WQ0038650_Regional Office Historical File Pre 2018

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Water Resources
Et4VtRONNIEMTAL,
August 8, 2016
Mr. Don Potter, Vice President
ICEBREAKER, LLC
901 Wabash Ave, Suite 300
Terre Haute, INT 47807
PAT MC:CRORY
DONALD 11_ VAN DER VAART
5c(reow:v,
S. JAY
ERMAN
Subject; Permit Permit No, WQ0038650
ICEBREAKER, LLC
Concord Mills at Christenbury Phase 2
Wastewater Collection System Extension Permit
Cabarrus County
Dear Mr. Tynes:
In accordance with your application received August 4, 2016, we are forwarding herewith Permit No.
WQ0038650 dated August 8, 2016 to ICEBREAKER, LLC (Petrnittee) for the construction and operation
upon certification of the subject wastewater collection system extension. This permit shall be effective
from the date of issuance until rescinded and shall be subject to the conditions and limitations as specified
therein. This cover letter shall be considered a part of this permit and is therefore incorporated therein by
reference.
Please pay particular attention to the following conditions contained within this permit:
Condition HA: This permit shall not be automatically transferable; a request must be made and approved.
Condition 11,4: Requires that the wastewater collection facilities be properly operated and maintained in
accordance with 15A NCAC 2T .0403 or any individual system -wide collection system
permit issued to the Permittee.
It shall be the responsibility of the Perrnittee to ensure that the as -constructed project meets the appropriate
design criteria and rules. Failure to comply may result in penalties in accordance with North Carolina
General Statute §143-215,6A through §143-215.6C, construction of additional or replacement wastewater
collection facilities, andior referral of the North Carolina -licensed Professional Engineer to the licensing
board.
If any parts, requirements, or limitations contained in this pettnit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150B of North Carolina General
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are made, this permit shall be final and binding.
State of North Caro
Mooresville Regional
vironmental Quality Water Resources 1 Water Quality Regional Operations
e1610 East Center Avenue, Suite 3011Mooreaville, North Carolina 28115
704 663 1699

If you need additional informationconcerning tl'iis matter, p ease contact ri Tuvia at 70) 2 1 0 or
via e-mail at ri.tuvia d.cdcnr.ov
Sinccrcly,
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
Kate Underwood (E-copy)
Mooresville Regional Office Files
Water Resources Central Files
PERCS (&copy)
Page 2 of 8

Environmental
Quality.
STATE QF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General. Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
ICEBREAKER, LLC
Cabarrus County
for the construction and operation of approximately 630 linear feet of 8-inch .PVC and 20 linear feet
of 8-inch DIP gravity sewer; to serve 5 buildings of mixed commercial use as part of Concord
Mills at Christenbury Phase 2 , and the discharge of 11,426 gallons per day of collected wastewater
into the Water and Sewer Authority of Cabarrus County existing sewerage system, pursuant to the
application received August 4, 2016, and in conformity with 15A NCAC 2T; the Division's Gravity
Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the Division's Minimum
Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000,
as applicable; and other supporting data subsequently filed and approved by the Department of
Environment and Natural Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the specified
conditions and limitations contained therein.
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
By authority of the Environmental Management Commission
Permit Number: WQ0038650
Permit Issued: August 8, 2016
Page 3 of 8

SUPPLEMENT TO PERMIT COVER S-----14gHEET
ICEBREAKER, LLC is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension. The
sewage and wastewater collected by this system shall be treated in the Water and Sewer Authority of
Cabarrus County's Rocky River Regional Wastewater Treatment Facility in accordance with Permit
Number NC0036269.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as
applicable; and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations
and Force Mains adopted June 1,, 2000, as applicable, unless specifically mentioned herein. Division
approval is based on acceptance of the certification provided by a North Carolina -licensed Professional
Engineer in the application. It shall be the Permittee's responsibility to ensure that the as -constructed
project meets the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below,
. SPECIAL CONDITIONS
I) No flow in excess of the quantity permitted herein, 11,426 GPD, shall be made tributary to
the subject sewer system until an application for permit modification for an increase in flow
has been submitted to and approved by the Division. [15A NCAC 02T.0304 (b)]
II. STANDARD CONDITIONS
This permit is not transferable. In the event there is a desire for the wastewater collection facilities
to change ownership, or there is a name change of the Permittee, a formal permit request shall be
submitted to the Division accompanied by documentation from the parties involved, and other
supporting materials as may be appropriate. The approval of this request shall be considered on its
merits and may or may not be approved. [15A NCAC 02T.0104; G.S 143-215.1(d3)]
2. This pennit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer
Minimum Design Criteria adopted February 12, 1.996, as applicable; the Division's Minimum Design
Criteria for the Fast -Track Pennitting of Pump Stations and Force Mains adopted June 1, 2000, as
applicable; and other supporting materials unless specifically mentioned herein, [15A NCAC
02T.0110]
This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T .0110]
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Perrnittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required, the following performance criteria shall be met: [15A NCAC 02T .0108(b)]:
Page 4 of 8

a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or surface
water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An, operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e. 365
days per year). Pump stations that are connected to a telemetry system shall be inspected at least
once per week.
e. High -priority sewer lines shall be inspected at least once per every six months and inspections
documented.
g.
A general observation of the entire sewer system shall be conducted at least once per year.
Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by
North Carolina General Statute §143-215.1C.
h. A Grease Control Program is in place as follows:
For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2 For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph &necessary' to prevent grease -related sanitary sewer overflows,
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the map, which shall be maintained for the life of the system.
5, The Permittee shall report by telephone to a water resources staff member at the Mooresville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours
following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility
incapable of adequate wastewater transport, such as mechanical or electrical failures of
pumps, line blockage or breakage, etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
Page 5 of 8

