WQ0042506_More Information Received_20210628

Initial Review
Reviewer Thornburg, Nathaniel D
Is this submittal an application? (Excluding additional information.)*
r Yes r No
If not an application what is the submittal type?*
Permit Number (IR)*
Applicant/Permittee
Email Notifications
Does this need review by the hydrogeologist?*
Regional Office
CO Reviewer
Admin Reviewer
Annual Report
Residual Annual Report
r Additional Information
r Other
WQ0042506
Town of Pittsboro
r Yes r No

Submittal Form
Project Contact Information
Rease provide information on the person to be contacted by NM Staff
Name * Sue Morris
Email Address*
[e-mail]
electronic subnittal, confirmation of receipt, and other correspondence.
Project Information
........ ......... ............................................................................................................................... .
Application/Document Type* r New (Fee Req ui red)
r Modification - Major (Fee Required)
r Renewal with Major Modification (Fee
Required)
r Annual Report
c Additional Information
r Other
Phone Number*
19194177889
O Modification - Minor
C Renewal
C GW-59, NDMR, NDMLR, NDAR-1,
NDAR-2
r Residual Annual Report
r Change of Ownership
We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form.
https://edocs.deq.nc.gov/Forms/NonDischarge_Monitoring_Report
Permit Type:* r Wastewater Irrigation r High -Rate Infiltration
r Other Wastewater r Reclaimed Water
r Closed -Loop Recycle r Residuals
r Single -Family Residence Wastewater r Other
Irrigation
Permit Number:* W00042506
Fbs Current Existing permit number
Applicant/Permittee Address* P.O. Box759, Pittsboro, NC 27312
Facility Name * Grant Drive RWDL
Please provide comments/notes on your current submittal below.
Ms. Zhong,
I am resubmitting the attached package for the above -referenced project, following
Comments from NC DENR. Included in the package are the following requested documents:
1. Comment Response Letter, with all comments addressed.
2. RWPI 06-16, revised per comments
3. RWDL 06-16, revised per comments
4. Permit #WQ0037891 for 6" dry reclaimed water line connection, requested in comments
5. Final Plat
6. Plan Sheet 0.1, revised per comments
7. Engineering Plans - Full set, including Sheet 8.11 requested per comments
Please let me know if you have any further questions or require additional information.
Thank you very much,
Sue Morris
Project Coordinator
WithersRavenel, Inc.
[e-mail]
Al this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.*
(Application Fora} Engineering Rans, Specifications, Calculations, Etc.)
20210625 CP_Sec.7.1Ph.1_RCW_Complete Resubmittal
120.42MB
Package.pdf
upload only 1 PCF document (less than 250IV% Miltiple documents must be combined into one FDFfile unless file is larger than
upload limit.

* V By checking this box, I acknowledge that I understand the application will not be
accepted for pre -review until the fee (if required) has been received by the Non -
Discharge Branch. Application fees must be submitted by check or money order
and made payable to the North Carolina Department of Environmental Quality
(NCDEQ). I also confirm that the uploaded document is a single PDF with all parts
of the application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Signature
Submission Date 6/28/2021

40 WithersRavenel
NoOur People. Your Success.
June 25, 2021
NC DEQ-DWR
Non -Discharge Branch
512 N. Salisbury Street
Raleigh, NC 27604
RE: Grant Drive RWDL
Reclaimed Water
NC DEQ-DWR Project No. WQ0042506
WR Project No. 02150098.62
To Whom It May Concern,
We are writing this letter in response to comments dated June 16, 2021. Each of the comments are repeated
below, followed by our response.
Vivien Zhong, Environmental Engineer
Aoolication Form RWPI 06-16, Section 11.4
1. Please complete Section 11.4. of the form and provide a status update on the applicable permits
and/or certifications.
RESPONSE. Table in Section 11.4 has been updated to include all applicable
permits/certifications.
Aoolication Form RWDL 06-16, Section 11.4
1. The owner of the reclaimed water generating facility (WQ0039375) has been transferred to
Chatham Park Investors LLC last November, please revise.
RESPONSE. The name of the owner of the reclaimed water generating facility has been revised
to Chatham Park Investors LLC.
Aoolication Form RWDL 06-16, Section 11.7and 11.8
2. Please provide the permit number and the pipe diameter for reclaimed water line immediately
upstream.
RESPONSE. Per the Reclaimed System Pipe Diameter report from McKim & Creed, currently, a
6-inch dry reclaimed water line was previously installed on Grant Drive to serve future phases
of development (Permit #WQ0037891, included in this submittal). The proposed Section 7.1
and Mellott developments will connect into this 6-inch line and a future 12-inch reclaimed
distribution line along Chatham Park Way which originates at the DWRRF through a proposed
4-inch reclaimed line to be installed in Grant Drive Extension. As the 12-inch connection line
along Chatham Park Way does not yet exist, the proposed 4-inch line included in this
development will connect to the existing 6-inch line as a dry pipe and will be capped until the
connecting 12-inch is constructed.
55 Grant Drive, Suite D I Pittsboro, NC 27312
t: 919.469.3340 1 www.withersravenel.com I License No. C-0832
Asheville I Cary I Greensboro I Pittsboro I Raleigh I Southern Pines I Wilmington

