WQ0039796_Regional Office Historical File Pre 2018

Water Resources
Environmental Quality
February 12, 2018
Mr. Cisco Garcia, VP of Land
Pulte Home Group
11121 Carmel Commons Blvd. #450
Charlotte, NC 28226
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
Subject: Permit No. WQ0039796
Pulte Home Group
Providence Village Townhomes
Wastewater Collection System Extension Permit
Mecklenburg County
Dear Mr. Garda:
In accordance with your application received February 7, 2018, we are forwarding herewith Permit No.
WQ0039796 dated February 12, 2018, to Pulte Home Group (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effective from the date of issuance until rescinded, and shall be subject to the conditions and limitations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 150E 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.
Not ng Compares?-k__,
State of North Carolina I Environmental Quality I Water Resources 'Water Quality Regional Operations
Mooresville Regional Office 1610 East Center Avenue, Suite 3011 Mooresville. North Carolina 28115
704-663-1699

If you need additional information concerning this rnatter, please contact Barry Love at (704) 23S-2143
or via e-mail at [e-mail],
Sincerely,
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
cc: Jeremy !card, P.E. (e-copy)
Barbara Gross (e-copy)
Tommy Rowland (e-copy)
Regional Office Files
Water Resources Central Files
PERCS (e-copy)

I
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
Pulte Home Group
Mecklenburg County
for the construction and operation of approximately 1,282 linear feet of 6-inch gravity sewer to serve the
Providence Village Townhomes project, and the discharge of 9,690 gallons per day of collected domestic
wastewater into the Charlotte Water existing sewerage systems, pursuant to the application received
February 7, 2018, and in conformity with 15A NCAC 2T; the Division's Gravity Sewer Minimum Design
Criteria adopted February 12, 1996, as applicable; the Division's Minimum Design Criteria for the Fast -
Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as applicable; and other
supporting data subsequently filed and approved by the Department of 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
condi ions and limitations contained therein.
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
Permit Number: WQ0039796
Permit Issued: February 12, 2018

SUPPLEMENT TO PERMIT COVER SHEET
Pulte Home Group is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater coflectit n extension. The
sewage and wastewater collected by this system shall be treated in the Charlotte Water McAlpine Creek
Wastewater Treatment Plant 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 February 12, 1996, as
applicable; and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000, as applicable, unless specifically mentioned herein. Division approval
is based on acceptance of the certification provided by a North Carolina -licensed Professional Engineer in
the application, It shall be the Permittee's responsibility to ensure that the as -constructed project meets
the appropriate design criteria and rules,
Construction and operation is con gent upon compliance with the Standard Conditions and any Special
Conditions identified below.
SPECIAL CONDITIONS
No flow in excess of the quantity permitted herein, 9,690 gallons per day, 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)]
2. This permit shall become voidable unless the agreement between Pulte Home Group and Charlotte
Water for the collection and final treatment of wastewater is in full force and effect,. [15A NCAC
02T.0304(h)]
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 §1.43-215.6A 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
This permit is not 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

r
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 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. (15A NCAC 02T.01101
3. 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.

