WQ0040044_Regional Office Historical File Pre 2018

FILE COPY
ROY COOPER
Governor
MICHAEL S. REGAN
5ecreaawy
Water Resources LINDA CULPEPPER
Environmental Quality
June 8, 2018
Mr. Wyatt Dixon, Manager
1100 Matthews -Mint Hill, LLC
1355 Greenwood Cliff, Suite 150
Charlotte, NC 28204
Interim Director
Subject: Permit No. WQ0040044
1100 Matthews -Mint Hill, LLC
1100 Matthews -Mint Hill
Wastewater Collection System Extension Permit
Mecklenburg County
Dear Mr. Dixon:
In accordance with your application received June 5, 2018, we are forwarding herewith Permit No.
WQ0040044 dated June 8, 2018, to 1100 Matthews -Mint Hill, LLC (Permittee) for the construction and
operation upon certification of the subject wastewater collection system extension. This permit shall be
effective from the date of issuance until rescinded, and shall be subject to the conditions and limitations
as specified therein. This cover letter shall be considered, a part of this permit and is therefore
incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition 11.1: This permit shall not be automatically transferable; a request must be made and
approved.
Condition 11.4:
Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T .0403 or any individual system -wide collection system
permit issued to the Permittee.
It shall be the responsibility of the Permittee to ensure that the as -constructed project meets the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North
Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to
the licensing board.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 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.
--"Nothing Compares:
State of North Carolina I Environmental Quality 1 Water Resources I 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 rraal
or via e-mail at [e-mail].
Sincerely,
�L-D.cuSfgned by:
.v, 1 SMJ(r 1.Z
145B49E22SC94EA...
For by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
Jeffery C. Orsborn, P,E. (e-copy)
Charlotte Water (e-copy)
Tommy Rowland (e-copy)
Regional Office Files
Water Resources Central Files
PERCS (e-copy)
e r„ p
e
ac
Love at (704) 2
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
1100 Matthews -Mint Hill, LLC
Mecklenburg County
for the construction and operation of approximately 999 linear feet of 8-inch gravity sewer as part of the
1100 Matthews -Mint Hill project, and the discharge of 50,822 gallons per day of collected domestic
wastewater into the Charlotte Water existing sewerage system, pursuant to the application received June
5, 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
conditions and limitations contained therein.
UOCU5I ned by:
T SMetu-
145B49E225C94EA..
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
Permit Number: WQ0040044
Permit Issued: June 8, 2018
3

SUPPLEMENT TO PERMIT COVER SHEET
1100 Matthews -Mint Hill, LLC is hereby authorized to:
Construct, and then operate upon certification the afore me ntio ned wastewater collection extension, The
sewage and wastewater collected bythis system shall be treated in the Charlotte Water McAlpine Creek
Wastewater Treatment Plant in accordance with Permit Number NCOO24970,
Permitting ofthis project does not constitute an acceptance of any part of the project that does not meet
ISA N[A[2l� 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 1,20UQ asapplicable, unless specihca�lymentioned 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 responsibilityto ensure that the as -constructed project meets
the appropriate design criteria and rules,
Construction and operation iscontingent upon compliance with the Standard Conditions and any Special
Conditions identified below,
1. SPECIAL CONDITIONS
I. Noflow imexcess ofthe quantity permitted herein, 5O,8Zlgallons per day, shall bemade tributary to
the subject sewer system until an application for permit modification for an increase in flow has been
submitted teand approved bythe Division, [l54N[4[0ZT.[804(b)|
l This permit shall become voidable unless the agreement between 1180 Matthews -Mint Hill, LLC and
Charlotte Water for the collection and final treatment of wastewater is in full force and effect. (I5A
wCACVZT.O3Q4(h)]
Ill. STANDARD CONDITIONS
1. This permit is not transferable, in the event there is a desire for the wastewater collection facilities
to change ownership, urthere is a name change of the Pprmittee' 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 ormay not 6eapproved. [ISAN[ACO2T.OlO4 G.SI43-2l5I(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 l2'l995,axapplicable; the Division's Minimum Design Criteria for
4

the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as applicable; and
other supporting materials unless specifically mentioned herein. [15A NCAC 02T.0110]
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. Nigh -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 28 .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.
5