40 WithersRavenel
NoOur People. Your Success.
Aoolication Form RWDL 06-16, Section 11.10
The capacity listed here does not match what was provided in the Engineering Technical
Memorandum. Please clarify.
RESPONSE. RWDL has been revised to reflect the capacity of 499,999 gpd, as shown in the
Engineering Technical Memorandum.
Aoolication Form RWDL 06-16, Section 111.1
4. The length of the 4-inch pipe is listed as 2,577 linear feet (LF) here, while it indicated in the
Engineering Technical Memorandum that the design consists of approximately 5,300 total LF of 4-
inch pipe along the future Grant Drive Extension. Please clarify.
RESPONSE. The Engineering Technical Memorandum encompasses the current Phase 1 and
future Phase 2. This application is for the 2,577 LF associated with the Phase 1 plans.
Prooerty Ownership Documentation
The owners of the parcels where the reclaimed water lines will be installed are Chatham
Development One Inc. and Chatham Park Investors LLC. Pursuant to 15A NCAC 02U .0201(e) and
as indicated in the Section B of the Instructions for Form: RWDL 06-16 & Supporting
Documentation, please provide property ownership documentation to the Division consisting of: an
easement running with the land indicating the intended use of the property and meeting the
condition of 15A NCAC 02L .0107(f).
RESPONSE. Per previous discussions with DWQ on this topic, our process is to request for
authorization to construct only at this time. Once the Final Plat dedicating easement/Right of
Way to the Town of Pittsboro is recorded, we will submit a modification to include the Final Plat
and Deed information, along with a request for authorization to operate.
Engineering Plans
1. Please submit Sheet 8.11 for utility profile crossing the perennial channel and provide a copy of the
401/ 404 permits if applicable.
RESPONSE: This sheet has been included with this submittal. Please note that the pipe is being
installed bore and jack, so no impacts to the stream requiring Corps approval are required.
2. Please add the reclaimed water labeling and color -coding design criteria to the plans, pursuant to
15A NCAC 02T .0403.
RESPONSE. The 15A NCAC 02T.0403 pertains to Sewer Distribution Systems. The 15A NCAC
02U .0403 pertains to Reclaimed Water Distribution Systems. We have updated the General
Utility Notes #1 on Sheet 0.1 to include reference to the 02U section in addition to the Town
of Pittsboro specifications we have provided previously.
Specifications
1. Please provide sections describing Site Work to be performed, i.e., earth work, clearing, grubbing,
excavation, trenching, backfilling, compacting, fencing, seeding, etc.
RESPONSE. The specifications provided are for Reclaimed Water Distribution Systems only.
Any information pertaining to Site Work outside of Reclaimed Water Distribution System
Installation is detailed within the plan set. Grading, EC, and associated details have been
included with this submittal.
Grant Drive RWDL Comment Response Letter WR Project No. 02150098.62
June 25,2021 Page 12

40 WithersRavenel
NoOur People. Your Success.
Engineering Calculations
See Items B.3. and B.4. of this letter.
1. The capacity listed here does not match what was provided in the Engineering Technical
Memorandum. Please clarify.
RESPONSE. RWDL has been revised to reflect the capacity of 499,999 gpd, as shown in the
Engineering Technical Memorandum.
2. The length of the 4-inch pipe is listed as 2,577 linear feet (LF) here, while it indicated in the
Engineering Technical Memorandum that the design consists of approximately 5,300 total LF of 4-
inch pipe along the future Grant Drive Extension. Please clarify.
RESPONSE. The Engineering Technical Memorandum encompasses the current Phase 1 and
future Phase 2. This application is for the 2,577 LF associated with the Phase 1 plans.
Sincerely,
In►ithersRavene
Lesley ngla P.E.
Project Manager
Included with submission:
All revised/additional documentation
1 electronic copy to: https://edocs.dea.nc.,qov/Forms/NonDischarge- Branch -Submittal- Form -Ver2 or
vivien.zhon,qC@ncd en r.,qov.
Grant Drive RWDL Comment Response Letter WR Project No. 02150098.62
June 25,2021 Page 13

State of North Carolina
L�lid,
Department of Environmental Quality
Division of Water Resources
15A NCAC 02U — RECLAIMED WATER SYSTEMS — PROJECT INFORMATION
Division of Water Resources INSTRUCTIONS FOR FORM: RWPI 06-16 & SUPPORTING DOCUMENTATION
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application.
For more information, visit the Water Quality Permitting Section Non -Discharge Permitting Unit website.
General —This form is required for all projects involving the generation, utilization, and or distribution of reclaimed water. At least one
of the following forms must also be included in the application package. However, multiple forms may be applicable. Unless
otherwise noted, the Applicant shall submit one original and two copies of the application and supporting
documentation. Please check the boxes below as appropriate to indicate which additional forms are included in the
application package:
❑ Reclaimed Water Generation (FORM: RWG) — for wastewater treatment facilities producing reclaimed water.
❑ Non -Conjunctive Utilization (FORM: RWNC) — for reclaimed water utilization activities, when the reclaimed water
utilization activity is required in order to meet the wastewater disposal needs of the facility.
❑ Conjunctive Utilization (FORM: RWCU) — for reclaimed water utilization activities, when the reclaimed water option is
not necessary to meet the wastewater disposal needs of the facility and other wastewater utilization/disposal methods are
available.
❑ Bulk Distribution (FORM: RWBD) — for distribution of reclaimed water in a bulk manner.
® Distribution Lines (FORM: RWDL) — for construction of reclaimed water distribution lines.
❑ Wetland Augmentation (FORM: RWWA) — for projects seeking to utilize reclaimed water for the purpose of wetland
augmentation.
❑ Local Program Approval (FORM: RWLPA) — for projects seeking permitting delegation for reclaimed water users.
A. Cover Letter (All Application Packages):
❑X List all items included in the application package, as well as a brief description of the requested permitting action.
B. Application Fee (All New and Major Modification Application Packages):
X❑ Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environmental
Quality (NCDEQ) according to the following fee schedules:
RI STANDARD REVIEW —Submit the appropriate fee for all new and major modification applications as listed in the table
below.
Facility Classification
New Permit
Major Modification'
Major Generator/User (ADF > 10,000 gallons per day)
$1,310
$395
Minor Generator/User (ADF < 10,000 gallons per day)
$810 $245
Reclaimed Water Distribution Lines
F$480 N/A
' A major modification shall be defined as any permit modification that: increases the generating facility's
average daily flow (ADF); increases the utilization area acreage; adds additional utilization areas not
previously approved; or includes the addition of new treatment units/processes not previously permitted.
There is no fee for minor permit modifications.
INSTRUCTIONS FOR FORM: RWPI 06-16 & SUPPORTING DOCUMENTATION Page 1 of 2

