria. [15A NCAC 02T.0116]
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.
If you need additional information concerning this matter, please contact Ori Tuvia at [phone]
or via e-mail at [e-mail].
Sincerely,
DocuSigned by:
E
w u N P44�t4
F161F969A2D84A3...
for Linda Culpepper
Director, Division of Water Resources
forW. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
cc: Jonathan Allen, P.E. (e-copy)
Charlotte Water (e-copy)
Regional Office Files
Water Resources Central Files
PERCS (e-copy)
Page 2 of 8

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NORTH CAROUNA
Erty rmwentaf 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
Pappas Midtown MOB Owner, LLC
Mecklenburg County
Permit WQ0041320 was originally on December 3, 2019, for the construction and operation of
approximately 178 linear feet of 8-inch gravity sewer to serve 70 physicians as part of the
Kenilworth Medical Office Building I project, and the discharge of 17,500 gallons per day of
collected domestic wastewater into the Charlotte Water existing sewerage system. This
modification is for the change of the applicant information from Pappas Midtown Berkeley
Partners, LLC to Pappas Midtown MOB Owner, LLC, and will not increase the permitted sewer
line (178 linear feet of 8-inch gravity sewer) or flow of the project (17,500 Gallons per day
previously permitted).
This modification will void all previous versions of Permit No. WQ0041320.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
specified conditions and limitations contained therein.
DocuSigned by:
A�w H P
F161 FB69A2D84A3...
for Linda Culpepper
Director, Division of Water Resources
By Authority of The Environmental Management Commission
for W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
Permit Number: WQ0041320 Modification
Permit Issued: December 4, 2019
Page 3 of 8

I.
SUPPLEMENT TO PERMIT COVER SHEET
Pappas Midtown MOB Owner, LLC 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 Charlotte Water Sugar
Creek Wastewater Treatment Plant in accordance with Permit Number NC0024937.
Permitting of this project does not constitute an acceptance of any part of the project that does not
meet 15A NCAC 02T; 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.
Construction and operation is contingent upon compliance with the Standard Conditions and any
Special Conditions identified below.
SPECIAL CONDITIONS
1. No flow in excess of the quantity permitted herein, 17,500 gallons per day, shall be made
tributary to the subject sewer system until an application for permit modification for an
increase in flow has been submitted to and approved by the Division. [15A NCAC
02T.0304(b)]
2. This permit shall become voidable unless the agreement between Pappas Midtown MOB
Owner, LLC and Charlotte Water for the collection and final treatment of wastewater is in full
force and effect. [I 5A NCAC 02T.0304(g)]
II. STANDARD CONDITIONS
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.0116; 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 02T; the Division's Gravity
Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
adopted June 1, 2000 as applicable; and other supporting materials unless specifically
mentioned herein. [15A NCAC 02T.0110]
Page 4 of 8

3. This permit shall be effective only with respect to the nature and volume of wastes described
in the application and other supporting data. [I 5A 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 02T .0403. If
an individual permit is not required, the following performance criteria shall be met:
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.
b. A map of the sewer system shall be developed and shall be actively maintained.
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 2B .0506(a), and public notice shall be provided as required
by North Carolina General Statute § 143-215.1 C.
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 means to 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.
Page 5 of 8

5. The Permittee shall report by telephone to a water resources staff member at the Mooresville
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 SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, 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 (800) 858-
0368 or [phone]. Persons reporting any of the above occurrences shall file a spill report
by completing and submitting Part I of Form CS-SSO (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 II of
Form CS-SSO (or the most current Division approved form) can also be completed to show
that the SSO was beyond control. [G.S. 143-215.1C(al)]
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.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities, the
completed Engineering Certification form with checklist 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.
Page 6 of 8

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.
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 but not limited to pipe
length changes 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 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 .0116]
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 individual permit and construction record drawings shall be maintained on file
by the Permittee for the life of the wastewater collection facilities. [I 5A NCAC 02T .0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 02T;
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 .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)]
Page 7 of 8

