WQ0039647_Regional Office Historical File Pre 2018

or Resources
February 5, 2018
Crystal Pa.nico, New Development Program Manager
Union County Public Works.
500 N. Main Street, Suite 400
Monroe, NC 28 H.2
Dear Ms. Panico:
ROY COOPER
Governor
MICHAEL S. REGAN
seci'rerary
LINDA CULPEPPER
interim r)ire'clor
Subject: Permit No, WQ0039647
Union County Public Works
Arbor Glen Sewer Extension
Wastewater Collection System Extension PenT1 it
Union County
In accordance with your application received November 27, 2017 and additional infOnnation received
February 1, 2018, we are forwarding herewith Permit No, W'Q0039647 dated February 5, 2018 to the
(....Jnion County Public Works (Pemiittee) 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rescinded and shall be subject to the conditions and limitations as specified 'therein, JIhis cover letter shall
be considered a part of this permit and is therefore incorporated therein by reference,
Please pay particular attention to the following conditions contained within this permit:
Condition 1.2: In Accordance with the Revised Residential How Reduction Appft a dated Januar
2018, fouennitting purposes allocations may be permitted utilizing a flow of 285 (iPI)
per lot. The number of total bedrooms shall be stated in the permit,3 bedrooms (1*3
hedroomsj, based on the indicated average of 3-bedrooinsTer lot and a modification to the
pem-ht shall be completed prior to construction for additional bedrooms above the specified
totaiThe_nurnher of bedrooms installed shall be tracked by Union County Public Works,
the current total of bedrooms installed shall be submitted with each enoineerin
cerf ation (partial or final) and with al emit modification application packnes.
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 Perrnittee 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,.
Static of North Carotitia Eroarramiental Qualify Water Resources 'Water Qua.firy Regional Operations
MooresvilleRegional Office ' 616 East Center A.vrnue, Suite 301 1 .Moores,ille, North Carolina 281 l5
794 663 1699

5. The Permittee shall report by telephone to a water resources staff member at the Mooresville Regional
Office, telephone number (704) 663-1.699,, as soon as possible, but in no case more than 24 hours
fallowing 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 nomial 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 theactions 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. [6.S. 143-
215.1C(a1)]
6. Construction of the gravitygraity ewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypassdischarge of wastewater
to the surface waters of the State. [I5A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification form attached to this permit shall be submitted with the required supporting
documents to the address provided on the form. A complete certification is one where the form is
fully executed and the supporting documents are provided as applicable. Any wastewater flow 'made
tributary to the wastewater collection system extension prior to completion of this Engineer's
Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted
with the certification.
A complete certification is one where the 'form. is fully executed and the supporting documents. are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project constniction 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 (C) 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
timeframes, shall be provided.
Page 6 of 8

c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
number/type of connections), regulations, or the Minimum Design Criteria. Requested modifications
or variances to the Minimum Design Criteria will be reviewed on a case -by -case basis and each on
its own merit. Please note that variances to the Minimum Design Criteria should be requested and
approved during the permitting process prior to construction. After -construction requests are
discouraged by the Division and may not be approved, thus requiring replacement or repair prior to
certification & activation. [15A NCAC 02T .0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the Division's
Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified until
corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case -by -case basis. Resolution of such request shall be evident prior to completing and
submitting the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities. [15A NCAC 02T .0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996, as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted
June 1, 2000, as applicable; and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes § 143-215.6A
through §143-215.6C, construction of additional or replacement wastewater collection facilities,
and/or referral of the North Carolina -licensed Professional Engineer to the licensing board. [15A
NCAC 02T .0104; 15A NCAC 02T .0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including those
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
PERM!TTEE: UNION COUNTY PUBLIC WORKS
PERMIT #: WQ0039647
PROJECT: ARBOR GLEN SEWER EXTENSION
ISSUE DATE: FEBRUARY 5, 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 all required supporting
documentation. It should be submitted in a manner that documents the Divisions 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
1, the undersigned agent for the Permittee, hereby state thatthis project has been constructed pursuant to
the applicable standards & requirements, the Professional Engineer belowhas provided applicable
design/construction information to the Pennittee, and the Permittee is prepared to operate & maintain the
wastewater collection system permitted herein or portions thereof.
Printed Name, Title
Signature .)ate
ENGINEER'S CERTIFICATION
, as a duly registered Professional Engineer in the State ofNorth Carolina,
having been authorized to observe (171 periodically, I 1 weekl.y, full time) the construction of the
project name and location as referenced above for the above Permittee hereby state that, to the best ofmy
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; 1.5A 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 East -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:
El Final Partial (include description)
Certification Comments/Qualifiers (attacb. tf necessary)
NC DWR — Water Quality Regional Operations Section 610 East Center Avenue, Suite 301, Mooresville, NC 28115
Mooresville Regional Office Phone: [phone] FAX: [phone]

