WQ0040122_Regional Office Historical File Pre 2018

`er Resources
entai Quality
June 29, 2018
Mr. Matt Ewers, Developer
Grandfather Homes, Inc.
1111 Central Avenue
Charlotte, NC 28204
ROY COOPER
MICHAEL S. REGAN
Secr'ia,
LINDA CULPEPPER
Interim Director
Subject: Permit No. WQ0040122
Grandfather Homes, Inc.
The Manors
Wastewater Collection System Extension Permit
Mecklenburg County
Dear Mr. Ewers:
In accordance with your application received June 29, 2018, we are forwarding herewith Permit No.
WQ0040122 dated June 29, 2018, to Grandfather Homes, Inc. (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effective from the date of issuance until rescinded, and shall be subject to the conditions and limitations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 per
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 1508 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.
of North Carolina - F n'eur
Moore3viI {e irrupt O'tice

If you need additional information concerning this matter, please contact Barry Love at [phone]
or via e-mail at [e-mail].
Sincerely,
DocuSigned by:
A14CC681AF27425 ..
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
cc: Brian Smith, P.E. (e-copy)
Charlotte Water (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
Grandfather Homes, Inc.
Mecklenburg County
for the construction and operation of approximately 470 linear feet of 8-inch gravity sewer as part of the
The Manors project, and the discharge of 1,520 gallons per day of collected domestic wastewater into the
Charlotte Water existing sewerage system, pursuant to the application received June 29, 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
coruditionsed and:limitations contained therein.
uocus
A14Cc681 AF2742s...
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
Permit Number: WQ0040122
Permit Issued: June 29, 2018
3

SUPPLEMENT TO PERMIT COVER SHEET
Grandfather Homes, Inc. is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension. The
sewage and wastewater collected by this system shall be treated in the Charlotte Water McAlpine Creek
Wastewater Treatment 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 contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
to SPECIAL CONDITIONS
No flow in excess of the quantity permitted herein, 1,520 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))
This permit shall become voidable unless the agreement between Grandfather Homes, Inc. 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 §143-215.6A to §143-215.6C for violation of or failure to act in accordance
with the terms and conditions of this permit. [15A NCAC 02T.0115]
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
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)]
4

I
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.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. 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.

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.
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.
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(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
to the surface waters of the State. [15A NCAC 02T.Q108(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.
6

I
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 pumpsizing,
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 ail 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
.O108(b-c)]
ssional Engineer to the licensing board. [15A NCAC 02T .0104; 15A NCAC 02T
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)]
8

I
FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: Grandfather Homes, Inc.
PERMIT U: WQ0040122
PROJECT: The Manors
ISSUE DATE: June 29, 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 En sneer in the State of North Carolina,
having been authorized to observe (I periodically, n 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 301 I Mooresville, North Carolina 28115

• STATE OF NORTH CAROLINA I
COUNTY OF Mecklenburg Permit No. k1 `t'0lA d\
DEVELOPER'S OPERATIONAL AGREEMENT 29
This AGREEMENT made pursuant to G.S. 143-215.1 (di) and entered into this day of
jlrU+15 vikily 2018 , by and between the North Carolina Environmental Management
Commission, an agency of the State of North Carolina, hereinafter known as the COMMISSION; and
GkgA'")3F411402- 4oME,4 toe , 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 The Manors (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 andrepair.
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 andlaw.
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 andDeclaration.
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 11-17 Page 1 of 2

034-sf}ki° (7,11Vete
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 andinsurance.
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 yearlybudget.
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 rnayrequire 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 apermit.
9. The agreements set forth in numbered paragraphs 1, 2, 3, 4, 5, 6, 7, and 8 above shall be conditions of any
permit issued by the COMMISSION to the DEVELOPER for the construction, maintenance, repair and
operation of the Disposal System.
10. A copy of this agreement shall be filed at the Register of Deeds in the County(ies) where the Declaration is
filed and in the offices of the Secretary of State of North Carolina with the Articles of Incorporation of the
Association.
IN WITNESS WHEREOF, this agreement was executed in duplicate originals by the duly authorized
representative of the parties hereto on the day and year written as indicated by each of the parties named below:
FOR THE ENVIRONMENTAL
MANAGEMENT COMMISSION
Interim Director, Division of Water Resources
agihoDFA n-ket2.1-kmeS 1 NC .
Name ofDEVELOPER
—11P44f
By:
inda Culpepp (Signature)1^j�Prsag- / v j
tA.
elev
R 55
Print Name and Title
447 18
(Date)
FORM: DEV 11-17 Page 2 of 2

