WQ0045849_Application (FTSE)_20240927

n
.�.� TRANSMITTAL
RECEIVEaNCOEO /DWR
ORS80RN ENGINEERING GROUP SEP 2 7 2024
WQ.
OS
605 LEXINGTON AVENUE, SUITE 301 Project: Landis Ridge
AAOORESVIL E REGIONAL OFFICE
CHARLOTTE, NORTH CAROLINA 28203
PHONE [phone]
To: Ori Tuvia Date: 9/26/24
NCDEQ Water Quality Section
610 E. Center Avenue Sent Via: FeclEx
Mooresville, NC 28115
704-633-1699
Qty. Date Description
1 Application fees($600 x 2)
1 Fast track application (Private)
1 Fast track application (Public)
1 Cover Letter
1 Developer's Operational Agreement
1 FTSE form
1 Site Maps
1 Secretary of State documentation
1 Copies of 401/404 permits
® For Approval ❑ For Review and Comment ❑ Returned for Corrections
❑ For Your Use ❑ Approved as Submitted ❑ Returned After Review
❑ As Requested ❑ Approved as Noted ❑ Resubmit for Approval
Included in this transmittal is documentation for the above-referenced project for your review and approval.
Please feel free to reach out if you require any additional documentation or if you have any questions regarding
the contents of this package.
Copied To: file Signed:
Davl Starkel

O R S B O R N RECEIVED/NCDEQ/EJWR
ENGINEERING GROUP
SEP 2 7 2101.4
Landis Ridge
iiROORESVILLE REGIONAL OFFICE
Landis, North Carolina
Project Narrative
September 26,2024
This project includes the construction of three new industrial buildings totaling approximately 594,300 sq.
ft., three new public roads, and supporting site infrastructure.
All three buildings will be served by private 8"gravity sewer mains that will connect to new public 8"
gravity sewer mains located on site.The public gravity sewer from Buildings 1A and 1B will flow to public
lift station#1. Lift station#1 will pump wastewater via a 2.5"force main to a new public 8"gravity sewer
that will then flow to lift station#2. Building 2 and a future phase will connect to the public gravity sewer
upstream of lift station#2. Lift station#2 will pump wastewater via a 4"force main to an existing gravity
sewer manhole located at US 29.
Summary of sewer infrastructure to be permitted:
Private permit:
632 linear feet of 8"gravity sewer main
Public permit:
1951 linear feet of 8"gravity sewer main
Lift station#1 with an operating point of 57 gpm at 60 TDH and 971 linear feet of 2.5"force main
Lift station#2 with an operating point of 103 gpm at 75 TDH and 3890 linear feet of 4"force main
Total wastewater flow generated by project:
Building 1A:
46 docks x 100 gpd/dock=4600 gpd
102 employees x 25 gpd/employee=2550 gpd
Building 1B:
34 docks x 100 gpd/dock=3400 gpd
61 employees x 25 gpd/employee= 1525 gpd
Building 2:
54 docks x 100 gpd/dock=5400 gpd
135 employees x 25 gpd/employee=3375 gpd
Total wastewater flow to be permitted=20850 gpd
Future Phase:
150 docks x 100 gpd/dock= 15000 gpd
351 employees x 25 gpd/employee=8775 gpd
Future flows(not being permitted at this time)= 23775 gpd
Total wastewater flow generated by project=44625 gpd
Page 1
60S LEXINGTON AVENUE, SUITE 301 CHARLOTTE, NC 28203 P) 704.749.1432

ORSBRGG�RN
ENGINEERINOUP
Supporting Documents Included:
1.) Application Fees($600 x 2)
2.) Fast Track Applications for both Public and Private Sewer Extensions
3.) FTSE form
4.) Developer's Operational Agreement
5.) Site Map
6.) USGS Quad Map
7.) Copies of 401/404 permits
8.) NC Secretary of State Documentation
Page 2
605 LEXINGTON AVENUE. SUITE 301 CHARLOTTE, NC 28203 P) 704.749.1432

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23&SUPPORTING DOCUMENTATION
Application Number: �� ( (to be completed by DWR)LLOIRSCEIVEaNCpEQ/DWFI
All items must be completed or the application will be returned SEP 2 7 2024
1. APPLICANT INFORMATION: WO.ROS
1. Applicant's name: JSC-CCI Landis 1, LLC(company,municipality, HOA,utility,etc.) MOORESVILLE REGIONAL OFFICE
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately-Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑Other
3. Signature authority's name: Michele Wheeler per 15A NCAC 02T.0106(b)
Title: President and CEO of JSC Manager LLC, its Manager
4. Applicant's mailing address: 301 E Tremont Ave, Suite C
City:Charlotte State:NC Zip: 28203-
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
11. PROJECT INFORMATION:
1. Project name: Landis Ridge
2. Application/Project status: ® Proposed(New Permit) ❑ Existing Permit/Project
If a modification,provide the existing permit number: WQ00 and issued date: ,
For modifications,also attach a detailed narrative description as described in Item G of the checklist.
If new construction,but part of a master plan,provide the existing permit number: WQ00
3. County where project is located: Rowan
4. Approximate Coordinates(Decimal Degrees): Latitude: 35.5339' Longitude:-80.5942'
5. Parcel ID(if applicable): 133A206(or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
I. Professional Engineer: David Starkel License Number: 046230
Firm: Orsborn Engineering Group
Mailing address: 605 Lexington Ave,Ste 301
City:Charlotte State:NC Zip:28203-
Phone number: [phone] Email Address: dstarkelg_orsborn-eng.com
IV. WASTEWATER TREATMENT FACILITY(WWTF) INFORMATION:
1. Facility Name: Salisbury-Rowan WWTP(Grant Creek Train) Permit Number:NCO023884
Owner Name: Salisbury-Rowan Utilities
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ
2. Downstream(Receiving)Sewer Information: 8 inch N Gravity E Force Main
3. System Wide Collection System Permit Number(s)(if applicable): WQCS00343
Owner Name(s): Town of Landis
FORM: FTA 10-23 Page 1 of 5

