WQ0009940_Regional Office Historical File Pre 2018 (2)

Division of Water Resources
State of North Carolina
Department of. Environmental Quality
Division of Water Resources
15.A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATIoN
VUA 04-16 & SUPPORTING .1)OCUMENTAT1ON
A PPI icaliion Number A
(lobc c..cirnoiLlc%1 IP,' I )V,'')
All items must be cOinplct1 or the applici.ition will bereturnc
L .A PEI CANT INFORMATION:
Applicants mune: kinQQJr1.CgiilltY (COmpany, municipality, 110A, itili etc.)
2, A.pplicant type: ridividual corporation General Partnership
Federal State/County jI Municipal
Signature authority's nameDonald V Chamblee per 15A ,NCAC 02T ,0106(1)
Title: Ii3ii7c:c of Public Works
4. Applicant's, mailing address:115 NV.est Main Street
City: Lcolniqn. State- NC Zip: 2V)92-
5, Applicant's contact infbrmation:
Phone number: (104) :73,07/492, ;nl Address: deband)leeillincohiteoindy.otic
1,1.. PROJECT INFORMATION:
aECE.ME.C4NCDENRIOWP
MOORPS"1/41iii„LE PrGiONAL 0171:CE
atcly-Owned Public Utility
1, Project name: Carnbriais mmons Multi-Tarnily OtTsite
.Application/Project status: Ni Pi pool (Nevi, Permit) Existing Perinit/Project
IT a inodification., provide the existing permit nurnber: Wc.10009940 and issued date: 10111/94
trnew construction. but part of a master plan, provide the existing permit number: WQ00
3. County where project is located; Lincoln
4. Approximate ('oordinatos (Decimal Dcgrees). Larrturic, 1„..ongitude: -81.0109(18'
S. Parcel ID Crl kipplicable):
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
ProCcssional fingineer: Steve Illanniartiiip Liccmse NWnbeiri 047366
Firm: Bohler lingincering
Mailing address: 1927 South if an Strite 310
City: c"barlotte State: NC Zip:
Phone number: (,0l) 272,3400 Email Address: sfarmat tin.oighohlerung,com
IV. WASTEWATER 1:REA'13.1K NT 1 CLIFIN (V WEE) INFORMATION:
I. Facility Name: Killian Creek Perrnit Number NC0088722
Ov ,Name: Lincoln Coni-a_Publie
V. RECEIVING DOWNSTREAM Siiii:WIER INFORMATION different than WW'I F):
Periilit rckruber(s): WQ Downstream (Receiving) Sewer Size: :30 inch
System \Vide Collection S istein P'r,iNunci(,JJj
Owner Narne(s): Lincoln
i101el WQCS00 149
FORM: FT.; 04-16 P.iigc' 1

DWR
I SA NCA
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water .Resources
2T .0300 FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
F`T'A 04-16 & SUPPORTING DOCUMENTATION
Application Number: _
ArB1 items must be completed or the applkatiun will be returne4
APPLICANT INFORMATION:
1, Applicant's name: Lincoln oln Count (company, municipality, 11OA, a llty, etc,
2 Applicant type: D Individual El Corporation General ,Partnership [r] Privately -Owned Public Utility
El Federal State/County Q Municipal [ thtkPf.CENtZ1
3, Signature authority's name: Oantrtd, ..laaruble per I SA N(AC t ;21 ,01016(b)
Title: Director of Public Works
4. Applicant's mailing address
City: Litiwolpton, State: N Lip:
S. Applicant's contract information:
Phone number: (704) 736,-8497 Email Address: dclrambk, it%linwoltwcotwtv,orb
ll. PIt()JECT INFORMATION:
l . Project name: Cambri t o C,
0
fro be convicted by DWI()
MOOR v s RE:7G
Existing Permit/Project
ued date: 1011 1/94
If new construction but part of a master plan„ provide the existing permit mmmber° WQ00
3. County where project is located: Lincoln
4. Approxirmate Coordinates (Decimal. Degrees): Latitude:`" Longitude: llt.t)1(l Cali`'
5. Parcel (if p alic abl.e):
(or Parcel ID to closest downstream sewer)
Application/Project status:
sed
New Perini()
If amodifrcation, provide the existing permit number: WQ0t
CONSULTANT INFORMATION:
1. Professional Engineer: Steve FALmartug2 License Number i347366
Firm: f;3: filet Engineering
Mailing address: 1927. Setath Tryok St, Suite 310
City: Charlotte State: N.Q Zip° Z 21
Phone number: (9R0) 272-3400 Email Address' L itt
IV. WASTEWATER TREATMENT FACILITY CO/WTI,') INFORMAT
Facility Name: M.11iu ,Cr Permit Number: NC0988722
Owner Name: Liucolra C..c�utrlv._lttbiiu Ws
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ
Downstream (Receiving) Sewer Size: inch
ysteruLWide Col tie $ystept Permt'lNutnbcr(s) (if applicable): WQCSQ14
Owner Nanrc(s): J ,inculn Couulx
-4:ItIQS
FORM: FFTA 04-16
Page of 5

