wq0042379_Application (FTSE)_20210311

DWR
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resources ISA NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: % 41 DL L. (to be compleled by DWR)
All items must be cam leted or the a l3lication will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Flaashio Waterstone MOB LLC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation
El General Partnership ❑Privately -Owned Public Utility
❑ Federal ❑ State. County ❑ Municipal ❑ Other
3. Signature authority's name: Devereaux A -are
per ISA NCAC 02T .0106 b
T't1
e. EVP - Develoament
4. Applicant's mailing address: 2701 Colts ate Road Suite 300
City: Charlotte State: NC Zip: 28211-
5. Applicant's contact information:
Phone number: (74 442-0222 Email Address: dev fla shi h .com
11. PROJECT INFORMATION:
1. Project name: Waters :one M.O.B
t
2. Appiication.'Project status: ® Proposed (New Permit) ❑Existing Permit/Project
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If a modification, provide the existing permit number: WQoO and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00
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3. County where project is located: Orange
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4. Approximate Coordinates (Decimal Degrees): Latitude: 36.042572" Longitude:-79.098674`
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5. Parcel ID (if applicable): 9873�
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(or Parcel ID to closest downstream sewer)
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III. CONSULTANT INFORMATION:
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I. Professional Engineer: Preston 8. Ro ster License Number: 35003
Firm: Coulter Jewell Thames P.A.
Mailing address: 11 I West Main Street
City: Durham State.• NLC. Zip: L7701-
Phone number: 919) 682-0368 Email Address: proysteracitil
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Hillsborough Wastewater Treatment Plant Permit Number: NCO026433
Owner Name: Town of Hillsborough
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
L Permit Number(s): WQ2035025 Downstream (Receiving) Sewer Size: 8 inch
S stem Wide Collection System Permit Numb---' (if analicablel: WQCS0077
Owner Name(s): Town of Hillsborou h
FORM: FTA 04-16
Page I of 5

V1. GENERAL REQUIREMENTS TOWN OF HILLSBOROUGH WILL ASSUME OWNERSHIP AFTER COMPLETION
I. 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 Aereement IFORM: DEV) been attached?
[:]Yes []No ®NIA
3. If the Applicant is a Home Ironerty Owners' Association has an Operational A reement FORM: H A been attached?
[:]Yes []No ®NrA
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparationiservice
❑Hotel and/or Motels
❑ Schoo! / preschool /day care
® Medical / dental i veterinary facilities ❑ Swimming Pool,'Clubhouse
❑ Food and drink facilities ❑ Church
❑ Businesses / offices /factories El Swimming Pool/Filter Backwash
❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial 210 Commercial
% Industrial See 15A NCAC 02T.0103 20
�Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A N AC 02T.01 I4 ? [:]Yes ❑ No
If es rovide a coBY of flow reduction approval letter
Summarize wastewater generated by project:
Establishment Type (see 02T.0I 14(fl) Daily Design Flow "-b
Medical 250 gal/Day
gall
gall
gal/
gay
gall
No. of Units
13
Flow
3,250 GPD
GPD
GPD
GPD
GPD
GPD
Total
3,250 GPD
a See ISA NCAC 02T 0114fb1 r,�llelll, and Ae2 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: 3.250 GPD (per I A 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

VI1. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T.0305 & MD. C (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 211 PVC
Section I1 & 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
VI11. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .03�5 & MDC Pum Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I. 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 I SA NCAC 02T .0305 h 1 :
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B)-
i 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):
7 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

SETBACKS & SEPARATIONS — (02B .0200 & I5A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305 &
➢ 15A NCAC 02T.03051e1 contains alternatives where separations in 02T.0305(t) cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC Surface Water Cla sificati n webpage
➢ If noncompliance with 02T.0305 or see Section X of this application
Yes
El No
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes
➢ See the Division's draft separation requirements for situations where separation cannot be meet El No ❑ N: A
➢ 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 .020 ? ® Yes ❑ No ❑ MA
➢ This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project require coveragelauthorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
i 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

