WQ0033689_Application_20081215

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number:
(to be completed by DWQ)
1.
Owner/Permittee:
1 a.
Raeford Retail Investments, LLC.
Full Legal Name (company, municipality, HOA, utility, etc.)
O1
b.
Arthur J. Ke es, Vice President
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
i H
1c.
The legal entity who will own this system is:
❑ Individual ❑ Federal ❑- Municipality ❑ State/County El- Private Partnership ® Corporation ❑ Other (specify):
0
1d.
1415 Stuart Engals Boulevard 1e. Mount Pleasant
LL
Mailing Address City
Z
1 f.
South Carolina 1 g. 29464-3346
Z
State Zip Code
0
1 h.
843-654-7888 1 i. 843-654-7889 1j. [e-mail]
QTelephone
Facsimile E-mail
U
2.
Project (Facility) Information:
J
2a.
Shoppes at Raeford 2b. Hoke
IZ
Brief Project Name (permit will refer to this name) County Where Project is Located
a
Q
3.
Contact Person:
Christopher Manes, P.E., Wolverton & Associates, Inc. Civil Engineering Consultant
Q3a.
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b.
770-447-8999 3c. [e-mail]
Phone Number E-mail
1.
Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.:
2.
Owner is ❑ Public (skip to Item B(3)) ® Private (go to Item 2(a))
2a.
If private, applicant will be: 2b. If sold, facilities owned by a (must choose one)
® Retaining Ownership (i.e. store, church, single office, etc.) or ❑ Public Utility (Instruction C)
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3)) ❑ Homeowner Assoc./Developer (Instruction D)
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
3.
City of Raeford
ZZ
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a.
City of Raeford 4b. NCO026514
QName
of WWTF WWTF Permit No.
5a.
Hoke County (5b 12' Gravity 15c. Currently Under design — no permit
I®
Owner of Downstream Sewer iReceiving Sewer Size I❑ Force Main Permit # of Downstream Sewer (Instruction E)
6.
The origin of this wastewater is (check all that apply):
LL
Wolverton*StAs—sociates
PAY
3xactly Four hundred eighty and no / 100 Dollars
WACHOVIA BANK
Atlanta, GA
DATE
12/12/2008
033577
24041
610
North Carolina Dept of Environmental & Natural Resources WOLVERTON & ASSOCIATES
TO
THE
ORDEROF
p
AMOUNT
$480.00

Central Files: APS SWP
01 /06/09
Permit Number WQ0033689 Permit Tracking Slip
Program Category
Status
Project Type
Non -discharge
Active
New Project
Permit Type Fast Track
Version
Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer
1.00
Individual
Extensions
Primary Reviewer
Permit Contact
Affiliation
trent.allen
Permitted Flow
51218
Facility Name Major/Minor Region
Shoppes at Raeford Major Fayetteville
Location Address County
Hoke
Facility Contact Affiliation
Owner Name
Owner Type
Raeford Retail Investments LLC
Non -Government
Owner Affiliation
Art Kepes
1415 Sturat Engals Blvd
Mt Pleasant Sc 29464
Dates/Events
Scheduled
Orig Issue App Received Draft Initiated Issuance
Public Notice Issue Effective Expiration
01 /06/09 12/15/08
01 /06/09 01 /06/09
Regulated Activities
Requested/Received Events
Restaurant
Additional information requested
Retail
Additional information received
Wastewater collection
Outfall NUI_I_.
Waterbody Name Stream Index Number Current Class Subbasin

