WQ0038094_Regional Office Historical File Pre 2018

Water Resources
Environmental Quality
October 5, 2017
Mr. Richard W. Slosson, SVP Development
Windsor Run, LLC
701 Maiden Choice Lane
Baltimore, MD 21228
1 OY COOPER
Governor
MTCHAEL S. REGAN
secretary
S. JAY ZIMMERMAN
Director
Subject: Permit No. WQ0038094 MODIFICATION
Windsor Run, LLC
Windsor Run Phase 1A
Wastewater Collection System Extension Permit
Mecklenburg County
Dear Mr. Slosson:
In accordance with your application received September 29, 2017, we are forwarding herewith Permit No,..
WQ0038094 MODIFICATION dated October 5, 2017, to Windsor Run, 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be effective from the date of issuance until rescinded, shall void Permit No. WQ0038094 issued November
5, 2015, 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 No, WQ0038094 was originally issued on November 5, 2015 for 458 linear feet of 6-inch gravity
sewer and 569 linear feet of 8-inch gravity sewer, and 29,295 gallons per day of domestic flow. This
Modification changes the line lengths to 270 linear feet of 6-inch gravity sewer and 757 linear feet of 8-
inch gravity sewer with no change in flow which remains at 29,295 gallons per day.
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.
Condition 11.4:
Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T .0403 or any individual system -wide collection system
permit issued to the Permittee.
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.
Nothing Comport
State of Nutt Carolina I Environmental Quality I Water Resoure
Mooresville Regional Office 1610 East Center Avenue, Suite 30
704-663-1699
a
ao
Quality Regional 0laeratiom
sville, North Carolina 28115

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 150E 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 Barry Love at [phone]
or via e-mail at [e-mail].
Sincerely,
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
cc: Brian Rossi, P.E. (e-copy)
Barbara Gross (e-copy)
Tommy Rowland (e-copy)
Regional Office Files
Water Resources Central Files
PERCS (e-copy)
2

Environmental
• 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
Windsor Run, LLC
Mecklenburg County
for the construction and operation of approximately 270 linear feet of 6-inch gravity sewer and 757 linear
feet of 8-inch gravity sewer, to serve the Windsor Run Phase 1A project, and the discharge of 29,295
gallons per day of collected domestic wastewater into the Charlotte Water existing seweragesystem,
pursuant to the application received September 29, 2017, and in conformity with.15A NCAC 2T; 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 data subsequently filed and approved by the Department of
Environmental Quality and considered a part of this permit.
Permit No. WQ0038094 was originally issued on November 5, 2015for 458 linear feet of 6-inch gravity
sewer and 569 linear feet of 8-inch gravity sewer, and 29,295 gallons per day of domestic flow. This
Modification changes the line lengths to 270 linear feet of 6-inch gravity sewer and 757 linear feet of 8-
inch gravity sewer with no change in flow which remains at 29,295 gallons per day. •
This permit shall be effective from the date of issuance until rescinded and shall be subject to the specified
conditions and limitations contained therein.
by W. Corey Basinger,. Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
Permit Number:
Permit Issued:
WQ0038094 MODIFICATION
October 5, 2017
3

SUPPLEMENT TO PERMIT COVER SHEET
Windsor Run, 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 McAlpine Creek
Wastewater Treatment Plant in accordance with Permit Number NC0024970,
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 2T; 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
No flow in excess of the quantity permitted herein, 29,295 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 Windsor Run, LLC and Charlotte
Water for the collection and final treatment of wastewater is in full force and effect. [15A NCAC
02T.0304(h)]
II. STANDARD CON'►lTI©NS
This permit is not 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.0104; 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 2T; 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]
This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T .0110]
4

4. The wastewater collection facilities shall be properly maintained and operated at ail 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 2T .0403. If an individual
permit is not required, the following performance criteria shall be met: [15A NCAC 02T .0108(b)]:
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 §143-215.1C. •
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 fora minimum of three
years with exception of the map, which shall be maintained for the life of the system.