x CERTI1171CATIONs:
Does the submitted system comply with 15A NCAC Qom, the
Bad Force Mains,[latest venionl and the G .0wria for the Permitting
applicable?
® Yes ❑ No
IfNa. complete and submit the Variance/Altemative Design Request application (VADC 10-14) and supporting documents for
review' r f t T
tr
professional Engineer's Certification:
!, A� Srn+�D si-aE tZ
(Professional Engineer's name from Application Item 111.1.) �attest this application for
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. I fbnher ottest 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 Sewer (West version), and the an
Design Criteds 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 —1n accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false atatentertt, representation, or certification in any application package sh it be guilty of a Class sdemeanor, which may
Include a find not to exceed 510.000. as well as civil penalties up to 525,000 per violation `s t t ► i 1 11/j
North Carolina Professional Engineer's Seal si rtstu and date: ���� v� a re, Q-,. S S'
SE L.
350 3 -�
407
11ON B.Rt����
3. Applioan('s Certification per 15A NCAC 02T 0106(b):
name & title from Application Item I.3.} attest that this application for
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 chat If all required supporting documentation and attachments are not Included, this
application package is subject to being returned as incomplete. I undernaatd 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, andlor criminal prosecution. I will make no clelm against the Division of Water Resources should a condition
of this permit be violated. I also understand that if all requited parts of this application package are not completed and that if
all required supporting Infornation and attachments are not included, this application package will be returned to me as
incomplete.
NOTE — In accordance with General Statutes-213.6A and jot2 B. any person who knowingly males 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.
le -
Signature: Dais: d'
FORM: FTA 04-16
Page 5 of

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: SFL 11 Waterstone, LLC
Project Name for which flow is being requested: Waterstone M.O.B.
More than one FTSE maybe required for a single project if the owner of the WWTP is not responsible jar all pump
stations along the route of the proposed wastewater flow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Town of Hillsborough WWTP
b. WWTP Facility Permit #: NC0026433 D
c. WWTP facility's permitted flow 3.0
11,f�'ows are in MGD NArof�n1liro
d. Estimated obligated flow not yet tributary to the WWTP .4450 n�ehta!
Pu
e. WWTP facility's actual avg. flow 1.095 % J
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
.00331.
153 4 S a/ or
1
oe
11. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
Pump Pump
Station Station
(Name or Permit
Number) No.
E. Brady W 0035536
(A)
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Design
Average
Approx.
Obligated,
Daily
Current
Not Yet
Total Current
Firm
Flow**
Avg. Daily
Tributary
FIow Plus
Capacity, *
(Firm / pt),
Flow,
Daily Flow,
Obligated
Available
MGD
MGD
MGD
MGD
Flow
Capacity'**
1.584
.634
.419
.186
.605
.029
* 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
(pi) 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):
Downstream Permit Number:
Page 1 of 6
FTSE 10-18

III. Certification Statement:
I K. Marie Strandwitz 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 Cl Date
Utilities Director
Title of Signing Official
Page 2 of 6
FTSE 10-18

PROJECT NARRATIVE
Waterstone M.O.B.
March 30, 2021
The Waterstone Medical Office Building project is located on the east side of Old NC 86, north
of Waterstone Drive within the Town of Hillsborough in Orange County. The project involves
the construction of medical office building and the associated parking and utilities. Utility
construction includes the construction of a new sewer main to serve the proposed building. The
project site is currently zoned Entryway Special use.
Based on the 2T rules, the anticipated design sewage flow has been calculated to be 3,250
gal lons/day.
There is an existing public gravity main south of the project site. The proposed improvements
for this project include the construction of approximately 21 1 ft of new 8" gravity public sewer
main and the service line for the proposed building.

