WQ0035784_Renewal (Application)_20211102

DocuSign Envelope ID: 99C3DOBE-A310-4184-BD56-753D65A21 F88
State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .0500 — WASTEWATER IRRIGATION SYSTEM — RENEWAL
FORM: WWIS-R 02-21
Pursuant to 15A NCAC 02T .0107(b), if the application does not include all required information and the necessary supporting
documentation, the application shall be returned. The application and attachments shall be prepared in accordance with 15A
NCAC 02T .01009 15A NCAC 02T .0500, and Division Policies. For more information, visit the Water Quality Permitting
Section's Non -Discharge Branch website. The Applicant shall submit an electronic copy of the application and attachments
uploaded as a single Portable Document Format (PDF) file to httt)s:Hedocs.deci.nc.gov/Forms/NonDischarge-Branch-Submittal-
Form-Ver2, or entailed to Non-Discharge.ReportsOncdenr.gov if less than 20 megabytes (MB).
SECTION I — APPLICANT INFORMATION
1.
Applicant: Wallace Loft LLC d.b.a. The Cottages of Boone
2.
Permit No .: WQ0035784
3.
Signature authority: Sean Dwyer
Phone number: [phone] Select
Title: Director
Email: sean.dwyergmapletree.com.sg
4.
Mailing address: 5 Bryant Park, 28' Floor
City: New York
State: NY Zip: 10018-
5.
Contact person: Christopher Gamic
Primary phone number: [phone] Select
Email: [e-mail]
Secondary phone number: ( ) - Select
SECTION II — FACILITY INFORMATION
1. Physical address: 615 Fallview Ln. County: Watauga Parcel No.: 2900326210000
City: Boone
2. Treatment facility coordinates to the sixth decimal degree:
State: NC Zip: 28607-
Latitude: 36.197996' Longitude:-81.700029' Method: Geodetic quality GPS survey
1111 IL SECTION III — FLOW INFORMATION
1.
Permitted flow: 108530 GPD (The maximum allowable flow based on what has been permitted)
2.
As -built flow: 108530 GPD (The maximum allowable flow based on what has been constructed)
3.
Average flow: 58549 GPD (The average of all reported flows on the previous calendar year's NDMRs)
4.
Hydraulic capacity: 53 % (Divide the average flow in Item 3 by the As -built flow in Item 2)
5.
Wastewater composition: Domestic: 100 % Industrial: % Stormwater: %
SECTION IV — BILLING INFORMATION
1. Billing address: 615 Fallview Ln
City: Boone State: NC Zip: 28607-
2. Verify the Applicant does not have any overdue annual fees:
https:Hdeg .nc. gov/about/divisions/water-resource s/water-re source s-permits/M-epgyments
Pursuant to 15A NCAC 02T .0120(c), permits for renewing facilities shall not be granted if the Applicant or any affiliation has
an unpaid annual fee.
FORM: WWIS-R 02-21 Page 1 of 6

DocuSign Envelope ID: 99C3DOBE-A310-4184-BD56-753D65A21 F88
SECTION V — OPERATOR IN RESPONSIBLE CHARGE (ORC) INFORMATION
1. ORC: Donald Feller Grade: SI Certification No.: 997311
Mailing address: 773 Sanford Ave
City: Mocksville State: NC Zip: 27028-
Phone number: [phone] Office Email: dfellergenvirolinkinc.com
2. Back -Up ORC: Grade: Certification No.:
Mailing address:
City: State: Zip: -
Phone number: ( ) - Select Email:
SECTION VI — OPEN -ATMOSPHERE STRUCTURES
1. List all open -atmosphere treatment and storage structures associated with the renewing permit. Attach additional sheets if
necessary.
Type
Parcel No.
Volume (gal)
Liner Type
Freeboard (ft)
Latitude
Longitude
5-Day Upset
2900-32-6210
548,000
Full, metal
60
36.199130
-81.700900
Storage
2900-32-6210
1,562,000
Full, metal
100
36.199130
-81.700900
Select
Select
0-
°
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0-
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SECTION VII — RELATED PERMITS
1. List all wastewater permits (i.e., sewer, collection system, NPDES, residuals) that have interactions with the renewing permit.
Attach additional sheets if necessary.
Permit Type
Permit No.
Relationship Type
Collection System
WQCSD0738
Non -discharge permit converted to GW remediation
Select
Select
Select
Select
Select
Select
SECTION VIII — MONITORING WELLS
List all groundwater monitoring wells associated with the renewing permit. Attach additional sheets if necessary.
7wen
Name
Parcel No.
Status
Gradient
Location
Latitude
Longitude
MW1
2900228697000
Active
Downgradient
Outside Compliance Boundary
36.20140
-81.70450
MW2
2900228697000
Active
Downgradient
Outside Compliance Boundary
36.19950
-81.70040
MW3
2900326210000
Active
Downgradient
Outside Compliance Boundary
36.20150
-81.70240
Select
Select
Select
°
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Select
Select
Select
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Select
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Select
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Select
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- °
Select
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- °
FORM: WWIS-R 02-21 Page 2 of 6

