WQ0041233_Application (FTSE)_20191004

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources ETA 04-16 & SUPPORTING DOCUMENTATION
Application Number: ab_T oo he completedh)DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Clinard Farm Partners. LLC (company, municipality, FICA, utility, etc.)
2. Applicant type: ❑ Individual Corporation ❑ Gencral Partnership ❑ Privately -Owned Public Ulilio
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: Chri topherj yons._Manager per.1.5A NCAC 02T.0106(b) p; ; Uepartmeilt G7
Title: Manafling Member Environmental Quality
Received
4. Applicant's mailing address: 3608 W. Friendly Ave. Suite 202
City: Greensboro State: NC Lip:.27410- LCT 0 4 2019
5. Applicant's contact information:
Phonc number: (336) p4$6-365_3 Email Address: k re aleoten;ndevelopment.corn.
II. PROJECT INFORMATION:
Project name: Bryson Pat:k
2. ApplictnionlProject status: Z Proposed (New Permit) ❑ Existing Perntit/Project
It's modification, provide the existing permit number: WQOO-_ and issued date:
If new construction but part ol'a master plan, provide the existing permit number: WQOO__
3. County where project is located: Davidson County
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.969° Longitude:-80.273"
5. Parcel 11)(irapplicable):6820-01-28-2122z4,,6820-01-38-0751.6821-03.2Qv3882
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer ]'Itcronas R. Gloverjr, PE License Number: 27465.
Firm: Jamestown Engineering Group. Inc.
- Mailing address: 117 E. Main Street P.Q,,_Ro 36S
City: Jamestown Stale: NC Zip: 27282-_
Phone number: [phone] Enudl Address: rahover{h)jamestownemineerim�.com
1V. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Lower Muddy Creek Permit Number: NC 0050342
Owner Name: bVinston-Sgl.pm/Forsyth Cnun � Utility Commission
V. RF,CEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. PermitNumber(s): WQCS 00361
System Wide Collection System Permit Number(s) (inapplicable): WQCS-_--
Owncr Nante(s): Davidson County Sewer
Winston-Salem
Regional Office
a
FORM: FTA 04.16 Piwc I ol,S

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?
Z Yes ❑No ❑N/A
3, If the Applicant is a Home/ProKway 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
_I % Industrial (See I SA NCAC 02T .0103(20))
"Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .01 14(Fl? ® Yes []No
If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01140
Daily Design Flow °'u
No. of Units
Flow
440 Residential Lots with 4 bedrooms/lot
70 gal/day/bedroom
440
123,200 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
123,200 GPD
a See 15A NCAC 02T .0114(b). W1(e)(1) 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 ISA NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114] shall
be determined using available flow data, water using fixtures; occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 123.200 GPD (per 15A NCAC 02T 0114)
D 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.03 5 & MDC (Gravity Sewersl:
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 18,959'+/- SDR-26/DIP
➢ Section 11 & ill of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section Ill 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
Vlll. PUMP STATION DESIGN CRITERIA (If Applicable) —0� .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. Pump station number or name: NA
2. Approximate Coordinates (Decimal Degrees): Latitude: ° Longitude: - °
3. Design now 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 021 0305(h)(1):
❑ 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(f) & (g)
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall he nrovided for sewer systems:
[/4MME
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)
IS 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 1 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, NQW, 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(n) contains alternatives where separations in 02T.0305 cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications weboane
➢ If noncompliance with 02T.0305(f) or(e). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes []No
➢ Seethe Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required ifthe 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 withal[ setbacks found in the river basin rules per 15A NCAC 02B .0200? Yes []No
This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ No
➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(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.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
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
Nigh 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?
Z Yes ❑ No
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:
from Application Item 111.1.)
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
portionsofthis 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 143-215.66, 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
includes fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, i
3. Applicant's Certification per 15A NCAC 02T .0106(b):
attest that this application for
name
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. 1 also understand that if all required parts of this application package are not completed
and that if all required supporting information and attachments are not included, this application package will 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 $10,00,000 as well as civil penalties up to $25,000 per violation.
Signature: / ..--- Date:
FORM: ETA 04-16 Page 5 of 5