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. lithe Applicant is a Developer of 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/Property Owners' Association. has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
® Residential Owned
® Residential Leased
❑ School / preschool / day care
® Food and drink facilities
® Businesses / offices / factories
•
® Retail (stores, centers, malls)
® Retail with food preparation/service
❑ Medical / dental / veterinary facilities
❑ Church
❑ Nursing Home
❑ Car Wash
❑ Hotel and/or Motels •
❑ Swimming Pool /Clubhouse
❑ Swimming Pool/FilterBackwash
❑ Other (Explain in Attachment)
5. Nature of wastewater ; 100 % Domestic/Commercial % Commercial
Industrial (See I5A NCAC 02T .0103(20))
�Cs there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 0,2T .01 I4(f)? 0 Yes Z No
If ves, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f1)
Daily Design Flow °'
No. of Units
Flow
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
GPD
a See ESA NCAC 02T .2114(b). fd). (e)(1) and (0(21 for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G,S, 42A-4).
b Per 15A NCAC 02T .0114(e), design flow rates for establishments not identified [in table 15A NCAC 02T.01 l4] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per I 5A NCAC 02T ,0114)
> Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
CO 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 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 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
• Length (feet)
Material
30
502
SDR-35
> Section II & Ill 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
1. 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 point(s) 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 02T .0305(h)(11:
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B):
➢ Required for ail pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
> It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel tirneframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B.0200 & .1.5A NCAC 02T .0305(11)):
Does the project compl•y with .01 separations found in 5A NCAC 02I_,9305(0. Yes Lil No
y I5A NCAC 02T,0305(f) contains minimum separations that shall be provided for cwer systems:
Setback Parameter* Se -aonRernyed
Storm cwcr and other utilities kiothsted below (vertical)
nor s (vertical -water over sewer including in benched trenches)
ater mains (horizontal)
Reclaimed water lines (vertical - reclaimed over sewer)
keclaimed water lines horizontal -reclairned over sewe
24 inches
18 inches
10 feet
18 inches
2 feet
*Any private or public .water supply source, including any wells,. WS-I wateis ofClass
Class 11 im ded reservoirs s source — •,aer
ers classified WS (except WS-I or WS-V), H. SA, ORW, HQW, or S13 from normal
gh water (or tide elevation) and wetlands isse item LX.2)
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
Any 'bi ,dinfounation
Any ,baseznent
p slope of
'aioac systems and interceptor drains
Any swine -nine, pools
'Mal earth grade (vertical)
r
mr.
IGO feet
5 feel
10 feet
5 feet
10 feet
36 inches
0,305ontaLns alternatives where separations in 0L03Qifl cannot be achieved,
is can be identified using the Division's'uJ jlitstjjtoos webpage
Y If noncompliance with 02T,0305(f) or ,(g)., see Section X of this applicat- '
2, Does the project comply with separation requirements for wetlands? (50 foot of separation) Yes [1 No N/A
Y See the Division's draft separation requirements for situations where separation cannot be meet
Y No variance is required if the alternative design criteria specified is utilized in design and construction
Y, 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? r;71 Yes D No Ei N/A
Y Ibis would include Trout Buffered Streams per 15A1`,;, A3,0202
4, Does the project require coverage/authorization under a 404 Nationwide or
individual permits or 401 Water Quality Certifications?
)0 Information can be obtained from the 401 (I( Ouffer PinBranch
IN Yes DN
5. Does project comply wit (additional permits/certi(ications)? Yes LI No
Per jLANCAC 021,0191(0(,0, 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, perinns (erosion and
sedimentation control plans, stone management plans, etc,).
6,, Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 021 0402„ "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon„ or sewer
positioned parallel to strearnbanks that is subject to erosion that undermines or deteriorates the sewer„
E:1 Yes No EJNIA
Y 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 slx-months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the perrnitee's individual System -Wide Collection permit.
FTA 04- I 6 Page 4 of 5,