DocuSign Envelope ID: 99C3DOBE-A310-4184-BD56-753D65A21 F88
SECTION IX — IRRIGATION FIELDS
1. List all irrigation fields associated with the renewing permit. Attach additional sheets if necessary.
Field
County
Parcel No.
Deeded Owner
Area
Cover Crop
Latitude
Longitude
I
WATAUGA
2900228697000
CCC-Boone, LLC
2.80
MIXED
HARDWOOD/PINE
36.2027790
-81.7052260
2
WATAUGA
2900228697000
CCC-Boone, LLC
2.70
MIXED
HARDWOOD/PINE
36.2022030
-81.7045490
3
WATAUGA
2900228697000
CCC-Boone, LLC
1.86
MIXED
HARDWOOD/PINE
36.2022580
-81.7035310
4
WATAUGA
2900228697000
CCC-Boone, LLC
2.72
MIXED
HARDWOOD/PINE
36.2017890
-81.7024760
5
WATAUGA
2900326210000
CCC-Boone, LLC
1.72
MIXED
HARDWOOD/PINE
36.199940
-81.6985540
6
WATAUGA
2900326210000
CCC-Boone, LLC
2.59
MIXED
HARDWOOD/PINE
36.1992830
-81.6993030
0
0
0
0
0
0
0
0
0
0
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0
0
0
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FORM: WWIS-R 02-21 Page 3 of 6

DocuSign Envelope ID: 99C3DOBE-A310-4184-BD56-753D65A21 F88
0 0
0 0
0 0
Total Acreage:
14.39
ATTACHMENT A — SITE MAP
Was the facility originally permitted or had a major modification issued after September 1, 2006?
® Yes — Pursuant to 15A NCAC 02T .0105(d), submit a site map pursuant to the requirements in 15A NCAC 02T .0504(d). These
requirements are:
® A scaled map of the site with topographic contour intervals not exceeding 10 feet or 25 percent of total site relief and showing
all facility -related structures and fences within the wastewater treatment, storage, and irrigation areas.
® Soil mapping units shown on all irrigation sites.
® The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of all wastewater treatment, storage,
and irrigation sites.
® Delineation of the compliance and review boundaries per 15A NCAC 02L .0107 and .0108, and 15A NCAC 02T .0506(0
if applicable.
® Setbacks as required by 15A NCAC 02T .0506.
® Site property boundaries within 500 feet of all wastewater treatment, storage, and irrigation sites.
® All habitable residences or places of public assembly within 500 feet of all treatment, storage, and irrigation sites.
❑ No — Skip Attachment A.
TTACHMENT B — SIGNATURE AUTHORITY DELEGATION
Does the signature authority in Section I, Item 3 meet the requirements pursuant to 15A NCAC 02T .0106(b)?
❑ Yes — Skip Attachment B.
® No — Submit a delegation letter pursuant to 15A NCAC 02T .0106(c) authorizing the signature authority to sign.
. ATTACHMENT C — FLOW REDUCTION
Does the existing permit include an approved flow reduction?
❑ Yes — Submit a copy of the flow reduction approval letter, as well as the measured monthly average amount of wastewater flow
contributed per unit for the 12 months prior to permit renewal. If any of these monthly averages are within 20% of the approved
flow reduction value, the Permittee shall provide a reevaluation of the reduced flow value pursuant to the requirements in 15A
NCAC 02T .0114(f).
® No — Skip Attachment C.
— ATTACHMENT D — CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY
Is the Applicant a Privately -Owned Public Utility?
❑ Yes — Pursuant to 15A NCAC 02T .0115(a)(1), submit the Certificate of Public Convenience and Necessity from the North
Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise.
® No — Skip Attachment D.
ISM. ATTACHMENT E — OPERATIONAL AGREEMENT
Is the Applicant a Home/Property Owners' Association or Developer of Lots to be Sold?
❑ Yes (Home/Property Owners' Association) — Pursuant to 15A NCAC 02T .0115(a)(2), submit an executed Operational Agreement
(FORM: HOA). Pursuant to 15A NCAC 02T .0115(c), if the applicant is a legally formed Homeowners' or Property Owner's
Association, submit a copy of the Articles of Incorporation, Declarations, and By-laws.
® Yes (Developer of Lots to be Sold) — Pursuant to 15A NCAC 02T .0115(a)(2), submit an executed Operational Agreement
(FORM: DEW Pursuant to 15A NCAC 02T .0115(b), if the applicant is a developer of lots to be sold, submit a copy of the
Articles of Incorporation, Declarations, and By-laws.
FORM: WWIS-R 02-21 Page 4 of 6

DocuSign Envelope ID: 99C3DOBE-A310-4184-BD56-753D65A21 F88
❑ No — Skip Attachment E.
FORM: WWIS-R 02-21 Page 5 of 6

