WQ0040162_Regional Office Historical File Pre 2018

I5A NC.
State of'Nort l Carolina
Department ctf Environmental Quality
Division of Water Resources
T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
�! d
Apple atiarrt Ntrml r: '�[��tor...t he comprvat by OWN)
All items must be cornpieted or the
*lieatiort °ill be returned
APPLICANT tNEOR IATION:
I. Applicant's name: olw �tm% tc t , c mp . Arnim +al tr, A, milit
Applicant type: Q Individual Cotporst; n .,n Panne
© Federal
w Signature authority's °s name:
"ittc:100nag
4„ Applicant's mailing address: ',Z9I8-A Mart
City: Greensboro State: I r;:
Applicant's contact information:
Phone number [phone] Email Address: Inch `-,
Zip: 27408-
IK
MCC
'riw°ately-O ned Public Utility
PROJECT INFORMATION:
1. Project name: Itivercross Apartments 0 Site 1t4sdwvar t yetttettts
Application/Project status: Q Proposed (NewPermit) I atisting Iretrrtit'Prp er
If modification, provide the eaistirtg permit number: W0004OI62 and issued date: 07,2412018-
If new construction but part of a master plan,. provide the existing perm number: WQ(0e, ,
3. County where project is located: Lincoln
4. Approximate Coordinates (Decimal Degrees): I.atrtudt: ,'b4467') )7 I oatgitttde. 8 . tti `
5, Parcel ID (if applicable): 460249.`449 & 4603508046
(or Parcel ID to closest downstream sewer)
CONSULTANT INFORMATION:
1. Professional Engineer: Barry Far License Nuntherw 04
I"irnt, American EngineeringAAssoc) tes
Mailing address: 00 -.rate Center Driwit
City: Char,hone State: NC Zip: 28226-
Phone number: [phone] Entail Address:
W. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name; llianC'reell 4'W1PPermit Number: ht00h41t72
Owner Name: Lincoln Comas'
V. RECEIVING DOWNSTREAM SEWER INFORIMIATION if different than %ti"WTF):.
I. Permit Number(s'): WQ 13u wttstream (Receiving) Sewer Site: inch
srstein V de collection Systcni I'erttri) l Wnber(°;) lie: plebe ablel: V QCS001.49
Owner Narne(s)' Lincoln Cop v
FORM: FTA 04-16
W
Page 1 of 5

♦ 1. GENERAL REQUIREMENT'S
1. lithe Applicant is a Privately -Owned Public. Utility, has a Certitica
0 Yes JNo
If the Applicant is a Developer of lots to
lithe Appl
4.. Origin of wastewater (c
Residential Owned
►� Residential Leased
School ' preschool :' day care
Food and drink facilities
0 Businesses t offices ,1 factor'
of Public Corrvemencc and Necessity lacer attached?
=rA
old, has a Det°eloper' (Vera!
Q Yes ONO
t„ ha,. an Operaticrnai_Agreertent (FORM l t J bet. a
DNo 0N.t'`A
ppIY):
R ta1I (atores
0 Retail
j Medical
D Church
ms 0 Nursing l ionic
Nature of wastewater: NO % Domestic/Cotrttttercial
Industrial (Se, 1 A M"rat"
1 11015 there a Pretreatment Program
7. Summarize
Sty,
d
at?
in
ntere. a its)
preriarat taw stirs ice
veterinary facilities
approved under,
aY of nor'. rr;t!u+rtio
related by proje ct.
t wn nova-
property located rout
42'A-4).
C t` .a I 14 1)?
As
0
V
hed?
0 Car Wis.h
Hotel an(Por i otcl ,
Swimming Pool !!Clubhouse
Swimming Pool/Filter Backwash
® Other (Explain in Attachment)
Flow
d fela24 for caveats to wastewater design flow ra
Impotent uses;, public aecess facilities located: ne
otv per
use areas;
'the Atlantic Intracoastal Waterway to be used as 'vacation rentalsasdefined
b Per i 5A NCAC 02T .01 t 4(c), design flow rates for establishment not identified [itt table 15A \CA( 02f:0114j shall be
determined using available flow data, water using fixtures. occupancy or operation and other measured data.
Wastewater generated by project: O. GPD (per l 5A " C',,1C` 02I
t3o rtr t include future flows or previously pensritted allocations
if pennitte.d flow is zero —indicate why:
Pump Station or Gravity Sesser where thaw will be permitted art subsequent ,permits that connect to this litre
} Flory has already been allocated in Permit Number:
Rehabilitation or replacement of existing sewer with no ness° 1losv expected
© Other (Explain);
FORM: FTA p -16
Page '2 of 5