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 shall be maintained for the life of the system.
5, 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 I of Form CS-SSO (or the most current Division approved form) within five days following first
knowledge of the occurrence. This report must outline the actions taken or proposed to be taken to
ensure that the problem does not recur. Part II of Form CS-SSO (or the most current Division approved
form) can also be completed to show that the SSO was beyond control. [G,S. 143-215.1C(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not o
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification form attached to this permit shall be submitted with the required supporting
documents to the address provided on the form. A complete certification is one where the form is
fully executed and the supporting documents are provided as applicable. Any wastewater flow made
tributary to the wastewater collection system extension prior to completion of this Engineer's
Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the Articles
of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been appropriately
filed with the applicable County's Register of Deeds office shall be submitted with the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines & force
mains) of the wastewater collection system extension, Final record drawings should be clear on
the plans or on digital media (CD or DVD disk) and are defined as the design drawings that are
6

marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. if a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting in
non-compliance with this permit (including pipe length increases of 10% or greater, increased flow,
pump station design capacity design increases of 5% or greater, and increases in the number/type of
connections), regulations, or the Minimum Design Criteria. Requested modifications or variances to
the Minimum Design Criteria will be reviewed on a case -by -case basis and each on its own merit.
Please note that variances to the Minimum Design Criteria should be requested and approved during
the permitting process prior to construction. After -construction requests are discouraged by the
Division and may not be approved, thus requiring replacement or repair prior to certification &
activation. [15A NCAC 02T .0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the Division's
Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified until
corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case -by -case basis. Resolution of such request shall be evident prior to completing and submitting
the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of
the•wastewater collection facilities. [15A NCAC 02T .0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the Division's
Gravity Sewer Design Criteria adopted 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
7

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)]
8

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE:
PERMIT #:
PROJECT:
ISSUE DATE:
1100 Matthews -Mint Hill, LLC
WQ0040044
1100 Matthews -Mint Hill
June 8, 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
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 portions thereof.
Printed Name, Title
Signature Date
ENGINEER'S CERTIFICATION
1, , as a dul registered Professional Engineer in the State of North Carolina,
having been authorized to observe (periodically, D 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 n Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations
Mootesvtlle Regional Office! 610 East Center Avenue, Suite 301 I Mooresville, North Carolina 28115
704 663 1699

ORSbORN ENGINEERING GROUP
610 EAST MOREHEAD STREET, SUITE 106
CHARLOTTE, NORTH CAROLINA 28202
PHONE [phone]
FAx [phone]
To: Fast Track Permitting
NCDENR
610 E. Center Ave.
Mooresville, NC 28115
[phone]
ty. Date
® For Approval
0 For Your Use
As Requested
Copied To:
aription
fl Returned for Corrections
u Returned After Review
Resubmit for Approval
Applications
Fee $480
Flow Acceptance/Flow Tracking
USGS Quad Map
Cover Letter
TRANSMITTAL
Project: 16034
1100 Matthews•Mint Hill Road
Date: 06/04/2018
Sent Via: FedEx
For Review and Comment
Approved as Submitted
n Approved as Noted
Signed:
Mackenzie McCool, E

ORSBsORM ENG4NIEER NG GROUP
1100 Matthews -Mint Hill
Matthews, North Carolina
Project Narrative
May 17; 2018
The overall development includes a new development lot containing 7 multi -family buildings
with 359 total apartment (for -rent) units, separated by 2 new private streets. The public sewer
system, maintained by Charlotte Water, will be extended across the new private streets.
All buildings will share a private 8" collection system that connects to the new public sewer
extension.

