WQ0033001_Regional Office Historical File Pre 2018

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H, Sullins, Director
Division of Water Quality
May 29, 2008
Ms. Julia Schnell, Development Director
Charlotte Campus LLC
703 Maiden Choice Lane
Cantonsville, MD 21228
Subject: Permit No. WQ0033001
Windsor Run
Tax Parcel #227-601-05, 227-601-10,
through —12
C-MU Tracking # 600-08-560
Wastewater Collection System Extension
Mecklenburg County, North Carolina
Dear Ms. Schnell,
In accordance with your application received on May 5, 2008, we are forwarding herewith
Permit No. WQ0033001, dated May 29, 2008, to Charlotte Campus LLC for the construction and
operation 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date of issuance until rescinded, and shall be subject to the conditions and limitations as specified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 Permit Condition 3 which 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.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 1) 15A NCAC 2T; 2) the Division of Water Quality's (Division) Gravity Sewer Minimum Design
Criteria adopted February 12, 1996, as applicable; 3) 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. 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 licensing board.
Mooresville Regional Office 610 East Center Ave., Suite 301 Mooresville, NC 28115 Phone: [phone] Fax: [phone]
Internet www.ncmwaterquality,org Customer Service: I-877-623-6748
An Equal Opportunity/Affirmative Action Employer — 50% Recycredl10% Post Consumer Paper
No `hCarolina
: aturaij

rms. Schnell
age 2
May 29, 2008
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 for the construction and operation of approximately 6,065 linear feet of 8-inch gravity sewer
and the discharge of 148,500 gallons per day of collected domestic wastewater into the Charlotte
Mecklenburg Utilities existing sewerage system 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.
The sewage and wastewater collected by this system shall be treated in the Charlotte
Mecklenburg Utilities WWTP (McAlpine Creek NPDES No. NC0024970) prior to being discharged into
the receiving stream.
The Operational Agreement between the Permittee and the Environmental Management
Commission is incorporated herein by reference and shall be a condition of this permit. Noncompliance
with the terms of the Operational Agreement shall subject the Permittee to all sanctions provided by
North Carolina General Statutes §143-215.6A to §143-215.6C for violation of or failure to act in
accordance with the terms and conditions of this permit.
Assessing subsequent impacts to the downstream collection system and treatment facility is the
complete responsibility of Charlotte Mecklenburg Utilities. Charlotte Mecklenburg Utilities must utilize
whatever tracking tools necessary for planning additions of sewer flow in order to maintain compliance
with the WWTP permitted limits and the WQCS00001 permit requirements.
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 Statute, 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.
If you need additional information concerning this matter, please contact Dee Browder at (704)
663-1699.
Sincerely,
for Coleen H. Sullins
cc: Mecklenburg County Land Use and Environmental Services Agency (LUESA)
Steve Miller, CMU
Philip Edward, Mecklenburg County
Mooresville Regional Office, Collection System Permit File
Douglas Romer, Evans, Mechwart, Hambleton & Tilton
Surface Water Protection Central Files
PERCS

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and [imitations:
1. 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 of Water Quality's
(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 unless specifically
mentioned herein.
2. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. 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 as provided in 15A NCAC 2T
.0403:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and any contravention of the groundwater standards in
15A NCAC 2L .0200 or the surface water standards in 15A NCAC 2B .0200.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan shall be 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-month period of time.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Inspection and maintenance records shall be maintained for a period of at least three years.
h. 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 §143-215.1C.
1

4. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, 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.
5. 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.
6. Per 15A NCAC 2T .0116, upon completion of construction and prior to operation of these
permitted 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.
7. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities.
8. 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.
9. 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.
10. 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 other government agencies
(local, state and federal) which have jurisdiction, including but not limited to applicable river buffer
rules in 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands
under 15A NCAC 2B .0200 and 15A NCAC 2H .0500.
11. Noncompliance Notification:
The Permittee shall verbally report to a Division of Water Quality employee at the Mooresville
Regional Office, telephone number [phone], as soon as possible, but in no case more than
24 hours or on the next working day, following the occurrence or first knowledge of the occurrence
of 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 failure of a pumping station or sewer line resulting in a by-pass directly to receiving waters
without treatment of all or any portion of the influent to such station or facility.
2

Voice mail messages or faxed information is permissible, but 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 Part I of Form CS-SSO (or the most current Division approved form), within five days,
following first knowledge of the occurrence. This report shall outline the actions taken or
proposed to ensure that the problem does not recur. Part II of Form CS-SSO (or, the most
current Division approved form) can also be completed to show that the SSO was beyond
control.
Permit issued this the 29th day of May, 2008.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0033001
3

Fast Track Engineering Certification
Permit No. W00033001
May 29, 2008
OwneriWQCS
Julia Schnell, Dev. Dir.
Charlotte Campus LLC
703 Maiden Choice Lane
Catonsville, VA 21228
PE
Douglas Romer
EMH&T
8307 University Ex. Pk. Dr. St 231
Charlotte, NC 28262
WQCSIWWfP
Steven Miller
Charlotte Mecklenburg Utilities
5100 Brookshire Blvd.
Charlotte, NC 28216
Complete and submit this form to the permit issuing regional office with the following:
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
• Supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump
stations permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit, regulations or
minimum design criteria.
This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all
required supporting documentation have been received by the Division. Therefore, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
❑ Partial ❑ Final
I, , as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of Windsor Run, a Mecklenburg
County project for the Permittee, hereby state that, to the best of my abilities, due care and diligence was used in the
observation of the construction such that the construction was observed to be built within substantial compliance of
this permit; 15A NCAC 2T; the Division of Water Quality's (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, signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
MOORESVILLE REGIONAL OFFICE
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 28115
The Permittee is responsible for tracking all partial certifications up until a final certification is received. 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.

SLAT
E OF NOR1H CAROLINA
COUNTY OF
Permit No.
DEVELOPER'S OPERATIONAL AGREEMENT
This AGREEMENT made pursuant to G.S. 143-215.1 (di) and entered into this _25 day of
April _2008,_by and between the North Carolina Environmental Management Commission, an
agency of the State of North Carolina, hereinafter known as the COMMISSION; and _Erickson Retirement
Communities , a corporation/general partnership registered/licensed to do business in the State of North
Carolina, hereinafter known as the DEVELOPER.
WITNESSETH:
1. The DEVELOPER is the owner of the certain lands lying in Ivlecklenburg, County, upon which it is
erecting and will erect dwelling units and other improvements, said development to be known
as Windsor Run (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 Charlotte Campus LLC (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 andJor control of the Disposal System to the Association
until construction has been comp1eti in accordance with the permit and approved plans, and the staff of
the Division of Water Quality 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
DEVELOPER's successor.
1rvr),1111. 1-1 171, (V'ffV

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.
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.
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:
FOR THE ENVIRONMENTAL
MANAGEMENT COMMISSION
Coleen H. Sullins, Director
Division of Water Quality
(Date)
Erickson Retirement Communities
Name of DEVELOPER
Julia Schnell, Development. Director
Print Name and Title
(Date)
rr r ni. rVr,\7 nv/Al

