WQ0042824_Application (FTSE)_20210825

State of North Carolina
Department of Environmental Quality
I)WR Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dlvislon of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: UO 4 . ( (to be completed by DWR)
All items must be completed or the gonlication will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Chatham Park Investors LLC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privatcly-Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: Tim Smith per l 5A NCAC 02T .0106 b
Title: Owner/Manager
4. Applicant's mailing address: 105 Weston Estates Way
City: Caa State: NC Zip: 27513-
5. Applicant's contact information:
Phone number: [phone] Email Address: tim(u)a)prestondev.com
11. PROJECT INFORMATION:
1. Project name: Village South Pump Station & Utilities
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Preject
If 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: Chatham
4. Approximate Coordinates (Decimal Degrees): Latitude. 35.73499 Longitude.-79.14675:
5. Parcel ID (if applicable): 0069490, 0094479, 0007474
(or Parcel iD to closest downstream sewer)
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III. CONSULTANT INFORMATION:
1. Professional Engineer: Michael Penny License Number: 046994
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Firm: McKim & Creed, Inc.
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Mailing address: 170 Varsity Dr., Suite 500
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City: Raleigh State: NC Zip: 27606-2689
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Phone number: [phone] Email Address: mennyamckimcreed.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Chatham Park WRF Permit Number: W00039375
Owner Name: Chatham Park Investors LLC
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ0040741 Downstream (Receiving) Sewer Size: 16 inch
System Wide Collection System Permit Number(s) (if amlicable): WQCS
Owner Name(s): Town of Pittsboro
FORM: FTA 04-16 Page I of 5

Vl. GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes []No ON. -'A
2. If the Applicant is a Developer of lots to be sold, has a Drvcloper's Operational Agreement iFORM: DEVbeen attached?
[:]Yes ❑No ®NIA
3. If the Applicant is a l lutnc+'1'ro crt j Owners' Association has an Operational A r t t t : HOA) been attached?
❑ Yes ❑No ®NIA
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: % Domestic/Commercial % Commercial
% Industrial (See 15A NCAC 02T .0103(20))
`—GIs there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A WAC 02T 01 l4 l)? ®Yes ❑ No
➢ If Yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01 W fl)
Daily Design Flow' b
No. of Units
Flow
gall
GPD
gall
GPD
gall
GPD
gall
GPD
gall
GPD
gal/
GPD
Total
0 GPD
a See l5A NCAC 02T .01 14 I and ick2i 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 .01 14(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per 15A NCAC 02T .01 W)
➢ 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): Project does not generate wastewater. Future projects will provide permits for new flow.
FORM: FTA 04-16 Page 2 of 5

VI1. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
8 1000 PVC
➢ Section II & Ill of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section Ill 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: Village South Pump Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.73269-- Longitude:-79.14304'
3. Design flow of the pump station: 144.25 millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): 360.6 gallons per minute at 119.4 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
6
2,500
PVC
6. Power reliability in accordance with 15A NCAC 02T .0305(h)t 11:
® 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 gallons 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

IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations found in I SA NCAC 02T ,0305(t) & 10
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
® Yes ❑ 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 intercel2tor drains
5 feet
Any swimming pools
10 feet
Final earth grade vertical
36 inches
➢ 15A NCAC 02T.0305 contains alternatives where separations in 02T.0305(0 cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC SILfface Water Classifications webpace
➢ If noncompliance with 02T.0305(f) or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ®Yes ❑ No ❑ N; A
➢ 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
3. Does the project comply with setbacks found in the river basin rules per I SA NCAC 02B .0200? ❑ Yes ❑ No ® N; A
➢ This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ® Yes ❑ No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 1 vA 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 I SA NCAC 02T.W.Z, "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 ® N.-A
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
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 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with .15A NCAC=.02T, the 'r iW"qsi "rj _fs tKe P. Sr_m IlLn pf pum tations
and Force Mains (latest version), and the Gravily Sewer Minimum Design Criteria fiatest version} as applicable?
® Yes ❑ 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:
rL (4 AV G PchyN I attest that this application for
(Professional Engineer's name from Application Item 11I.1.)
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 1 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:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
ignature Authority's name & title from Application Item 1.3.)
20 OFSSip ••.1�•,�`
.Q S L~_
046994
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: <z Date. -�
FORM- PTA (14-16 PROP 5 of s

DESIGN NARRATIVE
FOR
FAST TRACK SANITARY SEWER PERMIT
TOWN OF PITTS 3ORO
TOWN OF PITTSBORO
VILLAGE SOUTH PUMP STATION AND UTILITIES
635 East Street
Pittsboro, North Carolina 27312
M&C Project 9 01561-0015
August 2021
Prepared by:
46
MCMM&CREED
FNGINEEkS SURVEYORS MANNERS
Michael Penny, PE
McKim & Creed, Inc.
1730 Varsity Drive, Suite 500
Raleigh, NC 27606
P:919-233-8091

DESIGN NARRATIVE
1.0 PROJECT DESCRIPTION
The Village South Pump Station and Utilities project installs approximately 2,500 LF of 6-inch
PVC sanitary sewer force main; approximately 1,000 linear feet of 8-inch PVC gravity sanitary
sewer; approximately 2,500LF of 6-inch and 4-inch PVC reclaimed water line; approximately
2,600 LF of 12-inch and 8-inch DIP potable water line. The proposed reclaimed water line, and
potable water line connect to existing infrastructure and extend to proposed infrastructure
designed by others. The proposed sanitary sewer force main begins at the proposed pump
station and extends to an existing sanitary sewer gravity manhole. The proposed sanitary
sewer outfall is a new gravity outfall installed for future development and extends to the
proposed pump station. The project also includes construction of a sanitary sewer pump
station, access drive and water service line.
The project includes NCDOT roadway crossings of Chatham Parkway (SR-2700) and Suttles
Rd (SR-1809). Each of these crossings will be conducted via bore and jack. Associated
encroachments have been applied for and are awaiting approval. WithersRavenel, the site
civil engineer for Chatham Park, has provided Section 401/404 permitting to respective
agencies and is awaiting approval. The total project has approximately 4.6 acres of disturbed
area.
2.0 EXISTING SYSTEM
The proposed sanitary sewer forcemain will tie-in to an existing sanitary sewer gravity
manhole. This downstream receiving sewer is permitted under WQ0040741 and is owned by the
Town of Pittsboro.
3.0 PROPOSED ADDITIONS
The proposed construction will add approximately 1,000 linear feet of 8-inch PVC gravity
sanitary sewer. The proposed sanitary sewer is a new gravity outfall installed for future
development and extends to the proposed pump station. Additionally, the proposed
construction will add approximately 2,500 LF of 6-inch PVC sanitary sewer force main. The
force main begins at the proposed pump station and extends to an existing sanitary sewer
gravity manhole. The project does not include the permitting of new sanitary sewer flows.
Other consultants will provide permits for the new flows in future projects for the Village South
development.
The proposed sanitary sewer pump station, identified as Village South Pump Station, is

designed for a firm capacity of 144.25 MGD. The pump station construction will consist of one
wetwell with two submersible pumps, one meter vault with bypass piping, odor control with
bulk chemical storage, electrical and control panel rack, and a generator. The pump station is
designed for permanent onsite backup generator; therefore, a power reliability plan has not
been included with this submittal. The construction will also include an access drive and water
service line with yard hydrant. The design flow of the pump station has been coordinated with
WithersRaveneI, the site civil engineer for Chatham Park.