A
2'
'Mate of North Carolina
Department of Environmental Qualitsr
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
ETA 04-16 & SUPPORTING DOCUMENTATION
APPLICANT INFOR.
Applicant's name:
?. Applicant type:
Application Number:
TION:
paorf C,c7uis1'
ederral
Signature autltortty"s ntutrte:
Title: Ncty L)c •l m€tt,ttt �'r
4. Applicant's mailing ;tdclr°ess
City: M.orlroc State: NC
.Applicant's contact in
Phone nurnbe. (704) 2ct6i 1
tro be completed by t)4 tt1
t be cornnletesi or theapplication will bereturned
rp�nv°� ,nunrct
etc.)
El Corporation ] General Partner-
State/County
�00 j)i_Main Srtr� et
Zip: /81 11.2-_.
Municipal
NC AC.02 i 0l06(h)
ip
dress Vitalnicori ttunt+`r,7e.gryt°
11. PROJECT INFORMATION.
I. Project name: Arbor Glen Sewer xtension
Application/Project. status: Proposed (New Permit) 0 Existing Permit/Project
If a. modification., provide the existing permit number: W'Q00 and issued date:
If new construction but part e a master plan, provide the existing permit number: WQOO
3. County where project is located 'Union Cwc zttrt a`
I, Approximate Coordinates (Decimal Degrees). Linn 35.0'74356` l.=orrgitttde C).0 18766`
5, Parcel ID (if applicable): ()7_04 :
(or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION;
I. Professional 1 rutineer 41 ?'. Nguv.en,,_l
Firm: CDPR A sociateS.Inc,
°lttilirtg address: ?()l)l wtl)urrtt La-e
City: Chia rlolte State: NC
Phone number: (704) „? I2 4,
lgw\Ll°rr,
ease Number:03052,
IV. WASTEWATER TREATMENT FACILITY (W'.%TF) INFORMATION;
i, l'rcility} Name Twelve M,ileCreeh, Vt (P Pert:
r Narne: 1inion County
V. RECEIVING DOWNSTREAM SEWER INFORMATION (ll`cliff
1. PermitNtrmber(s): WQ0020601 Drrewrtstrelm (Reccivin
wstem WrdL.Colkc;tlon-SlYae¢3t (1rr))tt Nuu1h i ..('1 a p 1y
Owner Name Is): Union County:
FOR ,M: FTA 04-16
Page otfi