GRAVITY S"'i' R DESIGN CRITERIA (If Applicable)
I. Summarize gsewer to he permitted:
Ciravity Sewers contains n formati in rr«*lat *d to d it i i
inimum skipes for gravity' :se`er(s)
irement is not allowed and a violation of the MI:)C
PUMP STATION »;N CR1TFRFA (If Appli+tpble)---.021.,,Q O$ & l OC= Warn ty.`iltrtipns/ t r•ce Mainst;
COMPLETE, FOR EACH PUNT? STATION LLCGUDEQ IN TINS PROJECT
1. rump stptiun number or name',
Approximate Coordinates (Dccinral tie rees) 1pntitudt: Longitude:
Design flow of the pump station° rttilli its gallons per day (fro-atr opacity)
4. Operational point(s) of the pump(s); gallons per minute at teat total dynaririic heard (`l`l3H)
5. Suirunarice the force main to be permit
6m Power reliability in accordance a+ith i 5A N 1 • 02T .O:3Q ((h q. );
O Standby power source or pump with auto
act„ and
Required for all pump .stations with an average: daily- lfow gnarl
Must be pcnriancnt to facility
Or if the pump station has an average daily flow less than I$ 0 gallons per day:
m
• Portable power source with manual act
.0305(hX 1)(C:)
Of
®, Portable purtipirtg unit with plugged etn
It shall be den strafed to the Division that the portable sou.
and is compatible with the station_
▪ If the portable power source or pump is dedicated to multiple pump Stations ati e
capacities and the rotation schedule of the portable power source or pump, inclo
in the ease of a multiple station power outage.
ion
15A NCAC 02T .O305(h)1 I)(13)
r equal to 15,000 00 gallons per day
iclkconnection receptacle and telemt e - 15,,E NCAC 02't
d telemetr °• I5A NCAC 02T .0.305(h)( I )(e):
raacied by the
uation of all the
travel timetra
ant (draft agreem
es, tit
tticiia± storage
l be provided
FORM: PTA 04-16 lame 3 of 5

1X.
SET
A SPA iATd( NS — (t fl .02000 I A NCAC 02T .0305(0):
tplyr s+ith all sepamtions found in ,153 ;j l f,
A N-t'AC
0
vv �tct�w"at
horizontal)
um r i ions tlt t sitar be provided tier se
Setback Pttrantetcr*
listctf laelow (v rti' tl .
sir includiri iri benched trenches
k wn d over vcri . -,
"Any private or public water supply stttirt
;I s II i Air coded r servoirs used as a
"atcrs elssitiecf? S (except INS-1 or IS
i+ : n"rttcr dear tip etleatity and wetlands
*Any other trtrearn, lake, itrtpottt
dachas
cuts of `
or -leant
i+' it` nCanC
irtcl'tiling any wells, 5°5-I watetrs ctf la s t
e p dr inking water
SA, ORW°, HKQW, or SR from normal
aM item 1.?.2)
1 height
iTaratitm
nsi:�au�xae'de rk7@
Xorthis tt
t ©t tui
24 itttkltes
thres the'project eiintply with srgaatsstictt ret(uirxtm nts for wetlands? (50 feet ofst1 ) Yes ©No 0 N/A
t Sec the Division's draft separation requiretnents for situations where separation cam o
No variance is required if the alternative design criteria specified is utilized in design and cottstrtteti
r As built documents should reference the location of areas effected
oje 6 cotttply^ with setbacks found in the river basin rules per 15 ti WA( 0213 .0290"
eittid inelude Trout Buffered Streams per J S A nti,,„1L " f1 (P
Does the project require oserage,'authora,ation under a 404 INatinnnsside or
individual permits ar 401 Waiter )irality. ('crtificatucros"
Information can he obtained from the 9 d, B)i1 ,.r PEr r tt,,u
ply Stith t 5 "yv' a,(til1 vx) (additional petntits`c
6. Does this project I
Yes
No ] NIA
0 No
1() tl6),, directly related environmental permits or certification applications arc being prepared, have
been obtained. Issuance or this permit is contingent on issuance of dependent permits (erosion and
©rrnwater management plans, etc,).
oltcctiun that are deemed "high -priority?"
Per 15ts NCAC 02 L0402, `high-pnunty server" means "any aerial 8C8VCr, ,scwrr eontacting surface waters„ s phon, or Sesser
positioned parallel to slreambanks that is subje,:t to erosion that undermines or deteriorates the sewers
a Yes No N/A
if yes, include an attachment with details foreach line, including type (aerial line. size" rnateriai, and location).
lllgh priority lines- shall be inspected 1» the permittee or Its representative at least on every six-trrttttthx and inspections
documented per I5A NCAC 02T.0403(a)(S) or the permits -es Individual Systerr+i-Wide Collecticin rtrr t
FOR"vl, FTA 04-16
Par 4 of 5

CERTIFICATIONS
Does the submitted system ctpl
and force h�j� L(gl a'cr ct t
with f-,S_
d the .jntvj
If No, complete and submit the Varianc
review. Arnt ttflhe ttttf is tit
2. professional
1,
is// Certification:
'-
rnfc;�ipn��
E
A
A
Yes
0 No
e De si pn Request appl
VADC
appli
has been reviewed by me and is act orate 'plete and consistent with the informatittn suppliecl in the plans, specifications,
engineering catculatinns, and all outer supporting docwnentation to the best of my kttowkdg 1 further attest that to the best
of my knowledge the proposed design has lteen prepared in accordance with the applicable regulations, Gravity Sewer
dutinimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pwnp 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 10-215,6A and 143-2i5.6H, 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 its civil penalties up U S25,000 per violation..
North Carolina Professional Etrginecr"s seal, slgaature, and. date:
3. Applicant's Cenifieite
1,
G
A NCAC 02T
Autltcrrily's name
Application
application for
has been reviewed by me and is tturttte and complete to the best of my knowledge. 1 understand drat ifall required parts of
this application are not completed and t.1 t if all required supporting documentation and attacluttents see trot iitcltttled, this
anon package is subject to being returned as incomplete: I understand that any discharge ofvs+astewater liar
face waters or the land will result in an immediate enforcement action n that may include civil penahi
injunctivereliel',attdr°oreriminal prosecution. I will snake no claim against the Division of Water Resources should a condition
of this pertrtit be violated. l also understand that if all required parts of this appliwitlon package are not completed and that If
all required supporting inftranatinn and attachments arc not included, this application package will be returned to me as
incomplete.
NOTE — In accordance with General Statutes 10-215„§A and . , ;, ,15,08, any person wtw kUnowittgty makes any false
statement. representation, or ca rtifacutiun in any application package shall by guilty of as Char ntl +deaf tnttr, which may
include a fine not to cx S Ic 100j s well as civil penalties up to S25,000 per violat
Signature:
A p41b
Page 5 of 5

• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online • Add
Entity to My Email Notification List • View Filings • Print a Pre -Populated Annual Report form • Print an
Amended a Annual Report form
Limited Liability Company
Legal Name
Evolve Acquisition, LLC
Information
Sosld: 1461880
Status: Current -Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 8/4/2015
Registered Agent: Winstead, Michael P, Jr
Addresses
Mailing Principal Office Reg Office
2918 A martinsville road 2918 A martinsville road 2918 A martinsville road
Greensboro, NC 27408 Greensboro, NC 27408 Greensboro, NC 27408
Reg Mailing
2918 A martinsville road
Greensboro, NC 27408
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
member/manager
Michael P Winstead , Jr
2918 Martinsville Rd Ste A
Greensboro NC 27408
You created this PDF from an application that is not licensed to print to novaPDF printer (http:llwww.novapdf.com)

