WQ0039339_Regional Office Historical File Pre 2018

BK 2932 PG 837 - 842 (6)
This document presented and filed:
07/28/2020 02:02:04 PM
EASEMENT & PLAT
Fee $26.00 Transfer Tax: $0.00
612903
tin
c-f1 p c4 Lln
LINCOLN COUNTY ff
THIS EASEMENT, executed this 1 Hh day of
111111
I
Linco n County North Carolina
Danny R. Hester, Register of Deeds
,2a.O,byand
between Lak,g Nar,no►v, Owv,e -, LP
hereinafter called "GRANTOR", of Lincoln County, North Carolina, and LINCOLN COUNTY,
a body politic and corporate existing under and by virtue of the laws of the State of North
Carolina, hereinafter called "GRANTEE";
WITNESSETH:
NOW, THEREFORE, said GRANTOR, for and in consideration of One Dollar and other
valuable consideration, the receipt of which is hereby acknowledged, does hereby give, grant,
convey, bargain and sell unto the GRANTEE, its successors and assigns, a permanent easement
for the purpose of laying underground water and sewer lines, and other utilities, together with the
right to enter upon said right of way as herein described and construct, maintain and repair
underground water and sewer lines and/or mains for the purpose of conveying water and sewer,
and other utilities over, across, through and under the lands herein described, together with the
right to excavate and refill ditches and/or trenches for the location of said pipe lines, and/or
mains, and the further right to remove trees, brush, undergrowth, fences and other obstructions
interfering with the location, construction and maintenance of said pipe lines and/or mains and
with the further right to go on said right of way for other purposes which may be directly or
indirectly necessary for the operation and maintenance of said lines, the exact location of said
easement herein referred to is as follows:
Lying and being in CATa},dgA 6?R'NG.S Township in Lincoln County and
being more particularly described in Exhibit "A".
The public utility easement will not be limited to any particular diameter size or type and/or
number of connections to other water/sewer mains for providing water/sewer service to this and
any adjacent properties. The total area of this public utility easement is reserved for utility lines,
mains, or appurtenant facilities and for any landscaping, walkways, roadways, drainage ways or
similar uses. Houses, fences, buildings, carports, garages, storage sheds, overhangs, or any other
structures or portions of structures may not be constructed on or placed within this easement at
any time, present or future, by GRANTOR, or its heirs, successors or assigns.
Title to all utilities constructed and/or placed hereunder by the COUNTY or its agents will
remain in the COUNTY, or its successors, appointees, and/or assigns.
When necessary, the COUNTY will have reasonable right of access across GRANTOR' s
property for the purpose of reaching the described easement in attached Exhibit "A" on either
paved or unpaved surfaces. Any damage to GRANTOR's property or permitted improvements
thereon as the result of such access to the described easement or the construction, maintenance,
or repairs located within the described easement may be restored by the COUNTY, to the
condition in which it existed prior to the damage, as is reasonable practicable.
By acceptance of this easement, the COUNTY assumes no responsibility for ownership or
maintenance of any associated roads. The easement is strictly for utility purposes.
F06_Grant of Easement Form (Corporation).doc June 2019

The GRANTOR covenants with the GRANTEE that Grantor has the right to convey this
Easement to the Grantee, free and clear of all encumbrances and that the Grantor will warrant
and defend the title to this Easement against the lawful claims of all persons whomsoever.
TO HAVE AND TO HOLD said easement to the GRANTEE, its successors and assigns forever
and it being agreed that the easement herein granted is appurtenant to and runs with the Iands
affected by this easement. As part of the consideration of this grant, the GRANTOR, for its
successors and assigns, does hereby release any and all claims for damages whatsoever caused,
incidental to the exercise of the rights herein granted except damage to growing crops and
damages not incidental to the exercise of the rights herein.
IN WITNESS WHEREOF, the party of the first part have hereunto set their hands and seals, the
day and year first above written.
GRANTOR:
FOR: LSE /1144A,d C%,27 LP
BY:" (SEAL)
if-dG 5,4e4cfa
52r2E7 /415e,W
Name Title
BY:
(SEAL)
rd'EC-gba., .4-4104 Lied(A7
Name Title
COUNTY:
Name Title
F06_Grant of Easement Form (Corporation).doc June 2019

STATE OF NORTH CAROLINA
COUNTY OF V\IAGDIVI
I, WV} MU , a Notary Public of the County and State aforesaid,
certify th0 , either being personally known o me or proven by
satisfactory evidence (said evidence being 1,YSpqill), personally came before
me this day and acknowledged tliat he/stie is U-t j ed p yea of
1411./ MOWN b'cv , General Partner of 414v ►\4VACkyl altd that, and that
(s)he, as nn u riTej &k , being authorized to do so and as the act of the limited
liability company on beha of said partnership, voluntarily executed the foregoing on behalf of
said limited liability company and limited partnership for the purposes stated therein.
Witness my hand and notarial seal, this day of (.\0,,wii, , 201.
My commission expires: -11 VP 4
wv,forN t� �i
��i
Alatary Public
Lincoln
County
My Comm. Exp. 11
. 02-i8-2024 '. ti
�����h. r7 CABO, \\��

STAl'h; OF NORTH CAROLINA
COUNTY OF Ll hCO�ir1
I, \(,6 in 1 Yt 1(\(4, U , a Notary Public of the County and State aforesaid,
certify that \N YriSdrC , either being personally known to me or proven by
satisfactory evidence (said evidence being 1 , as , personally came before
me this day and acknowledged that he/s s e is ��- 0Y r c gin4- of
' jflf v v ,(,,,tv,,v, 0vwlo.yLf, General Partner of 14yj, i�rpY ('n -, 0on0.Y )A9 and hat, and that
(s)he, as ,N��,k1lprti A tjQnk , being authorized to do so and as the act of the limited
liability company on beha of said partnership, voluntarily executed the foregoing on behalf of
p
said limited liability company and limited partnership for the purposes stated therein.
Witness my hand and notarial seal, this 7.0 day of 11 , 20�(7
ti111ulrrlrr
I
� (Votary public
l.incoin r
Caur7ty
c My Comm. Exp.
may.02-78-2024 0.`
i:/H1CJAI
R,°�\‘��`�
4tary P
v 1kLtI
he
My commission expires: l a b_c'a k
STATE OF NORTH CAROLINA
COUNTY OF Z.,%►1 e o lr.
I, Pr a ea '1-rO. 11 mA ►— , a Notary
Public o e aforesai C� upty and State, do hereby certify that
/4 I /" f /G� versoppily appeared before me this day and
acknowledged that he/she is the O Gt. (Zr'tot fp'of LINCOLN COUNTY, a
North Carolina body corporate and politic, add that by authority duly given and as the act of the
County, the foregoing instrument was signed in its name by him/her.
Witness my hand and notarial seal, this I -C day of CL ( , 20 ?d
otary Public CL
My Commission Expires:
F06_Grant of Easement Form (Corporation).doc June 2019

Exhibit "A"
Those Public Water Line Easements (PWLE) and Public Sanitary Sewer Easements (PSSE) as
shown in the attached survey entitled " Lincoln County Utility easements Trilogy Parcel D —
Phase 4" dated 10/30/2019 .
F06 Grant of Easement Form (Corporation).doc June 2019

"This map may not be a certified survey and
has not been reviewed by a localgovernment
agency for compliance with any applicable
land development regulations and has not
been reviewed for compliance with recording
requirements for plats."
TRILOGY LAKE NORMAN '
PARCEL D
PHASE 4
LEGEND
LCUE - LINCOLN COUNTY UTILITY EASEMENT
PUBLIC WATER LINE EASEMENT (PWLE)
PUBLIC SANITARY SEWER EASEMENT (PSSE)
RIGHT OF WAY LINE
PROPERTY/LOT LINE
WATER EASEMENT LINE
SEWER EASEMENT LINE
NOTES:
I. THIS PROPERTY MAY BE
SUBJECT TO ADDITIONAL
RESTRICTIONS, EASEMENTS
AND/OR RIGHTS -OF -WAY.
2. THIS EXHIBIT IS FOR
INFORMATION PURPOSES ONLY,
NOT INTENDED TO BE A
BOUNDARY SURVEY
GRAPHIC SCALE
0 100' 200' 400'
( IN FEET )
HORIZONTAL 1 inch = 200 ft.
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CHECKED BY:
PROJECT NUMBER:
ORIGINAL DATE:
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Water Resources
ENVIRONMENTAL QUALITY
July 18, 2017
Eric Sauer, Project Manager
Lake Norman Owner, L.P.
7242 South Little Egypt Road
Stanley, NC 28164
ROY COOPER
Governor
MICHAEL S. REGAN
Secretory
S. JAY ZIMMERMAN
Director
Subject: Permit No. WQ0039339
Lake Norman Owner, L.P.
Trilogy Lake Norman — Parcel D phase 4
Wastewater Collection System Extension Permit
Lincoln County
Dear Mr. Sauer:
In accordance with your application received July 14, 2017, we are forwarding herewith Permit No.
WQ0039339 dated July 18, 2017 to Lake Norman Owner, L.P. (Permittee) for the construction and
operation upon certification of the subject wastewater collection system extension. This permit shall be
effective from the date of issuance until rescinded and shall be subject to the conditions and limitations as
specified therein. This cover letter shall be considered a part of this permit and is therefore incorporated
therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition II.1: This permit shall not be automatically -transferable; a request must be made and approved.
Condition 11.4: Requires that the wastewater collection facilities be properly operated and maintained in
accordance with 15A NCAC 2T .0403 or any individual system -wide collection system
permit issued to the Permittee.
It shall be the responsibility of the Permittee to ensure that the as -constructed project meets the appropriate
design criteria and rules. Failure to comply may result in penalties in accordance with North Carolina
General Statute §143-215.6A through §143-215.6C, construction of additional or replacement wastewater
collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to the Iicensing
board.
If any parts, requirements, or limitations contained in this permit are unacceptable,.you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150B of North Carolina General
Statutes, and filed with the Office .of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are made, this permit shall be final and binding.
State of North Carolina I Environmental Quality [Water Resources I Water Quality Regional Operations
Mooresville Regional Office 1610 East Center Avenue, Suite 301 Mooresville, North Carolina 28115
inn r,;z 1eao

If you need additional information concerning this matter, please contact Ori Tuvia at [phone] or
via e-mail at ori.tuvia n den ov.
Sincerely,
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
cc: Dan Brewer (P.E,) (E-copy)
Mooresville Regional Office Files
Water Resources Central Files
PERCS (E-copy)
Page 2 of 8

Environmental
Quality
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
WASTEWATER COLLECTION SYSTEMEXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
Lake Norman Owner, L.P.
Lincoln County
for the construction and operation of approximately 4,034 linear feet of 8-inch gravity sewer ; a —200
gallon per minute pump station equipped with an on -site audible and visual high water alarms,
telemetry; as well as approximately 1,210 linear feet of 6-inch force main to serve 93 two
bedroom units as part of the Trilogy Lake Norman — Parcel D phase 4 development, and the
discharge of 22,320 gallons per day of collected wastewater into the Water and Sewer Authority of
Lincoln County existing sewerage system, pursuant to the application received July 14, 2017, and in
conformity with 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted
February 12, 1996, as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains adopted June 1, 2000, as applicable; and other supporting data
subsequently filed and approved by the Department of Environment and Natural Resources and'
considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the specified
conditions and limitations contained therein.
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
By authority of the Environmental Management Commission
Permit Number: WQ0039339
Permit Issued: July 18, 2017
Page 3 of 8

SUPPLEMENT TO PERMIT COVER SHEET
Lake Norman Owner, L.P. is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection. extension. The
sewage and wastewater collected by this system shall be treated in the East Lincoln Sewer District Killian
Creek Regional Wastewater Treatment Facility in accordance with Permit Number NC0088722.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as
applicable; and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000, as applicable, unless specifically mentioned herein. Division
approval is based on acceptance of the certification provided by a North Carolina -licensed Professional
Engineer in the application. It shall be the Permittee's responsibility to ensure that the as -constructed
project meets the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
SPECIAL CONDITIONS
1) No flow in excess of the quantity permitted herein, 22,320 GPD, shall be made tributary to the
subject sewer system until an application for permit modification for an increase in flow has been
submitted to and approved by the Division. [15A NCAC 02T.0304 (b)].
II. STANDARD CONDITIONS
This permit is not transferable. In the event there is a desire for the wastewater collectionfacilities
to change ownership, or there is a name change of the Pei ntittee, a formal permit request shall be
submitted to the Division accompanied by documentation from the parties involved, and other
supporting materials as may be appropriate. The approval of this request shall be considered on its
merits and may or may not be approved. [15A. NCAC 02T.0104; G.S 143-215,1(d3)]
This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer
Minimum Design Criteria adopted February 12, 1996, as applicable; the Division's Minimum Design
Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000; as
applicable; and other supporting materials unless specifically mentioned herein..[15.A NCAC
02T.0110]
This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T .0110]
4. The wastewater collection facilities shall be properly maintained and operated at all times, The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required, the following performance criteria shall be met: [15A NCAC 02T .0108(b)]:
149
Page 4 of 8

a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or surface
water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
c: An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e. 365
days per year). Pump stations that are connected to a telemetry system shall be inspected at least
once per week.
e. High -priority sewer lines shall be inspected at least once per every six months and inspections
documented.
f A general observation of the entire sewer system shall be conducted at least once per year.
g.
Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by
North Carolina General Statute § I43-215.1 C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the map, which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Mooresville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours
following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility
incapable of adequate wastewater transport, such as mechanical or electrical failures of
pumps, line blockage or breakage, etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
J.
Page 5 of 8

Voice mail messages or faxed information is permissible, but this shall not be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part 1 of Form CS-SSO (or the most current Division approved form) within five days following first
knowledge of the occurrence. This report must outline the actions taken or proposed to be taken to
ensure that the problem does not recur. Part II of Form CS-SSO (or the most current Division
approved foil can also be completed to show that the SSO was beyond control. [G.S. 143-
215.1C(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State, [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these petiititted facilities, the completed
Engineering Certification form attached to this permit shall be submitted with the required supporting
documents to the address provided on the form. A complete certification is one where the form is
fully executed and the supporting documents are provided as applicable. Any wastewater flow made
tributary to the wastewater collection system extension prior to completion of this Engineer's
Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation. Declarations/Covenants/Restrictions, and Bylaws that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted
with the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should he
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
number/type of connections), regulations, or the Minimum Design Criteria. Requested modifications
Page 6 of 8

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

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: LAKE NORMAN OWNER, L.P.
PERMIT #: WQ0039339
PROJECT: TRILOGY LAKE NORMAN — PARCEL D PHASE 4
ISSUE DATE: JULY 18, 2017
This project shall not be considered complete nor allowed to operate in accordance with standard
Condition 7 of this permit until the Division has received this Certification and all required supporting
documentation. It should be submitted in a manner that documents the Division's receipt. Send the
required documentation to the Regional Supervisor, Water Quality Regional Operations Section at the
address noted in the page footer.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received by the Division. A Final Certification shall be a complete set of
record drawings and design calculations regardless of whether partials have been submitted.
PER1MITTEE'S CERTIFICATION
1, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant to
the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information, to the Permittee, and the Permittee is prepared to operate & maintain the
wastewater collection system permitted herein or portions thereof.
Printed Name, Title
Signature Date
ErrIGINEER'S CERTIFICATION
, as a duly registered Professional E neer in the State of North. Carolina,
having been authorized to observe ( periodically, 0 weekly, LJ full time) the construction of the
project name and location as referenced above for the above Permittee hereby state that, to the best ofmy
abilities, due care and diligence was used in the observation of the construction such that the construction
was observed to be built within substantial compliance of this permit; 15A NCAC 02T; the Division of
Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as
applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000, as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
E Final Ei Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
NC DWR — Water Quality Regional Operations Section 610 East Center Avenue, Suite 301, Mooresville, NC 28115
Mooresville Regional Office Phone: [phone] FAX [phone]

STATE OF NORTH CAROLINA
COUNTY OF LTNCOLN
Permit No. kf 39337
DEVELOPER'S OPERATIONAL AGREEMENT
This AGREEMENT made pursuant to G.S. 143-215.1 (d1) and entered into this l7" day of
Jk , by and between the North Carolina Environmental Management
Commisston, an aincy of the State of North Carolina, hereinafter known as the COMMISSION; and
T.AKE. NORMAN OWNERS T.P , a corporation/general partnership registered/licensed to do
business in the State of North Carolina, hereinafter known as the DEVELOPER.
W]TNESSETH:
1. The DEVELOPER is the owner of the certain lands Iying in LINCOLN County, upon
which it is erecting and will erect dwelling units and other improvements, said development to be known
as TRILOGY LAKE NORMAN - PARCEL D - PHASE 4 (hereinafter the Development).
2. The DEVELOPER desires, to construct a wastewater collection system with pumps, wastewater treatment
works, and/or disposal facilities (hereinafter Disposal System) to provide sanitary sewage disposal to serve
the Development on said lands.
3. The DEVELOPER has applied to the COMMISSION for the issuance of a permit pursuant to G.S. 143-
215.1 to construct, maintain, and operate the Disposal System.
4. The DEVELOPER has created or shall create unit ownership in said dwellings units, other improvements
and lands through filing of a Declaration of Unit Ownership (hereinafter Declaration), pursuant to Chapter
47C or 47F of the North Carolina General Statutes.
5. The DEVELOPER has caused to be formed or will cause to be formed at the time of filing of the
Declaration, the (Unit Owners' Association) (hereinafter
Association), a non-profit corporation organized and existing under and by the virtue of the Iaws of the
State of North Carolina, for the purpose, among others, of handling the property, affairs and business of
the Development; of operating, maintaining, re -constructing and repairing the common elements of the
Iands and improvements subject to unit ownership, including the Disposal System; and of collecting dues
and assessments to provide funds for such operation, maintenance, re -construction and repair.
6. The COMMISSION desires to assure that the Disposal System of the Development is properly
constructed, maintained and operated in accordance with law and permit provisions in order to protect the
quality of the waters of the State and the public interest therein.
NOW, THEREFORE, in consideration of the promises and the benefits to be derived by each of the parties
hereto, the COMMISSION and DEVELOPER do hereby mutually agree as follows:
1. The DEVELOPER shall construct the Disposal System in accordance with the permit and plans and
specifications hereafter issued and approved by the COMMISSION, and shall thereafter properly operate
and maintain such systems and facilities in accordance with applicable permit provisions and Iaw.
2. The DEVELOPER shall not transfer ownership and/or control of the Disposal System to the Association
until construction has been completed in accordance with the permit and approved plans, and the staff of
the Division of Water Resources has inspected and approved of the facilities. In order to change the name
of the permit holder, the DEVELOPER must request that the permit be reissued to the Association. The
request must include a copy of the Association Bylaws and Declaration.
3. The DEVELOPER shall not transfer, convey, assign or otherwise relinquish or release its responsibility
for the operation and maintenance of its Disposal System until a permit has been reissued to the
DEVELOPERS successor.
FORM: DEV 08-13 Page 1 of 2

