20201304 Ver 1_More Info Received_20210628

Strickland, Bev
From: Jennifer Robertson <[e-mail]>
Sent: Friday, June 25, 2021 11:51 AM
To: Roden Reynolds, Bryan K CIV (USA); Johnson, Alan; Hajnos, Edward A
Cc: Dan Lacz; Jeff Orsborn
Subject: [External] Horton Road Off Site Sewer / Corps Action ID 2018-00162 and DWR Project
# 20-1304
Attachments: Corps 404 SAW-2018-00162 (NWP).pdf; NC DWR 401 Water Quality Certification
20-1304 Charlotte Water Garrison-Horton.docx.pdf; 7 Impact Map 20210625.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Bryan/Alan,
I have attached the 404 and 401 for this project. Now that construction has begun the contractor has hit deep
rock at the first stream crossing (S5 on page 3 of the attached impact maps). Another issue that has been
discovered is that the ground adjacent to the stream is very soft making it difficult to excavate safe boring pits.
In the original permit application this stream crossing was proposed to be jack and bored. Due to site
constraints this crossing will need to be temporarily trenched in order to install the sewer line. The contractor
has constructed the new sewer line from the tie in at the lower end up to this stream crossing so time is of the
essence. The stream bed will be restored and the construction time in the area will be much Tess (2-3 days)
compared to boring (3-4 weeks). The issued 404 and 401 already cover this additional temporary impact.
Approved impacts included 144' of temporary stream impacts, 53' of culvert replacement, and 0.015 acre of
wetland conversion from forested to herbaceous. Below is a summary of the impacts.
1. S1: 37' of temporary stream impacts
2. S2: 66' of temporary stream impacts
3. S3: 32' of culvert replacement
4. S4: 9' of temporary stream impacts
5. S5: 21' of temporary stream impacts
6. WL1: 0.015 acre of conversion to forested to herbaceous
Summary of impacts: 133' of temporary stream impacts, 32' of replacement impacts, and 0.015 acre of
conversion impact.
Due to the impacts to the DMS stream mitigation conservation easement (20' of buffer disturbance) 40 stream
credits were purchased through DMS. Due to project impacts at the industrial development site mitigation was
also completed for the wetland impact. By copy of this email I am requesting concurrence from your offices
that construction of the stream crossing at S5 can proceed as a temporary open trench.
Ed,
Are there any additional documents that you need? I know that you plan to conduct a site visit once
construction in this area is complete so I will let you know when you can schedule your site inspection.
Thank you,
Jennifer L Robertson, President
ATLAS Environmental, Inc.
338 S. Sharon Amity Road #411
Charlotte, NC 28211
[phone] office
[phone] mobile
www.atlasenvi.com
Offices in Asheville and Charlotte
i

2

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2018-00162 County: Mecklenburg U.S.G.S. Quad: NC -Charlotte West
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Permittee: Silverman Group
Dan Lacz
Address: 195 Morristown Road
Basking Ridge, NJ 07920
Telephone Number: 973-765-0100
E-mail: danlacz(dsilvermangroup.net
Size (acres) 2.18 Nearest Town Charlotte
Nearest Waterway Beavedam Creek River Basin Santee
USGS HUC 03050101 Coordinates Latitude: 35.17790
Longitude:-80.97809
Location description: The review area is located on the north side of Dixie River Road; approximately 0.2 miles west of
intersection of Dixie River Road and Shopton Road. PINs: 14118101, 14117112, 14129103, and 14129106. Reference review
area description shown in Pre -Construction Notification entitled "Aerial Imagery" and Dated 08/26/2020.
Description of projects area and activity: This verification authorizes the permanent wetland impacts 0.015 acres along with the
temporary stream impacts of 144 linear feet to facilitate the construction of a new sewer line. All temporary stream impacts
will be restored to pre-existing conditions after the completion of construction. In addition, a culvert will replaced in place (53
linear feetl and be authorized under Nationwide Permit 3: whereas all previously mentioned wetland and stream impacts are
authorized under Nationwide Permit 12.
Applicable Law(s): ® Section 404 (Clean Water Act, 33 USC 1344)
❑ Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: NWP 3. Maintenance and NWP 12. Utility Line Activities
SEE ATTACHED NWP GENERAL, REGIONAL, AND/OR SPECIAL CONDITIONS
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the enclosed
Conditions, your application signed and dated 9/25/2020, and the enclosed plans Construction Drawings, Sheets 1-13 undated.
Any violation of the attached conditions or deviation from your submitted plans may subject the permittee to a stop work order,
a restoration order, a Class I administrative penalty, and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide authorization is modified, suspended
or revoked. If, prior to the expiration date identified below, the nationwide permit authorization is reissued and/or modified, this
verification will remain valid until the expiration date identified below, provided it complies with all requirements of the modified
nationwide permit. If the nationwide permit authorization expires or is suspended, revoked, or is modified, such that the activity would
no longer comply with the terms and conditions of the nationwide permit, activities which have commenced (i.e., are under construction)
or are under contract to commence in reliance upon the nationwide permit, will remain authorized provided the activity is completed
within twelve months of the date of the nationwide permit's expiration, modification or revocation, unless discretionary authority has
been exercised on a case -by -case basis to modify, suspend or revoke the authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Resources (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA), prior
to beginning work you must contact the N.C. Division of Coastal Management Morehead City, NC, at [phone].
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal, State
or local approvals/permits.
If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory program,
please contact Bryan Roden -Reynolds at 704-510-1440or bryan.roden-reynolds(a,usace.army.mil.

RODEN Digitally signed by RODEN
REYNOLDS.BRYAN.KENNETH.12633 REYNOLDS.BRYAN.KENNETH.1263385574
Corps Regulatory Official: 85574 Date: 2020.10.0714:21:56-04'00' Date: 10/7/2020
Expiration Date of Verification: 03/18/2022
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we
continue to do so, please complete the Customer Satisfaction Survey located at
http://corpsmapu.usace.army.mil/cm_apex/f?p=136:4:0
Copy furnished:
Agent: Atlas Environmental, Inc.
Jennifer Robertson
Address: 338 S. Sharon Amity Road, Suite 411
Charlotte, NC 28271
Telephone Number: 704-512-1206
E-mail: 0robertson(&atlasenvi.com
Property Owner: Mecklenburg County
Chris Matthews
Address: 5841 Brookshire Boulevard
Charlotte, NC 28216
Telephone Number: 980-722-2404
E-mail: chris.matthewsC&mecknc.gov

SAW-2018-00162
SPECIAL CONDITIONS
a. In order to compensate for impacts associated with this permit, mitigation shall be provided in accordance
with the provisions outlined on the most recent version of the attached Compensatory Mitigation Responsibility
Transfer Form. The requirements of this form, including any special conditions listed on this form, are hereby
incorporated as special conditions of this permit authorization.

