WQ0039985_Regional Office Historical File Pre 2018

ROY COOPER
Governor
MICHAEL S. REGAN
Secretarr
LINDA C1 LPEPPER
J�3tterim re our
May 14, 2018
Mr. James Scruggs, Owner
Kingston Apartments LLC
5226 Addison Drive
Charlotte, NC 28211
Subject: Permit No. WQ0039985
Kingston Apartments LLC
Kingston on West Townhomes
Wastewater Collection System Extension Permit
Mecklenburg County
Dear Mr. Scruggs:
In accordance with your application received May 9, 2018, we are forwarding herewith Permit No.
WQ0039985 dated May 14, 2018, to Kingston Apartments LLC (Permittee) for the construction and
operation upon certification of the subject wastewater collection system extension. This permit shall be
effective from the date of issuance until rescinded, and shall be subject to the conditions and limitations
as specified therein. This cover letter shall be considered a part of this permit and is therefore
incorporated therein by reference.
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.
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.
hlrrg Compares:-t.,
State ot`North. Carolina a avtrortrrentat Quality = Water Resources Water Quality Region
Mooresville Regional Office 610 Last Center Avenue, Suite 301 1 rMooresville, North Car
7O.-663-I699
Pe
a

If you need additional information concerning this matter, please contact Barry Love at (704) 2-2143
or via e-mail at [e-mail].
Sincerely,
OocuSigned by:
A14CC681AF27425...
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
cc: Frank McMahan, P.E. (e-copy)
Barbara Gross (e-copy)
Tommy Rowland (e-copy)
Regional Office Filesro_
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
Kingston Apartments LLC
Mecklenburg County
for the construction and operation of approximately 203 linear feet of 6-inch gravity sewer as part of the
Kingston on West Town homes project, and the discharge of 1,710 gallons per day of collected domestic
wastewater into the Charlotte Water existing sewerage system, pursuant to the application received May
9, 2018, 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.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the specified
conditions and limitations contained therein.
DocuSigned by:
A1d r..RajAE77d?5
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
Permit Number: WQ0039985
Permit Issued: May 14, 2018
3

SUPPLEMENT TO PERMIT COVER SHEET
Kingston Apartments 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 Irwin Creek
Wastewater Treatment Plant in accordance with Permit Number NC0024945.
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 Purnp 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, 1,710 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 Kingston Apartments LLC and
Charlotte Water for the collection and final treatment of wastewater is in full force and effect, (15A
NCAC 02T.0304(h)]
The Operational Agreement between the Permittee and the Environmental Management
Commission is incorporated herein by reference and shall be a condition of this permit.
Noncompliance with the terms of the Operational Agreement shall subject the Permittee to all
sanctions provided by North Carolina General Statutes §143-215.6A to §143-215.6C for violation of or
failure to act in accordance with the terms and conditions of this permit. 115A NCAC 02T.0115]
II. STANDARD CONDITIONS
1. 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
4

I
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.5 143-215.1(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]
3. 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 .01101
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 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.
5

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.
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.
Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of three
years with exception of the map, which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Mooresville
Regional Office, telephone number [phone], as soon as possible, but in no case more than 24
hours, following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable
of adequate wastewater transport, such as mechanical or electrical failures of pumps, line
blockage or breakage, etc.; or
b. Any 550 and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part I of Form CS-SSO (or the most current Division approved form) within five days following first
knowledge of the occurrence. This report must outline the actions taken or proposed to be taken to
ensure that the problem does not recur. Part II of Form CS-SSO (or the most current Division approved
form) can also be completed to show that the 55O was beyond control. [G.S. 143-215.1C(a1)1
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass s discharge of wastewater
to the surface waters of the State, [15A NCAC 02T.0168(b)]
7. Upon completion of construction 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 to the address provided on the form. A complete certification is one where the form is
fully executed and the supporting documents are provided as applicable. Any wastewater flow made
tributary to the wastewater collection system extension prior to completion of this Engineer's
Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the Articles
of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been appropriately
filed with the applicable County's Register of Deeds office shall be submitted with the certification.
6