FOR THE ENVIRONMENTAL
MANAGEMENT COMMISSION
i
S. Jay Zimmerm. , P.G.
Director, Division of Water Resources
(Date)
-7-0/7--
4.' The 'DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System and
appurtenances thereto are part of the common elements and shall thereafter be properly maintained and
operated in conformity with law and the provisions of the permit for construction, operation, repair, and
maintenance of the system and facilities. The Declaration and Bylaws shall identify the entire wastewater
treatment, collection and disposal system as a common element which will receive the highest priority for
expenditures by the Association except for Federal, State, and local taxes and insurance.
5. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System will
be maintained out of the common expenses. In order to assure that there shall be funds readily available to
repair, maintain or construct the Disposal System, beyond the routine operation and maintenance
expenses, the Declaration and Association Bylaws shall provide that a fund be created out of the common
expenses. Such fund shall be separate from the routine maintenance funds allocated for the facility and
shall be part of the yearly budget.
6. In the event the common expense allocation and separate fund are not adequate for the construction,
repair, and maintenance of the Disposal System, the Declaration and Association Bylaws shall provide for
special assessments to cover such necessary costs. There shall be no limit on the amount of such
assessments, and the Declaration and Bylaws shall provide that such special assessments can be made as
necessary at any time.
7. If a wastewater collection system and wastewater treatment and/or disposal facility provided by any city,
town, village, county, water and sewer authorities, or other unit of government shall hereinafter become
available to serve the Development, the DEVELOPER shall take such action as is necessary to cause the
existing and future wastewater of the Development to be accepted and discharged into said governmental
system, and shall convey or transfer as much of the Disposal System and such necessary easements as the
governmental unit may require as condition of accepting the Development's wastewater.
8. Recognizing that it would be contrary to the public interest and to the public health, safety and welfare for
the Association to enter into voluntary dissolution without having made adequate provision for the
continued proper maintenance, repair and operation of its Disposal System, the DEVELOPER shall
provide in the Association Bylaws that the Association shall not enter into voluntary dissolution without
first having transferred its said system and facilities to some person, corporation or other entity acceptable
to and approved by the COMMISSION by the issuance of a permit.
9. The agreements set forth in numbered paragraphs 1, 2, 3, 4, 5, 6, 7, and 8 above shall be conditions of any
permit issued by the COMMISSION to the DEVELOPER for the construction, maintenance, repair and
operation of the Disposal System.
10. A copy of this agreement shall be filed at the Register of Deeds in the County(ies) where the Declaration is
filed and in the offices of the Secretary of State of North Carolina with the Articles of Incorporation of the
Association.
IN WITNESS WHEREOF, this agreement was executed in duplicate originals by the duly authorized
representative of the parties hereto on the day and year written as indicated by each of the parties named below:
LAKE NORMAN OWNERS LP
Name of DEVELOPER
B : ��ll
(Signature)
6g,c. 6 vdT-- , -ed
Print Name and Title
3/ Z ff7
(Date)
FORM: DEV 08-13 Page 2 of 2

MATE OF NORTH CAROLINA
COUNTY OF LINCOLN
Permit No.
DEVELOPER'S OPERATIONAL AGREEMENT
This AGREEMENT made pursuant to G.S. 143-215.1 (d l) and entered into this
Commission, an agency o
day of
, by and between the North Carolina Environn en tai Management
State of North Carolina, hereinafter known as the COMMISSION; and
, a corporation/general partnership registered/licensed to do
business in the State of North Carolina, hereinafter known as the DEVELOPER.
Wl I`NESSETH
1. The DEVELOPER is the owner of the certain lands lying in LINCOLN County, upon
which it is erecting and will erect dwelling units and other improvements, said development to be known
as TRILOGY LAKE NORMAN - PARCEL D - PHASE 4 (hereinafter the Development).
2. The DEVELOPER desires, to construct a wastewater collection system with pumps, wastewater treatment
works, and/or disposal facilities (hereinafter Disposal System) to provide sanitary sewage disposal to serve
the Development on said lands.
3. The DEVELOPER has applied to the COMMISSION for the issuance of a permit pursuant to G.S. 143-
215.1 to construct, maintain, and operate the Disposal System.
4. The DEVELOPER has created or shall create unit ownership in said dwellings units, other improvements
and lands through filing of a Declaration of Unit Ownership (hereinafter Declaration), pursuant to Chapter
47C or 47F of the North Carolina General Statutes.
5. The DEVELOPER has caused to be formed or will cause to be formed at the time of filing of the
Declaration, the (Unit Owners' Association) (hereinafter
Association), a non-profit corporation organized and existing under and by the virtue of the laws of the
State of North Carolina, for the purpose, among others, of handling the property, affairs and business of
the Development; of operating, maintaining, re -constructing and repairing the common elements of the
lands and improvements subject to unit ownership, including the Disposal System; and of collecting dues
and assessments to provide funds for such operation, maintenance, re -construction and repair.
6. The COMMISSION desires to assure that the Disposal System of the Development is properly
constructed, maintained and operated in accordance with law and permit provisions in order to protect the
quality of the waters of the State and the public interest therein.
NOW, THEREFORE, in consideration of the promises and the benefits to be derived by each of the parties
hereto, the COMMISSION and DEVELOPER do hereby mutually agree as follows:
1. The DEVELOPER shall construct the Disposal System in accordance with the permit and plans and
specifications hereafter issued and approved by the COMMISSION, and shall thereafter properly operate
and maintain such systems and facilities in accordance with applicable permit provisions and law.
2. The DEVELOPER shall not transfer ownership and/or control of the Disposal System to the Association
until construction has been completed in accordance with the permit and approved plans, and the staff of
the Division of Water Resources has inspected and approved of the facilities. In order to change the name
of the permit holder, the DEVELOPER must request that the permit be reissued to the Association. The
request must include a copy of the Association Bylaws and Declaration.
The DEVELOPER shall not transfer, convey, assign or otherwise relinquish or release its responsibility
for the operation and maintenance of its Disposal System until a permit has been reissued to the
DEVELOPER's successor.
FORM: DEV 08-13 Page 1 of 2

prDEVELOPER shall provide in the 'aeclaration .and Association Bylaws that the Disposal System and
urtenances thereto are part of the common elements and shall thereafter be properly maintained and
operated in conformity with law and the provisions of the permit for construction, operation, repair, and
maintenance of the system and facilities. The Declaration and Bylaws shall identify the entire wastewater
treatment, collection and disposal system as a common element which will receive the highest priority for
expenditures by the Association except for Federal, State, and local taxes and insurance.
5. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System will
be maintained out of the common expenses. In order to assure that there shall be funds readily available to
repair, maintain or construct the Disposal System, beyond the routine operation and maintenance
expenses, the Declaration and Association Bylaws shall provide that a fund be created out of the common
expenses. Such fund shall be separate from the routine maintenance funds allocated for the facility and
shall be part of the yearly budget,
6. In the event the common expense allocation and separate fund are not adequate for the construction,.
repair, and maintenance of the Disposal System, the Declaration and Association Bylaws shall provide for
special assessments to cover such necessary costs. There shall be no limit on the amount of such
assessments, and the Declaration and Bylaws shall provide that such special assessments can be made as
necessary at any time.
7. If a wastewater collection system and wastewater treatment and/or disposal facility provided by any city,
town, village, county, water and sewer authorities, or other unit of government shall hereinafter become
available to serve the Development, the DEVELOPER shall take such action as is necessary to cause the
existing and future wastewater of the Development to be accepted and discharged into said governmental
system, and shall convey or transfer as much of the Disposal System and such necessary easements as the
governmental unit may require as condition of accepting the Development's wastewater.
8. Recognizing that it would be contrary to the public interest and to the public health, safety and welfare for
the Association to enter into voluntary dissolution without having made adequate provision for the
continued proper maintenance, repair and operation of its Disposal System, the DEVELOPER shall
provide in the Association Bylaws that the Association shall not enter into voluntary dissolution without
first having transferred its said system and facilities to some person, corporation or other entity acceptable
to and approved by the CO11!IIvfISSION by the issuance of a permit.
9. The agreements set forth in numbered paragraphs 1, 2, 3, 4, 5, 6, 7, and 8 above shall be conditions of any
permit issued by the COMMISSION to the DEVELOPER for the construction, maintenance, repair and
operation of the Disposal System.
10. A copy of this agreement shall be filed at the Register of Deeds in the County(ies) where the Declaration is
filed and in the offices of the Secretary of State of North Carolina with the Articles of Incorporation of the
Association.
IN WJ NESS WHEREOF, this agreement was executed in duplicate originals by the duly authorized
representative of the parties hereto on the day and year written as indicated by each of the parties named below:
FOR THE ENVIRONlv1l NTAL
MANAGEMENT COMMISSION
Jay Zimmermai, P.G.
Director, Division of Water Resources
NO MAN OWNERS LP
Name of DE
B
gnature
Print Name and Title
(Date)
7
FORM: DEV 08-1.3
Page 2 of 2

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
rti,r* �.�.V(G a
Application Number: `-I'l55q (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Lake Norman Owner LP (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: Eric Sauer per 15A NCAC 02T .0106(b)
Title: Project Manager
4. Applicant's mailing address: 7242 South Little Egypt Road
City: Stanley State: NC Zip: 28164-
5. Applicant's contact information:
Phone number: [phone] Email Address: eric.sauer(a),sheahomes.com
II. PROJECT INFORMATION:
1. Project name: Trilogy Lake Norman - Parcel D - Phase 4
2. Application/Project status: ®Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number. WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Lincoln
4. Approximate Coordinates (Decimal Degrees): Latitude: 35..4450° Longitude: -81.0243°
5. Parcel ID (if applicable): 51881.51876, 58834.31428, 85734, 86072. 86073
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer. Dan E Brewer License Number: 17582
Firm: ESP Associates, P.A.
Mailing address: 20484 Chartwell Center Drive. Suite D
City: Cornelius State: NC Zip: 28031-
Phone number: [phone] Email Address: dbrewer0,espassociates.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Killian Creek WWTP Permit Number: NC 0088722
Owner Name: East Lincoln Sewer District
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WO Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
FORM: FTA 04-16 Page 1 of 5