Vl. GENERAL REQUIREMENTS
1. If the Applicant is a Privately-Owned Public Utility,has a Certificate of Public Convenience and Necessity been attached'?
❑ Yes [:]No ® N/A
2. If the Applicant is a Developer of lots to be sold,has a Developer's Operational Agreement(FORM: DEV)been attached'?
® Yes ❑ No ❑ N/A
3. If the Applicant is a Home/Property Owners'Association,has an HOA/POA Operational Agreement(FORM: HOA)and
supplementary documentation as required by 15A NCAC 02T.01 15(c)been attached'?
❑ Yes ❑ No ® N/A
4. Origin of wastewater: (check all that apply):
❑ Residential (Individually Owned) ❑ Retail(stores,centers, malls) ❑Car Wash
❑ Residential (Leased) ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School/preschool/day care ❑ Medical %dental/veterinary facilities ❑ Swimming Pool/Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
® Businesses/offices/factories ❑ Nursing Home ❑ Other(Explain in Attachment)
5. Nature of wastewater: 100%Domestic %Commercial %Industrial(See 15A NCAC 02T.0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes❑No
6. Has a flow reduction been approved under 15A NCAC 02T.01 14(f)? ❑ Yes ®No
If ves, provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment T%pe (see 02T.0114(f)) Daily Design FloNN No. of Cnits FloN%
Loading Docks 100 gal/loading bay 134 13400 GPD
Office 25 gal/employee 298 7450 GPD
gal/ GPD
gal/ GPD
gal/ GPD
gal/ G P D
Total 20850 GPD
a See 15A NCAC 02T .01 14(b). (d). (e)(1)and(e)(22) for caveats to wastewater design flow rates (i.e. proposed unknown
non-residential development uses; public access facilities located near high public use areas; and residential property
located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined in G.S.42A-4).
b Per 15A NCAC 02T.0I 14(c),design flow rates for establishments not identified [in table 15A NCAC 02T.01 14] shall be
determined using available flow data,water using fixtures,occupancy or operation patterns,and other measured data.
8. Wastewater generated by project: 20850 GPD(per 15A NCAC 02T.01 14 and G.S. 143-215.1)
Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other(Explain):
FORM: FTA 10-23 Page 2 of 5

V11. GRAVITY SEWER DESIGN CRITERIA(If Applicable)-02T.0305 & MDC (Gravity SeNsers):
1. Summarize gravity sewer to be permitted:
Size(inches) Length(feet) Material
s 612 PVC
20 DIP
Section II& III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
Section III contains information related to minimum slopes for gravity sewer(s)
Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA(If Applicable)—02T.0305& MDC(Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates(Decimal Degrees): Latitude: Longitude:-
3. Total number of pumps at the pump station:
3. Design flow of the pump station: millions gallons per day(firm capacity)
r This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s)per pump(s): gallons per minute(GPM)at feet total dynamic head(TDH)
5. Summarize the force main to be permitted(for this Pump Station):
Size(inches) Length (feet) Material
If any portion of the force main is less than 4-inches in diameter,please identify the method of solids reduction per
MDCPSFM Section 2.01 C.1.b. ❑Grinder Pump ❑ Mechanical Bar Screen ❑ Other(please specify)
6. Power reliability in accordance with 15A NCAC 02T.0305(h)(1):
❑ Standby power source or ❑ Standby pump
Must have automatic activation and telemetry- 15A NCAC 02T.0305(h)(1)(B);
i Required for all pump stations with an average daily flow greater than or equal to 15.000 gallons per day
Must be permanent to facility and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
❑ Portable power source with manual activation,quick-connection receptacle and telemetry-
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
i Include documentation that the portable source is owned or contracted by the applicant and is compatible with the station.
If the portable power source or pump is dedicated to multiple pump stations,an evaluation of all the pump stations storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 10-23 Page 3 of 5

IX. SETBACKS&SEPARATIONS—(02B.0200 & 15A NCAC 02T.0305(f)):
l. Does the project comply with all separations/alternatives found in 15A NCAC 02T.0305(f)&(p)? ® Yes [] No
15A NCAC 02T.0305(f)contains rninimurn separations that shall be provided for sewers stems:
Setback Parameter* Separation Required
Storm sewers and other utilities not listed below(vertical) 18 inches
'Water mains(vertical - %\ater o\er sewer preferred, including in benched trenches) 18 inches
'-Water mains(horizontal) 10 feet
Reclaimed water lines(vertical -reclaimed over sewer) 18 inches
Reclaimed water lines(horizontal -reclaimed over sewer) 2 feet
**Any private or public water supply source,including any wells,WS-1 waters of Class I or
Class II impounded reservoirs used as a source of drinking water,and associated wetlands. 100 feet
**Waters classified WS(except WS-I or WS-V), B. SA,ORW, HQW,or SB from normal
high water(or tide elevation)and wetlands associated with these waters(see item IX.2) 50 feet
**Any other stream, lake, impoundment,or ground water lowering and surface drainage
ditches,as well as wetlands associated with these waters or classi tied as WL. 10 feet
Any building foundation (horizontal) 5 feet
Any basement(horizontal) 10 feet
Top slope of embankment or cuts of 2 feet or more vertical height 10 feet
Drainage systems and interceptor drains 5 feet
Any swimming pools 10 feet
Final earth grade(vertical) 36 inches
i If noncompliance with 02T.0305(f)or(g)_see Section X.I of this application
*15A NCAC 02T.0305(g)contains alternatives where separations in 02T.0305(f)cannot be achieved. Please check"yes"
above if these alternatives are used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webnase
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ N/A
If no,please refer to 15A NCAC 18C.0906(f) for documentation requirerents and submit a separate document,
signed/sealed by an NC licensed PE,verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ® Yes [:] No ❑ N/A
i Please provide supplementary information identifying the areas of non-conformance.
See the Division's draft separation requirements for situations where separation cannot be met.
No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? ❑ Yes Basin name: ® No
If yes,does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes ❑ No
This includes Trout Buffered Streams per 15A NCAC 213.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ®Yes ❑No
or 401 Water Quality Certifications?
i Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0105(c)(6)(additional permits/certifications)? ® Yes ❑No
Per 15A NCAC 02T.0 I 05(c)(6),directly related environmental permits or certification applications must be 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,storrnwater management plans,etc.).
7. Does this project include any sewer collection lines that are deemed"high-priority?" ❑ Yes ®No
Per 15A NCAC 02T.0402,"high-priority sewer"means any aerial sewer,sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
If yes. include an attachment with details for each line, including type(aerial line,size,material,and location).
High priority lines shall be inspected by the permittee or its representative at least once every six-months and
inspections documented per 15A NCAC 02T.0403(a)(5)or the permittee's individual System-Wide Collection permit.
FORM: FTA 10-23 Page 4 of 5