6. 11
Sunaana
Est;
GENERAL REQUIRE A'
I. Irthe Applicant is a Privately-Ossried. Pu
is
". .1f the Applicant is a Developer of lots to be sold
If the Applicant is a Homr'Property
4, Origin. of wastewater (check all tha
E Residential Owned
h Residential Leased.
0 School ,f preschool/ day care
El Food and drink facilities
0 Businesses i' ofttces / facto.ries
Pp
lity , has a Certificate of Public Convent
0 Yes LNo ZN''A
has a I)cveloper s t tsl tttpt tlr
Yes EJNo 'N//A
socidttion
ionallAore ttten
Yes ©No ®NIA
El Retail (,stores, centers, malis)
E: Retail with food preparation/service
Medical / dental f`' veterinary facilities
Church
Nursing Home
Nature of wastewater : 1 Q02/0 Domestic/Commercial % Commercial
Indusiria.l (See 1 A_NCAC 01F .0103(20J)
>Is there a Pretreatment Program in effect? Yes
'es El No
s allow reduction been approved tinder 1.5A NCAC 02 .tl l 14(f)?
if eSm provide acopy� of Clow reduction approval letter
astewater generated by project:
hlistarnent Type (see 02TM01.14(1))
One Residential Lot
Daily Desi, n Flow. Li'
gals
galr'
gal,`
a Sec I5A NC. { 1°l)114(b , W),(0(1) and ()(2) for caveats to Wastewater
dwwel
and residential property located south or east ofthe Atlantic tntr'acoa.stal Waterway to be used as vaca
in (.i.Sv42,A14),
b Per I SA NCAC 02T .01 I4(c), design flow rates for establishments not tcletttified [in tabl
determined using available slow data, water using fixtures, occupancy or operation patte
Wastewater generated by project: 285 (JPD (per15A NC_r\C 02T..:0114)
Do not include future flows or previously permitted allocations
L1' permitted flow is zero, indicate why:
Pump Station or Gravity" Sewer where Flow wi11 be permitted in
ce and Neces
hed?
DF "V) been attached?
{ )RM:IIf)A1_ beers attached?
sash.
ndlor Motels
ing Pool /'Clubhouse
ing Pool/Filter Backwash
Explain in Attachment)
No
No. of Units
sign. f
n non residential development uses; public access fa c lities located near
285 GPD
GPl)
G Ply
285 GP[)
nttnaana stow per
public use areas;
n rentals as defined
I5A NCAC 02`1 01 14] shall be
s. as d other naeastared data.
t permits that connect to this lit
0 Flow has already been allocated in Permit Number:
Rehabilitation. or replacement of existing sewer with no new flow expected
© Other ,Explain):
FORM:: FTA 04al6
Page 2of5

VII. GRAVIT +EWER DESIGN CRITERIA (If Applicable)
1. Summarize f?rahvity sewer to be permitted:
)2T .(13t15
tDC ('Gravity Sewers):
Section ll & WLl. of the MDC for Perch°titthh of Gravity Sewers contains information related to design criteria
Section 111 contains information related to trriasimum slopes forgravity sewer(s)
Oversizing lines to meet minimum slope requirement not allowed and a violatiora of the M.DC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (PuttapStations/Force Ma(ns):
COMPLETE FOR EACH PUMP STATION INCLUDED IN TEAS PROJECT
1. Putnp station number or name:
?. Approximate Coordinates (Decimal Derees): Latitude:
3, Design tlow of the pump station:
4, Operational point(s) of the pump
5. Summarize the force main to be permi
Lon de:
per day (fir•nt capacity)
inute at_ feet total dynamic head (TDII)
Pump Station):
Size (inches) Length (feet) Material
6. Power reliability' in accordance with 15A NCAC
0 Standby power source or pump with automatic activatiron and telere
'CAC 02- .030:5(1h)(1)(B):
Required for all pump stations with an average daily flow greater thurt or equal to 15,000 gallons per day
1 Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
[l Portable power source with manual activation, quick connection receptacle and telemetry 15A NCAC 02T
.0305(h)(1)(C)
o1'
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 tirneframes, shall be provided
in the case of a multiple station power outage,.
FORM: FTA 04-16