VL • GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ®N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
® Yes ❑No ❑N/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater (check all that apply):
® Residential Owned
❑ Residential Leased
❑ School / preschool / day care
❑ Food and drink facilities
❑ Businesses / offices / factories
❑ Retail (stores, centers, malls)
❑ Retail with food preparation/service
❑ Medical / dental / veterinary facilities
❑ Church
❑ Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool /Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic/Commercial % Commercial
% Industrial (See 15A NCAC 02T .0103(20))
�Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes 0 No
➢ If ves, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f2)
Daily Design Flow 2'b
No. of Units
I+1ow
Single Family, 2 Bedroom
240 gal/day
93
22,320 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
22,320 GPD
a See 15A NCAC 02T .0114(b), (d), (e)(1) and (e)(2) for caveats to wastewater design flow rates (i e , minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities Located near high public use
areas; and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals
as defined in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.0114] shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 22,320 GPD (per I5A NCAC 02T .0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-I6
Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewersi:
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8'1.
4,034
PVC
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section DI contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Trilogy D Phase•4
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.4416° Longitude: -81.0252°
3.
4.
Design flow of the pump station: 0.288 millions gallons per clay (firm capacity)
Operational point(s) of the pump(s): 200 gallons per minute at 79 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
6
1,210
PVC
6. Power reliability in accordance with 15A NCAC 02T .0305(h)W:
® Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B):
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallon s per day
➢ Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
• If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations'
storage capacities and the rotation schedule of the portable power source or pump, including travel,timeframes, shall be
provided in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. • SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(0):
1. Does the project comply with all separations found in 15A NCAC 02T ,0305(f) & (g)
> 15A NCAC 02T.0305(fl contains minimum separations that shall be provided for sewer systems:
ZYes El No
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
24 inches
Water mains (vertical -water over sewer including in benched trenches)
18 inches
Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identifed using the Division's NC Surface Water Classifications webpago
➢ If noncompliance with 02T.0305(f) or (a), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation)
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
> As built documents should reference the location of areas effected
®Yes El No
3. Does the project comply with all setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No
> This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ No
> Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
> Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ®No
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and Iocation).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Paae 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
®Yes El No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents
for review. Approval of the request is required prior to submittal of the Fast Track Application and supporting
documents.
2. Professional Engineer's Certification:
ki E. grew ev
(Professional Engineer's name from Application Item 111.1.)
attest that this application for
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best
of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain
portions of this submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this
material and have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who 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:
outtniiinillo
• r.
•
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, g izt c
(Signature Authority's name & title from Application Item I.3.)
.17582 -
"ii . lam '` "
attest that this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. 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.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, 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.
Signature:
Date: �2�7/7
FORM: FTA 04-16 Page 5 of 5

j i T \\ t r'° r
k«j\7 f1
[iilision c tArater Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Lake Norman Owner, LP
Project Name for which flow is being requested: Trilogy Lake Norman -Parcels D Ph 4
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Killian Creek WWTP
b. WWTP Facility Permit #: NC0088722
All flows are in MGD
c. WWTP facility's permitted flow 3.35
d. Estimated obligated flow not yet tributary to the WWTP 0.921
e. WWTP facility's actual avg. flow 1.015
f. Total flow for this specific request 0.022
g. Total actual and obligated flows to the facility 1.936
h. Percent of permitted flow used 57.8%
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity, * (Firm / pt), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
#37 7.776 3.110 1.655 0.921 2.576 0.534
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Lincoln County Sewer System
Downstream Permit Number: WQCS00149
Page 1 of 6
FTSE 04-16

III. Certification Statement:
I Donald V. Chamblee, Jr. certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the
receiving wastewater treatment facility and that the flow from this project is not anticipated to
cause any capacity related sanitary sewer overflows or overburden any downstream pump station
en route to the receiving treatment plant under normal circumstances, given the implementation
of the planned improvements identified in the planning assessment where applicable. This
analysis has been performed in accordance with local established policies and procedures using
the best available data. This certification applies to those items listed above in Sections I and II
plus all attached planning assessment addendums for which I am the responsible party.
Signature of this form indicates acceptance of this wastewater flow.
Signing fficial Signature
12.:f5(2-_(-7
Date
Page 2 of 6
FTSE 04-16

'PPP":
PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section II where Available
Capacity is c O.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
% and MGD of the Available Capacity (E) in Pump Station
; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
is in design or under construction with
planned completion in ; and/or
d. The following applies:
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification
to allow this flow to be permitted, without a significant likelihood of over -allocating capacity in
the system infrastructure.
I understand that this does not relieve the collection system owner from complying with G.S.
143-215.67(a) which prohibits the introduction of any waste in excess of the capacity of the
waste disposal system.
Signing Official Signature Date
Page 3 of 6
FTSE 04-16

pPPrPr:
Instructions for Flow Tracking/Acceptance form (FTSE) and Planning Assessment Addendum (PAA)
Section I
a. WWTP Facility Name: Enter the name of the WWTP that will receive the wastewater flow.
b. WWTP Facility Permit #: Enter the NPDES or Non -Discharge number for the WWTP receiving the
wastewater flow.
c. WWTP facility's permitted flow, MGD: From WWTP owner's NPDES or Non -Discharge permit.
d. Estimated obligated flow not yet tributary to the WWTP, MGD: This includes flows allocated to
other construction projects not yet contributing flow to the collection system. Flows allocated through
interlocal agreements or other contracts not yet contributing flow to the collection system are also
included. For POTWs that implement a pretreatment program, include flows allocated to industrial
users who may not be using all of their flow allocation. Please contact your Pretreatment Coordinator
for information on industrial flow tributary to your WWTP.
As of January 15, 2008 the POTW should have reviewed flow allocations made over the last two
years and reconciled their flow records, to the best of their ability, so it is known how much flow has
been obligated and is not yet been made tributary to the WWTP, in accordance with local policies and
procedures employed by the reporting entity.
e. WWTP facility's actual avg. flow, MGD: Previous 12 month average.
f. Total flow for this specific request, MGD: Enter the requested flow volume.
g. Total actual and obligated flows to the facility, MGD Equals [d + e + f]
h. Percent of permitted flow used: Equals [(g / c)* 100]
For example:
On January 15 a POTW with a permitted flow of 6.0 MGD, reported to the Regional Office that there
is 0.5 MGD of flow that is obligated but not yet tributary. The annual average flow for 2007 is 2.7
MGD. There is a proposed flow expansion of 0.015 MGD.
The first Form FTSE submitted after January 15, 2008 may have numbers like this:
c. = 6.0 MGD
d. = 0.5 MGD
e. = 2.7 MGD
f. = 0.015 MGD
g. = 3.215 MGD
h. = 53.6 %
The next Form FTSE may be updated like this with a proposed flow expansion of 0.102 MGD:
c. = 6.0 MGD
d. = 0.515 MGD
e. = 2.73 MGD
f. = 0.102 MGD
g. = 3.349 MGD
h. = 55.8%
Each subsequent FTSE form will be updated in the same manner.
Page 4 of 6
FTSE 04-16

-Section II
List the pump station name or number and approximate pump station firm capacity, approximate design
average daily flow (A) approximate current average daily flow (B), and the obligated, not yet tributary
flow through the pump station (C) for each pump station that will be impacted by the proposed sewer
extension project. Calculate the total current flow plus obligated flow (D=B+C) and the available
capacity (E=A-D). Include the proposed flow for this project with other obligated flows that have been
approved for the pump station but are not yet tributary (C).
Firm capacity is the maximum pumped flow that can be achieved with the largest pump out of service as
per the Minimum Design Criteria.
Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor (pf) of
not less than 2.5.
If the available capacity (E) for any pump station is < 0, then prepare a planning assessment for that pump
station if the system has future specific plans related to capacity that should be considered in the
permitting process.
(A) (B)
Design
Firm Average
Pump Station Capacity Daily Flow
(Name or Number) MGD (Firm / pf)
Kaw Creek PS
Valley Road PS
0.800 0.320
Approx.
Current Avg.
Daily Flow,
MGD
(C) (D)=(B+C) (E)=(A-D)
Obligated,
Not Yet Total Current
Tributary Flow Plus
Daily Flow, Obligated Available
MGD Flow Capacity*
0.252 0.080 0.332 -0.012
1.895 0.758 0.472
0.135 0.607 0.151
Page 5 of 6
FTSE 04-16

pFWSCAS 08-13
WATERSHED CLASSIFICATION ATTACHMENT
OR SEWER SYSTEMS
tiiEii11.1
P_rofessional_Errgtneer
an
Et g tiering Fife _Name";
sod
Location
ID
Name of Waterbody'
County
River
Basin
Waterbody Stream
Index No.
Waterbody
Classification
6
ECM
Ki
i �=' red
cool
1 tiifi i(Q , 1
8
n
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n ; e d .Tn o;tO KIlI ani r ae ,
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,.e=
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•
pi'_
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eiSt.
I
.....
iMi
- .
,fop
if unnamed, indicate "unnamed tributary to X", where Xis the named waterbody to which the unnamed tributary joins.
I certify that as a Registered Professional Engineer in the State of
North Carolina that I have diligently followed the Division's instructions
for classifying waterbodies and that the above classifications are
inclusive of the stated project, complete and correct to the best of my
knowledge and belief.
PE Seal, Signature and Date
*** END OF FORM WSCAS 08-13 ***
FORM: WSCAS 08-13
Page 1 of 1

PROPOSE SANITARY SEWER TO SERVE TRILOGY PARCEL D - PHASE 4
TRILOGY PARCEL D -
PHASE ti - 8" GRAVITY
SWR PIPE & MANHOLES
TRILOGY PARCEL D -
PHASE 2 - 8" GRAVITY
SSWR PIPE & MANHOLES
PROJECT SITE
PROP, TRILOGY PARC
©- PHASE 4-6"
FORCEMAIN
PROP. TRILOGY PARCE
O-PHASE 4-PUMP
STATION
TRILOGY PARCEL D -
PHASE 3 - 8" GRAVITY
SSWR PIPE & MANHOLE
PROP, TRILOGY PARCEL
D - PHASE 4 - 8" GRAVITY
SSWR PIPE+ MANHOLES
GRAPHI
SCALE
200
( IN FEET )
HORIZONTAL 1