E The Penmitteeshall report by telephone to a water resources staff member at the Mooresville
Regional Office, telephone number [phone], as soon as possible, but inno case more than24
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 orelectrical failures ofpumps, line
blockage urbreakage, ctc.;or
6. Any 53Oand/or spill over 1,UOUgallons; 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(0QU) 858-0368 or (919) 733'3300.
Persons reporting any of the above occurrences shaill file a spill report by completing and submitting
Part | of Form CS-S5Q (or the most current Division approved form) within five days following first
knowledge ofthe occurrence. This report must outline the actions taken orproposed tn6etaken to
ensure that the problem does not recur. Part ]|nfForm [S-36O(or the most current Division approved
form) can also be completed to show that the SSO was beyond control. [G.S. 143-215.IC(al)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service bythe existing utilities nor result inanoverflow urbypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion ofconstruction and prior to operation of these permitted facilities, the completed
Engineering Certification form attached to this permit shall be submitted with the required supporting
documents tothe address provided on the form. Aconnp!ete mortification is one where the fu,nn is
fully executed and the supporting documents are provided esapplicable. 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 Permi|tee 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.
Acornplete certification is one where the form is fully executed and the supporting documents are
provided asapplicable. Supporting documentation shall include the following:
a. One copy ofthe project construction record drawings (plan & profile views ofsewer lines &force
mains) of the wastewater collection system extension. Final record drawings should be clear on
the plans or on digital media ([Q or 0V0 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.
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
6

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.
c. 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 pipe length increases 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 construction record drawings shall be maintained on file by the Permittee for the life of
the wastewater collection facilities. [15A NCAC 02T .0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; 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 othersupportingmaterials 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 .0104; 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)]
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 may be
7

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE:
PERMIT #:
PROJECT:
ISSUE DATE:
Windsor Run, LLC
WQ0038094 MODIFICATION
Windsor Run Phase 1A
October 5, 2017
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
ENGINEER'S CERTIFICATION
I, , as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (❑ periodically, n 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 construction 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 Office) 610 East Center Avenue, Suite 301 I Mooresville. North Carolina 28116

State of North Carolina
Department of Environmental Quality
Division of Water Resources
1 tiA NCAC 02T .0300 - FAST. TRACK SEWER SYSTEM EXTENSION APPLICATION
ETA 04-16 & SUPPORTIN(., (DOCUMENTATION
Application Number,
YV\ Ct -
to be completed by ()wtt,l
All items a►ttst be ct►mpleted or the application will he r returned
APl'1JCANT INFORMATION:
1, Applicant's name: Windsor .Rug,
2, Applicant type:
al
Signature authority's naive:
Title: Z. r t�
Applicant's. mail
City: Baltimore
Applicant's contact inf°ornnation:
Phone numbed (41,0) 402-2449 Email ' idress:
1. (ctan pony, munir:.ipalit.y, IFOA, utility, etc.)
Corporation ® (general Partnership
State/County 0 Municipal
per 1.5A NC? (
70
(PROJECT INFORMATION:
I., Project name: Windsor Run Phase
2. Application' Project status:.
ai
" hoice Lane
hi p:. 212.2
Proposed (Nebo Pei
If a modification, provide the exg permit number: 'WQ0038094 an
Pro? ect
eel date: 11105115__
ottsirttction but part of a master plan, provide the existing permit number: WQ00_____
where project is 1<tcated: Mecklenburg
4. Approximate Coordinates (Decimal Degrees): 1 at`rtudc: 35 083074'
Parcel I[;1(if applicable):: 227601 12
(or Parcel }} to closest downstream sewer)
CONSULTANT INFORMATION:
1, Professional Engineer lln Rossi l..lc erase. Number: 03981_l
Firm:
Mailing address. 301 McCullough Drive,,, Ste 109
City: Charlotte State: NC
Phone number: (704) 353-99= 8
Zip:
Lar ttil Address br-rlss
11
IV. WASTEWATER TREATMENT I;A.CILFFY (WWTF) INFO' MATI(.DN:
1. Facility Name: h1cAVpirie; CreekWastewater Treatment Plant
Owner Name: C"liarlotte Water
de:
Pcrrnit Number: NCO
V. RECE lVlNG DOWNSTREAM SEWER INFORMATION (if different than WWTF):
Permit Number(s): WQ. .._.
Downstream (Rece$ inch
System V4 ide Collection System PermjlNumberrsJ (i.lappli able): WQC
Owner Name(s)v Ch€trltitte Water
24970
al Public tint*
FORM:l"1'A 04-10

a
a
tt
:ee
trat (CR
{O been attached?
tail (store>, centers, rna.11s) ❑ Car Wash.
ail yvith food preparation/service ❑ 1-lotel and or Motels
dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Swimming Pool/Filter backwash
® Other (Explain in Attachment)
No
No
GENERAL REQUIREMENTS
. 1 the Applicant is tely°-Owned Public
of Public. Convenience and Nccessity been attached`'
❑ Yes ONo N/A
If the Applictnt i a Developer o'f lots to be sold, a Deyper`s Operational Agreement _ _ _ DE y been attached?
Yes ❑No NNlA
x. If1hc Applicant is a 11oni Property Owners' A. o iattonhati
❑ Yes :No N/A
4. Qri itt of warste.ywatcr; (cltcck all that apply°`1.
❑ Residential Owned
❑ Residential 1 eased
School J preschool r" day care
❑ Food and drink filed ities
❑ f.usinesses ,,/ offices factories Nursing flonte
Nature of wastewater : 100 % Domestic/Commercial 94) Commercial
°° 1 (.:.0 5./_m NC/.-\ w 2
,� rae ustna �acc 1 � NCAC° (3.
1.1s there a Pretreatment '.Program in et
Has a flow reduction been approved under 15 i NCAC02.T .0114/0)?
d cr y p lt��r }rid 1
7, Summarize wastewater generated by project:
Establishment Type (see 02T.0I140))
See 15A NCAC t1 .'Ci) f(h) td AII anc) (e)C :,i tear caveats to wastewater design flow rates (Le., rninianttrn flow per
dwelling, proposed unknown non-residential develc)prnent uses; public: access tacalitie-s lcwcaated near
areas; and residential property located south or east of the Atlantic: Intracoastal Waterwway to be used as vacation rentals
as defined in G.S.42A.-4),
Per 15A NCAC 021,0114(c), design flow- rates for establishments ncrt icietnifted lin table laA NCA(:' 027 01 14J shall
he determined using available flow data, slater a,tsirtr ti;tures, occupancy <r¢ operation patterns, auwd other measured data.
Wastewater generated by project: 0 (;PF)
not include future flows or previo
Ifpent titted flow is zero, indicate why.
© Pump
15A, NCACO2'T , 01 l4)
nerttaitted allocations
Sewer where flow will he permitted in subsequent permits that connect: to this line
® Flow has ;tlrcacly been allocated in Permit Number: WQ903 094
El Rehabilitation cal
❑ Other (Explain).
eplacement of existing sewer with no new flow expected
TA 04 16

GRAVITY SEWER I)ESIGN CRIT RIA (If Applicable) - 021 .0305 & M ( (,Gra% I
1, Suaninari e s,Sravity sewer to he permitted:
Size
757
Material
PVC
PVC
Section II ( III of the !ADC t'or Pcrniittinc of Grav1ty° Sewers contains itlf rtrrat'on relate(t d
Section III contains in forma rel'ed to rninirnum slopes for gravity sewer
Oversi'cirrg lines to meet minimum slope requirement is not allowed and a violation ofi the
MP STATION ATIO'N DESIGN GRIT"ERiA (If Applicable) — 02T .0305
criteria
ions/Force Mains
COMPLETE: FOR EACH PLUMP STATION INCLUDE I) IN IFIIS 1 (' TFC;T
1. Pump station number or name: __
2, Approximate Coordinates (Decimal Degrees'): Latitude:
5Design :Flow of the pump station: ra illiorts l alloy
4. Operational point(s) of the pumps)
5. Summarize the force main to be pet
ot25 per nn
d
6, 1'c rer relikthility in tact ntda t < 3, ^itlt 1 NC (: 02T ,030S0jUJ;.
0 Standby power source or pump with tautomt
Longitude: -
c opacity)
feet total dynamic head
itan and telemetry - 15A NCAC 02"1" .0305(1r)(l1(T )
• Required for all pump stations with an average daily tl'ovv grcatc:r ('bran o
✓ Must he permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per
❑ Portable power source with manual activation, quick: -connection receptacle and telemetry - I55A NCAC 02]
.0305(h)(1)(C)
or
• Portable pumping tanit w ith plu ed erne r enc' pump connection
r It shall he demonstrated to the Div isiota tktat the portable source is
and is compatible with the station.
• if the portahle power source or pump is dedicated to multiple pump stwatiotas, an or
storage capacities tarrci the rotation schcrdule of the portable power source or pump, inc
provided in the case of a raattit%p1e station po .U1.14e
per
I telen15A NCAC 020305(h)(
f or contracted by the appl
of all the punip stations'
ttvel timefraarns, shall be
FOR. 0:I- i 6
3 of 5

