WQ0041983_Application (FTSE)_20200922

LandDesign T a nsmHo 1 a'
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PR0,JEt; F 1018479 5301 NORTH TRYON DATE 8/17/2020
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1018479
MOORESViLLEEREGI NAL OFFICE
S' -UlE C ' 5301 N Tryon Fast Track Sewer l RANSkU TTAL ID 00006
For your use VIA: Courier
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PHONE
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Matthew Grigsby [e-mail]
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Barry Love ' I
NCDENR -
610 E Center Ave #301
Mooresville Regional ! [e-mail]
Mooresville NC 28115 I
707-663-1699
Office
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United States �j
Ni-tip '�u Barry - Please find enclosed the complete application for 5301
North Tryon
Fast Track Private Sewer. Please let me know if i need to provide anything
else.
Your help is much appreciated,
Matthew Grigsby, PE"
[e-mail]
_
n

DocuSign Envelope ID: 2FB12089-C375-4C17-981B-78A082BFDE5E
LandDeskn.
CREATING PLACES
THAT MATTER.
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February 12, 2020
ENGINEER'S REPORT
Project: 5301 N Tryon St
LDI Project No: 1018479
Project Engineer: Matthew Grigsby, PE
SEWER SYSTEM APPLICANT/DEVELOPER:
The NRP Group LLC
550 N Reo St #107
Tampa, FL 33609
L11*163 ZI2-iGI.A
5301 N Tryon is an 8.1 acre property located North of N Tryon St. The property is zoned UR-2 and will
consist of 180 units total, split evenly amongst three separate multifamily structures. All will be discharging
sewer to the private system. We are proposing the installation of approximately 784 LF 6" PVC sewer to
make up the private system. Flows from the project will be sent to the Sugar Creek Wastewater Treatment
Plant (NPDES permit number NC0024937.)
SEWER SYSTEM IMPROVEMENTS:
The approved demand for this project will be approximately 27,000 gallons per day per CLT Water flow
acceptance letter #20194401 for 200 multifamily units at 135 gallons per day/unit. New mains are expected
to have a minimum 50-year service life. The system will be constructed by the Developer per Charlotte
Water Standards and Specifications and services will be billed by the City of Charlotte in accordance with
their standard rate schedule.
LANDDESIGN.COM
223 N. GRAHAM STREET • CHARLOTTE, NC 28202 • 704.333,0325
CHARLOTTE - WASHINGTON D.C. DALLAS • ORLANDO - SAN FRANCISCO • BOULDER

DocuSign Envelope ID: 2FB12089-C375-4C17-981B-78A082BFDE5E
State of North Carolina
Department of Environmental Quality
tDivision of Water Resources
15A NCAC 02TI FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources
i4111ii?)�SQI ISM: FTA 04-16 & SUPPORTING DOCUMENTATION
This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of 15A NCAC 02T and the Division's
Minimum Design Criteria and that plans, specifications and supporting documents have been prepared in accordance with, 15A
NCAC 02T, 15A NCAC 02T .0300, Division policies and good engineering practices.
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design
documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design
calculations, and project specifications referenced in 15A NCAC 02T .0305 and the applicable minimum design criteria. These
documents shall be available upon request by the Division.
Projects that are deemed permitted (do not require a permit from the Division) are explained in 15A NCAC 02T.0303.
Projects not eligible for review via the fast track process (must be submitted for full technical review):
➢ Projects that require an environmental assessment in accordance with 15A NCAC 1 C .0100;
➢ Projects that do not meet any part of the minimum design criteria (MDC) document;
➢ Projects that involve a variance from the requirements of 15A NCAC 2T;
➢ Pressure sewer systems utilizing septic tank -effluent pumps (STEPs) or simplex grinder pumps;
➢ STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains);
➢ Vacuum sewer systems.
General — When submitting an application, 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 requested additional information. Failure to submit all required items will necessitate additional
processing and review time, and may result in return of the application. Unless otherwise noted, the Applicant shall submit
one original and one copy of the application and supporting documentation.
A. One Original and One Copy of Application and Supporting Documents
® Required unless otherwise noted
B. Cover Letter (Required for All Application Packages):
® List all items included in the application package, as well as a brief description of the requested permitting action.
➢ Be specific as to the system type, number of homes served, flow allocation required, etc.
➢ If necessary for clarity, include attachments to the application form.
C. Application Fee (All New and Major Modification Application Packages):
® Submit a check or money order in the amount of $480.00 dated within 90 days of application submittal.
➢ Payable to North Carolina Department of Environmental Quality (NCDEQ)
D. Fast Track (Form: FTA 04-16) Application (Required for All Application Packages):
® Submit the completed and appropriately executed application.
➢ If necessary for clarity or due to space restrictions, attachments to the application may be made.
® If the Applicant Type in Item I.2 is a corporation or company, provide documentation it is registered for business with
the North Carolina Secretary of State.
El If the Applicant Type in Item I.2 is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of
Deeds in the county of business.
® The Project Name in Item II.1 shall be consistent with the project name on the flow acceptance letters, agreements, etc.
® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North
Carolina licensed Professional En igineer.
® The Applicant's Certification on Page 5 of the application shall be signed in accordance with 15A NCAC 02T .0106(b).
Per 15A NCAC 02T .0106(c), 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).
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Pagel of 3

DocuSign Envelope ID: 2FB12089-C375-4C17-9816-78A082BFDE5E
E. Flow Tracking/Acceptance Form (Form: FTSE 04-16) (If Applicable):
® Submit the completed and executed FTSE form from the owners of the downstream sewers and treatment facility.
➢ Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different.
➢ The flow acceptance indicated in form FTSE must not expire prior to permit issuance and must be dated less than one
year prior to the application date.
➢ Submittal of this application and form FTSE indicates that owner has adequate capacity and will not violate G.S. 143-
215.67 a .
➢ Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific FTSE.
F. Site Maps (All Application Packages):
❑ Submit an 8.5-inch x 11-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project
area and closest surface waters.
➢ Location of the project (gravity sewer, pump stations & force main)
➢ Downstream connection points and permit number (if known) for the receiving sewer
❑ Include a street level map (aerial) showing general project area so that Division staff can easily locate it in the field.
G. 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., permit description, flow allocation, treatment facility, etc.).
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per 15A NCAC 02T .0305(h)(1), submit documentation of power reliability for pumping stations.
➢ This alternative is only available for average daily flows less than 15,000 gallons per day
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible
with the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or proposed
contractor, stating that "the portable power generation unit or portable, independently -powered pumping units, associated
appurtenances and personnel are available for distribution and operation of this pump 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. (Required at time of certification)
I. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0115(a)(1) provide the Certificate of Public Convenience and Necessity from the North Carolina
Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by
the sewer extension, or
❑ Provide a letter from the North Carolina 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.
J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (FORM HOAR.
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (FORM DE .
For more information, visit the Division's collection systems website
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 2 of 3

DocuSign Envelope ID: 2FB12089-C375-4C17-981B-78A082BFDE5E
THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS, 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,
Water Quality Section
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Favetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Section
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,
Water Quality Section
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,
Water Quality Section
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,
Water Quality Section
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
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Water Quality Section
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 3 of 3

DocuSign Envelope ID:2FB12089-C375-4C17-981B-78A082BFDE5E
f yr f f State of North Carolina
Department of Environmental Quality
0i. P 2 NOr Division of Water Resources
15A NCAC 02T 0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
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Division of Water Resources OPIOS FTA 04-16 & SUPPORTING DOCUMENTATION
V,00C {ItLLIx RECIlOfAAI, ORFRCL7
EIV�;iF�t�i�Ei�l3ii:i� ��
Application Number: C (to be completed by DWR)
U G 2 0 2021
All items must be completed or the application will be returned
W F10S
I. APPLICANT INFORMATION: MOORESVILLI� RL GONAL OFFICE
1. Applicant's name: North Tryon 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: Noam Magence per 15A NCAC 02T .0106(b)
Title: Authorized Representative
4. Applicant's mailing address: 1228 Euclid Ave, 4th Floor
City: Cleveland State: OH Zip: 44115-
5. Applicant's contact information:
Phone number: �6) 584-0992 Email Address: mzelenkofske(o,nrpgroup.com
II. PROJECT INFORMATION:
1. Project name: 5301 NORTH TRYON STREET MULTI -FAMILY
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Mecklenburg
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.260706' Longitude:-80.779267'
5. Parcel ID (if applicable): 08911111
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Matthew Grigsby License Number: 044372
Firm: LandDesi ng Inc.
Mailing address: 223 North Graham St
City: Charlotte State: NC Zip: 28202-
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Sugar Creek
Owner Name: City of Charlotte
Permit Number: NCO024937
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
FORM: FTA 04-16 Pagel of 5