State of North Carolina
Department of Environmental Quality
Division of Water Resources
15.1 NC.AC 021 .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: s - (to be ce cn Ieted by D\VR
All items rnust be eompteted or the appli tit►n wr (II be ret>rrrted
APPLICANT INFORMATION:
I.. Applicant's name: Grandfather Homes, INC. (compa.ny, nuunieipalrty, E-If)A, utility, etc.)
Applicant type: LJ individual Z Corporation ]', General Partnership E] Privat vngid Public Utility
0 Federal ] Statelf.ounty ] Municipal ] Other
3. Signat tre authority's name: Matt Ewers per 15A. NCAC 02T .,0106(b)
�I"it1c: D
4. Applicant's mailing address: [ 1 1 1 "crtttlAv:r
City: Charlotte State NC
Applicant's contact (n'tormarion:
Phone number: [phone] Fnu1Addres.
Zip: 28204-
ndfatherhomes.com
RECEIVED],
ff
EN ROW?
WOPOS
MOORESVQL- RE,GRYNAL 0 F,F10E
II. PROJECT INFORMATION:
1. Project name:: The Manors
2. Application/Project status: Z Proposed {New Perim t) ] Existing Permit/Project
If a modification, provide the cmmsting permit number: 'WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit number: Vv`Q00
3. County 'where project is located: Mecklenburg
4, Approximate Coordinates (Decimal Degrees): Latitude: 3 .120471 Longitude: -80.76741.1
5, Parcel ID (if applicable): 21331 10,1
(or Parcel ID to closest downstream sewer')
CONSULTANT INFORMATION:
I. Professional Engineer: Brian Smith License Number: 27.
Firm. 1r ,r Obi n Partners
'Mailing address: 1318 Central .Avenue 4E6
City: CIiarlolte State: NC
Zip: 2820,5-
Photae nurrrber: [phone] Entail Address:
IV. WASTEWATER TREATMENT FACILITY (WWII) IN1^ORIWI.AT 1ON:
1. Facility Name: McAlpine reek Permit. Numl:icr: NC0024970
Owner Name: Charlotte Water
RECEIVING DOWNSTREAM SEWER R INFORMATION (if different than W V'
Permit Numbci(s): WQ N/A
Downstream (Receiving) Sewer Size:
4y_stem Wide 'Collection System Permit: Nu^rnl cr(s) (if apoliica ale). WQCS
Name(
corn
FORM: I 1 04-16i

GENERAL REQIJiREMENTS
1 If the Applicant is a Privately-Ow°rill
11'the Applicant is
g
Public Utility, has a Certificate of Publ
❑ Yes ONO Nc A
toper of lots to be sold, has
ewater; tcheck a
Residential Owned
Residential Leased
School / preschool / day a:are.
J Food and drink f"acihtics
D. Businesses ;`$ offices / factories
velop r'sOperati
Ycs flNo EN/A
Convenience and Necessity been attached"?
al .cern.nt tT €>T1 T)T.{ l fall: att{ached•'
A o.€taent OR v1; Fl y been attached`'
0 Retail (stoics, centers, nulls)
0 Retail with food preparation/service
0 Medical / dental veterinary facilities
0 Church
Nursing Iwtonae
5Nature of viras'tevvat.er 100 % Domestic/Commercial
9/0 Industrial
15 there a Pretreatment Pro
(. ITa a Clow reduction been approved under 15A. N €d T .t)1
If yetis, provide a copy of flow reduction approval letter
7. Sumr
arizt wastewater generated by project:
Establishment Type (see 021%01.14(1')
.411'ttnereta
J
Daily Design Flow "
0 Car Wash
0 Hotel and/or Motels
0 Swimming Pool /ClubhOuse
0 Swimming Pool,/Filter Backwash
0 Otther (Explain in Attachment)
No
Flow
GPC)
GPD
GPI)
TolaI 1. ?€f GPI:)
a Si..c A. 1T €)[ l4 ,' 1 tell' for caveats to wastewater design flow rates (i.e„ minimum flow per
dwcllirtg; proposed rankncrvvr7 a:dsra-rr,sidcntial development uses; public access facilities located near high public use areas'
and residential property located south or east of the Atlantic Intracoastal Waterway to he used as vacation rentals as defined
ist G.S„,42A-4),
.Fcr- 15.A NCAC {l2'T' ,01 14(c), design flow rates for establishments not identable
NC',AC 02`T�01.14) shall be
determined using available flow data„ water using fixtures, occupancy or operation patterns, and measured data.
'astc�v°tafcr generated by project: I ,520 GPD (per 1.5A NC AC 0 "f .01 14)
Do not ittc1ude future flows or previously permitted allocations
If pertrtatted flow is zero, indicate. why:
© Pump Station or Gravity Sewer where flow will he permitted in subsequent permits that connect to this line
0 Flow has already been allocated in Permit Number:
E Rehabilitation or replacement of existing sewer with no new flow expected
Other (Explain):
FORM: Fl"A 04-16 Pat*e 2 of 5