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'DWRState of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRUCTIONS FOR FORM: 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
NC�,15A NCAC 02T .0300, Division policies and ood eneineerine 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 I5A 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 I 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.
NC Dept of Environmental Quality
MAR 11 2021
Raleigh Regional Office
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.
• If the Applicant Type in Item I.2 is a partnership or d/bla, enclose a copy of the certificate fled with the Register of
Deeds in the county of business.
® The Project Name in Item 11.1 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 Iicensed Professional Engineer.
® 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

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.
S 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 .S. 143-
221�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 1 1-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)
Z 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 Feld.
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 I 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/Pro a Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement FORM: HOA .
❑ 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 I5A NCAC 02T .0115(b), submit the properly executed Operational Agreement FORM: DEV .
For more information, visit the Division's collection systems website
INSTRUCTIONS FOR FORM: FTA 04-16 & SUPPORTING DOCUMENTATION Page 2 of 3

Robinson, Jason
From;
Preston Royster <[e-mail]>
Sent:
Tuesday, March 30, 2021 1:00 PM
To:
Robinson, Jason
Cc:
Vinson, Scott; Deck, Erin M; Cashion, Ted; Manuel, Vanessa; Marie Strandwitz;
[e-mail]; [e-mail]
Subject:
[External] RE: RE: NOV-2021-CV-0005
Attachments:
Narrative - Waterstone MOB.pdf
ICAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Thanks Jason. That is really great news on the timing of the permit. Please see my responses to the outstanding items
in red below. If you have any questions or need anything else, just let me know. Thanks again.
Dev and Marie,
Could you provide a letter stating that the intent is for the sewer to be constructed by the LLC and to be turned over to
the Town?
If you have any questions or need anything else, just let me know. Thanks.
Preston Royster, PE
CJTpa
111 West Main Street
Durham, NC 27701
phone: [phone]
mobile: [phone]
fax: [phone]
From: Robinson, Jason <[e-mail]>
Sent: Tuesday, March 30, 2021 12:48 PM
To: Preston Royster < ro ster cot a.com>
Cc: Vinson, Scott <[e-mail]>; Deck, Erin M <[e-mail]>; Cashion, Ted
<ted.cashion ncdenr. ov>; Manuel, Vanessa <vanessa.manuelfcDncdenr.eov>; Marie Strandwitz
<marie.strandwitz hillsborou hnc. ov>; [e-mail]
Subject: RE: RE: NOV-2021-CV-0005
HI Preston,
Yes, we received the response.
We haven't had a chance to meet to talk about the response and any further action we may take.
But with that said, we understand the urgency of the permit. We'll see if we can get it issued this week or early next
week.
I just did a brief review of the application and have the following comments/questions:
1. Section IX. was not completed. Please let me know which box to check, and i will do it.

I believe you're referring to #1 in this section? if so, "yes" should be checked as we meet all of the
setback/separation requirements for this project. / apologize for the oversight on this.
I don't see a Cover Letter/Narrative that briefly describes the project, as required in Instruction B of the
application. We'll need that.
Please see the attached narrative describing the project. Please let me know if you need anything else or have
any questions on this.
3. The application notes that the permit will be transferred from the LLC to the Town of Hillsborough. We'll need a
letter signed by a representative of both the LLC and the Town, and we'll have to reissue the permit (or an
addendum to the permit) for the change of ownership.
Noted. I've requested the letters above.
Thanks,
Jason
------------
Jason T. Robinson, P.E.
Raleigh Regional Office
Water Quality Regional Operations
NC Division of Water Resources, DEQ
919-791-4200
"Subscribe to Collection System & Sewer Permitting Updates"
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted operations to protect the health and safety of the staff and public. Many employees are working remotely or
are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are limiting public access to
appointments only. Please check with the appropriate staff before visiting our offices, as we may be able to handle your
requests by phone or email. We appreciate your patience as we continue to serve the public during this challenging
time.
From: Preston Royster [mailto:[e-mail]
Sent: Tuesday, March 30, 20219:25 AM
To: Robinson, Jason <iason.t.robinson@ncdenr,gov>
Cc: Vinson, Scott <[e-mail]>; Deck, Erin M <[e-mail]>; Cashion, Ted
<ted.cashion{a ncdenr,Rov>; vanessa.manual ncdenr.gov; Marie Strandwitz<[e-mail]>
Subject: [External] RE: NOV-2021-CV-0005
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report_Spam.
Jason,
I hope you had a good weekend.
I just wanted to touch base with you on this. Did you receive the hard copy of the response to the NOV? Can you let us
know when you may be able to make a determination on this?