SETBACKS & SFI'A_RATRONS ..- (0211 .0200 "I5A NCAC 02T .0305(0. :
Does the project comply with all separations found in 15A NCAC 02T .0305104Ag
15A NCAC 02T.0305(t) contains mittittatanw sefrarations that shall be provided f
Setback Parat
m ;ewers and other utilities not listed belowvertical-
��._..
ins (verttc l water oversevver including in bencliecf
ins (horiz
water lines (vertical. reclaimed over servr;r)
ZYe
-stera�s.
Separation Required
24 inches
nches _m_
I feet
inches
s (horizontal - reclaimed over sewer) 2 feet
*Any private or public water supply source, irt'hiding any wells, W'S-
s source of drinl fn water
lass 1E mounded rese-r voir treed as a ,�..
s classified WS (except WS-I or WS-V), I3, SA, DRW,. HQW-, or SB from normal
evation) utd wetlands (see item IX.2y
**Any other strewn', lake, impoundment, or uound water lewrwering a.nd surface drainage
ditches
bankment or cuts of 2 fe
DrainarKe, s_ystemti and interceptor drai
Any sssirrrming pools __ .....
Final earth grade (vertical)
1 height
w 15A NCAC 021 0305j contains alternatives where separations in 02 f 0 30.5(D cannot be acl
**Stream classifications can be identified using the Division's NC Surface Water ('l s t tcatmlr
w if noncompliance With 021E_0305{:Il or. fg2, see Section X of this 'cation
Does the project comply with separation requir
w See the Division's draft separation requiredt
w No variance is required if the alternative des
As built documents should reference the location o
00 feet
10 'feet
5 feet
10 feet
inches
vcd.
s ww'cbcwagc
No
'lands`;' (5t) feet of separation) [I Yes No ® N/A
ions where separation cannot be meet
ecilicd is utilized in design and construction
'fected
Does the project comply with sethacl;s f rand in the rtscr basin rules per 15A N('AC
w I"lais would include Trout Buffered Stream s per 15A N( AC;_213 0202
4. Does the project require coverage:} authorization r rider a 404 Nationwide or
individual permits or 401 Water Quality Certifications?
Fit
he obtttirtecl from the 101 & Buffer Pern
Does pro eet comply wwith ISA NCAC 021.01.051c4(0 (additional permiceications)?
Per 1SA, NCAC 02'1010.5(00 1, directly related environmental permits or certification ap
been applied for, or have been obtained, Issuance of this permit is contingent on issuance
sedimentation control plans, srornnvater management plans, etc.).
Does this projecct include any sewer collection lines that are deemed "1119h-priority?"
Per 15A NCAC 0-
positioned para'lle
L' Yes No
ZYes $No
Yes No
one ti.re being prepared, have
pendent permits (erosion and
2 "high -priority sewer'" means "any aerial sewer, sewer contacting surface waters,
arnbanks that is sttbiect to erosion that; undermines or deteriorates the sewer.
[Yes No ZINA
If yes, include an attachment w'rtlt details for each line, including type- (acr-i
High priority lines shall be inspected h,
documented per 15A NCAC 02T.0403
he permittee or i
)O or the pernri
representative at
e's individual Sys
and k
>ittkton, or sewer
er% six -months and inspections
'olleetion permit.
FORM: FTA 04-16
Page 4 of5

•
X. CERTIFICATIONS:
1 Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (la(est version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
Yes Eli No
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:
1,
Hy V. Nguyen, P.E.
(Professional Engineer's name from Application Rem I)1.1.)
attest that this application for
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best
of my knowledge the proposed design has been prepared in accordance ‘vith 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 I 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 rnisdemeanor, 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:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
Crystal O. Panic°, P.E., New Development Program Manager
(Signature Authorit)'s name & title from Application Item LI)
C AR04"4
4>v?
SEAL
030523 ,g
NO) \ 11-03-2017
attest that this application for
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 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. 1will 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 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 510,000 as well as civil penalties up to 525,000 per violation.
Signature:
Date:
FORM: FTA 04-16 Page 5 of 5

• BUSINESS CORPORATION ANNUAL REPORT
NAME OF BUSINESS CORPORATION:
Provident Development Group, Inc.
SECRETARY OF STATE ID NUMBER: 0288277
STATE OF FORMATION: NC
REPORT FOR THE FISCAL YEAR END: 12/31/2016
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: WATERS, THOMAS D
Filing Office Use Only
E-Filed Annual Report
0288277
CA201706000512
3/112017 10..46
Changes
2. SIGNATURE OF THE NEW REGISTERED AGENT:
3. REGISTERED OFFICE STREET ADDRESS & COUNTY
1633 Shadow Forest Drive
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
4. REGISTERED OFFICE MAILING ADDRESS
1633 Shadow Forest Drvie
Matthews, NC 28105-7224 Mecklenburg County
SECTION B: PRINCIPAL OFFICE INFORMATION
Matthews, NC 28105-7224
1. DESCRIPTION OF NATURE OF BUSINESS: Real Estate Development
2. PRINCIPAL OFFICE PHONE NUMBER: [phone]
4. PRINCIPAL OFFICE STREET ADDRESS & COUNTY
6707 Fairview Rd, Ste B
Charlotte, NC 28210-3660
SECTION C: OFFICERS (Enter additional officers in Section E.)
NAME: Thomas D Waters NAME:
TITLE: President TITLE:
3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
5. PRINCIPAL OFFICE MAILING ADDRESS
6707 Fairview Rd, Ste B
Charlotte, NC 28210-3660
ADDRESS: ADDRESS:
1633 Shadow Forest Drvie
Matthews, NC 28105
NAME:
TITLE:
ADDRESS:
SECTION D: CERTIFICATIQN OF ANNUAL REPORT, Section D must be completed in its entirety by a person/business entity.
Thomas D Waters
SIGNATURE
Form must be signed by an officer listed under Section C of this form.
Thomas D Waters
Print or Type Name of Officer
This Annual Report has been Fled electronically.
3/1/2017
DATE
President
Print or Type Title of Officer
MAIL TO: Secretary of State, Corporations Division, Post Office Box 29525, Raleigh. NC 27626-0525