VIi. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers)
I . Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
470
Material
PVC
Y Section 11 c' : 111 of the MDC for Permitting of Gravity Sewers contains information related to design criteria
Y Section 111 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/Fore Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THiS PROJECT
1, Pump station number or name: NiA
2. Approximate Coordinates (Decimal Degrees):I titudc. Longitude: -
3. Design flow of the pump station: millions gallons per day (firm capacity)
4, Operational point(s) of the punap(s): gallons per minute at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
6. Power reliability in accord
Size (inches)
Length (feet)
Material
SA..iNCAC 02T .0305(
❑ 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:
E Portable power source with manual activation, quick -connection receptacle and telemetry - I SA NCAC' 02T
..0305(h)0 )(C)
or
❑ Portable pu nping unit with plugged emergency pump connection and telemetry 15A. NCAC 02T ,0305(h)(l)(C):
Y 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,
r 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: F
04-16 Page 3 of 5

IX. SETBACKS & SFPARATJONS (02B .0200 & 15A NCAC 02T .0305(
1, Hoes the project comply with all separations found in 15A NCAC 02T 0305t11,4'C (t;)
5A NCAC 02T.0305
Setback Pararneter'*
Stdarntr sevens arrcl othe ntilitics nest listed below
Water mains (vertical -water over sewer including
Water mains (Inoriaantal)
Reclaimed water line
Reclaimed water line
(Ve!. sewer),
.ed over sewer)
vidcd f
1
Ys
sm
Yes
Separation Required
24 inches
cne,5
2 feet
**Any private or public water supply source, includinng any wells. WS-I waters of(lass 1' or
Class 11 impounded reservoirs used as a source of drinking water
**Waters classified WS (except WS-i or WS-V'), 13, SA, ORW, HQW, or S13 from norn°ral
high water (or tide elevation
**Any other stream,. lake, it
ditches
trod wetlands (see item 1X,2)
rpoundhnent, or ground water lowering and surface drainage
Any building foundation
Any basement
Top slope of ennbankmr nt drr eats of 2 fee
Drainage systems and iulcrccpto
Any swimming pools
Final cart h grade (vertical)
crrcal height
100 feet.
50 feet
10 feet
5 feet
10 feet
10 feet
5 feet
5A NBC Q2T.0305(g)contains alternatives where separations in 0
**Stream classifications can be identified using the Division's Nam" trfa
If noncompliance With 02T 0305(fLor (t;). see Section X of this application
ect
e ►,
No variance is
As built down
0 feet
36 inches
ved.
y with separation requirements for wetlands? (50 feet of separation) 5'es
s draft separation requirements for situations where separation cannot .7) meet
Iun-cd if the alternative design criteria specified is utilized iz:d in design and constncton
s should reference the location of areas effected
3. Does the project comply with setbacks found in floc. river1'asi
e 'This would include Trout Buffered Streams per 15A NC
Does the project require coverage/authorization under a 404 Nationwide or
individual permits or 401 Water Quality Certifications?
Informations can be obtained from the 401,c f3ttf}fi,r lP rr'r)(itt l)at rt
Does proN "`A "` 02T 01 t15l 2L `(additi
NCAC 021 .O2fie00'?m
crmitslccrtitications)?
Per 15A NCAC 02T,0 i05(e)(66, directly related environmental permits d'ar e. lion applications are
becu applied for, or have been obtained. Issuance of this permit is contin
scdirrrentation control pans, storniwater management plans, etc.).
6. Does this projec
Per l 5A NCAr,
positioned paral'
If yes, inr.lude an attachment with detai
de any sewer collection lines that are deemed "high-p
4 2. "high -priority sewer'" nseans `°any aerial sewer,
treambanks that is subject to erosion that undermines
0 Yes ®No 0 N/A
ae h line, including type (aerial line, siz
High priority Tines shall be inspected by the perm
:.wen contactu
r deteriorates
of dependent
No © NIA
N/A
No
No
g prepared, have
~ion and
iphon, or sewer
material, and location
presentative at least once every si t=rroonths and inspections
documented per I5A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16
Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply 'with I,
and puree \iain:5,,flatest ersi q, and the
LJ Yes
tanruin t)(»
El No
1'v t�t�tt lg. Pu.gmp Sti
If No, complete and submit the Variance/Alternative 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:
(Professional Engineer's name from Application Ite
attest that this application fo
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 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 [ 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 $10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional. Engineer's seal, signature, and date:
Applicant''s Certiftcation per 15A NCAC 02T .0106{b)_
I, mivrn-igro T.Eweiols142,E51 DE).-/T attest that this application for
(Signature .Authority's name & title from Application Item L3)
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 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. T 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,
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 andattachments are not included, this application package will be returned to me as
incomplete.
NOTE - In accordance with General Statutes I4 i 1 wt + and 1 4 15 6111, 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 pees up to $25,000 per violation.
Signature: ..._ __.._._." Date:
jolZ IA
FORM: FTA 04-16 Page 5 of 5