A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines & force
mains) of the wastewater collection system extension. Final record drawings should be clear on
the plans or on digital media (CD or DVD disk) and are defined as the design drawings that are
marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of ,the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
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_tb_e_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 other supporting materials may subject the Permittee to an enforcement action by
the Division, in accordance with North Carolina General Statutes §143-215.6A through §143-215.6C,
construction of additional or replacement wastewater collection facilities, and/or referral of the North

Carolina -licensed Professional Engineer to the licensing board,. [15A NCAC 02T .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
required by the Division or any other Federal, State, of Local government agencies. [G.S. 143-
215.1(b)]

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE:
PERMIT #:
PROJECT:
ISSUE DATE:
Kingston Apartments LLC
WQ0039985
Kingston on West Townhomes
May 14, 2018
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 En sneer in the State of North Carolina,
having been authorized to observe (n periodically, n weekly, I 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:
LI Final ❑ Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
. State of North Carolina j Environmental Quality 1 Water Resources I Water Quality Regional Operations
Mooresville Regional Office" 510 East Center Avenue, Suite 301 Mooresville, North Carolina 28115

r0F
F NORTH CAROLINA
Mecklenburg
Permit No. k'vc�
OPERATIONAL AGREEMENT
is AGREEMENT made pursuant to G.S. 143-215.1 (di) and entered into this /q — day
140,4 , by and between the North Carolina Environmental Management
Commission, an agency of the State of North Carolina, hereinafter known as the COMMISSION; and
, a corporation/general partnership registered/licensed to do
business in the State of North Carolina, hereinafter known as the DEVELOPER.
WITNESSETH:
1. The DEVELOPER is the owner of the certain lands lying in Mecklenburg County, upon
which it is erecting and will erect dwelling units and other improvements, said development to be known
as Kingston on West Townhomes (hereinafter the Development).
2. The DEVELOPER desires, to construct a wastewater collection system with pumps, wastewater treatment
works, and/or disposal facilities (hereinafter Disposal System) to provide sanitary sewage disposal to
serve the Development on said lands.
3. The DEVELOPER has applied to the COMMISSION for the issuance of a permit pursuant to G.S. 143-
215.1 to construct, maintain, and operate the Disposal System.
47----1 he DEVELOPER has created or shall create unit ownership m said dwellings unit of er improvement
and lands through filing of a Declaration of Unit Ownership (hereinafter Declaration), pursuant to Chapter
47C of the North Carolina General Statutes.
5. The DEVELOPER has caused to be formed or will cause to be formed at the time of filing of the
Declaration, the Kingston Apartments LLC (hereinafter
Association), a non-profit corporation organized and existing under and by the virtue of the laws of the
State of North Carolina, for the purpose, among others, of handling the property, affairs and business of
the Development; of operating, maintaining, re -constructing and repairing the common elements of the
lands and improvements subject to unit ownership, including the Disposal System; and of collecting dues
and assessments to provide funds for such operation, maintenance, re -construction and repair.
6. The COMMISSION desires to assure that the Disposal System of the Development is properly
constructed, maintained and operated in accordance with law and permit provisions in order to protect the
quality of the waters of the State and the public interest therein.
NOW, THEREFORE, in consideration of the promises and the benefits to be derived by each of the parties
hereto, the COMMISSION and DEVELOPER do hereby mutually agree as follows:
1. The DEVELOPER shall construct the Disposal System in accordance with the permit and plans and
specifications hereafter issued and 'approved by the COMMISSION, and shall thereafter properly operate
and maintain such systems and facilities in accordance with applicable permit provisions and law.
2. The DEVELOPER shall not transfer ownership and/or control of the Disposal System to the Association
until construction has been completed in accordance with the permit and approved plans, and the staff of
the Division of Water Resources has inspected and approved of the facilities. In order to change the name
of the permit holder, the DEVELOPER must request that the permit be reissued to the Association. The
request must include a copy of the Association Bylaws and Declaration.
3. The DEVELOPER shall not transfer, convey, assign or otherwise relinquish or release its responsibility
for the operation and maintenance of its Disposal System until a permit has been reissued to the
DEVELOPER's successor.
FORM: DEV 01-15 Page 1 of 2

he DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System and
appurtenances thereto are part of the common elements and shall thereafter be properly maintained and
operated in conformity with law and the provisions of the permit for construction, operation, repair, and
maintenance of the system and facilities. The Declaration and Bylaws shall identify the entire wastewater
treatment, collection and disposal system as a common element, which will receive the highest priority for
expenditures by the Association except for Federal, State, and local taxes and insurance.
5. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System will
be maintained out of the common expenses. In order to assure that there shall be funds readily available
to repair, maintain or construct the Disposal System, beyond the routine operation and maintenance
expenses, the Declaration and Association Bylaws shall provide that a fund be created out of the common
expenses. Such fund shall be separate from 'the routine maintenance funds allocated for the facility and
shall be part of the yearly budget.
6. 'In the event the common expense allocation and separate fund are not adequate for the construction,
repair, and maintenance of the Disposal System, the Declaration and Association Bylaws shall provide for
special assessments to cover such necessary costs. There shall be no limit on the amount of such
assessments, and the Declaration and Bylaws shall provide that such special assessments can be made as
necessary at any time.
7. If a wastewater collection system and wastewater treatment and/or disposal facility provided by any city,
town, village, county, water and sewer authorities, or other unit of government shall hereinafter become
available to serve the Development, the DEVELOPER shall take such action as is necessary to cause the
existing and future wastewater of the Development to be accepted and discharged into said governmental
system, and shall convey or transfer as much of the Disposal System and such necessary easements as the
governmental unit-may-require-as-condition-of-accepting-the-De-velopment_s wastewater
8. Recognizing that it would be contrary to the public interest and to the public health, safety and welfare for
the Association to enter into voluntary dissolution without having made adequate provision for the
continued proper maintenance, repair and operation of its Disposal System, the DEVELOPER shall
provide in the Association Bylaws that the Association shall not enter into voluntary dissolution without
first having transferred its said system and facilities to some person, corporation or other entity acceptable
to and approved by the COMMISSION by the issuance of a permit. -
9. The agreements set forth in numbered paragraphs 1, 2, 3, 4, 5, 6, 7, and 8 above shall be conditions of any
permit issued by the COMMISSION to the DEVELOPER for the construction, maintenance, repair and
operation of the Disposal System.
10. A copy of this agreement shall be filed at the Register of Deeds in the County(ies) where the Declaration
is filed and in the offices of the Secretary of State of North Carolina with the Articles of Incorporation of
the Association.
IN WITNESS WHEREOF, this agreement was executed in duplicate originals by the duly authorized
representative of the parties hereto on the day and year written as indicated by each of the parties named below:
Kingston Apartments LLC
FOR THE ENVIRONMENTAL
MANAGEMENT COMMISSION
Division of Water Resources /, w�..e�+t,�•.
(Date)
/4- Ifv7 -70/ I
Name o£DEVELOPER
(Szenature)
James Scruggs, Owner
Print Name and Title
rr4/'P
(Date)
FORM: DEV 01-15
Page 2 of 2

1017051 KINGSTON ON WEST
1017051
Kingston on West Townhomes
For your approval
Nikki Curley
223 N Graham St
Charlotte NC 28202
United States
TO
Barry Love
610 E Center Ave #301 NCDENR
Room # 3323 Mooresville Regiona
Mooresville NC 28115 Office
United States
Land Design
Barry,
7043
rye;, fly.
32.5
5/8)2018
00024
Mail
[e-mail]
barry,love@ncdenr,gov
Please find enclosed the original and one copy of the Fast Track Application,
a check for 5480.00, the original and two copies of the Developers
Agreement, the Charlotte Water sewer flow acceptance, and a map. Please
let us know if you need any additional information.
Thank you,
Nikki Curley