VUVu Jllyll CIIVCIupt:IV.Y:YiYI LOC-OyrVWOVJ-DIiCJ-OOrF1UYl..LC/GV
X. CERTIFICATIONS:
I. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains(latest version),and the Gravity Sewer Minimum Design Criteria(latest version)as applicable'?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the permit, and projects requiring a variance approval may be subject to longer
review times. For projects requiring two or more variances or where the variance is determined by the Division to be a
significant portion of the project,the full technical review is required.
2. Professional Engineer's Certification:
I David Starkel attest that this application for Landis Ridge
(Professional Enginccr;n.unr tiom Application Item Ill.1.) (Project Name from Application Item 11.1)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications,engineering calculations,and all other supporting documentation to the best of my knowledge. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria for Gravity Sewers(latest version),and the Minimum Design Criteria for the Fast-Track Permitting
of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, 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$25,000 per violation. Misrepresentation of the application
information,including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina-licensed Professional Engineer to referral to the licensing board. (21 NCAC 56.0701)
...........................................................
North Carolina Professional Engineer's seal,signature,and date: •• '••
i24.¢4'23gJtAi04 W.!04'e'
046230
L . S P•.•.
...........................................................
3. Applicant's Certification per 15A NCAC 02T .0106(b):
Michele wheeler Landis Ridge
I, _ ,attest that this application for
(Signature.Authority Name from Application Item 1.3.) (Project Name from Application Item IL 1)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
I understand that if all required parts of this application are not completed and that if all required supporting documentation
and attachments are not included, this application package is subject to being returned as incomplete. I understand that any
discharge of wastewater from this non-discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties,injunctive relief,and/or criminal prosecution. I will make no claim against the Division
of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application
package are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
NOTE -- In accordance with General Statutes 143-215.6A and 143-215.613, 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$25,000 per violation.
DocuSigned by:
�� • ,)_-/� (� 4/14/2024
Signature: Foecaasszze_aags Date:
FORM: FTA 10-23 Page 5 of 5

Vul.ucsiyi CIIVCIupv IU. iv IMU'1 IL-mimm-Yl JD-Pu I:!-CY'1JI'Mu IuC to
STATE OF NORTH CAROLINA ``(��q
COUNTY OF Rowan Permit No. �t(W 45&`1' I
DEVELOPER'S OPERATIONAL AGREEMENT
This AGREEMENT made pursuant to G.S. 143-215.1 (d 1) and entered into this day of
, by and between the North Carolina Environmental Management
Commission, an agency of the State of North Carolina, hereinafter known as the COMMISSION; and
JSC-CCI Landis I, LLC , 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 Rowan County, upon
which it is erecting and will erect dwelling units and other improvements, said development to be known
as Landis Ridge (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.
4. The DEVELOPER has created or shall create unit ownership in said dwellings units, other improvements
and lands through filing of a Declaration of Unit Ownership (hereinafter Declaration), pursuant to Chapter
47C or 47F 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, Landis Ridge Property Owners'Association (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 andlaw.
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.

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4. The 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 pen-nit 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 mayrequire as condition of accepting the Development's wastewater.
S. 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 apennit.
9. The agreements set forth in numbered paragraphs 1, 2, 3, 4, 5, 6, 7, and 8 above shall be conditions of any
pen-nit 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:
FOR THE ENVIRONMENTAL JSC-CCI Landis I, LLC, a Delaware limited liability company
MANAGEMENT COMMISSION Name of DEVELOPER
JSC Manager LLC, a Delaware limited liability company,
By:its Manager
Richard E. Rogers, Jr. (Signature) OocuSigned by:
Director, Division of Water Resources �I , � r L
EAAF;1;7 419-
Print Name and Title Michele Wheeler, President & CEO
4/12/2024
(Date) (Date)

State of forth Carolina
Department of Environmental Quality
Division of Water Resources
Oivkion of Water kc%um(e< , Flow Tracking for Server Extension Applications
(FTSE I0-23)
Entity Requesting Allocation: JSC-CCI Landis I, LLC
Project Name for which flow is being requested: Landis Ridge
More than one FT.SE may be required for a single project if the owner of the WWTP is not respwrrsible 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: Salisbury-Rowan WWTP (Grant Creek Train)
b. WWTP Facility Permit#: NCO023884
Al!flows are M MGD
c. WWTP facility's permitted flow 7.500
d. Estimated obligated flow not yet tributary to the WWTP 0.833
e. WWTP facility's actual avg. flow 4.836
f. Total flow for this specific request 0.000*See note next page
g. Total actual and obligated flows to the facility 5,689
h. Percent of permitted flow used 75.86%
11. 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,
Puntp Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow** Current Tributary Flow Plus
(Name or Permit Capacity, * (Firm/pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow,MGD MGD Flow Capacity***
Unknown
Upright St. (TBD) 0.8640 0.3456 0.2791_ 0.0446 0.3237 0.0219
x The Firm Capacity(design flow)of any pump station is defined as tine maximum pumped flow that can be
achieved with the largest pump taken out of service.
**Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor(pf)not
less than 2.5,per Section 2.02(A)(4)(c)of the Minimum Design Criteria.
x** 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): Salisbury-Rowan
Downstream Permit Number: WQCS00019
Page I of 8
F TSE 10-23

IIL Certification Statement:
I Jason H. Wilson, PE 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 11 plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
4/24/24
i ing Official Signature Date
ssistant Utilities Director
Title of Signing Official
*Note: The Town of Landis has an interlocal agreement with City of Salisbury for 2.000
MGD; this allocation is included in Part I(d) and Part II(c), The 0.02085 MGD for this
project is taken from the 2.000 MGD allocation and should not be shown in Part i(f).
Page 2 of 8
FTSE 10-23

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12/14/23, T51 PM North Carolina Secretary of State Search Results
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online -
Add Entity to My Email Notification List • View Filings • Print a Pre-Populated Annual Report form • Print
an Amended a Annual Report form
Limited Liability Company
Legal Name
JSC-CCI Landis I, LLC
Information
Sosld: 2755321
Status: Current-Active O
Date Formed: 12/14/2023
Citizenship: Foreign
State of Incorporation: DE
Annual Report Due Date: April 15th
Currentgnnual Report Status:
Registered Agent: Capitol Corporate Services, Inc.
Addresses
Reg Office Reg Mailing Mailing
176 Mine Lake CT Ste 100 176 Mine Lake CT Ste 100 4890 Alpha Road Suite 100
Raleigh, NC 27615 Raleigh, NC 27615 Dallas, TX 75244
Principal Office
4890 Alpha Road Suite 100
Dallas, TX 75244
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
https://www.sosnc,gov/online services/search/Business Reqistration Results 1/1