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: Urban Design Partners
Project Name for which flow is being requested: The Manors
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 lvastewater 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
11.519
65,008
0,00152
76.527
77.5%
I1. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP:
Pump
Station
(Name or
Number)
Firm
Capacity,
MGD
(A)
Design
Average Daily
Flow**
(Firm 1 pf),
MGD
(B) (C) (D)=(B+C) (E)=(A-D)
Obligated,
Approx. Not Yet Total Current
Current Avg. Tributary Flow Plus
Daily Flow, Daily Flow. Obligated Available
MGD MGD Flow Capacity***
* The Finn 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): Unknown
Downstream Permit Number:
Unknown
Page I of 6
FTSE 04-16

III. Certification Statement:
1 Keri Cantrell 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 I1
plus all attached planning assessment addendums for which I am the responsible party.
Signature of this form indicates acceptance of this wastewater flow.
cis 6/18/2018
Signing Official Signature Date
Page 2 of 6
FTSE 04-16

CHARLOTTE
WLTER
June 19, 2018
Mr. Brian Smith
Urban Design Partners
1318 Central Ave. #E6
Charlotte, NC 28205
SUBJECT: WATER AND SEWER FLOW ACCEPTANCE
THE MANORS
7230 ALEXANDER RD, CHARLOTTE NC
CLTWATER TRACKING# 2018891
After an analysis of the sanitary sewer associated with the proposed design of project 2018891, The
Manors, it was determined that there is sufficient capacity to accommodate the proposed sewer flow
of 1,520 gallons per day (8 lots x 190 gpollot) 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 CI_ TWater s stern is acce ted on a first came 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) vears of issuance of this flow acceptance, and_payrnent 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 [phone].
Sincerely,
9
Fez
Gwendolyn Banner
Engineering Assistant
Charlotte Water 5100 Brookshire Blvd, Charlotte, NC 822t charlxttewater, rg
perated by the City of Charlotte

Polaris 3G Map — Mecklenburg County, North Carolina
USGS Topo Map- The Manors
Date Printed: 6/25/2018 '38.32 P
This map Or repori is prepared for the inventory of property within Mecklenburg County and is compiled from recorded deeds, pIat, tax maps, jreys pianimetrc maps, and o h r public records and data.
Users of this map or report are hereby notified that the aforementioned public primary information sources should be consulted for verification. Mecidenburg County and its mapping contractors assume no legal
-Iresponsibility for the information contained herein.