►4
Or W ATF A` State
D�A`R� Department of Environment and Natur
Division of Water
o _N�
COPY FAST -TRACK APPLICATION
p�Q (FTA 12/07 very)
for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
(Pressure & Vacuum sewer systems are not to be included as part of this application package)
INSTRUCTIONS: Indicate that you have included/addressed the following list of required application package items by
checking the space provided next to each applicable item. Failure to submit all required items will lead to your application
being returned as incomplete. Forms are available from the web site or by calling the Regional Office serving your county:
http://h2o. enr. state. nc. uslperes/Collection % 2OSystems/Collection SystemApplications. html
® A. Application Form - Submit one original and one copy of the completed and appropriately executed application
form. The application should include a project narrative describing the final build -out design (i.e. system and/or
pump station to ultimately serve 500 homes, but flow for only 100 homes being requested now). For modifications,
clearly explain the reason for the modification (i.e. adding another phase, changing line size/length, etc.). Only
include the modified information in this permit application - do not duplicate project information that has already
been included in the original permit.
Any changes to this form will result in the application being returned. The Division of Water Quality (Division) will
only accept application packages that have been fully completed with all applicable items addressed. You do not
need to submit detailed plans and specifications unless you respond NO to Item 1303)
Separate applications should be made for non-contiguous sewer systems
® B. Application Fee - Submit a check in the amount of $480 made payable to. North Carolina Department of
Environment and Natural Resources (NCDENR). Checks shall be dated within 90 days of application Submittal.
❑ C.
Certificates of Public Convenience and Necessity — If the application is being submitted in the name of a
privately -owned public utility, submit two copies of the Certificate of Public Convenience and Necessity (CPCN)
which demonstrates that the public utility is authorized to hold the utility franchise for the area to be served by the
sewer extension. If a CPCN has not been issued, provide two copies of a letter from the North Ce,rolina Utilities
Commission's Public Staff that states that an application for a franchise has been received that the service area
is contiguous to an existing franchised area, and/or that franchise approval is expected. The project name in the
CPCN or letter must match that provided in Item 4(2)a f th'
Operational Agreements _ o is application.
per 15A NCAC 02T . Submit one original and two copies of a properly executed operational a
commercial lots(e.g.0115, if the application is greeme/7f, as
the applicant is a home ohouses, Condominiums Submitted by a private applicant and will be serving resiae�tial or
use Form DEVrm
property , townhomes, outparcels, etc,
02/03. EVEN IF owner's association use )that will be sold to another entity. If
COMPLETION, FORM DEV 02103 IS REQUIRED THE CT
MAY BEFTURNED OVER A 02/03. /f the app/Cant is a developer,
E. Downstream Sewer, ER T4 A M/JNIC/PALITY UPON
Tracking/Acceptance for S eF Extension on PumFeity nd FJ0 n
(and owners of downstreamwers,w Tracki g/Acce _ certifies that the addition of the volume of stem,t Appl !cations) is r prance
route to the receiving stations and/or equired with FORrn FTSE
g treatment plant, anther water to be pe�reatment facilities submitting
Theo, (Flow
sewer overflows or overburden an FO applicant
Plant. Where the a mitre this pro
y dowrream Pur�w from this Project m Project h RM FTSE-1
from the owner of the applicant is not the owrof the p station will not as been evaluate 0/07)
FORM FTS downstream sewerd ow en taus f, capacity d along the
E-10/07 must not expire rio own Sewer
to the rece1\ i pacity relate
application date. Submittal of this a beer °f the TF -submit tw ng wBStew t sanitary
capacity m't is bm't o ate! treat
Y and will not violate pp on nuance and if different. The f°pie$ Of FORM FT meet
accepted in lieu ofproject-specificG'S• 143.67(a�an�te ORM nmeE ust
S 10/0 e dated lessow acceptance . SE 10/07
FTSE)7. govef ntal indi 'Cates than one year Indicated in
Map —Submit an 8.5-inch b rnentse°!that Owner ►�
agree prior to the
entire project area and the closest survate py of other
and pump stations and be of reproduci�alit a USGS Contra as adequate
Point, and the m s. Each map r Maps phic Nja be
Permit number for the dNa ysenclu a Street /e must shoot Scale
de ps sufficient W the
wer, if known level map showing the down of the the
the
nstream co er line
nnection

❑ G. -Stream Classifications — Watershed Classification Attachment (Form WSCAS-12/07) If any portion of the
sewer system project is within 100 feet of any surface water or wetlands, the Watershed Classification Attachment
may need to be completed. A variance must be requested for encroachment within required setbacks or buffers
pursuant to 2T .0305 (f) and be indicated in Item B-13 with supporting documentation/justification provided.
❑ H Environmental Assessments — If this project is subject to an Environmental Assessment (EA) [15A NCAC
01C], this application cannot be used. Send the project application on the most current version of Form
PSFMGSA to the Design Management Unit, 1633 Mail Service Center, Raleigh, NC 27699-1633. Applications
cannot be accepted until a Finding of No Significant Impact (FONSI) or Environmental Impact Statement (EIS)
has been issued. A copy is to be submitted with that permit application.
❑ I. Flow Direction — Many wastewater treatment systems are entering into agreements for regionalization efforts
and emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be directed
to more than one treatment facility. If this is the case with this project, please indicate in 13(12) and give the permit
number of the second treatment facility.
® J. Certifications — Section C
The application must be certified by both the applicant and the design engineer who is a North Carolina
Registered Professional Engineer (PE). The applicant signature must match the signing official listed in Item
A(lb). The PE should NOT certify the application if he/she is unfamiliar with 15A NCAC Chapter 2T, the Gravity
Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project.
THE COMPLETED FTA 12107 APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
DOCUMENTS AND $480 FEE, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Fayetteville, North Carolina 28301-5094
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
585 Waughtown Street
Alamance, Alleghany, Ashe, Caswell, Davidson,
Winston-Salem, North Carolina 27107
Davie, Forsyth, Guilford, Rockingham, Randolph,
[phone]
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone] Fax
For more information, please visit our web site at:
http://h2o. enr.state.nc.uslperes/Collection%2OSystemsICollectionSystemsHome.html
or contact the Regional Office serving your county.
FTA 12/07