X. CERTIFICATIONS:
I. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the 'Permitting otuann Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest•version) as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is required Prior to.submittal of the Fast Track M plleation and supporting doeumentsi
2. Professional Engineer's Certification:
1,
Steve Farmartino . attest that this application for
(Professional Engineer's name from Application Item I11,1.)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and ail other supporting documentation to the best of my knowledge. I further attest that to the best
of my knowledge the proposed design has bean 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 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to S25,000 per violation.
..-,,,.�„�.,r �`il►tiltrittrririii-r-�y.,..,.�...
North Carolina Professional Engineer's seal, signature, and date: AO, GAO rrr�
3. Applicant's Certification per 15A NCAC 02T .0106(b):
1, 1)—r.1A+-c CHAM-.R t i PutOtt c C r t2- e attest that 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. 1 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 returned as incomplete. 1 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
(Stills permit be violated. 1 also understand that if all required parts of this application package are not completed and that if
all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any 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: Date:
/?t20
FORM: FTA 04-16 Page 5 of 5

©ivislon of Wader Resources
of North Carolina
Department t f Environmental Quality
Division of %\'ater Resources
15A NC ABC' 02`1" .0300 _ FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
ETA 04-16 & SUPPORTING DOCUMENTATION
Applieation Number:...._._...,_. �w._........._ (tax' c c:a z�� ter �6
, st be completed _or the application will be returned
APPLICANT IM'ORMr1TION:
1. Applicant's mune: incoln County (company, municipality, 110,�1, utility,
Applicant type: Corporation 0 General Partnership
[] Federal [j State/County El Municipal
3. Si„ rtrttrrc authority's name: Donald V Charnblee per 15;1 NC.`A(,' 021 .0100(bl
Title: Director of Pulalrc't orks
4. Applicant's mailing address: 115 West Main Street
City: Lincalnton State: NC:012-
5. Applicant's contact information:
Phone number: [phone] Email Address: dclrambleccr line lne nty.c�r
Q Priwate1y-f)wned_Public Utility
❑ Other
II. PR.OJEC'I` INFORMATION:
Project name: Cambridge Commons Multi -Fancily Otfsite
2. Application!Project status: Proposed (New Pernti.tl 0 Existing Permit/Project
if a modification, provide the existing permit number: WQ000940 and issued date: 10111 94
If new construction but part of a Amster plan, provide the existing permit number: WQ00
3. County cohere project is located: 1 incoln
4. Approximate Coordinates (Decimal Degrees): Latitude: 35,45032` Longitude: •
l.(:ll()9(ili`
5. Parcel ID (if applicable):
(or Parcel 1D to closest downstream sewer)
IiI. CONSULTANT INFORMATION:
1. Professional engineer: Steve Farniartincy l 'ra en,sc. trrribcrr: 047366
Finn:
Mailing address: l')27 Se uth T
City: Charlotte State: NC
Phone number: (980) 272-340Q
0
8203-
it Address: sfarrnt
o�u bohlereng cor
STEWATER TREATMENT FACILU ' (WWTF) INFORMATION:
Facility Nance: Killian Cre'°'k Permit Number: NCO(}8$722
Owner Name: Lincoln County Public Works
CEtVING ,DOWNSTREAM SEWER INFORMATION (if different. than 1 ` 4+'TO:
Permit Number(s): WQ Downstream (Receiving) Sewer Size: 32 inch
st ter 11°'scic C.ollectiart Svscettt 1'errz it'vctrttl rr s 'if r ,li :,rl lc : W'QCS00149
r Namc(s), Lincoln County
Cji
FORM: ETA ti4-16
Page 1 of 5

