WQ0041029_Application_20200210

02/06/20
Department of Environmental Quality
Division of Water Resources
Water Quality Permitting Section
Non -Discharge Permitting Unit
Attn: Nathaniel Thornburg
512 N. Salisbury Street
Raleigh, NC 27604
RE: Chatham Park Section 5.1 Thompson Street Subdivision
Permit Modification - Permit # WQ0041029
Dear Nathaniel Thornburg,
On behalf of Chatham Park Investors LLC, please find the attached documentation in support of a Minor
Permit Modification Request for reclaimed water main extension permit for the above referenced project.
The Minor Permit Modification request includes documentation of Ownership for easements and Right-of-
way to supplement the previously permitted Authorization to Construct. The request is to modify this
permit to authorize both construction and operation of the permitted facilities.
Included with this submittal are one original and two copies of the items listed below:
• Recorded Plat (18X24)
• Exhibit of the Distribution Line and Properties with a table referencing all easements. (Deed book
& Page)
• Minor Permit Modification Request (RWPI 11-13)
• This Cover Sheet clarifying Modification Request
• Existing Permit
• CD with all deliverables
If you have any questions regarding this request or if you require any additional information, please feel free
to contact me at 919-238-0354 or [e-mail].
Sincerer,
WithersRavenel
.�•� ;fir '�`���
Alicia R. Albini
115 MacKenan Drive I Cary, NC 27511
t: 919.469.3340 1 f: 919.467.6008 1 www.withersr3venel.com I License No. C-0832
Cary I Greensboro I Pittsboro I Raleigh I Wilmington

State of North Carolina
DWR
Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02U — RECLAIMED WATER SYSTEMS — PROJECT INFORMATION
Division of Water Resources INSTRUCTIONS FOR FORM: RWPI 11-13 & SUPPORTING DOCUMENTATION
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application.
For more information, visit the Water Quality Permitting Section Non -Discharge Permitting Unit web site:
h ttp://Portal. ncdenr. or,-Aveblwglapsllau
General —This form is required for all projects involving the generation, utilization, and or distribution of reclaimed water. At least one
of the following forms must also be included in the application package. However, multiple forms may be applicable. Unless
otherwise noted, the Applicant shall submit one original and two conies of the application and supporting
documentation. Please check the boxes below as appropriate to indicate which additional forms are included in the
application package:
❑ Reclaimed Water Generation (FORM: RWG) — for wastewater treatment facilities producing reclaimed water.
❑ Non -Conjunctive Utilization (FORM: RWNC) — for reclaimed water utilization activities, when the reclaimed water
utilization activity is required in order to meet the wastewater disposal needs of the facility.
❑ Conjunctive Utilization (FORM: RWCU) — for reclaimed water utilization activities, when the reclaimed water option is
not necessary to meet the wastewater disposal needs of the facility and other wastewater utilization/disposal methods are
available.
❑ Bulk Distribution (FORM: RWBD) — for distribution of reclaimed water in a bulk manner.
® Distribution Lines (FORM: RWDL) — for construction of reclaimed water distribution lines.
❑ Wetland Augmentation (FORM: RWWA) — for projects seeking to utilize reclaimed water for the purpose of wetland
augmentation.
❑ Local Program Approval (FORM: RWLPA) — for projects seeking permitting delegation for reclaimed water users.
A. Cover Letter (All Application Packages):
® List all items included in the application package, as well as a brief description of the requested permitting action.
B. Application Fee (All New and Major Modification Application Packages):
❑ Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environment and
Natural Resources (NCDENR) according to the following fee schedules:
❑ STANDARD REVIEW —Submit the appropriate fee for all new and major modification applications as listed in the table
below.
Facility Classification
New Permit
Major Modification 1
Major Generator/User (ADF > 10,000 gallons per day)
F$1,310
$395
Minor Generator/User (ADF < 10,000 gallons per day)
$810 $245
Reclaimed Water Distribution Lines
$480 N/A
' - A major modification shall be defined as any permit modification that: increases the generating facility's
average daily flow (ADF); increases the utilization area acreage; adds additional utilization areas not
previously approved; or includes the addition of new treatment units/processes not previously permitted.
There is no fee for minor permit modifications.
INSTRUCTIONS FOR FORM: RWPI 11-13 & SUPPORTING DOCUMENTATION Page 1 of 2

C. Reclaimed Water Project Information Form (FORM: RWPI 11-13) (All application packages):
® Submit the completed and appropriately executed Reclaimed Water Project Information (FORM: RWPI 11-13) form. Please
do not make any unauthorized content changes to this form.
® The applicant name in Item I.1. shall be consistent with the applicant name on the plans, specifications, agreements, etc.
® The Applicant's Certification on Page 3 of this form shall be signed in accordance with 15A NCAC 02T .0106(b). The
application must be signed by a principal executive officer of at least the level of vice-president or his authorized representative
for a corporation; by a general partner for a partnership or limited partnership; by the proprietor for a sole proprietorship;
and by either an executive officer, an elected official in the highest level of elected office, or other authorized employee for a
municipal, state, or other public entity. An alternate person may be designated as the signing official if a delegation letter is
provided from a person who meets the criteria in 15A NCAC 02T .0106(b).
❑ If this project is for a renewal without modification, use the Non -Discharge System Renewal (FORM: NDSR) application.
There is no fee for permit renewal without modification.
D. Existing Permit: (All Modification Packages):
® Submit the most recently issued existing permit.
® Provide a list of any items within the permit the Applicant would like the Division to address during the permit modification
(i.e., compliance schedules, permit description, monitoring, permit conditions, etc.).
ONE ORIGIANL AND TWO COPIES OF THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION
SHALL BE SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RWPI 11-13 & SUPPORTING DOCUMENTATION Page 2 of 2

State of North Carolina
DWR
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources 15A NCAC 02U — RECLAIMED WATER SYSTEMS — PROJECT INFORMATION
FORM: RWPI 11-13
I. GENERAL INFORMATION:
1. Applicant's name: Town of Pittsboro
Mailing address: 635 East Street P.O. Box 759
City: Pittsboro State: North Carolina Zip: 27312-
Telephone number: [phone] Email Address: jpoteat&pittsboronc.gov
2. Signature authority's name: John Poteat (per 15A NCAC 2U .0106) Title: Utilities Director
3. Applicant type (check all that apply):
® Government > ❑ Federal ❑ State ® Municipal ❑ County
❑ Individual
❑ Corporation
✓ For new permits, submit documentation that the company is registered for business with the NC Secretary of State.
❑ General Partnership
✓ For new permits, submit a copy of the certificate filed with the Register of Deeds in the county of business.
❑ Privately Owned Public Utility
✓ For new permits, submit a Certificate of Public Convenience and Necessity from the NC Utilities Commission, or a
letter from the NC Utilities Commission's Water and Sewer Division Public Staff stating an application for a
franchise has been received and that the service area is contiguous to an existing franchised area or that franchise
approval is expected.
❑ Home Owners Association
✓ For new permits, submit a properly executed Operational Agreement (FORM: HOA); and proposed or approved
Articles of Incorporation, Declarations and By-laws.
❑ Developer (where residential lots are to be sold)
✓ For new permits, submit a properly executed Operational Agreement (FORM: DEV)
4. Demonstration of historical consideration for permit approval:
Has the Applicant or any parent, subsidiary or other affiliate exhibited the following?
a. Has been convicted of environmental crimes under Federal law or G.S. 143-215.613? ❑ Yes or ® No
b. Has previously abandoned a wastewater treatment facility without properly closing that facility? ❑ Yes or ® No
c. Has unpaid civil penalty where all appeals have been abandoned or exhausted? ❑ Yes or ® No
d. Is non -compliant with an existing non -discharge permit, settlement agreement or order? ❑ Yes or ® No
e. Has unpaid annual fees in accordance with 15A NCAC 02T .0105(e)(2)? ❑ Yes or ® No
FORM: RWPI 11-13 Page 1 of 3

