WQ0038136_Regional Office Historical File Pre 2018

North Carolina Department of Environmental Qua!
Pat McCrory
Governor
November 23, 2015
Mr. Mick EI-Massri
Lakeside Builders, LLC
10226 Jacobs Creek Drive
Charlotte, NC 28277
Subject: Permit Na.WQ0038136
Allison Woods Subdivision
Wastewater Collection System Extension Permit
Mecklenburg County
Dear Mr. El -Ma
Donald R. van derVaart
Secretary
In accordance with your application received November 13, 2015,.we are forwarding herewith Permit
No.WQ0038136 dated November 23, 2015, to Lakeside Builders, LLC (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effective from the date of issuance until rescinded, and shall be subject to the conditions and limitations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 11.1: 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 licensing 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.
Mooresville Regional Office
610 East Center Avenue, Suite 301, Mooresville, NC 28115
Phone: [phone] \ Fax [phone] \ Customer Service 1-877-623-6748
Internet: www.ncwatraualitv.ar
An EquaP opportunity \Affirmative Action Employer— Made in part by recycled paper

Lakeside Builders, LLC
Permit No.WQ0038136
If you need additional information concerning this matter, please contact Barry Love at [phone]
or via e-mail at [e-mail].
Sincerely,
by Michael Parker, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
cc: Jeffrey P. Schmitt, P.E. (electronic copy)
Barbara Gross (electronic copy)
Tommy Rowland (electronic copy)
Regional Office Files
Water Resources Central Files
PERCS (electronic copy)
Page 2 of 8

I
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
WASTEWATER COLLECTION SYSTEM EXTENSION 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
Lakeside Builders, LLC
Mecklenburg County
for the construction and operation of approximately 306 linear feet of 8-inch gravity sewer to serve 5
single family lots as part of the Allison Woods Subdivision project, and the discharge of 950 GPD of
collected domestic wastewater into the Charlotte Water existing sewerage system, pursuant to the
application received November 13, 2015, and in conformity with 15A NCAC 2T; the Division's Gravity
Sewer Minimum Design Criteria adopted March 4, 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
Environmental Quality 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
con ition n. li itations contained therein.
pripPlichael Parker, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
Permit Number: WQ0038136
Permit Issued: November 23, 2015
Page3of8

SUPPLEMENT TO PERMIT COVER SHEET
Lakeside Builders, LLC 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 Charlotte Water McAlpine Creek
Wastewater Treatment Facility in accordance with Permit Number NC0024970.
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 March 4, 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
This permit shall become voidable unless the agreement between Lakeside Builders, LLC and Charlotte
Water for the collection and final treatment of wastewater, is in full force and effect. [15A NCAC
42T.0304(h)]
2, No flow in excess of the quantity permitted herein, 950 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)]
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. [15A NCAC 02T.01151
II. STANDARD CONDITIONS
1. This permit is not transferable. In the event there i 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. [15A NCAC 02T,0104; G.S 143-215.1(d3)]
2, 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 March 4, 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, [15A NCAC 02T.0110]
Page 4 of 8

V3. 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)]:
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 are
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 §143-215.1C.
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.
Page 5 of 8

Documentation shall be kept for Subparagraphs (a) through (i) of this Rule fora minimum of three
years with exception of the map, which shall be maintained for the life of the system.
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,
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
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 I 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.
form) 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 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. 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 be 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
Page 6 of 8

I
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 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 March 4, 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 may be required by
the Division or any other Federal, State, of Locai government agencies. [G.S. 143-215.1(b)]
Page 7 of 8

FASTTRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: Lakeside Builders, LLC
PERMIT #: WQ0038136
PROJECT: Allison Woods Subdivision
ISSUE DATE: November 23, 2015
This project shall not be considered complete nor allowed to operate in accordance with 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 at the bottom.
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, A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I, 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
ENGINEER'S CERTIFICATION
I, , as a duly registered Professional En ineer in the State of North Carolina,
having been authorized to observe (El periodically, I 1 weekly, full time) the construction of the
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 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 March 4, 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:
Final — Partial (include description)
Certification Comments/Qualifiers (,attach if necessary):
NC DWR - Water Quality Regional Operations Section 610 East Center Avenue, Suite 30t, Mooresville, NC28115
Cr3 inn LAY, fir1A1,,.C,�7..,Cd1i1F1