DocuSign Envelope ID: 2FB12089-C375-4C17-981B-78A082BFDE5E
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/Property Owners' Association, has an Operational Agreement FORM: HOA) been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
® Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
_ % Industrial (See 15A NCAC 02T .0103(20))
Its there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(fl? ❑ Yes ®No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(fJ
Daily Design Flow a,b
No. of Units
Flow
Residential
135 gal/unit
200
27,000 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
:7T6ta17[
727,70007GP7D77
a See 15A NCAC 02T .0114(b) (d), (c)(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.0114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 27,000 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

DocuSign Envelope ID: 2FB1 2089-C375AC1 7-981 B-78A082BFDE5E
VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & 1VIDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
6 784.34 PVC
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: N/A
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: - °
3. Design flow of the pump station: millions gallons per day (firth 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

DocuSign Envelope ID: 2FB12089-C375-4C17-9816-78A082BFDE5E
IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(fJ&(g) ® Yes ❑ No
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below vertical
24 inches
Water mains vertical -water over sewer including in benched trenches
18 inches
Water mains horizontal
10 feet
Reclaimed water lines vertical - reclaimed over sewer
18 inches
Reclaimed water lines horizontal - reclaimed over sewer
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-1 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.0305ff) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpa Ye
➢ If noncompliance with 02T.0305(f) or Cal see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No ® N/A
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B ,0200? ❑ Yes ❑ No ® N/A
➢ This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes []No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ❑ No ® N/A
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

DocuSign Envelope ID: 2FB12089-C375-4C17-981B-78A082BFDE5E
X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC: 021, the WsLmum t %gn Cyr to ia_for the_Permittin ;g }'ump Stations
iL4d,Vorce l+ ALm. (Iatest versi_mf and the tirayity 5€ wer �Iinimurr I si =n Tiler a(latcstyersion) as applicable?
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents for
review. Approval of the request is required prior to submittal of the Fast Track ARplication and supporting documents.
2. Professional Engineer's Certification:
I, Matthew Grigsby _ ___-----attest that this application for
(Professional Engineer's name from Application Item III.1.)
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
3. Applicant's Certification per 15A NCAC 02T .0106(b):
Noam Magence, Authorized Representative
attest that this application for
(Signature Authority's name & title from Application Item 1.3.)
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 arc 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 141-215.6% 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.
DocuSigned by:
halt'- u' 7/9/2020
Signature: ^ _ 82oa0.5€BA7674D9... _ _- Date
FORM: FTA 04-16 Page 5 of 5

DocuSign Envelope ID: 2FB12089-C375-4C17-981B-78A082BFDE5E
August 6, 2019
Griselda Ruan
LandDesign, Inc.
223 North Graham Street
Charlotte, NC 28202
SUBJECT: WATER AND SEWER FLOW ACCEPTANCE
5301 NORTH TRYON STREET MULTI -FAMILY
5301 NORTH TRYON STREET, CHARLOTTE, NC
CLTWATER TRACKING# 20194401
After an analysis of the sanitary sewer associated with the proposed design of project, 20194401,
5301 NORTH TRYON STREET MULTI -FAMILY, it was determined that there is sufficient capacity
to accommodate the proposed sewer flow of 27,000 gallons per day (200 units x 135 gpd/unit) at
the connection point(s) indicated on the submitted utility plan for transmission to the Sugar Creek
Wastewater Treatment Plant; NPDES permit number NC0024937, for treatment. This acceptance of
flow is based upon the existing capacity of the designated publicly owned treatments works. Please
see attached NCDEQ-FTSE form.
Charlotte Water (CLTWater) agrees to furnish water to the subject project. The water quality to the
subject project is regulated by the State Drinking Water Act Amendments of 1986 and The Water
Supply Management Plan, PWS ID # 0160010 on file with the Public Water Supply Section of
NCDEQ. However, CLTWater cannot guarantee a constant pressure or quality of flow.
The applicant should understand that due to the involvement of other agencies and continuing
growth of the water system, the ability to provide service for future projects cannot be guaranteed
nor reserved. Connection to the CLTWater system is accepted on a first come, first served basis.
The applicant should understand that this letter is not authorization to construct or extend private
water or sewer systems, as the appropriate local or State permits are required prior to construction.
If the appropriate authorization to construct permits are not obtained construction has not started
within two (2) mars of issuance of this flow acceptance, and payment for any service connections
have not been received within two (2) years of issuance of this flow acceptance letter, this flow
acceptance approval shall be rescinded, and a new flow acceptance request must be made.
The CAP analysis performed determines available capacity within the existing public gravity sewer
system. The developer is responsible for any additional private or public sewer infrastructure
required to convey flow from the proposed development to the existing public gravity sewer.
If you have any questions, please do not hesitate to contact me at [phone].
Sincerely,
Guillermo Anzola
Engineering Assistant
Charlotte Water 5100 Brookshire Blvd, Charlotte, NC 28216 Charlottewater.org
Operated by the City of Charlotte