GENERAL REQUIREMENTS
If the A.pplica ni is a Privately -Owned Public f,ltility, has a Cettilieate of Public Corwei
❑ Yes ❑No NA
If the Applicant is a Developer of lots to be sold, has a Debona
❑ Yes No
s' Association, Iias an ()perat onal A tcenient (E)RhICOA,) been attached?
It' the Applican
Origin of wastewater:: (check all tl
• Residential C)cwned
Resider.itial L cased
El School / preschool a` day care
Food and drink facilities
® Businesses i offices 1 factories
Nat
❑ Yes ❑No NIA.
apply):
• Retail (
El Retail wit
❑ Medical r` denta
❑ Church
Nursing Home
malls)
preparatiot ''servi
veterinary tacit
e of wastewater : 100 1 Domestic/t, on ter clap c,
°.b industrial (Sec. 15.E NCAC (12"I" .t-
1 Is there a Pretreatment Program i
Ci. Has a flow reduction been approved under I.5A NCACO21 .01 l4(t)'?
Cfvrs,.provide a copy of floe reduction approval letter
7, Summarize wastewater g,,enerated by pro ec..ta
ience and Necessity been attached?
ed?
❑ Car Wash
❑ Hotel a ridfor Motels
• Swimming Pool /Clubhouse
❑ SWirntning Pool`ffilter Backwash
❑ Other (Explain in Attachment)`
Yes
No
Establishment Type (see Or t.0114(f))
a See QA NCA(,' 02T I l cl i(il an
dwelling; proposed utrkraown non reside
Dai
ign Flow a.e
gal/
No.. of Units
Flow
GPD
gal.
-
GPD
GPD
7`nlul
GPD
GPD
GPI)
GPD
wastew er design fiow tat
s; public access
and residential property located south or east o\tlantic Intracoastal Waterwa
in G.S.
h Per 15A NCAC 02'I' .01.14(c'), design flow rates for estdb1isltrnerat not tdent°ilte
determined using to ailable flow data, water wing fixtures,. occupancy or opertt
Wastewater generated by project: 0 GPI) (per l5A NCAC 02'T .0114)
Do not include future Slows or previously permitted allocations
If permitted flow is zero, indicate why:
El Pump Stattioart rtr° Gravity Sewer where .flow will be perm;
❑, How has already been allocated in Permit Number_
❑ Rehabilitation c;
placement of exi;ti
Q Other (Explain):
ubsequent permit
flow expected
minimum flow per
h public uase areas;
rentals as defined
le l5A AC 02"1'.0I 14] shall be
tyre, and crtlter streatsttred data.
this li
FORM: ETA 04-16

GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MI)C (Gravit Sewers)
Summarize gravity sewer to be permitted:
Size (inches)
30
t th (feet)
502
Ma
SDR-35
Section 11 111 rat" ilte NII)C: tc: r i'ertttittin ; of Gravity Sett 'ers contains infortn at:rctn related to design
Section HI contains information related to minimum sitslaes four gravity sewers)
> Oversizing lines to meet minimum slope requirement is not allowed and a violation of the [1'IDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) -- 02T,.0305 & [I!'Cf 'Punt StaCirtttstl<ore
COMPLETE FOR EACH PUMP STATION INCLUDED IN PROJECT
1. Pump stationnumber or name:
. Approximate Coordinates (Decimal Degrees): Latitude: Longitude:
3. Design flow of the pump station: tatillions gallutns per day (firin capacity)
4, Operational point(s) of the punrp(s): ga'llotrs per minute at feet iota, I dynamic stead (TDFI)
5. Sumn°tarize the force main to tic pert
chest
p Station):
6. Power reliability in accordance
'CAC ( T ...03050
0 Standby power source or pump with automatic ae ivation s
Required for all pump stations with an average daily flow
Must be permanent to facility
Or if the pump station has an average. daily flow less than 15,0(
0 Portable power source with ratan
.0305(h)(1)(C")
or
go
It shall be demonstrated to tltc
and is compatible with the sta
lithe portable power source or pump is dedicated to multiple pump statirrrts, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel tinteframes, shall be provided
in tla case ofa nattltiple statitan power outage,
nd telemetry - I5A NCAC 02T .0305(h)(f)(I)
eater than or equal to 1.5,000 gallons per day
pe-day:
rick -connection receptacle and telemetry - 15A NCAC 02".
ged emergency pump courts etitan and telemetry - l SA NCAC 02T .0305(h)(1)(C);
ble source is owned or contracted by the applicant (draft agreement)
FOR M: FTA ( -16
Page 3 of 5