Action ID Number: SAW-2018-00162 County: Mecklenburg
Permittee: Silverman Group, Dan Lacz
Project Name: Garrison and Horton Roads Sewer
Date Verification Issued: 10/7/2020
Project Manager: Bryan Roden -Reynolds
Upon completion of the activity authorized by this permit and any mitigation required by the permit,
sign this certification and return it to the following address:
US ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Attn: Bryan Roden -Reynolds
Charlotte Regulatory Office
U.S Army Corps of Engineers
8430 University Executive Park Drive, Suite 615
Charlotte, North Carolina 28262
or
[e-mail]
Please note that your permitted activity is subject to a compliance inspection by a U. S. Army Corps of
Engineers representative. Failure to comply with any terms or conditions of this authorization may
result in the Corps suspending, modifying or revoking the authorization and/or issuing a Class I
administrative penalty, or initiating other appropriate legal action.
I hereby certify that the work authorized by the above referenced permit has been completed in
accordance with the terms and condition of the said permit, and required mitigation was completed in
accordance with the permit conditions.
Signature of Permittee
Date

SAW-2018-00162
MEMORANDUM FOR RECORD
SUBJECT: Department of the Army Memorandum Documenting General Permit Verification
1.0 Introduction and overview: Information about the proposal subject to one or more of the
Corps regulatory authorities is provided in Section 1, detailed evaluation of the activity is found
in Sections 2 through 4 and findings are documented in Section 5 of this memorandum.
Further, summary information about the activity including administrative history of actions
taken during project evaluation is attached (ORM2 summary).
1.1 Applicant name: Silverman Group, Dan Lacz
1.2 Activity location: Latitude: 35.17790 Longitude:-80.97809 Location description: The review
area is located on the north side of Dixie River Road; approximately 0.2 miles west of
intersection of Dixie River Road and Shopton Road. PINs: 14118101, 14117112,
14129103, and 14129106. Reference review area description shown in Pre -Construction
Notification entitled "Aerial Imagery" and Dated 08126/2020.
1.3 Description of activity requiring verification:This verification would authorize the permanent
wetland impacts 0.015 acres along with the temporary stream impacts of 144 linear feet
to facilitate the construction of a new sewer line. All temporary stream impacts will be
restored to pre-existing conditions after the completion of construction. In addition, a
culvert will replaced in place (53 linear feet) and be authorized under Nationwide Permit
3; whereas all previously mentioned wetland and stream impacts are authorized under
Nationwide Permit 12.
1.4 Is this an After -the -Fact verification? No.
1.5 Date PCN determined complete for processing 10/7/2020
1.6 Jurisdiction Determination completed? A Preliminary JD was completed on 2/3/2020.
1.7 Permit authority: Section 404 of the Clean Water Act (33 USC 1344)
1.8 Applicable Permit: NWP 3. Maintenance and NWP 12. Utility Line Activities
1.9 Activity requires written waiver of NWP limits? No.
1.10 Activity requires a waiver from the requirements of a regional condition(s)? No.
2.0 Evaluation of the Pre -Construction Notification
2.1 Direct and indirect effects caused by the GP activity: The direct effects of the proposed
activity in waters would include the loss of jurisdictional waters (as specified in Section
1.3) and their associated aquatic resource functions. The proposed activity also has the
potential to result in indirect effects to waters including excess sedimentation in
downstream waters, disruption and/or killing of aquatic life in the direct vicinity of the
project area, increase of downstream flows, and blocking/restricting aquatic life
passage transiting in and through the project area. These indirect effects are expected
to be minimal due to design criteria and Best Management Practices (BMPs) required by

SAW-2018-00162
Nationwide Permit General and Regional Conditions. Additionally, indirect effects would
be further reduced through the implementation of BMPs required by state, local, and
Federal ordinances and regulations.
2.2 Site specific factors: The review area is mostly forested and undeveloped.
2.3 Coordination
2.3.1 Was the PCN coordinated with other agencies? No.
Agency coordination with the USFWS is required for the Northern Long Eared Bat.
However, the Corps is not required to wait for a response from the USFWS Asheville
Office in accordance with local procedures.
2.3.2 Was the PCN coordinated with other Corps offices? No.
2.4 Mitigation
2.4.1 Provide brief description of how the activity has been designed on -site to avoid and minimize
adverse effects, both temporary and permanent, to waters of the United States to the
maximum extent practicable at the project site:The applicant provided a detailed statement
describing their efforts to avoid and minimized impacts to waters of the United States
on the project site in the preconstruction notification. Based on this information, the
Corps believes the applicant has avoid and minimized impacts to waters of the United
State to the maximum extent practicable.
2.4.2 Is compensatory mitigation required for unavoidable impacts to jurisdictional aquatic resources
to reduce the individual and cumulative adverse environmental effects to a minimal level?
Yes.
Provide rationale: Compensatory mitigation is required to ensure minimal adverse
environmental effects. The IRT is requiring compensatory mitigation for the disturbance
of a stream buffer. The requirement is 40 linear feet of stream credit. In addition,
proposed permanent wetland impacts are considered cumulative with previously
permitted impacts by the applicant. Those wetland impacts will require a compensatory
mitigation ratio of 1:1 because these wetland impacts are converting a forested wetland
to a herbaceous wetland.
2.4.3 Type and location of compensatory mitigation
Is the impact in the service area of an approved mitigation bank? Yes.
If yes, does the mitigation bank have appropriate number and resource type of credits
available? No.
Is the impact in the service area of an approved in -lieu fee program? Yes.
If yes, does the in -lieu fee program have the appropriate number and resource type of credits
available? Yes.
Selected compensatory mitigation type/location(s): See Table

SAW-2018-00162
Table 1: Mitigation Type and Location
Mitigation bank credits
In -lieu fee program credits
x
Perm ittee-responsible mitigation under a watershed approach
Perm ittee-responsible mitigation, on -site and in -kind
Permittee-responsible mitigation, off -site and/or out of kind
Does the selected compensatory mitigation option deviate from the order of the options
presented in §332.3(b)(2)-(6)? N/A.
If yes, provide the rationale for the deviation, including the likelihood for ecological success
and sustainability, location of the compensation site relative to the impact site and their
significance within the watershed, and/or the costs of the compensatory mitigation project (see
33 CFR §332.3(a)(1)):
2.4.4 Amount of compensatory mitigation: 40 linear feet of stream credit and 0.015 acre of
wetland credit
Rationale for required compensatory mitigation amount: See Section 2.4.2.
3.0 Compliance with Other Laws, Policies and Requirements
3.1 Section 7(a)(2) of the Endangered Species Act (ESA)
3.1.1 ESA action area: The action area includes the waters of the United States that will be
directly affected by the proposed work or structures and uplands directly affected as a
result of authorizing the work or structures.
3.1.2 Has another federal agency taken steps to document compliance with Section 7 of the ESA
and completed consultation(s) as required? No.
3.1.3 Known species/critical habitat present? No. The Corps has determined that it has
fulfilled its responsibilities under Section 7(a)(2) of the ESA.
IPAC Species in Mecklenburg County:
NAME: Carolina heelsplitter (Lasmigona decorata) STATUS: Endangered
NAME: Northern Long-eared Bat (Myotis spetentrionalis) STATUS: Threatened
NAME: Rusty -patched bumble bee (Bombus affinis) STATUS: Endangered
NAME: Michaux's sumac (Rhus michauxii) STATUS: Endangered
NAME: Schweinitz's sunflower (Helianthus schweinitzii) STATUS: Endangered
NAME: Smooth coneflower (Echinacea laevigata) STATUS: Endangered
Effect determination(s), including no effect, for all known species/habitat, and basis for
determination (s): Based on the latest version of the Natural Heritage Program's NHEO
data, there are no protected species located within or in the vicinity of the action area.
The Corps has determined the proposed activity will not directly or indirectly affect any
species subject to the ESA.
3.1.4 Consultation with either the National Marine Fisheries Service and/or the U.S. Fish and Wildlife
Service was initiated and completed as required, for any determinations other than "no effect"