w
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number: WQO���V
(to be completed by DWQ) ■�
1.
Owner/Permittee: j
1a.
Raeford Retail Investments, LLC.
Full Legal Name (company, municipality, HOA, utility, etc.)
Z
1 b.
Arthur J. Kepes, Vice President
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!) i
H
1 c.
The legal entity who will own this system is:
I
❑ Individual EJ Federal ❑ Municipality ❑ State/County 0 Private Partnership Z Corporation ❑ Other (specify):
O
1 d.
1415 Stuart Engals Boulevard 1 e. Mount Pleasant
lL
Mailing Address City �
Z
1f.
South Carolina 1g. 29464-3346
Z
State Zip Code
O
1 h.
843-654-7888 1 i. 843-654-7889 1 j. [e-mail]
QTelephone
Facsimile E-mail
V
2.
Proiect (Facility) Information:
J
2a.
Shoppes at Raeford 2b. Hoke
a.
Brief Project Name (permit will refer to this name) CountyWhere Project is Located
Q
3.
Contact Person:
Christopher Manes, P.E., Wolverton & Associates, Inc. Civil Engineering Consultant
Q3a.
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b.
770-447-8999 3c. [e-mail]
Phone Number E-mail
1.
Project is Z New ❑ Modification (of an existing permit) If Modification, Permit No.:
2.
Owner is ❑ Public (skip to Item B(3)) Z Private (go to Item 2(a))
2a.
If private, applicant will be 2b. If sold, facilities owned by a (must choose one
Z Retaining Ownership (i.e. store, church, single office, etc.) or ❑ Public Utility (Instruction C)
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3)) ❑ Homeowner Assoc./Developer (Instruction D)
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
— —
3.
— —
— ---
City of Raeford
Z
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a.
City of Raeford 4b. NCO026514
Name of WWTF WWTF Permit No.
5a.
Hoke Count b. 12" Z Gravity 5c. Currently Under design — no permit
Owner of Downstream Sewer Receiving Sewer Size ❑Force Main Permit # of Downstream Sewer (Instruction E)
0
6.
The origin of this wastewater is (check all that apply):
Z
�-
❑ Residential Subdivision Z Retail (Stores, shopping centers) 100 % Domestic/Commercial
❑ Apartments/Condominiums ❑ Institution % Industrial (attach
❑ Mobile Home Park ❑ Hospital description.)
LL1
El School El Church
Z Restaurant ❑ Nursing Home (RO: contact your Regional Office
n-
❑ Office ❑ Other (specify): Pretreatment staff)
% Other (specify):
7.
Volume of wastewater to be allocated or permitted for this particular project: 51,218 gallons per day
*Do not include future flows or previously permitted allocations
8.
If the permitted flow is zero, indicate why:
❑ Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit No.
❑ Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)
FTA 12/07

f
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item 13(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater usel
data in accordance with 15A NCAC 2T .0114 (f).
I
See attached.
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet) New Gravity or Additional
Force Main
8" PVC 2050 GRAVITY
6" PVC 780 GRAVITY
0 11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
W
D
Pump Station Location ID
N/A
(self chosen - as shown on plans/map for reference)
Z
-- -
Z
Design Flow
Operational Point
Power Reliability Option
(MGD)
GPM @TDH
1 -permanent generator w/ATS; Force Main Size : Force Main Length
0
2 - portable generator w/MTS
�..
N/A
N/A
N/A N/A N/A
Z
0
QPump
Station Location ID
N/A
(self chosen -as shown on plans/map for reference)
Design Flow
Operational Point
Power Reliability Option
(MGD)
GPM @TDH
1 - permanent generator w/ATS; Force Main Size Force Main Length
0
2 - portable generator w/MTS
LL
Z
N/A
N/A
N/A N/A N/A
H
Pump Station Location ID
N/A
(self chosen - as shown on plans/map for reference)
W
CL
Design Flow
Operational Point
Power Reliability Option
m
(MGD)
GPM @TDH
1 - permanent generator w/ATS; Force Main Size Force Main Length
2 - portable generator w/MTS
N/A N/A N/A N/A N/A
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
[:]Yes ® No If Yes, permit number of 2nd treatment facility
(RO — if "yes" to 13,12 please contact the Central Office PERCS Unit)
13. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as
applicable?
® Yes ❑ No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
I
FTA 12/07

