WQ0040784_Application (FTSE)_20190411

Transmittal
TO:
Engineers, Surveyors, Planners, Scientists
FROM:
Name:
Brian Rossi
Barry Love
04/09/2019
NCDEQ
Date:
610 E. Center Ave.
Job No.:
2018-1268
Mooresville, NC 28115
Subject:
General Assembly NCDEQ Fast Track
We are sending via:
The following items:
® Courier ❑ U.S. Mail
❑ Copies ® Originals
❑ Fed. Ex
❑ Other _
Copies
Date
Number of
sheets
Description
1
2019-04-08
1
NCDEQ Cover Letter
1
2019-03-04
-
FTA Fee Check for $480
2
2019-03-12
3
General Assembly Utility Plan
2
2019-04-08
8
Fast Track Application 04-16
2
2019-03-1 1
1
CLTWater Flow Acceptance Letter
2
2019-03-1 1
2
Flow Tracking for Sewer Extension Applications (FTSE 10-18)
2
2019-04-08
1
Project Street View with USGS Topo
These are transmitted as checked below:
M For Approval ❑ For Your File ❑ As Requested ❑ For Review and Comment
❑ For Execution/Signatures ❑ Other
Remarks:
If you should have any questions or need additional information, please do not hesitate to contact Brian
Rossi at 704.353.9948 or via email at [e-mail].
For EMHBT:
Adam d
If enclosures are not as noted, kindly notify us at once.
301 McCullough Drive, Suite 109, Charlotte, NC 28262 • Phone [phone] • Fox 704.548.0334
Columbus• ChaJoBe

Engineers, Surveyors, Planners, Scientists �, o �IR 0 '� '�(jj')
April 9, 2019
NCDEQ
610 E. Center Ave.
Mooresville, NC 28115
Subject: General Assembly —Civil Construction Documents
Dear NCDEQ,
This document is written to provide information describing the design of the private sanitary sewer
system for the General Assembly project. This project converts 1 existing building into 2 separate
building serviced by 18" private sanitary main.
The project will consist of 215 linear feet of 8" sanitary sewer and 230 linear feet of 4" sanitary sewer
service.
Enclosed in this application:
• FTA 04-16 Application with $480 Application Fee (1 original/1 copy)
• Flow Acceptance Letter USE 10-18
o Flow acceptance represents approved flow for entire development — 7,985 gpd.
• Site Maps — Topographic map & civil documents highlighting sewer extension.
Flow Allocation Summary
Total CLT Water Approved Flow (Per attached FTSE)— 7,985 GIRD
This Permit, per attached FTA-7,985 GPD
If you have any questions on this information please feel free to contact me at [phone] or
[e-mail].
Sincerely,
Brian Rossi, PE
Project Engineer
301 McCullough Drive, Suite 109, Charlotte, NC 28262 • Phone [phone] • Fax [phone]