JWL
ROY COOPER '�'' '�
Governor
F
ELIZABETH S.BISER /a�>
Secretary ZZI
RICHARD E.ROGERS,JR. NORT�i CA RouN 4
Director Environmental Quality
March 9, 2023
DWR#2023-0048
Rowan County
Jackson Shaw
Attn: Ryan Beadle
301 E.Tremont Avenue,Suite C
Charlotte, NC 28203
Delivered via email to: [e-mail]
Subject: Approval of Individual 401 Water Quality Certification
Old Beatty Ford Road,USACE Action ID.No. SAW-2022-01822
Mr. Beadle:
Attached hereto is a copy of Certification No.WQC005750 issued to Ryan Beadle and Jackson Shaw,
dated March 9, 2023.This approval is for the purpose and design described in your application.The
plans and specifications for this project are incorporated by reference as part of this Water Quality
Certification. If you change your project,you must notify the Division and you may be required to
submit a new application package with the appropriate fee. If the property is sold,the new owner
must be given a copy of this Certification and is responsible for complying with all conditions. [15A
NCAC 02H.0507(d)(2)].
This General Certification does not relieve the permittee of the responsibility to obtain all other
required Federal,State,or Local approvals before proceeding with the project,including those
required by,but not limited to,Sediment and Erosion Control, Non-Discharge,Water Supply
Watershed,and Trout Buffer regulations.
This Water Quality Certification neither grants nor affirms any property right,license,or privilege
in any lands or waters,or any right of use in any waters. This Water Quality Certification does not
authorize any person to interfere with the riparian rights, littoral rights,or water use rights of any
other person and does not create any prescriptive right or any right of priority regarding any usage
of water. This Water Quality Certification shall not be interposed as a defense in any action
respecting the determination of riparian or littoral rights or other rights to water use. No
consumptive user is deemed by virtue of this Water Quality Certification to possess any
prescriptive or other right of priority with respect to any other consumptive user regardless of the
quantity of the withdrawal or the date on which the withdrawal was initiated or expanded.
Upon the presentation of proper credentials, the Division may inspect the property.
This Water Quality Certification shall expire on the same day as the expiration date of the
corresponding Individual Section 404 Permit. The conditions shall remain in effect for the life of
the project,regardless of the expiration date of this Water Quality Certification.
Non-compliance with or violation of the conditions herein set forth may result in revocation of this
Water Quality Certification for the project and may also result in criminal and/or civil penalties.

If you are unable to comply with any of the conditions of this Water Quality Certification you must
notify the Mooresville Regional Office within 24 hours (or the next business day if a weekend or
holiday) from the time the permittee becomes aware of the circumstances.
The permittee shall report to the Mooresville Regional Office any noncompliance with,and/or any
violation of,stream or wetland standards [15A NCAC 02B.0200] including but not limited to
sediment impacts to streams or wetlands. Information shall be provided orally within 24 hours(or
the next business day if a weekend or holiday) from the time the permittee became aware of the
non-compliance circumstances.
This approval and its conditions are final and binding unless contested [G.S. 143-215.5]. Please be
aware that impacting waters without first applying for and securing the issuance of a 401 Water
Quality Certification violates Title 15A of the North Carolina Administrative Code(NCAC) 2H .0500.
Title 15A NCAC 2H .0500 requires certifications pursuant to Section 401 of the Clean Water Act
whenever construction or operation of facilities will result in a discharge into navigable waters,
including wetlands,as described in 33 Code of Federal Regulations (CFR) Part 323. It also states
any person desiring issuance of the State certification or coverage under a general certification
required by Section 401 of the Federal Water Pollution Control Act shall file with the Director of the
North Carolina Division of Water Quality. Pursuant to G.S. 143-215.6A,these violations and any
future violations are subject to a civil penalty assessment of up to a maximum of$25,000.00 per day
for each violation.
This Certification can be contested as provided in Chapter 150B of the North Carolina General
Statutes by filing a Petition for a Contested Case Hearing(Petition) with the North Carolina Office of
Administrative Hearings (OAH)within sixty(60) calendar days. Requirements for filing a Petition
are set forth in Chapter 150B of the North Carolina General Statutes and Title 26 of the North Carolina
Administrative Code.Additional information regarding requirements for filing a Petition and Petition
forms may be accessed at httR//www.ncoah.comI or by calling the OAH Clerk's Office at(919)431-
3000.
One(1)copy of the Petition must also be served to the North Carolina Department of Environmental
Quality:
William F. Lane,General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, NC 27699-1601
This letter completes the Division's review under section 401 of the Clean Water Act and 15A NCAC
02H .0500. Please contact Roberto Scheller at 704-235-2204 or roberto.scheller(a ncdenr.gov if you
have any questions or concerns.
Sincerely,
DocuSigned by:
p H P:x..U►
F161F669A2D84A3...
Andrew H. Pitner, P.G.,Assistant Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office, DEQ

cc: Jennifer Robertson,Atlas Environmental Inc.,[e-mail]
Meagan Jolly, USACE Charlotte Field Office,[e-mail]
Todd Bowers, EPA, email
DWR 401 & Buffer Permitting Branch Electronic file

NORTH CAROLINA 401 WATER QUALITY CERTIFICATION
CERTIFICATION #WQC005750 is issued in conformity with the requirements of Section 401, Public
Laws 92-500 and 95-217 of the United States and subject to North Carolina's Regulations in 15 NCAC
02H .0500 and 15A NCAC 0213.0200,to Ryan Beadle and Jackson Shaw,who have authorization for
the impacts listed below,as described within your application received by the N.C. Division of Water
Resources(Division) on December 29, 2023,and by Public Notice issued by the U.S.Army Corps of
Engineers and received by the Division on January 11, 2023.
The State of North Carolina certifies that this activity will comply with water quality
requirements and the applicable portions of Sections 301,302,303, 306,307 of the Public Laws
92-500 and PL 95-217 if conducted in accordance with the application,the supporting
documentation,and conditions hereinafter set forth.
This approval requires you to follow the conditions listed in the certification below.
CONDITIONS OF CERTIFICATION [15A NCAC 02H.0507(c)]:
1. The following impacts are hereby approved. No other impacts are approved,including
incidental impacts. [15A NCAC 02H.0506(b)]
Type of Impact Amount Approved Amount Approved (units)
(units) Permanent Temporary
Stream
Site 1 686 linear feet 40 linear feet
404 401 Wetlands
Site 1 0.394 acres 0 acres
2. Mitigation must be provided for the proposed impacts as specified in the table below.The
Division has received an acceptance letter from the NC Division of Mitigation Services (DMS) to
meet this mitigation requirement. Until the DMS receives and clears your payment,and proof of
payment has been provided to this Office,no impacts specified in this Authorization Certificate
shall occur. For accounting purposes, this Authorization Certificate authorizes payment to the
DMS to meet the following compensatory mitigation requirement[15A NCAC 02H .0506(c)]:
Compensatory Mitigation River and Sub-basin
Required Number
Stream Yadkin-Pee Dee
686 (linear feet) (03040105)
1:1 ratio
Wetlands 0.394 (acres)
Justification:A project that affects waters shall not be permitted unless the existing uses,and
the water quality to protect such uses, are protected. In determining that the proposed
activity will comply with state water quality standards(including designated uses, numeric
criteria, narrative criteria and the state'santidegradation policy), the project must provide for
replacement of existing uses through compensatory mitigation.