4. Have the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes ❑ No ® N/A
Sedimentation and Erosion Control Plan? ® Yes ❑ No ❑ N/A
Stormwater? ® Yes ❑ No ❑ N/A
1:15. Does this project include any high priority lines, [see 15A NCAC 02T .0402 (2)] involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes: ❑ and provide details
j1. Ownern/Permittee's Certification: (Signature of Signing Official and Project Name)
',' 1, rtrktil� J K�C attest that this application for Shoppes at Raeford has been
reviewed by me and is accurate and complete to the best of my knowledge. 1 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
1 application package is subject to being returned as incomplete. Note: In accordance with North Carolina General
Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or
certification in any application shall be guilty of Class 2 misdemeanor, which may include a fine not to exceed $10,000
as ell as civil p altie up to $25,000 per violation.
Signing Official Si nature Date
(ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
`(APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
� TO OTHER UTILITIES, DESIGN CALCULATIONS. ETC. REFER TO 15A NCAC 02T .0305
Z �
Professional Engineers Certificabon: (Signature of Design Engineer and Project Name)
V 1, Jeff Bellyea attest that this application for Shoppes at Raeford has been reviewed by me and
{j,.is accurate, complete and consistent with the information in the engineering plans, calculations, and all other supporting
documentation to the best of my knowledge. 1 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
'lu : adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force
fication in accordance with Division guidance. Although other
Mains adopted June 1, 2000 and the watershed classi
I 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 NC General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
I statement, representation, or certification in any application 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.
�.._.._._... ......... ... ........ .__.._-_...__..._.........................._.....__.....__._...._.._._.._.
2a. Jeff Belvea
Professional Engineer Name
'2b. Wolverton & Associates, Inc.
`• Engineering Firm
Pc. 6745 Sugarloaf Parkway, Suite
Mailing Address
i2d. Duluth
City
g. 770-447-8999 12h. 770-447-1
Telephone Facsimile
GA 2-f. 30097
State. _—i__,... zip---
jell. belyea @wolve rto n-
'%,, 1116111,, I,
'``. kA CARO'/,,
POFEsS/0
S
3�73
NGINE�91g�v��`
`.
NC PE Seal, Signature & Date
FTA 12/07

Drawn: PDR Date: 12-12-08
1 Checked: CLM scale:1"=200'
1
Job No.: 07-156 File: MWM ssroU ooOar.owc
-- _ Wolverton Associates
1
Consulting Engineers + Land Surveyors
• 6745 Sugarloaf Parkway • Suite 100 . Duluth, Georgia 30097
Phone: [phone] • Fax: [phone]
www.wolverton-assoc.com
1
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\ SEWER EXTENSION '1
8lPEACEMER N07-03 I ', ■ `.' SY HM COUNTY
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770-447-8999
770-447-9070 Fax
www.wolverton-assoc.com
WolveftonV'& Associates
MEMORANDUM
TO: Permit Reviewer
NC DENR — DWQ Wastewater Section
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 28301-5094
Phone: [phone]
FROM: Chris Manes�"��
DATE: December 12, 2008
RE: Sewer Permit Project Narrative
Shoppes at Raeford, Raeford, NC
W&A Project #07-156
6745 Sugarloaf Parkway ♦ Suite 100
Duluth, Georgia 30097
Raeford Retail Investments, LLC proposes to construct a commercial shopping center, Shoppes at Raeford,
within the jurisdictional boundaries of Hoke County, NC. The development will consist of a 151,384 SF
Wal-Mart Supercenter, 40,400 SF of retail shops, 4 outparcels, and one parcel of excess property. Flows for
all parcels listed above are being requested at this time. This project will consist of the construction of
gravity mains only and is proposed to tie into a public main extension that Hoke County will be extending to
the property. The county extension is under design presently; therefore no permit information is available
for the County system at this time.
If you have any questions or comments, please feel free to contact me at 770-447-8999.