h. 847-638-0432
Telephone
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD!
Owner/Permittee:
a. Charlotte Campus LLC, c/o Erickson Retirement Comrnuni
Full Legal Name (company, municipality, HOA, utility, etc.)
Julia Schnell, Development Director
Application Number:
(to be completed by DWQ)
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials!)
The legal entity who will own this system is:
Individual (::1 Federal Q Municipality 0 State/County 0 Private Partnership orQoration 0 Other (specify)_
703 Maiden Choice Lane le. Catonsville
Mailing Address
I City
Maryland 1 g. 21228
State Zip Code
410-737-8862
Facsimile
Proiect (Facifiitw) f»trcrrr»ati n:
2a. Windsor Run fib. Mecklenburg
County Where Proj
E-mai
ickson
Brief Project Name
Contact Person;
a. Greg Hartieey Pro'
Name and A
3b. 704-548-0333
Phone Number
efer to this name
n Ans
Project is { New L Modification (of an existin
2. Owner is © Public (skip to item B(3))
2a. If private, applicant will be:
Retaining Ownership (i.e. store, church, single office, etc.)
© Leasing units (lots, townhomes, etc. - skip to it B(3))
Q Selling units (lots, townhomes, etc. - go to item B(2b))
ions About this Application
Private
}3c. c hartleyemht:co
E-mail
Modification, Permit No.:
2(a))
2b. If sold, facilities owned by a (must choose one)
© Public Utility (Instruction C)
0 Homeowner Assoc./Developer (Instruction D)
Charlotte Mecklenbu Utilities Department
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a. McAlpine Creek Wastewater Treatment Plant ;4b. NC0024970
Name of WWTF l WWTF Permit No.
Charlotte Mecklenburg Utilities,,ab. 8" # Gravit
Owner of Downstream Sewer Receiving Sewer Size 1© Force
The origin of this wastewater is (checkall that apply)_
© Residential Subdivision
} Apartments/Condominiums
0 Mobile Home Park
0School
Restaurant
Office
Permit # of Downstream Sewer
Retail (Stores, shopping centers)
❑ Institution
Hospital
0 Church
El Nursing Home
0 Other (specify):
Volume of wastewater to be allocated or permitted for this particular p t
*Do not include future flows or previously permitted allocations
rojec
48, 00
n E)
100 % Domestic/Commercial
— % Industrial (attach
description.)
(RO: contact your Regional Office
Pretreatment staff)
% Other (specify):
gallons per day
If the permitted flow is zero, indicate why:
C) Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
0 Flow has already been allocated in Permit No. _
0 Rehabilitation or replacement of existing sewer with no new flow expected (see 15A NCAC 02T .0303 to determine if a
permit is required)
FTA 12/07_ver2

Provide the wastewater flew calculations used in determining the
the value in Item B(7) ANO!OR the design flow for line or pump s
Item B(7). Values other than that in 15A NCAC 2T .0114 (b) and
data in accordance with 15A NCAC 2T .0114 (f).
rmitted flow in accordance with 15A NCAC 2T .0114 for
on sizing if a reduced or zero flow is being requested in
must be supported with actual water or wastewater use
,100 Apartment Units .x 135 gallons per day/units = 148,500 gallons per day
ry
Size (Inches)
8"
r Lines to be Permitted (attach additional sheets if necessary)
Length (feet)
6,065
Gravity or Addition
Force Main
Gravity
Summary of Pump Stations w! associated Force Mains to be Permitted (attach additional sheets as necessa
ump Station Location ID
Design Flow
(MGD)
pS
Design Flow
(MGD)
Power Reliability Option
- permanent generator wIATS; ! Force Main Size Force Main Length
2 - portable generator w/NMTS
on ID
Pump Station Location 1
Design Flow
(MGD)
Operational Poin
GPM r@TDtt
Operati
GPM
Poin
H
self chosen as shown
Power Reliability Option
permanent generator wIATS;
2 - portable generator w!MTS
(self chosen -
Power Reliability Option
- permanent generator w/ATS;
2 - portable generator w/MTS
plans/map fc
Force Main Size Force Main Length
as shown on plans/map for reference
Force Main Size
Force Main Length
112, Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment'facifity?
to Yes k ' No If Yes, permit number of 2`d treatment facility
(RO — if "yes" to 6,12 please contact the Central Office PERCS Unit)
13. Does the sewer system comply with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Mains (latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as
1 applicable?
Yes No
If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE VVITH YOUR APPLICATION
FTA12t07_ver2