Polaris 3G Map - Mecklenburg; County, North. Carolina
Street Map The Manors
O 03751,075 5. 15: Mile `
;This rnap tfr rep
Users of this ma
llresponsibility for
prepared forth
port are hereby notified that th
nformation contained herein..
Site
propel`1y trvith"in Mecklenburg Craranty artd as compiled from recorded' deeds. pia
ned public
ounces should be consulted forven
Q
e Printed:6125/20 8 3:40:17 PM
ax maps, surveys, piianirnetric maps„ and other public records and data,
cation, Mecklenburg County and its mapping contract©reassume no legal

North Carolina Secretary of State Search Results Page 1 of 2
•File 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 P.n-ual Report form
Business Corporation
Legal. Name
Grandfather Homes, inc.
Information
Sosld: 0840908
Status: Current -Active
AnnuaL Report Ftatus: Current
Citizenship: Domestic
Date Formed: 4/18/2006
Fiscal Month: December
Registered Agent: Ewers, Matthew T
Addresses
Mailing Principal. Office Reg Office
1111 Central Ave Ste 320 1111 Central Ave Ste 320 2536 Shenandoah Ave
Charlotte, NC 28204-2257 Charlotte, NC 28204-2257 Charlotte, NC 28205-6.121
Reg Mailing
2536 Shenandoah Ave
Charlotte, NC 28205-6121
Officers
President
Matthew T. Ewers
2536 Shenandoah Avenue
Charlotte NC 28205
Stock
https://www.sosnc.gov/online_services/search/Business_Registration_Results 6/29/2018

Date: June 26, 2018
To: NCDEQ
Attn: Fast Track Sewer Permitting
610 East Center Ave, Suite 301
Mooresville, NC 28115
Re: The Manors
UDP Project #: 17-046
To whom it may concern,
i 3 e6 centr°dt aver. w 704.334.3303
cha lntt , roc 28205 F 704.334.3305
urbandesigrrpartners.corn
RE,.FIVDnNCDEN (DWR
lUNAi. OFFICE
The attached Fast Track application is being submitted for a proposed residential development,
referred to as The Manors. The site is located near the intersection of Alexander Rd and
Shaftesbury Rd in Sardis Forest, Mecklenburg County, North Carolina. The proposed private
gravity sewer fines related to this application will serve 8 single-family homes. The flow allocation
for this development is 190 GPD per dwelling unit, for a total of 1,520 GPD.
The following items are included within the submittal package:
• Application fee amount ($480.00)
• Completed ETA 04-16 application (Original & Copy)
• Documentation of registration with the NC Sect. of State
• FTSE 04-16 Flow Tracking/Acceptance Form
• USGS Topa Map
• Street Map
• Capacity Assurance Flow Acceptance Letter
• Developers Operational Agreement (DEV 11-17)
• Set of Utility Plans
Please feel free to contact me via email (I, [e-mail]) or by phone at (704)
334-3303x102 with questions pertaining to The Manors.
Thank you,
Brian D. Smith, P.E.
Partner
Urban Design Partners
¢`: i V'II 4: R; r-NIT1 4:3f Iz �R MaNS.I P;

TRANSMITTAL
URBAN
DESIGN
PAR TN
To: FastTrack Sewer Permitting Date:
NCDEQ
610 East Center Ave Ste 301
Mooresville, NC 28115
Phone: [phone]
Fax:
e-6 central avenue P 704,334,3303
Iotte, nc 28205
F 704,334.3305
6/28/2018 n�
W(TO:.,
)RESV i`LLE. REGIONAL 'Y'1 1 `E
Project Name: The Manors at rattle
Rose
Project No: 17-046
Transmitted 'ilia:
® Overnight
❑ Courier
❑ Hand
❑ Mail
• Fax
Action:
For Approval
For Your Use
As Requested
For Review & Comment
❑ For Signature
Description
Check for Application Fee ($480)
FTA 04-16 Application (original and copy)
Doc of Registration w/ NC Sect of State
FTSE 04-16 Flow Tracking/Acceptance Form
USGS Topo Map
eetMap ___�..�...._ _._ ._..
Capacity Assurance Flow Accept. letter
Developers Operational Agreement
et of Utility Plans
Comments
Cc: