WQ0041063_Application (FTSE)_20190828

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July 25, 2019
NCDEQ — Division of Water Resources
Mooresville Regional Office
610 East Center Ave., Suite 301
Mooresville, NC 28115
RE: Davis (Mallard) Creek Apartments
Fast -Track Application for Gravity Sewer Collection Systems
Dear Sir/Madam:
Enclosed, please find enclosed the Fast Track Application Package for a private gravity sanitary
sewer extension to serve the proposed 234 unit Davis (Mallard) Creek Apartment project
located in Charlotte, North Carolina.
The enclosed submittal package includes the following:
• Application Form (FTA 04-16) (1 original)
• Application Form (FTA 04-16) (1 copy)
• Application Fee ($480 Check)
• Flow Tracking/Acceptance Form (FTSE 04-16)
• USGS Topo/Street Level Map
• NC Proof of Registered Business
If any additional information is needed to process this request, please do not hesitate to contact
me at directly 704.343.0608 x333.
Sincerely,
Design Resource Group, PA
(ulaiman Farooqi
Associate
2459 Wilkinson Boulevard, Suite 200
Charlotte, NC 28208
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July 25, 2019
NCDEQ — Division of Water Resources
Mooresville Regional Office
610 East Center Ave., Suite 301
Mooresville, NC 28115
RE: Davis (Mallard) Creek Apartments
Fast -Track Application for Gravity Sewer Collection Systems
Project Narrative:
Please find enclosed the Fast Track Application Package for a gravity sewer extension
constructed of 8" PVC pipe to serve the Davis (Mallard) Creek Apartment project, a proposed
234 unit apartment development in the city of Charlotte, North Carolina. The private sewer
system will be owned and operated by the owner of the apartment complex. Charlotte Water
will accept and treat the proposed wastewater discharge of 32,650 gallons per day generated by
the proposed apartment development. The flow acceptance letter from Charlotte Water is
included with this application package.
If any additional information is needed to process this request, please do not hesitate to contact
me at directly 704.343.0608 x333.
Sincerely,
Design Resource Group, PA
/ulaiman Farooqi
Associate
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:`�•`�CCORPORATE '
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C-2165
NCBELS
2459 Wilkinson Boulevard, Suite 200
Charlotte, NC 28208
704, 343.0608
mum,irgrr_a_ om

DWR
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number:�4Q0o � �(to be completed by DWR) ,;�7 - ?
All items must be completed or the application will be returned W a ISM
;f'tit t l�l%l t _ li�l' A OFFIC E
I. APPLICANT INFORMATION:
1. Applicant's name: Davis Development, Inc. (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership
❑ Federal ❑ State/County ❑ Municipal
3. Signature authority's name: Fred S. Hazel per I5A NCAC 02T .0106(b)
Title: Vice President
4. Applicant's mailing address: 403 Corporate Center Drive, Suite 201
City: Stockbridge State: GA Zip: 30281-
5. Applicant's contact information:
Phone number: [phone] Email Address: Privacy Redaction
11. PROJECT INFORMATION:
❑ Privately -Owned Public Utility
❑ Other
l . Project name: Davis (Mallard) Creek
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Pernut/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: 35.0936' Longitude:-81.0038°
5. Parcel ID (if applicable): 002919104, 029191 14, and 02919115
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Matthew Mobley License Number: 036289
Fit7n:Design Resource Group, PA
Mailing address: 2459 Wilkinson Blvd.
City: Charlotte State: NC Zip: 28208
Phone number: [phone] Email Address: matthew(a)drgyrp.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I . Facility Name: Rocky River Wastewater Treatment Plant Permit Number: NCO036269
Owner Name: City of Charlotte
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: inch
System t?Jid, Collection Svstern Pcimtt'N[ut,rb0 (s) (_if_a t li k�lc): 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 Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a Home/Propen Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
❑ Residential 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 % Commercial
% Industrial (See 15A NCAC 02T .0103(20))
,Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ❑ No
➢ If yes, provide a cony of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow a,b
No. of Units
Flow
Apartment Units
135 gal/Unit
234
31,590 GPD
Amenity Center
10 gal/person
106
1,060 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
32,650 GPD
a See 15A NCAC 02T .0114(b), (d), (e)(I ) and (e)_(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; 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 .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01 141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 32,650 GPD (per 15A NCAC 02T .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):
'� P Ki Yli
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:
Size (inches) Length (feet) Material
8 3,565 PVC
➢ 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 requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: oLongitude: - °
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 15A NCAC 02T .0305(h)(] ):
❑ 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.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(fl & {) ®Yes ❑ No
➢ 15A NCAC 02T.0305(fl contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below vertical
24 inches
Water mains vertical -water over sewer 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-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
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
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(t) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
➢ 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 I SA NCAC 02B .0200? ❑ Yes ❑ No ® N/A
➢ This would include Trout Buffered Streams per 15A NCAC 28,0202
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 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0 I 05(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.04021 "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 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 permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. 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?
a ■ •
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is required prior to submittal of the Fast Track Application and supporting documents.
2. Professional Engineer's Certification:
I,
s name from Application Item I11.1.)
attest 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 143-215.613, any person who knowingl makes any false
statement, representation, or certification in any application package shall be guilty of a Cl s 2 isd ea or, hich may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation
........................... �,�ti..�. y.�.� ..ti.... ...... .... ..,
North Carolina Professional Engineer's seal, signature, and date:
i
® EAL
034267
3. Applicant's Certification per 15A NCAC 02T .0106(b):
Ll
name & title from Application Item I.3.)
that this application for
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:
Date: G
FORM: FTA 04-16 Page 5 of 5

