WQ0037127_Regional Office Historical File Pre 2018

NCDENR
North Cardina Depa,,, .2t of Environment and Natural REIr'lliTeF..
Pat McCrory
Governor
Mr, Edwin R. Tillman, Owner
Tillman Commercial Properties, LL
•
Post Office Box 71
Shelby, NC 28151
Subject:
Dear Mr. Tillman:
May 16, 2014
Permit No, W0037127
Autumn Glen Apartments
Wastewater Collection System Extension
Cleveland County
John Skvarla, Ill
Secretary
In accordance with your complete application received May 6, 201.4, we are forwarding herewith Permit
No, WQ0037127, dated May 16, 2014, to Tillman Commercial Properties, LLC for the construction and
operation of the subject wastewater collection system extension. This permit shall be effective from the
date of issuance until rescinded, and shall he subject to the conditions and limitations as specified. therein,
This cover letter arid supplement shall he considered a part of this permit and are therefore incorporated
therein by reference.
Please pay particular attention to the follow' g conditions contained within this permit;
Condition 1.1.4: 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 responsibility of the Autumn Cilen Apartments 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 §143-21.5.6A. through 043-215.6C, construction of additional or
replacement wastewater collection facilities, and/or referral of the North Carolina -licensed Professional
Engineer to the licensing board,
If any parts, requirements, or limitations contained in this permit 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 1.50.B 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.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St, Ralelgh, North Carolina 27604
Phone: [phone] t FAX: [phone]
lnIernet: wyncwaterReKtorstes,„eg
An Equal Opportunity At-kr-native Adieu Employer

R. °illrrazt
014
age wo
I you need a rli it gal i' tip n1atir ? eranrt;rnin this Inzttte°°. please nontael Parker at (71) 235
194 or c is Bert at 1i 11 l,Parker%a n deiu g a
ain rely=
Division ion of "w titer P niurces
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y Michael :[ ,, Parker, Region Super
Mooresville Regional Office
Water Quality t Regional Operations Section
cop) : trrissa P.E.
ralooresii°rvile Regional cc
'ter Resr urees Central piles
PERCS 1'{

NCDENR
S—TATE OF NORTH CAROLINA
ENVIRONMENTAL, MANAGEMENT COMMISSION
DEPARTMENT OE ENVIRONMENT AND NATURAL RESOURCES
WASTEWATE.R COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, andother applicable Laws, Rules, and Regulations, permission is hereby granted to the
Tillman Commercial Properties, LLC
Cleveland County
for the constructionand operation of approximately 420 linear feet of 8-inch gravity sewer to serve the
Autumn Glen Apartments (26 units x 360 gallons per unit), and the discharge of 9,360 gallons per day of
collected domestic wastewater into the Town of Boiling Springs existing sewerage system, pursuant to
the application received May 6, 2014, and in conformity with 1.5A 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 L. 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 pemiit shall be effective from the date of issuance untilrescinded and shall be subject to the
specified conditions and limitations contained therein.
Perrnit issued this the 16th day of May, 2014..
Thomas Reeder, Director
ision of Water Resources
By Authority of The Environmental
Permit Number: WQ0037127
agement Commission

1
l'UPPLEME
T. TO PFRMIT COVER SHEET
Tillman Commercial Properties, 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 Town of Boiling Springs
'Wastewater 'Treatment Facility, prior to 'being discharged into the receiving stream.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 2T; the Division of Water Resource's (Division) Gravity Sewer Minimum. Design Criteria
adopted February 12, 1996 as applicable; and the Division's :Minimum Design Criteria for the Past2Track
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.
SPECLAL CONDITIONS
1, If, at any time, the additional wastewater 'flow volume made tributary to this sewer extension i.s
believed to exceed the value permitted herein, a modification shall be requested for this permit from.
th.e Division of Water Resources to properly allocate the subject wastewaterflow.
No flow in excess of the quantity permitted, herein, 420 GPD, shall he 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 of „Environmental Management.
By copy of this permit, the Cleveland County buildingInspections Department is hereby notified that
building or occupancy permits shall only be issued for the number of units (26) as part of the Autumn
Glen Apartments project until a modified permit is issued by the Division indicating additional
connections,
4. By copy of this permit, the Cleveland County :Health Department and the Cleveland County Building
Inspections Department are advised that no certificates of occupancy are to be granted prior to the
submittal of a sealed engineer's certification.
IL 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 Perrnittee, 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,