l. For privately owned collection systems, the Grease Control Program shall include atleast bi-
annual distribution of grease education materials to users of the collection system by the
pemnitteeorits representative,
1 Grease education materiaisshuH be distributed more often than required in Parts (1)and (2)
of this Subparagraph if necessary to prevent grease -related sanitary sewer over -flows,
Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of three
years with exception of the map, which shaU be maintained for the life of the system.
5. The Penmittee shall report by telephone to a mate/ resources staff member atthe Mooresville
Regional Office, telephone number [phone], as soon as possible, but in no case more than 24
hours, following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility incapab4e
ofadequate wastewater transport, such as mechanical or electrical tai|uresmfpumps, line
blockage orbreakage, etc.;mr
b. Any SSOand/or spill over 1,000gallons; gr
c Any S50and/or spill, regardless ofvolume, that reaches surface water
Voice mail messages orfaxed lmfmrrnationispermissible, but this shall not bnconsidered asthe initial
verbal report. OverMovvsandspiUooccurrin8outsidennrrna|husmesshoursrnaya|soberepurtedto
the Division of Emergency Management at telephone number [phone] or(9l9) 733-3300.
Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Port | of Form CS-5SU (or the most current Division approved form) within five days following first
knowledge ofthe occurrence. This report must outline the actions taken orproposed tobmtaken 10
ensure that the probiemdoes not recur, Part /iwfForm [S-SSO(or the most current Division approved
form) can also be completed to show that the SSQwas beyond control. [G.S. 143-215]C(al)]
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
tothe surface waters ufthe State. (I5ANCACO2T.0I08(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 tothe address provided onthe form, Acomplete certification isone where the form is
fuUyexecuted and the supporting documents are provided asapplicable. Any wastewater flow made
tributary to the wastewater collection system extension prior to completion of this Engineer's
Certification shall be considered a vioia6mn of the permit and shall subject the Permittec to
appropriate enforcement actions.
|fthe permit is issued to a private entity with an Operational Agreement, then a copy of the Articles
nfIncorporation, Den|aratio ns/Cmvenants/Reutrictions, 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 [ow points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting in
non-compliance with this permit (including pipe length increases of 10% or greater, increased flow,
pump station design capacity design increases of 5% or greater, and increases in the number/type of
connections), regulations, or the Minimum Design Criteria. Requested modifications 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 NCAC2T; the Division's
Gravity Sewer Design Criteria adopted February 12, 1996, as applicable; the Division's Minimum
Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted June 1, 2000,
as applicable; and other supporting materials may subject the Permittee to an enforcement action by
the Division, in accordance with North Carolina General Statutes §143-215.6A through §143-215.6C,
construction of additional or replacement wastewater collection facilities, and/or referral of the North

Carolina -licensed Professional Engineer to the licensing board. [15A NCAC 02T .0104; 15A NCAC 02T ,0108(,b-c)I
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take inmmediate 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 Federaq, 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 Local government agencies. [G.S. 143-
215.1(b)1

I
FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE:
PERMIT #:
PROJECT:
ISSUE DATE:
Pulte Home Group
WQ0039796
Providence Village Townhomes
February 12, 2018
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
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 Engineer in the State of North Carolina,
having been authorized to observe (❑ periodically, n weekly, n 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 February 12,
1996, as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000, as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
❑ Final ❑ Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations

ATE
OF Mecklenburg
OF NORTH CAROLINA
Permit No. }/'J(.11\0O,59 79
DEVELOPER'S OPERATIONAL AGREEMENT
This AGREEMENT made pursuant to G.S. 143-215.1 (di) and entered into this day of
, by and between the North Carolina Environmental Management
Commission, an agency of the State of North Carolina, hereinafter known as the COMMISSION; and
Pulte Home Company, LLC , 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 Mecklenburg County, upon
which it is erecting and will erect dwelling units and other improvements, said development to be known
as Providence Village Townhomes (hereinafter the Development).
2. The DEVELOPER desires, to construct a wastewater collection system with pumps, wastewater treatment
works, and/or disposal facilities (hereinafter Disposal System) to provide sanitary sewage disposal to serve
the Development on said lands.
3. The DEVELOPER has applied to the COMMISSION for the issuance of a permit pursuant to G.S. 143-
215.1 to construct, maintain, and operate the Disposal System.
4. The DEVELOPER has created or shall create unit ownership in said dwellings units, other improvements
and lands through filing of a Declaration of Unit Ownership (hereinafter Declaration), pursuant to Chapter
47C or 47F of the North Carolina General Statutes.
5. The DEVELOPER has caused to be formed or will cause to be formed at the time of filing of the
Declaration, the (Unit Owners' Association) (hereinafter
Association), a non-profit corporation organized and existing under and by the virtue of the laws of the
State of North Carolina, for the purpose, among others, of handling the property, affairs and business of
the Development; of operating, maintaining, re -constructing and repairing the common elements of the
lands and improvements subject to unit ownership, including the Disposal System; and of collecting dues
and assessments to provide funds for such operation, maintenance, re -construction and repair.
6. The COMMISSION desires to assure that the Disposal System of the Development is properly
constructed, maintained and operated in accordance with law and permit provisions in order to protect the
quality of the waters of the State and the public interest therein.
NOW, THEREFORE, in consideration of the promises and the benefits to be derived by each of the parties
hereto, the COMMISSION and DEVELOPER do hereby mutually agree as follows:
1. The DEVELOPER shall construct the Disposal System in accordance with the permit and plans and
specifications hereafter issued and approved by the COMMISSION, and shall thereafter properly operate
and maintain such systems and facilities in accordance with applicable permit provisions and Iaw.
2. The DEVELOPER shall not transfer ownership and/or control of the Disposal System to the Association
until construction has been completed in accordance with the permit and approved plans, and the staff of
the Division of Water Resources has inspected and approved of the facilities. In order to change the name
of the permit holder, the DEVELOPER must request that the permit be reissued to the Association. The
request must include a copy of the Association Bylaws and Declaration.
3. The DEVELOPER shall not transfer, convey, assign or otherwise relinquish or release its responsibility
for the operation and maintenance of its Disposal System until a permit has been reissued to the
DEVELOPER's successor.
FORM: DEV 08-13 Page 1 of 2

The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System and
appurtenances thereto are part of the common elements and shall thereafter be properly maintained and
operated in conformity with law and the provisions of the permit for construction, operation, repair, and
maintenance of the system and facilities. The Declaration and Bylaws shall identify the entire wastewater
treatment, collection and disposal system as a common element which will receive the highest priority for
expenditures by the Association except for Federal, State, and local taxes and insurance.
5. The DEVELOPER shall provide in the Declaration and Association Bylaws that the Disposal System will
be maintained out of the common expenses. In order to assure that there shall be funds readily available to
repair, maintain or construct the Disposal System, beyond the routine operation and maintenance
expenses, the Declaration and Association Bylaws shall provide that a fund be created out of the common
expenses. Such fund shall be separate from the routine maintenance funds allocated for the facility and
shall be part of the yearly budget.
6. In the event the common expense allocation and separate fund are not adequate for the construction,
repair, and maintenance of the Disposal System, the Declaration and Association Bylaws shall provide for
special assessments to cover such necessary costs. There shall be no limit on the amount of such
assessments, and the Declaration and Bylaws shall provide that such special assessments can be made as
necessary at any time.
7. If a wastewater collection system and wastewater treatment and/or disposal facility provided by any city,
town, village, county, water and sewer authorities, or other unit of government shall hereinafter become
available to serve the Development, the DEVELOPER shall take such action as is necessary to cause the
existing and future wastewater of the Development to be accepted and discharged into said governmental
system, and shall convey or transfer as much of the Disposal System and such necessary easements as the
governmental unit may require as condition of accepting the Development's wastewater.
8. Recognizing that it would be contrary to the public interest and to the public health, safety and welfare for
the Association to enter into voluntary dissolution without having made adequate provision for the
continued proper maintenance, repair and operation of its Disposal System, the DEVELOPER shall
provide in the Association Bylaws that the Association shall not enter into voluntary dissolution without
first having transferred its said system and facilities to some person, corporation or other entity acceptable
to and approved by the COMMISSION by the issuance of a permit.
9. The agreements set forth in numbered paragraphs 1, 2, 3, 4, 5, 6, 7, and 8 above shall be conditions of any
permit issued by the COMMISSION to the DEVELOPER for the construction, maintenance, repair and
operation of the Disposal System.
10. A copy of this agreement shall be filed at the Register of Deeds in the County(ies) where the Declaration is
filed and in the offices of the Secretary of State of North Carolina with the Articles of Incorporation of the
Assoc iation.
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
MNAEME 1,TtCOMMISSION
S. Jay Zimmerman, P.G.
Director, Division of Water Resources
(Date)
Pulte Home Company, LLC
Name of DEVELOPER
By:
(Sigrfature)
Cisco Garcia VP of Land
Print Name and Title
21, 2A4
(Date)
FORM: DEV 08-13 Page 2 of 2