DocuSign Envelope ID: 99C3DOBE-A310-4184-BD56-753D65A21 F88
ATTACHMENT F — DEMONSTRATION OF FUTURE WASTEWATER TREATMENT CAPACITIES
Is the applicant a municipality, county, sanitary district, or public utility?
❑ Yes — Proceed to the next question.
® No — Skip Attachment F.
Does the hydraulic capacity in Section III, Item 4 exceed 70%?
❑ Yes (the hydraulic capacity is greater than 70%, but less than 80%) — Pursuant to 15A NCAC 02T .01180), prior to exceeding
80 percent of the system's permitted hydraulic capacity (based on the average flow during the last calendar year), the permittee
shall submit an engineering evaluation of their future wastewater treatment, utilization, and disposal needs. This evaluation shall
outline plans for meeting future wastewater treatment, utilization, or disposal needs by either expansion of the existing system,
elimination or reduction of extraneous flows, or water conservation and shall include the source of funding for the improvements.
If expansion is not proposed or is proposed for a later date, a justification shall be made that wastewater treatment needs will be
met based on past growth records and future growth projections, and as appropriate, shall include conservation plans or other
measures to achieve waste flow reductions.
❑ Yes (the hydraulic capacity greater than 80%) — Proceed to the next question.
® No — Skip Attachment F.
If answered Yes above, does the hydraulic capacity in Section III, Item 4 exceed 80%?
❑ Yes (the hydraulic capacity is greater than 80%) — Pursuant to 15A NCAC 02T .0118(2), prior to exceeding 90 percent of the
system's permitted hydraulic capacity (based on the average flow during the last calendar year), the permittee shall obtain all
permits needed for the expansion of the wastewater treatment, utilization, or disposal system and, if construction is needed,
submit final plans and specifications for expansion, including a construction schedule. If expansion is not proposed or is proposed
for a later date, a justification shall be made that wastewater treatment needs will be met based on past growth records and future
growth projections, and as appropriate, shall include conservation plans or other specific measures to achieve waste flow
reductions.
® No — Skip Attachment F.
�' ATTACHMENT G — EASEMENT, ENCROACHMENT, AND LEASE AGREEMENTS
Does the Permittee own all of the land associated with the wastewater collection, treatment, conveyance, and irrigation system?
❑ Yes — Skip Attachment G.
® No — Pursuant to 15A NCAC 02T .0116(c), provide a copy of all easements, lease agreements, and encroachment agreements
allowing the Permittee to operate and maintain the wastewater collection, treatment, conveyance, and irrigation system on
property not owned by the Permittee.
ATTACHMENT H — AFFILIATIONS
Are the Permittee's affiliations of record correct? Check affiliations.
® Yes — Skip Attachment H.
❑ No — Provide the corrected affiliations and their contact information.
ATTACHMENT I — COMPLIANCE SCHEDULES ji
Does the existing permit include any Compliance Schedules? (See Section I of the most recently issued permit)
❑ Yes — Submit documentation that the compliance schedules have been met.
® No — Skip Attachment I.
1 ■= ATTACHMENT J— CIVIL PENALTIES AND OUTSTANDING VIOLATIONS
Does the Permittee have any existing civil penalties or outstanding violations?
❑ Yes (civil penalties) — Submit payment for the civil penalty, or proof of remission request.
❑ Yes (violations) — Submit a copy of your response to the Notice of Violation.
® No — Skip Attachment J.
FORM: WWIS-R 02-21 Page 6 of 6

DocuSign Envelope ID: 99C3DOBE-A310-4184-BD56-753D65A21 F88
ATTACHMENT K- INDUSTRIAL WASTEWATER
Does the wastewater composition in Section III, Item 5 include any industrial wastewater?
❑ Yes - Proceed to the next question.
® No - Skip Attachment K.
Has the nature of the industrial wastewater changed since the last permit issuance (i.e., changes in industrial process, introduction of
new materials or chemicals, etc.)?
❑ Yes - Provide a chemical analysis of the wastewater pursuant to the requirements in 15A NCAC 02T .0504(h). Provide an
overview of the manufacturing process; an inventory of all chemical and biological materials used in the manufacturing process;
and an overview of the cleaning and treatment methodology.
❑ No - Provide an overview of the manufacturing process; an inventory of all chemical and biological materials used in the
manufacturing process; and an overview of the cleaning and treatment methodology.
m r ATTACHMENT L - SETBACK WAIVERS f
Does the existing permit include setback waivers?
❑ Yes - Pursuant to 15A NCAC 02T .0506(d), provide setbacks waivers that have been written, notarized, signed by all parties
involved, and recorded with the county Register of Deeds. Waivers involving the compliance boundary shall be in accordance
with 15A NCAC 02L .0107.
® No - Skip Attachment L.
INAPPLICANT'S CERTIFICATION
Sean Dwyer
I, attest that this application
(Signature authority's name as noted in Section I, Item 3)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application package are not completed, and that if all required supporting information and attachments are not included, this
application package will be returned as incomplete. I further certify pursuant to 15A NCAC 02T .0120(b), that the applicant, or any
parent, subsidiary, or other affiliate of the applicant has: not been convicted of environmental crimes under; not previously abandoned
a wastewater treatment facility without properly closing the facility; not paid a civil penalty; not been compliant with any compliance
schedule in a permit, settlement agreement, or order; not paid an annual fee.
Note: The Applicant's Certification shall be signed pursuant to 15A NCAC 02T .0106(b). An alternate person may be delegated as
the signing official if a letter is provided pursuant to 15A NCAC 02T .0106(c). Pursuant to § 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, whi-h —, ;, i„ aP - r-ie not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: St,� pw�v Date: 1 November 2021
THE COMPLETED APPLICATION AND ATTACHMENTS SHALL BE SUBMITTED AS A SINGLE PDF FILE VIA:
Email:
Non-Discharge.Repo rts(a,ncdenr.2ov
Laserfiche Upload:
httt)s:Hedo cs.dea.nc.gov/Fo rms/NonDischarge-Branch-
Submittal-Form-Ver2
FORM: WWIS-R 02-21 Page 7 of 6