This permit shall become voidable unless the wastewater collection facilities are constructed in.
accordance with the conditions of this pemait; 15A NCAC 2'1; the Division of Water Resource's
(Division), Gravity -Sewer Minimum Design Criteria zdopted 'February 1'2, 1996applicable, the
DiViSi011'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 unless specifically mentioned
herein.
•. This permit shal. be effective only with respect to the nature and volume of wastes described in the
applicationand other supporting data.
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system -wide collection system pemnt for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0401 if an individual
.perrnit .is not required, the following performance criteria shall be met as provided in 15.A NCAC 2T
,0401
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
onceper week..
e. High -priority sewer lines shall be inspected at least once per every six -months and inspections are•
documented,
A general observation of the entire sewer system shall be conducted at least once per year.
Overflows and bypasse,s, shall be reported to the appropriate Division regional office in
accordance with 1.5A '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
pennittee or its representative.
3 Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows.

i. Right-of-ways and easements shall be inaintained in the full easement width for personnel and
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 Noncompliance Notification:
'Fhe 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 ease more than 24
hours or on the next working day, 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 mechanicaor 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
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 Mana.gernent 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 proposedto be taken to
ensure that the problem does not recur. Part 11 of .Form CS-SSO (or the most current Division
approved form) can also be completed to show that the SSO was beyond control.
6. Construction of the gravity 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,
7. Per 15A NCAC 21,011.6, upon completion of construction and prior to operation of these perrifitted
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 Permittee 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/CovenantsiR.estrictio.ns, 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 are
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 e)n, the -plawk- or on digital me di a(CD or DV[ disk)' and 'arc.' defined 'as- the, design 'drawings — —
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting pump station design calculations (selected pumps, system curve,
operating point, buoyancy calculations, available storage if portable generator(s), or storage
greater than longest past three year outage reliability option selected) for any pump stations
permitted as part of this project.
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 pennit (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
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,
A copy of the construction record drawings shall .be maintained on file by the Permittee for the Iife of
the wastewater collection facilities.
9, Failure to abide by the conditions and limitations contained in this pen -nit; 15A. NCAC 2.T; the
Division's Gravity Sewer Design Criteria adopted February 12, 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 Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes §143-21.5,6A.
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.
10. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including those
as may be required by this .Division, such as the construction ofadditional or replacement facilities.
11. The issuance of this permit shall not exempt the Pennittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by other government agencies (local, state and
federal) which have jurisdiction, including but not limited to applicable river buffer rules in 15A
NCAC 213 ,0200, erosion and sedimentation control requirements in 1.5A NCAC Ch. 4 and under the
Division's General Permit NCGO10000, and any requirements pertaining to wetlands under 15A NCAC
2B .0200 and 1.5A NCAC 21.1. ,0500.

FAST TRACK ENGINEERING CERTIFICATION
Permittee: Tillman Commercial Properties, LLC Permit No, WQ0037127
Project: Autumn Glen Apartments Issue Date: 05/16/2014
Comple • and submit this form to the permit issuing. regional office with the following:
• One copy of the project record drawings (plan & profile views and detail drawings of sewer lines) of the .wastewater collection
system extension. Final record drawings should be clear on the plans or on digital media (CD or DVD disk) in pdf form'.
Record drawings should indicate the design and the marked up changes during construction,
• Supporting design .calculations (selected pumps, system curve, operating point, available storage if .portable generator(s) or
storage greater than longest past three year outage reliabilityoption selected) for any pump stations permitted as part of this
project
• Changes to the project should be clearly identified on the record drawings or in written summary form.. Permit modifications
are required for any changes resulting in non-compliance with this permit, regulations or minimum design_...criteria.
Modifications should be submitted prior to certification.
'This project shall not he considered complete nor allowed to operate until the Division has received this Engineer's Certification
and all required supporting documentation, Therefore, it is highly recommended that this certification be sent in a manner
that provides proof of receipt by the Division.
PERMITTEE'S CERTIFICATION
1, 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 applicabie
design/construction information to the .Pennittee, and the Permittee is prepared to operate & maintain the wastewater
collection system permitted herein or portions th.ereof,
Printed Name, 'Title
Signature
ENGINEECERTCION
Date
0 Partial 0 Final
1, , as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (EJ periodically, Li weekly, 0 full time) the construction of th.e subjectproject for the Permittee
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 perinit; I5A NCAC 02T; the Division of
Water Resources's (Division.) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the
Division's Minirnum 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, sig.nature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS:
WATER QUALITY REGIONAL OPERATIONS SUPERVISOR
MOORESVILLE REGIONAL OFFICE
610 EAST CENTER AVENUE, SUITE 301.
MOORESVTLLE, NC 28115
The Permitteeis responsible for tracking all partial certifications up until a final certification is received, 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 Permitter to appropriate enforcement actions,
DIV() Use Only:
Flow iron] this project is wibutary to:

11°F
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD Application Number:
(to be completed by DWRp
/. OWIler/Perrnittee:
la. Edwin R. Tillman
0
z
z
0
CL
CL
Full Legal Name (company, municipa(ity, HOA, utility, etc.)
lb. Edwin R. Tillman, Owner
Signing Official Name and Title (Please review 15A, N(AC 2T .0 (b) for authorized signing officials)
The legal entity who will own this system is:
Individual El Federal 0 Municipality 0 State/County E1 Private Partnership 0 Corporation 0 Other (specify):
ld, P.0, Box 71
Mailing Address
if NC
State
1 h 704-472-5397
2a.
Telephone Facsimile
Project (Facility) Information:
Autumn Glen Subdivision
Brief Project Name (
3. Contact Person:
3a. Larissa Coles
Name and Affiliation of Someone Who Can Answer Questions About this Ap
3b
I refer to this name)
le. She b
City
lg 28151
Zip Code
1j, etillman
E-mail
2b. Clevelan
County Where Project ts Located
704-482-7883
Phone Number
1. Project is fEl New
lat on
3c. lcoles@mcginniscoles,com
E-mail
0 Modification (of an existing permit) If Modification, Permit No.:
2, Owner is 0 Public (skip to Item B(3))
Private (go to Item 2(a))
2a, If private, applicant will be:
Retaining Ownership (i,e, store, church, single office, etc.) or
El Leasing units (lots, townhomes, etc. - skip to item B(3))
0 Selling units (lots, townhomes, etc - go to item B(26))
3, Town of B • in S s
Owner of Wastewater Treatrnent Facility (VWTF) Treating Wastewater From This Project
4a, Town of Boiling Springs 4b, NC0071943
Name of WVVTF WWTF Permit No.
5a, Town of Bolling Springs 5b, B-i Gravity 5c, W0CS00222
owner of Downstream Sewer 'Receiving Sewer Size 0 Force Main Permit # of Downstream
6. The origin of this wastewater is (check all that apply)
Residential Subdivision
El Apartments/Condominiums
0 Mobile Home Park
O School
Ej Restaurant
0 Office
0 Retail (Stores, shopping centers)
0 Institution
0 Hospital
El Church
0 Nursing Home
El Other (specify)
7, Volume of wastewater to be allocated gr permitted for this particular prqect 9360
*Do not include future flows or previously permitted allocations
If the permitted flow is zero, indicate why:
2b, If sold, facilities owned by a (must choose one)
0 Public Utility (Instruction 0)
0 Homeowner Assoc./Developer (instruction E)
tion F)
100cY0 Domestic/Commercial
% Industrial
(Attach Descrip on)
'.)/0 Other
(Attach Description)
gallons per clay
0 Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
0 Flow has already been allocated in Permit No.
o Rehabilitation or replacement of existing sewer with no new flow expected
(see 15A NCAC 02T ,0303 to determine it a permit is required)
ETA 08-13 APPLICATION Page 3 of 6