JAMESTOWN ENGINEERING GROUP, INC.
AAE,
CIVIL ENGINEERS & SURVEYORS
LAND PLANNING • MUNICIPAL CONSULTING inc. 117 East Main Street • P.O. Box 365 •Jamestown, N.C. 27282
Telephone[phone] Fax[phone] l��• Vepartn-;ent of
www.jamestownengineering.com Environmental Quality
Received
October 3, 2019 CCT 0 4 20119
Re: Sewer Line Extensions Winston-Salem
Servicing Bryson Park Subdivision Regional Ofpice
Davidson County
JEG File No. 2018-118
Mr. Justin Henderson
Division of Water Quality
NC Department of Environment and Natural Resources
450 W. Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
Dear Mr. Henderson:
With regards to the referenced project, and on behalf of the Clinard Farm Partners, LLC,
we have enclosed one original and one copy of the following for your review:
- Fast Track Sewer Application
$480.00 Application Fee
- Form FTSE 10-18 completed by Davidson County
- Form FTSE 10-18 completed by Winston-Salem/Forsyth County
- 8.5" x 11" USGS topographic map
- Street level map
- Flow Acceptance Letters
- Form DEV 03-19
- Davidson County Sewer Construction Agreement
- HOA Articles of Incorporation
- Declaration of Covenants, Conditions, and Restrictions
Sewer service to the Bryson Park Subdivision includes 440 single family residential
detached townhomes (123,200 gpd) located on Hege Road. Flow allocations are
included in the attached FTSE 10-18 form for the additional 440 residential lots. Upon
completion and acceptance of the sewer line installation and testing, the system will be
maintained by Davidson County. The downstream treatment facility is owned by
Winston-Salem/Forsyth County.
If there are any questions or additional information required, please call.
Sincerely,
JAMESTOWN ENGINEERING GROUP, INC.
Thomas R. (Rich) Glover, Jr., PE

State of North Carolina
Department of Environmental Quality
Division of Water Resources
;; , Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Clinard Farm Partners,LLC
Project Name for which flow is being requested: Bryson Park
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 theproposed wastewaterflow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: _
b. WWTP Facility Permit #:
All flows are in MGD
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
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
Average
Approx.
Obligated,
Total
Pump
Pump
Daily
Current
Not Yet
Current Flow
Station
Station
Firm
Flow**
Avg. Daily
Tributary
Plus
(Name or
Permit
Capacity, *
(Firm / p fl,
Flow,
Daily Flow,
Obligated
Available
Number)
No.
MOD
MGD
MGD
MOD
Flow
Capacity***
— ,Frye;
WQCS00361
2.304
.921
.137
.080
.217
.704
* 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): Davidson County Sewer
Downstream Permit Number: WQCS00361
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I ph At 6 a/ 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.
M
Signing Official Signature Date
Title of Signing
Page 2 of 6
FTSE 10-18

t
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Clinard Farm Partners, LLC
Project Name for which flow is being requested: 12412 Bryson Park
More than one FTSE nury be required for a single project if the owner of the WWTP is not responsible for nil pump
stations along the route of the proposer! wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Muddy Creek
b. WWTP Facility Permit #: NC0050342
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
A11 lows are in MGD
21.000000
2.800018
16,620000
0.123200
19.543218
93.1%
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)
Design
Pump
Pump
Average
Approx.
Station
Station
Firm Daily Flow`*
Current
(Name or
Permit
Capacity, * (Firm / pf),
Avg. Daily
Number)
No,
MGD MGD
Flow, MOD
(C)
01)HB+C) (E)=(A-D)
Obligated,
Not Yet
Total Current
Tributary
Flow Plus
Daily Flow,
Obligated Available
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): Lower Muddy Creek
Downstream Permit Number: WQCS00003
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I Courtney Driver, P.E. 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.
,4/2 Signing Official Signature Date
,,p Title of Signing Official
Page 2 of 6
FTSE 10-18