Private Water Systems or Public Water Main Extension Permit
Davis Development
Company, HOA, Developer, etc.
W
Z O Signing Official Name and Title
® 2 403 Corporate Center Drive Suite #201
Zg Address
Q�
J Z City, State, Zip Code
a 770-474-4345
< Phone: Fax:
Email Address
PROJECT NAME: Davis (Mallard) Apartments
Design Resource Group
Prepared By
Matthew Mobley
Z Contact Person
w ® 2456 Wilkinson Blvd., Suite 200
Z Address
z ® Charlotte NC 28208
W U. City, State, Zip Code
z 704-343-0608 704-358-3093
Phone: Fax:
matthew(a_drgrp.com
Email Address
SITE ADDRESS:13601 Mallard Creek Road
W Charlotte Water Capacity Assurance Review
u z Please refer to the Capacity Assurance/Flow Acceptance Letter from the New Services Section for your Charlotte
zz Water tracking number and list below:
N Charlotte Water Tracking Number
W
} Charlotte Fire Department or Mecklenburg County Fire Marshal Review
a t-
V Project is within the jurisdiction of : Charlotte Fire Department _Mecklenburg County Fire Marshal
WI
oa Include a completed copy of the Charlotte Fire Department Fire Hydrant Flow Request form or
L) Mecklenburg County Fire Marshal Hydrant Flow Test Results.
solow—
This application is made under and in full accord with all local, state or federal requirements as they relate to water
z systems. These requirements include but are not limited to the applicable provisions of Chapter 130A-317 of the North
v ® Carolina General Statutes and Title 15A 18C of the North Carolina Administrative Code "Rules Governing Public Water
w J Systems.' The plans and specifications are to be within the most recent guidelines and regulations set forth by Charlotte
0-1 Water and the North Carolina Department of Environment and Natural Resources (NCDENR). The owner agrees that no
a change or deviation from the plans and specifications approved by Charlotte Water will be made except with the written
z consent and approval of Charlotte Water.
ApplicanVOwnerAcknowledgment: 2 (initials)
i This approval is given with the understanding that upon installation of such works, the project shall be:
_Public by dedication to Charlotte Water who will operate and maintain the installation in accordance of NCDENR
regulations.
a
W]Private with the owner referenced above to operate and maintain the installation in accordance of NCDENR
regulations.
W
z Owner anticipates sub -metering water usage to future individually owned properties: If yes, applicant shall
p contact NCDENR and the North Carolina Utilities Commission at 919-733-5610 for additional approval
requirements.
es • Ono
Mail or deliver this application along with a check or money order to: Charlotte Water
600 E. Trade Street, Suite 020
Visit us on the web at www.charlottewater.org Charlotte, North Carolina 28202
Phone: [phone] Attn. New Services