Water Resources
Environmental Quality
February 1, 2017
Chris Henderson
Engineering Associate
Lincoln County Public Works
115 West Main Street
Lincolnton, NC 28092
Subject: Killian Creek WWTP, NPDES # NC0088722
Residential Flow Reduction
Lincoln County
Dear Mr. Henderson:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
On January 29, 2007 the Division of Water Quality (now Division of Water Resources) granted a
flow reduction for residential flow to Middle Forney Creek WWTP (NC0074012). Middle Forney
Creek has been decommissioned and the NPDES permit rescinded. The flow previously being
treated at Middle Forney Creek WWTP is now being treated at Killian Creek WWTP. All areas
currently served by Killian Creek WWTP and conveyed through pump stations # 15 and # 37
were included in the analysis done for the flow reduction granted in 2007.
Based upon the data provided by the County for the 2007 flow reduction, the Division of Water
Resources hereby approves the use of 80 GPD per residential bedroom, with a minimum of 160
gpd for one and two bedroom units in all applicable non -discharge permit applications to Killian
Creek WWTP (NC0088722). Flow shall be incremented by 80 gpd for each bedroom above two.
Regardless of the adjusted design daily wastewater flow rate, at no time shall the wastewater
flows exceed the effluent limits defined in the NPDES permit for the treatment facility of exceed
the capacity of the sewers downstream of nay new sewer extensions or service connection(s).
The granting of this flow reduction does not prohibit the'Division from reopening, revoking,
reissuing and /or modifying the flow reduction as allowed by the laws, rules, and regulation
contained in 15A NCAC 02T, NCGS 143-215.1, or as needed to address changed in State and/or
Federal regulations with respect to wastewater collection systems, protection of surface waters
and/or wastewater treatment.
Nothing Compares •-. -
State of North Carolina i Environmental Quality
1617 Mail Service Center i Raleigh, North Carolina 27699-1617
919-707-9000
:sc. Mktg:
i*'°�

if you have any questions, please contact me at [phone], or via email at
[e-mail].
Sincerely,
for S. Jay Zimmerman
Director, Division of Water Resources
by Deborah Gore, Supervisor
Pretreatment, Emergency Response and Collection Systems Branch
Cc: Mooresville Regional Office, Water Quality Regional Operations
Central Files: NC0088722
PERCS (electronic copy)
, ` r-
..`k,.. ...t.�'„a9.,aw.�,`.e .. ° .r9,�°

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Lake Norman Owner, LP
Project Name for which flow is being requested: Trilogy Lake Norman -Parcels D Ph 4
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Killian Creek WWTP
b. WWTP Facility Permit #: NC0088722
All flows are in MGD
c. WWTP facility's permitted flow 3.35
d. Estimated obligated flow not yet tributary to the WWTP 0.921
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
1.015
0.022
1.936
57.8%
II. Complete this section for each pump station you arc responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP:
Pump
Station Firm
(Name or Capacity, *
Number) MGD
(A)
Design
Average Daily
Flow**
(Firm 1 pf),
MGD
#37 7.776 3.110
(B) (C) (D)=(B+C) (E)=(A-D)
Obligated,
Approx. Not Yet Total Current
Current Avg. Tributary Flow Plus
Daily FIow, Daily Flow, Obligated
MGD MGD Flow
Available
Capacity***
1.655 0.921 2.576 0.534
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Lincoln County Sewer System
Downstream Permit Number: WQCS00149
Page 1 of 6
FTSE 04-16

III. Certification Statement:
T Donald V. Chamblee, Jr. certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the
receiving wastewater treatment facility and that the flow from this project is not anticipated to
cause any capacity related sanitary sewer overflows or overburden any downstream pump station
en route to the receiving treatment plant under normal circumstances, given the implementation
of the planned improvements identified in the planning assessment where applicable. This
analysis has been performed in accordance with local established policies and procedures using
the best available data. This certification applies to those items listed above in Sections I and II
plus all attached planning assessment addendums for which I am the responsible party.
Signature of this form indicates acceptance of this wastewater flow.
Signing
fzt7
.fficial Signature Date
Page 2 of 6
FTSE 04-16

Priv
PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section II where Available
Capacity is < 0.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
% and MGD of the Available Capacity (E) in Pump Station
; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
is in design or under construction with
planned completion in _ ; and/or
d. The following applies:
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification
to allow this flow to be permitted, without, a significant likelihood of over -allocating capacity in
the system infrastructure.
T understand that this does not relieve the collection system owner from complying with G.S.
143-215.67(a) which prohibits the introduction of any waste in excess of the capacity of the
waste disposal system.
Signing Official Signature Date
Page 3 of 6
FTSE 04-16

Instructions for Flow Tracking/Acceptance form (FTSE) and Planning Assessment Addendum (PAA)
Section I
a. WWTP Facility Name: Enter the name of the WWTP that will receive the wastewater flow.
b. WWTP Facility Permit #: Enter the NPDES or Non -Discharge number for the WWTP receiving the
wastewater flow.
c. WWTP facility's permitted flow, MGD: From WWTP owner's NPDES or Non -Discharge permit.
d. Estimated obligated flow not yet tributary to the WWTP, MGD: This includes flows allocated to
other construction projects not yet contributing flow to the collection system. Flows allocated through
interlocal agreements or other contracts not yet contributing flow to the collection system are also
included. For POTWs that implement a pretreatment program, include flows allocated to industrial
users who may not be using all of their flow allocation. Please contact your Pretreatment Coordinator
for information on industrial flow tributary to your WWTP.
As of January 15, 2008 the POTW should have reviewed flow allocations made over the last two
years and reconciled their flow records, to the best of their ability, so it is known how much flow has
been obligated and is not yet been made tributary to the WWTP, in accordance with local policies and
procedures employed by the reporting entity.
e. WWTP facility's actual avg. flow, MGD: Previous 12 month average.
f. Total flow for this specific request, MGD: Enter the requested flow volume.
g. Total actual and obligated flows to the facility, MGD Equals [d f e + f]
h. Percent of permitted flow used: Equals [(g / c)* 100]
For example:
On January 15 a POTW with a permitted flow of 6.0 MGD, reported to the Regional Office that there
is 0.5 MGD of flow that is obligated but not yet tributary. The annual average flow for 2007 is 2.7
MGD. There is a proposed flow expansion of 0.015 MGD.
The first Form FTSE submitted after January 15, 2008 may have numbers like this:
c. = 6.0 MGD
d. = 0.5 MGD
e. = 2.7 MGD
f. = 0.015 MGD
g. = 3.215 MGD
h.=53.6%
The next Form FTSE may be updated like this with a proposed flow expansion of 0.102 MGD:
c. = 6.0 MGD
d. = 0.515 MGD
e. = 2.73 MGD
f. = 0.102 MGD
g. = 3.349 MGD
h. = 55.8%
Each subsequent FTSE form will be updated in the same manner.
Page 4 of 6
FTSE 04-16

Section •II
List the pump station name or number and approximate pump station firm capacity, approximate design
average daily flow (A) approximate current average daily flow (B), and the obligated, not yet tributary
flow through the pump station (C) for each pump station that will be impacted by the proposed sewer
extension project. Calculate the total current flow plus obligated flow (D=B+C) and the available
capacity (E=A-D). Include the proposed flow for this project with other obligated flows that have been
approved for the pump station but are not yet tributary (C).
Firm capacity is the maximum pumped flow that can be achieved with the largest pump out of service as
per the Minimum Design Criteria.
Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor (pf) of
not less than 2.5.
If the available capacity (E) for any pump station is < 0, then prepare a planning assessment for that pump
station if the system has future specific plans related to capacity that should be considered in the
permitting process.
(A) (B)
Design
Firm Average
Pump Station Capacity Daily Flow
(Name or Number) MGD (Firm / pf)
Kaw Creek PS 0.800 0.320
Valley Road PS
Approx.
Current Avg.
Daily Flow,
MGD
0.252
1.895 0.758 0.472
(C) (D)=(B+C) (E)=(A-D)
Obligated,
Not Yet Total Current
Tributary Flow Plus'
Daily Flow, Obligated Available
MGD Flow Capacity*
0.080 0.332 -0.012
0.135 0.607 0.151
Page 5 of 6
FTSE 04-16

SEWER CALCULATIONS
TRILOGY LAKE NORMAN
PARCEL D — PHASE 4
Prepared for:
Lake Norman Owner, LP
7242 Little Egypt Road
Stanley, NC 28164
RECENEINCDEQIIN
JUL 11Z017,
Water Quality
Perms ing Section
0 REJECTED ❑ REVISE& uzel1131,4ETT
ESP Associates, P.A.. � conformity
,* with
:'�" !.fNt .F.X-
W11trt3Ctdactml,�rti I�•htdi48'K:i:S'f'"t'4i'thia•
204 4 nt of
CEP ION Th:. rr = :n rnaiv.Inge or ieorato iteni
8 Chartwell Center Drive does no; Inv.; ,:G.tintsi: ; sonbt.in which
Cornelius NC 28031 it iu�:tran;- he r rAt `Y s:atton �r�;tr r.o.atr greets of
the eontra: 4,..a cist, .^ luurc r sestet osIbii;ty far
and sir-c;.1,:hr r,;e::.;, .„•:i : sd products.
AssenibliG+ t$ c' !::f.� r�iSs r,..zuf is the responsi-
bility ofthe Conn
LINCOLN COUNTY PUBLIC ORK5
BY: DATE: all
VINO EXCEPTION TAKEN
Prepared by: ❑ NO EXCEPTION TAKEN EXCEPT AS NOTED
[phone]
Project Number: E033.402
Original: February 15, 2017
ESP Associates, P.A,
License No. C-0587
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MH-722
MH-721
MH-720
MH-719
MH-719A
MH-718
MH-717
MH-701
MH-700
MH-711
MH-710
MH-709
MH-721
MH-650
MH-719
MH-719A
MH-718
MH-717
MH-701
MH-700
WETWELL
MH-707A
MH-708
MH-707
MH-706
MH-705
MH-704
MH-702B
MH-702A
MH-702
MH-700A
MH-716
MH-715
MH-714
MH-713
MH-703
MH-710
MH-709
MH-707A
MH-707
MH-707
MH-706
MH-705
MH-704
MH-702B
MH-702A
MH-702
MH-700A
MH-700
MH-715
MH-714
MH-713
MH-703
MH-702B
0.0608
0.0199
0.0404
0.0419
0.1000
0.0500
0.0232
0.0139
0.0044
0.0150
0.0166
0.0228
0.0215
0.0100
0.0157
0.0255
0.0260
0.0693
0.1000
0.0760
0.0418
0.0058
0.0420
0.0447
0.0450
0.0536
0.0093
6
12
6
9
9
9
9
9
81
9
15
18
22
1
30
33
37
41
72
72
72
72
9
13
20
28
31
1,440
2,880
1,440
2,160
2,160
2,160
2,160
2,160
19,440
2,160
3,600
4,320
5,280
240
7,200
7,920
8,880
9,840
17,280
17,280
17,280
17,280
2,160
3,120
4,800
6,720
7,440
0.0022
0.0045
0.0022
0.0033
0.0033
0.0033
0.0033
0.0033
0.0301
0.0033
0.0056
0,0067
0.0082
0.0004
0.0111
0.0123
0.0137
0.0152
0.0267
0.0267
0.0267
0.0267
0.0033
0.0048
0:0074
0.0104
0.0115
0.013
0.013
0.013
0.013
0.013
0.013
0.013
0.013
0.013
0.013
0.013
0.013
0.013
0.013
0.013
0.013
0.013
8
8
8.56
0.17
1.05
1.49
4.90
0.17
1.05
0.85
965,428
8
8
8
8
8
8
8
8
8
8
6.98
7.11
10.98
7.76
5.29
4.09
2.30
4.25
4.47
5.24
0.17
0.17
0.17
0.17
1.05
1.05
1.05
1.05
1.22
1.24
1.92
1.35
552,325
786,971
801,448
1,238,135
875,494
0.17
0.17
0.17
0.17
0.17
0.17
1.05
1.05
1.05
1.05
1.05
1.05
0.92
0.71
0.40
0.74
0.78
0.91
8
8
8
8
8
5.09
3.47
4.35
5.54
5.60
0.17
0.17
0.17
0.17
0.17
1.05
1.05
1.05
1.05
1.05
0.89
0.61
0.76 •
0,97
0.98
596,365
461,610
259,713
479,528
504,455
591,202
574,100
391,533
490,589
0.013
0.013
0.013
0.013
0.013
0.013
0.013
0.013
0.013
0.013
8
8
8
8
8
8
8
8
8
8
9.14
0.17
1.05
1.59
625,228
631,328
1,030,706
10.98
9.57
0.17
0.17
1.05
1.05
1.92
1.67
1,238,135
1,079,381
7.10
2.64
7.11
0.17
1.05
1.24
0.17
0.17
1.05
1.05
0.46
1.24
800,491
298,182
802,403
7.34
7.36
8.04
3.35
Note: Pump Station from Phase 4 enters system at MH-649.81 Lots from Parcel D Phase 4, 50 from Parcel K, 283 from Parcel E
0.17
0.17
0.17
0.17
1.05
1.05
1.05
1.05
1.28
1.29
1.40
0.58
827,793
830,566
906,464
LU
z
377,581
-r
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK

WASTEWATER PUMP STATION &
FORCEMAIN CALCULATION
TRILOGY LAKE NORMAN
PARCEL D — PHASE 4
Prepared for:
Lake Norman Owner, LP
7242 Little Egypt Road
Stanley, NC 28164
Prepared by:
ESP Associates, RA,
20484 Chartwell Center Drive
Cornelius, NC 28031
(704) 9.90-9428
Project Number: E033.402
Original: February 15, 2017
ESP Associates, P.A,
\``‘III1Hllll1t17l "ii
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Lincoln County
Wastewater Pump Station
Force Main
Project Summary
Project Name: Trilogy - Parcel D - Phase 4
Average Daily Flow (gpm): 73
Pump Operational Point No. 1 (gpm@tdh): 200 gpm @ 79 ft
Pump Operational Point, No. 2 (gpm@tdh): N/A
Pump Manufacturer: Hydromatic (Pentair)
Model Number: S4MXP
Impeller Diameter: 9"
Horse Power: 10 hp
Voltage: 460v 3phase
Force Main Diameter (in): 6
Force Main Length (ft): 1,210

Tributary
Wastewater Flow Calculations
Establishment
Unit Value
(Gal/Day/Unit)
Unit Type
# of Units
Discharge, GPD
Residential (1 and 2 Bedroom)
240
Residence
436
104,640
Residential (3 Bedroom)
360
Residence
0
0
Barber Shops
50
Chair
0
0
Beauty Shops
125
Booth or Bowl
0
0
Business - General & Office
25 F.mnlnvee ner drift
n
n
Business - Factories Excluding Industrial Waste
Business or Factories w/showers or food preparation
Business - Warehouse
25
35
100
Employee per shift
Employee per shift
Loading bay
0
0
0
0
0
0
Business - Warehouse Self Storage (not including Caretaker Residence)
Churches without kitchens, day care, or camps
Churches with kitchens
1
3
5
Unit
Seat
Seat
0
0
0
0
0
0
Churches providing day care or camp
Fire or Rescue without on -site staff
25
25
Person (child+employee)
Person
0
0
0
0
Fire or Rescue with on -site staff
50
Person per shift
0
0
Food & Drink - Banquet Dining Hall
Food & Drink - Bars, Cocktail Lounges
Food & Drink - Caterers
30
20
50
Seat
Seat
100 sf floor space
0
0
0
0
0
0
Food & Drink - Restaurants, Full Service
40
Seat
0
0
Food & Drink - Restaurants, Single Service Articles
Food & Drink - Restaurants, Drive-in
Food & Drink - Restaurants, Carry out only
Food & Drink - Institutions, Dining Halls
Food & Drink - Deli
Food & Drink - Bakery
Food & Drink - Meat Dept, Butcher, Fish Market
Food & Drink - Specialty Food Stand or Kiosk
Hotels/Motels/B&B without in -room cooking facilities
Hotels/Motets/B&B with in -room cooking facilities
Hotels/Motels-Resort Hotels
20
50
50
5
40
10
75
50
120
175
200
Seat
car space
100 sf floor space
meal
100 sf floor space
100 sf floor space
I00 sf floor space
100 sf floor space
Room
Room
Room
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hotels/Motels- Cottages, Cabins
200
Unit
0
0
Laundries (Self -Service)
500
Machine
0
0
Medical or Dental offices
250
Practitioner per shift
0
0
Medical - Veterinary offices without boarding
Medical - Veterinary, Kennels, with boarding
Medical - Medical Hospitals
Medical -Mental Hospitals
Medical - Convalescent, Nursing,.Rest Homes without Laundry
Medical - Convalescent, Nursing, Rest Homes w/ laundry
Medical - Residential Care Facilities
250
20
300
150
60
I20
60
Practitioner per shift
Pen, Cage, Kennel, Stall
Bed
Bed
Bed
Bed
Person
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Parks & Rec. - Campgrounds w/comfort station but without water & sewer hooka!
Parks & Rec. - Campgrounds with water & sewer hookup
Parks & Rec. - Campground Dump Station facility
Parks & Rec. - Construction, Hunting, or Work camps with flush toilets
Parks & Rec. - Construction, Hunting, or Work camps with chemical or portable tc,
Parks & Rec. - Parks with Restrooms
75
100
50
60
_40
250
Campsite
Campsite
Space
Person
Person
Plumbing Fixture
0
0
0
0
0
0
0
0
0
0
0
0
Parks & Rec. - Summer camps without food prep or laundry facilitates
Parks & Rec. - Summer camps with food prep and laundry facilitates
Parks & Rec. - Swimming Pools, Bath Houses, Spas
30
60
10
Person
Person
Person
0
0
0
0
0
0
Public Access Restrooms
325
Plumbing Fixture
0
0

Tributary
Wastewater Flow Calculations
Establishment
Unit Value
(Gal/Day/Unit)
Unit Type
H of Units
Discharge, GPD
Schools - Preschools & Daycares •
25
Person (child+emploee)
0
0
Schools with Cafeteria, Gym, & Showers
15
Student
0
0
Schools with Cafeteria
.12
Student
0
0
Schools without Cafeteria, Gym, & Showers
10
Student
0
0
Schools, Boarding
60
Person (student+employee)
0
0
Service Stations, Gas Stations
250
Plumbing Fixture
0
0
Car Wash Facilities (if recycling water, see Rule .0235 of 2T regulations)
1200
Bay
0
0
Sports Centers -Bowling
50
Lane
0
0
Sports Centers - Fitness, Exercise, Karate, Dance
50
100 sf floor space
0
0
Sports Centers - Tennis, Racquet ball
50
court
0
0
Sports Centers - Gymnasium
50
100 sf floor space
0
0
Sports Centers - Golf Course with only minimal food service
250
Plumbing Fixture
0
0
Sports Centers - Country Clubs
60
Member or Patron
0
0
Sports Centers - Mini Golf; Putt -Putt
250
Plumbing Fixture
0
0
Sports Centers - Go -Kart, Motorcross
250
Plumbing Fixture
0
0
Sports Centers - Batting Cages, Driving Ranges
250
Plumbing Fixture
0
0
Sports Centers - Marinas without Bathhouse
10
Slip
0
0
Sports Centers - Marinas with Bathhouse
30
Slip
0
0
Sports Centers - Video Game Arcades, Pool Hails
250
Plumbing Fixture
0
_
0
Stadiums, Auditoriums, Theatres, Community Centers
5
Seat
0
0
Stores, Shopping Centers, Malls & Flea Markets:
Auto, Boat, RV dealerships/showrooms with restrooms
125
Plumbing Fixture
0
0
Convenience Stores, with Food Preparation
60
100 sf floor space
0
0
Convenience Stores, without Food Preparation
250
Plumbing Fixture
0
0
Flea Markets
30
Stall
0
0
Shopping Centers and Malls with Food Service
130
1000 sf
0
0
Stores and Shopping Centers without Food Service
100
1000 sf
0
_
0
Transportation Terminals - Air, Bus, Train, Ferry, Port & Dock
5
Passenger
0
0
Other -
.
_
0
Other -
0
Other -
0
Other -
0
From 15A NCAC 02T .0114
Average Daily Flow (gallons per day) 104,640

Design Pumping Flow Rate
Peaking Factor Calculation
Service Area Population =
1,090
Peak Factor =
18 + JP
4+SIP
Calculated Peak Factor =
3.8
Design Peak Factor=
2.5
Determine Minimum Pump Rate
Averags Daily Flow =
104,640
GPD
Peak Flow =
261,600
GPD
Minimum Pumping Rate Required =
182
GPM
Design Pumping Rate =
200
GPM
Service Area Population to be determined by the number of persons living within the service area.
Service .Area population may be determined by multiplying the number of residental units by 2.5 persons pe
Calculated Peak Flow determined by greater of result from formula listed based on service area population.
Design Peak Flow = 2.5 if no future population growth expected for pump station.