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 —FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dlvlslon of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
i777777—
Application Number: _L� �YOg4%be completed by Dw2)
All items must be completed or the an lication will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Tryon QOF LLC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership
❑ Federal ❑ State/County ❑ Municipal
3. Signature authority's name: Colin Brothers per t5A NCACr.((h),
Title: Owner
4. Applicant's mailing address: 1000 East Cesar Chavez Street
City: Austin State: TX Zip: 7 702-_
S. Applicant's contact information:
Phone number: (8M 654-8230 Email Address: h ' cs'a-re.com
IL PROJECT INFORMATION:
1. Project name: Geneml Assemhly
❑ Privately -Owned Public Utility
❑ Other
2. Application/Project status; ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00_ and issued date: _
If new construction but part of a master plan, provide the existing permit number: WQ00_
3. County where project is located: Mecklenburg
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.241784' Longitude:-80.825143°
5. Parcel ID (if applicable): 079-107-13
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Brian Rossi License Number: 045526
Firm: EMH&T
Mailing address: 301 McCullough Drive Suite 109
City: Charlotte State: IBC Zip: 28262
Phone number: Q04) 353-9952 Email Address: brossiCitleniltt conl
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION;
1. Facility Name: Irwin Creek W WTP Permit Number: NCO024945
Owner Name: Michael Lineerrelt
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: _ inch
stem q'ide Collection Svstcnt Permit Nurnl1pECK)_f f4pplicarble): WQCS_
Owner Name(s): _
FORM: FTA 04-16
Page 1 of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ®N/A
2. If the Applicant is a Developer of lots to be sold, has a Develonc"' OR9ralional Aerccntent (FORM• 1)r:VI been attached?
❑ Yes E]No ®N/A
3. If the Applicant is a H0-0N!J rgperty Owners` Association It-s �m O >cmtional Agreement FORM: I{OA) been attached?
❑ Yes [:]No ®N/A
4. Origin of wastewater; (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, malls) El car Wash
Residential Leased ❑ Retail with food preparation/servioe
❑ Hotel and/or Motels
School / preschool / day care
❑ Medical /dental /veterinary facilities ❑Swimming pool /Clubhouse
�] Food and drink facilities ❑Church
® Businesses / offices / factories ❑ Nursing Home ❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater: _%Domestic/Commercial
100 %Commercial
% Industrial (See I SA NCAC' QZj_ 0I03t2(11)
"Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under) 5A NCAC 02T 0114(t)? ❑ Yes ®No
➢ If Mesa, provide a conv of flaw reduction annrovnt letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114ffl)
Retail
Office
Restaurant
Daily Design Flow'•^
No. of UFt
low
gal/1000 sf
GPD
25 gaVemp/shift
3t6250
GPD40
gaUseat
24
GPD
gal/ GPD
gal/ GPD
gal/ GPD
Total I 7985 GPD
a See 15A NCAC 02'r 01 lA(h) (d), W 1 at d r 2 , for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residental 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 Q.S.42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 0�7=a) l l,] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 7025 GPD (per I SA NCA(-' 02'1' .0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain): _
FORM: FTA 04-16
Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
M
M230
tPvc
➢ Section II & HI of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewers)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIH. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & HDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED INTHIS PROJECT
1. Pump station number or name: _
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude:
3, Design flow of the pump station: _ millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): _ gallons per minute at _ feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliability in accordance with 1 SA NC'ACLOTC ;g30 ,(I):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B)_
➢ 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
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage.
5
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(t)):
1. Does the project comply with all separations found in 15A NCAC: 027.0305(1)_,S (,) ® Yes ❑ No
➢ i SA NCAC 02T.0305ff1 rnntains mini .. n.:.«: »., «t . �_n L_
_. _ ____._-�..........».., ... ....".avua umwuanuc Mv{nen tar sewers
Stems:
Setback Parameter*
S aration Re uired
er utilities not listed below (vertical)
Storm seweEhonzont-ll
24 inches
Water main -water over sewer includingin benched trenches
18 inches
Water main10
feet
Reclaimed vertical -reclaimed over sewer
18 inches
Reclaimed water lines orizontal - reclaimed over sewer
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking
water
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 (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
slope of embankment or cuts of 2 feet or more height
_Top vertical
10 feet
Drains e systems and interceptor drains
5 feet
An swimming pools
10 feet
Final earth grade vertical
36 inches
➢ 1-5A NCAC 02T.0305(1J contains alternatives where separations in 02'('.0MO cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surfaeg Water Classifications �t�eb>Ltge
➢ If noncompliance with 02T 0305(f) or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No ❑ N/A
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No ❑ N/A
➢ This would include Trout Buffered Streams per I SA NCAC 2B.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ®No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 4-( 13n1t_cr ? tiu111a Brancb
5. Does project comply with 1 SA NCAAC' 02T(.0105tc1(6) (additional permits/certifications)? ®Yes ❑ No
Per 1 SA NCAC 02T.0105AcX0% directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ® No ❑ N/A
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority Hues shall be inspected by the permittee or its representative at least once every six -months and inspections
documented per ISA NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04- f 6
Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the [lermiui: zfPi
and Fnr c Mains A tletit version! and the Cravity Sewer Minimum t)esi =n Criteria latest version . as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10.14) and supporting documents for
review. Approval of the reauest is reawrod nr:nr e.....:....:....:..r.G_ ,�_......_- — . _- .. _
2. Professional Engineer's Certification:
name from Application Item Ia.1.)
that this application for
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best
of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE - In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date-
3. Applicant's Certification per 15A NCAC 02T .0106(b):
Ub.N1? t INtMffu! ff,F7c u} RLI�--Lijattest that this application for
name & title from Application Item I.3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application 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 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: 3/6/19
- _ Date:
CoUTO U0,T\le*5 t MRNFC-tElz Of ACE V�NTVP-EjtLLCj
T"E rv.anta.t'ea " T�VON OOF t L\.0
FORM: FTA 04-16
Page 5 of 5