Application for Private Water Systems or Public Water Main Extension Permit (Continue)
As a condition of receiving the water permit the owner acknowledges that Charlotte Water does not guarantee the
quality, quantity or pressure of its water supply. It is hereby made a portion of the terms on which Charlotte Water
furnishes water to consumers that, unless otherwise required by law, Charlotte Water shall in no case be liable to any
consumer for any defect in quality, quantity or pressure.
The official copies of plans and specifications accompanying this application have been sealed and stamped with the
issuing project permit number assigned to this application. Only such plans and specifications are included in this
approval. Any erasures, additions or alterations of the proposed improvements will make such approval null and void.
TtMa@Wf 0@E�n:;1Apw)_f0tions cited in the foregoing application are herby approved insofar as the protection of public
health is concerned as provided in the regulations, standards and criteria adopted under the authority of CHAPTER 130A-
317 of the North Carolina General Statues and Title 15A 18C of the North Carolina Administrative Code "Rules Governing
Public Water Systems." This approval does not address all applicable laws, rules, standards and criteria, and other ap-
provals and licenses that may be required by the local, state or federal government.
WATER LINES TO BE PERMITTED (attach additional sheets if necessary)
Size (inches)
Material
Length (Linear Feet)
10
PVC
28
Enter Total Number of Private FH's
Enter Total Line Length in Linear Feet
28
Select one of the following:
,,This project will use Charlotte Water Standard Specifications for the proposed distribution system (private system valves
may open left)
(Note that all extensions of the existing Charlotte Water maintained water distribution system shall require these specifications)
_Attached are two copies of the specifications for the proposed distribution system
The charges for review of plans are shown below. Select one of the following:
✓Construction of water mains $200
_Revision to plans previously approved $ 75
w_Other construction or alteration to a distribution system $ 75
LL
Ten days after the receipt of plans and specifications for approval, if the appropriate plan review fee is not
received, then all plan documents will be recycled. A new set of documents must then be submitted with the
appropriate fee for approval. Make check payable to: City of Charlotte
Note: In accordance with North Carolina General Statues 143-215.6A and 143-215.613, any person who knowingly makes
any false statement, r entation, or certification in any application shall be guilty of a Class 2 misdemeanor which may
m include a fine not exc ed $10,000 as well as civil penalties up to $25,000 per violation.
wz
3 o I, , attest that I am familiar with the project described herein and have reviewed this
®< application, and it i accurate and complete to the best of my knowledge. If I am not the Owner, I attest that I have been
zz !.I, duly authorized to ubmit this application and take all actions related thereto on behalf of the owner and will provide such
U information and r cords as CMU may request at any time to confirm such authority. I understand that if all required parts
a v of this applicati are not completed and that if all required supporting documentation and attachments are not included,
a this applicatio package may be deemed incomplete and rejected after 10 calendar days of receipt by Charlotte Water.

Application for Private Water Systems or Public Water Main Extension Permit (Continue)
Signature of Applicant/Owner:
FOR CHARLOTTE WATER USE ONLY:
Date:
(Signing Official) (Title) (Date) (Issuing Project Permit Number)
Visit us on the web at www.charlottewater.oEg
Version 1.1 Date 04/19/11

February 8, 2019
Mr. Matthew L. Mobley
Design Resource Group
2459 Wilkinson Boulevard
Suite 200
Charlotte, NC 28208
SUBJECT: WATER AND SEWER FLOW ACCEPTANCE
MALLARD CREEK APARTMENTS
13109 MALLARD CREEK ROAD, CHARLOTTE, NC
CLTWATER TRACKING # 2019801
After analysis of the sanitary sewer associated with the proposed design of project 2019801,
MALLARD CREEK APARTMENTS, it was determined that there is sufficient capacity to
accommodate the proposed sewer flow of 70,000 gallons per day (234 units x 135 gpd; 200
persons x 10 gpd/person) at the connection point(s) indicated on the submitted utility plan for
transmission to the Rocky River Wastewater Treatment Plant; NPDES permit number NC0036269,
located in Cabarrus County, for treatment. This acceptance of flow is based on the existing capacity
of the designated publicly owned treatments works. Please see the attached NCDEQ FTSE forms.
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 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 or extend 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) has not been received within two (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,
Guillermo Anzola
Engineering Assistant
Charlotte Water 5100 Brookshire Blvd, Charlotte, NC 28216 Charlottewater.org
mT r Operated by the City of Charlotte