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 8 of 8

CERTIFICATION CHECKLIST
To be completed by the certifying engineer prior to operation of the permitted sewers, per 15A NCAC 02T.0116.
Certifying Engineer:
Certification Review Date:
Project Name:
W Q00
Project County:
1) Has permittee information changed since the permit was issued (or last modified): change of mailing address,
change of ownership, transfer from developer to HOA/POA, etc. ❑ Yes ❑ No
• If yes, please provide either a change of ownership form or new contact information. Note that transfer of
permits from the developer to the HOA/POA must occur with the first certification.
2) Have the as -built drawings have been signed, sealed, and dated by an N.C. PE? ❑ Yes ❑ No
3) Final Engineering certification? ❑ Yes ❑ No
• If Partial Engineering certification, provide detailed narrative including what is being certified in the current
phase, what was previously certified (if applicable), and what is left to be certified.
4) Adequate information related to sewer lines: ❑ Yes ❑ No ❑ N/A
• Three feet minimum cover has been provided for all sewers unless ferrous pipe was installed.
• Minimum diameters for gravity sewers are 8-inches for public lines and 6-inches for private lines.
• Manholes have been installed: At the end of each line, at all changes in grade, size, or alignment, at all
intersections, and at distances not greater than 425 feet; minimum diameter shall be 4 feet (48-inches).
5) Adequate information related to pump stations: ❑ Yes ❑ No ❑ N/A
• Ensure power reliability option was selected per 15A NCAC 02T.0305(h).
6) Was project construction completed in accordance with all of the following: ❑ Yes ❑ No ❑ N/A
• 15A NCAC 02T, Minimum Design Criteria (MDC) for the permitting of Gravity Sewers (latest version), and MDC
for the Permitting of Pump Stations and Force Mains (latest version)?
If not, a variance approval is required in accordance with 15A NCAC 02T.0105(b), prior to certification and operation.
• Contact the Central Office to discuss the variance to determine a course of action.
• Applicant must submit two copies of the variance request form, plans, specifications, calculations, and any other
pertinent information to the Central Office (one hard copy, one digital copy).
• The central office will review the variance request, and if approvable, specific language regarding the variance
will be incorporated into the permit, either via a special condition or a supplementary letter. A copy of the
reissued permit with variance language or the variance letter must be maintained with the original documents.
7) Does the project contain high priority lines (15A NCAC 02T .0402(2))? ❑ Yes ❑ No
• If yes, ensure that the permit already contains the necessary condition related to high priority lines 15A NCAC
02T.0403 (a)(5). If the permit does not include this language, the Fast Track reviewer will reissue the permit with
the appropriate language.
8) Are Permit modifications required for any changes resulting in non-compliance with this permit (including but not
limited to pipe length changes of 10% or greater, change in flow, pump station design capacity design change of 5% or
greater, and/or change in the number/type of connections)? ❑ Yes ❑ No
• If yes, a permit modification request must be submitted to the appropriate Regional Office, and a modified
permit with revised certification must be issued prior to certification and operation.
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Office) 610 East Center Avenue, Suite 301 I Mooresville, North Carolina 28115
704 663 1699

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: Pappas Midtown MOB Owner, LLC
PERMIT #: WQ0041320 Modification
PROJECT: Kenilworth Medical Office Building I
ISSUE DATE: December 4, 2019
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation.
It should be submitted in a manner that documents the Division's receipt. Send the required
documentation the Regional Supervisor, Water Quality Regional Operations Section at the address at
the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name, Title Signature Date
ENGINEERS CERTIFICATION
I, , as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the
project name and location as referenced above for the above Permittee hereby state that, to the best of
my abilities, due care and diligence was used in the observation of the following construction:
178 linear feet of 8-inch gravity sewer; such that the construction was observed to be built within
substantial compliance of this permit; 15A NCAC 02T; the Division of Water Resources' (Division) 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.
North Carolina Professional Engineer's Seal w/signature & date:
❑ Final ❑ Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Officel 610 East Center Avenue, Suite 3011 Mooresville, North Carolina 28115
704 663 1699