C. Reclaimed Water Project Information Form (FORM: RWPI 06-16) (All application packages):
0 Submit the completed and appropriately executed Reclaimed Water Project Information (FORM: RWPI 06-16) form. Please
do not make any unauthorized content changes to this form.
0 The applicant name in Item I.1. shall be consistent with the applicant name on the plans, specifications, agreements, etc.
0 The Applicant's Certification on Page 3 of this form shall be signed in accordance with 15A NCAC 02T .0106(b). The
application must be signed by a principal executive officer of at least the level of vice-president or his authorized representative
for a corporation; by a general partner for a partnership or limited partnership; by the proprietor for a sole proprietorship;
and by either an executive officer, an elected official in the highest level of elected office, or other authorized employee for a
municipal, state, or other public entity. An alternate person may be designated as the signing official if a delegation letter is
provided from a person who meets the criteria in 15A NCAC 02T .0106(b).
❑ If this project is for a renewal without modification, use the Non -Discharge System Renewal (FORM: NDSR) application.
There is no fee for permit renewal without modification.
D. Existing Permit: (All Modification Packages):
❑ Submit the most recently issued existing permit.
❑ Provide a list of any items within the permit the Applicant would like the Division to address during the permit modification
(i.e., compliance schedules, permit description, monitoring, permit conditions, etc.).
ONE ORIGIANL AND TWO COPIES OF THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION
SHALL BE SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
By Courier/Special Deliverv:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RWPI 06-16 & SUPPORTING DOCUMENTATION Page 2 of 2

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02U — RECLAIMED WATER SYSTEMS — PROJECT INFORMATION
FORM: RWPI 06-16
L GENERAL INFORMATION:
1. Applicant's name:Town of Pittsboro
Mailing address: P.O. Box 759
City: Pittsboro State: NC Zip: 27312-
Telephone number: P19 )542 2063
Email Address: [e-mail]
2. Signature authority's name: Chris (per 15A NCAC 2U .0106) Title: Town Manager
Kenned
3. Applicant type (check all that apply:
X1 Government ❑ Federal ❑ State X❑ Municipal ❑ County
❑ Individual
❑ Corporation
✓ For new permits, submit documentation that the company is registered for business with the NC Secretary of State.
❑ General Partnership
✓ For new permits, submit a copy of the certificate filed with the Register of Deeds in the county of business.
❑ Privately Owned Public Utility
✓ For new permits, submit a Certificate of Public Convenience and Necessity from the NC Utilities Commission, or a
letter from the NC Utilities Commission's Water and Sewer Division Public Staff stating an application for a
franchise has been received and that the service area is contiguous to an existing franchised area or that franchise
approval is expected.
❑ Home Owners Association
✓ For new permits, submit a properly executed Operational Agreement (FORM: HOA); and proposed or approved
Articles of Incorporation, Declarations and By-laws.
❑ Developer (where residential lots are to be sold)
✓ For new permits, submit a properly executed Operational Agreement (FORM: DEV)
4. Demonstration of historical consideration for permit approval:
Has the Applicant or any parent, subsidiary or other affiliate exhibited the following?
a. Has been convicted of environmental crimes under Federal law or G.S. 143-215.613? ❑ Yes or ❑X No
b. Has previously abandoned a wastewater treatment facility without properly closing that facility? ❑ Yes or ❑X No
c. Has unpaid civil penalty where all appeals have been abandoned or exhausted? ❑ Yes or ❑X No
d. Is non -compliant with an existing non -discharge permit, settlement agreement or order? ❑ Yes or ❑X No
e. Has unpaid annual fees in accordance with 15A NCAC 02T .0105(e)(2)? ❑ Yes or X❑ No
FORM: RWPI 06-16 Page 1 of 3

IL PROJECT INFORMATION
1. Application type: Select (See Instruction B) Fee Submitted (See Instruction B)
2. For modifications, provide the existing permit number: WQ00 and most recent issuance date:
3. Provide a brief description of the activities proposed for permitting:
4. What is the status of the following associated permits and/or certifications ? (if not applicable, please mark as N/A)
Permit/Certification
Date Submitted
Date Approved
Permit/Certification No.
Agency Reviewer
Collection System (Q >
200,000 GPM
N/A
Dam Safety
N/A
Erosion & Sedimentation
Control Plan
6/07/2021
6/09/2021
WP-21-126
Morgan DeWit,
Chatham County
Nationwide 12 / Section 404
N/A
Pretreatment
N/A
Sewer System
pending
Stormwater Management Plan
6/14/2021
pending
NC DEMLR
Other:
✓ For any of the permits and certifications listed above that will directly impact the construction of the proposed reclaimed
water project, please provide documentation of permit approval or final certification. Note: This application may be
considered incomplete, or the resulting permit may be issued conditionally if a pending issuance of any of the related
permits/certifications directly impacts the proposed facility.
5. Documentation of the presence or absence of threatened or endangered aquatic species at the project site utilizing information
provided by the Department's Natural HeritagePro am is required for construction of all new WWTP projects and/or non -
conjunctive utilization sites, and for any project involving expansion of a WWTP and/or non -conjunctive utilization site in
accordance with 15A NCAC 02T .0105(c)(10). Provide the location in application package where this documentation is
located: ; or explain why this item is N/A. Project scope does not include either new construction for/or expansion to a WWTP
Does this project utilize public monies or lands? ❑ Yes or 0 No or non -conjunctive utilization site.
✓ If yes, was an Environmental Assessment required under 15A NCAC O1 C?
Yes ❑ No
Include one of the following final environmental documents with this submittal:
❑ Finding of No Significant Impact, or ❑ Record of Decision
Describe any mitigating factors from the Environmental Assessment that impact the design and/or construction of the
reclaimed water project:
7. Is any portion of the proposed project (reclaimed water treatment units, storage units, distribution lines, or utilization areas)
located within the 100 year flood plain? ❑ Yes or 0 No
✓ If yes, specify which portion(s) of the project are affected?
✓ If yes, has the Applicant submitted written documentation of compliance with § 143 Article 21 Part 6? IN Yes or ❑ No
Documentation should consist of a letter from the local authority (i.e., county/municipality) stating that the project
complies with any local floodplain ordinance that may apply.
FORM: RWPI 06-16 Page 2 of 3