USGS Topographic Map
Portion of HICKS CROSSROADS QUADRANGLE -- 7.S Minute Series
7

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Jl
2
rn
73
73
0
0
In
P3
to
Pic BUSINESS tiWY 16
m

authority's name:
Signature truth
i. Penroittee srrtailinft ddr ss'
City
"1AT1
1 Applicant's name: Evolve AcQuisii,
Sigrutture tttltor'i 's name:
3. Signature authority.s titk.
Applicant' rmaailirsg ., "r ti
C u , t; ra rtsl rr t itttte:
Applicant's contact inn -imitators;
Represent:a L
Repri.nzlitatt
Representative s
PERMIT lNFf7RMATIQti:
A
State of North Carofikrta
Departs a tt of Environmental Quality
Division of Water Resources
art t* 1t tIT OWnRSfltl'fl ANTE CH&NGE
f l`1tE 11oNSFOR FORM: PNOCF01-1(
'Phone number: Fax \urnbc;r
dabs
rtirl :41c; RiAati
Lip: n t,t--
['bore numb+er't,
Email Ads t7
Lxististg pc rrrtit [[umber: ' O1,(+a and, rncr E rcx rtt i
2, FRtason for: the Famrtit application,: Chicago of Onrrcrship
3. Has the facility bccrt (untrue tc i? 0 Yes or El \u
i. l las the facilit been r-ert ied per t i 1 ti", 1t t3 (tt� ' 0 Yes or
FORM: PNCX'F pt•Eta
Fax. Number 1
Fax Number f
3uty ± 1=,1$
attssctr dctaa9kd explanation
ECENE
'N

IV. CERTIFICATIONS:
Fxisti
"s Certification
IAA NCAC 0;I it/1014N:
en re win ws°° *t3 h t tc ani is, accurate
ae Applicatrt°rw nrtr"me. l wwill cn.'«ntinuc to
his sy`stenn to surfers. or the land m
cm iattinal tnrosecutiastr. swill amiswm rrmakt tnm c
information
NOTE v- In acco
rr presentamtirtn<
exceed S 6 o,P40rss
Siggnatu
• not in
Application
Date:
ppla
tart prior to rcissuanr.-w
and any discharge of wa
Pe! hies.. s unc he rel
condition oftlme es th g pc:
if all remmired supporting
who lotoswitgIy snakes tt fal statctnc
demeanor„ ww hich may inc lm afc a firm tans
Applicants Certification
has been reviewed by me and is accurate a
the Applicant's name,, l will be .responsible
discharge system to surface waters or the Tani
and/or cram' Anal prosecution. l will make no chi
l also understand that if rrqu x d parts of this. applteaticun pac
and attachments are not included, this application package will be returned
lily"E; _- In aectudsnae s
representation, or ceriifi
exceed 51tl,000 as well
Signature:
iplete to the best of 3
connpliaan e, with the issticd permit and
" result to erfasxcernest trcritrt that nn.
trim 'the Ilivisiaamn tsl "att estsnxrt i stntuald a cis
d that alter issuance (tithe permit into
f swasicuatcr front this ct+un-
nalties, injunctive relief
fth'rs permit be violated
ed and that if all riNuirc'dl supporting itmfonnation
unplctc.
rid 133 ?i,,ziil, any person who knowingly manna
fl be'guilty of a Class , misdemeanor, which ramm