STATE OF NORTH CAROLINA
COUNTY OF
Permit No.
DEVELOPER'S OPERATIONAL AGREEMENT
This AGREEMENT trade pursuant to G.S. 143-215.1 (di) and entered into this
Commission, an ag
business in the St
WITNESSETH:
day of
, by and between the North Carolina Environmental Management
e State of North Carolina, hereinafter known as the COMMISSION; and
L `...Q, , a corporation/general partnership registered/licensed to do
Carolina, hereinafter known as the DEVELOPER.
1, The DEVELOPER is the owner of the certain lands lying in ifittadt4AbtAIM
County, upon
which it is erecting and will erect dwelling units and other improvements, said dev i opment to be known
as ,,l,dS 4/37) (hereinafter the Development).
2. The DEVELOPER desires, to construct a wastewater collection system with pumps, wastewater treatment.
works, andlor 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 pe
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.
p
t to G.S. 143-
5. The DEVELOPER has caused to be formed or will'caluse to be formed at the time of fin of the
Declaration, the nit Owners' Association �- W �+'er
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.
b. 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.
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.
FORM: DEV 08-13 Page I of 2

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.
I O. 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:
i
FOR THE ENVIRONMENTAL
,4-.„, -91-. 6-A-------
ANAGEMENT COMMISSION Name of DEVELOPER /
x S. ay Zimmerman, P.G. (Signature)
Director, Division of Water Resources
fik c
Print Name and Title
ee,
(Date
(Date)
FORM: DEV 08-13 Page 2 of 2

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F- ® Residential Subdivision
❑ Apartments/Condominiums
❑ Mobile Home Park
W ❑ School
a ❑ Restaurant
m ❑ Office
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD Application Number: �J�
- -- --- — (to be completed by DWR) li' �cf �-KV i)3S 1��'+v - -- -
1. Owner/Permittee:
la. Lakeside Builders, LLC
Full Legal Name (company, municipality, HOA, utility, etc.)
1b. Mick El-Massiri
Signing Official Name and Title (Please review 15A NCAC 2T .0105 (b) for authorized signing officials)
lc. The legal entity who will own this system is:
❑ Individual ❑ Federal ❑ Municipality ❑ StatelCounty ❑ Private Partnership ® Corporation ❑ Other (specify):
Id. 10226 Jacobs Creek Drive le. Charlotte
1 f.
1h.
Mailing Address
NC
City
lg. 28277
State Zip Code
704-996-2631 li. 11. [e-mail]
Telephone
Facsimile E-mail
2. Project (Facility) Information:
2a. Allison Woods Subdivision
Brief Project Name (permit will refer to this name)
3. Contact Person:
3a. Jeff Schmitt
2b. Mecklenburg
County Where Project is Located
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 704-377-6099
Phone Number
3c. [e-mail]
E-mail
1. Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.:
2. Owner is ❑ Public (skip to item B(3)) ® Private (go to Item 2(a))
2a. If private, applicant will be:
❑ Retaining Ownership (i.e. store, church, single office, etc.) or
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3))
® Selling units (lots, townhomes, etc. - go to Item B(2b))
3. CLT Water
2b. If sold, facilities owned by a (must choose one)
❑ Public Utility (Instruction D)
® Homeowner Assoc./Developer (Instruction E)
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4b. NC0024970
Name of WWTF WWTF Permit No.
5a. CLT Water 5b. 10" ® Gravity 5c. Unknown
Owner of Downstream Sewer Receiving Sewer Size ❑ Force Main Permit # of Downstream Sewer (Instruction F)
6. The origin of this wastewater is (check all that apply):
❑ Retail (Stores, shopping centers)
❑ Institution
❑ Hospital
❑ Church
❑ Nursing Home
❑ Other (specify):
100% Domestic/Commercial
Industrial
(Attach Description)
% Other
(Attach Description)
7. Volume of wastewater to be allocated or permitted for this particular project: 950 gallons per day
'Do not include future flows or previously permitted allocations
8. If the permitted flow is zero, indicate why:
❑ Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
ti '❑ Flow has already been allocated in Permit No.
❑ Rehabilitation or replacement of existing sewer with no new flow expected
(see 15A NCAC f12T f"03 to determine if a permit is required)

NFORMATION (CONTINUED)
B. PERMIT
9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 1 C.A r R : 2 ; CI ' ` for
the value in Item B(7) ANDIOR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item B(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f).
5 homes x 190 gpd/home = 950 gpd
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches) Length (feet)
8 306
New Gravity or Additional
Force Main
11. Summary of Pump Stations wl associated Force Mains to be Permitted (attach additional sheets as necessary)
Pump Station Location ID: (self chosen - as shown on planslmap for reference)
Longitude: Latitude:
Design Flow Operational Point Power Reliability Option
(MGD) GPM @TDH 1 - permanent generator w1ATS; Force Main Size Force Main Length
2 - portable generator wlMTS
Pump Station Location ID: (self chosen - as shown on plans/map for reference)
Longitude: Latitude:
Design Flow Operational Point Power Reliability Option
(MGD) GPM @TDH 1 - permanent generator w1ATS; Force Main Size Force Main Length
2 - portable generator wIMTS
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
❑ Yes ® No If Yes, permit number of 2nd treatment facility :
(RO — if "yes" to B,12 please contact the Central Office PERCS Unit)
13. Does the sewer system comply with the
(latest version), the ,0•11 , .,. ,-,
(latest version) and 4 as applicable?
® Yes ❑ No
If No, complete and submit thez 3 °, application and supporting
documents for review. Approval of the request is required prior to submittal of the Fast Track Application and
supporting documents.

