WQ0039619_Regional Office Historical File Pre 2018

Water Resources
ENVIRONMENTAL QUALITY
January 25, 2018
Mr. Bradley E. Parker
Locust Grove Apartments, LLC
14120 Ballentyne Corporate, Suite 575
Charlotte, NC 28227
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
Subject: Permit No. WQ0039619
Locust Grave Apartments, LLC
Locust Grove Apartments
Wastewater Collection System Extension Permit
Stanly County
Dear Mr. Parker:
In accordance with your application received November 15, 2017,.with additional information received
January 11, 2018, we are forwarding herewith Permit No. WQ0039619. dated January 25, 2018 to Locust
Grove Apartments, 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rescinded and shall be subject to the conditions and limitations as specified therein.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 Ietter 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 II.1: This permit shall not be automatically transferable; a request must be made and approved.
Condition II.4: Requires that the wastewater collection facilities be properly operated and maintained in
accordance with 15A NCAC 2T .0403 or any individual system -wide collection system
permit issued to the Permittee.
It shall be the responsibility of the Permittee to ensure that the as -constructed project meets the appropriate
design criteria and rules. Failure to comply may result in penalties in accordance with North Carolina
General Statute §143-215.6A through §143-215.6C, construction of additional or replacement wastewater
collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing
board.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150B of North Carolina General
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are made, this permit shall be final and binding.
State of North Carolina I Environmental Quality I 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 matter, please contactconlact Lon Snider at [phone] or
via e-mail at lon.snider ncdenr. ov.
Sincerely,
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
cc: Samuel Smith (13:E.) (E-copy)
Mooresville Regional Office Files
Water Resources Central Files
PERCS (E-copy)
Page 2 of 8

Environmental
Quality
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
Locust Grove Apartments, LLC
Stanly County
for the construction and operation of approximately 1,353 linear feet of 6 inch gravity sewer to serve
the Locust Grove Apartments, and the discharge of 19,770 gallons per day of collected wastewater into
the West Stanly WWTP existing sewerage system, pursuant to the application received November 15,
2017 and additional information received January 11, 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 Environment and Natural Resources 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.
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
By authority of the Environmental Management Commission
Permit Number: WQ0039619
Permit Issued: January 25, 2018
Page 3 of 8

SI:PPLEMENT TO PERMIT COVER SHEET
Locust Grove Apartments, 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 West Stanly WWTP Regional
Wastewater Treatment Facility in accordance with Permit Number NC0043532.
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
1) No flow in excess of the quantity permitted herein, 19,770 additional GPD, shall be made
tributary to the subject sewer system until an application for permit modification for an increase in.
flow has been submitted to and approved by the Division. [15A NCAC 02T,0304 (b)]
II. STANDARD CONDITIONS
This perrrrit is not transferable, fn 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 he appropriate. The approval of this request shall be considered on its
merits and may or may,not be approved. [I5A 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.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. [1.5A 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.
Page 4of8

I
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
clays per year). Pump stations that are connected to a telemetry system shall be inspected at least
once per week.
e. High -priority sewer Iines shall be inspected at least once per every six months and inspections
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.
j. 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].
Page 5 of 8

Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part 1 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 forrn) can also be completed to show that the SSO was beyond control. [G.S. 14.3-
215.1C(a1)1
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. {1.5A NCAC 02T,01,08(b)]
7. Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification 'form attached to this permit shallhe 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 Petmittee to
appropriate enforcement actions,
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been
appropriately filed with the applicable County's, Register of Deeds office shall be submitted
with the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as ,applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force 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
tirneframes, shall be provided.
c. Changes to the project that do not result in noncompliance 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 1.0% or greater, increased
flow, pump station design capacity design increases of 5?./0 or greater, and increases in the
number/type of connections), regulations, or the MilliMUM 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 constniction, After -construction requests are
Page 6 of 8

I
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 shalI 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 maybe required
by the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 8

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: LOCUST GROVE APARTMENTS, LLC
PERMIT #: WQ0039619
PROJECT: LOCUST GROVE APARTMENTS
ISSUE DATE: JANUARY 25, 2018
This project shall not be considered complete nor allowed to operate in accordance with standard
Condition 7. of this permit until the Division has received this Certification and aH required supporting
documentation, It should be submitted in a manner that documents the Division's receipt. Send the
required documentation to the Regional Supervisor, Water Quality Regional. Operations Section at the
address noted in the page footer.
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 by the Division. 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
as a duly registered Professional Engineer in the State ofNorth Carolina,
having been authorized to observe (T1 periodically, weekly, In full time) the construction of the
project name and location as referenced above for the above Pertnittee 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 .wisignature & date:
Fin [1] Partial (include description
Certification Comments/Qualifiers (attach if necessary):
NC DWR — Water Quality Regional Operations Section 610 East Center Avenue, Suite 301, Mooresville, NC 28115
't n
cc -al crAv

