WQ0039986_Regional Office Historical File Pre 2018

Water Resources
Enviromnental Quality
FILE
ROY COOPER
Governor
MICHAEL S. REGAN
Secretaiy
LINDA CULPEPPER
Interim Director
May 14, 2018
Mr. Scott Carr, Project Manager
Camp -Landowner GP, LLC
1776 Statesville Ave.
Charlotte, NC 28206
Subject: Permit No. WQ0039986
Camp Landowner GP, LLC
Camp North End, Graham Street Building
Wastewater Collection System Extension Permit
Mecklenburg County
Dear Mr. Carr:
In accordance with your application received May 9, 2018, we are forwarding herewith Permit No.
WQ0039986-dated-May 14-,-2O±8,—to-camp-Landowner-GPLLC—(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effective from the date of issuance until rescinded, and shall be subject to the conditions and limitations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.
othing Compares
State of North Carolina j Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Office 16 k0 East Center Avenue, Suite 301 I Mooresville, North Carolina 28115
704-663-1699

If you need additional information concerning this matter, please contact Barry Love at [phone]
or via e-mail at [e-mail].
Sincerely,
DocuSigned by:
1u
A14CC681 AF27425...
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
cc: Nathan Doolittle, P.E. (e-copy)
Barbara Gross (e-copy)
Tommy Rowland (e-copy)
Regional Office Files ...
Water Resources Central Files
PERCS (e-copy)
2

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
Camp Landowner GP, LLC
Mecklenburg County
for the construction and operation of approximately 84 linear feet of 6-inch gravity sewer and 429 linear
feet of 8-inch gravity sewer as part of the Camp North End, Graham Street Building project, and the
discharge of 19,000 gallons per day of collected commercial wastewater into the Charlotte Water existing
sewerage system, pursuant to the application received May 9, 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
Mooted 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
conditions and limitations contained therein.
DocuSigned by:
AI4CC289IlF974'S
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
Permit Number: WQ0039986
Permit Issued: May 14, 2018
3

SUPPLEMENT TO PERMIT COVER SHEET
Camp Landowner GP, 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 Sugar Creek
Wastewater Treatment Plant in accordance with Permit Number NC0024937.
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 contingent upon compliance with the Standard Conditions and any Special
Conditions identified below,
SPECIAL CONDITIONS
No flow in excess of the quantity permitted herein, 19,000 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 Camp Landowner GP, LLC and
Charlotte Water for the collection and final treatment of wastewater is in full force and effect. [15A
NCAC 02T.0304(h)]
II. STANDARD CONDITIONS
1. 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
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)]
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
4

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 (Le. 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.
5

Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a 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
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 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 p 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 01 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 shah 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:
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.
6

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 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 greaterthan 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 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)]
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 Local government agencies. [G.S. 143-
215.1(b)j

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: Camp Landowner GP, LLC
PERMIT #: WQ0039986
PROJECT: Camp North End, Graham Street Building
ISSUE DATE: May 14, 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
1, , as a dul registered Professional En Ineer in the State of North Carolina,
having been authorized 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 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
Mooresville Regional Office' 610 East Center Avenue, Suite 3011 Mooresville, North Carolina 28115

PRCUECIS
SUBJECT
1016320 CAMP NORTH END
1016320
Fast Track Sewer System
Extension Application- Private
Sewer Permit
PuRPosE. For your review and comment
FROM
onathan Bradley
TO
NCDENR - Mooresville
Regional Office Water
Quality Section
610 East Center Avenue
Mooresville NC 28115
United States
.D r
DATE
JBradley
Please see the attached documents for your use.
ENT S
BATED
5/8/2618 check to NCDEQ
2 -- cover Getter
Fast Track Form FTA 04-16
2
2 -- Flow Acceptance Form
2
Trans tal
5/8/2018
00031
Courier
gn,co
Aerial Street Level Map Showing General Project Area
2 - 8.5-inch x 11-inch color copy of USGS Topo Map
Limited Liability Company Annual Report (2018) as
2 proof of applicants Registration for Business with North
Carolina Secretary of State