SAW-2018-00162
(see the attached "Summary" sheet for begin date, end date and closure method of the
consultation).
The USACE reviewed this project in accordance with (IAW) the NLEB Standard Local
Operating Procedures for Endangered Species (SLOPES) between the USACE,
Wilmington District, and the Asheville and Raleigh U.S. Fish and Wildlife Service
(Service) Offices, and determined that the action area for this project is located outside
of the highlighted areas/red 12-digit HUCs and activities in the action area do not
require prohibited incidental take; as such, this project meets the criteria for the 4(d)
rule and any associated take is exempted/excepted. IAW the NLEB SLOPES, the USACE
sent a Situation 1 email to the Service on October 7, 2020, informing them about this
project.
Service Concurrence: as established in the NLEB SLOPES, this project does not require
prohibited intentional take of the NLEB and it meets the criteria for the 4(d) rule;
therefore any associated take is exempt and it is not necessary for the USACE to wait
30 days for the Service to object or concur.
Based on a review of the information above, the Corps has determined that it has fulfilled its
responsibilities under Section 7(a)(2) of the ESA.
3.2 Magnuson -Stevens Fishery Conservation and Management Act, Essential Fish Habitat
(EFH) The NWPs/RGPs were coordinated with the NMFS during the permit renewal
process. NMFS coordination/EFH consultation is required if the activity affects SAV.
This activity does not affect SAV. Therefore, NMFS coordination/EFH consultation has
been completed.
3.2.1 Has another federal agency taken steps to comply with EFH provisions of Magnuson -Stevens
Act? No.
3.2.2 Did the proposed project require review under the Magnuson -Stevens Act? No.
3.3 Section 106 of the National Historic Preservation Act (Section 106)
3.3.1 Section 106 permit area:The permit area includes those areas comprising waters of the United
States that will be directly affected by the proposed work or structures, as well as activities
outside of waters of the U.S. because all three tests identified in 33 CFR 325, Appendix
C(g)(1) have been met.
Final description of the permit area: All three test have been met and portions of the larger
project undertaken outside of waters of the U.S. are in the permit area. Activities
undertaken outside WOUS are included in the permit area because those activities are
directly associated and integrally related with the authorized work and those activities
would not occur but for the authorization of the work within the WOUS.
3.3.2 Has another federal agency taken steps to comply with Section 106 of the National Historic
Preservation Act and completed consultation(s) as required? No.
3.3.3 Known cultural resource sites present and/or survey or other additional information
needed? No. Based on the NCDCR "HPOWEB" service and aerial photographs, there are
no known historic properties located in the permit area or in close proximity to the
permit area.

SAW-2018-00162
Effect determination and basis for that determination: The Corps has determined the
proposed activity will have no effect on properties listed or eligible for listing in the
National Register of Historic Places.
3.3.4 Consultation was initiated and completed as required with the appropriate agencies, tribes
and/or other parties for any determinations other than "no potential to cause effects" (see the
attached "Summary" sheet for consultation type, begin date, end date and closure method of
the consultation). The Corps has determined that it has fulfilled its responsibilities under
Section 106 of the NHPA.
3.4 Tribal Trust Responsibilities
3.4.1 Was government -to -government consultation conducted with Federally -recognized Tribe(s)?
No. There are no known tribal interests in the project area.
Provide a description of any consultation(s) conducted including results and how concerns
about significant effects to protected tribal resources, tribal rights and/or Indian lands were
addressed. The Corps has determined that it has fulfilled its tribal trust responsibilities.
3.4.2 Other Tribal including any discussion of Tribal Treaty rights? Select Yes or No.
3.5 Section 401 of the Clean Water Act — Water Quality Certification (WQC)
3.5.1 Is a Section 401 WQC required, and if so, has the certification been issued or waived? A
general WQC has been issued for this permit.
3.6 Coastal Zone Management Act (CZMA)
3.6.1 Is a CZMA consistency concurrence required, and if so, has the concurrence been issued,
waived or presumed? N/A, a CZMA consistency concurrence is not required.
3.7 Wild and Scenic Rivers Act
3.7.1 Is the projectlocated in a component of the National Wild and Scenic River System, or in a
river officially designated by Congress as a "study river" for possible inclusion in the system?
No. According to http://www.rivers.gov, the proposed project area is not within a
designated or study river.
3.8 Effects on Corps Civil Works Projects (33 USC 408)
3.8.1 Does the applicant also require permission under Section 14 of the Rivers and Harbors Act (33
USC 408) because the activity, in whole or in part, would alter, occupy, or use a Corps Civil
Works project? No, there are no Corps Civil Works project(s) in or near the vicinity of the
proposal.
4.0 Special Conditions
4.1 Are special conditions required to ensure minimal effects, protect the public interest and/or
ensure compliance of the activity with any of the laws above? Yes.

SAW-2018-00162
4.2 Required special condition(s)
Special condition:
a. In order to compensate for impacts associated with this permit, mitigation shall be provided
in accordance with the provisions outlined on the most recent version of the attached
Compensatory Mitigation Responsibility Transfer Form. The requirements of this form,
including any special conditions listed on this form, are hereby incorporated as special
conditions of this permit authorization.
Rationale:See Section 2.4.2.
5.0 Determination
5.1 Waiver request conclusion, if required or select N/A: N/A.
5.2 The activity, with the required mitigation, will result in no more than minimal individual and
cumulative adverse effects on the aquatic environment and will not be contrary to the public
interest, provided the permittee complies with the special conditions identified above.
5.3 This activity, as described, complies with all terms and conditions of the permits identified in
Section 1.5.
PREPARED BY:
RODEN Digitally signed by RODEN
REYNOLDS.BRYAN.KEN REYNOLDS.BRYAN.KENNETH.126
3385574
NETH.1263385574 Date: 2020.10.07 14:20:58 -04'00' Date: 10/7/2020
Bryan Roden -Reynolds