on of Vter Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources.
0300 — EAST TRACK SEWER SYSTEM EXTENSION APPLICATION
ETA 04-16 & SUPPORTING DOCUMENTATION
Application Nunaber:M 01:46L'�'„ io
All items must he +r0
APPLICANT INFORMATION:
Applicant's name: 1
0
the application rFill be returned
lint Hill LA (company, munic
Applicant tYpe: individual ® Corporation
El Federal
Signature authorat;'s name; Wyatt Cyixott per 1 SA NCA,C 0)T
Title: Manager
4. Applicant's maiLin a¢{dress: :1355 Grceuwoc>d Cliff, Suite 150
City: Charlotte
Applicant's contact in fa rtnmien:
Phone number. [phone] Entail Address: vvatttfa ofhttdixon.com
icy, HOA, tail
0 (General Partnership
dC
El State/County
Zip: 28204-
Ej Private" y-O ned Public Utility
Other
11. PROJECT INFORMATION:
1 Project name: 1100 Matthews -Mint Hill
2. ApplicationPProject status: ® ProposedPermrt,'Prtaj
If a modification, provide the existing permit nuttrt r: \1 Q00 and issued date:
If new construction but part of a master plan, provide the existing pernut number: WQ00
3. County. Where project is located: Mecklenburg
4.. Approximate Coordinates (Decimal Degrees): Latitude: 5 1_1 Longitude: -, ,794
5. Parcel 1.D of applicable): 215081 1.2
(or Parcel I'D to closest downstream setiwer)
III. ('()NSULTAN"I` INFORMATION:
1, Professional Engineer: Jeffery C'. Orshorn License Number: 028786
l°'arrtr: Orsbo>rn Engineering Group, PA
Mailing address: 61() F Morehead St,. Suite 106
City: Charlotte State: NC Zip: 28202-2614
Phone number: [phone] Email Address jprsbornAorsborn-enG cam
IV. WASTEWA"1'ERTREATMENT FACILITY (W'A4rTl:) INFORMATION:
I. Facility Name: McAlpine Creek W'VVtTP Permit Number: yC00241)70
Owner Nance: CLTWaater(CMUD)
RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WW'1"F):
1, Permit Nurnher(s): W'QUnko n .Downstream (Rcceiv'inp) Sevver St e;
System Wide Collection System Permit Numbers) (if applicable): WQCS
Owner Name(s): CL.`1"Wrater(Cn1! D)
8 inch
FORM: F'.FA 04-16
Page 1 t>f 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 ®NIA
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV), been attached?
❑ Yes ENo ®NIA
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned
® Residential Leased
❑ School / preschool / day care
El 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 % Commercial
Industrial (See 15A NCAC 02T .0103(20))
�ls there a Pretreatment Program in effect?
6. Has a flow reduction been approved under 15A NCAC 02T .0! I4(f)? ❑ Yes
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool /Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
❑ Yes ❑ No
® No
Establishment Type (see 02T.0114(f))
Daily Design Flow a,b
No. of Units
Flow
Apartments
135 galunit
359
48,465 GPD
Amenity Center
50 ga11100 ft
2,315
1,157 GPD
Pool
10 gal/person
120
1,200 GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
50,822 GPD
a See I5A NCAC 02T .0114(b), (d), (e)(1) and (e)(2) 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 02T.0114j shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 50,822 GPD (per I SA NCAC 02T .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:
El Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16
Page 2 of 5

VIE GRAVITY SEWER DESIGN CRITERIA (11 Applicable) - 02 U.0305 & „MD(((,ravity Sewers):
1. Summarize gravity sewer to be permitted'
Site (inches)
Length (feet) Material
999 PVC
fr Section 11 & ill of the MDC .for Permitting of Gravity Sewers contains information related to design criteria
fr Section Ill contains information related to minimum slopes for gravity sewerts)
Oversizing lines to meet minim -um slope requirement is not allowed and a violation of the VIDC
VIII. PIIMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
Pump station number or name:
Approximate Coordinates (Decimal Degrees): Latitude: 1,,ongitude:
1.
3, Design floss of the pump station: millions gallons per day (firm capacit))
4. Operational poinns) of the pumpts): gallons per minute al„ feet total dynamic head (TIDH)
Summarize the force main to he permitted ( for this Pump Station:1:
Length (feet)
6. Power reliability in accordance with 15A NCAC 02T .0305 1
Sta.ndby power source or pump with automatic activation and telemetry - 15A NCAC 021 .030500(1)(B):
fr Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
fr Must be permanent to facility
Or ifthe pump station has an average daily flow less than 15,000 gallons per day:
El Portable power source with manual activation, quick -connection receptacle and telemetry - I 5A NCAC 02T
.0305(11)(1)(C)
or
[1] Portable pumping unit with plugged emergency pump connection and telemetry - ISA NC.AC 02T .030501)11K):
fr It shall be demonstrated to the Division that the portable source is owned or contracted by th.e applicant (draft agreement)
and is compatible with the station,
fr 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: 1TA 04.16 Page 3 of 5