Voice mail messages or faxed information is permissible, but this shall not be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part I of Form CS-SSO (or the most current Division approved form) within five days following first
knowledge of the occurrence. This report must outline the actions taken or proposed to be taken to
ensure that the problem does not recur, Part II of Form CS-SSO (or the most current Division
approved form) can also be completed to show that the SSO was beyond control, [G.S. 143-
215.1C(a1)]
6. Construction of the avity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7, Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification form attached to this permit shall be submitted with the required supporting
documents to the address provided on the form. A complete certification is one where the form is
fully executed and the supporting documents are provided as applicable. Any wastewater flow made
tributary to the wastewater collection system extension prior to completion of this Engineer's
Certification shall be considered a violation of the permit and shall subject the Penniuee to
appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted
with the certification.
A complete certification is one where the form is fully executed and the supporting documents
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
are
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
number/type of connections), regulations, or the Minimum Design Criteria. Requested modifications
Page 6 of 8

or variances to the Minimum Design Criteria will be reviewed on a case -by -case basis and each on
its own merit. Please note that variances to the Minimum Design Criteria should be requested and
approved during the permitting process prior to construction. After -construction requests are
discouraged by the Division and may not be approved, thus requiring replacement or repair prior to
certification & activation. [15A NCAC 02T .0116]
Gravity sewers installed greater than ten percent below the minimum required slope per the Division's
Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified until
corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a pennit modification with fee. Such variance requests will be evaluated
on a case -by -case basis. Resolution of such request shall be evident prior to completing and
submitting the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Pernnittee for the life
of the wastewater collection facilities. [15A NCAC 02T .0116]
10. Failure to abide by the conditions and limitations contained in this permit; 1SA NCAC 2T, the
Division's Gravity' Sewer Design Criteria adopted February 1.2, 1996, as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted
June 1, 2000, as applicable; and other supporting materials may subject the Perrnittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes § 1.43-215.6A
through § 143-215.6C, construction of additional. or replacement wastewater collection. facilities,
and/or referral of the North Carolina -licensed Professional Engineer to the licensing board. [15A
NCAC 02T .0104; 15A NCAC 02T .0108(b-c)]
11. in the event that the wastewater collection facilities fail to perform satisfactorily,„ including the
creation of nuisance conditions, the Pennittee shall take immediate corrective action, including those
as may be required by this Division, such as the construction of additional or replacement facilities.
['1 SA NCAC 02'T .0110; 1.5A NCAC 02T .0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal, State, of Local government agencies, [G.S. 143-215.1(b)]
Page 7 of 8

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: ICEBREAKER, LLC
PERMIT #: Vv'Q0038650
PROJECT: CONCORD MILLS AT CHRISTENBURY PHASE 2
ISSUE DATE: AUGUST 8, 2016
This project shall not be considered complete nor allowed to operate in accordance with standard
Condition 7 of this permit until the Division has received this Certification and all required supporting
documentation. It should be submitted in a manner that documents the Division's receipt. Send the
required documentation to the Regional. Supervisor, Water Quality Regional Operations Section at the
address noted in the page footer.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received by the Division. A Final Certification shall be a complete set of
record drawings and design calculations regardless of whether partials have been submitted.
PERMIr'rEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant to
the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain the
wastewater collection system permitted herein or portions thereof.
Printed Name, Title Signature
ENGINEER'S CERTIFICATION
Date
1, , as a duly registered Professional Eiineer in the State of North Carolina,
having been authorized to observe (0 periodically, ©'weekly, Li full time) the construction of the
project name and location as referenced above for the above Pernittee hereby state that, to the best of my
abilities, due care and diligence was used in the observation of the construction such that the construction.
was observed to be built within substantial compliance of this permit; 15A NCAC 02T; the Division of
Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as
applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000, as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
❑ Final
LI Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
NC DWR — Water Quality Regional Operations Section 610 East Center Avenue, Suite 301, Mooresville, NC 28115
Phone: [phone] FAX: [phone]
Mooresville Regional Office

Divislon of Water Resources
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: *•-..R 64.*.4) (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: ICEBREAKER Devebprnent. LLC (company, municipality, HOA, utility, etc.)
2, Applicant type: LJ Individual
Corporation D General Partnership El Privately -Owned Public Utility
Ej Federal Ej State/County D Municipal
3. Signature authority's name: Don Potter per 15A NCAC 02T .0106 b
Title: Vice President of Project Management
4. Applicant's mailing address: 901 W bash Ave., Suite 300
City: Terre Haute State: IN Zip: 47807-
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
II. PROJECT INFORMATION:
L Project name: Conc nb Ph 2
2, Application/Project status:
Ei Other
Proposed (New Permit) Ell 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: Cabarrus
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.3747' Longitude: -80.7324'
5. Parcel ID (if applicable): 4589-35-2884
(or Parcel ID to closest downstream sewer)
IIL CONSULTANT INFORMATION:
I. Professional Engineer: Kate Underwo Number: 033470
Firm: CESI
Mailing address: P.O. Box 268
City: Concord State: NC Zip: 28025-0268
Phone number: [phone] Email Address: kateunde d
.CO
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Rock River Waste Water Treatrnent Facility Permit Number: NC0036269
Owner Name: Water and Sewer Authority of Cabarrus County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1, Permit Number(s): WQ14-1007515 Downstream (Receiving) Sewer Size: 8 inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Narne(s): City of Concord
Page 1 of 5

. GENERAL REQUJREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
D Yes ON° N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
Ej Yes ON° N/A
3. If the Applicant is a Home/Property OwnersAssociation,has an Operational Agrment (FORM: I-10A) been attached?
Lj Yes DNo N/A
4. Origin of wastewater: (check all that apply):
D Residential Owned
El Residential Leased
D School / preschool / day care
Food and drink facilities
Businesses / offices / factories
Retail (stores, centers, malls)
Ej Retail with food preparation/service
E] Medical / dental / veterinary facilities
LI Church
LJ Nursing Home
LI Car Wash
El Hotel and/or Motels
Swimming Pool /Clubhouse
E] Swimming Pool/Filter Backwash
El Other (Explain in Attachment)
5. Nature ofwastewater: 100 % Domestic/Conunercial % Commercial
% Industrial (See I5A NCAC 02T ,0103(20))
Is there a Pretreatment Program in effect? El Yes No
6. Has a flow reduction been approved under 15A NCAC 02T .01 14:co? Ej Yes No
If yes. provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(1))
Retail
Grocery
Retail
Retail
Daily Design Flow
100 gal/1000 ft.^2 per day
130 ga1/1000 ftA2 per day
No. of Units
l00galll000 ftA2 per day
100 gal/1000 ft^2 per day
Flow
5610 GPD
3024 GPD
660 GPD
372 GPD
Retail
100 ga1/1000 ftA2 per day
gal/ -
1
Total
1760 GPD
GPD
11426 GPD
a See 15A NCAC 02T .01141b). (d), (e)(1) andly)12,) 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 021' .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: 11426 GPD (per 15A NCAC 02T „0114)
Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
Li 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: 14-1007515
t] Rehabilitation or replacement of existing sewer with no new flow expected
El Other (Explain):
FORM: FTA 04-16
Page 2 of 5