14. Have the following permits/certifications been submitted for approval fear the system or project to be served?
WetlandiStream Crossings - General Permit or 401 Certification? Yes 0 No D NiA
Yes 0 No Q NiA
j Yes [j No D NIA
Sedimentation and Erosion Control Plan?
Stormwater?
his project include any high priority lines, [see 15A NCAC 02T ,i1402 (2)1 involve aerial li
nhales)? Thess ones will be considered high priority, and mylst_be. chocked._Qrace Yery six m anths
Check if Yes: 0 and provide details
Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
attest that this application for Mailer ion has been reviewed by. me and is accurate and
completo tca the best of my knowledge. l understand that if all required parts of this application are not completed and
that if ali required supporting documentation and attachments are not included, this application package Is subject to
being returned as incomplete. Note: In accordance with North Carolina General Statutes 143-215.6A and 143-215.68,
any person who knowingly makes any false statement, representation, or certification in any application shall be guilty
a Class 2 misdemeanor, which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per
violation.
Signing C Signature
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
' PPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY{
riO OTHER UTILITIES, DESIGN CALCULATIONS, ETC. REFER TO 15A NCAC 02T .0305
Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
1
attest that this application for Windsor Run has been reviewed by me and l$ accurate,
ent with the Information in the engineering plans, calculations, and all other supporting documentation
o 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 adopted February
12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Farce Mains adopted June
1, 2000 and the watershed classification in accordance with Division guidance. Although other professionals may have
developed certain portions of this submittal package, inclusion of these materials under my signature and seal signifies tha
I have reviewed this material and have Judged it to be consistent with the proposeddesign. Note: in accordance with NC
General Statutes 143-215.6A and 143-215, 6B, any person who knowingly makes any false statement, representation, or
certification in any application shalt be guilty of a Class 2 misdemeanor which may include a fine not to exceed $10,+ as
well as civil penalties up to $25,000 per violation.
2a, Douglas Rcxner
Professional Engineer Name
b. Evans, Mechwart, Hambleton & Tilton (EMH&T)
Engineering Firm
8307 University ExSuite 231
Mailing Address
d. Charlotte
2e. NBC 2f. 28262
City State Zip
7045413-0383 2h. 704-548-0334 21. dr e 8 ettaht»co
Telephone Facsimile E-
FTA 12/07 ver2

Evans, Mechwort, Homblefon,
Consulting Engineers
6307 Unlversify ExcicviMe Pork L'riv+e. Style 231,, Cr-albite, NC 2&262
Phone: 704.548,0333 Fax: 704,548,0334
T ton, Inc.
MATTHEWS, MECKLENBURG COUNTY, NO CAROUNA
USGS Topographic Map
2010 McKee Road
USGS Map with Sanitary Layout
Job No, 2007-0342
cote 1" - 1000'

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
WATERSHED CLASSIFICATION ATTACHMENT
(WSCAS-12/07)
FOR SEWER SYSTEMS
The Division of Water Quality (Division) will not consider this attachment form to be
complete unless ail the instructions are followed. Failure to follow the instructions or to
submit all of the required items will lead to additional application processing and review
time.
For more information or for an electronic version of this form, visit our web site at:
http1/h2o.enr. state. nc.us/peres/
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form;
1 If the entire project area is a minimum of 100 feet from any surface water or wetlands, this
classification is NOT necessary. If any portion of the project is within 100 feet of any surface water
or wetlands, this form must be completed for the pertinent sections..
✓ Do not submit this attachment form for review without a corresponding permit application (Form
FTA-12/07) unless requested by the Division.
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare the attachment form with the requested information for each portion of the project
area that is within 100 feet of a waterbody or wetlands.
✓ Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS
FOR FORM WSCAS-12107 (SEWER SYSTEMS)" to collect the stream classification data. This
document is available from our web site at the address shown above or by contacting the
appropriate Division of Water Quality regional office.
1 The same Professional Engineer who certified the permit application form should seal this form.
Different Professional Engineering seals may be accepted from engineers within the same firm.
✓ Submit an 8.5-inch by 11-inch COLOR copy of a USGS Topographic Map of sufficient scale to
identify the entire project area and the closest surface waters. Each map or maps must show the
location of the sewer line and pump stations and be of reproducible quality. For instance, the
project involves 4 miles of interceptor sewer that traverses over or near several different
waterbodies (or counties, basins, etc.). The map should have location ID's for each different
waterbody (where the sewer line is within 100 feet of such waterbody) and corresponding
classifications should be recorded.
C. include the attachment form and the map portions with the permit application for submittal to
the appropriate regional office.
1 A list of the Division's regional offices, their county coverage, and their contact information may be
downloaded from the web site at: htt :/lwww.enr.st c tm /r ffi
***THESE INSTRUCTIONS DO NOT NEED TO BE SUBIMI'1'1 E0***
UC''TIONS IaOR FORM: WSCAS-t2/07

FORM WSCAS-12/07
WATERSHED CLASSIFICATION ATTACH. ENT
FOR SEWER SYSTEMS
N
Professional Engineer Name
Douglas Romer
Protect Name
Windsor Run
Engineering Firm Name
Evans. Mechwart, Hambieton, and Tilton (EH&TI
Location River Waterbody Stream. Waterbody
ID Name of Waterbodyt County Basin Index No. Classification
Mecklenburg Catawba 11-'137-9 4
1 Unnamed Tributary C
If unnamed, indicate "unnamed tributary to X", +Nacre Xis the named waterbody to which the unnamed tributary joins,
certify that as a Registered Professional Engineer in the State of
North Carolina that l 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-12/97 ***
FORM: WSCAS-12/07
Page 1 of 1

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
-c Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE —10/07)
Project Applicant Name: BMH&T
Project Name for which flow is being requested: Erickson Retirement Communities - Matthews
More than one FTSE-10/07 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: McAlpine Creek, Irwin Creek, Sugar Creek WWTP
b. WWTP Facility Permit #: NC0024970, NC0024945, NC0024937
All flows are in MGD
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
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
99.0
13.04
66.8
0.1485
79.90
80.7%
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
Pump Station Name Approx. Capacity, MGD Approx. Current Avg.
(Finn/Design) Daily Flow, MGD
Four Mile Creek 10.7 2.59
III. Certificatio Statement:
I, a r cy � +� �"r . , certify that, to the best of my knowledge, 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. 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 for which I am the responsible party. Signature of this form indicates
accep�ce of this w ater flow. 4/`210
Signing Officral Signature Date

State of North Carolina
__ Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE —10/07)
Project Applicant Name: EMH&T
Project Name for which flow is being requested: Erickson Retirement Communities - Matthews
More than one FTSE-I0/07 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: McAlpine Creek, Irwin Creek, Sugar Creek WWTP
b. WWTPFacilityPermit#: NC0024970, NC0024945, MC0024937
All flows are in MGD
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
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
99.0
13.04
66.8
0.1485
79.90
80.7%
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
Pump Station Name Approx. Capacity, MGD Approx. Current Avg.
(Firm/Design) Daily Flow, MGD
Four Mile Creek 10.7 2.59
III. Certification Statement:
I, ga rrr S f tr.Cr 4 VI', , certify that, to the best of my knowledge, 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. 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 for which I am the responsible party. Signature of this form indicates
acceptance of this w ater flow. ��� `4
`
Signing Official Signature Date

April 3, 2008
Ms. Jennifer Bowers
EMH&T
8307 University Executive Park Drive
Suite 231
Charlotte, NC 28262
CHARLOTTE.
CHARLOTTE-MECKLENBURG
UTILITIES
SUBJECT: WATER AND SEWER FLOW ACCEPTANCE
ERICKSON RETIREMENT COMMUNITIES - MATTHEWS
TAX PARCEL# 227-601-05, 227-601-10 THROUGH -12
C-MU TRACKING# 600-08-560
In response to your request, a flow acceptance study of the subject site has been completed and the
following has been determined:
Charlotte -Mecklenburg Utilities agrees to accept the gravity sewage flow of 148,500 gallons per day
(1,100 Apartment units x 135 gpd/unit; 4-inch pool drain) from this project for transmission to the
McAlpine Creek Wastewater Treatment Plant; NPDES permit number NC0024970, for treatment. This
acceptance of flow is based on the existing capacity of the designated publicly owned treatments works.
Please see attached basin map and flow tracking form.
Charlotte -Mecklenburg Utilities agrees to furnish water to the subject project. The water quality to the
subject project is regulated by the State Drinking Water Act Amendments of 1986, and The Water Supply
Management Plan, dated October 2005, (WSMP # 05-01702 & PWS ID # 0160010), on file with the
Public Water Supply Section of NCDENR. However, Charlotte -Mecklenburg Utilities cannot guarantee a
constant pressure or quality of flow.
Due to the involvement of other agencies and continuing growth of the water and sewer system, the
ability to provide service for future projects cannot be guaranteed nor reserved. Connection to the
Charlotte -Mecklenburg Utilities system is accepted on a first come, first served basis.
The applicant should understand that this letter is not authorization to construct private water or sewer
systems, as the appropriate local or State permits are required prior to construction. !f the appropriate
authorization to construct permits are not obtained and construction has not started within one (1) year of
issuance of this flow acceptance this flow acceptance approval shall be rescinded and a new flow
acceptance request must be made. If you have any questions, you may contact me at [phone].
Sincerely,
Barbara Gross
Engineering Assistant
New Services Section
CHARLOTTE-MECKLENBURG UTILITIES
Customer Service Division • New Services Section
www.cmutilities.com
5100 Brookshire Boulevard
Charlotte, NC 28216
Ph: 704/399-2221
Fax: [phone]