Division of "4 "ter Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 FAST TRACK SEWER SYSTEM EXTENSION .APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number
All items must be cos or the application will be returned
APPLICANT INFORMATION:
Q, I 79 (to be completed by DWR)
I, Applicant's name: Pulte Home Group (company, municipality, HOA, utility, etc.)
2.. Applicant type: Individual Corporation D General Partnership El Privately -Owned Public Utility
111 Federal © State/County 0 Municipal
3. Signature authority's name: Cisco Garcia. per 15r'1„N( 3C il? C_.01t)Ei1k7.)
Title: VP of Land
4. Applicant's mailing address: i
City: Charlotte State: NC.
Applicant's contact information:
Phone number: [phone] Email Address:
Zip: 28226
PROJECT INFORMATION:
1. Project name: Providence Village "1'owrthornes
2. Application/Project status: Proposed (New Permit) 0 Existing Perini
If a modification, provide the existing permit number: WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Mecklnbur
4. Approximate Coordinates (Decimal Degrees): Latiitude: 35,05' Longitude:-80,75'
5- Parcel ID (if applicable): 23I 131383
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I . Professional Engineer: ,lerem Ieard License Number: 0264,91
Firm: Land.Design, Inc
Mailing address:: 223 N, Sa:rahatta St
City: Charlotte State: NC Zip: 28202-
Phone number: [phone] Email Address: [e-mail]
IV, WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:.
I . Facility Name: Rocky River Permit Number: NC00036269
Owner Name: Charlotte Water
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
I. Permit Number(s): WQ
System Wide Collection System Permit Number(s) (if applicable): WQCS0001.
Owner Name(s): Charlotte Water
Downstream (Receiving) Sewer Size: $ inch
c
FORM: FTA 04-16 Page 1 of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
] Yes ❑No ZN/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreemct t,(FORM: DES). been attached?
Yes ❑No ❑N/A
3. If the Applicant is a Hotti&Property Owners' Ass ociatiion, has are Operational Agreement, (FORM: E3f Al been attached?
❑ Yes ❑No M'N/A
4. Origin of wastewater; (check all that apply):
Residential Owned
❑ Residential Leased
❑ School / preschool / day care
❑ Food and drink facilities
❑ Businesses / offices / factories
❑ Retail (stores, centers, malls)
© Retail with food preparation/service
❑ Medical / dental / veterinary facilities
❑ Church
Nursing Home
5. Nature of wastewater 100 % Domestic/Commercial % Cornmereial
% Industrial. (See 15A NCAC 02T ..01Q31`20j)
>ls there a Pretreatment Program in effect?
6. Has a flow reduction been approved under 15A NCAC 02I..01 'I 4j1)? ❑ Ye
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T,01 I4(f))
To
Daily Design Flow wn
190 gal/unit
gal./
gall
gal/
gal/
gal/
0 Car Wash
Hotel and/or Motels
Swimming Pool /Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
❑ Yes
No
® No
No. of Units
Total
Flow
9690 GPD
GPD
GPD
GPD
GPD
GPD
9690 GPD
a See 15A NCAC 021.0l 141b). id), (0(1' an. ( for caveats to wastewater design flow rates (i.e,, minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in. G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02' .Qi 4] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
Wastewater generated by project: 9690 GPD (per 15A NCAC 024 .0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable)
L Summarize gravity sewer to be permitted:
avit1' Sew,ersl:
Y Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III 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 Pum 5tatitsns'Frc
COMPLETE F'OR EACH PUMP, STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude:
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH)
5. Sumrttarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
6. Power reliability in accordance with _i_m A_I CAC
Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T x0305(h)(1)(B)_
➢ Required for all pump stations with an average daily flow greater than or equal to l 5,000 gallons per day
➢ Must be permanent to facility
Or if the pump station has an average daily flow Tess 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
El Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(Cj:
D It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & 1.5A NCAC 02T .0305(1)):
1, Does the project comply with all separations found in 15A Ntu."A(0 T .030 t) lg.)
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
Setback Parameter
Storm sewers and other utilities not listed below (vertical)
Water
in
ertical water over sewer including in benched trenches)
_ Water mains (horizontal)
Reclaimed water fines i vertical recta' ed over se
Reclaimed water lines (horizontal M reclaimed over sewer)
**Any private or public water supply source, ineluding any wells, WS-
Class ounded reservoirs used as a source of drinkin
f Class. I or
**Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HOW, or SB from normal
high water (or tide elevation) and wetlands (see item 1X.2)
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
Any building foundation
Any basement
Top slope of embankment or cuts of 2 feet or more vertical. height
Drainage systetras and interceptor drain.
Any swimming pools
Yes ©No
Separation. Required
24 inches
18 inches
10 feet
18 inches
2 feet
100 feet
50 feet
10 feet
5 feet
10 fee
10 feet
5 feet
10 feet
Final earth grade (vertical)
15A N('A.(1()T03(15(g') contains alternatives where separations in 02'f 0
**Stream classifications can be .identified using the Division's tarface
If noncompliance with 02T.0305( or it!), see Section X of this application
36 inches
be achieved,
i icatiQors wtblrage„
2. Does the project comply with separation requirements for wetlands? (50 feet of separation)
See the Division's draft separation requirements for situations where separation cannot be meet.
A No variance is .required if the alternative design criteria specified is utilized in design and construction
50 As built documents should reference the location of areas effected
Does the project comply with all setbacks found in the river basinrules per 15A„NCAC r'tC, 0213 M20 ?
5' This would include Trout Buffered Streams per 15A1 NCAC
.__
4.. Does the project comply vtth an individual 404 Permit or any 401 Certifications?
Yes Q No
No
No
Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
Y Information can be obtained from the 401 !+'%,.Butter Permtttin Branch
Does project comply wit
, Vc1(6) (additional permits/certifications)? Yes Q No.
Per 15A NC"At fa? (Cal '.15" 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
scdimcntation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection tines that are deemed "high -priority?"
Per 15A NCAC 02'1,0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, er sewe
positioned parallel to strcambanks that is subject to erosion that undermines or deteriorates the sewer.
Yes !1, No
If yes, include an attachment with details :for each tine, 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