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Form No. 1402.06
ALTA Owner's Policy (6-17-06)
Policy Page 5
Policy Number: 826411NC1
File No.: 3020-826411NC1
TRACT 1:
SCHEDULE A (Continued)
Policy No.: 826411NC1
BEING A CERTAIN TRACT OF LAND, BEING LOCATED IN THE NEW RIVER TOWNSHIP, WATAUGA
COUNTY, NORTH CAROLINA BEING THE COMBINED PROPERTY NOW KNOWN AS "TRACT 1", AS
RECORDED IN PLAT BOOK 23, PAGE 136 AND PAGE 137, AT THE WATAUGA COUNTY PUBLIC
REGISTRY,CONTAINING 60.707 ACRES.
TRACT 2:
BEING A CERTAIN TRACT OF LAND, BEING LOCATED IN THE NEW RIVER TOWNSHIP, WATAUGA
COUNTY, NORTH CAROLINA NOW KNOWN AS "TRACT 2", AS RECORDED IN PLAT BOOK 23, PAGE 136
AND PAGE 137, AT THE WATAUGA COUNTY PUBLIC REGISTRY CONTAINING 10.053 ACRES.
TRACT 3:
TOGETHER WITH THE APPURTENANT RIGHTS AND EASEMENTS IN THAT ACCESS AND UTILITY
EASEMENT AGREEMENT RECORDED IN BOOK 1632, PAGE 826, WATAUGA COUNTY REGISTRY.
TRACT 4:
TOGETHER WITH THE APPURTENANT RIGHTS AND EASEMENTS IN THAT ACCESS AND UTILITY
EASEMENT AGREEMENT RECORDED IN BOOK 1632, PAGE 844, WATAUGA COUNTY REGISTRY, AS
AMENDED IN BOOK 1687, PAGE 267, WATAUGA COUNTY REGISTRY.
TRACT 5:
TOGETHER WITH THE APPURTENANT RIGHTS AND EASEMENTS IN THAT RIGHT OF WAY AGREEMENT
RECORDED IN BOOK 911, PAGE 49, WATAUGA COUNTY REGISTRY.
First American Title Insurance Company

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North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E.
Governor Director
May 30, 2012
MR. JOHN VAWTER
CAPSTONE COLLEGIATE COMMUNITIES, LLC
431 OFFICE PARK DRIVE
BIRMINGHAM, AL 35223
Dear Mr. Vawter:
Subject: Permit No. WQ0035784
Dee Freeman
Secretary
Cottages of Boone
Wastewater Irrigation System
Watauga County
In accordance with your permit application request received February 20, 2012, and subsequent
additional information received February 29, 2012, April 13, 2012, and May 4, 2012, we are forwarding
herewith Permit No. WQ0035784 dated May 30, 2012, to Capstone Collegiate Communities, LLC for the
construction and operation of the subject wastewater treatment and irrigation facilities.
This permit shall be effective from the date of issuance until April 30, 2017 and shall be subject
to the conditions and limitations as specified therein. Please pay particular attention to the monitoring
requirements listed in Attachments A, B and C. Failure to establish an adequate system for collecting and
maintaining the required operational information shall result in future compliance problems.
For your convenience, customized electronic copies of your facility's NDMR, and NDAR-1
reporting forms are available for download at: http://portal.ncdenr.org/web/wq/aps/lau/reporting.
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail
Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
One set of approved plans and specifications is being forwarded to you. If you need additional
information concerning this permit, please contact Cory Larsen at [phone] or
[e-mail].
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 512 N, Salisbury St., Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet: www.ncwaterauality.org
An Equal Opportunity 1 Affirmative Action Employer
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Mr. John Vawter
May 30, 2012
Page 2 of 2
Sincerely,
/Charl;s�Wakild, P.E.
cc: Watauga County Health Department
Winston-Salem Regional Office, Aquifer Protection Section
Mark Brooks, PE — Brooks Engineering Associates, 17 Arlington St, Asheville, NC 28801
Permit File WQ0035784
Notebook File WQ0035784

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER IRRIGATION SYSTEM 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
Capstone Collegiate Communities, LLC
Watauga County
construction and operation of a 105,000 gallon per day (GPD) wastewater treatment and irrigation facility
consisting of:
a rotary brush screen and 500 gallon (gal) filtrate collection tank served by two 0.5 horsepower (hp)
centrifugal screening transfer pumps; a 54,496 gal bolted steel equalization basin with a coarse bubble
diffuser system served by one 96 cubic feet per minute (cfm), 40 hp, positive displacement blower and
two 4 hp submersible transfer pumps; dual 12,000 gal anoxic bioreactor tanks served by two 3 hp
centrifugal RAS/Mix pumps; dual 12,000 gal aerated bioreactor tanks with a coarse bubble diffuser
system served by one 96 cfm, 40 hp, positive displacement blower; single 12,000 gal post -anoxic
bioreactor tank; dual OF Membrane filter racks served by three 5 hp centrifugal circulation pumps, two 2
hp centrifugal membrane flush pumps, two 0.5 hp centrifugal membrane permeate pumps, and two 3 hp
centrifugal permeate backwash pumps (all as part of Dynatec Membrane Biological Reactor treatment
system); dual 130 gallons per minute (gpm) Severn Trent UV disinfection systems; a Hach turbidimeter
and 190 gpm effluent flow meter; an automatic -activation propane -fueled alternate power supply; a
525,000 gal bolted steel 5-day upset tank; a 36,166 gal bolted steel aerobic digestion sludge holding tank
with coarse bubble diffuser and 2-inch, 100 gpm sludge flow meter; a 12,000 gal HDPE irrigation dosing
tank served by two 15 hp centrifugal dosing pumps; a 1.48 MG bolted steel 14-day wet weather storage
tank; a precipitation sensor; three 1,763 gallon precast return flush tanks served by two 48 gpm vertical
turbine flush return pumps; approximately 14.50 acres of drip irrigation area with a mixed hardwood and
pine forest cover crop with sufficient disposal capacity in fields/zones 1-16 as detailed in Attachment B;
to serve Cottages of Boone (859 bedrooms and one lodge), with no discharge of wastes to surface waters,
pursuant to the application received February 20, 2012, and subsequent additional information received
by the Division of Water Quality, and in conformity with the project plans, specifications, and other
supporting data subsequently filed and approved by the Department of Environment and Natural
Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until April 30, 2017 and shall be subject to the
following specified conditions and limitations:
WQ0035784 Version 1.0 Shell Version 120224 Page 1 of 10

I. SCHEDULES
In accordance with 15A NCAC 02T .0116, upon completion of construction and prior to operation of
this permitted facility, a certification (attached) shall be submitted from a licensed North Carolina
Professional Engineer certifying that the permitted facility has been installed in accordance with this
permit, Division approved plans and specifications, and other supporting documentation, including
the location of all monitoring wells as applicable. If this project is to be completed in phases and
partially certified the Pennittee shall retain the respgnsibilfty to track further construction approved
under the same permit, and shall provide a final certificate of completion once the entire project has
been completed. Mail the Certification to the Division of Water Quality, Aquifer Protection Section,
1636 Mail Service Center, Raleigh, NC 27699-1636.
2. The Winston-Salem Regional Office, telephone number [phone], shall be notified at least 48
hours in advance (excluding weekends and holidays) of operation of the installed facilities such that
an in -place inspection can be made. Notification to the Aquifer Protection Section's regional
supervisor shall be made from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State
Holidays.
3. The Winston-Salem Regional Office, telephone number [phone], shall approve monitoring
wells MW-I, MW-2, and MW-3 prior to installation, and the monitoring wells shall be installed prior
to beginning waste disposal operations. The regional office shall be notified at least 48 hours prior to
the construction of any monitoring well, and such notification to the Aquifer Protection Section's
regional supervisor shall be made from 8:00 a.m. until 5:00 p.m. on Monday through Friday,
excluding State Holidays. The monitoring wells shall be constructed such that the water level in the
well is never above or below the screened (open) portion of the well at any time during the year, and
in accordance with 15A NCAC 02C .0108. The general location and name for each monitoring well
is marked on Figure MW-I.
4. Within 60 days of completion of the monitoring wells, the Permittee shall submit two original copies
of a site map with a scale no greater than 1-inch equals 100 feet; however, special provisions may be
granted upon prior approval for large properties. At a minimum, the map shall include the following
information:
a. The location and identity of each monitoring well.
b. The location of major components of the waste disposal system.
c. The location of property boundaries within 500 feet of the disposal areas.
d. The latitude and longitude of the established horizontal control monument.
e. The elevation of the top of the well casing (i.e., measuring point) relative to a common datum.
f. The depth of water below the measuring point at the time the measuring point is established.
g. The location of compliance and review boundaries.
h. The date the map is prepared and/or revised.
Control monuments shall be installed in such a manner and made of such materials that the
monument will not be destroyed due to activities taking place on the property. The snap and any
supporting documentation shall be sent to the Division of Water Quality, Aquifer Protection Section,
1636 Mail Service Center, Raleigh, NC 27699-1636.
5. A gauge to monitor waste levels in the 5 Day Upset Tank and 14 Day Storage Tank as required in
Condition III.13 shall be installed prior to operation.
6. No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application.
WQ0035784 Version 1.0 Shell Version 120224 Page 2 of 10