Applicant's Certification (signing authority must be in compliance with 15A NCAC 02U .0106):
Chris Kennedy
(signing authority name — PLEASE PRINT)
attest that this application for Chatham Park Section 7.1 Phase 1
(facility name)
Town Manager
(title)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any discharge of wastewater
from this non -discharge system to surface waters or the land will result in an immediate enforcement action that may include civil
penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a
condition of this permit be violated. I also understand that if all required parts of this application package are not completed and that
if all required supporting information and attachments are not included, this application package will be returned to me as incomplete.
I further certify that the applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater
facility without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are
compliant with any active compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02U .0105. Note:
In accordance with NC General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as ell as civil penalties up to $25,000 per violation.
Signature: Date:
FORM: RWPI 06-16 Page 3 of 3

DocuSign Envelope ID: A6DAB4A1-FC8C-4A1 F-AB30-5DF3AD63CFC0
State of North Carolina
n1tA112 Department of Environmental Quality
Division of Water Resources
15A NCAC 02U — RECLAIMED WATER SYSTEMS — DISTRIBUTION LINES
Division of Water Resources INSTRUCTIONS FOR FORM: RWDL 06-16 & SUPPORTING DOCUMENTATION
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application.
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website
General — This application is for projects involving the construction of reclaimed water distribution lines that will supply reclaimed
water for conjunctive use activities. Unless otherwise noted, the Applicant shall submit one original and two copies of
the application and supporting documentation.
Do not submit this application without an associated Reclaimed Water Project Information (FORM: RWPI) form.
A. Reclaimed Water Distribution Lines (FORM: RWDL 06-16) Application (All application packages):
® Submit the completed and appropriately executed Reclaimed Water Distribution Lines (FORM: RWDL 06-16) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
® The system name in Item IL 1. shall be consistent with the user name on the plans, specifications, agreements, etc.
® The Professional Engineer's Certification on Page 5 of this form shall be signed, sealed and dated by a North Carolina licensed
Professional En ig neer.
® The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T .0106(b). The
application must be signed by a principal executive officer of at least the level of vice-president or his authorized representative
for a corporation; by a general partner for a partnership or limited partnership; by the proprietor for a sole proprietorship;
and by either an executive officer, an elected official in the highest level of elected office, or other authorized employee for a
municipal, state, or other public entity. An alternate person may be designated as the signing official if a delegation letter is
provided from a person who meets the criteria in 15A NCAC 02T .0106(2).
B. Property Ownership Documentation (All Application Packages):
® Per 15A NCAC 02U .0201(e) or 15A NCAC 02U .0202(f), the Applicant shall demonstrate that they are the owner of the
property where the reclaimed water lines will be installed. Documentation shall consist of one of the following (or a
combination of):
❑ Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or
❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or
® An easement specifically indicating the intended use of the property and meeting the requirements of 15A NCAC 02L
.0107 , (i.e. municipality right of way) or
❑ A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat
or survey map.
INSTRUCTIONS FOR FORM: RWDL 06-16 & SUPPORTING DOCUMENTATION Page 1 of 2

DocuSign Envelope ID: A6DAB4A1-FC8C-4A1 F-AB30-5DF3AD63CFC0
C. Engineering Plans (All Application Packages):
® Per 15A NCAC 02U .0201(c)(1) or .0202(c), submit standard size and 11 x 17-inch plan sets that have been signed, sealed and
dated by a North Carolina licensed Professional Engineer. At a minimum, the engineering plans shall include the following
items:
® Table of contents.
® A general location map with at least two geographic references and a vicinity map.
® Plan and profile views of all pump stations and reclaimed water line extensions as well as the proximity of the reclaimed
water line extensions to other utilities and natural features.
® Depict minimum separation distances required by 15A NCAC 02U .0403(h), (i), and 15A NCAC 02T .0305).
® Minimum cover in accordance with 15A NCAC 02T .0305(g)(4).
❑ Location and details of all pump stations.
® All labeling and color coding requirements per 15A NCAC 02U .0403.
® Plans shall represent a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT
FOR CONSTRUCTION, etc.) that indicate they are anything other than final specifications. However, the plans may be
labeled with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION.
D. Specifications (All Application Packages):
® Per 15A NCAC 02U .0201(c) or .0202(c), submit specifications that have been signed, sealed and dated by a North Carolina
licensed Professional End. At a minimum, the specifications shall include the following items:
® Specifications for standard equipment may be omitted for municipalities with approved standard specifications. Use of
standard specifications must be noted on each page of the plans.
® Table of contents with each section/page numbered.
® Detailed specifications for each reclaimed water line and pump station (as applicable).
® Site Work (i.e., earthwork, clearing, grubbing, excavation, trenching, backfilling, compacting, fencing, seeding, etc.)
® Materials (i.e., concrete, masonry, steel, painting, method of construction, etc.)
❑ Electrical (i.e., control panels)
® All labeling and color coding requirements per 15A NCAC 02U .0403.
® Specifications shall represent a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY,
NOT FOR CONSTRUCTION, etc.) that indicate they are anything other than final specifications. However, the
specifications may be labeled with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION.
E. Engineering Calculations (All Application Packages):
® Per 15A NCAC 02U .0201(c) or .0202(c), submit calculations that have been signed, sealed and dated by a North Carolina
licensed Professional Engineer. At a minimum, the calculations shall include the following items:
® Provide justification for the required pipe capacity, and details for how pipe sizes were determined.
® Minimum velocities to be maintained in the reclaimed water line.
❑ Friction/total dynamic head calculations and system curve analysis for each pump used.
❑ Pump selection information including pump curves, manufacturer's information, and recommended installation guidelines.
® Detailed specifications for each reclaimed water line and pump station (as applicable).
❑ Floatation calculations for any pump stations entirely or partially below grade.
® For connection to a pump station, submit an evaluation of the existing pump station's ability to handle peak flows. Provide
calculations to detail how peak flows were determined.
❑ For connection to a force main, submit an evaluation of the existing force main based on peak flows to the proposed project
and peak flows already tributary to the existing force main.
ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION
SHALL BE SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service: By Courier/Special Deliverv:
1617 MAIL SERVICE CENTER 512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone] FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RWDL 06-16 & SUPPORTING DOCUMENTATION Page 2 of 2

DocuSign Envelope ID: A6DAB4A1-FC8C-4A1 F-AB30-5DF3AD63CFC0
DWR
Division of Water Resources
L CONTACT INFORMATION:
1. Applicant's name: Town of Pittsboro
Mailing address: P.O. Box 759
City: Pittsboro State: NC
Telephone number: [phone]
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02U — RECLAIMED WATER SYSTEMS — DISTRIBUTION LINES
FORM: RWDL 06-16
Zip: 27312-
Email Address: [e-mail]
2. Signature authority's name: Chris Kennedy (per 15A NCAC 02T .0106) Title: Town Manager
3. Consulting Engineer's name: Nicholas J. Antrilli License Number: 38549 Firm: WithersRavenel, Inc.
Mailing address: 115 MacKenan Drive
City: Cary State: NC Zip: 27511-
Telephone number: [phone] Email Address: nantrillikwithersravenel.com
II. DISTRIBUTION SYSTEM INFORMATION
1. Distribution system project name (name of subdivision, shopping center, etc.): Section 7.1 Subdivision Phase 1
2. Project county: Chatham
3. USGS map name: Pittsboro
4. Owner of reclaimed water generating facility: Chatham Park Investors LLC
5. Permit number of reclaimed water generating facility: W00039375
6. List the owner(s) of any intermediate reclaimed water lines if different from the applicant, or the generating facility. N/A
7. Permit number for reclaimed water line immediately upstream: N/A
8. Pipe diameter for for reclaimed water line immediately upstream: N/A
9. Specify the proposed destination of the reclaimed water: Non-residential Indoor Reuse and Outdoor Irrigation
10. Capacity of proposed distribution system: 499,999 gallons per day
11. Explanation of how capacity was determined: (See attached calculations)
III. DISTRIBUTION LINE DESIGN INFORMATION
1. Complete the table below for by providing the required information on the proposed distribution lines:
Diameter (inches)
Length
linear feet
pipe Material
High Elevation
ft
Discharge Elevation
ft
4
2,577
PVC
510
510
2. Station location of air release valves: Grant Drive Sta. 32+35
Note: Air release valves must be provided at all high points along the line where the elevation difference exceeds 10 ft.
FORM: RWDL 06-16 Page 1 of 5

DocuSign Envelope ID: A6DAB4A1-FC8C-4A1 F-AB30-5DF3AD63CFC0
III. DISTRIBUTION LINE DESIGN INFORMATION (Continued)
3. Complete the table below by providing the location of each design criteria in the specification and/or plans in accordance with
15A NCAC 02U .0403. Items that are not applicable shall be marked N/A.
Design Criteria
Page Number in Plans
Page Number in Specifications
Labeling on reclaimed water piping, valves, storage
4.0-4.2 & 8.01-8.03
5
facilities, and outlets
Color coding on reclaimed water piping, valves, etc.
N/A
12
Method of securing valves and outlet for operation by
0.1
16
authorized personnel only
Locking mechanism for hose bibs
N/A
N/A
Cross connection control devices
N/A
3
IV. SETBACKS (15A NCAC 02U .0701)
1. Provide the actual minimum distance (in feet) from any reclaimed water storage units and/or pump station within the
distribution system to each item listed (distances greater than 500 feet may be marked N/A):
Setback Parameter
Pump stations within
Reclaimed Water
distributions stem
Storage Units
Required
Actual
Required
Actual
Any private or public water supply source
N/A
100
N/A
Any property line
N/A
50
N/A
Any well with exception of monitoring wells
100
N/A
100
N/A
Surface waters (streams — intermittent and perennial,
100
N/A
50
N/A
perennial waterbodies, and wetlands) classified as SA
Surface waters (streams — intermittent and perennial,
25
N/A
50
N/A
perennial waterbodies, and wetlands) classified as SA
2. Do the pump stations and storage units comply with all setbacks found in the river basin rules (15A NCAC 213 .0200)?
❑ Yes or ❑ No
✓ If no, list non -compliant setbacks: N/A
3. Are any setback waivers required in order to comply with 15A NCAC 02U .0701? ❑ Yes or ®No
✓ If yes, have these waivers been written, notarized, signed by all parties involved and recorded with the County Register of
Deeds? ❑ Yes or ❑ No
✓ If yes, have the required Non -Discharge Wastewater System Waiver (FORM: NDWSW) forms been included with this
application package? ❑ Yes or ❑ No
FORM: RWDL 06-16 Page 2 of 5

