WQ0041982_Application (FTSE)_20200917

`�,j" Engineering & Surveying, Inc.
To: NCDENR
Winston-Salem Regional Office- Water Quality Sec.
450 W. Han6s Mill Rd, Suite 300
Winston-Salem, NC 27105
We are sending you:
LETTER OF TRANSMITTAL
Date: 5/21/2020 Job No: 1612-19
Attention:
Re: Westmoreland PI / Landing at Westmott
Fast Track
® Attached ❑ Under separate cover via: the following items:
❑ Plans ❑ Diskette(s) ❑ For Approval [D For Review ❑ Specifications
® Other: applications
Quantity
Dw . No.
Description
Status
1
Fast Track application package
H
1
$480 check #9398
H
Status Code: A. Approved D. Rejected -See Remarks G Approved - As noted
B. Sign and Return E. For your information H. As Requested
C. Amend and Resubmit F. Refer to Remarks I. Review and Comment
Remarks:
Please find attached the Fast Track sewer application packages for the public and the private systems
for the above project.
PLEASE LET ME KNOW IF YOU NEED ANYTHING FURTHER, OR HAVE ANY QUESTIONS.
THANK YOU
NC Department of
Environmental Quality
Received
SEP 17 2020
Winston-Salem
Regional Office
J im Lauer
Tim Lauer
CPT Engineering and Surveying, Inc.
4400 Tyning Street • High Point, NC 27265 Phone: [phone] • Fax: [phone]
www.0tengincering.co

Engineering & Surveying, Inc.
September 16, 2020
North Carolina Department of Environment and Natural Resources
NC Department of
Environmental
Water Quality Section
ReceivtlQuality
450 West Hanes Mill Road, Suite 300
Winston-Salem, N.C. 27105
SEP 17 2020
1 Winston-Salem
Re: Fast -Track Application (FTA 04-16)
Regional Office
For: Rich Fork Heights , Private Sewer System Extension
Forsyth County, High Point, NC
On behalf True Homes, LLC , we are submitting herewith for your review and approval the following
documents relative to the above referenced project:
- (1) Fast -Tract Application packages
- (1) Flow Tracking / Acceptance form and letter
- (1) Check in the amount of $480.00
Specifications for this project will be per the City of High Point standards and specifications. We respectfully request
your review and approval of these items. If you have any questions or need any additional information, please give
me a call.
Thank you for your assistance with this matter.
Sincerely,
CPT Engineering and Surveying, Inc
Jim Lau"
Tim Lauer
Enclosures
4400 Tyning Street • High Point, NC 27265 Phone: [phone] • Fax: [phone]
www.otengineering.co

Public Services Department
Terry L. Houk
DIRECTOR
NORTH CAROLINeS S INTERNATIONAL CITY'
September 9, 2020
NCDENR
Winston-Salem Regional Office
450 W. Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
Project: Rich Fork Heights
Private Sewer
Applicant: True Homes, LLC
Monroe, NC
Dear Sir or Madam:
notaEv lnmenl QualityDepartment
Received
SEP 17 2020
Winston-Salem
Regional office
This is to acknowledge that the City of High Point will accept for treatment in the Westside
Wastewater Treatment Plant (Permit #NC 0024228), wastewater flow from the above referenced
project in the amount of 18,630 GPD, which will be discharged to facilities operated and
maintained by the City of High Point.
If further information is needed, please let me know.
Very truly yours,
4,
Terry L. uk
Director of Public Services
TLH/tab
City of High Point, P.O. Box 230, 211 South Hamilton Street, High Point, NC 27261 USA
Fax:[phone] Phone:[phone] TDD:336.883.8517