II. PERFORMANCE STANDARDS
The subject non -discharge facilities shall be effectively maintained and operated at all times so there
is no discharge to surface waters, nor any contravention of groundwater or surface water standards.
In the event the facilities fail to perform satisfactorily, including the creation of nuisance conditions
due to improper operation and maintenance, or failure of the irrigation areas to adequately assimilate
the effluent, the Permittee shall take immediate corrective actions including Division required actions,
such as the construction of additional or replacement wastewater treatment or irrigation facilities.
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or
surface water resulting from the operation of this facility.
3. All wells constructed for purposes of groundwater monitoring shall be constructed in accordance with
15A NCAC 02C .0108 (Standards of Construction for Wells Other than Water Supply), and any other
jurisdictional laws and regulations pertaining to well construction.
4. Effluent quality shall not exceed the limitations specified in Attachment A.
5. Application rates, whether hydraulic, nutrient or other pollutant, shall not exceed those specified in
Attachment B.
6. The irrigation system shall be connected to a rain or moisture sensor, which shall indicate when
effluent application is not appropriate in accordance with Conditions III.4. and III.5. of this permit.
The compliance and review boundaries are established at the irrigation area boundaries. Any
exceedance of standards at the compliance or review boundary shall require action in accordance with
15A NCAC 02L .0106.
8. The Permittee shall apply for a permit modification to establish a new compliance boundary prior to
any sale or transfer of property affecting a compliance boundary.
9. In accordance with 15A NCAC 02L .0107(d), no wells, excluding Division approved monitoring
wells, shall be constructed within the compliance boundary except as provided for in 15A NCAC 02L
.0107(g).
10. Except as provided for in 15A NCAC 02L .0107(g), the Permittee shall ensure any landowner who is
not the Permittee and owns land within the compliance boundary shall execute and file with the
Watauga County Register of Deeds an easement running with the land containing the following
items:
a. A notice of the permit and number or other description as allowed in 15A NCAC 02L .0107(f)(1);
b. Prohibits construction and operation of water supply wells within the compliance boundary; and
c. Reserves the right of the Permittee or the State to enter the property within the compliance
boundary for purposes related to the permit.
The Director may terminate the easement when its purpose has been fulfilled or is no longer needed.
WQ0035784 Version 1.0 Shell Version 120224 Page 3 of 10

11. The facilities permitted herein shall be constructed according to the following setbacks:
a. The setbacks for irrigation sites (permitted under 15A NCAC 02T .0500) shall be as follows (all
distances in feet):
i. Any habitable residence or place of public assembly under separate ownership:
100
ii. Any habitable residence or place of public assembly owned by the Permittee:
15
iii. Any private or public water supply source:
100
iv. Surface waters:
100
v. Groundwater lowering ditches:
100
vi. Surface water diversions:
25
vii. Any well with exception of monitoring wells:
100
viii. Any property line:
0*
ix. Top of slope of embankments or cuts of two feet or more in vertical height:
15
x. Any water line from a disposal system:
10
xi. Subsurface groundwater lowering drainage systems:
100
xii. Any swimming pool:
100
xiii. Public right of way:
50
xiv. Nitrification field:
20
xv. Any building foundation or basement:
15
* Setbacks to property lines have been reduced to 0 feet due to compliance with 15A NCAC
02T .0506(c).
b. The setbacks for storage and treatment units (permitted under 15A NCAC 02T .0500) shall be as
follows (all distances in feet):
i. Any habitable residence or place of public assembly under separate ownership: 100
ii. Any private or public water supply source: 100
iii. Surface waters: 50
iv. Any well with exception of monitoring wells: 100
v. Any property line: 50
III. OPERATION AND MAINTENANCE REQUIREMENTS
1. The facilities shall be properly maintained and operated at all times. The facilities shall be effectively
maintained and operated as a non -discharge system to prevent the discharge of any wastewater
resulting from the operation of this facility. The Permittee shall maintain an Operation and
Maintenance Plan pursuant to 15A NCAC 02T .0507, which at a minimum shall include operational
functions, maintenance schedules, safety measures and a spill response plan.
2. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the subject non -discharge facilities, in accordance with 15A NCAC 08G .0200 the
Permittee shall designate and employ a certified operator in responsible charge (ORC) and one or
more certified operator(s) as back-up ORC(s). The ORC or their back-up shall visit the facilities in
accordance with 15A NCAC 08G .0200, and shall comply with all other conditions specified in the
previously cited rules.
3. A suitable year round vegetative cover shall be maintained at all times, such that crop health is
optimized, allows for even• distribution of effluent and allows inspection of the irrigation system.
4. Adequate measures shall be taken to prevent effluent ponding in or runoff from the irrigation sites
listed in Attachment B.
WQ0035784 Version 1.0 Shell Version 120224 Page 4 of 10

5. Irrigation shall not be performed during inclement weather or when the ground is in a condition that
will cause ponding or runoff.
6. All irrigation equipment shall be tested and calibrated at least once per permit cycle. Calibration
records shall be maintained at the facility for a period of no less than five years, and shall be made
available to the Division upon request.
7. Only effluent from Cottages of Boone shall be irrigated on the sites listed in Attachment B.
8. No automobiles or machinery shall be allowed on the irrigation sites except during equipment
installation or while maintenance is being performed.
9. Public access to the irrigation sites and wastewater treatment facilities shall be prohibited.
10. The residuals generated from the wastewater treatment facilities shall be disposed or utilized in
accordance with 15A NCAC 02T .1100. The Permittee shall maintain a residual management plan
pursuant to 15A NCAC 02T .0508
11. Diversion or bypassing of untreated or partially treated wastewater from the treatment facilities is
prohibited.
12. Freeboard in the 5 Day Upset Tank and 14 Day Storage Tank shall not be less than two feet at any
time.
13. A gauge to monitor waste levels in the 5 Day Upset Tank and 14 Day Storage Tank shall be provided.
14. A protective vegetative cover shall be established and maintained on all earthen embankments (i.e.,
outside toe of embankment to maximum allowable temporary storage elevation on the inside of the
embankment), berms, pipe runs, erosion control areas, and surface water diversions. Trees, shrubs,
and other woody vegetation shall not be allowed to grow on the earthen dikes or embankments.
Earthen embankment areas shall be kept mowed or otherwise controlled and accessible.
15. All effluent shall be routed to the five day upset tank should the limit for fecal coliform (e.g., daily
maximum concentration of 25 colonies per 100 mL) or turbidity (e.g., instantaneous maximum of 10
NTU) be exceeded, until the problems associated with the wastewater treatment plant have been
corrected. The wastewater in the five day upset tank shall be pumped back to the treatment plant
headworks for re -treatment or treated in the five day upset tank prior to utilization.
IV. MONITORING AND REPORTING REQUIREMENTS
1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater and surface water protection shall be established, and an
acceptable sampling reporting schedule shall be followed.
2. Per 15A NCAC 02H .0800, a Division certified laboratory shall conduct all laboratory analyses for
the required effluent, groundwater or surface water parameters.
WQ0035784 Version 1.0 Shell Version 120224 Page 5 of 10