State of North Carolina
` ' Department of Environmental Quality
,, Division of Water Resources
Mil ' R, sVILLPE REGIONAL OF $
_ .� _ _ �. . z�_ stow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: LandDeSign
Project Name for which flow is being requested: 5301 N. Tryon Street Multi -Family
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: McAlpine Creek, Irwin Creek, Sugar Creek
b. WWTP Facility Permit #: NCo024970, NC0024945, NC0024937
All flows are in MGD
c. WWTP facility's permitted flow 99.00
d. Estimated obligated flow not yet tributary to the WWTP 13.744
e. WWTP facility's actual avg. flow 75.499
f. Total flow for this specific request 0.027
g. Total actual and obligated flows to the facility 89.24
h. Percent of permitted flow used 90.2
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A)
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Design
Obligated,
Pump
Pump
Average
Approx.
Not Yet
Total Current
Station
Station
Firm Daily Flow**
Current
Tributary
Flow Plus
(Name or
Permit
Capacity, * (Firm / p fl,
Avg. Daily
Daily Flow,
Obligated
Available
Number)
No.
MGD MGD
Flow, MGD
MGD
Flow
Capacity***
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Unknown
Downstream Permit Number: Unknown
Page 1 of 6
FTSE 10-18

III. Certification Statement:
, Keri Cantrea
certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the
receiving wastewater treatment facility and that the flow from this project is not anticipated to cause any
capacity related sanitary sewer overflows or overburden any downstream pump station en route to the
receiving treatment plant under normal circumstances, given the implementation of the planned
improvements identified in the planning assessment where applicable. This analysis has been performed
in accordance with local established policies and procedures using the best available data. This
certification applies to those items listed above in Sections I and II plus all attached planning assessment
addendums for which I am the responsible party. Signature of this form certifies that the receiving
collection system or treatment works has adequate capacity to transport and treat the proposed new
wastewater.
Signing Official Signature
Chief Engineer
Title of Signing Official
Date
Page 2 of 6
FTSE 10-18

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� PARRTA{� 4.
$�YDepartment of the Secretary of State
To all whom these presents shall come, Greetings:
I, Elaine F. Marshall, Secretary of State of the State of North Carolina, do hereby certify
the following and hereto attached to be a true copy of
1• 0 !
�D
the original of which was filed in this office on the 16th day of December, 2019.
IN WITNESS WHEREOF, I have hereunto set my
hand and affixed my official seal at the City of
Raleigh, this 16th day of December, 2019.
HER.
verify to Scan online.
c fy
Certification# C201935000617-1 Reference# C201935000617-1 Page: I of 3 Secretary of State
Verify this certificate online at littp://www.sosnc.gov/verification