SETBACKS & SEPARATIONS -- (02B .0200 & 15A NCAC 02T .0305(f)):.
Does the project comply with all separations found in 15f1 _NC.A `.' d3?"T (i3O5 t '� y [� 4Ye No
1 SA NC`AC 02'1',Ck f}yt t coiltns
be. 'ides
aram
Stearns seww{err and other°utilities riot listed below
vertical v'ater over sew°er ineludin in lactic hed
ration Required
24 inches
18 inches
pater r'raa'
Reclaimed water lutes (verltcal reci tinted over sewer)
Reclairmaed water lirmes 1'tcariorttal reclaimed ovt
**Any private or public water supply source, incltrciir'tg anyellt
Class _I1 impounded reservoirs used as a source of cltinklrt wvater-
*4 ater;s classified. WS (except WS-I or WS-V), 13, SA, C.1l vaw', I
ltiglt water (or tide elevatiuta9 and w°etltnads (see itetu 1.2)
ditches
Any building found
Any btu enteni
Top srtaba
0
of Class 1 or
hes
100 fi
S13 :from normal
ke, impoundment, or ground Water lowering and surface drainage
,e
10f
Drainage systc:rns and interceptor drains
ny swvitttnaitag lactols
ei
0 fee
et
5
fr
10 feet
{iraal ear°th grade (vertical) 36 inches
1.SA NCAC: 0 0 s catntoaitms alternatives where separations in (i2T,03O t) cannot be acltiesFcd.
**Stream classificat.icrns can be identified using the Division's NC'; Surface Water Classifications webpage
• If noncompliance with 02T,0:305df( far (g) see Section X of dais application
l)caes the Iat''ca ect coampiy° with separation requirements tsar wetlands'? (50 feet of se.patation') E Yes El No rj NIA
See the Division's draft separation requirements for sitatatinras where separation caatrlot be meet
�a: No variance is rehired if the alternative design criteria specified is utilized in design and construction
• As built documents should reference the location of areas effi c
Does the pro cc(. conrply w'°itl't setbacks f`caurld in the t°iv<er basin rules per 1 SA NC'.y ." f1 (3 ,(t?{1ft`a ]Yes {� j No N/A
°> This would include front Buffered 'Streams per 151 NC A( 2B.0202
4. Does the project require.
individual permits or40
oraxattion under a 404 Nationw
y° Certifications?
i- Information can, be obtained from the 401 &Buffer Permittitl Etrt rr
comply with 115A NC:AC, „02
(c.
ditie>ntal pertmitsr'certi
No
No
Per ry Tvfit'.xyC 0217ttltis4'e•ifdai> directly related env iretntnental permits or eertitia,attcan applications are: being prepared.. have
been applied for, or have. been obtained. 1ssua.tice of this permit is contingent on issuance of depend =tat permits (ero-ion and
sedimentation control plans, stornawtiter rnanagenYern plans, etc.).
6. Does this pro
Per 1Sr 1Nt AC 02`f.0402, `thigh-priorit)
poitiaaneci parallel to streamhanks that is subject to ero
If yes, include an attachment with details for each 1
e deemed
priority?"
ewer contactatig sttrtmee
dermines or deteriorates the sewer.
No LJ Nr`A
lading type (aerial
siphon,
size, niateri,d, and local
High priority lines shall he inspected by the pertta, epresentative at least once every sis•-
onths and inspections
documented per 15.A NCAC 0.2T.0403(a)(5) or the perrnitee's individual System -Wide Collection permit.
1 ORNE: FTA 04-16
c4of5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Puinp Stations
and Force MainsAlatest egion), and the G avi Sewer Minimum Design Criteria (latest version) as applicable?
Yes ENo
If No, complete and submit the Varance/Aiternative Design Request application (VADC 10-14) and supporting documents for
review, AnDrovai of the request is required prior to submittal of the Fast Track Atmlication and sunnortine do untents.
2. Professional Engineer's Certification:
Steve Farmartino
(Professional n er's name from Application Rem 111.1.
attest that this application for
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 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation,
North Carolina Professional Engineer's seal, signature, and date:
3* Applicant's Certification per 15A NCAC 02.T .0106(b):
Ottc4:5"'
(Signature Authority's name & title from Application item 1.3.)
es
that this p icatio fo
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 understand that Wall 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 returned 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. 1 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 1437215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature:
Date:
FORM: FTA 04-16
Page 5 of 5