3. Flow through the treatment facility shall be continuously monitored, and daily flow values shall be
reported on Form NDMR.
The Permittee shall install and maintain an appropriate flow measurement device to ensure the
accuracy and reliability of flow measurement consistent with accepted engineering and scientific
practices. Selected flow measurement devices shall be capable of measuring flows with a maximum
deviation of less than ten percent from true flow; accurately calibrated at a minimum of once per year;
and maintained to ensure the accuracy of measurements is consistent with the selected device's
accepted capability. The Permittee shall maintain records of flow measurement device calibration on
file for a period of at least five years. At a minimum, documentation shall include:
a. Date of flow measurement device calibration,
b. Name of person performing calibration, and
c. Percent from true flow.
4. The Permittee shall monitor the effluent from the subject facilities at the frequencies and locations for
the parameters specified in Attachment A.
The Permittee shall maintain adequate records tracking the amount of effluent irrigated. At a
minimum, these records shall include the following information for each irrigation site listed in
Attachment B:
a. Date of irrigation;
b. Volume of effluent irrigated;
c. Site irrigated;
d. Length of time site is irrigated;
e. Continuous weekly, monthly, and year-to-date hydraulic (inches/acre) loadings;
f. Continuous monthly and year-to-date loadings for any non -hydraulic parameter specifically
limited in Attachment B;
g. Weather conditions; and
h. Maintenance of cover crops.
6. Freeboard (i.e., waste level to the lowest embankment elevation) in the 5 Day Upset Tank and 14 Day
Storage Tank shall be measured to the nearest inch or tenth of a foot, and recorded weekly. Adequate
freeboard records shall be maintained at the facility for a period of no less than five years, and shall
be made available to the Division upon request.
Three copies of all monitoring data (as specified in Conditions IV.3. and IVA.) on Form NDMR for
each PPI and three copies of all operation and disposal records (as specified in Conditions IV.5. and
IV.6.) on Form NDAR-1 for every site in Attachment B shall be submitted on or before the last day of
the following month. If no activities occurred during the monitoring month, monitoring reports are
still required documenting the absence of the activity. All information shall be submitted to the
following address:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
A record shall be maintained of all residuals removed from this facility. This record shall be
maintained at the facility for a period of no less than five years, and shall be made available to the
Division upon request. At a minimum, this record shall include:
a. Name of the residuals hauler;
b. Non -Discharge permit number authorizing the residuals disposal, or a letter from a municipality
agreeing to accept the residuals;
c. Date the residuals were hauled; and
d. Volume of residuals removed.
WQ0035784 Version 1.0 Shell Version 120224 Page 6 of 10

9. A maintenance log shall be maintained at this facility. This log shall be maintained at the facility for
a period of no less than five years, and shall be made available to the Division upon request. At a
minimum, this log shall include:
a. Date of calibration of flow measurement device;
b. Visual observations of the plant and plant site;
c. Record of preventative maintenance (e.g., changing of equipment, adjustments, testing,
inspections and cleanings, etc.);
d. Date and results of alternate power supply testing;
10. Monitoring wells shall be sampled after construction and within 3 months prior to initiating non -
discharge disposal operations. Monitoring wells shall be sampled thereafter at the frequencies and for
the parameters specified in Attachment C. All mapping well construction forms well abandonment
forms and monitorina data shall refer to the permit number and the well nomenclature as provided in
Attachment C and Figure MW-1.
11. For initial sampling of monitoring wells, the Permittee shall submit a Compliance Monitoring Form
(GW-59) and a Well Construction Record Form (GW-1) listing this permit number and the
appropriate monitoring well identification number. Initial Compliance Monitoring Forms (GW-59)
without copies of the Well Construction Record Forms (GW-1) are deemed incomplete, and may be
returned to the Permittee without being processed.
12. Two copies of the monitoring well sampling and analysis results shall be submitted on a Compliance
Monitoring Form (GW-59), along with attached copies of laboratory analyses, on or before the last
working day of the month following the sampling month. The Compliance Monitoring Form (GW-
59) shall include this permit number, the appropriate well identification number, and one GW-59a
certification form shall be submitted with each set of sampling results. All information shall be
submitted to the following address:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
13. An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on
each irrigation site listed in Attachment B. Samples shall be collected as a composite from within
each zone in Attachment B. These results shall be maintained at the facility for a period of no less
than five years, and shall be made available to the Division upon request. At a minimum, the
Standard Soil Fertility Analysis shall include the following parameters:
Acidity
Exchangeable Sodium Percentage
Phosphorus
Base Saturation (by calculation)
Magnesium
Potassium
Calcium
Manganese
Sodium
Cation Exchange Capacity
Percent Humic Matter
Zinc
Copper
pH
WQ0035784 Version 1.0 Shell Version 120224 Page 7 of 10