CERTIFICATIONS:
l . Does the submitted system comply with I S A
and ,Force Mains (latest version), and the Cr
Yes D No
h
IfNo, complete and submit the Varian ce°`Atternative Design Request application (VADC 10-14) and supporting documents for
review, Approval of the request is required tarior to submittal of the Fast TrackppIica1ton and,supportirgtr,documents.
Professal Engineer's Certiftcatio
Jerell' y S.Icard
(Professional Engineer's name from Application
s
this application for
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. 1 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 SI0,000, as well as civil penalties up to $25,000 per violation,
North Carolina Professional Engineer's seal, signature, and date:
Applicant's Ccnitic
SA NCAC 02T rt0t06(b)::
re Authority's
ort Applicatia
t this application for
has been reviewed by me and is accurate and complete to the best of my knowledge, t 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 civilpenalties,
injunctive relief, and:or criminal prosecution. 1 will make no claim against the Division of Water Resources should a condition
of this permit be violated. 1 also understand that if all required parts of this application package arc 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 -m in accordance with General Statutes 143-215,0Aand 1.43-2155fr 3, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class ? mtsdenteant}r, which may
include a fine not to exceed $10,000 as well as civil penalties up to S25,000 per violation.
Signature°
FORM: FTA 04-1 G
Page 5 of 5