0
0
0
z
LL
re
CL
Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T ,Q114 for
the value in Item B(7) ANDI9R the design Now for line or pump station sizing if a reduced or zero flow is being requested in
Item B(7), Values other than Mat in 15A NCAC 2T ,0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T 0114 (f),
28 Residential Units x 3 bedrooms/ unit x 120 GPD/ bedroom = 9360 GPD
10, Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size ( New Gravity or Additional
Force Length (feet) Force Main
8 420 Gravity
Summary of Pump Stations wf associated Force Mains to be Permitted (attach additional sheets as necessary)
Pump Station Location ID: (self chosen - as shown on plans/map for reference)
Longitude: Latitude:
Design Flow Power Reliability Option
Operational Point
(MGD) 1 - permanent generator WATS;
GPM @TDH 2 • Po rtable generator INITS
Force Main Size
Force Main Length
Pump Station Location ID: (self chosen - as shown on plansfrnap for reference)
Longitude: Latitude:
Design Flow Power Reliability Option
Operational Point
(MGD) GPM TDH
1 - permanent generator %WATS; Force Main Size Force Main Length
(M
2 - portable generator wfMTS
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
0 Yes No If Yes, permit number of 2nd treatment facility
(RO — if "yesto Bv12 please contact the Central Office PERCS Unit)
13, Does the sewer system comply with the Minimum Design Criteria for the Permitting of Pump Stations and Force Mains
(latest version), the Gr vit Serve inim m n Cri a (latest version) and 15A NCAC Chapter 2T as applicable?
Yes O No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
[TA 08-13 APPLICATION Page 4 of 6

14, Have the following permits/certifications been submitted for approval for the system or project to be se
Wetland/Stream Crossings - General Permit or 401Certification? 0 Yes No N/A
Sedimentation and Erosion Control Plan? Yes 0 No N/A
Trout Buffer Waiver? 0 Yes 0 No N/A
Stormwater? 0 Yes 0 No N/A
15. Does this project include any high priority lines (15A NCAC Q2T ,0402 (2)) involve aerial lines, siphons, or interference
manholes)? These lines will be considered hlabprioritv and must be checked once every six months
Check if Yes: 0 and provide details.
1. Owner/Permittee's Certification, (Signature of Signing Official and Project Name)
1, ciwin R. Tillman , attest that this application for 4 .0.e1V1 1 Lf) kik; 0 iri has
been reviewed by me and is accurate and complete to the best of my knowledge. 1 understand that if all required parts of
this application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. Note: In accordance with North Carolina General
Statutes 143-2156A and 143-215,66. any person who knowing/ makes any false statement, representation, or
certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,00D
as well as civil penalties up to $25.000 per violation.
la
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
TO OTHER UTILMES, DESIGN CALCULATIONS, ETC. REFER TO 15A NCAC 02T .0305
Zto
F— 2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
0
Larissa M. Coles attest that this application for (,)t- 04 C-7(v )ei - I, A )i) has
..
been reviewed by me and is accurate, complete and consistent with the information in the engineering plans, calculatkns,
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 adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of
Pump Stations and Force Mains adopted June 1, 20fX) and the watershed classification in accordance with Division
guidance. Although other professionals may have developed certain portions of this submittal package, inclusion of these
materials under my signature and seal signifies that 1 have reviewed this material and have judged it to be consistent with
the proposed design. Note: In accordance with NC General Statutes 143-215,6A and 143-215.66 any person who
knowingly makes any false statement, representation, or certification in any application shall be guilty of a Class 2
misdemeanor which may include a fine riot to exceed $10,000 as well as civil penalties up to $25,000 per violation
2a. Larissa Coles
Professional Engineer Name
2b, Larissa M. Coles, PE
Engineering Firm
2c, 1701-1 Burke Road
2d.
Mailing Address
b
2g. 704-482-7
2h.
telephone Facsimile
2e, NC
State Zio
2i. jinniscoIesconi M.
E-mail
NC PE Seai, Sipa ure & Date
olt 1'111111104o.
NA CA,9
•"
PTA 08-1
APPI
ATION
Page 5 of 6