Ilard Creek WWTP
' Site
oo'� C-MU# 600-08-560
Charlotte -Mecklenburg Utilites
WWTP Service Areas with Basins

• Nortli Carolina Secretary of State
Page 1 of 1
North Carolina
Elaine F. Marshall DEPARTMENT OFrHE
Secretary SECRETARY OF STATE
PO Box 29622 Raleigh. NC 27626-0622 [phone]
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NC Charlotte Campus, LLC Legal
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0822994
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1/17/2006
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Address:
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Raleigh NC 27603
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Baltimore MD 21228
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For questions or comments about the Secretary of State's web site, please send a -mall to Webmaster.
http://www.secretary.state.nc.us/corporations/Corp.aspx?Pitemld=7900935
5/6/2008

Letter of Tra n s mitta l
To: Department of Environrner
Resources (DENR)
Division of Water Quality
610 E. Center Avenue, Suite 301
Mooresville. North Carolina 281 15
We are sending you herewith via:
The following items:
Copies Date
2
2
2
2
Number o
sheets
6
2
2
nd Natural From: Jennifer Bowers
Date: May 1, 2008
Job no.: 2007-0342
Subiect: Erickson Retirement Community -
Windsor Run Private Sanitary Sewer
Courier
U.S. Mail
copies r] originals
Description
Fed. Ex.
[other]
Fast Track Application FTA 1 2/D7_ver2 (1 orig 1 copy)
Developer's Operational Agreement (1 orig 2 copies)
WSCAS 12/07 ( 1 orig 1 copy)
FTSE-10/07
CMUD How Acceptance Letter
Application Check (## 19294, $480.00)
USGS Topographic Map
These are transmitted as checked below:
for approval
for your file I as requested
for execution / signatures
[other]
eview & comment
Remarks:
If you need anything else or have any other questions, please let me know. 704-548-0333.
Thanks!
A tee .y c=9 experhhn
ve. trite 23'i. a hak?otte, NC
Fax 7=34.548.033
0
Protection

Central Files; APS SWP
05/29/08
Permit Number WQ0033001
Permit Tracking Slip
Program Category
Non -discharge
Permit Type Fast Track
Gravity Sewer Extension, Pump Stations, & Pressure Sewer
Extensions
Primary Reviewer
dee.browder
Permitted Flow
148500
Facility
Facility Name
Windsor Run
Location Address
Owner
Status
Active
Project Type
New Project
Version Permit Classification
1.00 Individual
Permit Contact Affiliation
Major/Minor
Minor
Region
Mooresville
County
Meck[enburg
Facility Contact Affiliation
Owner Name
Charlotte Campus LLC
Dates/Events
Owner Type
Non -Government
Owner Affiliation
Julia Schnell
703 Maiden Choice Ln
Baltimore MD 21228
Orig Issue App Received
05/29/08 05/05/08
Regulated Activities
Draft Initiated
Scheduled
Issuance
Public Notice Issue Effective
05/29/08 05/29/08
Requested/Received Events
Expiration
Apartment complex
Condominium
Hospital
Nursing Home
Restaurant
Retail
Wastewater collection
Outfall NULL
Additional information requested
Additional information received
Waterbody Name Stream Index Number Current Class Subbasin