May 3, 2018
NC DEQ Division of Water Quality
Mooresville Regional Office
610 East Center Avenue, Suite 301
Mooresville, North Carolina 28115
RE: Camp North Endi Building 1— "Gama Goat"
PN: 1016320
To Whom It May Concern:
Enclosed is a Fast -Track Application for Gravity Sewer to serve the project entitled
Camp North End- Garna Goat. The site consists of Tax Parcel ID 07903103, located in
Charlotte (Mecklenburg County). The project is mixed use. The average daily flow for
these facilities is 19,000 gallons per day. Enclosed are one (1) application form, one (1)
permit fee check, one (1) flow acceptance letter, and two (2) site maps.
Please call if you have any questions or need further information.
Thank you,
Nate Doolittle
LandDesign, Charlotte
(704). 333-0325

NC DEQ Division o ater Quality
Mooresville Regional t ff c,
610 East Center Avenue, Suite 301
ooresville, North Carolina 2811
Camp North EndGh Building 1 — ° Sa Goat"
1016320
May Concern,
os d is a:Fast-Track Application for Gray ty Sewer to serve the project entitled
Camp North End- Gama Coat. The site consists of Tax Marcel ID t17 d3103, located in
Charlotte (Mecklenburg County). The project is mixed use. The average daily flow" for
these faellities is 19,000 gallons per day. Enclosed are crn (1) application fora, one (1)
permit fee check, one (1) flow acceptance letter, and t cr ( )situ maps.
"lease call
Thank you,
Nate D olittie
andpesign,'Charlo e
(70) 333-35
ou have any questions or need

n of Water Resources
A
State of North Carolina
Depa -t re at of Environmental Quality
Division of Water Resources
15A NCAC 1I2T .0304 — FAST TRACK SF%' "ER SI'"STEM EXTENSION APPLICATION
ETA 04-16 & SUPPORTING DOCUMEN1 ATION
APPLICANT INFORMATION:
l . Applicant's name: CAmp .Lando n
Applicant type: ©J Individual
0 Federal
0 StatesCou
eted or th a lie titrtt wi11 6e rettrrmed
pang. mu Tali' . HOA, utility, etc,1
al Partnership El Pra
icipal
ot
Signature authority's name: Scott Carr per ^ ^,q
Title: Project :Manner
4. Applicant's mailing address: ;: (i State"vij1 Ave
City: Charlotte State: ; ,Zile:
5, Applicant's contact information:
Phone number; (704) r 2-7159 Email Address. seott c tmp.of
II, PROJECT INFORMATION:
1. Project name: Can p (north ,ndx Graha.m Strc f. wilding
Application/Project status: Proposed (New Permit) © Existing Pen rit Project
If a modification, provide the existing permit number: WQO(l and issued date:
If new construction but part of a master plan., provide the existing nnit number: WQ(i(t
3, County where project is located: Mecklenburg
4. Approximate Coordinates (Decimal .Degrees}: Latitude: 5, 4543,8 LtrnPitudc. S )92
5. Parcel ID (if applicable): 79
(or Parcel ID to closest downstream scweri
CONSULTANT INFORMATION:
I . Professional Engineer: Nathan Doolittle License Number. NC.a. j I tie I
Firm: Landt}sign. Inc,
Mailing address: 223 .N Graham. St
City: Charlotte State: NC Zip:
Phone number: (7'04)i1-0325 Entail Address: N[ oolid
I1'. WASTEWATER TREATMENT FA MTV (WW'TF) INFORMAT1O'w
1. Facility Name: McAlpine Creek. Irwin Creek. Suggcrc k
Owner Name: Charlotte Watet
P'ennut N umber. ((l247
RECEIVING DOWWNSTREA%I SEWER INFORMATION ('if different than WWTF");
1, Permit Number(s): WQ Downstream (Receiving) Sewer Size:
rzrit,N : sLuj `'QCS
Owner Name(s):
-d Public Utility
'AL x td FrCl
FORM; I T,A 04-16
Page 1 of 5

VI.
GENERAL REQIIIREIVIENTS
If the Applicant is a Privately -Owned Public Utility, has a Ct
El Yes
if flit; Apant is a Developer ofMlots to ite sold, has a C)
If the Applicant is a
Origin of ywetew°ater° (check all that apply).
© Residential Owned E Rctatl )strares centers, nta
0 Residential Leased ® Retail with food preparati
0 School/preschool/day care Q Medical 'den
® Food and drink facilities Church
Businesses offices ° factories Q Nursing 'Home
ha'1i:
Yes LI o \ A.
ublic
'A
Lx
Nato ee of wastewater
Summarize w
Restaurant
action loan approved tender
oiw of flow reduction a, tiro
sated by project:
See L .Cio j C(),1,.L4 h.t..„1:th- di
dwelling, proposed unknown noon -residential dev
and residential property located south or east o
ins).
1100 % Commerc
e a Pretreatment Program in effect'.
UAL? © Yes
pinent u
T des:
public access facilit
acoastal Waterway to
nce and 'Necessity been attached?
i been attached?
O Car "ash
Ej Hotel and;`or Motels
© Swimming Pool /Clubhouse
Swimming Pool'"Filter Backwash
0 Other (Explain in Attachment)
No. of Units
ow ,sates (i.€
oc.cated near
used as vacs
4,000 GPD
GPD
9,000 GPI)
n
defined
b Per 15A NCAC ti?'l' ,01 14(c), design flow rates for establishments not identified fin table C'A i ,f�) L41 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data
Wastewater generated by project: 19:000 GPD (per 'r4 ` )
Do not include future flows or previously perrnt eed allocations
If permitted flow is zero, indicate why:
Pump S•tation or Gravity Sewer whe
ow will be pe
Ej Flow has already been allocated m Permit l��umt
Q Rehabilitation or replacement of existing save>er
Other (Explain):
in subsequent ernms that connect to this line
ow expected
FORM: FTA 04-1 di

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
6
84
DIP
8
429
DIP
> 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 (Pump Stations/Force Mains):
COMPLETE FOR 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. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
6. Power reliability in accordance with I5A NCAC 02T .0305(h)( 1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B):
• Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
> Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
> If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPAR.ATIUNS (02B .0200 & 15A \CAC 02T .0305(
1, Does the project comply with all separations found in 1 '
15A NCAC 0210 0S a'l contains minimum. se )arations that shall be rot°idcd for sewer s',stems:
Setback Parameter*
ilted below vertical)
Water
mains \"ert4
ins ' horizontal)
Reclaimed sv°ale
Rec
d w°ate
es fit.
.a
recla.i
in es "horizontal - rcclai
idtn.r in ber he d trenches)
d over newer)
over sewer)
private or public rs atcr supply source, ittclu ling any wells. WS-I waters of Class I or
Class lI int ounded reservoirs used as a source ofµdrinking water
**Waters classified
tidt: elctatiottlLpt att wetlandslor f 'see item S�R?OR
Rth'`, }1taN`, or SE1 from normal
**Any other stream, lake, impoundnt
ditches
baser
Ta slo e of cmhankment or cuts o
Drama lc" s stems and interc' tor drains
An swimminz lools
Final earth rade vertical]
If noncom It
d water lowering and surta
cunt ns atternatives where separations
can be ida„rttified using the Divisiton's `
.il (?5tfl yaw, see Section X of this apt
chieved.
? Lis 'webpai g
the 'project comply witli separation requirements for wetlands? (50 feet of separation( El Yes tit
See the Division's drab separation requirements for situations where separation cannot be nicer
No variance is required if the alternative design criteria specified is utilized in design and construction
As hunt documents should reference the location of areas effected
Does the project comply with setbacks found. in the river tit
This would include Trout Buffered Streams per .15.,r\
, Doc, the project require coverage/authorization under a 404 Nation a ride or
individual pemits or 401 Water Quality Certifications?'
lttformation can he obtained from the 0l,Xt f3ttl`. tltttins lrttnc,l
Does project corrtply with .15A ?`;',CAC 0
Per ,LA. " U
been applied for, or 'l
(additional permit
n
1''es
'' Yes '4o
ion applications are being prepared, leave
n obtained, Issuance of this permit is contingent on isstrance of dependent permits (erosion and
sedimentation control plans, stortnssatcr management plans, etc.(,
SI iEC (6Li, directly related environmental permits or cern
Does this project include any sewer collection lines that ;are de
priority`br"
Per L I NC„,fit, Q .,°`1A:140 , "high -priority sewer" means "any aerial Sewer, sever contacting surface Waters, siphon. or sewer
positioned parailel to streambanks that is subject to erosion that undermines or deteriorates tltc se vnr
Yes
N `A
1f yes„ include an attachment with details li r each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representaflve at least once every sl-months a inspections
documented per iSA, NCAC 02T.0403(a)(5) or the permitee's ind►viduat System -Wide Collection permit.
FORM: FTA 04-16
Page 4 of 5