Also, please see the attached as-builts for the installed sewer. Can we go ahead and send hard copies of these (along
with the certification) over to you so that hopefully the acknowledgement of receipt could be issued concurrently with
the sewer permit to allow the line to be put in service as soon as possible.
Last, as we've discussed, this medical office will be administer Covid tests and vaccines. Given this, would it receive
priority with regards to the permit review given the pandemic?
If you have any questions or need anything else, just let me know. Again 1 apologize that the permit was missed. That's
on us, and we're doing what we can to address this. Thanks again for your help.
Preston Royster, PE
CJTpa
111 West Main Street
Durham, NC 27701
phone: [phone]
mobile. [phone]
fax. [phone]
From: Dev Gregg <[e-mail]>
Sent: Friday, March 26, 2021 3:41 PM
To: Robinson, Jason <iason.t.robinson ncdenr_eov>
Cc: Vinson, Scott <[e-mail]>; Deck, Erin M <[e-mail]>; Cashion, Ted
<[e-mail]>; vanessa.manual ncdenr. ov• Marie Strandwitz<[e-mail]>;
Preston Royster <[e-mail]>; Thorn Baccich <thorn Afla gshi ph .com>; Garrett Benge
<garrett@flags hipho.com>
Subject: NOV-2021-CV-0005
Mr. Robinson,
Enclosed is a copy of our response to the NOV we received.
Original going out via overnight mail today. Thank you for your consideration.
Dev Gregg
DEV GREGG
Executive Vice President, Development
Flagship Healthcare Properties, LLC
2701 Coltsgate Road, Suite 300
Charlotte, North Carolina 28211
Office 704-442-0222
Direct 704-749-7270
Mobile [phone]
www,Fla shi HP.com

319/2D21
North Carolina Secretary of state Search Results
• File an Annual Report/Amend an Annual Report * Upload a PDF Filing - Order a Document Online -
Add Entity to My Email Notification List - View Filings - Print a Pre -Populated Annual Report form - Print
an Amended a Annual Report form
Limited Liability Company
Legal Name
Flagship Waterstone MOB, LLC
Information
Sosld: 1913164
Status: Current -Active 4
Date Formed: 11/4/2019
Citizenship: Domestic
Annual Report Due Date: April 15th
Currentgnnual Report Status:
Registered Agent: Edge, J Brannen, III
Addresses
Mailing
2701 Coltsgate Road Suite 300
Charlotte, NC 28211
Reg Office
2701 Coltsgate Road Suite 300
Charlotte, NC 28211
Company Officials
Principal Office
2701 Coltsgate Road Suite 300
Charlotte, NC 28211
Reg Mailing
2701 Coltsgate Road Suite 300
Charlotte, NC 28211
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Chief Executive Officer
William Charles Campbell
2701 Coltsgate Rd Ste 300
Charlotte NC 28211
President
James Brannen Edge , III
2701 Coltsgate Rd. Ste 300
Charlotte NC 28211
Secretary
Devereaux Gregg
2701 Coltsgate Rd. Ste. 300
Charlotte NC 28211
https:l/www.sosnc.gov/online_serviceslsearchlBusiness Registration_Results 1I1

CJT, PA
ENGINEERING LAND SURVEYING LANDSCAPE ARCHITECTURE
LETTER OF TRANSMITTAL
Date: 3/9/2021
To: NCDWR
Attn: Water Quall!y Section
1628 Mail Service Center
Raleigh, NC 27699
WE TRANSMIT TO YOU HEREWITH:
# Cgoies
2
1
2
2
2
Remarks:
Sheet No.
Date
Project: Waterstone MOB
Job # 1919
Description
Sewer system extension application
$480 review fee check
Flow trackin lacce tance form
Site maps
Construction Plans
Request fora private sewer ermit that will tie into the Town of Hillsborough public sewer.
The ermit is for a Medical office buildin
The estimate daily flow is 3,250 GPD. A flow a tance letter has been rovided b
Town of Hillsborough
Copies To:
Daniel A. Jewell, ASLA. RLA
Jeffrey P. Williams, PLS
ifr+6114: Kevin Burke
Main Office: 111 West Main Street. Durham. NC 27701
Phone: [phone] Fax: [phone]
Email: andrew,00 r __cltoa.com
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