of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300-- FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: I,•1,
'J 9 (to be completed by nWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
I. Applicant's name: Locust Grove Apat intents, LLC (company, municipality, UOA, utility, etc.)
2. Applicant type: ❑ Individual Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal
3. Signature authority's name: Bradley E.Parker per I5A NCAC 02T .0106(bj
Title: Manager
4. Applicant's mailing address: 14120 Ballentyne Corporate, Suite 575
City: Charlotte State: NC Zip: 28227-
5. Applicant's contact information:
Phone number: [phone] Email Address: [e-mail]
❑ Other
II. PROJECT INFORMATION:
1. Project name: Locust Grove Apartments
2. Application/Project status: Proposed (New Permit) ❑ Existing Per Project
If a modification, provide the existing permit number: WQ00 and issued date:
If new construction but part ofa master plan, provide the existing permit number: WQ00
3. County where project is located: Stanly
4, Approximate Coordinates (Decimal Degrees): Latitude: 35.261 06' Longitude:-80.424028'
5. Parcel ID (if applicable): 5575-04-53-1228
(or Parcel ID to closest downstream sewer)
CONSULTANT INFORMATION:
1. Professional Engineer: Samuel J. Smith, PE
Firm: Chambers Engineering, PA
Mailing address: 129 North First Street
City: Albemarle State: NC Zip: 28128-
Phone number: [phone] Email Address: [e-mail]
License Number: 40366
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1, Facility Name: West Stanly Wastewater 'Treatment Plant Permit Number: NC0043532
Owner Name: Stanly County Utilities
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ
Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
FORM: FTA 04-16
Page 1 of5

I. ' GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ZN/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ENo ®N/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned
® Residential Leased
❑ SchooI / preschool / day care
❑ Food and drink facilities
® Businesses / offices / factories
❑ Retail (stores, centers, malls)
❑ Retail with food preparation/service
❑ Medical / dental / veterinary facilities
❑ Church
❑ Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool /Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : 100 % Domestic/Commercial % Commercial
% Industrial (See 15A NCAC 02T .0'03(20))
1-->Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ❑ No
> If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow a,b
No. of Units
Flow
Bedroom
120 gal/day
156
18,720 GPD
Comm. Bldg- Self Service Laundry Facility
500 gal/machine
2
I,000 GPD
Comm. Bldg- General Business / Office
25 gal/employee / shift
2
50 GPD
gall
GPD
gal/
GPD
gal/
GPD
Total
19,770 GPD
a See 15A 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.0114] shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 19,770 GPD (per 15A 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:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16
Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
6
1353
PVC/ DI
➢ 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
I. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: , 0Longitude: -
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 15A 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

VETBACKS
& SEPARATIONS - (02B .0200 & 15A NCAC 02T .0305(f)):
oes the project comply with all separations found in 15A NCAC 02T .0305(f) & (g)
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
El Yes El No
Setback Parameter*
Separation Required
24 inches
Storm sewers and other utilities not listed below (vertical)
Water mains (vertical -water over sewer including in benched trenches)
I8 inches
Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands (see item IX.2)
50 feet
**My other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ 15A NCAC 02T.0305(0 contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpag_e
➢ If noncompliance with 02T.0305(f) or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No
> See the Division's draft separation requirements for situations where separation cannot be 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
3. Does the project comply with all setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No
> This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ 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 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per I5A NCAC 02T.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 dependent 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 1 5A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ® No
> If yes, include an attachment with 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 six -months and
inspections documented per ISA NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

r
CERTIFICATIONS:
Does the submitted system comply with 15A NCAC 0.21", the
and force Main_sJlatest version),, and the (ii tyit' Sewer Viix�it"
Yes
murn Design t
)esjgn Criteria
0 No
era fc
as apphcab
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 supportipg
documents,
Professional Engineer's Certification:
AMUEtr J. ¶MI
(Professional Engineer name from Application
at
plicat.iorr for
has been reviewed by me and is accurate, complete and eonsistent 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 fir 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 1 have reviewed this
material and have judged it to he consistent. with the proposed design,
NOTE — in accordance with General Statutes 143-'215,6A and 1,3-215.6.8, any person who knowingly makes any false
statement, representation, or cert:ification 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 CertificatioNCAC 02T" .di ti(b):
application for
arne & title from Application Item 1.I)
has been reviewed +w r and is accurate and complete to the best (Amy knowledge, 1 understand that if all required parts of
this application are n completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, andlor criminal prosecution. I will make no claim against the Division of Water Resources should a
condition of this permit be violated. 1 also understand that if all required parts of this application package 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 I43 21 and 1437215,6B, 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 $10,00 up to S2.5,000 per violation,
Signatur
Date: j1 ty
FORM: ETA 04-16
Page 5 of 5