IX. SETBACKS & SEPARATIONS —(02B .0.200 &. 15A 1NCAC 02T .0305(f)):
I. Does theproject comply with all separations found in 15A \C \( 02! .03OS(I) .L()
5A NCAC 02'T (1305( f) contains minimum separations that shall be provided for see " r-tt s:
Setback Parameter
StormStoiin sesers and other utilities not listed below (vertical)
mains (Ye over sewer including; in benched trcnches
mains (horizontal)
.1ater
claimed water lines
ical - reclaimed over sewer1
dimed atcr hneswater (horizontal - reclaimed over sevver)
Z Yes LINo
Separation Required
24 inches
18 inches
cei
18 inches
fee
A ty private or public ‘vater supply source, including any wells, WS-1 waters of Class] or
Class 1.1 impounded reservoirs used as a source of drinking water
"Waters classified WS (except \\ or WS-V), F3+ SA, ORW, IIQW, or SB from normal
high(or e elevation) and wetlands (see item IX,2)
100 f
e
.streani, lake, impoundment, or ground Water lowering and surface drainage
Any huiIdini foundatk
Any basement
p slope of embankment or cuts of 2 feet or more vcrt
DrainageDracsstcand interceptor drains
Any swimming pools.
'Mal earth grade (vertical
al height
feet
5 .feet
10 teet
5 tcet
1) 'feet
36 inches
15A NCAC 021 +0305(g) contains alternatives where separations in 02T.0305(f) cannotbe achieved.
"Stream classifications can be identified using the Division's NC' Surface Water Classifications webpage
If noncompliance with 0.2T,0305(1) or (g), see Section -X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet o f separation)
% See the Division's draft separation requirements fOr situations where separation cannot he meet
No variance is required if the alternative design criteria. specified is utilized in design and construction
% As built documents should reference the location of areas effected
Z Yes
3.Does the project comply with all setback.sfound in the river basin rules per I5A. NCAC 02B .0200? Yes El No
% This would include 'Trout Buffered Streams per 15A NCAC 211.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? Z YesLJ No
% Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
information can be obtained from the 401 & Butler Permitting Branch
5+ Does project comply with 15A NCC 021.01051e:1(() (additional permitslcertifications)? E Yesfl
Per 15A NCA.0 021'+0105(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of depend.ent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 021+0401 "high -priority sewer" means "any aerial sewer, sewer contacting surface aters, siphon, or sewer
positioned parallel to strea.mba.nks that is subject to erosion that undermines or deteriorates the sewer.
Ej Yes No
% If yes, include an attachment ith details for each line, including, type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every sk-months and
inspections documented per 15A INCAC 02E0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

CERTIFICATIONS:
1, Does the submitted system comply with 15.A NCAC 02T, the Minimum Design. Criteria for the Permitting of Pump Stations
and Force Ntain.s (latest versiotrh and the Gravity Sewer.Minimu.m Design Criteria (latest version) as applicable?
Yes El No
If No, complete and submit the Variance/Altornative Design Request application (VADC 10-14) and supporting documents
for review. Approval of the request is required prior to submittal of the Fast Track Application and supporting
documents.
2. Professional Engineer's. Certification:
Jeffery C. Orsborn, PE
(Professional Engineer's name from Application Item BILL)
attest that 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. I further attest that to the best
of my knowledge the proposed design has 'beenprepared 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 Purnp 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 I have reviewed this
material and have judged it to be consistent with the proposed design.
NOTE .111 accordance with General Statutes 1.43-215,6A. and 143-215,6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may.
include a fine not to exceed $10,000, as well as civil penalties up to $25,000per violation,
\\\ • .1`e (1/0
...*
North Carolina Professional Engineer's seal, signature, and date:
3„Applicant!s Certification per 1.5A NCAC 02T .0106(b):
•
•
7
.1;1211,4
if I) WO
Wyatt Dixon, Manager attest that this application f,
(SignatureAuthority's name & title from Application Item 13)
has been reviewed by me and is accurate and complete to the hest of my knowledge. I understand that if all required parts of
this application are not completed and that if all required supporting documentationand attachments are not included., this
application package is subject to being returned as incomplete. I understand that any discharge of Wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil. pena.lties,
injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a
condition of this permit be violated. I also understand that if all required parts of this application package are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to
me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: _
Date:
FORM: FTA 04-16 Page 5 of 5