State of North Carolina
Department of Environmental Quality
M Division of Water Resources
�I 0,
3
Flow Tracking for Sewer Extension Applications
Divl'ion of Water (FTSE 10-18)
Application Number: 2020-154
Entity Requesting Allocation: True Homes LLC
Project Name for which flow is being requested: Rich Fork Heights
More than one FTSE ntay be regnh•ed for a single project iT the owner of the WWTP is not responsible for all pump
stations along (lie route of the proposed lvasteivater jlow.
I, Complete this section only if you are the owner of the wastewater treatment plant,
a. WWTP Facility name; Westside WWTP
b. WWTP Facility Permit #; NC-0024228
i1!lJloWs are inMGD-
c, WWTP facility permitted flow: 8.2000
d. Estimated obligated flow not yet tributary to the WWTP: 0.0639
e. WWTP facility's actual average flow: 3.1638
f. Total flow for this specific request: 0,0186
g, Total actual and obligated flows to the facility: 3.2464
h. Percent of permitted flow used: 39,59%
U. 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)
(B)=(A-D)
Pump
Pump
Finn
Design
ApproK
Obligated,
Total Current
Available
Station
Station
Capacityi
Average
Current
Not Yet
Flow Plus
Capaoity3
(Nome or
Permit
Daily Flow'
Avg, Daily
Tributary
Obligated
Number)
Number
(pimi/pf),
Flow,
Daily Flow,
Flow
MGD
MGD
AIGD
AIGD
MGD
MGD
Wes6ide WWTP
NICOO24228
8.2994
a W94
3.1639
0,,009
2.2218
4.9719
0 MR
MN/A WIA
MA MN/A MN/A VIA
#MA MN/A MNIA MIA
#N/A MA *VA MN/A MA MIA
#N/A #N/A MA MA #NIA #NIA
• The Firm Capacity (design flaw) of any pump smlion is defined as the maximum pumped flow that
can be aebleved with the largest pump taken out ofservice,
•" Design Average Flow, is the firm capacity of the pump station divided by file peaking factor (pf) not
less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
xnn A Planning Assessment Addendum shall be attached for each pump station located bebveen the
project connection point and the WWTP where the Available Capacity is 50.
Downstream Facility Name (Sewer):
Downstream Permit Number:
MA
UNIA
MN/A
MN/A
MA
#N/A
"/A
MN/A
Page 1 of 6 FTSE 10-18

III. Certification Statement
I, Terry Houk 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 circmnstances, 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 addenduns for which I am the
responsible party. Signature of this form certifies that the receiving collection system or treatment works
has adequate capacity to transport and treat the proposed new wastewater.
Signing Official
PIA0C 57"WeES /3/A;rCrC'
Title of Signing Official
9/9/2020
Date
Page 2 of 6 FTSE 16-16

DWR
Division of Water Resources
I. APPLICANT
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number:
(to be completed by DWR)
All items must be completed or the application will be returned
1. Applicant's name: TRUE HOMES, LLC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ® General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: Jeffrey C. Guernler per 15A NCAC 02T .0106(b)
NC Department of
Title: - Operations Partner -Land Environmental Quality
4. Applicant's mailing address: 2649 BRECKONRIDGE DR Received
City: MONROE State: NC Zip: 28110 SEP 17 2020
5. Applicant's contact information:
• Winston-Salem
Phone number: 336) 451-6682 Email Address: iguemier(Rtrusehomesusa.com Regional office
II. PROJECT INFORMATION:
1. Project name: Rich Fork Heights
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: W000_ and issued date:
If new construction but part of a master plan, provide the existing permit number: W000_
3. County where project is located: Forsyth
4. Approximate Coordinates (Decimal Degrees): Latitude: 36.018578' Longitude:-80.056273'
5. Parcel ID (if applicable): 6882-87-3851, 6882-88-2913
(or Parcel ID to closest downstream sewer)
M. CONSULTANT INFORMATION:
1. Professional Engineer: Chuck Truby License Number: NC 14984
Firm: CPT Engineering and Surveying, Inc.
Mailing address: 4400 Tuning Street
City: High Point State: NC Zip: 27265
Phone number: 336) 812-8800 Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Westside Wastewater Plant Permit Number: NCO024228
Owner Name: City of High Point
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ_
System Wide Collection System Permit Number(s) (if applicable): WQCS_
OwnerName(s):
FORM: FTA 04-16 Page I of 5

VI.
GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes []No ®N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
® Yes ❑No ❑N/A
3. If the Applicant is a Home/Proyerty Owners' Association has an Onerational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
® Residential Owned
❑ Retail (stores, centers, malls)
❑ Car Wash
❑ Residential Leased
❑ Retail with food preparation/service
❑ Hotel and/or Motels
❑ School / preschool / day care
❑ Medical / dental / veterinary facilities
❑ Swimming Pool /Clubhouse
❑ Food and drink facilities
❑ Church
❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories
❑ Nursing Home
❑ Other (Explain in Attachment)
5. Nature of wastewater: 100% Domestic/Commercial _% Commercial
_ % Industrial (See 15A NCAC 02T .0103(20))
"Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow seduction been approved under 15A NCAC 02T .0114(f)? ® Yes []No
➢ If Yes provide a copy of flow reduction avuroval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f)
Daily Design Flow "'
No. of Units
Flow
Single Family 3-bedrooms
90 gpd/bedroom x 3 = 270 gpd
69
18,630 GPD
gat/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
18,630 GPD
a See 15A NCAC 02T 0114(b), (d), (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 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 18,630 GPD (per 15A NCAC 02T .0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

VH. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8"
1,725
D.I.P.
8"
2,866
SDR-26
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
3. Design flow of the pump station: _ millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): _ gallons per minute at _ feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliability in accordance with 15A NCAC 02T .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) ® Yes []No
0
1 5 A Mr A r' MT n1nitf) rnnraina minim„m crnarafinnc that shall he provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
24 inches
Water mains (vertical -water over sewer including in benched trenches)
18 inches
Water mains horizontal
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage
➢ If noncompliance with 02T 0305(f) or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with all setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No
➢ This would include Trout Buffered Streams per 15A NCAC 213.0202
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
FORM: FTA 04-16 Page 4 of 5

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).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 5 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pi
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents
for review. Approval of the request is reauired prior to submittal of the Fast Track Application and supporting
documents.
2. Professional Engineer's Certification:
I, Chuck Tmby attest that this application for
(Professional Engineer's name from Application Item III. I.)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best
of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain
portions of this submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this
material and have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date: .(1� CA%**,,,�
f�2SION.
. -7
Q 10. SEAL
Z h 14984
r
3. Applicant's Certification per 15A NCAC 02T .0106(b): S12,51'l ID
I.Jeffrey C. Guernier Operations Partner -Land _attest that this application for
(Signature Authority's name & title from Application Item I.3.)
Rich Fork Heights has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if
all required parts of this application are not completed and that if all required supporting documentation and attachments are
not included, this application package is subject to being returned as incomplete. I understand that any discharge of
wastewater from this non -discharge system to surface waters or the land will result in an immediate enforcement action that
may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water
Resources should a condition of this permit be violated. I also understand that if all required parts of this application package
are not completed and that if all required supporting information and attachments are not included, this application package
will be returned to me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature
Date:
FORM: FTA 04-16 Page 6 of 5

n LIMITED LIABILITY COMPANY ANNUAL REPORT
,r
IDIN17+
NAME OF LIMITED LIABILITY COMPANY: True Homes, LLC
SECRETARY OF STATE ID NUMBER: 1025497 STATE OF FORMATION: DE
REPORT FOR THE CALENDAR YEAR: 2019
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: Hinson Wesley S.
E - Filed Annual Report
1025497
2. SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
9 02:55
3. REGISTERED AGENT OFFICE STREET ADDRESS 8, COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
309 Post Office Drive
309 Post Office Drive
Indian Trail, NC 28079-7671 Union County Indian Trail, NC 28079-7671
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Construction
2. PRINCIPAL OFFICE PHONE NUMBER: [phone]
4. PRINCIPAL OFFICE STREET ADDRESS
3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
5. PRINCIPAL OFFICE MAILING ADDRESS
2649 Brekonridge Centre Drive 2649 Brekonridge Centre Drive
Monroe, NC 28110-5629 Monroe, NC 28110-5629
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME: David Cuthbertson
NAME: Mark Boyce NAME: Daniel Horner
TITLE: Member TITLE: Member
ADDRESS:
ADDRESS:
TITLE: Member
ADDRESS:
2649 Brekonridge Centre Drive 2649 Brekonridge Centre Dr. 2649 Brekonridge Centre Dr.
Monroe, NC 28110
Monroe, NC 28110
Monroe, NC 28110
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
David Cuthbertson
SIGNATURE
Form must be signed by a Company Official listed under Section C of This form.
4/15/2019
DATE
David Cuthbertson Member
Print or Type Name of Company Official Print or Type Ttlle of Company Official
This Annual Report has been filed electronically.
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525