urban design planning c.ivi
May 8, 2018
Mooresville Regional Office
Water Quality Section
610 E. Center Ave,
Mooresville, NC 28301
RE: Kingston on West Townhomes
LandDesign PN: 1017051
Dear Sir/Madam,
ineerin
branding landscape architecture
MOORE `ViL .E
REGIONAL OFFICE
Century Communities Southeast LLC, is in the process of developing and constructing 9
residential townhome units. It will be served by 203 LF of 6" PVC. We are estimating 1,710
gallons per day of gravity sewage. Attached is a letter frorn Charlotte Water agreeing to accept
our flow to the Irwin Creek WWTP, Also attached are our FTA 04-16 application, Operational
Agreement, USGS map and a check for $480,
We respectfully request your review and welcome any questions or comments. Thank you for
your assistance with this project. Please feel free to contact me directly via telephone at
704.333.0325 or email at [e-mail] should you have any questions and/or
comments.
Respectfully Submitted,
Nikki Curley, El
LandDesign, Inc.
P© Box 36959 Charlotte, NC 25236-6959 223 North Graham Street Charlotte, NC 28202 V: 704,333.0325 F. 704.376,8235
NA 20171,si1S705'11Dn
Tor
CDE NR Fa;Tack Leuer.duc

fate of North Carolina.
Department of f nvironnnental Quality
Division of WaterResources
1,5A NCAC 022T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Applicati
Number:.
AIJ items must he completed or the application will be returned
APPLICANT INFOR.tiIATION:
1. Aplalicanf"s name: Kingston .Apartments EEC (ec.
ual
Tide: Ow
Applicrtnt
City:
Apphcan
Phone number (704) 241)-7718 Email Address: jam
nZunicipality.
General PartncrsInp
0 State/Cour ty IVIunicipa
uthority`s name: faines,ScruALgs per l
( Addison Dr
Jrp. 2821....1 _.
1!. PROJECT INFORMATION:
I . Project mane: Kingston on West T'uv nln rttcs
2. Application/Project status: Proposed (New
it new construction I'
County where project is loc.rte:cl: I
d. Approximate Coordinates (Dec_ina
5. Parcel II) (if" applicable): 1 1907207
(sor' Parcel. It) to closest downstream sewer)
CONSULTANT INFORMATION:
1. Professional Engineer: Frank McMahan
Firm: LrandDesiin. Inc.
>tii a
City: Statc, NC
Phone number: (7()1) 3 .1 ()325.
2)1.
nit)
Privately -Owned Public Utility
© Existim. PerrniUProjcet
WQO0___...... and issued date:
lumber: \V'()00 ,
1d37773
i, rrt<.til Adder: lrytn na<rltttn('I ttteldes
WASTEWATER R TREATMENT FACILITY (Wk1'TF) INFORMATION;
I. Facility Name: Irwin Creek 1\V\'TP Permit Nucnhcl NC0024945
Owner Name: Charlotte_ Water
-8(1,8
V. RECEIVING DOWNSTREAM SEVER INFORM', '1"R)N Iif different than WV TF);.
I.Permit Numbers : WQ) .�n Downstream (Recei in ) Sewer Sire: ..__.._._
Svistem Wide Colleen to sy is roe ['c apr)Jc ` c�ri?hs rt t c llll?(Ir�malala. a: 1 'QC'S
Owner Namc(s):
woROS
FORM: F `A 04- I 6