X. CERTI'FIC.iTIONS;
1. Does the submitted 'system comp
11 No., complete and submit the 4'arit
res iews sal of th request is
Professional Engineers Certific
W1Iw.
1 ingincer"s
the
appIica
Z Yes Ott
Alicrnativc Design Request application (NAM' 10-14) and supporting. documents for
[tired ri it t+o rn° al f t Fast Track A lication and so wain dircumenis.
attest that this appli
has. me and is accurate, complete and consistent with the int artttation 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 processionals 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 he consistent with the proposed design.
NO1 E — In accordance with General Statutes 1443-2.15,6A and 143-21 .fai3, any person who knowingly rtaakes and false
sUrtetnerat. representation, or certification in any application package shall be guilty of a Class 2 misdemeanor„ which may
include a 'fine not to exceed $14,000, as well as cavil penalties sup to $25,00 per violation.
North Carolina Professional Engineer's seal., signatory, and date:
Applicant's Certifrc'ation per 15A NCAC 02T ,0
SCOTT CARR
(Signature Authority's name & title [torn Applicatio
has been reviewed by me and is accurate and complete to the best of rny= knowled e;. I tondcrstantl mat it`a11 required parts ttf
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, 1 understand that any discharge of wastewater from this non -
discharge system to surface waters. or the land will result in an immediate enforcement action that may include civil penalties,
nctive relief, andlor criminal prosecution, l will make no claim against the Division of Water Resources should a condition
of this permit be violated. I also understand that if all required parts of this application package are not contpleeted and that if
all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
NOTE In accordance with General Statutes ,.113,,:21 and 43- ,fi , any perstan is°ho kn
statement, representation, or c;ertiincatian in any application package shall be guilty of a C"la s
include a 'fi:nc not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
that this appiic
n for
giy [noires any tatse
isdemeanor, which may
FORM: FTA 04-16
Page:5 of 5

LIMITED LIABILITY COMPANY ANNUAL REPORT
m/2m7
NAME OF LIMITED LIABILITY COMPANY: Camp Landowner GP, LLC
Fictitious Name, if any, used in North Carolina:
SECRETARY OF STATE ID NUMBER: 1536472
STATE OF FORMATION: DE
REPORT FOR THE CALENDAR YEAR: 2018.
SECTION A: REGISTERED AGENTS INFORMATION
1. NAME OF REGISTERED AGENT: CT Corporation System
Filing Office Use Only
Changes
2. SIGNATURE OF THE NEW REGISTERED AGENT:
3. REGISTERED OFFICE STREET ADDRESS & COUNTY
160 Mine Lake Ct Ste 200
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
4. REGISTERED OFFICE MAILING ADDRESS
160 Mine Lake Ct Ste 200
Raleigh, NC 27615 Wake Raleigh, NC 27615 Wake
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS:
2. PRINCIPAL OFFICE PHONE NUMBER: [phone]
3. PRINCIPAL OFFICE EMAIL:
4. PRINCIPAL OFFICE STREET ADDRESS & COUNTY 5. PRINCIPAL OFFICE MAILING ADDRESS
97-77 Queens Boulevard Suite 1103
97-77 Queens Boulevard Suite 1103
Rego Park, NY 11374 queens Rego Park, NY 11374 queens
6. Select one of the following if applicable. (Optional see instructions)
The company is a veteran -owned small business
jam
l I The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME: NAME:
NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form.
Print or Type Name of Company Official Print or Type Title of Company Official
SUBMIT THIS ANNUAL REPORT WITH THE REQUIRED FILING FEE OF $200
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525