State of North Carolina
Department of the Secretary of State
Limited Liability Company
ARTICLES OF ORGANIZATION
SOSID: 1927599
Date Filed: 12/16/2019 2:55:00 PM
Elaine F. Marshall
North Carolina Secretary of State
C2019 350 00617
Pursuant to §5713-2-20 of the General Statutes of North Carolina, the undersigned does hereby submit these Articles
of Organization for the purpose of forming a limited liability company.
1. The name of the limited liability company is: North Tryon Homes LLC
(See Item Iof the Instructions for appropriate entity designation)
2. The name and address of each person executing these articles of organization is as follows: (State whether each
person is executing these articles of organization in the capacity of a member, organizer or both by checking
all applicable boxes.) Note: This document must be signed by all persons listed.
Name Business Address Capacity
Noam Magence 1228 Euclid Avenue, 4th Floor, Cleveland, OH 44115 OMember QOrganizer
0
4.
5
31
❑Member ❑Organizer
❑Member ❑Organizer
The name of the initial registered agent is: _ (iY17t;1'cvkt�d syawl
The street address and county of the initial registered agent office of the limited liability company is:
Number and Street 'Go
-
U r~ U iZft
City IZCkt "
State: NC
Zip Code: Zr% lS County:
W a
Ke
The mailing address, if different from the street address, of the initial registered agent office is:
Number and Street
City
State: NC Zip Code: County:
Principal office information: (Select either a or b.)
a. ® The limited liability company has a principal office.
The principal office telephone number: 2164758900
The street address and county of the principal office of the limited liability company is:
Number and street: 1228 Euclid Avenue, 4th Floor
City: Cleveland
State:
OH Zip code: 44115 county: Cuyahoga
BUSINESS REGISTRATION DIVISION P.O. BOX 29622 Raleigh, NC 27626-0622
(Revised August. 2017) Form L-01

The mailing address, if different from the street address, of the principal office of the company is:
Number and Street:
City: State: Zip Code: County:
b. ❑ The limited liability company does not have a principal office.
7. Any other provisions which the limited liability company elects to include (e.g., the purpose of the entity) are
attached.
8. (Optional): Listing of Company Officials (See instructions on the importance of listing the company officials in the
creation document.
Name
Title
Business Address
J . David Teller
President
1228 Euclid Avenue, 4th Floor, Cleveland, OH 44115
Noam Magence
Secretary
1228 Euclid Avenue, 4th Floor, Cleveland, OH 44115
9. (Optional): Please provide a business e-mail addres Privacy Redaction
The Secretary of State's Office will e-mail the business a o cost when a
document is filed. The e-mail provided will not be viewable on the website. For more information on why this service is
offered, please see the instructions for this document.
10. These articles will be effective upon filing, unless a future date is specified:
This is the 16 day of December , 20 9s
North Tryon Homes LLC
L
Signature Organizer
Noam Magence,Secretary of North Tryon Homes LLC
Type or Print Name and Title
The below space to be used if more than one organizer or member is listed in Item #2 above.
Signature
Type and Print Name and Title
Signature
Type and Print Name and Title
NOTE:
1. Filing fee is $125. This document must be filed with the Secretary of State.
BUSINESS REGISTRATION DIVISION P.O. BOX 29622
(Revised August. 2017)
Raleigh, NC 27626-0622
Form L-01
Certification# C201935000617-1 Reference# C201935000617- Page: 3 of 3

�� 3�,��t+fit. { rr3i ; � s��?'�+fir"•:
Luckman, Debbie
From: Luckman, Debbie
3'1QF;c�*g
Sent: Thursday, August 20, 2020 11:14 AM M OO r , AIL f RKEGIONIAL O r1 -
To: [e-mail]
Subject: Fast Track application for 5301 N. Tryon Street Multi -family
Matthew;
We received the above mentioned fast track, however the FTSE 10-18 does not have a signature.
Please email this page to me as soon as possible. I will hold this until 9/3/20. If not received by then I will have to return
the package.
Thank you !
Debbie
z?mot 't 1 ' ( Z t _ er 1r v;Ce

Central Files: APS _ SWP _
9/22/2020
Permit Number WQ0041983
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
barry.love
Coastal SWRuIe
Permitted Flow
27,000
Facility
Facility Name
5301 North Tryon Street Multi -Family
Location Address
5301 N Tryon St
Charlotte NC 28202
Owner
Owner Name
North Tryon Homes LLC
Dates/Events
Permit Tracking Slip
Status
Project Type
Active
New Project
Version
Permit Classification
1.00
Individual
Permit Contact Affiliation
Major/Minor Region
Minor Mooresville
County
Mecklenburg
Facility Contact Affiliation
Owner Type
Non -Government
Owner Affiliation
Noam Magence
1228 Euclid Ave
Cleveland OH 44115
Scheduled
Orig Issue App Received Draft Initiated Issuance
Public Notice Issue Effective Expiration
9/22/2020 9/22/2020
9/22/2020 9/22/2020
Regulated Activities
Requested /Received Events
Apartment complex
Additional information requested
Wastewater collection
Additional information received
Outfall
Waterbody Name Streamindex Number Current Class Subbasin