46,
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSF 08-13)
Project Applicant Name: Edwin R. Tillman
Project Name for which flow is being requested: Autumn Glen Subdivision
More than one .FINE may be rwredfar a single project the owner o f the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flaw
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Town of polling Springs,
b. WWTP Facility Permit #: NC0071943
Ailflows zre in MG
c. WWTP facility's permitted flow. 0.600
d. Estimated obligated flow not yet tributary to the WWTP 0.00075
e. WWTP facility's actual avg. flow 0.315
f. Total flow for this specific request 0.00936
g. Total actual and obligated flows to the facility 0.325
h. Percent of permitted flow used 54.2%
11. Complete this section for each pu.rnp 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
Station Firm
(Name or Capacity,*
Number) MGD
0.727
(A) (11) (C) (D)=(B-+C) (E)-{4-D)
Design Obligated,
Average Daily Approx, Not Yet Total Current
How** Current Avg Tributary Flow Plus
(Firm i pf), Daily Flow, Daily Flow, Obligated Available
MOD MGD MOD Flow Capacity***
0,291 0.049 0.000 0.049 0.242
* The Firm CapacityCapaeity of any pump station is defined as the maximum pumped flow tlud
can be achieved with the largest pump taken out of service.
** Design Aver e Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5,
*** A Planning Assessment Addendum shall he attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < O.
Page 1 of 6
FTSE 08-13

the volume of wastewater
III, Certification Statement:
I Michael p. Gibert certify to the best of my knowledge that the addition of
tted in this project hr
receiving wastewater treatrnent 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 indicates acceptance of this wastewater flow.
n evaluated along the route to the
Page 2 of 6
tag -I

The National Map
NOTES: data avaitable from U.S. Geological Survey, National, Geospatlal Program,
(;}pear rp The National 3/6114 11:53 AM

Da 4-4-2014
Larissa M. Cols, P
17 1 - 1 Burke Road
Shelby, NC 215.
(704 482.7883)
00. BOX 1014
BOING SPRINGS, NC 28017
phOile I 4- 'I
ax 704434-2358
Utillty Service Av lability Co
Proposed Autumn Glenu iv si t
117 MeBravasteach Boi` `nge, NC 28017
Cleveland .,, y60328
msa
Dear Mr
Coles:
I response to reqUeSt concerning the . it bility and capacity o ater/sewer tt�
the above referenced project, please consider the folio .
Water and sewer i..s available to serve the r t itlr t tlae property tin
'thin the public rid, t-- f y adjacent to the project site.
bin to service the project nab sufficient
Pl cyouh y qua questionst7 44 4- 57
ik rt
Public Works Director
caf Spn

A.RISSA M. COLES, P.F•
April 9, 2014
NC Department of Environment and Natural Resources
Division of Water Resources
Mooresville Regional Office
610 E. Center Street, Suite 301
Mooresville, NC 28115
Re: Autumn Glen Subdivision, Cleveland County
Enclosed are the originals plus 1 copy of the Application Form FTA 08-13, Form
FTSE 08-13, and a site map for Autumn Glen Subdivision in Bolling Springs, NC.
Also enclosed is a check for the application fee, and a letter of flow acceptance
from the Town of Boiling Springs.
This application is for the construction of a proposed gravity sewer line to serve
13 duplex residential units in Boiling Springs, which is in Cleveland County. The
total sewer flow for this development is 9,360 gpd, which is based on 26 total
units at 360 gpd per unit.
Please contact me if you have any questions or need any additional information.
Since
issa M. Coles, PE
I.7{F p_i HL RIK KUAI) • SIIFLB'F• NOH`I'I-I (_' \H01.,INA • 21:5! 11,
CYCLE 704_46:_7k4H7‘ . I MAI.'E,i;f.)Y_I'S(12!MCGINNINCOT.F1S„C0hi

North Carohp
Account Login Register
W lne F• Marshall
Secre aty
Date: 5/6/2014
Click here to:
View Document IF66inr1s ( File an Annual Report l
Print a Pre-popuvated Annual Report Fillabie PDF Form I Amee d A Previous Annual Report
Corporation Names
Name Name Type
NC TILLMAN COMMERCIAL LEGAL
PROPERTIES, LLC
Limited Liability Company Information
SOSID: 0567048
Status: Current -Active
Effective Date: 10/13/2000
Citizenship: DOMESTIC
State of Inc.: NC
Duration: PERPETUAL
Annual Report Status: CURRENT
Registered Agent
Agent Name:
Office Address:
TILLMAN, EDWIN R., JR.
219 FAIRMONT DRIVE
SHELBY NC 28150
Mailing Address: PO BOX 71
SHELBY NC 28151
Principal Office
Office Address:
Mailing Address:
Officers/Company Officials
219 FAIRMONT DRIVE
SHELBY NC 28150
PO BOX 71
SHELBY NC 28151
Title: MANAGER
Name: EDWIN R TILLMAN JR
Business Address: PO BOX 71
SHELBY NC 28151-0071
Title:
Name:
Business Address:
MEMBER
TERESA T MCCARTNEY
3316 CRAWLEY ROAD
SHELBY NC 28150
pint-t: bons/ .:,orp.a px
ld 52 $4i}7 5/612.014