January 31, 2018
ENGINEER'S REPORT
Providence Village,Townhomes
LDI Project No. 1016235
SEWER SYSTEM APPLICANT:
Pulte Home Company, LLC
11121 Carmel Commons Blvd.
Charlotte, NC 28226
DEVELOPER:
Pulte Home Company, LLC
11121 Carmel Commons Blvd.
Charlotte, NC 28226
DESCRIPTION:
The site consists of approximately 13.83 acres. The property is zoned MX-2
(INNOV) and will consist of 51 townhome units and approximately 1,282 LF of 6"
PVC and sewer main on -site that will make up the private system. Flows from the
project will be sent to the Rocky River Wastewater Treatment Plant (NPDES permit
number NC00036269).
SEWER SYSTEM IMPROVEMENTS:
The proposed demand for this site will be approximately 9,690 gallons per day. The
demand is based on 51 townhome units at 190 gallons per day/unit. New mains are
expected to have a minimum 50-year service life. The system will be constructed by
the Developer per Charlotte Water Standards and Specifications and services will be
billed by the City of Charlotte in accordance with their standard rate schedule.
11CHFILESIPROJECTSI-2016110162351DOCS'PERMWTTINGWCDWQ PRIVATE SEWER11016235-ENGINEERS REPORT SEWER.DOC LANDDESIGN, INC.

CHARLOTTE
W
December 13, 2017
Mr. Barrett Blackburn
LandDesign, Inc.
223 North Graham St
Charlotte, NC 28202
TER
SUBJECT: WATER AND SEWER FLOW ACCEPTANCE
PROVIDENCE VILLAGE
5793 ARDREY KELL ROAD, CHARLOTTE NC
CLTWATER TRACKING# 20171747
After analysis of the sanitary sewer associated with the proposed project, Providence Village, it was
determined that there is sufficient capacity to accommodate the proposed sewer flow of 9,690
gallons per day (51 townhome units x 190 gpd/unit) at the connection point(s) indicated on the
submitted utility plan for transmission to the McAlpine Creek Wastewater Treatment Plant; NPDES
permit number NC0924970, for treatment. This acceptance of flow is based upon the existing
capacity of the designated publicly owned treatments works. Please see attached NC DEQ FTSE
form.
Charlotte Water (CLTWater) 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
NCOEQ. However, CLTWater cannot guarantee a constant pressure or quality of flow.
The applicant should understand that 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 CLTWater and .sewer system is accepted on a first
come, first served basis.
The applicant should understand that this letter is not authorization to construct or extend private
water or sewer systems, as the appropriate local or State permits are required prior to construction,
If the appropriate authorization to construct permits are not obtained and construction has not
started within one (1) year of issuance of this flow acceptance, and payment for any service
connections have not been received within 1 ear of issuance of this flow acceptance letter this
flow acceptance approval shall be rescinded and a new flow acceptance request must be made. If
you have any questions, please do not hesitate to contact me at [phone].
Sincerely,
Barbara Gross
Engineering Assistant
e vvase
100 Brookshire Blvd, Charlotte, NC 28216 charlottewater.org
aced by the City of Charlotte

/ JI
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: LandDesign, Inc.
Project Name for which flow is being requested: Providence Village Townhomes
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: McAlpine Creek, Irwin Creek, Sugar Creek
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. TotaI actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are MGD
99.0
11.73
65.43
0.009
77.18
78.0�
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(S+C) (F)-(A-D)
Design Obligated,
Pump Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity, * (Firm / pf), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
Six Mile _ 18.1 7.24 4.21 0.21 4.42 2.81
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
***A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): six Mile Creek
Downstream Permit Number: 397-686
Page 1 of 2
FTSE 04- 1 6

III. Certification Statement:
I Carl Wilson 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.
UV�
Signing Official Si nature
(717,6i1
Page 2 of 2
FTSE 04-16