ROY COOPER
Govern
MICHAEL S. REGAN
Secrelnr;v.
S. JAY ZIMMERMAN'
Director
September 26, 2017
Zeb Hanner, Davidson County Manager
913 Greensboro Street, Suite 401
Lexington, NC 27292
Subject: Adjusted Daily Sewage Flow Rate Approval
Davidson County
Dear Mr.-Hanner:
On August 29, 2017, the Division of Water Resources (Division) received a revision for the adjusted daily
sewage flow rate (flow reduction) request as originally received on January 21, 2015 that would apply to
all permitted but not yet tributary residential connections and all future residential connections tributary
to Davidson County's collection system. Revised documentation included correcting the flow path of the
wastewater for the subject collection system from the Archie Elledge WWTP to the Muddy Creek
WWTP, both owned by Forsyth Utilities.
In accordance with 15A NCAC 02T .0114(f)(2), the Division has evaluated the revised request and based
on the data submitted, the Division hereby approves for use by Davidson County, an adjusted daily sewage
design flow rate of 70 gallons per day per bedroom.
For new sewer extension applications with proposed flows tributary to Davidson County's collection
system:
• The flow reduction is applicable to residential single family dwellings only.
The minimum flow for 1 and 2 bedroom dwellings shall be 140 gallons per day.
• This flow reduction shall not apply to sewer extension applications and/or permits for any other
public or private organizations whose wastewater flows are or might become tributary to
Davidson County's collection system.
Future sewer extension applications: should be made using the flow reduction amount stated above. All
other aspects of the permitting process remain unchanged, and all applications must be in compliance
with the statues, rules, regulations and minimum design criteria as certified by the owner and engineer.
Regardless of the adjusted design daily wastewater flow rate at no time shall the wastewater flows
- "Nothing GompareC-:.--
State or North Carolina) Environmental Quality
1617 Mail Service Center I Raleigh, Noah Carolina 27699.1617
919-707.9000

The granting of this flow reduction does not prohibit the Division from reopening, revoking, reissuing "
and/or modifying the flow reduction as allowed by the laws, rules, and regulations contained in 15A NCAC
02T, NCGS 143-215.1, or as needed to address changes in State and/or Federal regulations with respect
to wastewater collection systems, protection of surface waters and/or wastewater treatment.
If you have any questions, please contact Christyn Fertenbaugh at [phone], or via e-mail at
ChristJ4.Fertenbau�higpcdenr.t"tov,
Sincerely,
for S. Jay Zimmerman, Director
Division of Water Resources, NCDEQ
by Deborah Gore, Supervisor
Pretreatment, Emergency Response; Collection System Unit
cc: Richard L. Austin, P.E.; Abbotts Creek Engineering (electronic copy)
Courtney L. Driver, P.E., City of Winston-Salem (electronic copy)
Winston-Salem Regional Office, Water Quality Section Regional Operations
Water Resources Central Files: NC0037834 & WQCS00042
PERCS (electronic copy)