Compensatory Mitigation Responsibility Transfer Form
Permittee: Silverman Group, Dan Lacz Action ID: SAW-2018-00162
Project Name: Garrison and Horton Roads Sewer County: Mecklenburg
Instructions to Permittee: The Permittee must provide a copy of this form to the Mitigation Sponsor, either an approved
Mitigation Bank or the North Carolina Division of Mitigation Services (NCDMS), who will then sign the form to verify the
transfer of the mitigation responsibility. Once the Sponsor has signed this form, it is the Permittee's responsibility to ensure
that to the U.S. Army Corps of Engineers (USACE) Project Manager identified on page two is in receipt of a signed copy of this
form before conducting authorized impacts, unless otherwise specified below. If more than one mitigation Sponsor will be
used to provide the mitigation associated with the permit, or if the impacts and/or the mitigation will occur in more than one
8-digit Hydrologic Unit Code (HUC), multiple forms will be attached to the permit, and the separate forms for each Sponsor
and/or HUC must be provided to the appropriate mitigation Sponsors.
Instructions to Sponsor: The Sponsor must verify that the mitigation requirements (credits) shown below are available at the
identified site. By signing below, the Sponsor is accepting full responsibility for the identified mitigation, regardless of
whether or not they have received payment from the Permittee. Once the form is signed, the Sponsor must update the bank
ledger and provide a copy of the signed form and the updated bank ledger to the Permittee, the USACE Project Manager, and
the Wilmington District Mitigation Office (see contact information on page 2). The Sponsor must also comply with all
reporting requirements established in their authorizing instrument.
Permitted Impacts and Compensatory Mitigation Requirements:
Permitted Impacts Requiring Mitigation* 8-digit HUC and Basin: 03050101, Catawba River Basin
Stream Impacts (linear feet)
Wetland Impacts (acres)
Warm
Cool
Cold
Riparian Riverine
Riparian Non-Riverine
Non -Riparian
Coastal
40
0.015
*If more than one mitigation sponsor will be used for the permit, only include impacts to be mitigated by this sponsor.
Compensatory Mitigation Requirements: 8-digit HUC and Basin: 03050101, Catawba River Basin
Stream Mitigation (credits)
Wetland Mitigation (credits)
Warm
Cool
Cold
Riparian Riverine
Riparian Non-Riverine
Non -Riparian
Coastal
40
0.015
Mitigation Site Debited:
(List the name of the bank to be debited. For umbrella banks, also list the specific site. For NCDMS, list NCDMS. If the NCDMS
acceptance letter identifies a specific site, also list the specific site to be debited).
Section to be completed by the Mitigation Sponsor
Statement of Mitigation Liability Acceptance: I, the undersigned, verify that I am authorized to approve mitigation
transactions for the Mitigation Sponsor shown below, and I certify that the Sponsor agrees to accept full responsibility for
providing the mitigation identified in this document (see the table above), associated with the USACE Permittee and Action
ID number shown. I also verify that released credits (and/or advance credits for NCDMS), as approved by the USACE, are
currently available at the mitigation site identified above. Further, I understand that if the Sponsor fails to provide the
required compensatory mitigation, the USACE Wilmington District Engineer may pursue measures against the Sponsor to
ensure compliance associated with the mitigation requirements.
Mitigation Sponsor Name:
Name of Sponsor's Authorized Representative:
Signature of Sponsor's Authorized Representative Date of Signature

Conditions for Transfer of Compensatory Mitigation Credit:
• Once this document has been signed by the Mitigation Sponsor and the USACE is in receipt of the signed form, the
Permittee is no longer responsible for providing the mitigation identified in this form, though the Permittee remains
responsible for any other mitigation requirements stated in the permit conditions.
• Construction within jurisdictional areas authorized by the permit identified on page one of this form can begin only after
the USACE is in receipt of a copy of this document signed by the Sponsor, confirming that the Sponsor has accepted
responsibility for providing the mitigation requirements listed herein. For authorized impacts conducted by the North
Carolina Department of Transportation (NCDOT), construction within jurisdictional areas may proceed upon permit
issuance; however, a copy of this form signed by the Sponsor must be provided to the USACE within 30 days of permit
issuance. NCDOT remains fully responsible for the mitigation until the USACE has received this form, confirming that the
Sponsor has accepted responsibility for providing the mitigation requirements listed herein.
• Signed copies of this document must be retained by the Permittee, Mitigation Sponsor, and in the USACE administrative
records for both the permit and the Bank/ILF Instrument. It is the Permittee's responsibility to ensure that the USACE
Project Manager (address below) is provided with a signed copy of this form.
• If changes are proposed to the type, amount, or location of mitigation after this form has been signed and returned to
the USACE, the Sponsor must obtain case -by -case approval from the USACE Project Manager and/or North Carolina
Interagency Review Team (NCIRT). If approved, higher mitigation ratios may be applied, as per current District guidance
and a new version of this form must be completed and included in the USACE administrative records for both the permit
and the Bank/ILF Instrument.
Comments/Additional Conditions: A letter from NCDMS they are willing and able to accept the applicant's compensatory
mitigation responsibility, dated 9/25/2020 was included with the preconstruction notification.
This form is not valid unless signed below by the USACE Project Manager and by the Mitigation Sponsor on Page 1. Once
signed, the Sponsor should provide copies of this form along with an updated bank ledger to:1) the Permittee, 2) the USACE
Project Manager at the address below, and 3) the Wilmington District Mitigation Office, Attn: Todd Tugwell, 11405 Falls
of Neuse Road, Wake Forest, NC27587 (email: [e-mail]). Questions regarding this form or any of the
permit conditions may be directed to the USACE Project Manager below.
USACE Project Manager: Bryan Roden -Reynolds
USACE Field Office: Charlotte Regulatory Office
US Army Corps of Engineers
8430 University Executive Park Drive, Suite 615
Charlotte, North Carolina 28262
Email: [e-mail]
RODEN Digitally signed by RODEN
REYNOLDS.BRYANXENNETH.1263 REYNOLDS.BRYAN.KENNETH.1263385574
385574 Date: 2020.10.07 14:19:24-04'00' 10/7/2020
USACE Project Manager Signature Date of Signature
Current Wilmington District mitigation guidance, including information on mitigation ratios, functional assessments, and
mitigation bank location and availability, and credit classifications (including stream temperature and wetland groupings) is
available at http://ribits.usace.army.mil

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
November 19, 2020
DWR# 20-1304
Mecklenburg County
Mr. Dan Lacz
The Silverman Group
195 Morristown Road
Basking Ridge, NJ 07920
Subject: APPROVAL of 401 Water Quality Certification with Additional Conditions
Charlotte Water Garrison/Horton Rd. Project
Dear Mr. Lacz:
You have our approval, in accordance with the Geneal Certification and those conditions listed below,
for the purpose proposed in your application dated August 21, 2020, and received by the Division of Water
Resources (the Division) on October 24, 2020. These impacts are covered by the attached Water Quality
General Certification Number 4132/4133. This certification is associated with the use of Nationwide Permit
Number 3/12 once it is issued to you by the U.S. Army Corps of Engineers (COE). Please note that you
should get any other federal, state or local permits before proceeding with your project, including those
required by (but not limited to) Sediment and Erosion Control, Non -Discharge, and Water Supply Watershed
regulations.
The above noted Certification will expire when the associated 404 permit expires unless otherwise
specified in the General Certification. The Division has determined that the proposed project will comply with
the water quality requirements provide that you adhere to the conditions listed in the certification and the
additional condition listed below.
This approval is for the purpose and design described in your application. The plans and specifications
for this project are incorporated by reference as part of this Certification. If you change your project, you must
notify the Division and you may be required to submit a new application package with the appropriate fee. If
the property is sold, the new owner must be given a copy of this Certification and is responsible for complying
with all conditions. [15A NCAC 02H .0507(d)(2)
1. The Mooresville Regional Office shall be notified in writing once construction at the approved impact
/areas has commenced. 15A NCAC 02H .0502 (e)
2. Approved Impacts, no other impacts including incidental impacts are approved:
Type of Impact
Amount Approved
Temporary Impact
Amount Approved
Permanent Impact
Stream
144 linear ft.
0 linear ft.
Wetland
0 acre
0.05 acre
D E Qbi�� North Carolina Department of Environmental Quality I Division of Water Resources
Mooresville Regional Office 1 610 East Center Avenue, Suite 301 1 Mooresville, North Carolina 28115
vOry rN Cx:40:.itiA �
N. a Io E".w^^�"��a°:r� /� 704.663.1699