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Cambridge Commons ME,1,1,C
Project Name for which flow is being requested: Cambridge( ommonsMu tiFamiyOffite
More than one FTSE may be required for a single project if the owner of the WTI' is tun responsible for al pump
stations along the route of the proposed wastewater flow.
Complete this section only if you are the owner of the wastewater treatment plant.
WWTP Facility Name: Kilian Creek
b. WWTP Facility Permit #: NC0088 22
TP
Aliflows are in MG
c. WWTP facility's permitted flow 3 35
d. Estimated obligated flow not yet tributary to the W • TP 1.512
e. ww-FP facility's actual, avg. flow
Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
1.249
0.000
2.761
8242
IL 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) (8) (C) (0)=(B+C) (E)=(A-I))
.Design
Average .Approx. Obligated,
Pump Putnp Daily Current Not Yet 'fotal Current
Station Station Finn Flow** Avg. Daily Tributary Flow Plus
(Name or Permit Capacity, * (Finn / pi), Flow, Daily Flow, Obligated Available
Number) No, MOD MOD 'MOD MOD Flow Capacity***
15B W90032852 1.856 0.742 0.000 0.312 031.2 0.430
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumpo
that can be 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 < O.
Downstream Facility Name (Sewer): Lrneoin County Sewer System
Downstream Permit, Number; WQCS00149
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Donald V. Chamblee 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 II 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 Signature�}}Date
p iCtcir o Rii e_ in}oCKS
Title of Signing Official
Page 2 of 6
FTSE 10-18

COUNTY OF LINCOLN, NORTH CAROLINA
r "I 5 WEST MAIN STREET, 2No FLOOR CITIZENS CENTER, LINCOLNTON, NORTH CAROLINA
28092
DEPARTMENT OF PUSUC WORKS
PHONE [phone]
FAX [phone]
LVWW,L INCOLNCOUNTY,ORC
October 18, 2018
Cambridge Commons W,1~,IC'
Attn: Shane Seagle
Seven Piedmont Center, Suite 300
Atlanta, GA 30305
R.: Cambridge Commons Multi -Family Offsite Sewer Availability.
Mr, Seagle,
This letter is provided in response to your request, dated September 17, '2018, for flow acceptance of the
wastewater treatment infrastructure (the "System") for the Cambridge Commons. Multi -Family
Development (th.e 'Project"). Lincoln County (the "County") has the actual average daily° flow capacity
at its Killian Creek Wastewater Treatment Plant to treat the domestic wastewater as requested, and does
conditionally grant approval for the Project,. subject, however, to the terms and conditions below:
1, The amount of flow requested for the Project is for 247 units and 1 clubhouse with a total flow
of p gallons per day of additional flow at the NCDEQ approved reduced flow rate of 240 gallon;.
per day per home into LS--15[1; and
2, For the NCDEQ Permits, the receiving, sewer treatment tacit"sty is the Killian Creek W WTP,
Permit #NC 0088722, The sewer collections facility is the East. Lincoln County Water and Sewer
District, Permit #WQCS 00149; and
3, The County shall not be named as the Perrnittee
make the application to NCDl Q in your own name
4. Acceptance of the System and t
following:
a, A. comption and approval o
applicable documentation requested by the Cot
tL Approval of the System by NC1)EQ, and proof provided to the County ui'a valid permit issued
by NCDEQ with an. Authorization to Construct (A"CC); and
c. Initiating construction of the Project within two years of the date of this conditional approval.
You must notify the Lincoln County Public Works Department in writingvvlten construction of
the Project is initiated; and
d. The County continuing to have actual average daily flow capacity to treat the domestic
wastewater as requested at the time all other conditions precedent have been satisfied.
e. All proposed offsite sewer improvements must be completed before a preconstruction meeting
can be scheduled and the installation of any crnsite utilities can begin.
r NCDEQ sy'stena app'Iicabons, You must
ar the System; and
Sv°st
by the Cor
:y, and receipt of other

l°Iris acceptance and allocation of tlo shall or rly be l 'eetiv+
above terms and conditions and the ('aunty providing an a kno
11 ofth : above tears and conditions,
upon your compliance with
dtnent that you have conpl
eluded in this rn ilin is the Plow '1"rrrc i g'Acceptance for Sewerx
A plicsti zras (F VISE - 04/16) with the County's portion completed.
you have any questions please do not hesitiate to cell rare t 704
Clue, Kr
ragineeri g a e
ns�e
ti-497,