DocuSign Envelope ID: A6DAB4A1-FC8C-4A1 F-AB30-5DF3AD63CFC0
V. SEPARATION DISTANCES
1. Provide the actual minimum separation distance (in feet) from the reclaimed water distribution system to each item listed in
accordance with 15A NCAC 02U .0403(h), (i), and j):
Separation Parameter
Horizontal
Vertical
Required
Actual
Required
Actual
Any water line (feet)
10
10
1.5
1.5
Any well
50
N/A
N/A
Sewer lines (reclaimed over sewer)
2
2
1.5
1.5
Final earth grade
N/A
3
4
2. Are the separation requirements listed above met? ® Yes or ❑ No
✓ If No, has documentation been provided to show that piping and integrity testing procedures meet water main standards in
accordance with 15A NCAC 18C? ❑ Yes or ❑ No
Note: In no case shall reclaimed water lines be closer than 25 feet to a private well.
VI. PUMP STATION INFORMATION
IF MORE THAN ONE PUMP STATION, PROVIDE ADDITIONAL COPIES OF THIS PAGE AS NECESSARY.
1. Are there any reclaimed water pump stations proposed as part of the distribution system? ❑ Yes or ® No
✓ If no, then skip the remaining items in Section VI.
2. Complete the table below by providing the required information regarding the reclaimed water pump station(s)
Pump Station Design
Plan Sheet
Number
Specification
Page Number
Internal dimensions (L x W x H or (p x H)
ft
ft
ft
Volume
gallons
Inlet Elevation
ft
Outlet Elevation
ft
Number of pumps
Pump capacity
GPM
Lead pump on elevation
ft
Lag pump on elevation
ft
Lead pump off elevation
ft
Lag pump off elevation
ft
High water elevation
ft
Audible/Visual high water alarm
3. What is the 100-year flood elevation? (ft)
4. Precautions to be taken to protect the pump station from flooding: (ft)
FORM: RWDL 06-16 Page 3 of 5

DocuSign Envelope ID: A6DAB4A1-FC8C-4A1 F-AB30-5DF3AD63CFC0
VILSTORAGE TANK INFORMATION
IF MORE THAN ONE STORAGE TANK, PROVIDE ADDITIONAL COPIES OF THIS PAGE AS NECESSARY.
1. Are there any reclaimed water storage tanks proposed as part of the distribution system? ❑ Yes or ® No
✓ If no, then skip the remaining items in Section VII.
2. Complete the table below by providing the required information regarding the reclaimed water storage tank(s)
Storage Tank Design
Plan Sheet
Number
Specification
Page Number
Type of storage tank
Select
Internal dimensions (L x W x H or (p x H)
ft
ft
ft
Storage Volume
gallons
Inlet Elevation
ft
Outlet Elevation
ft
High water elevation
ft
Audible/Visual high water alarm
3. What measures will be taken to reduce the risk of overflow?
FORM: RWDL 06-16 Page 4 of 5

DocuSign Envelope ID: A6DAB4A1-FC8C-4A1F-AB30-5DF3AD63CFC0
Professional Engineer's Certification:
I Nicholas J. Antrilli, PE , attest that this application for Chatham Park Section 7.1 Phase 1
has been reviewed by me and is accurate, complete and
consistent with the information supplied in the engineering plans, 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 this application
package and its instructions as well as all applicable regulations and statutes. 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 NC General Statutes 143-215.6A and 143-215.613,
any person who knowingly makes any false statement, representation, or certification in any application package shall be guilty of a Class
2 misdemeanor, which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
O�ARO°
o
o
o ¢ 0
° SEAL o
o o
DO°uSigned by:
°
° °
38549 u o 0 0
ie%10�a5'oo
1
0 �'i11VG�oo Nv°oo
°°�p0 o° ` o
°Oo,, QZ
OSF54902ABtE438...
q S PN o°°o�
1/24/2021
0
000000000000p0°°
Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106):
(signing authority nanke — PLEASE PRINT) (title)
attest that this application for �oVVh� P
(facility name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any discharge of wastewater from
this non -discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition of this
permit be violated. I also understand that if all required parts of this application package are not completed and that if all required
supporting information and attachments are not included, this application package will be returned to me as incomplete. I further certify
that the applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper
closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active
compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02U .0105. Note: In accordance with NC General
Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false statement, representation, or certification in any
application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000 as well as civil penalties
up to $25,000 per 'olation.
Signature: Date: u
FORM: RWDL 06-16 Page 5 of 5

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
September 17, 2015
TIMOTHY R. SMITH — MANAGER
CHATHAM PARK INVESTORS, LLC
POST OFFICE Box 3557
CARY, NORTH CAROLINA 27519
Dear Mr. Smith:
Donald R. van der Vaart
Secretary
Subject: Permit No. WQ0037891
Chatharn Park — Grant Drive
and Freedom Parkway
Reclaimed Water Distribution
Line
Chatham County
In accordance with your permit application request received July 2, 2015, we are forwarding
herewith Permit No. WQ0037891 dated September 17, 2015, to Chatham Park Investors, LLC for the
construction and operation of the subject reclaimed water distribution lines.
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail
Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
One set of approved plans and specifications is being forwarded to you. If you need additional
information concerning this permit, please contact Alice M. Wessner at [phone] or
[e-mail].
og_v.
Sincerely,
,P"—S. Jay Zimmerman, P.G., Direct
Division of Water Resources
cc: Chatham County Health Department, Anne Lowry, REHS, [e-mail]
(Electronic Copy)
Raleigh Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Robert T. Oldham, P.E., Withers and Ravenel, Inc. [e-mail] (Electronic
Copy)
Robin R. Rose, Preston Development Company, robin rx,.prestondev.com (Electronic Copy)
Central Files
Digital Permit Archive (Electronic Copy)
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: [phone]Intemet: hftp:flportal.ncdenr.orglwebtwg
An Equal Opportunity lAffirmative Action Employer— Made in part with recycled paper