IL PROJECT INFORMATION
1. Application type: Select (See Instruction B) Fee Submitted$480.00 (See Instruction B)
2. For modifications, provide the existing permit number: WQ00 and most recent issuance date:
3. Provide a brief description of the activities proposed for permitting: Reclaimed water main extension
4. What is the status of the following associated permits and/or certifications ? (if not applicable, please mark as N/A)
Permit/Certification
Date Submitted
Date Approved
Permit/Certification No.
Agency Reviewer
Erosion & Sedimentation
Control Plan
1 /3/20
2017-1222 (2018-07827)
Letter of Approval
Chatham County -
Rachael Thorn
Nationwide 12 or 404
N/A
Wetlands 401
N/A
Stormwater Management Plan
3/25/19
7/30/19
SWP-2017-08
Town of Pittsboro
Elizabeth Goodson
Dam Safety
N/A
Sewer System
1/30/18
3/14/18
WQ0039848
NCDENR
NPDES
Under E&SC Permit
Other: Water
3/13/18
4/23/18
18-00221
NCDENR
✓ For any of the permits and certifications listed above that will directly impact the construction of the proposed reclaimed
water project, please provide documentation of permit approval or final certification. Note: This application may be
considered incomplete, or the resulting permit may be issued conditionally if a pending issuance of any of the related
permits/certifications directly impacts the proposed facility.
5. Documentation of the presence or absence of threatened or endangered aquatic species at the project site utilizing information
provided by the Department's Natural Heritage Program is required for construction of all new WWTP projects and/or non
conjunctive utilization sites, and for any project involving expansion of a WWTP and/or non conjunctive utilization site in
accordance with 15A NCAC 02T .0105(c)(10). Provide the location in application package where this documentation is
located: Attached; or explain why this item is N/A. Project Scope does not
include either new construction for/or expansion to a WWTP or non conjunctive utilization site..
6. Does this project utilize public monies or lands? ❑ Yes or ® No
✓ If yes, was an Environmental Assessment required under 15A NCAC O1C?
Yes ❑ No
Include one of the following final environmental documents with this submittal:
❑ Finding of No Significant Impact, or ❑ Record of Decision
Describe any mitigating factors from the Environmental Assessment that impact the design and/or construction of the
reclaimed water project:
7. Is any portion of the proposed project (reclaimed water treatment units, storage units, distribution lines, or utilization areas)
located within the 100 year flood plain? ❑ Yes or ® No
✓ If yes, specify which portion(s) of the project are affected?
✓ If yes, has the Applicant submitted written documentation of compliance with § 143 Article 21 Part 6? ❑ Yes or ❑ No
FORM: RWPI 11-13 Page 2 of 3

Documentation should consist of a letter from the local authority (i.e., county/municipality) stating that the project
complies with any local floodplain ordinance that may apply.
FORM: RWPI 11-13 Page 2 of 3

Applicant's Certification (signing authority must be in compliance with 15A NCAC 02U .0106):
I, John Poteat Utility Manager
(signing authority name — PLEASE PRINT) (title)
attest that this application for Chatham Park-Thompwri Street Subdivision
(facility name)
has been reviewed by me and is accurate and complete to the best of my knowledge. 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.
I further certify that the applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater
facility without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are
compliant with any active compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02U .0105. Note:
In accordance with NC General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false statement,
representation, or certification in any application pae age shall be guilty of a Class 2 misdemeanor, which m.a include a fine not to
exceed $10,000 as well as civil penal to 5 0 per violation.
Signature: Date:
FORM: RWPI 11-13 Page 3 of 3

FILED
CHATHAM COUNTY NC
LUNDAYA. RIGGSBEE
REGISTER OF DEEDS
FILED Nov 22, 2019
AT 11:10:38 am
BOOK 02079
START PAGE
0538
END PAGE
0547
INSTRUMENT #
12006
EXCISE TAX
(None)
Prepared By: Kenneth L. Eagle, 105 Weston Estates Way, Cary, NC 27513
( Utilizing form drafted by the Town Attorney for the Town of Pittsboro)
Mail To: Town of Pittsboro, Attn: Town Engineer, P.O. Box 759, Pittsboro, NC 27312
STATE OF NORTH CAROLINA
SUBDIVISION IMPROVEMENT AGREEMENT
COUNTY OF CHATHAM
THIS SUBDIVISION IMPROVEMENT AGREEMENT ("the Agreement") made and
entered into this the 00 day of N)L1AA2h%\0et' , 2019 by and between Chatham
Park Investors LLC, a North Carolina limited liability company., with a mailing address of 100
Matrix Drive, Box 8000, Cary, NC 27513 ("the Developer") and the Town of Pittsboro, a North
Carolina municipal corporation, with a mailing address of Post Office Box 759, Pittsboro, North
Carolina 27312 ("the Town").
The "Effective Date" of this Agreement will be the date that final subdivision plat
approval is granted by the Town.
WHEREAS, the Developer seeks permission to subdivide a tract of property within the
Town to be known as "The Vineyards Phase 1", Town Project # SUBD-2016-02, formerly
known as "Section 5.1 — Thompson St. Subdivision" (the "Subdivision"), which is more
particularly described on Exhibit A attached hereto and incorporated herein by this reference
(the "Property"), the Property being part of Chatham Park Planned Development District
approved by the Town (the "PDD"); and
WHEREAS, the Town seeks to protect the health, safety and general welfare of the
community by requiring the completion of various improvements in the Subdivision and thereby
to limit the harmful effects of substandard subdivisions, including premature subdivision which
leaves property undeveloped and unproductive; and

Subdivision Improvement Agreement
Page 2
WHEREAS, the purpose of this Agreement is to protect the Town from the cost of
completing subdivision improvements itself and is not executed for the benefit of material
furnishers, laborers, or others providing work, services or material to the Subdivision or for the
benefit of lot or home buyers in the Subdivision; and.
WHEREAS the mutual promises, covenants and obligations contained in this Agreement
are authorized by state law and the Town's zoning and subdivision control laws;
NOW, THEREFORE, the Parties hereby agree as follows:
A. DEVELOPER'S OBLIGATIONS
1. IMPROVEMENTS: The Developer will construct and install, at its own expense,
those on -site and off -site subdivision improvements required by the Town, as set forth in the
records of the Town approving the PDD (including the associated "Master Plan" and "Additional
Elements") and the Subdivision, including without limitation, all correspondence, cost estimates,
subdivision plats, and other filings, which records are incorporated in this Agreement by
reference (together, the "Town Records"), and including those subdivision improvements listed
on Exhibit B attached hereto and incorporated herein by this reference (each, an "Improvement",
and together, the "Improvements"). The Developer's obligation to complete the Improvements
will arise upon final plat approval by the Town and will be independent of any obligations of the
Town contained herein and will not be conditioned on the commencement of construction in the
development or sale of any lots or improvements within the development.
2. SECURITY: To secure the performance of his obligations hereunder, the
Developer will deposit with the Town on or prior to the Effective Date, adequate security an in
an amount and form acceptable to the Town in its reasonable discretion, but not less than the
amount determined by the Town Engineer sufficient to secure the satisfactory construction,
installation, and completion of the Improvements based on a Completion Estimate letter from
Robbie Oldham, PE, of Withers & Ravenel, dated October 14, 2019.
3. STANDARDS: The Developer will construct the Improvements according to the
standards and specifications required by the Town as set forth in the Town Records or otherwise
listed on Exhibit B attached hereto and incorporated herein by this reference.
4. WARRANTY: The Developer warrants that the Improvements, each and every
one of them, will be free from defects for a period of one year from the date that the Town
accepts the dedication of the applicable Improvements completed by the Developer (the
"Warranty Period").
5. COMPLETION PERIODS: The Improvements, each and every one of them, will
be completed on or before the earlier of one year from the Effective Date or 45 days prior to the
Expiration Date of the financial security (the "Completion Period"). The developer will not cease