0
14. Have the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401Certification? El Yes 0 No 4 N/A
Sedimentation and Erosion Control Plan? 0 Yes 0 No N/A
Trout Buffer Waiver? E] Yes 0 No N/A
Stormwater? Yes El No El N/A
15. Does this project include any high priority lines ( ) involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes: 0 and provide details:
1. Owner/Perrnittee's Certification: (Signature of Signing Official and Project Name)
la.
1, Mick EI-Massiri, attest that this application for Allison Woods Subdivision has been reviewed by me and is accurate
and complete to the best of my knowledge. 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. Note: In accordance with North Carolina General Statutes and
any person who knowingly makes any false statement, representation, or certification in any application 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.
7
ng Officia
n
Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION, THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
TO OTHER UTILITIES, DESIGN CALCULATIONS, ETC. REFER TO
2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
1, Jeffrey P. Schmitt ,attest that this application for Allison Woods Subdivision has been reviewed by me and is
accurate, complete and consistent with the information in the engineering plans, calculations, and all other supporting
documentation to the best of my knowledge„ 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 Force
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 that I have reviewed this material and have judged it to be consistent with the proposed
design. Note: In accordance with NC General Statutes and , any person who knowingly makes
any false statement, representation, or certification in any application 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.
0,11itrioN,
GAR
2a. Jeffrey P. Schmitt
•
Professional Engineer Name
'.:.
2b. Kenney Design Group, PA .*: ...q . .
..- .
Engineering Firm SE
2c. 1316 Greenwood Cliff ° AL
•
Mailing Address
2d, Charlotte
City
2e. NC 2f. 28204
State Zip
2g. 704-377-6099 2h. 2i. [e-mail]
Telephone Facsimile E-mail
18998
„ P SU,„0
NC PE Seal, Signature & Date

KENNEY DESIGN GROUP, PA
1316 GREENWOOD CLIFF
CHARLOTTE, NORTH CAROLINA 28204
PH: 704-377-6099 FAX: [phone]
EMAIL: [e-mail]
LICENSE NO. C-1986
September 15, 2015
RE:
Allison Woods Subdivsion
Charlotte, Mecklenburg County, North Carolina
Sanitary Sewer Application Cover Letter
The proposed Allison Woods subdivision will consist of 5 lots to be served by
the proposed sanitary sewer system consisting of 4 manholes and approximately
306 if of 8" sanitary sewer. The proposed sewer will connect to the CLT Water
sewer system and be treated at the McAlpine Creek WWTF. Due to the way it is
situated, it is unlikely that the proposed sanitary sewer will be extended or have
additional connections in the future.

i}Ivistor►. of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 08-13)
Project Applicant Name: Lakeside Builders . LLC
Project Name for which flow is being requested: Allison Woods
More than one F I SE 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.
1. 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
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
All flows are in MGD
99.0
9.497
67.430
0.0009
76.928
77.7*
H. 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 Plow Plus
(Name or Capacity,* (Firm /. pf), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MOD Flow Capacity***
Six Mile Creek 14.9 5.96 4.669 0.263 di,953 1.006
* 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.
Page I of 6
FTSE 08-13

III. Certification Statement:
13M 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.
(k0,15A,
8'14(
Signing Of ci4i4 Signature Date
Page 2 of 6
FTSE 08-I3