SETBACKS & SEPARATIONS — 02B .0200 & I5A NCAC 02T .0305(f)):
I. Does the project comply with all separations found in 15A NCAC 02T .0305(1) & (g)
• 15A NCAC 021.0305(f) contains Minimum sgaraticins that shall he provided for sew - systems:
Setback Parameter*
Storm sewers and other utilities not listed below (vertical)
Water mains (vertical -water over sewer including in henched trenches)
Water mains (horizontal)
Reclaimed water lines (vertical - reclaimed over swcr)
Reclaimed water lines (horizontal - reclaimed over sewer)
**Any private or public water supply source, including any wells. WS-I waters of Class I or
Class II impoundedreservoirs used as a source of drinking water
**Waters classified WS (except WS-f or WS-V), .B, SA., ORW, IIQW„ or SB from normal
high water (or tide elevation) and wetlands (see item IX.2)
**Any other stream, lake, impound.ment, or ground 'water lowering and surface drainage
ditches
Any building foundatioa
n basement
lope of embankment or cuts of 2 feet or more vertical height
-Yes
mration Requircd
24 inches
18 inches
10 feet
18 inches
2 feet
100 feet
50 feet
10 feet
5 feet
10 feet
10 feet
Drainage systems and interceptor drains 5 feet
Any swimming, pools 10 feet
Final earth grade (vertical) 36 inches
11?- 15.A -NCAC 02T.0305(g) contains alternatives where separations in 021.0305(t) cannot be achieved,
p.**Stream classifications can be identified using the Division's NC Surface Water Classifications wetipage_
If noncompliance With 02'1,03(151110L1g.). see Section X of this application
2, Does the project comply with separation ements for Nvetlands? (50 feet of separation) Z Yes Li No
• See the Division's draft ,separation requirements for situations where separation cannot he meet
• No variance is required if the alternative design criteria specified is utilized in design and construction
1?. As built documents should reference the location of areas effected
3., Does the projectcomply with setbacks found in the river basin rules per I 5A 1, 0213 ,0200?
/..i> This •would include Trout Buffered Streams per 15A NCAC 28.0202
4. Does tile project require coverage/authorization under a 404 Nationwide or
individ.ual permits or 401 Water Quality Certifications?
• 'Information can he obtained from the 40 l& Buffer Permitting, Branch
N/A
No NA
Yes No
5, Does project comply with 15A CAC 021,010510(6) (additional permitslcertifications) No
Per I5A NCAC1_02T,Q105(0(6), 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 permits (erosion and
sedimentation control plans, storinwater management plans, etc.).
6,. Does this project include any sewer collection lines that air deemed "high -priority?"
Per 15:A NCAC 02T.0402, "high -priority sewer" •means ...any aerial se.wer„ sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
YesYe Nu DNA
11 include an atta.chment with details for each line, including type (aerial inc.lsize„ material, and Iocution)
„
High priority lines shall be inspected by the permittee or its representative at least. once every six -months and
inspections documented per ISA NCAC 021".0403(n)(5) or the perinitee's individual System -Wide Collection permit.
FORM: ETA 04-16
Page 4 of 3