3. Diversion ditches and other stormwater conveyances as related to the sediment and erosion
control measures shall be matted and/or stabilized to reduce sediment lost and turbidity. This
includes interior/exterior slopes of sediment basins. 15A NCAC 02H.05606 (b)(3) and (c) (3)
Justification: Failure to reduce erosion of runoff conveyances and to provide for maximum
reduction of erosion on areas not related to ongoing construction,shortens basin holding times,
increases turbidity of discharge and creates a greater potential of bypass discharge.
4. Bare/fill slopes in excess of 10 feet in height and within 30 feet of surface water shall be matted.
15A NCAC 02H .0506 (b)(1) and15A NCAC 02H .502 (c)
Justification:A project that affects waters shall not be permitted unless the existing uses,and
the water quality to protect such uses,are protected. In determining that the proposed activity
will comply with state water quality standards (including designated uses, numeric criteria,
narrative criteria and the state's antidegradation policy),the Division must evaluate if the
activity has avoided and minimized impacts to waters,would cause or contribute to a violation
of standards or would result in secondary or cumulative impacts
5. Stormwater discharge structures at this site shall be constructed in a manner such that the
potential receiving streams (of the discharge)will not be impacted due to sediment
accumulations,scouring or erosion of the stream banks. 15A NCAC 02B.0203
Justification:In order to protect against impairment of water quality standards and best usage of
receiving and downstream waters, water quality based management practices must be employed to
protect against direct or indirect discharge of waste or other sources of water pollution.
6. The permittee shall report to the DWR Mooresville Regional Office any noncompliance with,
and/or any violation of,stream or wetland standards [15A NCAC 0213.0200],including but not
limited to sediment impacts to streams or wetlands. Information shall be provided orally within
24 hours (or the next business day if a weekend or holiday) from the time the permittee became
aware of the non-compliance circumstances.
Citation: 15A NCAC 02H.0506(b);15A NCAC 02H.0507(c)
Justification: Timely reporting of non-compliance is important in identifying and minimizing
detrimental impacts to water quality and avoiding impacts due to water pollution that precludes
any best use on a short-term or long-term basis.
7. No waste,spoil,solids,or fill of any kind shall occur in wetlands or waters beyond the footprint
of the approved impacts (including temporary impacts).
Citation: 15A NCAC 02H.0506; 15A NCAC 02H.0507(c)
Justification:Surface water quality standards require that conditions of waters be suitable for all
best uses provided for in state rule(including,at minimum:aquatic life propagation,survival, and
maintenance of biological integrity;wildlife,secondary contact recreation;agriculture);and that
activities must not cause water pollution that precludes any best use on a short-term or long-term
basis.
8. All activities shall be in compliance with any applicable State Regulated Riparian Buffer Rules in
Chapter 213 of Title 15A in the North Carolina Administrative Code.
Citation: 1SA NCAC 02H.0506(b); 15A NCAC 02H.0507(c)
Justification: The referenced Riparian Buffer rules were adopted to address water quality
impairments and further protect existing uses
9. When applicable,all construction activities shall be performed and maintained in full
compliance with G.S.Chapter 113A Article 4 (Sediment and Pollution Control Act of 1973).

Regardless of applicability of the Sediment and Pollution Control Act,all projects shall
incorporate appropriate Best Management Practices for the control of sediment and erosion so
that no violations of state water quality standards,statutes,or rules occur.
Design, installation,operation,and maintenance of all sediment and erosion control measures
shall be equal to or exceed the requirements specified in the most recent version of the North
Carolina Sediment and Erosion Control Manual, or for linear transportation projects,the North
Caroline Department of Transportation Sediment and Erosion Control Manual.
All devices shall be maintained on all construction sites,borrow sites,and waste pile (spoil)
sites, including contractor-owned or leased borrow pits associated with the project.Sufficient
materials required for stabilization and/or repair of erosion control measures and stormwater
routing and treatment shall be on site at all times.
For borrow pit sites, the erosion and sediment control measures shall be designed, installed,
operated,and maintained in accordance with the most recent version of the North Carolina
Surface Mining Manual. Reclamation measures and implementation shall comply with the
reclamation in accordance with the requirements of the Sedimentation Pollution Control Act
and the Mining Act of 1971.
If the project occurs in waters or watersheds classified as Primary Nursery Areas (PNAs),SA,
WS-1,WS-II, High Quality Waters (HQW),or Outstanding Resource Waters (ORW),then the
sedimentation and erosion control designs shall comply with the requirements set forth in 15A
NCAC 04B.0124,Design Standards in Sensitive Watersheds.
Citation: 15A NCAC 02H.0506(b);15A NCAC 02H.0507(c); 15A NCACO2B.0200, 15A NCAC
02B.0231
justification:A project that affects waters shall not be permitted unless the existing uses, and the
water quality to protect such uses, are protected. Activities must not cause water pollution that
precludes any best use on a short-term or long-term basis.As cited in Stream Standards.(12)Oils,
deleterious substances,or colored or other wastes:only such amounts as shall not render the
waters injurious to public health,secondary recreation,or to aquatic life and wildlife,or adversely
affect the palatability offish, aesthetic quality, or impair the waters for any designated uses;and
(21)turbidity in the receiving water shall not exceed 50 Nephelometric Turbidity Units(NTU)in
streams not designated as trout waters and 10 NTU in streams,lakes, or reservoirs designated as
trout waters;for lakes and reservoirs not designated as trout waters, the turbidity shall not exceed
25 NTU;if turbidity exceeds these levels due to natural background conditions, the existing
turbidity level shall not be increased. As cited in Wetland Standards.(c)(1)Liquids,fill or other
solids, or dissolved gases shall not be present in amounts that may cause adverse impacts on
existing wetland uses,and(3)Materials producing color or odor shall not be present in amounts
that may cause adverse impacts on existing wetland uses.
10. Sediment and erosion control measures shall not be installed in wetland or waters except
within the footprint of temporary or permanent impacts otherwise authorized by this
Certification. If placed within authorized impact areas,then placement of such measures shall
not be conducted in a manner that results in dis-equilibrium of any wetlands,streambeds,or
streambanks. Any silt fence installed within wetlands shall be removed from wetlands and the
natural grade restored within two(2) months of the date that DEMLR or locally delegated
program has released the specific area within the project to ensure wetland standards are
maintained upon completion of the project.
Citation: 15A NCAC 02H.0506(b); 15A NCAC 02H.0507(c),15A NCAC 02B.0200; 15A NCAC 02B
.0231