3. Use of native vegetation and other soft stream bank stabilization techniques is recommended where
practicable instead of riprap or other bank hardening methods. If riprap is necessary, it shall not be
placed in the streambed, unless approved by DWR.
4. The permittee shall report to the Mooresville Regional Office any noncompliance with this certification,
any violation of stream or wetland standards [including but not limited to sediment impacts, and any
violation of state regulated riparian buffer rules. Information shall be provided orally within 24 hours (or
the next business day if a weekend or holiday) from the time the applicant became aware of the
circumstances. A written submission shall also be provided within 5 business days of the time the
applicant becomes aware of the circumstances. The written submission shall contain a description of
the noncompliance, and its causes; the period of noncompliance, including exact dates and times, if the
noncompliance has not been corrected, the anticipated time compliance is expected to continue; and
steps taken or planned to reduce, eliminate, and prevent reoccurrence of the noncompliance. The
Division may waive the written submission requirement on a case -by -case basis. 15A NCAC 02B .0200
5. The Permittee shall ensure that the final design drawings adhere to the permit and to the permit
drawings submitted for approval. 15A NCAC 02H .0507 (c) and 15A NCAC 02H .0506 (b)(2) and (c)(2)
6. Upon completion of the project, the applicant shall complete and return a "Certificate of Completion" form
to the 401/Wetlands Branch of the Division using the following link:
https:Hedocs.deq.nc.gov/Forms/Certificate-of-Completion. 15A NCAC 02H .0507(c)
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5] Please be
aware that by having impacted waters without first applying for and securing the issuance of a 401 Water
Quality Certification, you have violated Title 15A of the North Carolina Administrative Code (NCAC) 2H .0500.
Title 15A NCAC 2H .0500 requires certifications pursuant to Section 401 of the Clean Water Act whenever
construction or operation of facilities will result in a discharge into navigable waters, including wetlands, as
described in 33 Code of Federal Regulations (CFR) Part 323. It also states any person desiring issuance of
the State certification or coverage under a general certification required by Section 401 of the Federal Water
Pollution Control Act shall file with the Director of the North Carolina Division of Water Quality. Pursuant to
G.S. 143-215.6A, these violations and any future violations are subject to a civil penalty assessment of up to a
maximum of $25,000.00 per day for each violation.
This Certification can be contested as provided in Chapter 150B of the North Carolina General Statutes
by filing a Petition for a Contested Case Hearing (Petition) with the North Carolina Office of Administrative
Hearings (OAH) within sixty (60) calendar days. Requirements for filing a Petition are set forth in Chapter 150B
of the North Carolina General Statutes and Title 26 of the North Carolina Administrative Code. Additional
information regarding requirements for filing a Petition and Petition forms may be accessed at
http://www.ncoah.com/ or by calling the OAH Clerk's Office at [phone].
One (1) copy of the Petition must also be served to the North Carolina Department of Environmental Quality:
William F. Lane, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, NC 27699-1601
This letter completes the review of the Division under section 401 of the Clean Water Act and 15A
NCAC 02H .0500. Please contact Mr. Alan Johnson in the Mooresville Regional Office at 704-663-1699.

Sincerely,
DocuSigned by:
E
w u H P44.t
for
F161F969A2D84A3...
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office, DEQ
Attachment
cc: Bryan Rhoden Reynolds, Army Corps of Engineers, Charlotte, email
Jennifer Robertson, Atlas Env., email
DWR 401 & Buffer Permitting Branch file
MRO, Land Quality

CERTIFICATE OF COMPLETION
NCDWR Project No.:
Applicant:
Project Name:
Date of Issuance of 401 Water Quality Certification:
County:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any
subsequent modifications, the applicant is required to return this certificate to the 401 Wetland & Buffer Permitting
Unit, North Carolina Division of Water Resources, 1617 Mail Service Center, Raleigh, NC, 27699-1617. This form may be
returned to NCDWR by the applicant, the applicant's authorized agent, or the project engineer. It is not necessary to
send certificates from all of these.
Applicant's Certification
I, , 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 and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications,
and other supporting materials.
Signature:
Agent's Certification
Date:
I, , 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 and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications,
and other supporting materials.
Signature:
Engineer's Certification
Partial Final
Date:
I, , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the 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 and intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature Registration No. Date