2, if the Applicant is a Developer of
if the App1 ica
Origin of wastcwatcr: (check all
Residential Owned
❑ Residential Leased
❑ School / preschool / day care
Food and drink facilities
0 Businesses / offices / factories
5. Naafis
hat apply).
, GENERAL REQUIREMENTS
if the Applicant is a Privately -Owned Public Utility', has a Cer'titica
❑ Yes ❑No
has a Ds lc l7 i__ti
Yes ❑N o ❑N/A
Yes
Nc.
®N/A
f Publ'ic. Convenience
N/A
nd Necessity been attached?
tl, Ai reemeitt (FORM: )RM .DEVI hcen attached'
❑ Retail (stares, cctbtcrs, malls)
© Retail with food preparation/service
0 Medical / dental / veterinary facilities
❑ Church
® Nursing Home
cr• : 100 % Domestic/Commercial (4� Cummerc
Industrial (Sec 1. \ NCAC" 02T 0103(2O))
>is there- a Pretreatment Prouran
6. Has a flow reduction been approved under 1,5A NC'AC- 02T 11I 1.,11
r If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021M114(fl)
Residential Dwelling Units
in cffce
Yes
❑ Yes ❑ No
No
Daily Design Flow
190 gal/day
been attached`'
ins* Pool /Clubhouse.
ing Pool/Filter Backwash
in Attachment)
No. of Units
Flow
9
gal/
gal/
1,710 GPD
GPD
GPD
gal/
gal/
a See I 1N( .\(_
dwelling proposed unknown non -reside
and residential property located south or cas
in Ci_S.?A-r1j,
GPD
GPD
GPD
Total
1,71(} GPD
design Ocrvy rates (i.c.., mininlur�� f1s w per
aced near high public use areas:
he used as vacation rentals as defined
h Per 15A NCAC 02T .0114(c), design flow ratter fctr e tahlishmc.nts not identifies
determined using available flow data, water using fixtures, occupancy or operati
8. Wastewater generated by project: 1,710 GPD (per 15,A .NCAC
i Do not include future flows or previously permitted allocations
I:f ler•rnitted flow is zero, ittd'tcatc t
❑ Pump Station or Gravity Sewer
ere r
❑ Flow has already been allocated in Per Number:
❑ Rehabilitation or replacement of e
❑ Other (Explain).
with n
t'.d in subsequent perm
expected
[in table I ^iA NCAC (t 'j .() 14 shall he
n patterns, and other measured data.
his line
FORM: FTA 04 16

GRAVITY SEWER DESIGN CRITERIA (.If Applicable) -
I. Sumraiarire gravity sewer to he permitted:
C I"rat° I'crmittinh oal" C r.rvity` Sewers cc
itrs information reel tted to rrrininittm tapes 1`0
meet, minipe regnirernertt is not allowed and a
STA'TI()N I)I SIGN CRITERIA (If Applicable) — 021' ,030 & ,i1lDC (Pnm;.
COMPLETE FOR EACH PUMP STATION INCLUtDED IN THIS .PROJECT
I. Pump strttc n number or name.
?. Appra+rirnatc, Coordinates (Decimal Ica re-e ): Laamtituete: Longitude:
Disig,r Ilcavv° r: f the, pump station: milltrans gallcans per darn` (Innr car Wily)
4. Operational point(s) of"the puntp(s):.._._ gallons per minute at
+" Sumrnari'ze the force main to be perm p Station):
ength (feet') Material
Power reliabili
0 Standby power source or pump
y
TDH)
Required for all purnp .stations with an average daily flow greater than or equal to 15,000 gallons per day
Must he permanent to facility
Or tithe pump station hers an average daily Ilcr
Portable power source with manual aciiva
.(I305(h)(I i(C)
of
pumping n
be demonstrated to the
mpatiblc with the station.
hle power source or pump is dedicated to multiple pump :stations, at
schedule of the portable power source or pump, in
outage.
°ptacle and telemetry 15A NCAC 02T
NCAC 02T ,0305(h)(
that the portable source is owned or contracted by the applicant (draft agreement)
altration of all the pump stations' storage
ling travel timeframes, shall be provided
FORM: FTA 04-16

IX. SETI8ACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)).
inagc
0f
Of
1. Does the project comply with all se
ndinl5A
I.SA NCAC 02T.0305(1) contains minimum scpara
Setback Parameter*
fisted below ivertica
including in hunched
Reclaimed wa
aimed wager Bales (hori
"Any private or public winter• supply ,source, including any wells, WS
Class 11 imnoundcd reservoirs used as a .sc>urcc of drinking, water
h
c
Chrss l or
5
I.
Yes
Reg
cept WS-I or W S-V), 13, SA. OR.W, EHQW, or SB from normal
incJs (see- hunt 1X.2)
'"Any other stream, lake, itnpoundment, or ground water towcrin =arid su
slope raj' ctnhankrncnt or cuts
l 5A N µA(02 1 0 0 t t cent rins alternatives where separations in 02 1 f) 3054') cannot be achieved.
**Stream classifications can hcc identified using tlrc Division's NC Surt'a c Water Cl;r. r1'i Tatie?ns vc
11` noncompliance with Q21.0305(0 or e Section X of this application
Does ahc project comply with separation require€neat, for wetlands? (50 feet of's-parvttion) ❑ Yes • No { N/A
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 e.onstructrotn
As built documents should reference the location of arc as effi cted
Does the project comply ssitla scthaeks tourrtd in the river basin rules per 1.
this would include Trout Buffered Streams per 15r\ N (r\('
4. Does the pr-equire coverage/anlhor`i ration under a 404 Nationwide or
individual permits or 401 Water Quality Certifications?
- Information can be obtained. froin the 401 & Buffer Permitting Branch
Does proj
Per 15A
been app
et
Does th
Per1S_t"
positioned p
El Yes No N/A.
Yes 1 I No
02,11,19j 1 p /it, direetly'related environmental permits oar certificatia n applications are being prepared, lrave
n obtained. Issuance of this permit is contingent. on issu
plans. stornrwater manaecrnem plans, etc.).
act include any sewer coll�
C 02'1 141l2 `high --priori'
alie.l tot struamhanks that is
lines that are deemed "high -priority?"
s "any aerial sewer, sewer coma
t permits (erosion and
irface waters, siphon, or sense
that undermines or deteriorates tic sewer.
© Yes Li No ® N/A.
include an attachment with details for each line, including type (aerial line., size, material, and locati
High priority lines shall be inspected by the pernrittee or its representative at least once every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FhA 04-1(
Page 4 of 5

CFRTIFICATINS:
I. Does the submitted system ccnapty vvitta I5A NCAC 02.T, it inim,um Design Criteria tear the Permitting of Pump Stations
and Force Mains (latest version). and the ($cavity Sewer Min um Design Criteria (latest versit)rl) a s applitalale?
`('c
If No, c.otnpletc and submit the 'Vatirdtac
[]No
Request application (VADC 10-14
review. ,,1�jroval of the request is ^equired priorF tahaa it af the `a " r-act Appkcphip t and support%t d
has he
ed
ing cd
try me. anil
titan , <and all ottta
the proposed de:.
pport
n Desig{n C'ritcsri,a ie,>r Cart icy Scwawrs (laatest aersiaa,a,`,
ns and Force hl.ains (latest v°ersionl. Although other professiontils ma
inclt1SiOn of these, materials a ir1e rn}' al <'S't�::aa".4t2`t:. atad seal st
e-1con isi nt v+'itts the proposed d.cs
eta G� un the tnrcn rn in
n to the best of nay° kn
accrardatac�e l?@tU ttae
NOTE I Statutes 143-215,6A and
statement, representation, or certificati art in any application package Ai
include 3 tine not to exceed ;I0,000, watt a,cll as civil penalties up to $25,000 pe
No, th Carolina Professional Engineer's seat, sit
C:erntia:atut
has been revw
tl"n silo
application package
discharge system to .s
u UnL live relief, and/or criminal prosec`.ution.
of this permit be. violated. I also understand that it' as
applied in the plaits, spr*ci "tcattons,
I further attest that to the best
Gravity Sewed
aack Permittine
of this
1 date:
to to
ay person who knovvi
uilty of a Class 2 mis
by roe and is accurate: and corn; Cate io the t,z st c}f tray ktaw aaC;;c(a;e,. I lariders€and that if all required parts al
ecluired supportin ii tc.ttar caat:atiasta and attachments are not included, this
s inGonty t te.. I understand thaat aaay aiischaa ?c. tat' tv c,stcwater lrcatn this non -
an irnnacd'eate enforce ent actican that t`aaay ilaclode civil ► cnaIne>,
st the Division of Water Resourecs should
gutted parts cat dais application package are not ccrmpleted and that if
-Togging information and tattachmeuts are not included,
package will he returned to me ;Fes
NOTE _e. In accordance with t:ar ner at Statutes 143-215.6A and 143-21 613, any person who knowing;ly nstakes any false
statement, representation, or c,etrifac:aticarr in any application package, shall lie, grainy of a Class 2 misdetne tnor, which may
ttaa,lude a fine not to exceed Stft(?Elil s svefl ra civ'it lacnalties up to $2.5,000 per vicaltatia n.
FORM, ETA 04-1 G