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
630
Material
PVC
20 DIP
> 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
VLJI 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 Purnp Station):
Size (inches)
Length (feet) 1 Material
6. Power reliability in accordance with I 5A NCAC 02T .0305(1)( 1):
El 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
LI 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

rr,
SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305in &
> 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
run(vertical
Water mains (vertical -water over sewer including in benched trenches)
Water mains (horizontal)
- reclaimed over sewe
horizontal - reclaimed over se
**My private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source ofdrinking water
**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)
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
Any building foundation
Any basement
Top slope of embankmentor e vertical height
Drainage systems and interceptor drains
Any swimming pools
Yes No
Separation Required
24 inches
18 inches
10 feet
18 inches
2 feet
100 feet
50 feet
10 feet
5 feet
10 feet
10 feet
5 feet
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 Classitications.welmage
> Ifnoneomp1iance 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)
> 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
Yes 0 No
3. Does the project comply with all setbacks found in the river basin rules per 15A NCAC 02B ,0200? Yes [1 No.
> This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? Yes 0 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)((}) (additional permits/certifications)? Yes Ej 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.
El Yes 4No
> 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: PTA 04-16 Page 4 of 5

CERTIFICATIONS:
Does the submitted system comply with 15A NICAC 02T, the Minimum Design Criteria for the Permitting of Pump_ S tations
and Force Mains (latest version and the. Gravity SewerMinimum Desim Criteria (latest version) as applicable?
E Yes
No
If No, complete and submit the Variance/Alternative .Design 7c • est application (VADC 10-14) and supporting documents
for revi oa1oftIiereuesjbreuirjjjjrosubiiiitta1 of the Fast Track AationandiortinI
documents.
Professional Engineer's Certification:
1, C411'ERWE CIAIDERtAbob
(Professional. Engineer's name from Application hem 111,1,)
an—
ftiat 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 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 143-215,6B, any person. who know.a7 y makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 mis emtor, which may
include a fine not to exceed 510,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T ,0106(b):
1, Don Potter, Vice President of Pro .ane_2ment attest that this application for
(Signature Authority's name & title from Application Item LI)
has been reviewed by me and is accurate and complete to the bestof my knowledge, I understand that if all required parts of
this application are not completedand 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., 1 will make no claim against the Division of Water Resources should a
condition of this permit be vioIued 1 also understand that if all required parts of this application package are not completed
and that if all required supporting information and attachments arc not included, this application package will be returned to
me as incomplete,
.NOTE 111 accordance with General Statutes 141,506L and 143-215,613, any person who knowingly makes any take
statement, representation, or certification in any application package shall be guilty of a ('lass 2 misdemeanor, which tnay
include a line not to exceed $10,000 as well as civil penalties up to $25,000 per violatiort
Signature:
Date: 07/13/2016
1ORM: 1t A 04-16 Page

DI
f Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow TrackingtAcceptance for Sewer Extension Permit Applications
(FTSE —01/14)
OVSACC USE OE)Concord Mills at Christenbury Phase Jrivate 8-1
Sewer Main
Section I, Name of wastewater treatment facility (WWTF) receiving wastewater,
Rocky River Wastewater Treatment Facility - Permit s4NC0036269
Muddy Creek Wastewater Treatment Facility Permit liNC 81621 5P%
WWTP facility:slermitted flow, MGD 26.500 -7,Z,
Estimated oblipted flow not yet tributary to the NA/WTP MGD I 890
WWTP facility's actual ay..er daily flow, MGD
1613(63.70% of permit)
Total flow for this specific request, MGD 0,000
Total actua) and obhsated flows to the facility, MGD
Percent of perrnirted flow used
18.770
70133%
Section II. Pump stations along the route from the Jurisdiction's connection point to the WWIP
Pump Station Firm Capat'
(Name or Numbtr) MGD
Design Average Daily Flow *' Approts Cktflent Oblipated Nat Yet Total Currant Flow ` Available
(Firrnipt) AvertatDcnohIGD ily Flow Tributary Daily Flow Phis Obligated Flow caoeeyricc
tle1GD m
MGD MCI)
y River PS 37000 4,800
389 1411
i * The Firm Capacity of arty pump Sill 648 is defined 68 laic Mt A tiosurn pumped flow that can tre achieved with taie largest pomp tairea out of ereice,.
.*.7sign Average Daily Flow is the firm CAtilleity el the pump station divided by se peaking factor mot less than LS,
`*.A Planning Assessment Addendum shalt be attached for each pumptatiom located between the project connection point and th
-D where Avaitab Capacity is.< 0,
Section III. WSACC Certification Statement:
1, .1, Thomas Hahn, PE, certify that, to the best of my knowledge, the addition of the volume ofwastewater to he
permitted in this project' has been evaluated along the route from the connection to the interceptor to the receiving
wastewater treatment facility; and the flow from this project is not anticipated to cause any capacity related sanitary sewer
overflows or overburden on any downstream pump station in 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 Section 1 and Section II phis all attached planning
assessmeni;addendurns for which, to the, best of my knowledge, will not adversely affect the downstream sewer capacity
Signature of this form indicates acceptance of this wastewater flow,
SACC "s Signing Official Signanire Dbie
Revision Ptak! 0,8109/11 3

State of North Carolina
Department of Environmental Quality
OlvlskIn of Water Resources Division of Water Resources
Flow Tracking for Sewer Extension Permit Applications
(FFSE —01/14)
(JURISDICTION USE ONLY)
concord mills at Christenbury Phase 2 Private 8-inch Sewer Main —Project #2014-04.6
Jurisdiction Requesting Flow Acceptance for Collection System:
City of Concord EiCity of Karmapolis Town of Harrisburg LlTown ofMt, P asant
OCharlotte Mecklenburg Utilities
Project Title, Description, and Number of Lots[Unit:
Project Title: Concord Mills at Christenbury Phase 2 Private 8-Inch SewerMain7Proiect#2014-046
Description: The Concord Mills at Christenbur • Phase 2 Private 8-Inch Sewer Main enineering )la - and s
as prepared and sealed by Catherine W. Uridenvood„NCPE„with CESI Land Development Services, f r the wastewater
collection system extension consisting of approximately 640 linear feet of 8-ineh sanitary sewer with 4 manholes and other
appurtenances to serve a shopping center addition with 5 retail stores and parking spaces, located at the intersection of Derita
Rd. and Christenbta Parkway, with zero wastewater discharge. The Concord Mills at Christenbury .Phase 2 Private 8-1nch
Sewer Main commercial -wastewater discharge of 11,42.5 GPD was allocated in the Concord Mills at Christenbury .Phase 2
Public8-.Inch Sewer Main Mlle .sewer permit wderATC #16-0517509
What is the quantity of flow that will be discharged? 0 GPD The Concord Mills at Christenbury Phase 2 Private 8-htch•
Sewer Main commercial wastewater discharge of 14,425 GPD MIS allocated in the Concord Mills al Christenbury Phase 2
Private 8-hzch Sewer Main public sewer permit under ATC #16-051 7509.
Flow type:
Domestic
Commercial 100 % ndustria
Section 1 - List the Jurisdiction's 'pump stations located between the project connection point and the WSACC
Interceptor connectionconn eciion poiiit.
Pump Station
(Name or Number)
N/A
Firm Capacity
MGD
(A) (n) (C) (D) = (134C)
'Design Avcrago Daily Flow ** Approx.,. Current Obligated., Not 'Yet Total Current Flow
(bintlipf,) Average Daily Mow Tributary Daily Rory Plus. Obligated Flow
MCD MCI) NIGD NIGD
Available
Capacity***
'D
* The Firm Capacity of any pump station is defined as the maximum pumped flow that can be achieved with he largest pump taken out of servite„
**Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor no( less than .2,5.
***A Planning Assessment Addendum shall L,e attached for each purap station [created between the project connection pant and the WWTP where Available Capacity is < O.
Section 11, Jurisdiction's Certification Statement:
I, M. Sue Hyde„NCTE , certify that, to the hest of my knowledge, the addition of the volume of wastewater to be
permitted in this project has been evaluated along the route to the receiving WSACC interceptor; and the flow from this project
is not anticipated to cause any capacity related sanitary sewer overflows or overburden on any downstream pump station in
route to the receiving WSACC interceptor 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 Section I plus all
attached planning assessment addendums for which, to the best of my knowledge, will not adversely affect the downstream
sewer capacity. Signature of this form indicates acceptance of this wastewater flow,
Jurisdiction's Signing- Official Signature
Revision Date: 03/09/13

�
'EST
�emu~^x^~°°_'s..~~
� _'-_-_-�ap'
August3, 2016
Division of Water Resources
Mooresville Regional Office
Water Quality Section
610E. Center Ave
Mooresville, N[28115
/704\663-1699
Fi ECBVF0f t �CDENH400Y8K
w&R0S
M0URBSVlL1LERFGK)m4L0FF�cE
Re: FastTrackApp|ication for Gravity Sewer (FT)4Q4-16)
Concord Mills at ChhsLenburyPhase 2
8851 ChristenburyPkm/y
Concord, NC38OZ7
The existing site is developed and completed per Phase One design. Two of the
Phase Onemutparce|s have active tenants, The proposed project for Phase Two consists o[
5 buildings ofmixed commercial use. 8"PVC sewer main will serve the 5 proposed
buildings which will tie in the public sewer system on the site. The length of the proposed
private sewer main is f/- 650 LF. Wastewater has been calculated using I5A WCAC
02T.0114. The estimated commercial discharge is11,425GPD,which was allocated under
public sewer permit AT[#1O'05175O9.
Enclosed, please find the following items in support of this submittal:
1. (2) Copies ofExecuted Application from (FTA 04-18)
Z. Application fee in the amount ofs48O made payable to NCDE{)
3. N[ Secretary of State Icebreaker LLCAnnoa| Report
4. Downstream sewer VVVVTFcapacity and flow tracking acceptance form (FTSEO1/14)
5. 8.5°X 11" USGSTnpo Map
6. Street Level Map showing project area
7. Erosion Control Permit
8. Flow acceptance request approval
9. (1) Set of Complete Plans, 24" X 36", signed and sealed
10./1> CD with PDF of Complete Plans
Please feel free to contact us with any questions or concerns,
Ni
Nick Buy
Assistant Project Manager
Laild Polm��,-`

THOMPSON THRIFT
oECE1V DiNCDENROWR
June 14, 2016
WOROS
MOORESV REG *NAL OFFiCE,
City of Concord
35 Cabanus Avenue W.
Concord, NC 28025
Re: Permit Applications
To whom it may concern:
Thompson Thrift Development Inc.
901 Wabash Avenue, Suite 300
Terre Haute, IN 47807
TEL 812.235,5959
FAX [phone]
www.thompsonthrift. corn
Please be advised that Icebreaker Development, LLC gives pennissi©n to I)on Potter to execute the
permit applications to obtain the building permit for the project located at Concord Mills Blvd and
Derita Road in Concord, North Carolina.
If you have any questions or comments, please feel free to contact me,
TEF/tIr

M TED LIABILITY COMPANY ANNUAL REPORT
NAME OF LIMITED LIABILITY COMPANY:
cebreaker Develo
Fictitious Name, If any, used in North Carolina:
SECRETARY OF STATE ID NUMBER: 1400369
REPORT FOR THE YEAR:
2016
STATE OF FORMATION: IN
SECTION A:
1. NAME OF REGISTERED AGENT: Corporation Service Company
2. SIGNATURE OF THE NEW REGISTERED AGENT:
Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED OFFICE STREET ADDRESS & COUNTY 4. REGISTERED OFFICE MAILING ADDRESS
327 Hillsborough Street 327 Hillsborough Street
Raleigh, NC 27603-1725 Wake Raleigh, NC 27603-1725 Wake
SECTION B: PRINCIPAL OFFICE INFORMA ON
1. DESCRIPTION OF NATURE OF BUSINESS: ALL LAWFUL PURPOSES
2. PRINCIPAL OFFICE PHONE NUMBER: 8122421163 3. PRINCIPAL OFFICE EMAIL:
4. PRINCIPAL OFFICE STREET ADDRESS & COUNTY
901 WABASH AVENUE, SUITE 300
5. PRINCIPAL OFFICE MAILING ADDRESS
901 WABASH AVENUE, SUITE 300
Terre Haute, IN 47807-3233 Vigo Terre Haute, IN 47807-3233 Vigo
SECTION C: COMPANY OFFICIALS (Enter additional Company Officials in Section E.)
NAME: Paul M Thrift NAME:
TITLE: Managing Member TITLE:
ADDRESS: 901 Wabash Avenue ADDRESS:
Suite 300
Terre Haute, IN 47807 Vigo
SECTION D: CERBFICA
NAME:
TITLE:
ADDRESS:
AL REPORL Section D must be completed in its entirety by a person/business entity.
SIGNATURE
Form must be signed by a Company Official listed under Section C of this form
Print or Type Name of Company Official
DATE
Print or Type The 'nue of the Company Official
SUBMIT THIS ANNUAL REPORT WITH THE REQUIRED FILING FEE OF $200
MAIL TO: Secretary of State, Corporations Division, Post Office Box 29525, Raleigh, NC 27626 5

ION E: ADDITIONAL COMPANY OFFICIALS
NAME:
TITLE.
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADORE
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME, N E:
TITLE: TITLE:
E:
ADDRESS:
NAME: N E:
TITLE:= TITLE:
ADDRESS: ADDRESS:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS ADDRESS: ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:

North Carolina Department of the Secretary of State
Elaine F. Marshall, Secretary
BELOW IS THE CHECK LIST FOR LIMITED LIABILITY COMPANY ANNUAL REPORT. Please take a few minutes and read the
information provided. ThgejAmitagi UAW_ JitycompagyAnnual eprt tsjubyiApnI l5th Qfeach year wittiJa fiJing feeof
$204AQ
Each Limited Liability Company filing an annual report with the North Carolina Department of Secretary of State must
provide the following information:
1. NAME OF LIMITED LIABILITY COMPANY
2. STATE OF FORMATION
3. ANNUAL REPORT FILING YEAR
4. THE REGISTERED AGENTS NAME AND SIGNATURE IF CHANGED
5. THE REGISTERED AGENTS STREET ADDRESS AND MAILING ADDRESS IF DIFFERENT.
6. THE PRINCIPAL OFFICE ADDRESS, COUNTY AND TELEPHONE NUMBER
7. THE NAMES, TITLES AND BUSINESS ADDRESSES OF THE COMPANY OFFICIALS
8. A BRIEF DESCRIPTION OF THE NATURE OF BUSINESS
IF THE INFORMATION REQUIRED TO BE ENTERED IN SECTION A TH OUGH SECTION C HAS NOT CHANGED SINCE THE MOST
RECENTLY FILED ANNUAL REPORT, COMPLETE HEADER SECTION AND SECTION D TO CERTIF1_THE ANNUAL REPORT.
SECTION A: REGISTERED AGENT'S INFORMATION
1. The name of the registered agent must be typed or printed.
2. 1f the registered agent has changed, the new registered agent MUST SIGN CONSENT to the appointment in the space provided. If the registered agent's
name has changed due to marriage, or by any other legal means, the limited liability company must indicate such change in the space providwl and have the
agent sign consent to the appointment under their new name. if the new registered agent is a business entity, then the appmpriate representative of that
entity must sign and print their name and title. The registered agent must reside in North Carolina.
3. If the street address of the registered office has changed, indicate the change. The address of the registered office must be a Street Address and NOT a
Post Office Box Address. The street address of the registered office must be a North Carolina address.
4. lithe mailing address of the registered office has changed it should be indicated in this item. The registered office's mailing address may be a Post Office
Box. The registered office mailing address must be a NORTH CAROLINA ADDRESS.
SECTION B: PRINCIPAL OFFICE INFORMATION
1. Provide a brief description of the nature of the LLC's business.
2. Enter the principal office telephone number.
3. Enter the principal office E-mail address.
4. The principal office address should reveal the limited liability company's physical location. The principal office street address must be a street address
and NOT a Post Office Box Address.
5. The principal office mailing address may be a Post Office Box.
SECTION C: COMPANY OFFICIALS
1. Enter the name, title and business address of each company official. Use Section E or a plain 8 la X 11 sheet of paper if more space is needed. A
person listed in this section must sign the annual report and is then authorized to sign on other documents filed with this office.
SECTION D: CERTIFICATION OF ANNUAL REPORT
1. Check the annual report carefully to ensure all information required for filing has been provided. Only a company official listed on this report or past
completed and filed report may sign. Complete the signature, date, title and typed or printed name in the space provided on the form to certify that the
information is accurate and current. If the cornpany official is another business entity then the appropriate representative of that business entity must certify
the annual report,
SECTION E: ADDITIONAL COMPANY OFFICIALS
1. Enter the name, title, and business address of each additional company official. A person listed in this section is then authorized to sign on other
documents filed with this office.
Mail the annual report to: Secretary of State, Corporations Division, Post Office Box 29525, Raleigh, NC 27626-0525.
For information or assistance, please contact the Corporations Division at [phone] or Toll Free 1-888-246-7636.
Web address is http://www,sosne.com

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
PaCEIVEDINCDENRIDWR
iNC) R OS
MOORESW [,„r )NA! OFFICE
PAT MCCRORY
Govenior
DONALD R. VAN DER VAART
Secretory
TRACY DAVIS
Director
May 3, 2016
LETTER OF APPROVAL WITH MODIFICATIONS
Icebreaker Development LLC
Attention: John G. Thompson, President
901 Wabash Avenue, Suite 300
Terre Haute, Indiana 47807
RE: Project Name: Concord Mills at Christenbury Phase 2 {Express Review
Acres Approved: 11.4
Project ID: CABAR-2016-096
County: Cabarrus, City: Concord
Address: Derita Road
River Basin: Yadkin — Pee Dee
Stream Classification: Other
Submitted By: Icebreaker Development LLC
Date Received by LQS: April 28, 2016
Plan Type: New
Dear Mr. Thompson:
This office has reviewed the subject erosion and sedimentation control plan. We find the plan to
be acceptable with modifications and hereby issue this letter of Approval with Modifications.
The Modifications Required for Approval are listed on the attached page. This plan approval
shall expire three (3) years following the date of approval, if no land -disturbing activity has been
undertaken, as is required by Title 15A NCAC 4B .0129.
Please be aware that your project will be covered by the enclosed NPDES Construction
Stormwater General Permit NCG010000. Please become familiar with all the requirements and
conditions of this permit in order to achieve compliance.
Please be advised that Title 15A NCAC 4B .0118(a) requires that a copy of the approved erosion
control plan be on file at the job site. Also, you should consider this letter to give the Notice
required by G.S. 113A-61.1(a) of our right of periodic inspection to insure compliance with the
approved plan.
State of North Carolina Errruorunental Quality I F_nerro, Mineral and Land Resources
Mooresville Regional Office 1 610 East Center Ave Ste 101 1 Mooresville, NC 28115
704 663 1699 T

Letter of Approval with Modifications
Icebreaker Development LLC
May 3, 2016
Page 2 of 3
North Carolina's Sedimentation Pollution Control Program is performance -oriented, requiring
protection of existing natural resources and adjoining properties. If, following the
commencement of this project, it is determined that the erosion and sedimentation control plan is
inadequate to meet the requirements of the Sedimentation Pollution Control Act of 1973 (North
Carolina General Statute 113A-51 through 66), this office may require revisions to the plan and
implementation of the revisions to insure compliance with the Act.
Acceptance and approval of this plan is conditioned upon your compliance with Federal and
State water quality laws, regulations, and rules. In addition, local city or county ordinances or
rules may also apply to this land -disturbing activity. This approval does not supersede any other
permit or approval.
Please note that this approval is based in part on the accuracy of the information provided in the
Financial Responsibility Form, which you have provided. You are requested to file an amended
form if there is any change in the information included on the form. In addition, it would be
helpful if you notify this office of the proposed starting date for this project. Please notify us if
you plan to have a preconstruction conference.
Your cooperation is appreciated.
Sincerely,
Tamera E,plin, PE, CPESC
Assistant Regional Engineer
Land Quality Section
Enclosures: Certificate of Approval
Modifications Required for Approval
NPDES Permit
ec: Kate Underwood, PE, CESI, Incorporated
c: Inspection Department

Letter of Approval with Modifications
Icebreaker Development LLC
May3,2016
Page 3 of 3
MODIFICATIONS REQUIRED FOR APPROVAL
Project Name: Concord. Mills at Christenbury Phase 2
Project ID: CABAR-2016-096
County: Cabarrus
Modifications pursuant to applicable North Carolina General Statutes and/or Regulations:
1. Any off -site borrow and waste required for this project must come from a site with an
approved erosion control plan, a site regulated under the Mining Act of 1971, or a landfill
regulated by the Division of Solid Waste Management. Trash/debris from demolition
activities must be disposed of at a facility regulated by the Division of Solid Waste
Management. [15A NCAC 4B .0110]
2. Additional measures may be required - The applicant is responsible for the control of
sediment on -site. If the approved erosion and sedimentation control measures prove
insufficient, the applicant must take those additional steps necessary to stop sediment from
leaving this site. [15A NCAC 4B .0115]
Comrnents and Recommendations:
Be advised the financially responsible party must have all retaining walls over 4 feet
designed, sealed, and construction certified by a professional engineer licensed in North
Carolina in accordance with all state and local building codes/ordinances. This plan review is
for erosion and sediment control during construction only and does not include approval of
retaining wail construction or slope -stability analysis. [North Carolina Building Code 1807]

c
14uSt b
1
n
E
TIFICATE OF PLAN VA
a ostit cif t pis ccrtif cats cei.tifie that ail c rosio a d sediment tic c , ntrol plat
red for this pr ect by the North Carolina Departs ent of Environmcnt a id Natural
T rdance with North. Carolina General Statute 1.1 A - 57 (4 i 1 1 _ . 4
North Carolina Admii istrative Code, Title 15A, alai. t r 4 3.()107 (e). Th.i
poste l at the pri nary entrance of thejob site be lbre construction begins and u
permanent groundcovcr as regr ircd by North Carolina Administrative Code, Tit
413.0127 (b).
Date
al
G
Pro
NCDENR

8/312©16
Gavle Maps
4
tt Cox ittgl
Co
00l
Concord
Regio Airport
PROJECT 0
„ .RD CREEK
vITaRpw
DOWN
ATION
Map data ©2016 Googia 2000 ft L.
160078.000 Concord Mills at Christenbury Ph 2
8851 Christenbury Pkwy
Concord, NC 28027
Street Level Map