Subdivision Improvement Agreement
Page 3
construction activities for any period of more than sixty (60) consecutive days (the
"Abandonment Period").
6. COMPLIANCE WITH LAW: The Developer will comply with all relevant laws,
ordinances, and regulations in effect at the time of final subdivision plat approval when fulfilling
its obligations under this Agreement. When necessary to protect public health, the Developer
will be subject to laws, ordinances and regulations that become effective after final plat approval.
7. DEDICATION: The Developer will dedicate to the Town the Improvements
required by the Town or otherwise listed on Exhibit. C attached hereto and incorporated herein
by this reference pursuant to the procedure described in Paragraph BA below.
B. TOWN'S OBLIGATIONS
1. PLAT APPROVAL: The Town will grant final subdivision plat approval to the
Subdivision upon the execution of this Agreement by the Developer and the delivery of adequate
security in an amount and form acceptable to the Town in its reasonable discretion.
2. INSPECTION AND CERTIFICATION: The Town or other appropriate agencies
will inspect the Improvements as they are completed and, if acceptable to the Town or other
appropriate agency, certify such Improvements as being in compliance with the required
standards and specifications of the Town. Before obtaining certification of any such
Improvement, the Developer will present to the Town valid lien waivers from all persons
providing materials or performing work on the Improvement for which certification is sought.
Certification by the Town does not constitute a waiver by the Town of the right to draw funds
under the financial security on account of defects in or failure of any Improvement that is
detected or which occurs following such certification.
3. NOTICE OF DEFECT: The Town will provide timely notice to the Developer
whenever inspection reveals that an Improvement does not conform to the required standards and
specifications or is otherwise defective. The Developer will have thirty (30) days from the
issuance of such notice to cure or substantially cure the defect. The Town may not declare a
default under this Agreement during the thirty (30) day cure period on account of any such defect
unless it is clear that the Developer does not intend to cure the defect. The Developer will have
no obligation to cure defects in or failure of any Improvement found to exist or occurring after
the Town accepts dedication of the Improvement.
4. ACCEPTANCE OF DEDICATION: The Town will accept the dedication of any
validly certified Improvement within thirty (30) days of the Developer's offer to dedicate the
Improvement. The Town's acceptance of dedication is expressly conditioned on the presentation
by the Developer of a policy of title insurance, where appropriate, for the benefit of the Town
showing that the Developer owns the Improvement in fee simple and that there are no liens,
encumbrances, or other restrictions on the Improvement unacceptable to the Town in its

Subdivision Improvement Agreement
Page 4
reasonable judgment. Acceptance of the dedication of any Improvement does not constitute a
waiver by the Town of the right to draw funds under the letter of credit on account of any defect
in or failure of the Improvement that is detected or which occurs after the acceptance of the
dedication.
5. REDUCTION OF SECURITY: After the acceptance of any Improvement, the
amount which the Town is entitled to draw on the financial security will be reduced by an
amount equal to 90% of the estimated cost of the Improvement. At the request of the Developer,
the Town will execute a certificate verifying the acceptance of the Improvement and waiving its
right to draw on the financial security to the extent of such amount. A Developer in default under
this Agreement will have no right to such a certificate. Upon the acceptance of all of the
Improvements, the balance that may be drawn under the security will be available to the Town
for ninety (90) days after expiration of the Warranty Period.
6. USE OF PROCEEDS: The Town will use funds drawn under the financial
security only for the purposes of completing the Improvements or correcting defects in or
failures of the Improvements.
C. OTHER PROVISIONS
1. EVENTS OF DEFAULT: The following conditions, occurrences or actions will
constitute a default by the Developer during the Completion Period:
a. Developer's failure to commence construction of the Improvements within
fourteen (14) days of final Subdivision plat approval;
b. Developer's failure to complete construction of the Improvements within
one (1) year of final Subdivision plat approval, unless otherwise extended by the Town;
C. Developer's failure to cure the defective construction of any Improvement
within the applicable cure period;
d. Developer's failure to perform work within the Subdivision for a period of
more than sixty (60) consecutive days;
e. Developer's insolvency, the appointment of a receiver for the Developer
or the filing of a voluntary or involuntary petition in bankruptcy respecting the Developer;
f. Foreclosure of any lien against the Property or a portion of the Property or
assignment or conveyance of the Property in lieu of foreclosure.
g. Developer's failure to comply with any condition or obligation in this
Agreement.

Subdivision Improvement Agreement
Page 5
h. The Town may not declare a default until written notice has been given to
the Developer.
2. MEASURE OF DAMAGES: The measure of damages for breach of this
Agreement will be the reasonable cost of completing the Improvements. For Improvements upon
which construction has not begun, the estimated cost of the Improvements will be prima facie
evidence of the minimum cost of completion; however, neither that amount, nor the amount of
the financial security, establishes the maximum amount of the Developer's liability. The Town
will be entitled to complete all unfinished Improvements at the time of default regardless of the
extent to which development has taken place in the Subdivision or whether development ever
commenced.
3. TOWN'S RIGHTS UPON DEFAULT: When any event of default occurs, the
Town may draw on the financial security to the extent of the face amount of the security less
90% of the estimated cost of all Improvements previously accepted by the Town. The Town will
have the right to complete Improvements itself or contract with a third party for completion, and
the Developer hereby grants to the Town, its successors, assigns, agents, contractors, and
employees a nonexclusive right and easement to enter the Property for the purposes of
constructing, maintaining, and repairing such Improvements. Alternatively, the Town may assign
the proceeds of financial security to a subsequent developer (or a lender) who has acquired the
Subdivision by purchase, foreclosure or otherwise who will then have the same rights of
completion as the Town if and only if the subsequent developer (or lender) agrees in writing to
complete the unfinished Improvements. In addition, the Town also may suspend final plat
approval during which time the Developer will have no right to sell, transfer or otherwise convey
lots or homes within the Subdivision without the express written approval of the Town, or until
the Improvements are completed and accepted by the Town. These remedies are cumulative in
nature, except that during the Warranty Period, the Town's only remedy will be to draw funds
under the financial security.
(End of Page; Execution Pages Follow)

Subdivision Improvement Agreement
Page 6
IN WITNESS WHEREOF, the parties have caused this instrument to be executed as of
the day and year first above written.
Chatham Park Investors LLC,
a North Carolina limited liability company
By:
Name: w�� v►,t '�
Title: Manager
VVa County, North Carolina
I certify that the following person personally appeared before me this day and acknowledged to
me that he executed the foregoing document on behalf of Chatham Park Investors LLC, a North
Carolina limited liability company, in the capacity indicated: =�al Smith
Date: l 1 h /I -I
Notary Public , r
Printed/Typed Name: V Il E
My Commission Expires: :jLk ytF r
(affix seal or stamp here)
�ti 1 OTAR��
r.,."4 • '•
r'ry�►w__ C�i3� ■►p�

Subdivision Improvement Agreement
Page 7
Town of Pittsboro,
a North Carolina municipal corporation
By: /7---77
ame: Bryan Gruesbeck
Title: Town Manager
0'�16(A 0-4y - _ County, North Carolina
I certify that the following person personally appeared before me this day and acknowledged to
me that he executed the foregoing document on behalf of Town of Pittsboro, a North Carolina
municipal corporation, in the capacity indicated: Bryan Groesbeck.
Date: / 11,50 119
4,
Notary P&bfit
Printed/Typed Name:
My Commission Expires: l— 0

Subdivision Improvement Agreement
Page 8
EXHIBIT A
DESCRIPTION OF PROPERTY
All of that tract of land containing 111.556 acres, more or less, including Lots, Tracts, and street
rights of way, as shown on a plat entitled "Subdivision Plat The Vineyards Phase 1 Property Of
Chatham Park Investors LLC" prepared by Thomas M. Grzebien, Professional Land Surveyor,
of WithersRavenel, dated Noy4.,M, & r 1 , 2019, consisting of Sheets 1-14, and recorded
in the office of the Register of Deeds for Chatham County, North Carolina in Plat Slide 2019-
Pages 954 through ,reference to which is hereby made for a more particular
description (also referred to in this Subdivision Improvement Agreement and the Exhibits hereto
as the "Plat").

Subdivision Improvement Agreement
Page 9
EXHIBIT B
SUBDIVISION IMPROVEMENTS
The following improvements in accordance with the Subdivision Preliminary Plat approved by
the Town of Pittsboro Board of Commissioners on September 12, 2017, construction drawings
amended and approved by the Town Engineer on July 30, 2019, and the Plat (together, the
"Plans"):
1. Vine Parkway, Cottage Way, and Edgefield Street and associated improvements
required by the Plans.
2. Improvements to Thompson Street required by the Plans and/or North Carolina
Department of Transportation.
3. Wastewater collection lines.
4. Water distribution lines.
5. Reclaimed water distribution lines.
6. Stormwater Control Measures and associated drainage structures (but excluding those
stormwater control measures improvements that are required for development of one
or more of the Lots or Tracts shown on the Plat and that are located on such Lots or
Tracts).
7. Greenways.
8. Multi -use Paths.

Subdivision Improvement Agreement
Page 10
EXHIBIT C
IMPROVEMENTS TO BE DEDICATED TO TOWN
The following improvements shown on the Plans and on the Plat.
1. Vine Parkway, Cottage Way, and Edgefield Street.
2. Wastewater collection lines.
3. Water distribution lines.
4. Reclaimed water distribution lines.
5. Improvements in Public Drainage Easements.
6. Public Greenways.
7. Public Multi -use Paths.