LEGEND
ASPHALT (PROFILE)
BOTTOM OF BANK (TOE)
BRIGDE
BUILDING
SYMBOLS
CHECK DAM STD. 6.8J
Do -
CONCRETE (PROFILE)
CREEK, DITCH OR BRANCH
CURB & GUTTER
-------------
EDGE OF ROADWAY
-------------
EXISTING FIRE HYDRANT
0
EXIST. WATER OR SAN. SEWER EASEMENT
PUE
EXISTING IRON PIN
O
EXISTING WATER VALVE
X
EXISTING WATER MAIN
w
EXISTING � SANITARY SEWER
—SS89,00'0011w
2s.80'
EXIST. SAN. SEWER MANHOLE STRUCTURE
1
EXISTING GAS MAIN
G
EXISTING GAS SERVICE
Gs
FENCE (LABEL TYPE)
WOOD
GAS VALVE
GRAVEL (PROFILE)
GROUND PROFILE
GUARD RAIL
MARSH, POND, WETLAND OR LAKE
OVERHEAD ELECTRIC
of
PIERS
n n n
POWER POLE/GUY WIRE
0*
EITHER / OR
PROPERTY LINE
— —
PROPOSED AIR RELEASE
PROPOSED FIRE HYDRANT
1+00
PROPOSED WATER MAIN (MARKED EVERY 100')
PROP. WATER OR SAN. SEWER EASEMENT
- -
PROP. WATER OR SAN. SEWER TAP
PROP. WATER VALVE
►/
PROPOSED � SANITARY SEWER
N89°00'00"E
26.80'
PROP. SAN. SEWER MANHOLE STRUCTURE
RIP - RAP
ROAD/STREET R/W
RAW
SEDIMENT FENCE (SILT FENCE) STD. 6.62
SIDEWALK
sw
STREET SIGN (LABEL TYPE)
STORM DRAIN/CATCH BASIN, YARD AND DROP INLET
TEMPORARY CONSTRUCTION EASEMENT
TCE
TEMPORARY SEDIMENT TRAP STD. 6.60
TEMPORARY DIVERSION STD. 6.20
TDTDTD-
TEMPORARY STREAM CROSSING STD. 6.70
�T�
TOP OF BANK (TOB)
TOWER LINE NoE
TREE & BUSH 0
UNDERGROUND CABLE uc
UNDERGROUND ELECTRIC UE
UNDERGROUND TELEPHONE UT UT UT
RAILROAD I I I I I I I
WATER METER ❑
NOTE: LINE WEIGHTS ARE NOT DELINEATED HERE. THEY ARE CONTROLLED THROUGH CLTWater PLOTSTYLE.
MUNICIPALITY: CHARLOTTE
NCDOT ENCROACHMENT NUMBER:
DESIGN COMPANY:
PLANS PREPARED BY: ORSBORN ENGINEERING GROUP, P.A. NAME
ADDRESS: 605 LEXINGTON AVE., SUITE 301, CHARLOTTE, NC, 28203
PHONE: [phone] FAX: [phone]
DATE DESIGN COMPLETED: AUGUST 24, 2020
SURVEY COMPANY:
CHARLOTTE
vi mr E R
CHARLOTTE, NORTH CAR O IL INN
o�ol�
CLT INTERMODAL
SYSTEM
II;dPRQ'-IEI°,1ENT`,
D�`-�T����ifT1��';�
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o �o`° PID #141—
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ID #141 0 = ��
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r1 I L _ PID #141-181-18 PROPOSED
I PRVT SSMH l 11 PRVT SSMH r
PRVT SSMH
PROP MH#22 _
RVT SSMH
Im (
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EX 36" SS
CLTWATER JOB# 324-98-914
CLTWATER FILE# 134-2
I
PROP MH#21 �(
PROP MH#20 PID# 141-181-01 —
/ STORMWATER POND
102.80LF 8' SS /
/ PID #141-181-65 N57° 46' 37"E
PROP MH 19 85.98LF 8" SS
N57° 46' 37"E I /r
PROP MH#18 255 20LF 8" SS PID # /
��_ 137.52LF 8" SS N28° 57' 45"E 141-171-12 I Z/
N39° 29 53" E 158.52LF 8" SS
\ N71 ° 06' 11 "E
/ PID #141-171-12
PROP MH#17/ / � 11 PROP MH#16
375.40LF 8" SS \\\ �� PROP MH#15
N8° 11 27 E
I 141 PID#
" \� PROP MH#� l
84.55LF 8 SS 118.18LF 8 SS;,�T-�
N13° 34' 09"W , N20° 34' 08"W
PROP MH#13 APPROXIMATE DUKE ENERGY
�233.27LF 8 SS I
200' R/W LIMITS
N13° 34' 03"W �I� DB 1807 PG 39
178.36LF 12" SS \` I MB 8 PG 45 \
PROP MH#12 \
PID #11072 s1-02 N20° 34' 08"W 1)�
�� \ 296.70LF 12" SS
217.72LF 12" SS I N31 ° 16' 44"E
S84° 24' 23"E (!;
\ PROP MH#11 /
/ 217.72LF 12" SS `I
h S84° 24' 23"E �� 140.11 LF 12$' SS
U \ IN41 ° 56' 20 E N,
0 10829 i PROP MH#10
G, PID#141-291-03
435.96LF 12" SS
\ N45° 57' 18"E
/
450.16LF 12" SS
APPROXIMATE DUKE ENERGY
N67° 34' 32"E�
200' R/W LIMITS
DB 1807 PG 46 i
MB 8 PG 45 \ 290.97LF 12"
N73° 53' 17"E� /
PROP MH#6
JEFF ORSBORN, PE.
149.19LF 12" SS
E-MAIL: [e-mail],oP PROP MH#5
N6' 46' 31 E II
Oe q°-
Po 10829 `\ /
/ PROP � M\H#9�_�
PROP MH#8 r
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'ROP MH 7 \
PID #141-171-11 \ \
PID PROP MH#4�
\#141-291-03
N��HE / 334.72LF 12" SS
IJ
145.37LF 12" SS
N74° 38' 12"E IN41 ° 57' 40"E o ^�
SURVEYED BY: R.B. PHARR & ASSOCIATES, P.A. NAME: JUSTIN F. CLONINGER \ I
ADDRESS: 420 HAWTHORN LANE, CHARLOTTE, NC, 28204 E-MAIL: [e-mail] 211.49LF 12 SS PROP MH#3 oq PID #141-171-11
p N27° 30' 41 "E PROP MH#2
o 141-
ron
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00
PHONE: (704) 376 - 2186 PID#141-291-05 l PROP MH#1 U i
DATE SURVEY COMPLETED: NOV. 16, 2017 195.14LF 12" SS / I EX PRVT 8" SS
N14' 55' 48"W —EX PRVT SSMH /
DEVELOPER: EX 24"/SS, EX SS MANHOLE
CLT WATER JOB # 300-08-588 MH ID # 474154
CLT WATER FILE 245-7 /
SL HORTON ROAD, LLC NAME: DAN LACZ � PID# 5955
ADDRESS: 195 MORRISTOWN RD, BASKING RIDGE, NJ, 07920 �� \i4 `-291-06 O /PID #199-273-59
6332 / Q' <P1
PHONE: [phone] E-MAIL: [e-mail] PID #141-171-01 <\ PID#
4-
CONTRACTOR: - / J�o, 141-171-23 /
PLAN REVIEWER: RICK BUNTON \ ( ,��<C.�P`��P
INSPECTOR: -
INSIDE CHARLOTTE: (X) YES ( ) NO
TOPO NO: 187, 245
O G�
9401 0 0 ❑
PID #199-257-57
1 I n n n
5724
01M
WALLACE
NEEL RD.
WEST BV.
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CONSTRUCTION SHALL BE IN
ACCORDANCE WITH CHARLOTTE
WATER STANDARD SPECIFICATIONS.
ENCROACHMENT AND PERMIT SUMMARY
PETROLEUM
NAME OF ENTITY
PERMIT REQUIRED
FEES REQUIRED
DATE PERMIT
OBTAINED
DATE FEES
WERE PAID
COLONIAL PIPELINE
PIEDMONT NATURAL GAS
ROADS
NAME OF ENTITY
PERMIT REQUIRED
FEES REQUIRED
DATE PERMIT
OBTAINED
DATE FEES
WERE PAID
CDOT
NCDOT
TOWN OF CORNELIUS
TOWN OF DAVIDSON
TOWN OF HUNTERSVILLE
TOWN OF MATTHEWS
TOWN OF MINT HILL
TOWN OF PINEVILLE
RAILROADS
NAME OF ENTITY
PERMIT REQUIRED
FEES REQUIRED
DATE PERMIT
OBTAINED
DATE FEES
WERE PAID
CSX
NORFOLK SOUTHERN
ELECTRIC
NAME OF ENTITY
PERMIT REQUIRED
FEES REQUIRED
OBTAINED
WERE PAID
DUKE POWER
GRAPHIC SCALE
400 0 zoo 400 Boo
( IN FEET )
1 inch — 400 ft.
INDEX OF SHEETS
SHEET NO. 1
COVER SHEET
SHEET NO. 2
PERMIT SHEET
SHEET NO. 3
SANITARY SEWER PLAN & PROFILE
SHEET EXSSMH-SSMH06
SHEET NO. 4
SANITARY SEWER PLAN & PROFILE
SHEET SSMH06-SSMH10
SHEET NO. 5
SANITARY SEWER PLAN & PROFILE