Closest down slope
surface water
unnamed creelss)
Location 1: Proposed Project

WSACC
ISO 101:2004 NC Star Public Sector
W. Brian Hiatt
City Manager
City of Concord
P. O. Box 308
Concord, NC 28026-0308
8, 2016
BECEIVEDiNCDENRiLMR
WOOS
MO,ORESVILLE REGIONAL OFF,CE
Subject: Flow Acceptance Request - City of Concord
Concord Mills at Christenbury Phase 2 Private 8-Inch Sewer Main
Dear Mr Hiatt:
WATER & SEWER AUTHORITY
OF CABARRUS COUNTY
Or 232 Davidson Hwy
Concord, NC 28027
Mail to: P.O. Box 428
Cancord, NC 28026-0428
704,786,1783 • 704,795.1.564 Fax
www,mamonj
This is an approval of the flow acceptance request that was received by the Water and Sewer Authority of
Cabarrus County (WSACC) from the City of Concord on July 15, 2016. WSACC has or will have capacity at the
Rocky River Regional Wastewater Treatment Plant and appropriate sewer interceptors to transport and treat the
commercial wastewater from the proposed project entitled Concord Mills at Christenbury Phase 2 Private 8-Inch
Sewer Main, The referenced project will serve a shopping center addition, with a projected total wastewater flow
of 0 gallons per day (gpd). Flow, allocation of 11,425 gpd has been requested for Concord Mills at Christenbury
Phase 2 Public 8-inch Sewer Main project. WSACC understands that no additional flow allocation is requested
with the "Private" component of this project, and that the 11,425 gpd requested is the total flow allocation
requested for the Concord Mills at Christenbury Phase 2 project (both Private and Public Sewer systems).
The WSACC Capital Improvement Program (C(P) has been on pay as you go since Fiscal Year 2005 2006,
funding Capital Projects entirely from Capital Reserves, and WSACC expects to continue this policy into the
future, Projects on the CIP are subject to approval by WSACC's Board of Directors, support from local
governing bodies, regulatory approval, and funding availability. At this time there are no scheduled upgrades in
the current six year CIP to WSACC facilities located downstream of this proposed project. It should be noted
that the list and schedule of C1P projects are tentative and are revised periodically to reflect changing conditions
and needs.
If construction of this project is not started within two (2) years of the date of this approval, the approval is
rescinded and a second request and approval will be required. Please notify WSACC, in writing, when
construction of this project is initiated
If you have any questions, please call me at [phone], extension 228.
Sincerely,
•
J. Thomas Hahn, P.E.
Utility Systems Engineer
cc. Sherri Moore/Concord
Catherine W Underwood, PEICESI Land Development Services
Michael Wilson/WSACC
Tim Kiser, PE/WSACC
Chad VonCannon, PE/WSACC
Mark Lomax/WSACC

WASTEWATER FLOW ACCEPTANCE FORM
FOR THE
WATER AND SEWER AUTHORITY OF CABARRUS COUN
NOTIFICATION
Jurisdiction Requesting Flow Acceptan+cre: Date: July 12, 2016
City of Concord OCity of Kannapolis DTown of Harrisburg DTown of Mt. Pleasant
(Charlotte Mecklenburg Utilities
Project Title, Description, and Number of Lots/Unit:
Project Title: Concord Mills at Christenbury Phase 22 Private 8-
Description: _Th. Co c rd Mills at Christenbu P
stecificationsas
the wastewater collection system extension consisting.
manhol s other urt nanc
the Intersection of Deena Rd.
Chrltettl+ttrtr Phase 2 Private
he Concord Mills at Christ n
*Number of Lots: 1
0
arkway.
rommen
tximately 64Q
dcitirrrt with
ai
feet of
ores and
cro wastewater dis
tervoter disc trge a
R 'Number of Units:
Where will the new lute be connected.
0 Directly into a WSACC Interceptor
Into the Jurisdiction's existing collection system
0 Into a private line
nder ATC
be included in re iu
er wjth 4
located at
rd Mills at
located in
Describe the location of the tie-in line to which the new sewer line will connect: The proposed sanitary sewer
modification will tie-in to the existing 8-inch Chri:stenbury Corners SW Qyadrant sanitary sewer system, which extend s to
the 18-inch PVC WSACC Christenbury $ewer Interceptor
Which WSACC interceptor will the flow ultimately be discharged into: 1 -ire h PV W A C Chri enbu. Sewer
Interceptor
What is the WSACC manhole number that the flow will be discharged into'? +/ Node Manhole #19 of the
Christ nbury Sewer Extension
Whet is the quantity of flow that will be discharged? L GPD The C" n arrl: ljlx at Christenbury Phase Private 8-
inch Sewer Main eaoy aer c ial rvvstewater discharge e of 1 1, a2S G PD iwcr
Please 2 Private 8-lrrclt S er Maier ratrblic sewer i ft under AT
Flow type:
Domestic
Commer
100
Concord Mills at Christenburp
0 Industrial.
Name of wastewater treatment facility (WWTF) receiving wastewater:
Rocky River Wastewater Treatment Facility — Permit #NC0036269
© Muddy Creek Wastewater Treatment Facility — Permit #NC0081621
Design drawings of new lines will be submitted to WSACC with the request for acceptance. Drawings can be submitted
as a digital file (DWG) or distance and bearing starting with the tap on existing infrastructure.
lithe new line is to connect directly into a WSACC interceptor, detailed drawings including pccifcation of the tap, will
be required before flow acceptance will be provided.
Mark Lomax at 704-786-1783, ext. 231, must be notified 48 hours in advance of a connection into a WSACC. interceptor.
WSACC will inspect connection before, during, and atter completion.
If construction is not started within twat (2) year from the date of approval of the flow acceptance for this project, the
approval is rescinded and a second request and approval will be required for the project.
WSACC USE ONLY:
0
Approved �,w(As
Current Sewer Model sho
ERLp.) �wz�
Current sewer model shows an interceptor as being surcharged south of the manhole in question.
0 Not Approved
V ill o-s.

Permit Number WQ0038650
Central Files: APS SWP
815/2016
Permit Tracking Slip
P !ram Category
Noredischarge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
orttuvia
Coastal SINRula
Permitted Flow
11,426
Facility
Status
In review
Project Type
New Project
Version Permit Classification
A individual
Permit Contact Affiliation
Facility Name
Concord Mills at Christeribury Phase 2
Location Address
PO Box 268
Concord NC 2 025
Owner
Major/Minor Region
Minor Mooresville
County
Cabarrus
Facility Contact Affiliation
Owner Name
Icebreaker Development LLC
Dates/Events
Owner Type
Noni-Government
Owner Affiliation
Don Potter
President Vice
801 Wabash Ave
Terre Haute
IN 47807
Drip Issue
81812016
App ReceNed
8/4/2015
Revulated Activities
Retail
Wastewater collection
Outten
Draft Initiated
Waterbody Name
Scheduled
Issuance
Public Notice issue
8/8/2016
Requested iReceNed Events
Additional information requested
Additional information received
StreamIndex Number Current Class
Effective
818/2018
Expiration
Subbasin