SUBDIVISION VINEYARDS
APPROVED TOWN OF PITTSBORO PROJECT # SUB-2016-02 FORMERLY ENTITLED "SECTION 5.1 - THOMPSON ST. SUBDIVISION"
SURVEYORS CERTIFICATION
( THOMAS M GRZEBI RL CERTIFY NET THIS PLAT WAS DRAWN UNDER MY SUPERVISIONFROM AN ACTUAL SURVEY
MADE UNDER MY SUPERVISION (DEED DESCRIPTKW(9} RECORDED AS SHOWN ONHEREON); THAT THE BOUNDARIES
NOT SURVEYED ARE CLEARLY INDICATED AS DRAWN FROM NFORMATLON SHOWN ON THE FACE OF THIS PLAT, THAT
THE RADOOF PRECISION OR POSITIONALACCURACY AS CALCULATED IS 120.000+ AND THATTHISPLAT WAS
PREPARED IN ACCORDANCE WITH G.S--HAS AMENDEO.
1ALSOCERTIFYTHATTMSSURVEYCREATEBA$ EVBMOW WNHINTHEAREAOFACOU41YOR
MUMCEAEUTY THATHASAN ORDINANCE THAT REGU A`ES PARCELS OP LAND,
WITNESS MY ORIGINAL SIGNATURE. LICENSE NUMBER 9 REAL TH Sn, DAY OF NOVEMBER. A.D. SON
MORASS. GRZEBIEN PROFESSONAL UNDSURVEYOR
LICENSE MIMBER L-06ffi
8 So
` p o0
$E�
a v L4895 0 g
0 y$�aSURv�ae w$o`
GENERAL NOTES
t. PASCOE BEARINGS: NC GRIDNADBAMI)
2. AUDATANCESARE HORIZO4rALGRONfDDISTANCESIN US SURVEY FEET UNLESS OTHERWISE NOTED.
E AU -AREAS DERIVED BY THE GOO2ONATEOOAPUTATION METHOD.
4. THIS SURVEY WASPREPARED WRUOUT THE BENEFIT OF AN11i REFORTANDMAY BE SUBECTTCANY MATTERS
THAT A FULL VICE SEARCH WOULD DISCLOSE.
5. LINES NOT SURVEYED ARESHOWN AS BROKEN URGE MOM INFORMATION REFERENCED CN THE FACE OF THIS
PLAT,
S SUBJECT PROPERTY IS NOT LOCATED WRHIN A FLOOD HAZARD AREA ACCORDING TO FLOW INSURANCE RATE
MAPS 3710875105) AND 37109752HU DATED FEBRUARY 2 2007.
7. OD REDFIELD ROAD SOMETIMES APPEARS IN RECORD DOCUMENTS AS OLD REDFIELD ROAD, OUD REDFIELD FORD
ROAD, AND REDRELD ROD ROAD.
& LOCATION OR UTILITIES, WHETHER PUBLIC OR PRIVATE, IS BASED UPON FIELD LOCATIONF PANELS
APPURTENANCES ONLY. IT IS THE CONTRACTORS RESPONSEIUTY TO VERIFY LOCATION PRIOR TO
COMMENCEMENTOPANYESSION PUND.RGROUN RAVENEECANNOTASSUME PESFONSIBIUTt'FOR
MSDENTIf (CATION OR OMISSION CE UNDERGROUND ND UTILITIES.
9. RIPARIAN BUFFERS SHOWN WERE DERIVED MOM SURVEY LOCATION OF THE TOP OF BANK,
IV WRDFINCONCRETE SHO(UMNUNEWRHADJACEMA#M4UMENTSTOTFENORTHWESTSSOULHEAST($EE
PB M,, PG.61 &nM, PG 473). MONUMENTNOT HONORED
11. THEEASTERNPRO'ERTYUNEOFTNE GH4TFUtMPARKINVESTORSPROPERTYHASHIUT CALLYFOUOWEDTIE
ODUSED ROAD BED OF DID RE"FIELD ROAD (AKA OLDREGRELDRGAD, A.R.A. ODREDFELDFGRD ROAD, AKA,
REDRELD FORD ROAD). SASEDON EVIDENCE OBSERVED IN THE FELD,THAT VERSION OFTHE ROAD SEDSHOWN IN
P8E PG.89APPIC TOREMORE ACC(REETH)IS HIVERSIONDEPICTED INPBDTHPG.324 THEAEFORE,
THEPRCAGEWAOHETEOIIAOTPART F(SHEET9)ISNCAPANTONEWTIANANOTHE PflGPERTYDEPICTED
ASRESULTOGEINGSHO SHOWN
APART
SARREKEW TRACTS,BOTHAREAPARTGPENFARBER BCEEFNGny ASA
INCORPOFBEINGSHOWN ASAP ART ROBERG COKCI LIVE UNITS
PS. 324RDMINRERE WEREDINDB 1949.
INCORPORATED INTO THE
TOWN OF PITIS80ROCORPCRATEUMITS BY ORDNANCE RECORDED Ed D81949. FG i0&
SITE
CERTIFICATE OF APPROVAL
IWF MSYCERTIFYTHATTHEPLANFORWMIVMS SHOWNHEREON
COMPLIES WITH THE SUBDIVISION ORDNANCE FORTRETOWN OP PITTSBOPO,
NCWITHTHEEXCEPIlO SUCHVARMNCE6,IPANY,ASWTEDONWSPLAT
ANDINTHEMINN SOTHETOWNOFRMBQ OTOWNBOAROU
COMMf35IMMSANDBAPPROVEDFOR�CORONGN4 EUFCESOFTHE
REOSTEROFDEED&
BY. " I(Jt L/Iq
MAYOR • l
OTHER REFERENCES
REVAEW OFFICER CERIVICATE
PB1, PG S1 I PB 2APG. 611 PBSSPG. 3311 PB nI.PG.4171 PS M, RG, 4131 P620M PG, 3131 OR 015, PG. 921 PB 2015, PG, 322
PD AH7, PO 541 BE 2017, PG. IN I FB 2017. PG. 214 STATE OF NORTH CAROUNA, COUNTY OF CHATHAM
NCRTHCAR AUATEDEPARTMENTOFTRANSPORTATMDIVISI NUHW WAYSSECOND4RYROADADOTIONINVESTI T19N
REPORT DATEODZA)W9ACCEPTIND THAT PORTKAi O THOMPSON STREETAOIACENTTOTHE SITE ALONG STATEHGHWAY I. .RENEW OFFICER OFCHATHAM(%XJNTY,tD,
SYSTEMARHAW RIGHT-OF-WAY CERTYTHATTHE MAPOR PUT TO WMCH THISCERTIFICATION ISAFFIXED
MEETS ALL STATUTORY REOU62EMENTS FOR RECORDING.
SURVEY OF TRETHOMASAWFRI$ PROPERTY BY WITRERSRAVIN EL DATED 036IM6 ROAD FILE: SO 16052. PROJ %0205S4790D) �1
ANMANIOORDINANCE A 1744 RECORDED IN 081949, PG, 783(AWAR W) H �Ib YT i{�7.ZIiDIq
RENEW OF'ICI DATE
PLAT CONTENTS
SHEET is CERTIFICATIONS, NOTES, PROJECT DATA,
AREA SUMMARY, AND VICINITY MAP
SHEET 2: LEGEND AND SHEET KEY
SHEETS 3S: THE VINEYARDS PHASE
SHEET 7: NEW TRACT B
SHEET 8: NEW TRACT C
SHEETIT NEW TRACT A
SHEETS 1&12: DETAILS
SHEETS 1314: LINE AND CURVE TABLES
REVISIONS
NIA
IED BY: RLAM
I BY: TRIG
B CLOSURE BY: TMG
MAP
ARRASUREAARY
_T4
AREA
S.F.
AC.
tOT51-29
344,654
7.91E
PUBUCRARTIOTAH'
lLA
OPEN SPACE
337,714
4830
371866
Em
0.317
OEW
NEWTRACTA_
NEWTRACFB
Z,537,02$
45i,766
58.242
X..371
NEWTRACTC
67A,693
15.487
NEW iRACFD(TOTAt)'
TCA
Aa-
20077
0.925
-1.
NEWTIUCTEITOTAL)"
TCA
OPEN SPACE A' C '0'
293,9rb
106,59G
S58
fi.747
2.446
4743
NEWTRAC(F
179,422
G119
TOTAL
4,ffi$388
111556
THE MCI OR AREA NET OVERLAP'ALL OF NEW TRACT D IS V
OPENSPACE'A'fC'PD.
OWNER'SCERTIFM. IM
I (WE) HEREBY CERTIFY THAT i (WE) AM THE OWNERS) OF THE PROPERTY SHOWN AND DESCRIBED HEREON WHICH WAS
CONVEYED TO NE (DS) BY DEEDS REGISTERED AS REFERENCED AND SHAM HEREON AND THAT I (WE) HEREBY ADOPT THIS PLAN
WITH MYIOUR}FREE CONSENT, ESTABLISHING MINIMUM PULLING SETBACK LINESAND DEDICATING ALL STREETS, AU -EIS,
WACHS, PARKS, WATERLINES, SOLID WASTE SYSTEMS, UTILITIES, EASEMENTS, AND OTHER OPEN SPACES TOPURIC OR MATE
USE AS NOTED. FURTHERMORE, IAM)CERTIfl THATTFR: LANDAS$HOWNHEREON IS WITHW ANARFATNAT ISZONEDAM
REGLBATEDBYTHETOWNOFRITTSBOROWRHAZ HGORDIMWEANDWMNI$IO4REGULATIONS.
OHATNAMPARKINYESTORS LLC
��// y p
BY: :/A2A/l� 9 iV�
MANAGER OA E
NOTARY CERTIFICATION c�
I. APFUw Zq-SE ,NOTARY PUBLIC.00 HEREBY CERTIFY THAT ! 4M JMtTH
PERSONALLY APPEARED BEFOEWTHISDAYANDACNNOV MEDTHEDUEEXECt "OPTHEFOREWMGMSTWNSNTN
THE CAPACITY INDICATED.
WRNESS W HAND AND SMTTHIIS 8DAY OFMVEM-Ae - ,2019,
NOTARY PUBLIC '``�0 Styx
2- eg'23
It PUBCiG
MY COMMISSION EXPIRES yyFL
PROJECTOATA
OWNER:
NUMBER OF LOTS 34 THIS PHASE: 29 SINGLE FAMILY
CHATHAMPARKINVESTORStLO
IRS WESTON ESTATESWAY, CARY, NC 27513
SETBACKS:
MINMRIMF- 10
REFERENCES:
AKPAR738& OB1425PG.M IPB2008, PG. 3241PS2WEPG.334
MINAIM SIDE 6SY CCPTER)
MIN.MREAR 1D
D62VU5FG.E81 ) PB2019PG.240
MIN. TO GARAGE FRONT 16
AKPAR 7372. AS 151Z PG 110710E 1513, PG. 4161 BE 2010, PG. 119
MINIAL' LOTUZE 3,D0 BF
AKPAR740USDSIE2,PG IlT7)PB2VHLPG 119
MININIMLOT WIDTH 25'
ODGINALPIN NUTSERS:
MAXIRRIMIM1frERVIOUSAREAPERLOT:5,509SF
AKPAR i336 9NA.W -3136
AVERAGELtTTASEREDUIREMEN1:4000SF.
ANNA7172. 915101-2&1062
REPAIR 740M: 9751.01-17-R95
UNGTH OF GFEENWAY PROViDED:I W6LF.
LENGTH OF MUST' USE PATH PROVIDED: 2231 LR
ZONING: PER)
TOTAL: 3,30 LF.
AMREXATION'. SEE'OTHER REFERENCES
TOTALTCAPRONDED: 322AC.
CAPAJWALTRACTAREAS:
ANPARGIN 4,466,329SE1102AD2AG'
WAR 7372. 132435 S R 14.188 AC.
ANPAR GANU 216,1445 F.14.962AC.
Cf 366EN.W,
CI WJ #ii)..INK$09$.IEA'AND
i,393SF.IN'LAPPAGE B'ISEE GEM. NOTE tl11I:4,480809SF (102408 AC.
LSES S..IN'
PROJECTNOTES
1. PMVATE UTILITY EASEMENTS WILL BEMAINTAINEDWITEAPPUCABIEUTUTYPROVIDER,
2. IN ACCORDANCE WITH APPLICABLE RESPECTIVE COVENANTS, MENWALL ALL OTHER PRIVATE EASETS BE MSINTAIRE.D BY
RS' PROPERTY CAREASSOCIATION OR THE OWNER(S}O THE PROPERTY ON WHICH THE PRIVATE EASEMENT IS LOCATED
OR WHICH IS SERVED BY THE DIVERTS EASEMENT.
& UNLESS THEMUHCFANEASEMENTISUSTEOAS'VARIABLE',ITISCEWEREOONEXISTi INFRASTRUCTURE.VARMBLE
WiDIHEASEWE AREAPPROPRIATELYDIMENSIONEDHEREON,
4. 6,9,AND ICI PAYATEUDUTY EASEAENTSADMACENT TO ROADWAYS ARE PARALLELTOTHERAN..
APPROVED TOWN OF PITTSBORO PROJECT it SUB-2016-02
FORMERLY ENTITLED "SECTION 5.1- THOMPSON STREET SUBDIVISION"
SUBDIVISION PLAT
THE VINEYARDS PHASE 1
PROPERTY OF CHATHAM PARK INVESTORS LLC
TOWN OF PITTSBORO, CENTER TWSP. CHATHAM COUNTY I NORTH CAROLINA
AKPAR: 7386, 7372, 74o60 I ZONING: POD I SHEET: 1 OF 14
FILED N-22, 2019 11:02:31 am
PLAT SLIDE 02019 - 0264 �. e
INSTRUMENT 11992 eF xFrs
4/ WithersRavenet
r, Engineers I Planners I Surveyors
11SN' Ke... Drive I CRV, NC 27511
t: 919.469.33401=. A: C-0832 I www,whhersravenei.com