SHEET SSMH10-SSMH14
SHEET NO. 6
SANITARY SEWER PLAN & PROFILE
SHEET SSMH14-SSMH19
SHEET NO. 7
SANITARY SEWER PLAN & PROFILE
SHEET SSMH19-SSMH22
SHEET NO. 8-13
TRUNK LINE - CROSS SECTIONS
GENERAL NOTES:
1) ALL CONNECTIONS TO EXISTING PUBLIC UTILITIES SHALL BE INSTALLED BY THE DEVELOPER'S
CONTRACTOR
2) NO PUBLIC WATER OR PUBLIC SANITARY SEWER MAIN CONSTRUCTION MAY TAKE PLACE ON THIS
PROJECT UNTIL THE UTILITY CONTRACTOR HAS REQUESTED, SCHEDULED, AND ATTENDED A
PRE —CONSTRUCTION CONFERENCE WITH THE CHARLOTTE WATER CONSTRUCTION INSPECTOR ASSIGNED TO
THE PROJECT. ANY WORK PERFROMED PRIOR TO THE PRE —CONSTRUCTION CONFERENCE SHALL NOT BE
ACCEPTED BY CHARLOTTE WATER AND SHALL BE REMOVED AND REPLACED WITH NEW MATERIALS.
3) APPROVAL FOR BACKFLOW PREVENTION REQUIREMENTS IS NOT PART OF THIS REVIEW. BACKFLOW
PREVENTION REVIEW ENTAILS PLAN SUBMITTAL VIA MECKLENBURG COUNTY'S CODE ENFORCEMENT
PERMITTING PROCESS AT THE TIME OF APPLICATION FOR BUILDING PERMITS. BACKFLOW REQUIREMENTS
ARE AVAILABLE AT http: //charlottenc.gov/Water/Pages/BackflowConstructionGuidelines.aspx. PLEASE
CONTACT MARK KROUSE AT 704-432-5800 FOR MORE INFORMATION.
4) ANY REVISION TO THE SERVICE CONFIGURATIONS AND/OR METER LOCATIONS REQUIRE A RE —SUBMITTAL
TO BACKFLOW FOR REVIEW.
5) CONSTRUCTION AND MATERIALS SHALL BE IN ACCORDANCE WITH CHARLOTTE WATER STANDARDS AND
SPECIFICATIONS PER WEBSITE AT WWW.CHARLOTTEWATER.ORG.
6) ALL CONTRACTORS WORKING ON CLT WATER PROJECTS ARE REQUIRED TO OWN A COPY OF THE DESIGN
MANUAL AND SHALL KEEP A COPY ON THE JOB SITE AT ALL TIMES.
7) CONTRACTOR IS FULLY RESPONSIBLE FOR CONTACTING ALL APPROPRIATE PARTIES AND ASSURING THAT
UTILITIES ARE LOCATED PRIOR TO THE COMMENCEMENT OF CONSTRUCTION. CALL NC811 AT
1-800-632-4949 OR 811 FOR UTILITY LOCATING SERVICES 72 HOURS PRIOR TO COMMENCEMENT OF
ANY WORK. CONTRACTOR SHALL VERIFY LOCATION AND DEPTH OF ALL EXISTING UTILITIES PRIOR TO
CONSTRUCTION.
8) IF THE PROPOSED WATER AND/OR SANITARY SEWER MAIN IS INSTALLED WITHIN 12" IN ANY DIRECTION
(VERTICALLY OR HORIZONTALLY) FROM NATURAL GAS MAINS, THE CONTRACTOR SHALL INFORM
PIEDMONT NATURAL GAS COMPANY AT [phone].
9) SANITARY SEWER LATERAL LOCATIONS ARE APPROXIMATE AND ARE SUBJECT TO RELOCATION DUE TO
FIELD CONDITIONS.
10) SANITARY SEWER LATERALS ARE TO BE INSTALLED AT A DEPTH NO GREATER THAN FIVE (5) FEET
WHERE PRACTICAL AT THE PROPERTY LINE UNLESS INDICATED ON THE PLANS TO BE INSTALLED AT
"MINIMUM SLOPE".
11) MINIMUM COVER OF 36" FOR WATER MAINS.
12) DUCTILE IRON PIPE (RED BRASS FOR 2" WATER PIPE) REQUIRED FOR BOTH WATER & SANITARY SEWER
LINES IF THE FOLLOWING CLEARANCES ARE NOT MET:
*WATER LINE CROSSING UNDER SEWER LINE (FOR ANY CLEARANCE).
*18" VERTICAL FOR WATER LINE INSTALLED ABOVE SEWER LINE.
*10' HORIZONTAL SEPARATION FOR WATER LINE PARALLEL TO SEWER LINE (OR 18" VERTICAL
SEPARATION IN SEPARATE DITCHES).
*FOR WATER LINES 12" CLEARANCE WITH STORM DRAINS, GAS MAINS, TELEPHONE DUCTS, AND
UNDERGROUND CABLES.
13) RECORDED PLATS ARE REQUIRED FOR ACTIVATION OF WATER MAINS, EASEMENTS ARE NOT ACCEPTABLE.
14) ALL WATER MAINS AND SERVICES SHALL BE INSTALLED WITH SOLID COPPER 12—GAUGE TRACER WIRE,
30 MILS BLUE HDPE INSULATION. CONDUCTIVITY TEST READ AT FINAL INSPECTION. CONTRACTOR SHALL
PROVIDE ALL TEST EQUIPMENT.
15) ALL SEWER MAINS AND SERVICES SHALL BE INSTALLED WITH SOLID COPPER 12—GAUGE TRACER WIRE,
30 MILS GREEN HDPE INSULATION. CONDUCTIVITY TEST READ AT FINAL INSPECTION. CONTRACTOR SHALL
PROVIDE ALL TEST EQUIPMENT.
16) COMPLETE TRENCH BACKFILL SHALL BE IN PLACE 30 CALENDAR DAYS PRIOR TO SCHEDULING PVC PIPE
MANDREL TESTING.
17) CURB AND GUTTER SHALL BE CONSTRUCTED PRIOR TO WATER MAIN INSTALLATION.
18) SEPARATE PLAN SUBMITTAL REQUIRED TO BACKFLOW PREVENTION FOR REVIEW / APPROVAL PERTAINING
TO ANY APPLICABLE BACKFLOW DEVICES.
19) WATER MAIN EXTENSIONS WITHOUT SERVICES SHALL INCLUDE AIR RELEASE AT ALL HIGH POINTS IN
WATER MAINS OR EVERY 1000 LF.
20) EXISTING MANHOLES MAY HAVE TO BE REPAIRED OR REPLACED, DEPENDING ON THE CONDITION, AS
DETERMINED BY THE CLT WATER INSPECTOR.
21) ALL VALVE ASSEMBLIES SHALL BE COMPLETELY OUTSIDE OF ADA HANDICAP RAMPS. FIRE HYDRANTS
SHALL BE COMPLETELY OUTSIDE SIDEWALKS AND RAMPS.
22) NET 15' WATER MAIN EASEMENT REQUIRED UNLESS APPROVED BY ENGINEER.
23) ANY NEW METERS OR IRRIGATION METERS INSTALLED/RELOCATED AFTER THE BACTERIAL AND PRESSURE
TEST SHALL REQUIRE ADDITION BACTERIALAL TEST. A CLTWATER INSPECTOR SHALL WITNESS THE TAP
UNCOVERED UNDER STATIC CONDITIONS TO VERIFY IF LEAKS ARE PRESENT.
24) ALL PROPOSED STREETS TO BE MAINTAINED BY TOWN OF MATTHEWS UNLESS OTHERWISE NOTED.
25) OFF —SITE RIGHT—OF—WAY MUST BE RECORDED PRIOR TO ISSUING CONSTRUCTION CONTRACTS. SUBMIT
AGREEMENT AND MAP TO CLT WATER FOR REVIEW PRIOR TO RECORDING. DO NOT ALTER THE STANDARD
CITY EASEMENT FORM.
26) THE PRIVATE EASEMENT AGREEMENT MUST BE RECORDED PRIOR THE FINAL ACCEPTANCE
No.
Date
By
Revision
ORSBORN ENGINEERING GROUP
C.O.A. C-3139
610 EAST MOREHEAD STREET, SUITE 106
CHARLOTTE, NC 28202
P) 704-749-1432 . F) 704-749-1433
APPROVAL SEALS
CAR
d SEAL r
028786 ? z
.FNG I NEF ' 0�
�.,��y• '�5�.�'
C • 0 ..•'
N.C.R.L.S. (AS-BUILTS)
N.C.P.E.
SUMMARY OF WATER MAINS & FIRE HYDRANTS
SUMMARY OF SEWER MAINS & MANHOLES
SIZE
LENGTH
SIZE
LENGTH
SIZE
LENGTH
SIZE
LENGTH
1211
3,264
811
1,567
TOTAL NO. OF FIRE HYDRANTS:
TOTAL NO. OF MANHOLES:
22
TOTAL NO. LOTS SERVED:
TOTAL NO. LOTS SERVED:
PROJECT NAME: CLT INTERMODAL DISTRIBUTION CENTER
PROJECT NAME: CLT INTERMODAL DISTRIBUTION CENTER
JOB NO: N/A
JOB NO: 100-19-521
DATE OF ACTIVATION:
DATE OF ACTIVATION:
DATE AS BUILT: BY:
DATE AS BUILT:
BY:
A CITY OF CHARLOTTE DEPARTMENT