Davidson County Map Output Page
http://webgis.co.davidson.ne.us/website/Davi dsonGIS/pri ntpage.aspx
!"Davidson
County GIS
` �x
i
jv
O
FG
L
a
BRYSON PARK
Pareel Number:
0300600000023A Land Units:
147.54 AC
Pin Id:
6820-01-29-1719 Deed Book:
2342 Pg: 2032
CLINARD FARM PARTNERS LLC
Owner:
3608 W FRIENDLY AVE Deed Data:
SUITE 202
01/03/2019
GREENSBORO NC 27410
Property Address:
691 HEGE RD Account Number:
9238826
Township:.
03 Exempt Code:
Building Value:
$150,830 Other Building Value:
$83,280
Lord Value:
$652,130 Market Value:
$886,240
Assessed Value:
$886,240 Deferred Value:
$0
Legal Description:
L23A BK2342-2028 IIEGE RD
Additional Attributes
.Fire Service Districts
'Sq.Miles
3.8
Name
GRIFFITH FD
Townships
Sq. Miles
21.58
ame
ARCADIA
'County Zoning Districts
ne
Soil Types
DSL Name
PaB
Sea Name Pacolet sandy loam
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t
nn-Salem /Forsyth County
N"toer •Wastewater • Solid Waste
Administration, P.O. Box 2511, Winston-Salem, NC 27102
O: 336-727-8000, F: 336-727-8432, wskutilitles.org
September 9, 2019
Mr. Scott Leonard
913 Greensboro Street
Lexington, NC 27293
In Re: Bryson Park Flow Acceptance
Dear Mr. Leonard:
This letter is to confirm that the City/County Utility Commission will accept the sewerage from Bryson
Park.
We are currently treating 703,620 gallons per day. Our contract with Davidson County has a maximum
discharge of 1,500,000 gallons per day; therefore, we should encounter no problems in treating an
additional 123,200 gallons per day. This sewerage will be treated at our Muddy Creek Wastewater
Treatment Plant (NC0050342). The wastewater collection system serving this area is properly sized and
maintained for this service.
If you have any questions concerning this subject, please give me a call at [phone].
Sincerely,
UTILITIES ADMINISTRATION
Todd e is, P.E.
Seri � ivil Engineer
Winston-Salem/Forsyth County Utilities
ESMGtv Eem,11: Mayor Allen Jmrws, Vrvlan H Burke, Mayor Prp Tempos, Nprtheart WaM, OenRe D, Adrms, Nonh Watd; Dan gorse, southwest Ward; Rpbert[. Clark,
West Ward, John C larsnn, South Ward; J.01a., rush, Northwest Ward; Annetta stipple, Dart Word, James Taylor,Jr. Southeast Ward; City Manage, Lee D. Gamy
CauntyCommislonas:Damd R,Plykg Uair,Dan Martin, true Chao; Fkmirg DbAmin, Ted Kaplan, Richard V Linville, Ton" M[Dmlel, Gloria D Whisenhunp County
Call 311 or 336-727 8900 Manager' DWI., Wait", I,
WI stoo-Salere/Forsyth Runty Utility Commission: Randall S. Tuttle, Chair, L Wesley Curtis, It, Vlse Chair, Harold E Dag Tom GnRin; Yvonne H. Hmrs; ouane Long.
cltylmk@eityolws org HYRhW Jamison. Chris Parker, James Ruffin, DpnahiR Stewart, Allan Younger

Rich Glover
From:
Debbie Harris
Sent:
Thursday, November 15, 2018 1:41 PM
To:
Jerry Kennedy
Subject:
Sewer - Leo Terra
Jerry,
This email will confirm that on November 13, 2018, the Board of Commissioners approved a sewer allocation of 123,200
gallons per day for the Buddy Lyons/Leo Terra Development. Inc. MX-R rezoning request in Arcadia Township.
Let me know if you need anything else.
Debbie
Debbie Harris, NCMCC, NCCP
Clerk to the Board/Assistant to the County Manager
Davidson County Government
913 N. Greensboro Street, Suite 404
Lexington, NC 27292
[phone]
www.co.davidson.nc.us
uav*c&on

North Carolina )
Davidson County )
SEWER CONSTRUCTION AGREEMENT
This Agreement is made as of the JC day of September, 2019 by and between
DAVIDSON COUNTY, a body politic and corporate of the State of North Carolina, hereinafter
referred to as "COUNTY", and CLINARD FARM PARTNERS, LLC hereinafter referred to as
"DEVELOPER".
WHEREAS, DEVELOPER is developing a 440 residential sub -division in the Arcadia
Township area near the intersection of. SR 1513 and Hedge Road (tax parcels 6820-01-28-2124;
6820-01-38-0751 and 6821-03-20-3882) to be named Bryson Park Subdivision. The
DEVELOPER desires to have Davidson County sewer services for said property and has agreed
to pay the full costs of all construction necessary to provide said service to the properties and to
comply with the obligations set out in this Agreement (attached hereto and made a part thereof);
and
WHEREAS, pursuant to the Davidson County Sewer Ordinance, the COUNTY is willing
to accept the proposed sewer extension for ownership and maintenance if it is constructed to
Davidson County standards and N.C. Department of Environment and Natural Resources
(NCDENR) Gravity Sewer Minimum Design Criteria.
NOW, THEREFORE, in consideration of the mutual promises herein made, it is hereby
agreed as follows:
1. DEVELOPER will proceed to construct approximately 16,582 linear feet of 8"
SDR-26 pipe and 2,377 linear feet of 8" Ducitile Iron along the property specifically identified in
an attached site plan and with specifications more fully described in the application made a part
of this agreement. The total wastewater volume for the property is estimated at 123,200 gallons
per day. The plans and construction of said public sanitary sewer will be in compliance with and
made pursuant to COUNTY'S construction standards and specifications. Construction of the