Number WQ0t
Permit Type
Gravity Sewer Fxtensior, Purrs Stations, Pressure Sewer Extension -
Pr aryRev
rr rcnael.parker
Coastal SWWuIe
Permitted Flow
9,360
Facility
(erltr l9 Files: Aps WP
61 014
Perm li Tracking Slip
Status Project Type
in review New Protect
Version
A
Perr
Permit.. Class' on
Individual
Contact AfFrlud orl
Facility t ame
Autu rato Glen Subdivision
Location Address
Owner
Owner Name
Tifton Coro eroial Proper
Orig issue
t16.12011
e
App Repel
5t6lytl14
Regulated Activitie
a
Scheduled
Issuance
Outf
Vision
water coltecti;
rbody Name
Facility ontact Afilbtlor
Owner Type
Non -Govern n
Owner Aftillatiors
Elwin R. Winton
Region
Mooresville
County
Cievetand
Public Notice lsuf
Effective
5/161tl14 50612014
Requested /Re eived Events
Ex iration
Additionai inforrnalion ,quested
4ddstiorlat informatics received
aanrindex Number Current CI
Sunbeam

TILLMAN BUILDERS
PO BOX'71
SHELBY, NC 28151
PAY
TO THE
OF_ _ ___,_P
al Fidelity Bank nalsoma
AKihr
?71
0,
DATE_ 3
1149
66-358 53➢

/AST TRCK ENGINEERING CERTIFICATION
Permlttee: Tillman Commercial Properties, LLD Permit No, WQ0037127
Project: Autumn Glen Apartments Issue Date: 05/16/2014
Complete and submit this form to the permit issuing regional office with the following:
e One copy of the project record drawings (plan & profile views and detail drawings of sewer lines) of the wastewater collection
system extension. Final record drawings should be clear on the plans or on digital media (CD or DVD disk) in pdf format.
Record drawings should indicate the design and the marked up changes during construction,
• Supporting design calculations (selected pumps, system curve, operating point, available storage if portable generator(s) or
storage greater than longest past three year outage reliability option selected) for any pump stations permitted as part of this
project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit rnodi mations
are renuired for any changes resulting in non-compliance with this permit, regulations or minimum design criteria.
Modifications should be submitted prior to certification.
This project shall not be considered complete nor allowed to operate until the Division has received this Engineer's Certification
and all required supporting documentation. Therefore, it is highly recommended that this certification be sent in a manner
that provides proof of receipt by the Division.
PERMITTEE'S CERT' IFICATION
the undersigned agent for the Permittee, hereby state that this project has been
consCthlcted puruant to the applicable standards & requirements. the Professional Engineer below has provided applicable
designiconstniction information to the Permittee, and the Perinittee is prepared to operate & maintain the wastewater
collection system permined herein or portions thereof,
Printed Name. Tit le
Signature
Date
ENGINE. ," WS CERTIFICATION
ED Partial
Caro
t/kV-0* C-$1)1.-5 Final
. as a duly. registered Professional Engineer in the State of North lina,ving . ha,been
authorized to observe periodically. weekly, D full time) the construction of the subject project for the Permittee
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 NCA.0 0271; the Division of
Water Resources's (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 si
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS:
WATER QUALITY REGIONAL OPERATIONS SUPERVISOR
MOORESVILLE REGIONAL OFFICE,
610 EAST CENTER AVENUE, SUITE 301
.tooviwo MOORESVILLE, NC 28115
The Permittee is responsible for tracking all partial certifications up until a final certification is received. Any wastewater
flow made tributary to the wastewater collection system extensionprior to completion of this Engineer's Certification shalt he
considered a violation of the permit and shall subject the Permittee to appropriate enforcement actions:
trAhc Lk:L.;
1iovi: (root this proic"ei tribtaar.