OOb h. O:' .,GG2, b [ 5 E 00OO.0

Water Resources
ENVIRONMENTAL QUALIT,r
February 13, 2017
Mr, Don Potter, Vice President
ICEBREAKER, LLC
901 Wabash Ave, Suite 300
Terre Haute, IN 47807
SUBJECT: Final Engineering Certification Acknowledgement
Concord Mills at Christenbury Phase 2
Permit No. WQ0038650
Permitee: ICEtREAKER, LLC
County: Cabarrus
Dear Mr. Potter:
ROY COOPER
Governor
MICHAEL S. REGAN
Sec retaq
S. SAY Z
The Division of Water Resource's Mooresville Regional Office received the final engineering
certification with record drawings for the subject sewer extension project on 2/8/2017. Enclosed
is a certification page for your records. A full review of the certification materials may or may not
be conducted. It is assumed that receipt of this certification indicates compliance with all
regulations, design criteria and the permit. However, if a full technical review is conducted, you
will be notified of any items of non-compliance.
Please be reminded that the Permittee is responsible for keeping a copy of the final record drawings
for the life of the project. If you have not received such copy from your consultant, please contact
them immediately to obtain a copy.
Lastly, you are receiving this letter because the Division has you listed as the responsible party. If
this permitted system is no longer owned by you or your company, please complete Form PNOCF
since the permit is not automatically transferable. Form PNOCF can be downloaded from
htto://portal,ncdentorg/weblwq/swp/ps/csipnoc from the Collection Systems Applications page.
Should you have any questions, please do not hesitate to contact Ori Tuvia at [phone], or at
ori.tuvialdnedenr. ov,
Sincerely,
Ori Tuvia, Environmental Engineer
'Mooresville Regional Office
Division of Water Resources, DEQ
cc: Mr. Megan Goldring (E-copy)
Central Files
MRO
ERMAN
Director
State ofNorth Carolina I Envirotunental Quality I Water Resources
61C, E: Gente4• kienUE. &MeJ Mooresvlie.. NC 28115
Phone. 717,4-863-16. vo'vrAiticLienr.Rov

FAST TRACK SEWER ENGINEERING CERTIICA
PERMITTEE, ICEBREAKER, I,LC
PERMIT #; WQ0038650
PROJECT: CONCORD MILLS AT CL-IRISTENBURY PHASE 2
ISSUE DATE: AUGUST 8, 2016
This project shall not be considered coaruplete nor allowed to operate in accordance with standard
Condition 7 of this permit until the Division has received this Certification and all required supporting
documentation. It should be submitted in a manner that documents the Division's receipt. Send the
required documentation to the Regional Supervisor, Water Quality Regional Operations Section at the
address noted in the page footer.
Any wastewater flow made tributary to the wastewater collection system exterssi€ rt prior to completion
of this Certification shall be considered a vit lation, of the permit and shall subject the Permittee to
appropriate enforcement actions. The Perrnittee is responsible for tracking all partial certifications up
until a final certification is received by the Division, A Final Certification shall be a complete set of
record drawings and design calculations regardless of whether partials have been submitted,
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant to
the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Perrnittee, and. the Permittee is prepared to operate & main ,in the
wastewater collection system permitted herein or portions thereof,
4 17
Nam
J+`NGCNEEWS CERTlI+1CAT1ON
a d ly registered Professional E
been autlorted to orwe ( periodically, LJ weekly,
project name and location as referenced above for the above Permitt
abilities, due care and diligence was used in the observation of the co
was observed to be built within substantial compliance of this perm
Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as
applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and.
Force Mains adopted Tune 1, 2000, as applicable; and other supporting materials.
Date
7
North Carolina Professional Engineer's Seal w/signature & date:
14 Final E Partial (include description)
Certification CommentstQualiRers (attach if necessary):.
e State ofNorth Carolina,
e) the construction of the
hereby state that, to the best of my
action such that the construction
15A NCAC 02T; the Division of
NC DWR — Water quality Regionai Operations Section 610 East Center Avenue, Suite 30ooresvllle, NC 28115
Mooresville Regional Office Phone.` [phone] FAX: [phone]

PAT ,MCCROR\'''
DONA D R. VAN DER, VA ART
Si, TA
'Y'Vater
As built check list (reference 2T .0300)
Reviewed By: Ori Tuvia
Review Date: 2/13/17
Project Name: Concord mills at christenbury Phase 2
WQ#: WQ0038650
1) As -built has been signed, sealed, and dated by an N.C. PE Yes, No
MLRM N
) Adequate information related to sewer lines
Note that per the 2T and MDC, there is a minimum 8" for public gravity or minimum 6" for
private gravity, Three (3) feet minimum, cover shall be provided for all sewers unless ferrous
material pipe is specified. Manholes shall be installed: at the end ()Teach line, at all changes in
grade, size, or alignment, at all intersections, and at distances not greater than 425 feet, minimum
diameter of manholes shall be 4 feet (48 inches). Yes No N/A
3) Adequate information related to pump stations:
Ensure power reliability option is selected (15A NCAC 02T.0305(h)). F Yes
4) Is Project design is in accordance with (see section B.13 of FTA, 12-12)
15A NCAC 02T Gravity Sewer Minimum Design Criteria (latest version)
Criteria for Permitting of Pump Stations and Force Mains (latest version).
A
inirnu Design
Yes No I1 N/A
If no, a variance approval is required per the requirements of I 5A NCAC 02T.01.05(b)
Applicant must submit TWO copies of the plans, specifications, and calculations
Contact the Central Office to discuss the variance request to determine a course of action.
The central office will review the variance request, and if approvable, specific language
regarding the variance will be forwarded to the Regional Office reviewer to incorporate into the
permit. A copy of the variance letter (or email, correspondence) should be kept with the
application file.
5) Project contains high priority lines (I 5A NCAC 02T .0402(2)) El Yes No
If Yes, insure that the permit contains the necessary condition related to high priority lines I5A
NCAC 02T..0403 (a)(5)
6) Is the Sewer As -built length within 10% of the fast track applied Length?
( I Original length of pipe — As built length / Origin.al length) < 10%.
If no application need to be modified
Yes No
State of North Carolina Environmental Quality Wivet Resources Water Quality Regional Operations
'Mooresville Regional Office [ 1 OlEast Center Avenue, Suite 301 ' Mooresville, North Carolina 28115
704 M3 1099