FU-s U965 aW MAPS PROP05M SANITARY 5EYER
K ZKMVILLE, NG p-- x —® EX15TIM SANITARY SEVER
2019
EN&INEERINS AND SURVEYING, INC.
LAND DEVELOPMENT CONSULTING
NGBEI.S.FIRM LIGEP5E N0. fil3'I5
4400 TYNING 5TREET
HIGH POINT, NORTH CAROLINA 21265
PHONE, 056) 512-5500 — FAX. 05b) 6I2-5160
Rich Fork Heights
U565 QUAD MAP
HI6Ff POINT, NO
5GALE: I" = 400'

EN6INMRIN& AND SMVEYIN6, INC. Rich Pork Holghts
LAND DEVELOPMENT CONSULTING
Ncee.s Flew ucersE No. o-1315 STREET MAP
4400 TYNING STREET 1-116H POINT, NO
HIGH POINT, NORTH GAROLINA 2-1265
PHONE: (39(g) 512-8500 - FAX: (336) 8I2-6150 5GALE' I" ` 1000'

STATE OF NORTH CAROLINA
COUNTY OF
Permit No.
DEVELOPER'S OPERATIONAL AGREEMENT
This AGREEMENT made pursuant to G.S. 143-215.1 (dI) 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
, a corporation/general partnership registered/licensed to do
business in the State of North Carolina, hereinafter known as theDEVELOPER.
WITNESSETH:
1. The DEVELOPER is the owner of the certain lands lying in Fo 2, 5 YIN County, upon
which it is erecting and will erect dwelling units and other improvements, said development to be known
as f-i r- W FarLk P L--'I rz UT'S (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, (neremaner
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 andrepair.
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 interesttherein.
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 andlaw.
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 Resources 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 andDeclaration.
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.
FORM: DEV 03-19 Page 1 of 2

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 yearlybudget.
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 mayrequire 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 apermit.
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
MANAGEMENT COMMISSION
S. Daniel Smith
Director, Division of Water Resources
(Date)
�2w-e-
NameofDEVELOPER
(Si � �4e) r7 �L�kildNS
Print Name and Title
P -za-iA
(Date)
FORM: DEV 03-19 Page 2 of 2

NARRATIVE
FOR
Rich Fork Heights (Phase 1)
PUBLIC SANITARY SEWER EXTENSION
FORSYTH COUNTY
HIGH POINT, NORTH CAROLINA
September 16, 2020
OWNER
City of High Point
DEVELOPER:
True Homes, LLC
Contact: Jeff Guernier
2649 Breckonridge Dr
Monroe, North Carolina 28110
[phone]
CPT En2ineerin2 and Surveyin2. Inc.
4400 Tyning Street High Point, NC 27265
Phone [phone] • Fax [phone]

Rich Fork Heights (Phase 1):
Public Sanitary Sewer Extension
PROJECT DESCRIPTION
The project is located on an approximately 40.9 acre tract at 4024 N Main St in The City
of High Point, Forsyth County, NC. The purpose of the project is to construct 69 single
family lots with associated public streets and private utilities. The proposed water and
sewer extensions will be privately owned and maintained systems, upon certification the
systems will be transferred to the public for ownership and maintenance. The Proposed
private sanitary sewer extension will consist of 8" Gravity Sewer lines. The allocation is
based on a flow rate of 90 gallons per day per bedroom (based on all home being 3
bedroom) for a total flow allocation of 18,630 GPD.
SITE DESCRIPTION
The site consists of 40.9 acres more or less, site is vacant.
ADJACENT PROPERTY
Land use in the vicinity is single family residential, with some commercial uses. The site
fronts along N Main St, Delray Ave and Interstate-74.
SOILS INFORMATION
Per the USDA, NRCS the soils in the project area are mapped as
ChA-Chewacla loam, 0 to 2 percent slopes, frequently flooded
EnB-Enon fine sandy loam, 2 to 6 percent slopes
EnC-Enon fine sandy loam, 6 to 10 percent slopes
MeB-Mecklenburg loam, dark surface, 2 to 6 percent slopes
PcC2-Pacolet clay loam, 6 to 10 percent slopes, moderately eroded
VaB-Vance sandy loam, 2 to 6 percent slopes
WpF-Wilkes-Poindexter-Wynott complex, 15 to 45 percent slopes