v MCKIM&CREED
v
NC Dept of Environmental Qu,
August 25, 2021
NCDEQ Water Quality Section
3800 Barrett Drive
Raleigh, NC 27609
AUG
Meigh Regional U'11-1c:c
RE: Chatham Park Investors LLC
Village South Pump Station and Utilities
Fast Track Sewer System Extension Application
To Whom It May Concern:
ENGINEERS
SVRVEY0R5
P L A N N E R S
M&C 01561-0015
NC Dept of Environmental Quality
AU6 �% C;4
Raleigh Rcgionat Office
We respectfully submit this application for a Fast Track Sewer System
Extension Application on behalf of the Chatham Park Investors LLC for the
subject project. The Village South Pump Station and Utilities project installs
approximately 2,500 LF of 6-inch PVC sanitary sewer force main;
approximately 1,000 linear feet of 8-inch PVC gravity sanitary sewer;
approximately 2,500LF of 6-inch and 4-inch PVC reclaimed water line;
approximately 2,600 LF of 12-inch and 8-inch DIP potable water line. The
project also includes construction of a sanitary sewer pump station, access
drive and water service line.
Included in this submittal are two copies (one original, one copy) of the
following documentation:
• Fast Track Application (Form: FTA 04-16), with attached documentation
of business registry
• USGS Quad Map (showing project area and approximate downstream
connection point)
Veril ar e IV Building . Aerial Map (showing project area and approximate locations of proposed
1 730 Varsily Drive gravity sewer, force main, and lift station)
• Project Narrative
Raleigh, NC 27606 • One (1) CD with PDF's of entire submittal package
• Check No. 13906 in the amount of $480.00
9 1 9,233.8091 Please do not hesitate to contact me should you have any questions or concerns.
We appreciate your time and consideration regarding this matter.
Fox 919.233.8031
www, rack i me reed. co
I.',01561 %0015'-. Water%40-fermit'.45-DEM, DEH, DOT, eu% W W Nermit,'- Fast Track Sewer'.01 2021.08.25 Corer Letter for Submittal.doc

August 25, 2021
Page 2
Sincerely,
McKIM & CREED, INC.
Michael Penny, P.E.
Project Engineer
cc: Robin Rose, Chatham Park Investors (electronic)

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LIMITED LIABILITY COMPANY ANNUAL REPORT
■
114017
NAME OF LIMITED LIABILITY COMPANY: Chatham Park Investors LLC
SECRETARY OF STATE ID NUMBER: 0754605
REPORT FOR THE CALENDAR YEAR: 2021
SECTION A: REGISTERED AGENT'S INFORMATION
STATE OF FORMATION: NC E - Filed Annual
Report
0754605
FChanges
1. NAME OF REGISTERED AGENT: Corporation Service Company
2. SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
2626 Glenwood Ave Ste 550
2626 Glenwood Ave Ste 550
Raleigh, NC 27608 Wake County Raleigh, NC 27608
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Real Estate
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
100 Matrix Drive 8000
5. PRINCIPAL OFFICE MAILING ADDRESS
100 Matrix Drive 8000
Cary, NC 27513 Cary, NC 27513
6. Select one of the following if applicable. (Optional see Instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E. )
NAME: Donald R Parker
TITLE: President
ADDRESS:
100 Matrix Drive 8000
Cary, NC 27513
NAME: Timothy R. Smith NAME: Julian W. Rawl
TITLE: Vice President TITLE: Vice President
ADDRESS,
100 Matrix Drive 8000
Cary, NC 27513
ADDRESS:
100 Matrix Drive 8000
Cary, NC 27513
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
David B. Keim
SIGNATURE
Form must be signed by a Company Official listed under Section C of This form
4/ 10/2021
DATE
David B. Keim Secretary
Print or Type Name of Company Official Print or Type Title of Company Official
SUBMIT THIS ANNUAL REPORT WITH THE REQUIRED FILING FEE OF $200.00
MAIL TO- Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 276264525

SECTION E: ADDITIONAL COMPANY OFFICIALS
NAME: Donald R Parker NAME: David B. Keim NAME:
TITLE: Treasurer TITLE: Secretary TITLE:
ADDRESS: ADDRESS: ADDRESS:
100 Matrix Drive 8000 100 Matrix Drive 8000
Cary, NC 27513 Cary, NC 27513
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