I I am U, R il 16, ILA xx "I I a 110, 1111 EXA0 1 1 M11111 I , I

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
RECLAIMED WATER DISTRIBUTION LINE 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
Chatham Park Investors, LLC
Chatham County
• : RF1
151
construction and operation of a reclaimed water distribution system extension consisting of:
approximately 1,783 linear feet (LF) of 6-inch PVC reclaimed water line; approximately 26 LF of 4-inch
PVC reclaimed water line; approximately 490 LF of 4-inch PVC reclaimed water line; and all associated
piping, valves, controls and appurtenances;
to serve Chatham Park — Grant Drive and Freedom Parkway, with no discharge of wastes to surface
waters, pursuant to the application received July 2, 2015, and in conformity with the project plans,
specifications, and other supporting data subsequently filed and approved by the Department of
Environment and Natural Resources and considered a part of this permit.
I. SCHEDULES
1. Prior to operation of the subject reclaimed water distribution line, the Permiee shall submit
notification to the Division describing the source (i.e., Permit No.) of reclaimed water for this line, as
well as the permit nos. for any immediate upstream and downstream reclaimed water distribution
lines. This notification shall be sent to the Division of Water Resources, Water Quality Permitting
Section, 1617 Mail Service Center, Raleigh, NC 27699-1617. [15A NCAC 02T .0108(b)(2)]
2. Upon completion of construction and prior to operation of the new reclaimed water distribution
facilities, a certification (attached) shall be submitted from a licensed North Carolina Professional
Engineer certifying that the permitted facility has been installed in accordance with this permit,
Division approved plans and specifications, and other supporting documentation, including the
location of all monitoring wells as applicable. If this project is to be completed in phases and
partially certified, the Permiee shall retain the responsibility to track further construction approved
under the same permit, and shall provide a final certificate of completion once the entire project has
been completed. Mail the Certification to the Division of Water Resources, Water Quality Permitting
Section, 1617 Mail Service Center, Raleigh, NC 27699-1617. [15A NCAC 02T .0116]
3. Operation of this reclaimed water distribution line shall be contingent upon proper construction and
operation of approved reclaimed water distribution lines immediately upstream and downstream of
the line approved herein. Future upstream and downstream reclaimed water distribution lines
specifications shall include quality assurance testing procedures, and those procedures shall be used
prior to operation of this reclaimed water distribution line. [G.S. 143-215.1]
WQ0037891 Version 1.0 Shell Version 150213 Page 1 of 6

H. PERFORMANCE STANDARDS
The subject reclaimed water facilities shall be effectively maintained and operated at all times so
there is no discharge to surface waters, nor any contravention of groundwater or surface water
standards. In the event the facilities fail to perform satisfactorily, including the creation of nuisance
conditions due to improper operation and maintenance, or failure of the utilization areas to adequately
assimilate the reclaimed water, the Permittee shall take immediate corrective actions including
Division required actions, such as the construction of additional or replacement reclaimed water
distribution facilities. [G.S. 143-215.1, 143-213.3(a)]
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or
surface water resulting from the operation of this reclaimed water distribution line. [15A NCAC 0213
.0200, 02L .0100]
3. Construction of the reclaimed water distribution line permitted herein shall be scheduled as not to
interrupt service of existing utilities, or result in an overflow or bypass discharge of reclaimed water
to surface waters of the State. [15A NCAC 02T .0108(b)(1)]
4. The following shall be requirements for the reclaimed water distribution facilities:
a. All reclaimed water valves, storage facilities and outlets shall be tagged or labeled to warn the
public or employees that reclaimed water is not intended for drinking. Where appropriate, such
warning shall inform the public or employees to avoid contact with reclaimed water.
b. All reclaimed water piping, valves, outlets and other appurtenances shall be color -coded, taped or
otherwise marked to identify the source of the water as being reclaimed water.
i. All reclaimed water piping and appurtenances shall be either colored purple (i.e., Pantone
522) and embossed or integrally stamped or marked "CAUTION: RECLAIMED WATER —
DO NOT DRINK" or be installed with a purple (i.e., Pantone 522) identification tape or
polyethylene vinyl wrap. The warning shall be stamped on opposite sides of the pipe and
repeated every three feet or less.
ii. Identification tape shall be at least three inches wide and have white or black lettering on
purple (i.e., Pantone 522) field stating "CAUTION: RECLAIMED WATER — DO NOT
DRINK." Identification tape shall be installed on reclaimed water pipelines in a visible
manner, fastened at least every 10 feet to each pipe length and run continuously the entire
length of the pipe.
iii. Existing underground distribution systems retrofitted for the purpose of distributing
reclaimed water shall be taped or otherwise identified as noted above. This identification
need not extend the entire length of the distribution system, but shall be incorporated within
10 feet of crossing any potable water supply line or sanitary sewer line.
c. All reclaimed water valves and outlets shall be of a type, or secured in a manner, that permits
operation by authorized personnel only.
d. Hose bibs shall be located in locked, below grade vaults that shall be labeled as being of non -
potable quality. As an alternative to the use of locked vaults with standard hose bib services, other
locking mechanisms such as hose bibs which can only be operated by a too] may be placed above
ground and labeled as non -potable water.
[15A NCAC 02U .0403]
5. No direct cross -connections
unless such connection has
[15A NCAC 02U .0403(f)]
shall be allowed between reclaimed water and potable water systems,
been approved by the Department pursuant to 15A NCAC 18C .0406.
WQ0037891 Version 1.0 Shell Version 150213 Page 2 of 6