North Carolina
Elaine F. Marshal DEPARTMENT OF THE
Secretary SECRETARY OF STATE
P© Box 29622 84114Vt.NC 2762e.Oe22 91B414-S4PU
Click Here To.
View Document Filings File an Annual Report Amend a Previous Annual Reprtn
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orate Names
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Provident Development Group, Inc.
Business Corporation information
Sosld:
©288277
Curranti,Adive
Annu»I Report Status: Current
Cittzenstutp Dcnneslir,<
Date Formed: G!'311991
Fiscal Month: Decefhher
Registered Agent: Waters, Thomas D
Corporate Addresses
Reg Office:
Reg Mailing:
1533 Shadow Forest rive
Matthews, NC 28105-7224
1633, Shadow Ftresl Drvie
Matthews., NC 28105.7224
Mailing: 6707 Fairview Rd, Ste B
Charlotte, NC 28210-3660
Prk pat Office. 6707 Fatrvtew Rd, Ste 13
Cha kstte, NC 28210-3660
OfUtcers
President: Thomas D Wete
1633 Shadow For st DM
Matthews NC 281U5
Stock
Class;
Shares.
Par Value: 0
COMMON

AP PREPARED FROM
BAKERS & MATTHEWS QUADRANGLE
NORTH CAROLINA - UN ON COUNTY
7.5 - MINUTE SERIES
BAKERS, NG 2016
MATTHEWS, NC 2016
landscape architecture
planning
civil engineering
DPR Associates, Inc. 1420 HawthOr p Lane Clndot,e, NC 282
ph. 704.332,1208 1 tx, 7O4,332.1210 1 www.dpracsodatesnet
1SGS TOROGRAC MA
Scale: 1" = 600'
Date: 11 / 03 / 17
IN©IAN TRAIL, UNION COUNTY, NORTH CAROLINA Job #: 17034
PROVIDENT DEVELOPMENT GROUP, INC, By: CFC
ARBOR GLEN SEWER EXTENSION
Dwg, No:
BD-1
rslDOCUMENT

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landscape archisectutie
planning
civil engineering
DPR Associates, Inc. I izo Hawthurne Lane I Chvione,. NC 28204
ph. 704,332.1209 rx„ 704332.121 www.daauo6zemnet
OAKWOOD
LANE
ARBOR GLEN SEWER EXTENSION Scale: 1" = 600'
Date: 11 / 03 / 17
INDIAN TRAIL, UNION COUNTY, NORTH CAROLINA Job #: 17034
PROVIDENT DEVELOPMENT GROUP, INC, By: CFC
OW 7034 STREET LEVE
JECTS\2017 PR

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: Union County
Project Name for which flow is being requested: Arbor Glen Sewer Extension
More than one FTSE may be required for a single"project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Twelve Mile Creek WWTP
b. WWTP Facility Pennit #: NC0085359
All flows are in MGD
c. WWTP facility's permitted flow 6.0 * Does not include
3MGD diversion to 6 Mile
d. Estimated obligated flow not yet tributary to the WWTP 1.7602
e. WWTP facility's actual avg. flow 3.78
f. Total flow for this specific request 0.0003
g. Total actual and obligated flows to the facility 5.5405
h. Percent of permitted flow used 92.34
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
Pump
Station
(Name or
Number)
Firm
Capacity, *
MGD
(A)
Design
Average Daily
Flow**
(Firm 1 pf),
MGD
Poplin Rd 3.639 1.456
Approx.
Current Avg.
Daily Flow,
MGD
(B) (C)
Obligated,
Not Yet
Tributary
Daily Flow,
MGD
0.9574 0.1860
WWTP:
(D)=(B+C) (E)=(A-D)
Total Current
Flow PIus
Obligated
Flow
Available
Capacity* * *
1.1434 0.3126
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Twelve Mile Creek WWTP
Downstream Permit Number: WQ0020603
Page 1 of 6
FTSE 04-16