Average Flows:
Wal-Mart
Outlot 1 (restaurant)
Outlot 2 (restaurant)
Outlot 3 (restaurant)
Outlot 4 (restaurant)
Retail Shops
Excess Property
DESIGN FLOW CALCULATIONS
Shoppes at Raeford
Raeford, Hoke County, GA
151,384 SF X 0.13 GPD/SF =
150 Seats X 40 GPD/Seat =
150 Seats X 40 GPD/Seat =
150 Seats X 40 GPD/Seat =
150 Seats X 40 GPD/Seat =
40,400 SF X 0.10 GPD/SF =
3.974 AC X 880 GPD/AC =
19,680 GPD
6,000 GPD
6,000 GPD
6,000 GPD
6,000 GPD
4,040 GPD
3,498 GPD
Total = 51,218 GPD

7' -
STATE OF NORTH CAROLINA
COUNTY OF Hoke Permit No.
DEVELOPER'S OPERATIONAL AGREEMENT
This AGREEMENT made pursuant to G.S. 143-215.1 (dl) and entered into this day of
, by and between the North Carolina Environmental Management
Commission, an agency of the State of North Carolina, hereinafter known as the COMMISSION; and Raeford
Retail Investments, LLC. , a corporation/general partnership registered/licensed to do business in the State of
North Carolina, hereinafter known as the DEVELOPER.
WITNESSETH:
1. The DEVELOPER is the owner of the certain lands lying in Hoke County,
upon which it is erecting and will erect dwelling units and other improvements, said development to be
known
as Shoppes at Raeford (hereinafter the Development).
2. The DEVELOPER desires, to construct a wastewater collection system with pumps, wastewater treatment
works, and/or disposal facilities (hereinafter Disposal System) to provide sanitary sewage disposal to serve
the Development on said lands.
3. The DEVELOPER has applied to the COMMISSION for the issuance of a permit pursuant to G.S. 143-
215.1 to construct, maintain, and operate the Disposal System.
4. The DEVELOPER has created or shall create unit ownership in said dwellings units, other improvements
and lands through filing of a Declaration of Unit Ownership (hereinafter Declaration), pursuant to Chapter
47C or 47F of the North Carolina General Statutes.
5. The DEVELOPER has caused to be formed or will cause to be formed at the time of filing of the
Declaration, the (hereinafter
Association), a non-profit corporation organized and existing under and by the virtue of the laws of the
State of North Carolina, for the purpose, among others, of handling the property, affairs and business of
the Development; of operating, maintaining, re -constructing and repairing the common elements of the
lands and improvements subject to unit ownership, including the Disposal System; and of collecting dues
and assessments to provide funds for such operation, maintenance, re -construction and repair.
6. The COMMISSION desires to assure that the Disposal System of the Development is properly
constructed, maintained and operated in accordance with law and permit provisions in order to protect the
quality of the waters of the State and the public interest therein.
NOW, THEREFORE, in consideration of the promises and the benefits to be derived by each of the parties
hereto, the COMMISSION and DEVELOPER do hereby mutually agree as follows:
1. The DEVELOPER shall construct the Disposal System in accordance with the permit and plans and
specifications hereafter issued and approved by the COMMISSION, and shall thereafter properly operate
and maintain such systems and facilities in accordance with applicable permit provisions and law.
2. The DEVELOPER shall not transfer ownership and/or control of the Disposal System to the Association
until construction has been completed in accordance with the permit and approved plans, and the staff of
the Division of Water Quality has inspected and approved of the facilities. In order to change the name of
the permit holder, the DEVELOPER must request that the permit be reissued to the Association. The
request must include a copy of the Association Bylaws and Declaration.
3. The DEVELOPER shall not transfer, convey, assign or otherwise relinquish or release its responsibility
for the operation and maintenance of its Disposal System until a permit has been reissued to the
DEVELOPER's successor.

4. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System and
appurtenances thereto are part of the common elements and shall thereafter be properly maintained and
operated in conformity with law and the provisions of the permit for construction, operation, repair, and
maintenance of the system and facilities. The Declaration and Bylaws shall identify the entire wastewater
treatment, collection and disposal system as a common element which will receive the highest priority for
expenditures by the Association except for Federal, State, and local taxes and insurance.
5. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System will
be maintained out of the common expenses. In order to assure that there shall be funds readily available to
repair, maintain or construct the Disposal System, beyond the routine operation and maintenance
expenses, the Declaration and Association Bylaws shall provide that a fund be created out of the common
expenses. Such fund shall be separate from the routine maintenance funds allocated for the facility and
shall be part of the yearly budget.
6. In the event the common expense allocation and separate fund are not adequate for the construction,
repair, and maintenance of the Disposal System, the Declaration and Association Bylaws shall provide for
special assessments to cover such necessary costs. There shall be no limit on the amount of such
assessments, and the Declaration and Bylaws shall provide that such special assessments can be made as
necessary at any time.
7. If a wastewater collection system and wastewater treatment and/or disposal facility provided by any city,
town, village, county, water and sewer authorities, or other unit of government shall hereinafter become
available to serve the Development, the DEVELOPER shall take such action as is necessary to cause the
existing and future wastewater of the Development to be accepted and discharged into said governmental
system, and shall convey or transfer as much of the Disposal System and such necessary easements as the
governmental unit may require as condition of accepting the Development's wastewater.
8. Recognizing that it would be contrary to the public interest and to the public health, safety and welfare for
the Association to enter into voluntary dissolution without having made adequate provision for the
continued proper maintenance, repair and operation of its Disposal System, the DEVELOPER shall
provide in the Association Bylaws that the Association shall not enter into voluntary dissolution without
first having transferred its said system and facilities to some person, corporation or other entity acceptable
to and approved by the COMMISSION by the issuance of a permit.
9. The agreements set forth in numbered paragraphs 1, 2, 3, 4, 5, 6, 7, and 8 above shall be conditions of any
permit issued by the COMMISSION to the DEVELOPER for the construction, maintenance, repair and
operation of the Disposal System.
10. A copy of this agreement shall be filed at the Register of Deeds in the County(ies) where the Declaration is
filed and in the offices of the Secretary of State of North Carolina with the Articles of Incorporation of the
Association.
IN WITNESS WHEREOF, this agreement was executed in duplicate originals by the duly authorized
representative of the parties hereto on the day and year written as indicated by each of the parties named below:
FOR THE ENVIRONMENTAL _Rae-rS TC6 ` (G
MANAGEMENT COMMISSION Name 91 DEVELOPER
B: W& k a . 6/�
Coleen H. Sullins, Director (Signature)
Division of Water Quality h r_ �) k-CPe5 v P Of -
Print Name and Title /YI ayd cyf deli
1ZI q/D0
(Date) (Date)
cnr)XA. r-%r'(T nllrn', n.._.. -) _ram

12/10/2008 WED 7:49 FAX [phone] CITY OF RAEFORD
, •
2001/001
pF W ATFState of North Carolina
\pt OG Department of Environment and Natural Resources
Division of Water Quality
0 Flow Tracldng/Acceptance for Sewer Extension Permit Applications
(FTSE—10/07)
Project Applicant Name: Raeford Retail Investments, LLC
Project Name for which flow is being requested: Shoppes at Raeford
More than one F7SE,10/07 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. WWTP Facility Name: City of Raeford
b. WWTP Facility Permit #: NCO026514
All flows are in MGD
c. WWTP facility's permitted flow
3.00
d. Estimated obligated flow not yet tributary to the WWTP
1.07
e. WWTP facility's actual avg. flow
1.926
£ Total flow for this specific request
N/A
g. Total actual and obligated flows to the facility
3.00
h. Percent of permitted flow used
100"/0
H. 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
Pump Station Name
Tn
-rpf'6r f�ivct,� , — Hoke Landing
67gnanrS
:1 ;. ,.
(P Scurlock School
iC Private Pump (Short Stop)
` v Riverbrooke
Approx. Capacity, MGD
(Firm/Design)
90 GPM @ 188 TDH
Approx. Current Avg.
Daily Flow, MGD
21,186 GPD
215 GPM @ 73 TDH 64,742 GPD
310 GPM @ 43 TDH
800 GPM @ 65.7 TDH
112,186 GPD
199 GPD
1,063 MGD
1 H. Certification Statement:
L Michael N. Wood , 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
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. This analysis has been performed in accordance with local
established policies and procedures using the best available data. This certification applies to those items
listed above in Sections I and 11 for which I am the responsible party. Signature of this form indicates
acceptance f this wastewater w. /-2 ^ J'
Signing Official Signature
Date