Cycle Time & Wet Well Geometry
Target Cycles Per Hour
ADF
Pumping Rate
Time
Cycles Per Hour
Check Cycles Per Hour (2 minimum):
Check Cycles Per Hour (8 maximum):
73 gpm
200 gpm
15.0 min.
4.0
OK
OK
Determine Wet well Diameter
Required Volume=
694
Gallons
Pick Wet Well Diameter =
6.0
Ft
Pick Wet Well Cycle =
2.0
Vert. Ft
Volume in Cycle =
423
Gallons
Vertical Datum Used:
NAVD 8
IDetermine Wet Well Invert & Float Elevations
Top Elev=
Cmd Blew,
Wet well Dia. =
707.40
706.90
SS Invert In=
696.09
Bottom Invert Elev,
688.59
6.0 Ft
/Alarm = 694.09
Lag On = 693.09
Lead On = 692.09
*As required for complete submergence
OK
Pumps Off= 690.09
Calculated from target Cycles per Hour
Based on desired Cycles per Hour
Based on wet well diameter & proposed wet well cycle
6" above proposed ground elevation around wet well
1' Above Lag Pump On, Min 2' Below SS Invert In
1' Above Lead Pump On
Pump Off+Required Vertical Cycle
6' Below SS Invert In (3 cycles)
As required for complete pump submergence but not less than 1.5' below "Pump Off' elevation.

Force Main & Piping Design
Off -Site Force Main Data
Design Pump Rate (gpm) _
Select Farce Main Size (in) =
Velocity (fps) _
Meets Minimum Velocity Requirement?
Meets Maximum Velocity Requirement?
Required Pump?'
Line Length (ft) _
Account for Minor Losses
200
6
2.27
OK
OK
Use Non -Clog Pump
1,210
5%
Equiv Length (ft) = 1,271
Connection Point:
Existing Manhole on Raven Rock Court
Pump Station Piping Data
Design Pump Rate (gpm) =
Pick Wet Well & Valve Vault Piping Size (in) =
Velocity (fps) =
Meets Minimum Velocity Requirement?
Meets Maximum Velocity Requirement?
200
6
2.27
OK > 2 FPS
OK < 8 FPS
Item
Number of Fittings
L/D Ratio
Equivalent Length
45 bend
90 bend
22.5 bend
Branch Tee Flow
Check valve
Plug Valve
2
16
16.00
1
30
15.00
2
9
9.00
2
60
60.00
1
135
67.50
0
17
0.00
0.00
0.00
0.00
Equivalent Fitting
Wet Well & Valve Vault Piping
Total Equivalent Pump Station Pipe
Equivalent Off -Site Diameter
Length (ft) =
168
Length (ft) =
. 12
Length (ft) =
180
Length (ft) =
180
Total Equivalent Force Main Length (ft) = 1450

Pump Selection
Force Main Diameter (in) _
Equivalent Force Main Length (ft)
Hazen -Williams C Factor =
Minimum Required Pump Rate (GPM)
Design Pumping Rate (GPM) _
6
1450
110
182
200
GPM
Pressure Head
at Connection
"All On" (feet)
Pressure Head at
Connection
, "Only Proposed
, Pump Station
On" (feet)
Static Head
(feet)
"All On"
TDH (feet)`
vmy
Proposed
Pump
Station
On" TDB
(feet)
Velocity (fps)
'
Pump Head
(feet)
170
0
, 0
72
78
78
1.9
82
200 ,
0
0
72
79
79
2.3
79
230
0
0 1
72
82
82
2.6
77.0
260
0
0
72
84
84
3.0
76
290 I
0
I
0
72
87
87
3.3 1
75
Pump Manufacturer.
Model Number.
Impeller Diameter;
Horsepower
VoItage:
Hydromatic (Pentair)
S4MXP
911
I10
460v 3phase

88
86
84
82
78
76
74
Pump and Force Main System Curve
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ire€ 4 "„
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w
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7,
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rs
s
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.
_
p�
7
T
{
f
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: F,F.
Tk
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F4-31
:fit Mg'
'r ,,,..
ry
0
50
100
150 200
Flow (GPM)
250
300
350
—*—Pump Head
+All On System TIH
—E3--1 Pump On
Pg. 8

Station Operation Check
Proposed Operational Point No.1
GPM @
200
79
Check Wet well Cycle Times
TDH
Wet well Wet well Wet well Wet well
Diameter Area Cycle Volume
(feet) (gal / VF) (ft) (gal)
6.0 211 2.0 423
Fill = Wet well Volume = 5.8 minutes
ADF
Run = Wet well Volume
Pump Rate - ADF
3.3 minutes
Total = 9.1 minutes
Cycle Time = 6.6 Cycles / Hour
Meets Minimum Cycle Time? OK
Meets Maximum Cycle Time? OK

1
Buoyancy Calculations
Wet well Outside Dimensions
Wet well Inside Dimensions
Wet well Top Slab Elevation
Wet well Invert Elevation
Extended Base SIab Diameter
Extended Base Slab Thickness
Top Slab Thickness
7.33
6.00
707.40
688.59
9.33
1.50
0.67
Calculate Total Volume of Wet well Structure
Feet
Feet
Feet
Feet
Feet
Feet
Feet
Volume of Wet well Riser Sections---
793
cf
Volume of Wet well Extended Base
103
of
Total Volume of Wet well Structure
896
cf
Calculate Total Volume of Water Displaced
H2O Displaced = (Volume of Wet well Structure) * (62.4 lbs/cf)
H2O Displaced 55901 lbs
Calculate Submerged Weight of Wet well Components
Section Total Ht Weight
Top Slab Thickness (ft.)
0.67
2466
Riser - Total Vertical Ft.
18.8I
22944
Base Slab Thickness (ft.)
1.50
8984
Totals=
20.977
34393
Total Weight of Concrete in Wet well= 34393 lbs.
Calculate Weight of Soil Above Extended Base/Footing
Total Area of Extended Base 68 sf
Total Area of Wet well Riser 42 sf
Area of Extended Base Iess Wet well 26 sf
Height of Soft Above Extended Base 18 ft
Volume of Soil Above Extended Base 479 cf
Weight of Soil Above Extended Base (estimated) 65 lbs/el
Total Weight of Soil Above Extended Base 31146 lbs/cf
Flotation Protection Required?
Weight of Concrete and Weight of Soil Above Extended Base:
Weight of Water Displaced 13y Wet Well:
Flotation Protection Required?
65538
55901
NO
lbs
lbs
From Invert to bottom of top slab
Invert to bottom of concrete structure
Unit wt. concrete = 150-62.4 pcf
Page 1 12/14/2016

Customer
- A--Project-name -De df i:i t -
Flow, rated : 200.0 USgpm
Differential head / pressure, rated (requested) : 79.00 ft
Differential head / pressure, rated (actual) : 81.05 ft
Suction pressure, rated / max : 0.00 / 0.00 psi.g
NPSH available, rated : Ample
Frequency
Performance •
Speed, rated,.,
Impeller diameter, rated
impeller diameter, maximum
Impeller diameter, minimum
Efficiency
NPSH required / margin required
nq (imp. eye flow) 1 S (imp. eye flow)
Minimum Continuous Stable Flow
Head, maximum, rated diameter
Head rise to shutoff
Flow, best eff. point
Flow ratio, rated 1 BEP
Diameter ratio (rated / max)
Head ratio (rated dia / max dia)
Cq/Ch/Ce/Cn [ANSI/HI 9.6.7-2010]
Selection status
150
135
120
105
90
75
60
45
30
15
: 9.00 in
:9.00in
: 6.50 in
: 44.58 %
:-/0.00ft
: NIA Metric units
: 98.49 USgpm
: 94.90 ft
: 20.13 %
: 589.3 USgpm
: 33.94 %
:100.00 %
: 97.47 %
Pump Performance Datasheet
Encompass 2.0-16.5.0.0
'rya
l� s-P a t aopb5 ;B
3 Vov°20:11 4�02iPktIOVl
Liquid
Liquid type
Additional liquid description
Solids diameter, max
Solids concentration, by volume
Temperature, max
: 60 Hz Fluid density, rated / max
Viscosity, rated
1750 rpm Vapor pressure, rated
Material
Material selected : Standard
Pressure Data
: Water
•
: 0.00 in
. 0.00 %
: 68.00 deg F
: 1.000 / 1.000 SG
: 1.00 cP
. 0.34 psl.a
....,
Maximum working pressure .M
, : 41.07 psi.g
Maximum allowable working pressure : N/A
Maximum allowable suction pressure : N/A
Hydrostatic test pressure : N/A
Driver & Power Data
Driver sizing specification : Rated power
Margin over specification : 0.00 %
Service factor : 1.00
Power, hydraulic : 3.99 hp
: 1.00 / 1.00 /1.00 / 1.00 Power, rated
:Acceptable Power, maximum, rated diameter
Minimum recommended motor rating
:8.95hp
: 16.83 hp
: 10.00 hp / 7.46 kW
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- Minimum Continuous Stable Flow
Preferred operating region
50 100 150 200 250 300 350 400 450 500 550 600 650 700 750 800 850 900 950 1,000
Flow - USgpm
>t CAIT'A1l
CLEARWATER, INC. PHONE: [phone] • FAX: [phone]
PO BOX 1469 • HICKORY, NC 28602