Justification:A project that affects waters shall not be permitted unless the existing uses, and the
water quality to protect such uses,are protected. Activities must not cause water pollution that
precludes any best use on a short-term or long-term basis.As cited in Stream Standards.(12) Oils,
deleterious substances, or colored or other wastes:only such amounts as shall not render the
waters injurious to public health,secondary recreation,or to aquatic life and wildlife, or adversely
affect the palatability offish,aesthetic quality,or impair the waters for any designated uses;and
(21)turbidity in the receiving water shall not exceed 50 Nephelometric Turbidity Units(NTU)in
streams not designated as trout waters and 10 NTU in streams,lakes, or reservoirs designated as
trout waters;for lakes and reservoirs not designated as trout waters, the turbidity shall not exceed
25 NTU;if turbidity exceeds these levels due to natural background conditions, the existing
turbidity level shall not be increased. As cited in Wetland Standards.(c)(1)Liquids,fill or other
solids,or dissolved gases shall not be present in amounts that may cause adverse impacts on
existing wetland uses;and(3)Materials producing color or odor shall not be present in amounts
that may cause adverse impacts on existing wetland uses.
11. Erosion control matting that incorporates plastic mesh and/or plastic twine shall not be used
along streambanks or within wetlands.
Citation: 15A NCAC 02H.0506(b); 15A NCAC 02H.0507(c)
Justification:A project that affects waters shall not be permitted unless the existing uses(including
aquatic life propagation and biological integrity),and the water quality to protect such uses,are
protected. Protections are necessary to ensure any remaining surface waters or wetlands,and any
surface waters or wetlands downstream,continue to support existing uses during and after project
completion. The Division must evaluate if the activity has avoided and minimized impacts to
waters, would cause or contribute to a violation ofstandards,or would result in secondary or
cumulative impacts.
12. If the project is covered by NPDES Construction Stormwater Permit Number NCGO10000 or
NPDES Construction Stormwater Permit Number NCG250000,full compliance with permit
conditions including the erosion&sedimentation control plan,inspections and maintenance,
self-monitoring,record keeping and reporting requirements is required.
Citation: 15A NCAC 02H.0506(b); 15A NCAC 02H.0507(c),15A NCAC 02B.0200;15A NCAC
02B.0231
Justification:A project that affects waters shall not be permitted unless the existing uses,and the
water quality to protect such uses,are protected. Activities must not cause water pollution that
precludes any best use on a short-term or long-term basis.As cited in Stream Standards:(12) Oils,
deleterious substances,or colored or other wastes:only such amounts as shall not render the
waters injurious to public health,secondary recreation,or to aquatic life and wildlife,or adversely
affect the palatability offish,aesthetic quality,or impair the waters for any designated uses;and
(21)turbidity in the receiving water shall not exceed 50 Nephelometric Turbidity Units(NTU)in
streams not designated as trout waters and 10 NTU in streams,lakes,or reservoirs designated as
trout waters,for lakes and reservoirs not designated as trout waters, the turbidity shall not exceed
25 NTU;if turbidity exceeds these levels due to natural background conditions, the existing
turbidity level shall not be increased. As cited in Wetland Standards:(c)(1)Liquids,fill or other
solids, or dissolved gases shall not be present in amounts that may cause adverse impacts on
existing wetland uses;and(3)Materials producing color or odor shall not be present in amounts
that may cause adverse impacts on existing wetland uses.
13. All work in or adjacent to streams shall be conducted so that the flowing stream does not come
in contact with the disturbed area. Approved best management practices from the most current
version of the NC Sediment and Erosion Control Manual,or the NC Department of Transportation
Construction and Maintenance Activities Manual, such as sandbags,rock berms,cofferdams,and
other diversion structures shall be used to minimize excavation in flowing water.

Citation: 15A NCAC 02H.0506(b);15A NCAC 02H.0507(c);15A NCAC 02B.0200
Justification:Surface water quality standards require that conditions of waters be suitable for all
best uses provided for in state rule, and that activities must not cause water pollution that
precludes any best use on a short-term or long-term basis. As cited in Stream Standards:(12)Oils,
deleterious substances, or colored or other wastes.only such amounts as shall not render the
waters injurious to public health,secondary recreation,or to aquatic life and wildlife,or adversely
affect the palatability offish,aesthetic quality,or impair the waters for any designated uses,and
(21) turbidity in the receiving water shall not exceed 50 Nephelometric Turbidity Units(NTU)in
streams not designated as trout waters and 10 NTU in streams,lakes,or reservoirs designated as
trout waters;for lakes and reservoirs not designated as trout waters, the turbidity shall not exceed
25 NTU;if turbidity exceeds these levels due to natural background conditions, the existing
turbidity level shall not be increased.
14. Culverts shall be designed and installed in such a manner that the original stream profiles are
not altered and allow for aquatic life movement during low flows. The dimension,pattern,and
profile of the stream above and below a pipe or culvert shall not be modified by widening the
stream channel or by reducing the depth of the stream in connection with the construction
activity. The width,height,and gradient of a proposed culvert shall be such as to pass the
average historical low flow and spring flow without adversely altering flow velocity. If the
width of the culvert is wider than the stream channel,the culvert shall include multiple
boxes/pipes,baffles,benches and/or sills to maintain the natural width of the stream channel.
If multiple culverts/pipes/barrels are used,low flows shall be accommodated in one
culvert/pipe and additional culverts/pipes shall be installed such that they receive only flows
above bankfull.
Placement of culverts and other structures in streams shall be below the elevation of the
streambed by one foot for all culverts with a diameter greater than 48 inches,and 20% of the
culvert diameter for culverts having a diameter less than or equal to 48 inches,to allow low
flow passage of water and aquatic life. If the culvert outlet is submerged within a pool or scour
hole and designed to provide for aquatic passage,then culvert burial into the streambed is not
required.
For structures less than 72"in diameter/width,and topographic constraints indicate culvert
slopes of greater than 2.5%culvert burial is not required, provided that all alternative options
for flattening the slope have been investigated and aquatic life movement/connectivity has
been provided when possible (e.g., rock ladders,cross-vanes,sills,baffles etc.). Notification,
including supporting documentation to include a location map of the culvert,culvert profile
drawings,and slope calculations,shall be provided to DWR 30 calendar days prior to the
installation of the culvert.
When bedrock is present in culvert locations,culvert burial is not required,provided that there
is sufficient documentation of the presence of bedrock. Notification,including supporting
documentation such as a location map of the culvert,geotechnical reports,photographs,etc.
shall be provided to DWR a minimum of 30 calendar days prior to the installation of the culvert.
If bedrock is discovered during construction,then DWR shall be notified by phone or email
within 24 hours of discovery.
Installation of culverts in wetlands shall ensure continuity of water movement and be designed
to adequately accommodate high water or flood conditions. When roadways,causeways,or
other fill projects are constructed across FEMA-designated floodways or wetlands, openings
such as culverts or bridges shall be provided to maintain the natural hydrology of the system as
well as prevent constriction of the floodway that may result in destabilization of streams or
wetlands.