sanitary sewer shall not be initiated until all local, state and federal permits, certifications, and
approvals have been received by Developer.
2. The parties agree that Jamestown Engineering Group, Inc. has been selected for the
engineer of the public sanitary sewer project.
3. A mandatory Pre -construction Conference will be held and attended by the public
utilities contractor, the engineer, and the County Public Works Inspector. Sanitary sewer
construction activities shall be coordinated with the County Public Works Inspector, as his/her
schedule permits. Work to begin the construction of said system may begin only when the
County Public Works Inspector is on site and issues the Authorization to Construct. The
COUNTY shall require the public utilities contractor to provide evidence of current licensure
and certificate(s) of insurance acceptable to the COUNTY prior to the commencement of any
construction.
4. The performance of the contract, however, will be carried out in such a manner as
to provide inspection and certification deemed appropriate to the COUNTY that such
construction meets the requirements of the COUNTY. All sanitary sewer construction,
inspection, and testing provided by the DEVELOPER'S designee will be in compliance with the
state engineering certification(s) and shall further fully comply with Davidson County standards.
The Davidson County Public Works Inspector expressly reserves the right to observe all sanitary
sewer testing and shall receive notification of testing from the public utilities contractor a
minimum of two working days in advance of such testing. All sewer mains shall become the
property of the COUNTY upon notice of acceptance. DEVELOPER must obtain and assign
sewer easements to the COUNTY at no cost to the COUNTY. All sanitary sewer easements will
be identified and provided on the final recorded plat or in properly executed and recorded deeds.
In addition, deeds shall be provided for access easements where sewer mains are isolated due to
steep stream banks and topographic features which restrict access from the general alignment.
5. Prior to acceptance by COUNTY, it will require certification from the engineer that
the finished construction of the sewer mains is in accordance with the COUNTY approved plans
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and specifications. Furthermore, acceptance will be contingent upon satisfactory completion of
all sewer testing; receipt of record drawings which meet COUNTY standards; receipt of final
plat and/or recorded easements; completed change of ownership form for the Non -discharge
Permit; notification by NCDENR of receipt of engineer's certification and record drawings for
public sanitary sewer; notification provided to COUNTY by NCDOT that all work within the
right-of-way is completed in an acceptable manner; and the COUNTY'S receipt of the
developer's declaration of warranty covering workmanship and materials for a minimum of one
year, the contractor's waiver of lien, and the contractor's affidavit of payment for materials and
labor.
6. DEVELOPER agrees to indemnify and hold the COUNTY harmless from and
against any all claims, actions, causes of action, demands, damages, losses, costs, expenses and
compensation of whatsoever kind or nature, which may hereafter arise on account of or in any
way growing out of the personal injuries and/or property damage and the consequences thereof
which might result from any occurrence in connection with the construction, maintenance and
services performed by the DEVELOPER set out in this agreement between the COUNTY and
the Developer.
7. All fees and charges established by the COUNTY from time to time will be charged
for the property or properties served and shall be promptly paid by DEVELOPER.
8. DEVELOPER will comply at all times with the Davidson County Sewer Ordinance,
as such may be amended from time to time.
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IN WITNESS WHEREOF, the parties hereto have made and executed this agreement as
of the day and year first above written.
COUNTY OF DAVIDSON
BY: �1
Ze anner
Dividson County Manager
ATTEST:
2141kw
Dei Harris
Clerk to the Board of Commissioners
DEVELOPER
Clinard Farm Partn�, LLC. s
BY:
st er Lyons
NORTH CAROLINA
COUNTY
I, Ro bef+ )Cyr &AAA , a Notary Public of said County and State, do
hereby certify that Christopher Lyons personally appeared before me this day and acknowledged
the execution of the foregoing instrument and by signing this document acknowledges his
authority to sign the document for Clinard Farm Partners, LLC .
Witness my hand and notarial seal this 1� } day of SepiPmI e,-- 12019.
Notary Public
My Commission Expires: NW,200 P 11KYF
M cklenburg tA,
County
My Comm. Exp.
Z 08-26-2023
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