SEAL
L4695
Xf"
N
SHEET KEY
SHEET
NO SCALE
200 SCALE
NEW TRACT A
LEGEND
I t
2:537,028 SF. 158,242 AD.
ONSOCI GABLEWPEDESTAL
CPO COMPUTED POINT
ECM N EXISTING CONCRETE NENNUMENT
EPO EXISTING IBM PIPE
EIRt, EASONG RON ROD
I
- Li
------f 'o
AKPAR: 7386
ENNO EASING MAKE NAIL
ERGO EXISTING RECAP
GUY WINE
MICEMUMALLOWARE INSUPYOUSSUROACEAREM
MARC
- - - - - - - NEW DRAINAGE EASEMENT JAB LABELED)
-------------------- NEW HOPIPAEEMERT
NEW PROPERTY
o NEW I" PIPE
LINES (rYP)
NEW RIJUL-USEIGREEEMMAY PATH IOSEMENT(SS LABELED)
SHEET
NIENOPERISPACEN)SW V,AND'O'
_j
- -----
----
50 SCALE
F NEW OPEN SPACE (ON) E
SHEET
. . . . . . . NEW PRIVATE SICRAMATOR CONTROL STRUCTURE
- - - - - - - - - - NEW SANITARY SEWER WEAIDNT (AS LABELED)
& ACCESS EASEMENT
Vy
80 SCALE
- - - - - - - - - NEW PUBLIC RIGID DISTANCE EASEMENT
I NEW TRACT 5
NEW TREE COVERAGE AREA NU�C
SHEET4
111,11,11,1, 111,111 AC,
MEN UTUTYEASENIENTIASLABELEN
asOFFSET
SEE SHEETS 3-6 FOR INFORMATION ON THE 50 SCALE
OVERHEAD UTTI.FNES
NEW LOTS, RA AND TRACTS D, E, & F 1 I NEW PROPERTY
NEWTRACTF
LINES OW)
it
111CIERTYLINE(NOTEILIVEYED)
TOE TREE COVERAGE AREA
%PAR:
Up. UTIEUTYPOLE
7372
SHEET
�
50 SCALE 80 SCALE
SHEET6B NEWTRACT
NEW TRACT C
50 SCALE
SHEET 3
NEW TRACT 1)
674,593 S.F., 15.487 AC.
I
ASP 7�
If
--------- 50 SCALE
f
FILED Nov 22, 2019 11:03-49 am
PLAT SLIDE 02019 - 0255
INSTRUMENT 11993
REWEW OFFICER CERTMA TE
STATE OF NORTH CAROLINA, COUNTY OF CHATHAM
-ER-CPAIROVICOUNITYNC,
THIS CEPTFICAnCN IS AFFIXED
MEETS ALL STATUTORY REQUIREMENTS FOR RECONDING,
A I �)� (1011
REVtEW.�� DATE
TOWN OF PITTSBORO PROJECT NUMBER: SUB-201M2
- --- ------
REVISIONS, DATE. 1117/19 SUBDIVISION PLAT
SCALE: N/A
SURVEYED BY: Q, IM THE VINEYARDS PHASE 1 001 With ersRavenet
DRAWN BY. TMG PROPERTY OF CHATHAM PARK INVESTORS LLC 100 Engineers I Planners I Surveyors
CHECK & CLOSURE BY. WG TOWN OF PITTSBORO, CENTER TWSP. CHATHAM COUNTY NORTH CAROLINA ISS KTacK­DdVAICmI4C275I1
CAD FILE SU3DlMSlON­50E98.I2.d.g - t: 915.469.33401 Ncense P; C-0832 I -with­L­
PR03ECT NO ­E0048,E2 AKPAR: 7386, 7372, 74060 ZONING: PCID SHEET. 2 OF 14

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IOA'EJ d1 \. \\ \ �. , cAb4' 114256F. NEW W&IC DRA#14GE
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DISTANCE EASEMENT % EIP 123T
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y i 1 YaaGSWIsz43 SCALE:
FOR DETAILS, AND SHEETS 13 & 14 FOR LINE AND CURVE TABLES _ X`E':'�' °°2
IAM3 2022
TOWN OF PITTSBORO PROJECT NUMBER: SUB-2016-02
REYIEWOFFICERCERTMATE REVISIONS: DATE iinn9
STATE OF NORTH CARWNA, COUNTY OF CHATHAM SCALE: i° - 50, SUBDIVISION PLAT
I, ,Aw. �' ,RE,rE..-IIGERCFGIATHAMCG,—T -, SURVEYED SY RI, IM THE VINEYARDS PHASE N/ WithersRavenet
cB I T E 'L TTRg llroHT-RIGERTIECATKSU$AFFI>;ED DA—H81:TMc PROPERTY OF CHATHAM PARK iNVESTORS LLC
NEE'fs ALL STATUTORY REWIREMENTS FOR RECORDING. ut, Engineers I Planners I Surveyors
CHECK Er CLOSURE BY : TMO
�i //^^��TOWN OF PITTSBORO, CENTER TWSP. CHATHAM COUNTY NgRTH CAROLING 115 MacKenan Drive ICarX. NO 27531
/-1 a.0 C-CiOCY'I' [1 2L�Y.0 (Ni CAD FILE: SUBDIVISION-021S0098,12D g 1,919R69.334011ken.#:C-Oe321w VAdersrave. dsom
REVIEW ICER ATE PROJECT NO: 02150098.12 AKPAR: 7386, 7372, 74060 ZONING PDD SHEET:3 OF 14