prCERTIFICATIONS:
1. Does the submitted system comply with 15A NC.AC on the Minimum Design Criteria for the. Permitting of Pump Stations
and Force Mains itittest version), and the Gravity Sewer Minimum Design ('riteritillatescyersipa) as applicable'?
[E] Yes ij No
If No, complete and submit the Variance/Alternative, Design Request application (VADC 10-14) and supporting documents
for review. Apjiroa1 of the reguest ' reguired prior to subtnttl of the FAA Track Applicatkm and s ortin.
documents.
2. Professional I,ingineer's Certification:
1, igglAtJ 455 i
(Professional Engineer's name from Application Item 111,1.)
attest that this application for
has been .reviewed by me and is accurate, complete and consistent withthe information supplied in the plaits, specifications,
engineering calculations, and all other supporting documentation to the best of nr knowledge, 1 farther 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 1 have reviewed this
material and have judged it to be consistent with the proposed design,
NOTE -- In accordance with General Statutes I43-215.6A and 143-215,613, 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 S10,000, as well as civil penalties up to S25,000 per violation.
North Carolina P ofessional Engineer's seal, signature, and date:
011 t tiff
k'k CA
SEAL
045526,
1. Applicant's Certification per I5A NCAC 02T .0106(b):
attest that this application for
(Signature Authority's name & title from Application litem.1
has been reviewed by me and is accurate and complete to the best am)/ 'knowledge. 1 understand that if all required parts of
this application are not completed and that if all required supporting documentatkm. and. attachments are not included, this
application package is subjectto hem 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, 1 will make no claim against the Division of Water Resources should a.
condition of this 'permit he 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 he returned to
me as incomplete.
NOTE Iri accordance with General Statutes 143-215. A and 143-2.1,5,613, 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,
Signature:
Date::
li
FOR.M: F.-7.A 04- I 6 Page 5 of 5

WINDSOR RUN RETIREMENT COMMUNITY
USGS TOPOGRAPHIC MAP

RR -VA kkr
kW Rd
Okklid kIkked
y
Cdya CItt4r1., turNon Cowoty, State, cif North. Cito016ms Esn,«
WIN SOR RUN RETIREMENT COMMUNITY
(2010 MCKEE RD)
STREET LEVEL MAP

CHARLOTTE
W TER
January 10, 2g17
Mr, Greg Emery
EMH&T
301 McCullough Dr
Suite 109
Charlotte, NC 28262
SUBJECT: WATER AND SEWER FLOW ACCEPTANCE
WINDSOR RUN — PHASE IB
PID# 227-601-12, CHARLOTTE NC
CLTWATER TRACKING# 20161283
After analysis of the sanitary sewer associated with the proposed design of project, Windsor Run
Phase IB, it was determined that there is sufficient capacity to accommodate the proposed sewer
flow of 135,900 gallons per day (900 residential units x 135 gpd/unit; 120 skilled nursing units x 120
gpd/unit) from this project for transmission to the McAlpine Creek Wastewater Treatment Plant;
NPDES permit number NC0024970, for treatment. This acceptance of flow is based upon the
existing capacity of the designated publicly owned treatments works. Please see the attached NC
DEQ FTSE form.
Charlotte Water (CLTWater) agrees to furnish water to the subject project, The water quality to the
subject project is regulated by the State Drinking Water Act Amendments of 1986 and The Water
Supply Management Plan, PWS ID # 0160010 on file with the Public Water Supply Section of
NCDEQ. However, CLTWater cannot guarantee a constant pressure or quality of flow.
The applicant should understand that due to the involvement of other agencies and continuing
growth of the water system, the ability to provide service for future projects cannot be guaranteed
nor reserved. Connection to the CLTWater system is accepted on a first come, first served basis.
The applicant should understand that this letter is not authorization to construct private water
systems, as the appropriate local or State permits are required prior to construction. If the
appropriate authorization to construct emits are not obtained construction has not started within
one (1) year of issuance of this flow acceptance, and payment for any service connections have not
been received within (1) year of issuance of this flow acceptance fetter, this flow acceptance
approval shall be rescinded and a new flow acceptance request must be made. If you have any
questions, please do not hesitate to contact me at [phone].
Sincerely,
Barbara Gross
Engineering Assistant
Charlotte Water 5100 Brookshire B6vd, Charlotte, NC 28216 charl0rtewater,org
Operated by th