CHARLOTTE
TER
September 14, 2015
Mr. Mick EI-Massiri
Lakeside Builders, LLC
10226 Jacobs Creek Dr
Charlotte, NC 28270
SUBJECT: WATER AND SEWER FLOW ACCEPTANCE
ALLISON WOODS
11108 ALLISON WOODS DRIVE, CHARLOTTE NC
CLTWATER TRACKING# 2015926
A flow acceptance study of the subject site has been completed and the following has been determined:
Charlotte Water agrees to accept the additional gravity sewage flow of 950 gallons per day (5 single-
family lots x 190 gpd/lot) from this project for transmission to the McAlpine Creek Creek Wastewater
Treatment Plant; NPDES permit number NC0024970, for treatment. This acceptance of flow is based
upon the existing capacity of the designated publicly owned treatments works. Please see attached FTSE
form.
Charlotte Water 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, PWS ID # 0160010, on file with the Public Water Supply Section of NCDENR. However, Charlotte
Water 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 Water and sewer 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 se
systems, as the appropriate local or State permits are required prior to construction, If the appropri
authorization to construct permits are not obtained and construction has not started within on
issuance of this flow acceptance study, and payment for any service connection's) has not been received
within 1) year of issuance of this flow acceptance letter, this approval shall be rescinded and a new flow
acceptance study must be made. If you have any questions, you may contact me at [phone].
Sincerely,
Barbara Gross
Engineering Assistant
avarlotte'Water 70 sN. Tryon Si.,Cl a ici te, Nf 28202 F_1),3rlotte.warei .0r;
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State of NorthCarolina
Department of Environment and Natural Resources
Division of Water Resources
Division of 'Water Resoum es
Watershed. Classification Attachment (WSCAS 91-15)
Along with this form, submit a color copy of a USGS Topographic Map to identify the project area and
waterbodies. Each map or maps must show the location of the sewer system and include location identifiers
where the system traverses over or near waterbodies. The map should have location ID's for each different
waterbody and corresponding classifications should be recorded,
Include the completed form and map portions with the permit application for submittal to the appropriate review
agency. A list of the Division's regional offices, their county coverage, and contact information can be obtained
from,.,a.
Location ID
Name of W at e rboc!
Flat Branch
River
asir
Catawba
Wate r'body
Index No.
11- 1 38-3-2
If unnamed, indicate "unnamed tributary to X", where Xis the named waterbody to which the unnamed tributary loins.
l 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

KENNEY DESIGN GROUP, PA
1316 GREEN
CHARLOTTE, NORTH CAROLINA 282di4
PH: 704-377-6099 FAX: [phone]
EMAIL: [e-mail]
LICENSE NO. C-1986
LETTER OF TRANSMITTAL
To: NCDENR
Division of Water Resources
RE: Allison Woods S/D fast -track sewer permit application.
Mecklenburg County
Date: November 11, 2015
We are sending you:
1 — Fast Tract application - original
1 — Fast Tract application — copy
1 — Check for $480.00
Jeff Schmitt
c
ECEIVED/NCDFNR!DWR.
V
WQROS
MOO FSV LE REGIONAL FFli

Cot orations Division
Page 1 of 1
t F, Marsh:
'cretary
Click Here To:
North'Carolina
P ARTMENT l:K t..i:lE
C RETARY OFSTATE
po 2 Ott tit D 274204522 (91't% 72"
View Document Filings File an Annual Report Print a Pre -Populated Annual Report form
Amend a Previous Annual Report
Corporate Names
Legal: Lakeside Builders, Inc.
Business Corporation Information
Sosld: 1244883
Status: Current -Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 2/20/2012
Fiscal Month: December
State of Incorporation: NC
Registered Agent: El- Massri, Mick
Corporate Addresses
Mailing: 10226 Jacobs Creek Drive
Charlotte, NC 28270-1164
Principal Office, 10226 Jacobs Creek Drive
Charlotte, NC 28270-1164
Reg Office: 10226 Jacobs Creek Drive
Charlotte, NC 28270-1'164
Reg Mailing: 10226 Jacobs Creek Drive
Charlotte, NC 28270-1164
Officers
President: Mick EI-Massri
10226 Jacobs Creek Drive
Charlotte NC 28270
Stock.
Class: Common
Shares: 10000
No Par Value Yes
Account
Login
Register
http://wwwsecretaiy sta.us/Search/pro orp/9938359
11/17/2015

Central Files: APS _ SWP
11/23/2015
Permit Number W00038136 Permit Tracking Slip
Program Category Status Project Type
Non -discharge Active New Project
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
barry.love
Coastal Sill/Rule
Permitted Fiow
950
Facility
Version Permit Classification
1.00 Individual
Permit Contact Affiliation
Facility Name
Allison Woods Subdivision
Location Address
Owner
Major/Minor Region
Minor Mooresville
Facility Contact Affiliation
County
Mecklenburg
Owner Name
Lakeside Builders
Dates/Events
Owner Type
Non-Govemment
Owner Affiliation
Mick EI-Massiri
10226 Jacobs Creek Dr
Charlotte NC 28277
Orig Issue
11/23/2015
Scheduled
App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
11/13/2015 11/23/2015 11/23/2015
Regulated Activities Requested !Received Events
Subdivision Additional information requested
Wastewater collection
Outrall
Additional information received
Waterbody Name Streamlndex Number Current Class Subbasin