The establishment of native woody vegetation and other soft stream bank stabilization
techniques shall be used where practicable instead of rip-rap or other bank hardening methods.
Citation: 15A NCAC 02H.0506(b); 15A NCAC 02H.0507(c)
Justification: Surface water quality standards require that conditions of waters be suitable for all
best uses provided for in state rule,and that activities must not cause water pollution that
precludes any best use on a short-term or long-term basis Ensuring that structures are installed
properly in waters will ensure that surface water quality standards are met,and conditions of
waters are suitable for all best uses.
15. Application of fertilizer to establish planted/seeded vegetation within disturbed riparian areas
and/or wetlands shall be conducted at agronomic rates and shall comply with all other Federal,
State and Local regulations. Fertilizer application shall be accomplished in a manner that
minimizes the risk of contact between the fertilizer and surface waters.
Citation: 15A 02H.0506(b); 15A NCAC 02H.0507(c);15A NCAC 02B.0200;15A NCAC 02B.0231
Justification:A project that affects waters shall not be permitted unless the existing uses,and the
water quality to protect such uses, are protected. Activities must not cause water pollution that
precludes any best use on a short-term or long-term basis.As cited in Stream Standards.(12) Oils,
deleterious substances, or colored or other wastes.only such amounts as shall not render the
waters injurious to public health,secondary recreation, or to aquatic life and wildlife,or adversely
affect the palatability offish,aesthetic quality, or impair the waters for any designated uses. As
cited in Wetland Standards.(c)(1)Liquids,fill or other solids,or dissolved gases shall not be
present in amounts that may cause adverse impacts on existing wetland uses;and(3)Materials
producing color or odor shall not be present in amounts that may cause adverse impacts on
existing wetland uses.
16. If concrete is used during construction,then all necessary measures shall be taken to prevent
direct contact between uncured or curing concrete and waters of the state. Water that
inadvertently contacts uncured concrete shall not be discharged to waters of the state.
Citation: 15A 02H.0506(b); 15A NCAC 0211.0507(c);15A NCAC 02B.0200; 15A NCAC 02B.0231
Justification:A project that affects waters shall not be permitted unless the existing uses, and the
water quality to protect such uses,are protected. Activities must not cause water pollution that
precludes any best use on a short-term or long-term basis.As cited in Stream Standards:(12)Oils,
deleterious substances, or colored or other wastes:only such amounts as shall not render the
waters injurious to public health,secondary recreation,or to aquatic life and wildlife,or adversely
affect the palatability offish,aesthetic quality, or impair the waters for any designated uses.As
cited in Wetland Standards:(c)(1)Liquids,fill or other solids,or dissolved gases shall not be
present in amounts that may cause adverse impacts on existing wetland uses;and(3)Materials
producing color or odor shall not be present in amounts that may cause adverse impacts on
existing wetland uses
17. Any rip-rap required for proper culvert placement,stream stabilization,or restoration of
temporarily disturbed areas shall be restricted to the area directly impacted by the approved
construction activity. All rip-rap shall be placed such that the original streambed elevation and
streambank contours are restored and maintained and shall consist of clean rock or masonry
material free of debris or toxic pollutants. Placement of rip-rap or other approved materials
shall not result in de-stabilization of the stream bed or banks upstream or downstream of the
area or be installed in a manner that precludes aquatic life passage.
Citation: 15A NCAC 02H.0506(b);15A NCAC 02H.0507(c)
Justification:Surface water quality standards require that conditions of waters be suitable for all
best uses provided for in state rule,and that activities must not cause water pollution that

precludes any best use on a short-term or long-term basis. The Division must evaluate if the
activity has avoided and minimized impacts to waters, would cause or contribute to a violation of
standards,or would result in secondary or cumulative impacts.
18. Any rip-rap used for stream or shoreline stabilization shall be of a size and density to prevent
movement by wave,current action,or stream flows,and shall consist of clean rock or masonry
material free of debris or toxic pollutants. Rip-rap shall not be installed in the streambed except
in specific areas required for velocity control and to ensure structural integrity of bank
stabilization measures.
Citation: 15A NCAC 02H.0506(b); 15A NCAC 02H.0507(c);15A NCAC 02B.0201
Justification:Surface water quality standards require that conditions of waters be suitable for all
best uses provided for in state rule,and that activities must not cause water pollution that
precludes any best use on a short-term or long-term basis. The Division must evaluate if the
activity has avoided and minimized impacts to waters, would cause or contribute to a violation of
standards,or would result in secondary or cumulative impacts.
19. All mechanized equipment operated near surface waters shall be inspected and maintained
regularly to prevent contamination of surface waters from fuels,lubricants, hydraulic fluids,or
other toxic materials. Construction shall be staged in order to minimize the exposure of
equipment to surface waters to the maximum extent practicable. Fueling,lubrication,and
general equipment maintenance shall be performed in a manner to prevent,to the maximum
extent practicable, contamination of surface waters by fuels and oils.
Citation: I SA NCAC 02H.0506(b);15A NCAC 02H.0507(c); 15A NCAC 02B.0200; 15A NCAC 02B
.0231
Justification:A project that affects waters shall not be permitted unless the existing uses,and the
water quality to protect such uses,are protected. Activities must not cause water pollution that
precludes any best use on a short-term or long-term basis.As cited in Stream Standards.(12)Oils,
deleterious substances,or colored or other wastes.only such amounts as shall not render the
waters injurious to public health,secondary recreation,or to aquatic life and wildlife,or adversely
affect the palatability offish, aesthetic quality, or impair the waters for any designated uses.As
cited in Wetland Standards:(c)(1)Liquids,fill or other solids,or dissolved gases shall not be
present in amounts that may cause adverse impacts on existing wetland uses;and(3)Materials
producing color or odor shall not be present in amounts that may cause adverse impacts on
existing wetland uses
20. Heavy equipment working in wetlands shall be placed on mats or other measures shall be taken
to minimize soil disturbance and compaction.
Citation: 15A NCAC 02H.0506(b);15A NCAC 02H.0507(c); 15A NCAC 02B.0231
Justification: Wetland standards require maintenance or enhancement of existing uses of wetlands
such that hydrologic conditions necessary to support natural biological and physical
characteristics are protected;populations of wetland flora and fauna are maintained to protect
biological integrity of the wetland;and materials or substances are not present in amounts that
may cause adverse impact on existing wetland uses
21. In accordance with 143-215.85(b),the permittee shall report any petroleum spill of 25 gallons
or more; any spill regardless of amount that causes a sheen on surface waters;any petroleum
spill regardless of amount occurring within 100 feet of surface waters;and any petroleum spill
less than 25 gallons that cannot be cleaned up within 24 hours.
Citation: 15A NCAC 02H.0507(c);N.C.G.S 143-215.85(b)