9'Ji:!l;i t; s:§ aiilti'iry 1?ta*etkre( ?..;;
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: EMH&T
Project Name for which flow is being requested: Windsor Run, PH 1B
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: McAlpine Creek, Irwin Creek, Sugar Creek
b. WWTP Facility Permit #: NC0024970, NC0024945, NC0024937
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All_flaws are &t MGD
99.0
12.293
70.717
0.135
83.146
84.0%*
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:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity, * (Firm / pf), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
* The Firm Capacity 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.
*** 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): Pleasant Ridge (2007)
Downstream Permit Number: 107-528
Page 1 of 6
FTSE 04-16

III. Certification Statement:
I Carl Wilson 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 indicates acceptance of this wastewater flow.
\ \
4J2-
Signing Offtci, ignature
(Jl/017
Date
Page 2 of 6
FTSE 04-16

Engineers, Surveyors, Plonners, Scientl5ts
September 2@\%0}7
N[D O
6lOE.Center Ave,
Mooresville, NC281l5
Subject: VWndso/Run— VVQ0038094Kxogihcahon (Phase lACivil Construction Documents)
DearN[DE(\
This document is written to provide information describing the build -out design m/the private sanitary sewer
systemfortheVVindsorRun—PhaoeIAp,ojectThisis amodification tmexisting permit VVQ0U38O94.
Phase 1A incudes 2 residential buildings and a community building, resulting in 217 units served, The permit is
being modified due to a 191 LF portion of the line from Manhole #16 to CB1.0 being upsized from 6" to 8", There
will be no increase in permitted flow as part of this modification. See below for summary,
Modification Summary
* Existimg�458 LFufb^gravity sewer, 569LFof8~gravity sewer
* Proposed Modification: 273LFof6"gravity sewer, 757LFof8"gravity umwp,.
Enclosed inthis appUcadow
* FTAO4-I6Application with $48QApplication Fee (1mriginaVlcopy)
° Flow Acceptance Letter USE 04'16
m RmwacceptancempreaantsappnovedOmwfoxentiredove|opment—I35'900Cpd.
~ Site Maps — Topographic map & civil documents highlighting sewer extension.
* Existing Permit No.VKQO0J8894(Phase 14,first 3buildings mfdevelopment 217mni,$).
Flow A(|ncadon Summary
Total ClTWater Approved Flow (Per attached FTSE)—%35,9W0 GPD
Permitted PhlAFlow (Phase I4,#vVQ0D38O94)-29'295 GPD
Permitted Ph1BFlow (Phase lB.#VVQ0039561)-28,890GPD
Total Flow permitted with this modification —RGIRD
If you have any questions on this information please feet free to: contact me at [phone] or
[e-mail].
Greg Emery
Project Engineer

To: Barry Love
NCDEQ
Division of Water Resources
610 E. Center Ave
Mooresville, NC 28115
We are sending you herewith via:
The following items:
Copies Date
1 09/28/17
2 09/26/17
2 09/28/17
2 09/18/17
2
From: Greg Emery
Date: September 28, 2017
Job no.: 2016-0327
Subject: Windsor Run- WQ0438094
Permit Modification
Courier - U.S. Mail I'� Fed. Ex.
Fi copies I— originals 1— [other]
Number
of sheets
8
2
Description
NCDEQ Cover Letter
Check for $480
FTA ©4-16
WRUN — Sanitary Sewer Plan and Profile (Revised)
USGS Topo and Street View Map
These are transmitted as checked below:
for approval (` for your file
r for execution / signatures
as requested r for review & comment
f""°°° [other]
Remarks:
Should you have any questions, please don't hesitate to call me at [phone].
For EMH&T:
Greg E
If enclosures are not as noted, kindly notify us
33 iocficthough Dive, ,uile 109,
Ncw: r5:r F
48,0333 • lax 704,571