_ 4- g1j�� -SHEET 5
/ NOW OR FORAERLY � M cuf rp • +I L193 J1-- r ) ('. .GiM1T„/"'{�f! �,,'`,�p'OEL.f110 i� '�+�1 8�
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G 1 C4T NOT PG. 619I W 1425, PG. 5811 PB 2008 PG. 324 $ L136 i / (DETAIL ta)i A37 / G38 �' MAIS:5,500EF. ZJ, yASh.i"' $80"
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ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
BRYAN GRUESBECK — TOWN MANAGER
TOWN OF PITTSBORO
POST OFFICE BOX 759
PITTSBORO, NORTH CAROLINA 27312
Dear Mr. Gruesbeck:
NORTH CAROLINA
Environmental Quality
September 19, 2019
Subject: Permit No. WQ0041029
Chatham Park — Thompson
Street Subdivision
Reclaimed Water Distribution
Chatham County
In accordance with your permit application request received July 16, 2019, we are forwarding
herewith Permit No. WQ0041029 dated September 19, 2019, to the Town of Pittsboro for the construction
only of the subject reclaimed water distribution facilities.
This permit shall be effective from the date of issuance until rescinded, and shall be subject to the
conditions and limitations therein.
If any parts, requirements, or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail Service
Center, Raleigh, NC 27699-6714. Otherwise, this permit shall be final and binding.
One set of approved plans and specifications is being forwarded to you. If you need additional
information concerning this permit, please contact Ranveer Katyal at [phone] or
[e-mail].
Sincerely,
1nda Culpepper, Director
U Division of Water Resources
cc: Chatham County Health Department (Electronic Copy)
Raleigh Regional Office, Water Quality Regional Operations Section (Electronic Copy)
John C. Ihnatolya, PE — WithersRavenel, Inc. (Electronic Copy)
Laserfiche File (Electronic Copy)
Digital Permit Archive (Electronic Copy)
Central Files
�� North Carolina Department of Environmental Quality I Division of Water Resources
RE512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
NORTH CAROUNA
DNMU=dw End=Aoft Gaft 919.707.9000

THIS PAGE BLANK

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
RALEIGH
RECLAIMED WATER DISTRIBUTION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Town of Pittsboro
Chatham County
FOR THE
construction only of a reclaimed water distribution system extension consisting of:
4,627 linear feet (LF) of 4-inch PVC reclaimed water distribution line; and all associated piping, valves,
controls, and appurtenances
to serve the Chatham Park — Thompson Street Subdivision RWDL, with no discharge of wastes to surface
waters, pursuant to the application received July 16, 2019, and in conformity with the Division -approved
plans and specifications considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded, and shall be subject to the following
conditions and limitations:
I. SCHEDULES
Upon completion of construction and prior to operation of the permitted distribution facilities, the
Permittee shall submit an engineering certification from a North Carolina licensed Professional
Engineer certifying that the permitted facilities have been constructed in accordance with G.S. 143-
215.1, Administrative Code Title 15A Subchapter 02U, this permit, and the Division -approved plans
and specifications. For phased and partially certified facilities, the Permittee shall retain the
responsibilfty to track further construction approved under this permit, and shall provide a final
en ineerin . certification upon project completion. Mail the Engineering Certification to the Division
of Water Resources, Non -Discharge Branch, 1617 Mail Service Center, Raleigh, NC 27699-1617, or
Non-Dischar e.Re orts ncdenr. ov. [15A NCAC 02T .0116(a)]
2. The facilities permitted herein are for construction only. The Permittee shall submit the following
documentation as a minor permit modification request:
a. Easements for all the properties on which the distribution line is to be located.
b. A map showing the distribution line and all properties with a table referencing all easements (Deed
Book and Page).
Mail the documentation to the Division of Water Resources, Non -Discharge Branch, 1617 Mail Service
Center, Raleigh, NC 27699-1617, or [e-mail] [15A NCAC 02T .0116(a)]
WQ0041029 Version 1.0 Shell Version 180901 Pagel of 6

Operation of the reclaimed water distribution facilities shall be contingent upon construction and
operation of permitted reclaimed water distribution lines immediately upstream and downstream of the
reclaimed water distribution facilities permitted herein. Specifications for future upstream and
downstream reclaimed water distribution lines shall include quality assurance testing procedures, which
shall be adhered to prior to operation of the reclaimed water distribution facilities permitted herein.
[G.S. 143-215.1]
H. PERFORMANCE STANDARDS
The Permittee shall maintain and operate the subject reclaimed water distribution facilities so there is
no discharge to surface waters, nor any contravention of groundwater or surface water standards. In
the event the facilities fail to perform satisfactorily, including the creation of nuisance conditions due
to improper operation and maintenance, the Permittee shall take immediate corrective actions, including
Division required actions, such as the construction of additional or replacement reclaimed water
distribution facilities, or cessation of reclaimed water distribution. [15A NCAC 02T .0108(b)(1)(A)]
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or surface
water resulting from the operation of this facility. [15A NCAC 02T .0108(b)(1)(A)]
3. Construction of the reclaimed water distribution facilities permitted herein shall be scheduled as not to
interrupt service of existing utilities. [15A NCAC 02T .0108(b)(1)(A)]
4. All reclaimed water valves, storage facilities, and outlets shall be tagged or labeled to warn the public
or employees that the water is not intended for drinking. [15A NCAC 02U .0403(b)]
5. All reclaimed water piping, valves, outlets, and other appurtenances shall be color -coded, taped, or
otherwise marked to identify the source of the water as being reclaimed water as follows:
a. All reclaimed water piping and appurtenances shall be either colored purple (Pantone 522 or
equivalent) and embossed or integrally stamped or marked "CAUTION: RECLAIMED WATER -
DO NOT DRINK" or be installed with a purple (Pantone 522 or equivalent) identification tape or
polyethylene vinyl wrap. The warning shall be stamped on opposite sides of the pipe and repeated
every three feet or less;
b. Identification tape shall be at least three inches wide and have white or black lettering on purple
(Pantone 522 or equivalent) field stating "CAUTION: RECLAIMED WATER - DO NOT
DRINK". Identification tape shall be installed on top of reclaimed water pipelines, fastened at least
every 10 feet to each pipe length and run continuously the entire length of the pipe; and
c. Existing underground distribution systems retrofitted for the purpose of conveying reclaimed water
shall be taped or otherwise identified as noted in II.5.a. and II.5.b. This identification need not
extend the entire length of the distribution system but shall be incorporated within 10 feet of
crossing any potable water supply line or sanitary sewer line.
[ 15A NCAC 02U .0403 (c)]
6. All reclaimed water valves and outlets shall be of a type, or secured in a manner, that permits operation
by personnel authorized by the entity that operates the reclaimed water system. [15A NCAC 02U
.0403(d)]
7. Hose bibs shall be located in locked, below grade vaults that shall be labeled as being of non -potable
quality. As an alternative to the use of locked vaults with standard hose bib services, other locking
mechanisms such as hose bibs that can only be operated by a tool may be placed above ground and
labeled as non -potable water. [15A NCAC 02U .0403(e)]
8. There shall be no direct cross -connections between the reclaimed water and potable water systems,
unless such connection has been approved by the Department pursuant to 15A NCAC 18C .0406. [15A
NCAC 02U .0403(f)]
WQ0041029 Version 1.0 Shell Version 180901 Page 2 of 6