CHARLOTTE
Wt)TE R
March 11. 2019
Mr. Adam A. Fifield
EMHT
301 McCullough Drive
Suite 109
Charlotte, NC 28262
SUBJECT: WATER AND SANITARY SEWER FLOW ACCEPTANCE
GENERAL ASSEMBLY
1801 NORTH TRYON STREET, CHARLOTTE, NC
CLTWATER TRACKING# 20191564
After an analysis of the sanitary sewer system associated with the proposed design of project
20191564, GENERAL ASSEMBLY, it was determined that there is sufficient capacity to
accommodate the proposed sewer flow of 7,985 gallons per day (24 seats x 40 gpd/seat; 7,750 sf
x 100ga1/1,000 sf; 250 emp/shift x 25 gal/emp/shift) at the connection point(s) indicated on the
submitted utility plan for transmission to the Sugar Creek Wastewater Treatment Plant; NPDES
permit number NC0024937, for treatment. This acceptance of flow is based on the existing capacity
of the designated publicly owned treatments works. Please see attached NC DEQ flow tracking
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 NC DENR. 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 CLTWater 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 or
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 two (2) years of issuance of this flow acceptance: and payment for any service connection(s)
have not been received within (2) years of issuance of this flow acceptance this flow acceptance
approval shall be rescinded and a new flow acceptance request must be made. If you have any
questions, please do not hesitate to contact me at [phone].
Sincerely,
GviUe rmo- Awzoto-,
Guillermo Anzola
Engineering Assistant
Charlotte Water 5100 Brookshire Blvd, Charlotte, NC 28216 charlottewater.org
�Oo Operated by the City of Charlotte

State of North Carolina
Division of Water Resources
Entity Requesting Allocation:
EMHT
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Project Name for which flow is being requested: General Assembly (commercial)
More than one FTSE may be required for a single project If the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTPFacilityName: Sugar Creek
b. WWTP Facility Permit #: N00024937
All flows are in MGD
c. WWTP facility's permitted flow
99.00
d. Estimated obligated flow not yet tributary to the WWTP
13.44
e. WWTP facility's actual avg. flow
69.192
f. Total flow for this specific request
0.007985
g. Total actual and obligated flows to the facility
82.639
h. Percent of permitted flow used
83.5^i
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 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***
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is <0.
Downstream Facility Name (Sewer): Unknown
Downstream Permit Number: Unknown
Page 1 of 6
FTSE 10-18

III. Certification Statement:
1 Keri Cantrell
certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the
receiving wastewater treatment facility and that the flow from this project is not anticipated to cause any
capacity related sanitary sewer overflows or overburden any downstream pump station en route to the
receiving treatment plant under normal circumstances, given the implementation of the planned
improvements identified in the planning assessment where applicable. This analysis has been performed
in accordance with local established policies and procedures using the best available data. This
certification applies to those items listed above in Sections I and II plus all attached planning assessment
addendums for which I am the responsible party. Signature of this form certifies that the receiving
collection system or treatment works has adequate capacity to transport and treat the proposed new
wastewater.
Signing Official Signature
Chief Engineer
Title of Signing Official
3/11 /2019
Date
Page 2 of 6
FTSE 10-18

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North Carolina Secretary of State Search Results
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Limited Liability Company
Legal. Name
Tryon QOF LLC
Information
Sosld: 1766100
Status: Current -Active
Annual. Report Status: Current
Citizenship: Foreign
Date Formed: 10/29/2018
State of Incorporation:
TX
Registered Agent: 3 Points Properties LLC
Addresses
Mailing
3926 Marcom Street
Raleigh, NC 27606-2856
Reg Mailing
3926 Marcom Street
Raleigh, NC 27606-2856
Company Officials
Principal. Office
3926 Marcom Street
Raleigh, NC 27606-2856
Reg Office
3926 Marcom Street
Raleigh, NC 27606-2856
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
https://www.sosne.gov/online_services/search/Business Registration —Results 4/10/2019