Permit Number WQ003$094
Central Files: APS ^ SWP _
10/4/2017
Permit Tracking Slip
Program Category Status Project Type
Non -discharge In review Major modification
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
barry.love
Coastal SWRuIe
Permitted Flow
29,295
Facility
Version -
B
Permit Classification
Individual
Permit Contact Affiliation
Facility Name
Windsor Run - Phase 1A
Location Address
Owner
Major/Minor Region
Minor Mooresville
County
Mecklenburg
Facility Contact Affiliation
Owner Name Owner Type
Erickson Living Non-Govemment
Owner Affiliation
Steve Montgomery
Dates/Events
701 Maiden Choice Ln
Catonsville
MD 21228
Orig Issue
11/5/2015
App Received Draft Initiated
10/4/2017
Scheduled
Issuance Public Notice Issue Effective
10/5/2017 10/5/2017
Regulated Activities Requested /Received Events
Apartment complex
Wastewater collection
Outfall
Expiration
Additional information requested
Additional information received
Waterbody Name Streamlndex Number • Current Class Subbasin

Water Resources
Environmental Quality
October 12, 2017
Mr. Richard W. Slosson, SVP Development
Windsor Run, LLC
701 Maiden Choice Lane
Baltimore, MD 21228
SUBJECT: Final Engineering Certification Acknowledgement
Project: Windsor Run Phase lA
Permit No. WQ0038094 Modification
Permittee: Windsor Run, LLC
County: Mecklenburg.
Dear Mr. Slosson:
ROY COOPER
Governor
MICHAEL S. REGAN
secretary
S. JAY ZIMMERMAN
Director
The Division of Water Resource's Mooresville Regional Office received the final engineering
certification with record drawings for the subject sewer extension project on October 11, 2017.
Enclosed is a certification page for your records. A full review of the certification materials may
or may not be conducted. It is assumed that receipt of this certification indicates compliance with
all regulations, design criteria and the permit. However, if a full technical review is conducted,
you will be notified of any items of non-compliance.
Please be reminded that the Permittee is responsible for keeping a copy of the final record drawings
for the life of the project. If you have not received such copy from your consultant, please contact
them immediately to obtain a copy.
Lastly, you are receiving this letter because the Division has you listed as the responsible party. If
this permitted system is no longer owned by you or your company, please complete Form PNOCF
since the permit is not automatically transferable. Form PNOCF can be downloaded from.
http://portal.ncdenr.org/web/wq/swp/ps/cs/pnoc from the Collection Systems Applications page.
Should you have any questions, please do not hesitate to contact me at [phone].
Sincerely,
Barry Love
Environmental Specialist
cc: Brian R. Rossi, P.E., (EMH&T, 301 McCullough Drive, Suite 109, Charlotte, NC 28262)
Central Files
MRO
Nothing Compares .�.y
State of North Carolina I Environmental Quality 9 Water Resources I Water Quality Regional. Operations
Mooresville Regional Office 1610 East Center Avenue, Suite 301 I Mooresville, North Carolina, 28115
704-663-1699

PERMITTEE:
PERMIT #:
PROJECT':
ISSUE DATE:
FAST TRACK SEWER ENGINEERING CERTIFICATION
Wtoosalt R ki a,
WQ0038094 r t c I F I car I O J
Windsor Run - Phase 1A 1
0cr0Bezz 5, 1.6 .
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
to 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 he in or porti: s thereof.
e17
Printed Name, Title Signature Date
ENGINEER'S CERTIFICATION
I, /:I Z gosSl , as a dy registered Professional En ineer in the State of North Carolina,
having been authorized to observe (periodically, ❑ weekly, l] 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 construction 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 March 4, 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):
Stu RO
MOORESVILLEREGIONAL OFFICE
NC DWR — Water Quality Regional Operations Section 610 East Center Avenue, Suite 301, Mooresville, NC28115
Mooresville Regional Office Phone: [phone] FAX: [phone]