Justification:Person(s)owning or having control over oil or other substances upon notice of
discharge must immediately notify the Department,or any of its agents or employees,of the
nature,location,and time of the discharge and of the measures which are being taken or are
proposed to be taken to contain and remove the discharge. This action is required in order to
contain or divert the substances to prevent entry into the surface waters.Surface water quality
standards require that conditions of waters be suitable for all best uses provided for in state rule
(including,at minimum:aquatic life propagation,survival,and maintenance of biological
integrity;wildlife,secondary contact recreation;agriculture);and that activities must not cause
water pollution that precludes any best use on a short-term or long-term basis.
22. The permittee and their authorized agents shall conduct all activities in a manner consistent
with State water quality standards (including any requirements resulting from compliance with
§303(d) of the Clean Water Act),and any other appropriate requirements of State and Federal
Law.
Citation: 15A NCAC 02H.0506(b);15A NCAC 02H.0507(c)
Justification:Surface water quality standards require that conditions of waters be suitable for all
best uses provided for in state rule,and that activities must not cause water pollution that
precludes any best use on a short-term or long-term basis. The Division must evaluate if the
activity has avoided and minimized impacts to waters, would cause or contribute to a violation of
standards,or would result in secondary or cumulative impacts.
23. The permittee shall require its contractors and/or agents to comply with the terms and
conditions of this permit in the construction and maintenance of this project and shall provide
each of its contractors and/or agents associated with the construction or maintenance of this
project with a copy of this General Certification. A copy of this General Certification shall be
available at the project site during the construction and maintenance of this project.
Citation:15A NCAC 02H.0506(b);15A NCAC 02H.0507(c)
Justification: Those actually performing the work should be aware of the requirements of this 401
Water Quality General Certification to minimize water quality impacts
This approval to proceed with your proposed impacts or to conduct impacts to waters as depicted
in your application shall expire upon expiration of the 404 or CAMA Permit. The conditions in
effect on the date of issuance shall remain in effect for the life of the project, regardless of the
expiration date of this Certification. [15A NCAC 02H.0507(c)]
This,the 9th day of March 2023
EDocuSigned by:
A,.o(�awH P: 4-"
F161F669A2D84A3...
Andrew H. Pitner, P.G.,Assistant Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office, DEQ

Jennifer Robertson
From: Hopper, Christopher D CIV USARMY CESAW (USA)
<[e-mail]>
Sent: Wednesday, May 31, 2023 8:17 AM
To: Ryan Beadle ([e-mail]); Jennifer Robertson
Cc: Isenhour, Kimberly T CIV USARMY CESAW (USA); Williams, Kelly; Amy Staley
Subject: SAW-2022-01822 /Old Beatty Ford Road Project/Jackson Shaw, Inc./China Grove/
Rowan County, NC - STATUTORY APPROVAL
Attachments: SAW-2022-01822 STR MRTF.pdf; SAW-2022-01822 WTL MRTF.pdf; 02 2023-0215
Landis Stream &Wetland Impacts 17x11.pdf; NWP-18.pdf; NWP39.pdf
Dear Ryan Beadle and Jennifer Robinson,
A preconstruction notification application (PCN) dated December 29, 2022 was submitted for the proposed activities.
Due to workload, the Corps was unable to provide timely formal written verification for impacts proposed in your
preconstruction notification application.
General Condition number 32, which lists the notification requirements for nationwide permits, states that "The
prospective permittee shall not begin the activity: (1) Until notified in writing ...., or(2) If 45 calendar days have passed
from the district engineer's receipt of the complete PCN and the prospective permittee has not received written notice
from the district or division engineer." Accordingly, on February 13, 2023,the applicant,Jackson Shaw, Inc., was
authorized to place fill or dredged material into waters, associated with the construction of the Old Beatty Ford Road
Project, under nationwide permit numbers 39 and 18, as proposed in the permit application dated December 29, 2022. 1
have attached a copy of the applicable permit conditions.The expiration date for the permit verification is March 14,
2026.
Please note that your work is authorized by the above referenced permit provided it is accomplished in strict accordance
with the permit conditions and your submitted plans (see attached).Any violation of the conditions or deviation from
your submitted plans may subject the permittee to a stop work order, a restoration order and/or appropriate legal
action.
Please note the attached Mitigation Responsibility Transfer Forms must be retuned signed by the Mitigation Sponsor
prior to any ground disturbance.
It is your responsibility to contact the North Carolina Division of Water Resources (NCDWR) Raleigh Regional Office to
determine the 401 requirements for this project. Please note that, if an Individual 401 WQC is required from NCDWR,
the conditions of the Individual 401 WQC, once issued, are also conditions of the NWP referenced above. You may not
conduct the activity authorized by the above referenced NWP without a valid 401 Water Quality Certification.
Please let me know if you have any questions regarding this statutory verification, or any of the conditions of the permit.
Christopher D. Hopper
Regulatory Specialist
U.S. Army Corps of Engineers
Regulatory Division
3331 Heritage Trade Drive,Suite 105
Wake Forest, NC 27587
[phone]
1

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Limited Liability Company
Legal Name
JSC-CCI Landis I, LLC
Information
Sosld: 2755321
Status: Current-Active O
Date Formed: 12/14/2023
Citizenship: Foreign
State of Incorporation: DE
Annual Report Due Date: April 15th
Currentgnnual Report Status:
Registered Agent: Capitol Corporate Services, Inc.
Addresses
Reg Office Reg Mailing Mailing
176 Mine Lake CT Ste 100 176 Mine Lake CT Ste 100 4890 Alpha Road Suite 100
Raleigh, NC 27615 Raleigh, NC 27615 Dallas, TX 75244
Principal Office
4890 Alpha Road Suite 100
Dallas, TX 75244
Company Officials
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