SOBjEoT
PURPOSE
FROM
James Curley
TO
1016235 PULTE PROVIDENCE
FARM
1016235
Providence. Village Townhomes
Fast Track Sanitary Sewer
Submittal
For your approval
Barry Love
610 E Center Ave #301
Room # 3323
Mooresville NC 28115
United States
Barry,
and Design
NCDENR-
Mooresville Regional
Office
a
2018
00013
Mail
ddesign.com 1 704-33
barry,love@a ncdenrgov
Please find the attached package as our fast track sewer submittal for
Providence Village Townhomes in Charlotte, NC. Providence Village private
sewer will serve an additional 51 townhome units with a daily average
discharge of 9,690 gallons per day of wastewater. With this submittal we
are hoping to obtain a construction permit for the subject private sanitary
sever system.
• Application fee of $480.00 made payable to NCDEQ
• Fast Track Application
• Flow Acceptance
• Site Maps
Let me know should you have any questions.
Thanks,
JIAIMES CURLEY
Designer l Charlotte (o) J041.333.0325
Charlotte Washington DO 1 Dallas l Orlando ; San Francisco i Boulder
V tT LandDesignlnc

Central Files: APS _ SWP _
2/12/2018
Permit Number WQ0039796 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
barryiove
Coastal SWRule
Permitted Flow
9,690
Facility
Version
1.00
Permit Classification
Individual
Permit Contact Affiliation
Facility Name
Providence Village Townhomes
Location Address
Owner
MajorlMinor Region
Minor Mooresville
County
Mecklenburg
Facility Contact Affiliation
Owner Name Owner Type
Pulte Horne Group Non-Govemment
Owner Affiliation
Cisco Garcia
Dates/Events
11121 Carmel Common Blvd Ste 450
Charlotte NC 28226
Orig Issue
2/12/2018
App Received Draft Initiated
2f7/2018
Scheduled
Issuance Public Notice Issue Effective
2/12/2018 2/12/2018
Regulated Activities Requested /Received Events
Condominium
Wastewater collection
Outfall
Additional information requested
Additional information received
Expiration
Waterbody Name Streamindex Number Current Class Subbasin

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE:
PERMIT #:
PROJECT:
ISSUE DATE:
Pulte Home Group
WQ0039796
Providence Village Townhomes
February 12, 2018
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit untilthe 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
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 ail partial certifications up
until a final certification is received. A Fin& Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PER Ili tLE'S CERT'tFiCATION
1, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portion thereof.
4! 1 s,
Printed Name, 'Tits
Signature
�r //4.t__
Date
ENGINE'fR'S CERTIFICATION
I, deressy r a a duly registered Professional En veer in the State of North Carolina,
having beenrauthorized to observe ( periodically, 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 di Bence was used in the observation of the construction such that the
construction was observed to be built within substantial compliance of this permit; 15A NCAC 02T; the
Division of Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12,
1996, as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000, as applicable; and other supporting materials,
North Carolina Professional Engineer's Seal w/signature & date:
Final
description)
Certification Comments/Qualifiers (attach if necessary):
State of North Carolina ! Envtr,nonentaf Quality t WigeT ReScuree5 t Water Qual,ioy Regional Operations
Meraressvltc Regwnal °ffieei 6ICI East Censer As>enttc, Suite 3 t 1.Mooress'ilk,. Korth Carolina y ll 5

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE:
PERMIT 1 :
PROJECT:
ISSUE DATE:
Pulte Horne Group
WQ0©39796
Providence Village Townhomes
February 12, 2018
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
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 ail 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.
i`10.h ilitty5" + 1►r
Printed Name, Title
ENGINEER'S CERTIFICATION
as a dul registered Professional En Ineer in the State of North Carolina,
having been authorized to observe jfaeriodically, 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 February 12,
1996, as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000, as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
F
Partial (include description
Certification Comments/Qualifiers (attach if necessary):
State of Nr,nh C artaiina Environmental Quality. : Watert Resources i Water ()with, Regional 0{7eralions
Mooresville Regional (Office 610 EAs,E Center Avenue,: Suite 3Ji Mooresvi0c, a`3os;'a C,aarriiraa 9& ! 5

1016235 PULTE PROVIDENCE
FARM
1016235
Providence Village - Final
Certification
For your use
Jonathan Flehan
Barry Love
610 E Center Ave #301
Room # 3323
Mooresville NC 28115
United States
NCDENR -
Mooresville Regional
Office
3/11/2020
00026
Courier
landdesign.com
balove [e-mail]