State of North Carolina
Department of Environmental. Quality
Division of Water Resources
cking/Acceptance for Sewer ExtensionApplications
(FTSE 04-16)
Entity Requesting Allocation: Locust Grove Apartments. L..L.
Project Name for which flow is being requested: Locust Grove Apartments
More than one F7SE tratrt lea. required) r a single pro/ec
stations along the route proposed'wastewateral`lo�t�_
'-TT is not responsible for all pomp
I. Complete this section only if you are the owner of the wastewater
a. WWTP Facility Name: West Stanly WWTP
b. WWTP Facility Permit
NC 0043532
e
nt plant.
c. WWTP facility 's permitted flow
All )lows tyre in iG
0.9
d. Estimated obligated flow not yet tributary to th.e WW"LT'P 0.545
e. WWII' facility's actual avg. flow
f. Total flow for this specific request
g. dotal actual and obligated flows to the facility
h. Percent of permitted flow used
0,377
0.0197
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) (H) (C) (D)=(I3±C) (E,)=(A-D)
Design Obligated,
Pump Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. 'Tributary How Plus
(Name or Capacity, * (Firm ! pf), Daily Flow, Daily How, Obligated Available
Number) MCrt) MGD MGD MG[) Flow Capacity***
McCoy's
.500
0.600
0.377 0.545 ().922 0.578
i he Firm. Capacity of any pump station is defined as tl a maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firth capacity of the pump stati
factor (pf) not less than 23.
*** 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.
Dow stream. Facility Name (Sewer):
Downstream Permit Number:
divided by a peaking
Page of 6
A-16i

Certification Statement:
1 Donna Davis 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 1 and 11:
plus all attached planning assessment addendums for which I am the responsible party.
Signature of this form indicates acceptance of this wastewater flow.
Page 2 of 6

State of North Carolina
Depart ent of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Locust. Grove Aparttne,nts,
Project Name for which flow is being requested: Locust Grove Apartments
Afore than one f= 7SE may be required, rr' c single project
stations' along the route of the proposed wastc w zrteFr , {lt rar.
the 11 11,7p is not responsible for all pump
Cot°ttplete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name:
b. WWTP Facility Permit #:
All flows are to GD
c. WWTP facility's permitted flow
d. Estimated obligated low not yet tributary to the WWII)
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
11. 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 W W 1TP:
(D)
(C) (D)=(i +C) (E)=(.A-D)
Design Obligated,
Pump Average Daily Approx. Not Yet Total Current
Stat'i©n Firm plow** Current Avg. Tributary Flow Plus
(Name or Capacity, * (Firm / pf), Daily How, Daily Flow, Obligated Available.
Number) MGD MGD MGD MGD Flow Capacity***
ESPS#6 1.224 A896 .0496 .077 .1266 .:36
* The Firm Capac
can be achieved w
of any pump station is defined as the maximum pumped flow that
he largest pump taken out of service.
** Design Average Daily flaw is the firm capacity of the pump station divided by a peaking
factor (pi) 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 Narne (Sewer): WSWWTP/Stanly County Utilities
Downstream Permit Number: NC0043532
Page 1 of 6
Fl`SE04-16

Certification Statement:
1 ,.. Timothy C Flieger 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 estahl.ish.ed policies and procedures using the best
available data. This certification applies to those items listed above in Sections 1 and 11 plus all
attached planning assessment addendums for which 1 ain the responsible party. Signature of this
form indicates acceptance of this wastewater flow.
-r
Signing ,ai Si int turc
2©'17
Date
Page 2of6
FTSE 04-16

DATE: 11/17
DWG. NO.: USGS CUT
SCALE: NOT TO SCALE
CCharrmbers Erigira ririg, PA
'129 North First St AltxemarW NC 28001 7D4•W4-5427
NC3ELS Fvm Lreecnse
ocust Grave Apartments
USGS Cut Sheet
1 of 1

Date:
Drawn By
1=150',
NOV 2017
sis
Ct-varrilbrs E,ngir-uering, F'
129 .North F Ts! 91 Abenlarle, NC 2.5001 704-984,6427
NCESELS Firm License No. C-1660
200
SEWER STREET LEVEL MAP
Locust Grove Apartments, LLC
Locust, North Carolina
SHEET
Checked By:
rcc
PROJECT NO 2016-1054