CHARLOTTE
W
October 13, 2017
Mr. Mason Greeson
LandDesign, Inc.
223 N Graham St
Charlotte, NC 28202
TER
SUBJECT: WATER AND SEWER FLOW ACCEPTANCE
KINGSTON ON WEST TOWNHOMES
600WEST BOULEVARD, CHARLOTTE NC
CLTWATER TRACKING# 20171165
After an analysis of the sanitary sewer associated with the proposed design of project Kingston on
West Townhomes, it was determined that there is sufficient capacity to accommodate the proposed
sewer flow of 1,710 gallons per day (9 townhome units x 190 gpd/unit) at the connection point(s)
indicated on the submitted exhibit map for transmission to the Irwin Creek Wastewater Treatment
Plant; NPDES permit number NC0024945, for treatment. This acceptance of flow is based on the
existing capacity of the designated publicly owned treatment works. Please see attached FTSE form.
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.
CLTWater does not expect any of the above conditions to preclude water or sewer service to the
subject site. However, the applicant should understand that due to the involvement of other agencies
and continuing growth of the water and sewer system, the ability to provide service for future
projects cannot be guaranteed nor reserved. Connection to the CL TWater and sewer system is
accepted on a first come, first served basis.
The applicant should understand that this letter is not authorization to construct private water and
sewer systems, as the appropriate local or State permits are required prior to construction. If the
appropriate authorization to construct permits are not obtained and construction has not started
within one (1) year of issuance of this flow acceptance letter; and payment for any service
connection(s) has not been received within (1) year of issuance of this flow acceptance letter this
flow acceptance approval shall be rescinded and a new flow acceptance study must be made, If you
have any questions, you may contact me at [phone].
Sincerely,
Barbara Gross
Engineering Assistant
Charlotte Water 5100 Brookshire Blvd, Cha6otte, NC 28216 thiarlottewater.org
*'t Opera
d by the City of Charlotte

'Division of litfater Resources
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: Land.Design, Inc.
Project Name for which flow is being requested: Kingston on West Townhomes
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 flaw.
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 flows are in MGD
99.000
13.170
64.375
0.002
77.547
78.3%
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 / pi), 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): West Boulevard
Downstream Permit Number: Unknown
Page 1 of 6
FTSE 04-16

III. Certification Statement:
1 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 improvernents identified in the planning assessment where applicable. This
analysis has been performed in accordance with Iocal 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 orm indicates acceptance of this wastewater flow.
I Jl. of i 3/i7
Signing Official ignature Date
Page 2 of 6
FTSE 04-16

Togxr.aa�.+arn
o
CHARLOTTE: EAST QUAD#.AIIGLE
ROM CAROONAROKKEERWA SCz3.
Amor aft UttA
CHARLOTTE EAST, SC
rota

North Carolina Secretary of State Search Results Page 1 of 1
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Pre -Populated Annual Report form
Limited LiabiLity Company
Legal Name
Kingston Apartments L.L.C.
Information
Sosld: 0751784
Status: Current -Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 11/10/2004
Fiscal Month: December
Registered Agent: Crawford, Christopher
Addresses
MaiLing Principal Office
338 S Sharon Amity Rd PMB 263 338 S Sharon Amity Rd PMB 263
Charlotte, NC 28211-2806 Charlotte, NC 28211-2806
Reg Office Reg MaiLing
338 S Sharon Amity Rd 'PMB 263 338 5 Sharon Amity'Rd PMB 263
Charlotte, NC 28211-2806 Charlotte, NC 28211-2806
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager
Christopher Crawford
338 S Sharon Amity Rd
Charlotte NC 28211
https://www.sosnc.gov/online_services/searchlBusiness Registration,Results 5/9/2018