CHARLOTTE
VVTE R
January 22, 2018
Mr.Jonathan Bradley
LandDesign, Inc.
223 North Graham St.
Charlotte, NC 28202
SUBJECT: WATER AND SANITARY SEWER FLOW ACCEPTANCE
CAMP NORTH END, GRAHAM STREET BUILDING
1701 NORTH GRAHAM ST, CHARLOTTE NC
CLTWATER TRACKING# 20171337
After an analysis of the sanitary sewer system associated with the proposed design of project
20171337, Camp North End, Graham Street Building., it was determined that there is sufficient
capacity to accommodate the proposed sewer flow of 19,000 gallons per. day (100 seats x 40
gal/seat;25,000sq x 100 gal/1,000sgft; 500 emp/shift x 25 gal/emp) at the connection point(s)
indicated on the submitted utility plan for transmission to the Sugar Creek Wastewater Treatment
Plant; NPDES permit number NC0024937, for treatment. This acceptance of flow is based on the
existing capacity of the designated publicly owned treatments works. Please see attached NC DEQ
flow tracking form. It is also important to note that any change in connection point to the sanitary
sewer for this project must be reviewed by Charlotte water due to the proximity of an Over Capacity
Local Sewer.
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 NC DENR. However,
CLTWater cannot guarantee a constant pressure or quality of flow.
CLTWater does not expect any of the above conditions to preclude water or sewer service to the
subject site. However, 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 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 connection(ss
have not been received within (1) year of issuance of this flow acceptance, this flow acceptance
approval shall be rescinded and a new flow acceptance request must be made. If you have any
questions, please do not hesitate to contact me at [phone].
Sincerely,
geve d64 t wet.
Gwendolyn Banner
Engineering Assistant
Charlotte Water 5100 Brookshire Blvd, Charlotte, NC 28216 charlottewater.org
(CI" Operated by the City of Charlotte

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: Land Design, Inc.
Project Name for which flow is being requested: Camp North End, Graham Street Building
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. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
99.0
12.566
65.432
0.019
78.017
78.a%
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity, * (Firm / p fl, Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the Iargest 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): Unknown
Downstream Permit Number: Unknown
Page 1 of 2
FTSE 04-16

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 oft is form indicates acceptance of this wastewater flow.
Signing 0
6/0110
nature ate
Page 2 of 2
FTSE Q4-16

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Camp North End- Graham Street Building Aerial

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North Carolina Secretary of State Search Results Page 1
IV
• Fife an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online •
Add Entity to My Email Notification List • View Filings • Print an Amended a Annual Report form • Print a
Pre -Populated Annual Report form
Limited Liability Company
Legal. Name
Camp Landowner GP, LLC
Prev Legal Name
NewCAMP Landowner GP, LLC
Information
Sosld: 1536472
Status: Current -Active
Annual. Report Status: Current
Citizenship: Foreign
Date Formed: 8/11/2016
Fiscal Month: January
State of Incorporation:
DE
Registered Agent: CT Corporation System
Addresses
Reg Office Reg Mailing Mailing
160 Mine Lake Ct Ste 200 160 Mine Lake Ct Ste 200 97-77 Queens Boulevard Suite 1103
Raleigh, NC 27615 Raleigh, NC 27615 Rego Park, NY 11374
Principal Office
97-77 Queens Boulevard Suite 1103
Rego Park, NY 11374
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
https://www.sosnc.gov/online_seryicesfsearch/Business_Registration_Results 5/9/2018