14. Noncompliance Notification:
The Permittee shall report by telephone to the Winston-Salem Regional Office, telephone number
[phone], as soon as possible, but in no case more than 24 hours, or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence at the facility resulting in the treatment of significant amounts of wastes that is
abnormal in quantity or characteristic, including the known passage of a hazardous substance.
b. Any process unit failure (e.g., mechanical, electrical, etc.), due to known or unknown reasons,
rendering the facility incapable of adequate wastewater treatment.
c. Any facility failure resulting in a by-pass directly to receiving surface waters.
d. Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
e. Ponding in or runoff from the irrigation sites.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].
Persons reporting such occurrences by telephone shall also file a written report in letter form within
five days following first knowledge of the occurrence. This report shall outline the actions taken or
proposed to be taken to ensure the problem does not recur.
V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
wastewater treatment and irrigation/recycle facilities.
The Permittee or their designee shall inspect the wastewater treatment and irrigation facilities to
prevent malfunctions, facility deterioration and operator errors resulting in discharges, which may
cause the release of wastes to the environment, a threat to human health or a public nuisance. The
Permittee shall maintain an inspection log that includes, at a minimum, the date and time of
inspection, observations made, and any maintenance, repairs, or corrective actions taken. The
Pennittee shall maintain this inspection log for a period of five years from the date of the inspection,
and this log shall be made available to the Division upon request.
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the wastewater treatment and irrigation facilities
permitted herein at any reasonable time for the purpose of determining compliance with this permit;
may inspect or copy any records required to be maintained under the terms and conditions of this
permit, and may collect groundwater, surface water or leachate samples.
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to
an enforcement action by the Division in accordance with North Carolina General Statutes 143-
215.6A to 143-215.6C.
2. This permit shall become voidable if the permitted facilities are not constructed in accordance with
the conditions of this permit, the Division approved plans and specifications, and other supporting
documentation.
WQ0035784 Version 1.0 Shell Version 120224 Page 8 of 10

3. This permit is effective only with respect to the nature and volume of wastes described in the permit
application, Division approved plans and specifications, and other supporting documentation. No
variances to applicable rules governing the construction or operation of the permitted facilities are
granted, unless specifically requested and approved in this permit pursuant to 15A NCAC 02T
.0105(n).
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules
in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4
and under the Division's General Permit NCGO10000; any requirements pertaining to wetlands under
15A NCAC 02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of
Chapter 143 of the General Statutes.
5. In the event the permitted facilities change ownership or the Permittee changes their name, a formal
permit modification request shall be submitted to the Division. This request shall be made on official
Division forms, and shall include appropriate property ownership documentation and other supporting
documentation as necessary. The Permittee of record shall remain fully responsible for maintaining
and operating the facilities permitted herein until a permit is issued to the new owner.
6. The Permittee shall retain a set of Division approved plans and specifications for the life of the
facilities permitted herein.
7. The Permittee shall maintain this permit until all permitted facilities herein are properly closed or
permitted under another permit issued by the appropriate permitting authority pursuant to 15A NCAC
02T .01050).
8. This permit is subject to revocation or unilateral modification upon 60 days notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 02T .0110.
9. Unless the Division Director grants a variance, expansion of the permitted facilities contained herein
shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T .0120(b).
10. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to
pay the annual fee accordingly shall be cause for the Division to revoke this permit pursuant to 15A
NCAC 02T .0105(e)(3).
Permit issued this the 30th day of May 2012.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Z-4,�
arles a ild, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0035784
WQ0035784 Version 1.0 Shell Version 120224 Page 9 of 10

Permit No. WQ0035784 Wastewater Irrigation System
Capstone Collegiate Communities, LLC May 30, 2012
Cottages of Boone Watauga County
ENGINEERING CERTIFICATION
❑ Partial ❑ Final
In accordance with 15A NCAC 02T .0116, I,_ _
as a duly registered Professional Engineer in the State of North Carolina, having the Permittee's
authorization to ❑ periodically ❑ weekly ❑ fully observe the construction of the permitted facility,
hereby state to the best of my abilities that due care and diligence was used in the observation of the
construction, such that the facility was built within substantial compliance and intent of this permit, the
Division approved plans and specifications, and other supporting documentation.
❑ Any variation to this permit, the Division approved plans and specifications, and other supporting
documentation has been documented in the attached as -built drawings, and shall serve as the
Permittee's minor modification request to amend the permit accordingly.
Provide a brief narrative description of any variations:
Professional Engineer's Name
Engineering Firm
Mailing Address
City
Telephone
E-mail
State Zip
NC PE
& Date
THE COMPLETED ENGINEERING CERTIFICATION, INCLUDING ALL SUPPORTING
INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
LAND APPLICATION UNIT
By U.S. Postal Service:
1636 MAIL SERVICE CENTER
By Courier/Special Delivery:
512 N. SALISBURY ST.
RALEIGH, NORTH CAROLINA 27699-1636 RALEIGH, NORTH CAROLINA 27604
WQ0035784 Version 1.0 Shell Version 120224 Page 10 of 10

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