ch.
engineering, pa
in North First Street I 704,98406427 ph
Al de, NC 28001 wwwch-powhot
118912017
Mr, Lon Snider
Environmerttal Senior Specialist
NCDEQ— Mooresville Regional Office
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Re: City of Locust / Staniy County
Locust Grove Apartments Sewer
Dear Mr, Snider,
OV 1 3 2011
ion of Water infrastructure
On behalf of the Locust Grove Apartments, LLC, please find attached a Fast Track Sewer System Extension
application and supporting documents for the above referenced project. This project will serve a new facility, This
sewer extension is pat of a project that will include an apartment complex and community building. Additional
flow is calculated to be approximately 19,770 gallons per day. The items included with this submittal package are:
Cover Letter FTA 04-16
:kJ Check Payable to NCDEQ ($480) USGS Topographic Map
FTSE 04-16 (McCoy's Creek Pump Station) "Jk Street Level Map
FTSE 04-16(City of Locust: E. Pump Station)
If any additional information is needed, please direct these requests to our office to ensure a timely response.
Thank you for your time and efforts on this project,
Sincerely,
Samuel i. Smith, PE
Attach: Shown above (Original and Duplicate)
Cc: Brad McLean, Greenway Residential Development, LLC

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: Locust Grove Apartments, LLC
Project Name for which flow is being requested: Locust Grove Apartments
More than one FTSE may be required for a single project lithe owner of the WIFTP 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: West Stanly WWTP
b. WWTP Facility Permit #: NC0043532
All flows are in MGD
c. WWTP facility's permitted flow 0.9
d. Estimated obligated flow not yet tributary to the WWTP 0.314
e. WWTP facility's actual avg. flow 0.377
f. Total flow for this specific request 0.0197
g. Total actual and obligated flows to the facility .7107
h. Percent of permitted flow used 78.97%
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)=o34C) (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 / pf), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity***
McCoy's 1.500 0.600 0.377 0.314 0.691 0.809
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (p1) 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):
Downstream Permit Number:
Page 1 of 6
FTSE 04-16

III. Certification Statement:
- I Donna Davis certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the
receiving wastewater treatment facility and that the flow from this project is not anticipated to
cause any capacity related sanitary sewer overflows or overburden any downstream pump station
en route to the receiving treatment plant under normal circumstances, given the implementation
of the planned improvements identified in the planning assessment where applicable. This
analysis has been performed in accordance with local established policies and procedures using
the best available data. This certification applies to those items listed above in Sections I and II
plus all attached planning assessment addendums for which I am the responsible party.
Signature of this form indicates acceptance of this wastewater flow.
Saivt,4„>f,D.)
Signing Official Signature Date
Page 2 of 6
FTSE 04-16

Business Registration Division
Page 1 of;1
North Carolina
Elaine F. Marshall DEPARTMENT OF -THE
Secretary SECRETARY OF STATE
PO Box 29622 Raleigh,NC 27626-0622 [phone]
Click Here To:
View Document Filings File an Annual Report Amend a Previous Annual Report
Print a Pre -Populated Annual Report form
Corporate Names
Account
Login
Create
Site
Account
Legal: Locust Grove Apartments, LLC
Limited Liability Company Information
5osld:
Status:
Annual Report Status:
Citizenship:
Date Formed:
Fiscal Month:
Registered Agent:
Corporate Addresses
1541563
Current -Active
Current
Domestic
9R/2016
December
Parker, Bradley E
Mailing:
Principal Office:
Reg Office:
Reg Mailing:
14120 Ballantyne Corporate PI Ste 575
Charlotte, NC 28277
14120 Ballantyne Corporate PI Ste 575
Charlotte, NC 28277
14120 Ballantyne Corporate PI Ste 575
Charlotte, NC 28277
14120 Ballantyne Corporate PI Ste 575
Charlotte, NC 28277
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager: Bradley E Parker
14120 Ballantyne Corporate PI Ste 575
Charlotte NC 28277
https://www.sosne.gov/Search/profcorp/12376445
11/15/2017

Central Files: APS ^ SWP
1/25/2018
Permit Number WQ0039619 Permit Tracking Slip
Program Category Status Project Type
Non -discharge Active New Project i
I
Permit Type Version Permit Classification I
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions 1.00 Individual 1
i
Primary Reviewer Permit Contact Affiliation
ron.snider 1
Coastal SWRuIe
Permitted Flow
19,770
Facility
Facility Name
Locust Grove Apartments
Location Address
Owner
MajorlMinor Region
Minor Mooresville
County
Stanly
Facility Contact Affiliation
Owner Name
Locust Grove Apartments LLC
Dates/Events
Owner Type
Non -Government
Owner Affiliation
Bradley Parker .
14120 Ballantyne Corporate PI
Charlotte NC 28277
Orlg Issue
1/25/2018
Scheduled
App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
11/15/2017 1 /26/2018 1/25/2018
Regulated Activities Requested /Received Events
Apartment complex
Condominium
Office
Wastewater collection
Outfall
Additional information received
Additional information requested
Additional information requested
Additional information received
1/11/18
11/16/17
Waterbody Name Streamindex Number Current Class Subbasin