AMERICAN
ifs Engineering
June 6, 2019
Ori Tuvia
Mooresville Regional Office
NCDEQ
610 East Center Avenue, Su
Mooresville, NC 28115
704-663-6040
e 301
Subject: Rivercross Apartments Revision Summary
Off -Site Roadway Water/Sewer Plans
Ori,
Please find below the list of all water/sewer design changes pertaining to the Off -
Site Roadway Improvements Water/Sewer Plans,
Gravity sewer manholes SMH 103, 104, and 105 shifted due to the onsite
apartment layout changes.
2. Total length of sewer reduced from 1,437 feet to 1,1, 82 feet
3. Total length of water remains 2,092 feet
Regards,
Benjamin Pickering, PE
American Engineering Associates - Southeast, PA
American Engineering Associates —Southeast, PA • South Carolina Engineering License 4729
8008 Corporate Center Drive, Suite 110, Charlotte, NC 28226 • 704-375-24 38 • www.American-EA.com

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Evolve Acquistions, LLC
Project Name for which flow is being requested: Rivercross Apartments Offsite
More than one FTSE gray be required for a single project if the owner of the IIIVTP is trot responsible for alI pump
stations along the route of the proposed wastewaterflow.
low.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Kilian Creek WWTP
b. WWTP Facility Permit #: NC0088722
All flows are it: MGD
c. WWTP facility's permitted flow 3.35
d. Estimated obligated flow not yet tributary to the WWTP 1.564
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
1.294
0.000
2,858
85.31
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
Average Approx. Obligated, Total
Pump Pump Daily Current Not Yet Current
Station Station Firm Flow** Avg. Daily Tributary Flow Plus
(Name or Permit Capacity, * (Firm I pf), Flow, Daily Flow, Obligated Available
Number) No. MGD MGD MGD MGD Flow Capacity***
15B WQ0032852M 1.856 0.742 0.000 0.315 0315 0.427
* The Firm Capacity (design flow) 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
(pt) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** 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 10-18

iII. Certification Statement;
I Donald V. Chamblee 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 Iisted above in Sections I and II plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Signing Offrcial Signature
Title of Signing Official
Page2of6
(( /Lot?
Date
FTSE 10-18

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: EVOLVE ACQU.ISTICNS, TLC
PERMIT #: WQ00401.62 Modification
PROJECT: RIVERCROSS APARTMENTS OFFSITE ROADWAY IMPROVEMENTS
ISSUE DATE: AMY 1, 2019
This project shall not be considered complete nor allowedaccordance with standard
Condition 7 of this permit until the Division has received this Certicatirann and all required supporting
documentation, It should be submitted in a manner that documents the Division's receipt. Send the
xequired 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 tea o p4.etion
of this Certification shall be considered a violation of the permit and shall subject the Pera itt:ee 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.
PE1trV1ITTEE'S CIS;RT JF1 ATIQN
1, the undersigned agent for the Part ittee, hereby state that this project has been constructed pursuant to
the applicable standards & requirements, the Profe Tonal, ngineer below has provided applicable
design/construction information to the Permittee, ata r f"e" s t ee prepared to operate & maintain the
wastewater collection system permitted herein or po
YQ 1„Y E A eau is l" 1014113, Wye-,
.l l' AE L. P. ls( `Q D 4; •�
Printed Natne, Title IlIALLACt.
attire
I NGINEER"S CER f'I1+ICA'.
1, �''� ' , as di a registered Professiona
having b n authorize to observe ( ,periodically, weekly,
project name and location 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 following construction:
1,182 linear feet of 8-inch gravity sewer; such that the construction was observed to be built within
substantial compliance of this permit; 1 SA NCAC 02T.; the Division of Water Resources' (Division)
Gravity Sewer Minimum Design Criteria adopted February 12, 1996a,as applicable;, the Division's
Minimum Design. Criteria for the Fast -Track Permitting of Pump Stations and For < Maains adopted June
1, 2000 as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
1irtir1 [1 Partial (include description
Certifcatiorn Cornnnennts/Qualifierrs (attach if necessary):
me of North Carolina,
onstruction of the
NC aWR --Water
u
ity Regional Operations Section
Fast C rtter Avenue, Suite 301, Mooresville, NC 28115