PROJECT NAME
APPLICATION FOR NON -DISCHARGE PERMIT
GRAVITY SEWER MAIN EXTENSION
CHARLOTTE WATER
CLT INTERMODAL DISTRIBUTION CENTER
CREEK BASIN BEAVER DAM CREEK TRIBUTARY
CLTWater PROJECT NO.: 100-19-521
PROJECTTYPE: ❑X NEW CONSTRUCTION ❑RELOCATION ❑MODIFICATION OF PERMIT NO.
OTHER
VOLUME OF WASTEWATER GENERATED BY THIS PROJECT: 14,4UU GALLONS PER DAY
100 GPD/ DOCK x 94 DOCKS = 9400 GPD
25 GPD x 200 EMPLOYEES = 5000 GPD
TOTAL = 14,400 GPD
WASTEWATER TREATMENT PLANT RECEIVING WASTEWATER:
❑X McALPINE CR. (NC0024970) ❑ IRWIN CR. (NC0024945) ❑ McDOWELL CR. (NC0036277)
❑ SUGAR CR. (NC0024937) ❑ MALLARD CR. (NC0030210) ❑ ROCKY CR. (NC0036269)
NATURE OF WASTEWATER % DOMESTIC 100 % INDUSTRIAL
%COMMERCIAL % OTHER
ORIGIN OF WASTEWATER ❑ SUBDIVISION ❑ COMMERCIAL
❑ SCHOOL ❑X INDUSTRIAL -WAREHOUSE
❑ APARTMENTS/CONDO'S ❑ OTHER
LIST ANY PARAMETER AND ITS CONCENTRATION THAT WILL BE GREATER THAN NORMAL DOMESTIC LEVELS:
NONE
IF WASTEWATER IS NON -DOMESTIC, DESCRIBE LEVEL OF PRETREATMENT:
N/A
IF A PRETREATMENT PERMIT IS REQUIRED, HAS ONE BEEN ISSUED? ❑YES ❑ NO ❑X N/A
HAS ENGINEER DETERMINED THAT DOWNSTREAM SEWERS ARE CAPABLE TO HANDLE THIS FLOW? ❑X YES ❑ NO
PERMIT NO. FOR SEWERS IMMEDIATELY DOWNSTREAM 209-523
PIPE DIAMETER OF SEWERS IMMEDIATELY DOWNSTREAM 24"
HAS ENGINEER DETERMINED THAT NC DEM AND CLTWater MINIMUM DESIGN STANDARDS ARE MET BY THIS
PROJECT? ❑X YES ❑ NO
COMPLETE NAME AND ADDRESS OF ENGINEERING DESIGN FIRM:
ORSBORN ENGINEERING GROUP, P.A.
610 E. MOREHEAD ST., SUITE 106
CHARLOTTE, NORTH CAROLINA 28202
TELEPHONE 704 _ 749 _ 1432
PROFESSIONAL ENGINEER'S CERTIFICATION:
JEFFERY C. ORSBORN, P.E. , ATTEST THAT THIS APPLICATION FOR PROP. 12" & 8" SANITARY SEWER TO SERVE
CLT INTERMODAL DISTRIBUTION CENTER HAS BEEN REVIEWED BY ME AND IS ACCURATE AND COMPLETE 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. ALTHOUGH CERTAIN PORTIONS OF THIS SUBMITTAL
PACKAGE MAY HAVE BEEN DEVELOPED BY OTHER PROFESSIONALS, 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.
NORTH CAROLINA PROFESSIONAL ENGINEER'S SEAL, SIGNATURE, AND DATE:
1410ITAR emm9: 1ilk] J/l120to]
PERMIT APPROVED BY:
CAR •.
�••=o��o Essio��7
• SEAL
028786 ; z
T
[.Y.111111199]
Keri B. Cantrell, PhD P.E., CHIEF ENGINEER
A CITY OF CHARLOTTE DEPARTMENT

0+200+00 1+00
600
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100-19-521 12" & 8" SANITARY SEWER
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