4y-a 1110
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Dlvlslon of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Cambridge Commons MF, LLC
Project Name for which flow is being requested: CambridgeCommonsMultiFamilyOffsite
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Kilian Creek WWTP
b. WWTP Facility Permit ##: NC0088722
All flows are in MGD
c. WWTP facility's permitted flow 3.35
d. Estimated obligated flow not yet tributary to the WWTP 1.512
e. WWTP facility's actual avg. flow 1.249
£ Total flow for this specific request 0.000
g. Total actual and obligated flows to the facility 2.761
h. Percent of permitted flow used 82.42
II. 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:
Pump
Station
(Name or
Number)
Pump
Station
Permit
No.
Firm
Capacity, *
MGD
(A) (B)
Design
Average
Daily
Flow**
(Firm / pf),
MGD
(C) (D)=(B-+C)
Approx. Obligated,
Current Not Yet
Avg. Daily Tributary
Flow, Daily Flow,
MGD MGD
15B WQ0032852 1.856 0.742 0.000 0.312
Total Current
Flow Plus
Obligated
Flow
(E)=(A-D)
Available
Capacity***
0.312 0.430
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be 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 < 0.
Downstream Facility Name (Sewer): Lincoln County Sewer System
Downstream Permit Number: WQCS00149
Page 1 of 6
FTSE 10-18

1l. Certification Statement:
Donald V. Chamblee certify to the best of m knowledge that the addition of
volume of wastewaterpermit
to be tec
p d 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 improvennents
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 addcndums 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.
Page 2 of ()
0-l8

BOILER ENGINEERING NC, PLLC
Professional Engineering Sery
VIA: FedEx
TO: NCDEQ
Public Water Supply Section
610 East Center Avenue, Suite 301
Mooresville, NC 28115
ATTN: Christyn L. Fertenbaugh
ryon Street Suite 310, Charlotte, NC 28203
hone: [phone] Fax: [phone]
MOOR E7SV
WE ARE SENDING YOU © Shop drawings 0 Copy of Letter
COPIES
2 Application (FTSE 04-16)
These Are Transmitted:
RE:
LETTER OF TRANSMI I AL
Cambridge Village Multifamily Sewer Service
Submittal for Approval - Sewer
RECc
DATE: February 28, 2020
JOB NO: NCC172159,1
1
ESCRIPT1ON
hange order
1 Checklist
1 Cover Letter
1 Application Fee (S4$0)
1 Sewer Extension Form (FTSE 10-18)
2 Pans
1 Digital Copy
1 Capacity Assurance Approval Letter
at
For review and comment
Li Returned for corrections
©For your use
❑Approved as subrraltted
As requested
Awed as noted
If you have any questions or require additional information, please do not hesitate to contact this office at [phone].
COPY TO: SIGNED:
Steve Farmartino, P.E.
Pro, ect Engineer

Fast Track Sewer Extension Cover
Project: Cambridge Village Multifamily
Lincoln County
Town of Denver, NC
Project #: NCC172159,1
Date. February 28, 2020
As part of the Fast Track. Sewer Application for Cambridge Village Multifamily Offsite Sewer
Improvements, it is required that a Cover Letter accompany the application.
This project will include the extension of a 30" main along either side of N Old. North Carolina Highway
16. This improvement is required in conjunction with the development of the Cambridge Village Multi -
Family development to be located off Cresset Diili,nger Road, behind Publix. For the offsite sewer
improvements„ the requested and approved additional flow is zero,
This package includes the information listed below in order to permit the project described a . ve for a
public sewer main extension.
• Sewer FTAIFTSF Applications
• Application Fee (S480)
• Sewer Extension Plans (2 Hard Copies, 1 Digital)
• Vicinity Maps (included in plan set)
• Flow Tracking Form
• Capacity Assurance Approval Letter
Please feel free to contact this office at 980-272-3400 if you have any questions or need further
clarifications.
Pro
ional Engineer:
Steve Farmartino, PE