WASTEWATER FLOW ACCEPTANCE FORM
FOR THE
WATER AND SEWER AUTHORITY OF CABARRUS COUNTY
Jurisdiction Requesting Flow Acceptance: Date: 02/04/2019
❑City of Concord ❑City of Kannapolis ❑Town of Harrisburg ❑Town of Mt. Pleasant
®Charlotte Water
Project Title, Description, and Number of Lots/Unit:
Project Title: Mallard Creek Apartments— CLTWater Tracking #2019801
Description: The Mallard Creek Apartments engineering plans and specifications as prepared and sealed by Matthew
L. Mobley, NCPE, with Design Resource Group for the wastewater collection system extension consisting of 8-inch
sanitary sewer connections to serve Mallard Creek Apartments located on 13109 Mallard Creek Road Charlotte NC
28262, with a wastewater discharge of 32,650 GPD.
*Number of Lots: 234 OR *Number of Units: 234 units x 135 gpd/unit; 106 persons x 10 gal/person
*Must be included in request.
Where will the new line be connected:
❑ Directly into a WSACC Interceptor
® Into the Jurisdiction's existing collection system
❑ Into a private line
Describe the location of the tie-in line to which the new sewer line will connect: The proposed 8-inch sanitary sewer
connections will tie-in to the existing 8-inch sanitary sewer system which extends to the 24-inch PVC material WSACC
McKee Creek Interceptor.
Which WSACC Interceptor will the flow ultimately be discharged into: 24-inch PVC WSACC McKee Creek
Interceptor.
What is the WSACC manhole number that the flow will be discharged into? +/- Node
What is the quantity of flow that will be discharged? 32,650 GPD
Flow type:
® Domestic 96.8 % ® Commercial 3.2 % ❑ Industrial %
Name of wastewater treatment facility (WWTF) receiving wastewater:
® Rocky River Wastewater Treatment Facility — Permit #NC0036269
Muddy Creek Wastewater Treatment Facility — Permit #NC0081621
Design drawings of new lines will be submitted to WSACC with the request for acceptance. Drawings can be submitted
as a digital file (DWG) or distance and bearing starting with the tap on existing infrastructure.
If the new line is to connect directly into a WSACC interceptor, detailed drawings including specification of the tap, will
be required before flow acceptance will be provided.
Mark Lomax at 704-786-1783, ext. 231, must be notified 48 hours in advance of a connection into a WSACC interceptor.
WSACC will inspect connection before, during, and after completion.
If construction is not started within two (2) year from the date of approval of the flow acceptance for this project, the
approval is rescinded and a second request and approval will be required for the project.
WSACC USE ONLY:
DATE:
Current sewer model shows an Interceptor as being surcharged south of the manhole in question.
Approved ❑ Not Approved
Current Sewer Model shows:

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE—10/07)
1 1;
Jurisdiction Requesting Flow Acceptance for Collection System:
❑City of Concord ❑City of Kannapolis ❑Town of Harrisburg ❑Town of Mt. Pleasant
®Charlotte Water
Project Title, Description, and Number of Lots/Unit:
Project Title: Mallard Creek Apartments— CLTWater Tracking #2019801
Description: The Mallard Creek Apartments engineering plans and specifications, as prepared and sealed by Matthew L.
Mobley, NCPE, with Design Resource Group, for the wastewater collection system extension consisting of 8-inch sanitary
sewer connections to serve Mallard Creek Apartments located on 13109 Mallard Creek Road, Charlotte NC 28262, with a
wastewater discharge of 32,650 GPD.
What is the quantity of flow that will be discharged? 32,650 GPD
Flow type:
® Domestic 96.8 % ® Commercial 3.2 % ❑ Industrial %
Section I - List the Jurisdiction's pump stations located between the project connection point and the WSACC
Interceptor connection point.
Pump Station
(Name or Number)
Finn Capacity *
MGD
(A)
Design Average Daily Flow **
(Finn/pf)
MGD
(B)
Approx. Current
Average Daily Flow
MGD
(C)
Obligated, Not Yet
Tributary Daily Flow
MGD
(D) = (B+C)
Total Current Flow
Plus Obligated Flow
MGD
(E)=(A_D)
Available
Capacity***
MGD
* 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 not less than 2.5.
***A Planning Assessment Addendum shall be attached for each pump station located between the project connection point and the W WTP where Available Capacity is < 0.
Section II. Jurisdiction's Certification Statement:
I, Keri Cantrell, certify that, to the best of my knowledge, the addition of the volume of wastewater to be permitted in this
project has been evaluated along the route to the receiving WSACC interceptor; and the flow from this project is not
anticipated to cause any capacity related sanitary sewer overflows or overburden on any downstream pump station in route to
the receiving WSACC interceptor 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 Section I plus all attached
planning assessment addendums for which, to the best of my knowledge, will not adversely affect the downstream sewer
capacity. Signature of this form indicates acceptance of this wastewater flow.
Jurisdiction's Signing Official Signature
2/7/2019
Date
Revision Date: 08/09/13

IA sic, PC—
'U119 ,r
WASTEWATER FLOW "ACCEPTANCE FORM '
WATER AND SEWER AUTHORITY OF CABAlRUS COUNTY
Jurisdiction Requesting Flow Acceptance: Date: 02/04/2019
[]City of Concord ❑City ofKpnapolis []Town of Harrisburg ❑Town of Mt. Pleasant
NCharlotte Water
Project Title, Description, and Number of Lots/Unit:
Project Title: Mallard Creek Apartments— CLTWater Trackin>t-#2019801
Description: The Mallard Creek Apartments engineeringpians and specifications, as pared and sealed by Matthew
L. Mobley NCPE with Desire oar ree Group,for the wastewater collection system extension consisting of 8-inch
sanitary "sewer connections to serve Mallard Creek Apartments -located on 13109 Mallard Creek Road Charlotte NC
28262, with a wastewater disehar `es� of 32650 GPD:
*Number of Lots: 234 GR *Number of Uni: 2
ts34 units x ll r�e 135 antllanitl 106 persons x 10 garson
*Must be included in request.
Where will the new line be connected:
Directly into a WSACC Interceptor
Into the Jurisdiction°& existing collection system
❑ Into a private line
Describe the location of the tie-in line to which the new sewer line will connect: The proposed 8-inch sanitary sewer
connections will tie-in to fhe existing 8-inch sanitary sewer system which extends to the winch PVC material WSACC
alp Interceptor.
Which WSA nterceptor will the flow ultimately be discharged into: -24-inch PVC WSACC hjg6ft Creek
Interceptor. l
What is the WSACC manhole number that the flow will be discharged into? +/- mode # r5c Csl gy,
What Is the quantity of flow that will be discharged? 32,650 GPD
Flow type:
® Domestic 96.8 °.-o _ Commercial 3,2 % ❑ Industrial %
Name of wastewater treatment facility (W WTF) receiving wastewater:
® Rocky River Wastewater Treatment Facility —Permit, #NCO036269
❑ Muddy Creek Wastewater Treatment Facility -- Permit #NC0081621
Design drawings' of new tines will be submitted to WSACC with the request for acceptance. Drawings can be submitted
as a digital file (DWG) or distance and bearing starting with the tap on existing infrastructure.
if the new line is to connect directly into a WSACC interceptor, detailed drawings including specification of the tap, will
be required before flow acceptance will he provided.
Mark Lomax at'704-786-1783, ext. 231, must be notified 48 hours in advance of a connection into a WSACC` interceptor.
WSACC will inspect connection before, during, and after completion.
If construction Is not started hvit&In hvo (2) year from the date o, j`approval of the flow acceptance for this project, the
approval is rescinded and a second request and approval will be required for the project.
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KAN,' BUSINESS
CORPORATION REPOKI
10-2017
NAME OF BUSINESS CORPORATION: Davis Development, Inc.
SECRETARY OF STATE ID NUMBER: 0886631 STATE OF FORMATION: GA
REPORT FOR THE FISCAL YEAR END: 1 2/31 /201 7
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: CT Corporation System
2. SIGNATURE OF THE NEW REGISTERED AGENT:
3. REGISTERED OFFICE STREET ADDRESS & COUNTY
Filing Office Use Only
E-Filed Annual Report
0886631
CA201806102354
3/2/2018 04:07
❑ Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
4. REGISTERED OFFICE MAILING ADDRESS
160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417 Wake County Raleigh, NC 27615-6417
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Real Estate Development and Management
2. PRINCIPAL OFFICE PHONE NUMBER: [phone]
4. PRINCIPAL OFFICE STREET ADDRESS & COUNTY
403 Corporate Center Drive Suite 201
Stockbridge, GA 30281-9023
3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
5. PRINCIPAL OFFICE MAILING ADDRESS
403 Corporate Center Drive Suite 201
Stockbridge, GA 30281-9023
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
The company is a service -disabled veteran -owned small business
SECTION C: OFFICERS (Enter additional officers in Section E.)
NAME: Lance A Chernow
TITLE: Secreta
ADDRESS:
NAME: Stephen M Davis NAME: Fred S. Hazel
TITLE: Vice President TITLE: Vice President
ADDRESS:
ADDRESS:
403 Corporate Center Drive, Suite 201 403 Corporate Center Drive, Suite 201 403 Corporate Center Drive, Suite 201
Stockbridge, GA 30281 Stockbridge, GA 30281 Stockbridge, GA 30281
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business
enured S. Hazel 3/2/2018
SIGNATURE DATE
Form must be signed by an officer listed under Section C of this form.
Fred S. Hazel Vice President
Print or Type Name of Officer
Print or Type Title of Officer
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525