6. Reclaimed water distribution lines shall be located at least 10 feet horizontally from and 18 inches
below any water line where practicable. Where these separation distances cannot be met, the piping
and integrity testing procedures shall meet water main standards in accordance with 15A NCAC 18C.
[I5A NCAC 02U .0403(h)]
7. Reclaimed water distribution lines shall not be less than 100 feet from a well unless the piping and
integrity testing procedures meet water main standards in accordance with 15A NCAC 18C, but in no
case shall they be less than 25 feet from a private well or 50 feet from a public well. [15A NCAC
02U .0403(i)]
8. Reclaimed water distribution lines shall be located at least two feet horizontally from and 18 inches
above any sewer line where practicable. Where these separation distances cannot be met, the piping
and integrity testing procedures shall meet water main standards in accordance with 15A NCAC 18C.
[I5A NCAC 02U .04030)]
III. OPERATION AND MAINTENANCE REQUIREMENTS
1. The reclaimed water distribution lines permitted herein shall be properly maintained and operated at
all times. To ensure proper operation and maintenance, the Permittee shall perform the following:
a. A map of the reclaimed water distribution line shall be developed. If part of a broader reclaimed
water distribution system, this line shall be added to the regional map, and said map shall be
actively maintained.
b. An operation and maintenance plan shall be developed and implemented.
c. A general observation of the entire reclaimed distribution system shall be conducted at least once
per year.
d. Inspection and maintenance records shall be maintained for a period of at least three years.
e. Bypasses shall be reported to the Raleigh Regional Office in accordance with 15A NCAC 02B
.0506(a).
[I 5A NCAC 02U .080 1]
IV. MONITORING AND REPORTING REOUIRMENTS
1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater and surface water protection shall be established, and an
acceptable sampling reporting schedule shall be followed. [15A NCAC 02T .0108(c)]
2. Noncompliance Notification:
The Permittee shall report by telephone to the Raleigh Regional Office, telephone number (919) 791-
4200, as soon as possible, but in no case more than 24 hours, or on the next working day following
the occurrence or first knowledge of the occurrence of any of the following:
a. Any failure resulting in a discharge of reclaimed water directly to surface waters or any
unpermitted release of reclaimed water to land surface greater than or equal to 5,000 gallons.
Unpermitted releases less than 5,000 gallons to land surface do not require Regional Office
notification, however the Permittee shall document the date of occurrence, estimated volume of
release, cause and corrective action taken.
b. Any failure, due to known or unknown reasons, that renders the reclaimed water distribution
line(s) incapable of adequately transporting the reclaimed water (e.g., mechanical or electrical
failures, line blockages or breaks, etc.);
WQ0037891 Version 1.0 Shell Version 150213 Page 3 of 6

Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].
Persons reporting such occurrences by telephone shall also file a written report in letter form within
Eve days following first knowledge of the occurrence. This report shall outline the actions taken or
proposed to betaken to ensure the problem does not recur. [15A NCAC 02T .0108(b)(1))
V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
distribution lines. [15A NCAC 02T .0108(b)]
2. The Permittee or their designee shall inspect the distribution lines to prevent malfunction, facility
deterioration and operator errors resulting in discharges, which may cause the release of wastes to the
environment, a threat to human health or a public nuisance. The Permittee shall maintain an
inspection log that includes, at a minimum, the date and time of inspection, observations made, and
any maintenance, repairs, or corrective actions taken. The Permittee shall maintain this inspection log
for a period of five years from the date of the inspection, and this log shall be made available to the
Division upon request. [15A NCAC 02T .0108(b)]
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the distribution lines permitted herein at any
reasonable time for the purpose of determining compliance with this permit; may inspect or copy any
records required to be maintained under the terms and conditions of this permit, and may collect
groundwater, surface water or leachate samples. [G.S. 143-215.1]
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to
an enforcement action by the Division in accordance with North Carolina General Statutes 143-
215.6A to 143-215.6C. [G.S. 143-215.6A to 143-215.6C]
2. This permit shall become voidable if the permitted facilities are not constructed in accordance with
the conditions of this permit, the Division approved plans and specifications, and other supporting
documentation. [ 15A NCAC 02T .0110]
3. This permit is effective only with respect to the nature and volume of wastes described in the permit
application, Division approved plans and specifications, and other supporting documentation. No
variances to applicable rules governing the construction or operation of the permitted facilities are
granted, unless specifically requested and approved in this permit pursuant to 15A NCAC 02T
.0105(a). [G.S. 142-215.1]
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules
in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4
and under the Division's General Permit NCGO10000; any requirements pertaining to wetlands under
15A NCAC 02B .0200 and 02H .0500; National Pollutant Discharge Elimination System (NPDES)
requirements under 15A NCAC 0214 .0100, and documentation of compliance with Article 21 Part 6
of Chapter 143 of the General Statutes. [15A NCAC 02T .0105(c)(6)]
WQ0037891 Version 1.0 Shell Version 1502I3 Page 4 of 6

5. In the event the permitted facilities change ownership or the Permittee changes their name, a written
permit modification request shall be submitted to the Division. This request shall be made on official
Division forms, and shall include appropriate property ownership documentation and other supporting
documentation as necessary. The Permittee of record shall remain fully responsible for maintaining
and operating the facilities permitted herein until a permit is issued to the new owner. [15A NCAC
02T .0104]
6. The Permittee shall retain a set of Division approved plans and specifications for the life of the
facilities permitted herein. [15A NCAC 02T .0108(b)(1)]
Permit issued this the 17`h day of September 2015
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
�r—'S. Jay Zimmerman, P,G., Director
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0037891
WQ0037891 Version 1.0 Shell Version 150213 Page 5 of 6

Permit No. WQ0037891
Chatham Park, LLC
Chatham Park — Grant Drive and Freedom Parkway RWL
ENGINEERING CERTIFICATION
❑ Partial ❑ Final
Reclaimed Water Distribution Line
September 17, 2015
Chatham County
In accordance with 15A NCAC 02T .0116,1,_ ,
as a duly registered Professional Engineer in the State of North Carolina, having the Permittee's
authorization to ❑ periodically ❑ weekly ❑ fully observe the construction of the permitted facility,
hereby state to the best of my abilities that due care and diligence was used in the observation of the
construction, such that the facility was built within substantial compliance and intent of this permit, the
Division approved plans and specifications, and other supporting documentation.
❑ Any variation to this permit, the Division approved plans and specifications, and other supporting
documentation has been documented in the attached as -built drawings, and shall serve as the
Permittee's minor modification request to amend the permit accordingly.
Provide a brief narrative description of any variations:
Professional Engineer's Name
Engineering Firm
i
Mailing Address '
r
City State Zip
Telephone E-mail NC PE Seal, Signature & Date
THE COMPLETED ENGINEERING CERTIFICATION, INCLUDING ALL SUPPORTING
INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604
WQ0037891 Version 1.0 Shell Version 150213
Page 6 of 6

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