COUNTY OF LINCOLN, NORTH CAROLINA
1 1 5 WEST MAIN STREET, 2ND FLOOR CITIZENS CENTER, LINCOLNTON, NORTH CAROLINA
28092
DEPARTMENT OF PUBLIC WORKS
PHONE [phone]
FAX [phone]
WWW.LINCO LNCOl7NTY.O RG
June 23, 2017
Lake Norman Owner, LP
Attn: Eric Sauer
7242 South Little Egypt Road
Stanley, NC 28164
RE: Trilogy Subdivision Parcel D Phase 4 Sewer Availability
Mr. Sauer,
This Ietter is provided in response to your request, dated March 23, 2017, for flow acceptance of the
wastewater treatment infrastructure (the "System") for the Trilogy Parcel D Phase 4 Development (the
"Project"). Lincoln County (the "County") has the actual average daily flow capacity at its Killian Creek
Wastewater Treatment Plant to treat the domestic wastewater as requested, and does conditionally grant
approval for the Project, subject, however, to the terms and conditions below:
1. The amount of flow requested for the Project is for 93 lots with a total flow of 22,320 gallons
per day of additional flow at the NCDEQ approved reduced flow rate of 240 gallons per day per
home into LS-37; and
2. For the NCDEQ Permits, the receiving sewer treatment facility is the Killian Creek WWTP,
Permit #NC 0088722. The sewer collections facility is the East Lincoln County Water and Sewer
District, Permit #WQCS 00149; and
3. The County shall not be named as the Permittee on NCDEQ system applications. You must
make the application to NCDEQ in your own name for the System; and
4. Acceptance of the System and transferal of the System to the County is subject to the
following:
a. A complete final inspection and approval of the System by the County, and receipt of other
applicable documentation requested by the County; and
b. Approval of the System by NCDEQ, and proof provided to the County of a valid permit issued
by NCDEQ with an Authorization to Construct (ATC); and
c. Initiating construction of the Project within two years of the date of this conditional approval.
You must notify the Lincoln County Public Works Department in writing when construction of
the Project is initiated; and
d. The County continuing to have actual average daily flow capacity to treat the domestic
wastewater as requested at the time all other conditions precedent have been satisfied.

Pr'
This acceptance and allocation of flow shall only be effective upon your compliance with all of
the above terms and conditions and the County providing an acknowledgment that you have complied
with all of the above terms and conditions.
Included in this mailing is the Flow Tracking/Acceptance for Sewer Extension Permit
Applications (FTSE — 04/16) with the County's portion completed.
If you have any questions, please do not hesitate to call me at 704-736-8497.
Chris Henderson
Engineering Associate
Cc: File

ESP
ESP Associates, P.A.
NCDEQ/DWR
Water Quality Section — Wastewater Branch
PERCS UNIT
1617 Mail Service Center
Raleigh, NC 27699-1636
SUBJECT: Trilogy Lake Norman — Parcel D — Phase 4
Application for Sewer Extension
Lincoln County, NC
Ladies and Gentlemen,
March 23, 2017
ESP Associates has prepared the attached Fast -Track Application for Gravity Sewer and
Force Main. Included in the application is a check for the application fee of $480, the
operational agreement (DE 08-13), the downstream sewer form (FTSE 08-13), the
Lincoln County flow acceptance letter, the site map, and the stream classification
(WSCAS 08-13).
In summary, the project involves proposed 8-inch gravity sanitary sewer to serve 934ot
subdivision. A 6-inch forcemain is also proposed to a portion of the lots, as well as
future development. The proposed sewer will discharge into the existing County's gravity
sewer trunk line along Killian Creek. The proposed flow for the project is 22,320gpd.
Please do not hesitate to contact me if you have any questions or comments.
Sincerely,
ESP Associates, P.A.
Dan ''."rewer, P.E..
Senior Project Manager
20484 Chart:well Cetaier Drive
1.8O0.91i6.7 317 7O3,990,94° 8 fax 7O4.583..4950
.a`5'k'4a.i?5FJ kt9N4t6_"t'dl es.1Y'LIt1

•
Central Files: APS SWP -
7/17/2017
Permit Number WQ0039339 Permit Tracking Slip
Program Category Status Project Type
Non -discharge In review New Project
Permit Type Version
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions A
Primary Reviewer
ori.tuvia
Coastal SWRuIe
Permitted Flow •
22,320
Facility
Permit Classification
Individual
Permit Contact Affiliation
Facility Name
Trilogy Lake Norman - Parcel D - Phase 4
Location Address
Owner
Major/Minor Region
Minor Mooresville
County
Lincoln
Facility Contact Affiliation
Owner Name
Lake Norman Owner LP
Dates/Events
Owner Type '
Non-Govemment
Owner Affiliation
Eric Sauer
Orig Issue
7/18/2017
Scheduled
App Received Draft Initiated Issuance Public Notice issue Effective Expiration
7/14/2017 7/18/2017 7/18/2017
Regulated Activities Requested /Received Events
Subdivision
Wastewater collection
Outfall
Additional information requested
Additional information received
Waterbody Name Streamindex Number Current Class Subbasin

FAST T SEWER ENGINEERING CERTIFICATION
PERMITTEE: LAKE NORMAN OWNER, L.P.
PERMIT #: WQ0039339
PROJECT: TRILOGY LAKE NO — PARCEL D PHASE 4
ISSUE DATE: JULY 18, 2017
This project shall not be considered complete nor allowed to operate in accordance ,with standard
Condition 7 of this permit until the Division has received this Certification and all required supporting
documentation. It should be submitted in a manner that documents the Division's receipt. Send the
required documentation to the Regional Supervisor, Water Quality Regional Operations Section at the
address noted in the page footer.
Any wastewater flow m de tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received by the Division. A Final Certification shall be a complete set of
record drawings and design calculations re, rdless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
1, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant to
the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain the
wastewater collection system permitted herein or portions thereof.
&zee', 6.4 R
Printed Name, Title
ignaturc
ENGINEER'S CERTEFICATION
, as a duly registered Professional EniCneer in the State of North Carolina,
having becn authoriLcd to ohsctve (1 periodically, D weekly, Lj full time) the construction of the
project name and °cation as referenced above for the above Permittee hereby state that, to the best of my
abilities, due care and diligence was used in the observation of the construction such that the construction
was observed to be built within substantial compliance of this permit; 15A NCAC 02T; the Division of
Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as
applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000, as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal wisignature & date:
D Partial (include description)
QA"
Certification Comments/Quallflers (attach If necessary):
NC DWR Water Quality Regional Operations Section 610 East Center Avenue, Suite 301, Mooresville, NC 28115
Mooresville Regional Office Phone: [phone] FAX: [phone]

State of North Carolina
Department of Ensiranmentall Quality
Division of Water Resources
VER SYSTEM t'ERM1T OWNER:SI-IIP/NAME CHANGE
INS"['RUCTIONS FOR FORM: PNOCF 01-16
STING PERMITTEE INFORMATION:
!. T'ertnittee"s name, l,.al e Nornian Owner, LP
Signature authority's name: Eric Sauer per I5A.NC AC 02;I 0106(t)
3. Signature authority's title: Project Manager
Perrnittee's mailing address: 415 Iron S rin f)'.
City: Denver State: 'NC Zip: 28037-
Pe.rmittee's contact
APPLICANT INFOR:
A
ON:
1 Applicant°s name: I.,,incoin County
Donald. V.Chamblee per [5r1NCA.C,t)
3. Signature authority "s title: 1 irectorof Public Works
4. Applicant's ntail.i.ng address: 115 West Main Street
City. 'Lincolnton State: NC Zip: 28092-_
Signature author
kECE VFG°.VNCOENR! °, t{
WOROS
MOORESVLLE REGIONAL OFFICE
Phone number: [phone] I°" tx. Number
Email Address: eric.saue t sheaf omes.com
Applicant's contact inf'irntatior
Phone number: [phone] 'Fax Number (704) 736-84
Email. Address: dchamblee c lincolncounty.org
6. Representatives name: Man. C l tende °son.
7. Representative's title: Eirmn_legrinct Associate
Representative's contact information Phone number: [phone] Fax Number (704) 7' 8499
Fm ill. Address: el -lenders(
PERMIT INFORMATION:
n ounty.org
I , Existing permit nuntiber: WO0039339 and most recent issuance date: July 18, 2019
2. Reason for the permit applications Change of Ownership If other. attach detailed explan
3. Has the facility been constructed? Yes or No
4. Has the facility been certified per I?A 'CAC0 1; .G11 1(°y' Yes or Nc
FORM: PNOCF 01- 1 6i

IV. CERTIFICATIONS:
Existing Pcrinittee's Certification per 15A NCAC6(b):
I, gIC— GT:AN
attest that this application
(Signature Authority's name & tkle from Application Item 1.2 & 3)
has been reviewed by me and is accurate and complete to the best of my knowledge, I understand that prior to reissua:nce ofthe 'permit
into the Applicant's name, I will continue to be responsible for compliance with the current permit and any discharge of wastewater
from this system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief,
and/or criminal prosecution, I will also make no claim against the Division of Water Resources should a condition attic existing permit
be violated. 1 also understand that if all required parts of this application are note completed and that if all required supporting
information and attachments are not included, this application will be returned to me as incomplete,
NOTE — in accordance with General Statutes 143-215fiA and 143-2 ,7,6B, any person who knowingly makes any false. statement,
representation, or certification in any application package shall he guilty of a Class 2 misdemea.nor, Which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature:
Date: te-3/20.
Applicant's Certification per 1.5A NCAC 02T,.0106(b):
_LC-14,LS attest that this application
Signature Authority's name & title from Application Item 11,2&3,)
has been reviewed by me and is accurate and complete to the best of m.y knowledge. 1 understand that after issuance of the permit into
the Applicant's name., 1 will be responsible for compliance with the issued permit and any discharge of wastewater from this non
-
discharge system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief,
andlor criminal prosecution, 1 will make no clairn against the Division of Water Resources should. a condition of this pemithe 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 he returned to me as incomplete:
NOTE — In accordance with General Statutes 143-215.6A and 143-215,6B, any person who knowingly makes any false statement,
representation, or certification in any application package shall he 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,
f
Sigmature:
Date:
FORM: PNOC ' 01- 6
Page 2 of 2