9. Reclaimed water distribution lines shall be located at least 5 feet horizontally from and 18 inches below
any water line if practicable. If these separation distances cannot be met, the piping and integrity testing
procedures shall meet water main standards in accordance with 15A NCAC 18C. [15A NCAC 02U
.0403(h)]
10. Reclaimed water distribution lines shall not be less than 50 feet from a well unless the piping and
integrity testing procedures meet water main standards in accordance with 15A NCAC 18C, but in no
case shall they be less than 25 feet from a private well. [15A NCAC 02U .0403(i)]
11. Reclaimed water distribution lines shall meet the separation distances to sewer lines in accordance with
15A NCAC 02T .0305. [15A NCAC 02U .04030)]
III. OPERATION AND MAINTENANCE REQUIREMENTS
1. The Permittee shall operate and maintain the subject facilities as a non -discharge system. [15A NCAC
02U .0101]
2. The Permittee shall maintain an Operation and Maintenance Plan, which shall include:
a. A description of the operation of the system in detail to show what operations are necessary for the
system to function and by whom the operations are to be conducted;
b. A sampling and monitoring plan to evaluate quality of reclaimed water within the distribution
system to provide quality assurance at the time of reuse, and specify actions to be taken in response
to unsatisfactory monitoring results;
c. A map of all reclaimed water distribution lines;
d. A description of anticipated maintenance of the system;
e. Provisions for safety measures, including restriction of access to the site and equipment; and
£ Spill control provisions that include response to upsets and bypasses, including control,
containment, and remediation, and contact information for personnel, emergency responders, and
regulatory agencies.
[15A NCAC 02U .0801(a)]
3. Only reclaimed water generated from Chatham Park Decentralized WRRF (Permit No. WQ0039375)
shall be conveyed in the reclaimed water distribution facilities permitted herein. [15A NCAC 02U
.0101]
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IV. MONITORING AND REPORTING REQUIREMENTS
1. The Permittee shall conduct and report any Division required monitoring necessary to evaluate this
facility's impact on groundwater and surface water. [15A NCAC 02T .0108(c)]
2. Noncompliance Notification:
The Permittee shall report to the Raleigh Regional Office, telephone number [phone], within
24 hours of first knowledge of the following:
a. Any failure rendering the reclaimed water distribution facilities incapable of adequately conveying
the reclaimed water (e.g., mechanical or electrical failures, line blockages or breaks, etc.).
b. Any failure resulting in a discharge to surface waters.
c. Any discharge to land surface greater than or equal to 5,000 gallons. The Permittee shall document
discharges less than 5,000 gallons to land surface, but do not require Regional Office notification.
Emergencies requiring reporting outside normal business hours shall call the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone]. All
noncompliance notifications shall file a written report to the Raleigh Regional Office within five days
of first knowledge of the occurrence, and this report shall outline the actions proposed or taken to ensure
the problem does not recur. [15A NCAC 02T .0108(b)(1)(A)]
V. INSPECTIONS
1. The Permittee shall perform inspections and maintenance to ensure proper operation of the reclaimed
water distribution facilities. [15A NCAC 02U .0801(i)]
2. The Permittee shall inspect the reclaimed water distribution facilities to prevent malfunctions, facility
deterioration, and operator errors that may result in discharges of wastes to the environment, threats to
human health, or public nuisances. The Permittee shall maintain an inspection log that includes the
date and time of inspection, observations made, and maintenance, repairs, or corrective actions taken.
The Permittee shall maintain this inspection log for a period of five years from the date of the inspection,
and this log shall be made available to the Division upon request. [15A NCAC 02U .0801(h), 02U
.0801(i)]
3. Division authorized representatives may, upon presentation of credentials, enter and inspect any
property, premises, or place related to the reclaimed water distribution facilities permitted herein at any
reasonable time for determining compliance with this permit. Division authorized representatives may
inspect or copy records maintained under the terms and conditions of this permit, and may collect
groundwater, surface water, or leachate samples. [G.S. 143-215.3(a)(2)]
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to a
Division enforcement action. [G.S. 143-215.6A, 143-215.6B, 143-215.6C]
2. This permit is effective only with respect to the nature and volume of wastes described in the permit
application, and Division -approved plans and specifications. [G.S. 143-215.1(d)]
3. Unless specifically requested and approved in this permit, there are no variances to administrative codes
or general statutes governing the construction or operation of the facilities permitted herein. [15A
NCAC 02T .0105(n)]
4. The issuance of this permit does not exempt the Permittee from complying with all statutes, rules,
regulations, or ordinances that other jurisdictional government agencies (e.g., local, state, and federal)
may require. [15A NCAC 02T .0105(c)(6)]
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5. If the permitted facilities change ownership, or the Permittee changes their name, the Permittee shall
submit a permit modification request on Division -approved forms. The Permittee shall comply with
all terms and conditions of this permit until the permit is transferred to the successor -owner. [G.S. 143-
215.1(d3)]
6. The Permittee shall retain a set of Division -approved plans and specifications for the life of the facilities
permitted herein. [15A NCAC 02T .0105(o)]
7. This permit is subject to revocation or modification upon 60-day notice from the Division Director, in
whole or part for:
a. violation of any terms or conditions of this permit or Administrative Code Title 15A Subchapter
02U;
b. obtaining a permit by misrepresentation or failure to disclose all relevant facts;
c. the Permittee's refusal to allow authorized Department employees upon presentation of credentials:
i. to enter the Permittee's premises where a system is located or where any records are required
to be kept;
ii. to have access to any permit required documents and records;
iii. to inspect any monitoring equipment or method as required in this permit; or
iv. to sample any pollutants; or
d. a Division determination that the conditions of this permit are in conflict with North Carolina
Administrative Code or General Statutes.
[15A NCAC 02T .0110]
Permit issued this the 19' day of September 2019
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
mda Culpepper, Director
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0041029
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Permit No. WQ0041029 Reclaimed Water Distribution
Town of Pittsboro September 19, 2019
Chatham Park — Thompson Street Subdivision Chatham County
ENGINEERING CERTIFICATION
❑ Partial ❑ Final
I, , as a duly licensed North Carolina Professional
Engineer, having ❑ periodically / ❑ fully observed the construction of the permitted facilities, do hereby
state to the best of my abilities that the facility was constructed in compliance with G.S. 143-215.1,
Administrative Code Title 15A Subchapter 02U, this permit, and the Division -approved plans and
specifications.
Documentation of any variation to this permit, and the Division -approved plans and specifications, is in the
attached as -built drawings.
Description of variations:
Professional Engineer's Name
Firm Name Firm No.
Address
City State Zip Code
Telephone Email Seal, Signature, and Date
THE COMPLETED ENGINEERING CERTIFICATION, INCLUDING ALL SUPPORTING
DOCUMENTATION, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
NON -DISCHARGE BRANCH
By U.S. Postal Service By Courier/Special Delivery
1617 MAIL SERVICE CENTER 512 N. SALISBURY ST.
RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604
WQ0041029 Version 1.0 Shell Version 180901
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WQOo41a29 Chatham Park Project
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- ' see Deed Book 02079 Page 0538 -
0547.
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