SECTION E: ADDITIONAL OFFICERS
NAME: Migueal B. Davis NAME: MigEeal B. Davis NAME:
TITLE: President TITLE: Treasurer TITLE:
ADDRESS: ADDRESS: ADDRESS:
403 Corporate Center Drive, Suite 201 403 Corporate Center Drive, Suite 201
Stockbridge, GA 30281 Stockbridge, GA 30281 -
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
Name:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:

North Carolina Secretary of State Search Results
Page 1 of 2
• 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
Legal Name
Davis Development, Inc.
Information
Sosld: 0886631
Status: Current -Active
Annual Report Status: Current
Citizenship: Foreign
Date Formed: 12/11/2006
Fiscal Month: December
State of Incorporation:
GA
Registered Agent: CT Corporation System
Reg Office Reg Mailing Mailing
160 Mine Lake Ct Ste 200 160 Mine Lake Ct Ste 200 403 Corporate Center Drive Suite 201
Raleigh, NC 27615-6417 Raleigh, NC 27615-6417 Stockbridge, GA 30281-9023
Principal Office
403 Corporate Center Drive Suite 201
Stockbridge, GA 30281-9023
Officers
Secretary
Lance A Chernow
403 Corporate Center Drive, Suite 201
Stockbridge GA 30281
President
Migueal B. Davis
403 Corporate Center Drive, Suite 201
Stockbridge GA 30281
https://www.sosne.gov/online_services/searchlBusiness_Rev-istration Results 7/30/2019

North Carolina Secretary of State Search Results
Page 2 of 2
Treasurer
Migueal B. Davis
403 Corporate Center Drive, Suite 201
Stockbridge GA 30281
Vice President
Fred S. Hazel
403 Corporate Center Drive, Suite 201
Stockbridge GA 30281
Stock
Vice President
Stephen M Davis
403 Corporate Center Drive, Suite 201
Stockbridge GA 30281
https://www.sosnc.gov/online_services/searchlBusiness Registration _Results
7/30/2019