CHARLOTTE
TER
June 1, 2018
Mr, Jeff Orsborn
Orsborn Engineering Group, P.A.
610 East Morehead Street Ste. 102
Charlotte, NC 28202
SUBJECT: WATER AND SEWER FLOW ACCEPTANCE
MATTHEWS PARK
1100 MATTHEWS-MINT HILL ROAD CHARLOTTE NC
CLTWATER TRACKING# 2018748
After an analysis of the sanitary sewer associated with the proposed design of project 2018748,
Matthews Park, it was determined that there is sufficient capacity to accommodate the proposed
sewer flow of 50, 822ga11ons per day (359 apartment units x 135 gpd/unit; 120 x 10 gal/person; 2315
sf x 50 ga1/100 sq ft) at the connection point(s) indicated on the submitted utility plan for transmission
to the McAlpine Creek Wastewater Treatment Plant; NPDES permit number NC0024970, for
treatment This acceptance of flow is based upon the existing capacity of the designated publicly
owned treatments works. Please see the 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
NCDEQ. 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 system, the ability to provide service for future projects cannot be guaranteed
nor reserved. Connection to the CLTWater 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 construction has, not started
within (2) years of issuance of this flow acceptance, and payment for any service connections have
not been received within (2) years 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 (704) 336 - 1006.
Sincerely,
&NAM
Gwendolyn Banner
Engineering Assistant
Charlotte Water 5100 Brookshire Blvd, Charlotte, NC 28216 charlottewater,org
perated by the City of Charlotte

State of North _arolrna
Department of Environmen.tal Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(F SE 04-16)
Er`
Pr
y Requesting
0rsham En
t. Name for which flow is being requested:
9or e than one 1.7SE m av he requir
stations along the route (`tic r"r 1r
prole
hews Park
WHIP is not responsible for all pump
I. Complete this section only if`you are the owner of"the wastewater treatment plant.
a, NA WTP Facility Name: McAlpine Creek, Irwin Creek, Sugar Creek
b. WWTP Facility Permit 4: NC0024970, NC0024945, NC0024937
c. WWT'P facility's permitted -flow
ll flows are ih MGD
99.0
d. Estimated obligated flow not yet tributary to the ` rVeT tt.39
e. WWTP facility's actual avg. flow
is Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent ofperm ifled flow used
65.0
0 050
76.44
77.2`%©
II. Complete this section for ericl pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connectpoint and the WWTP:
Pump
Station Firm
(Name or Capacity,
Number) MGD
(A)
e sign
tie Daily
l3)
Approx.
rrent Avg.
Daily Flow,
(C) (D)=(13+C`) (E)'=(A-D)
Obligated,
Not Yet Total Current
Tributary Flow Plus.
Daily Flow.. Obligated Available
MGD Flow Capacitym
* The Firm Capacity of any pump startton is defined aGs the maximum pumped flow that
can he 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 (pi) not Tess than 2.5.
*** A Planning Assessment Addendum shall he attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is (1
Downstre.a
Falk. Name (Seww%er): Crestdale Crossing, PH 2
Downstream Peri
t Number: 203-572
FISE04-16

Certification Statement:
Keri Cantrell certify to the best olmy knowledge that the addition of
the volume ot 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 overflow's 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 i:n 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 addendumfor which I am the responsible party'.
Signature of this form indicates acceptance of this wastewater flow.
'ng . S/gnaitire .Dote
Page 2 of 6
FTSE 04-16

JOB # 16034
DATE: 05/17/18
SCALE:
DRAWN BY:
APPROVED BY:
= 500'
MA'T'THE,.`.... 9NT HILL ROAD
PUBLIC SE
EPARATJ:.Y
xi
USGS QUAD MAP EXHIBIT
FOR
1100 Matthews -Mint Hill
MATTHEWS, NORTH CAROLINA
SITE v OARY
Pi c P(JSED PROVAT:: SE
ORSB©RN ENGINEERING GROUP t.
610 EAST'MOREHEAD STREET, SUITE 106
CHARLOTTE, NC 28202
P) 704-749-1432 . F) 704-749-1433

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Limited Liability Company
Legal Name
1100 Matthews Mint Hill, LLC
Information
Sosld: 16821`65
Status: Current -Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 3/23/2018
FiscaL Month: January
Registered Agent: Teague Jr, Joe F
Addresses
Reg Office Reg Mailing
1355 Greenwood Cliff Rd Ste 150 1355 Greenwood Cliff Rd Ste 150
Charlotte, NC 28204 • . Charlotte, NC 28204
Company Officials
Page 1 of 1
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
https://www.sosnc.gov/online_services/searchBusiness_Registration_Results 6/5/2018