III. Certification Statement:
I Crystal O. Panico 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.
icial4./ Signature to
g
Page2of6
FTSE 04-16

• PLANNING ASSESSMENT ADDENDUM (PAA)
Submit a planning assessment addendum for each pump station listed in Section II where Available
Capacity is < 0.
Pump Station (Name or Number):
Given that:
a. The proportion and amount of Obligated, Not Yet Tributary Daily Flow (C) accounts for
% and MGD of the Available Capacity (E) in Pump Station
; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
is in design or under construction with
planned completion in ; and/or
d. The following applies:
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to
allow this flow to be permitted, without a significant likelihood of over -allocating capacity in the
system infrastructure.
1 understand that this does not relieve the collection system owner from complying with G.S. 143-
215.67(a) which prohibits the introduction of any waste in excess of the capacity of the waste
disposal system.
Signing Official Signature Date
Page 3 of 6
FTSE 04-16

Instructions for Flow Tracking/Acceptance form (FTSE) and Planning Assessment Addendum (PAA)
Section I
a. WWTP Facility Name: Enter the name of the WWTP that will receive the wastewater flow.
b. WWTP Facility Permit #: Enter the NPDES or Non -Discharge number for the WWTP receiving the
wastewater flow.
c. WWTP facility's permitted flow, MGD: From WWTP owner's NPDES or Non -Discharge permit.
d. Estimated obligated flow not yet tributary to the WWTP, MGD: This includes flows allocated to other
construction projects not yet contributing flow to the collection system. Flows allocated through
interlocal agreements or other contracts not yet contributing flow to the collection system are also
included. For POTWs that implement a pretreatment program, include flows allocated to industrial
users who may not be using all of their flow allocation. Please contact your Pretreatment Coordinator
for information on industrial flow tributary to your WWTP.
As of January 15, 2008 the POTW should have reviewed flow allocations made over the last two years
and reconciled their flow records, to the best of their ability, so it is known how much flow has been
obligated and is not yet been made tributary to the WWTP, in accordance with local policies and
procedures employed by the reporting entity.
e. WWTP facility's actual avg. flow, MGD: Previous 12 month average.
f. Total flow for this specific request, MGD: Enter the requested flow volume.
g. TotaI actual and obligated flows to the facility, MGD Equals [d + e + f]
h. Percent of permitted flow used: Equals [{g / c)* 100]
For example:
On January 15 a POTW with a permitted flow of 6.0 MGD, reported to the Regional Office that there
is 0.5 MGD of flow that is obligated but not yet tributary. The annual average flow for 2007 is 2.7
MGD. There is a proposed flow expansion of 0.015 MGD.
The first Form FTSE submitted after January 15, 2008 may have numbers like this:
c. = 6.0 MGD
d. = 0.5 MGD
e. = 2.7 MGD
f. = 0.015MGD
g. = 3.215 MGD
h. = 53.6 %
The next Form FTSE may be updated like this with a proposed flow expansion of 0.102 MGD:
c. = 6.0 MGD
d. = 0.515 MGD
e. = 2.73 MGD
f. = 0.102 MGD
g. = 3.349 MGD
h. = 55.8 %
Each subsequent FTSE form will be updated in the same manner.
Page 4 of 6
FTSE 04-16

ection II
List the pump station name or number and approximate pump station firm capacity, approximate design
average daily flow (A) approximate current average daily flow (B), and the obligated, not yet tributary flow
through the pump station (C) for each pump station that will be impacted by the proposed sewer extension
project. Calculate the total current flow plus obligated flow (D=B+C) and the available capacity (E=A-D).
Include the proposed flow for this project with other obligated flows that have been approved for the pump
station but are not yet tributary (C).
Firm capacity is the maximum pumped flow that can be achieved with the largest pump out of service as
per the Minimum Design Criteria.
Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor (pf) of not
less than 2.5.
If the available capacity (E) for any pump station is < 0, then prepare a planning assessment for that pump
station if the system has future specific plans related to capacity that should be considered in the permitting
process.
(A) (B)
Design
Firm Average
Pump Station Capacity Daily Flow
(Name or Number) MGD (Firm / pf)
Approx.
Current Avg.
Daily Flow,
MGD
Kaw Creek PS 0.800 0.320 0.252
Valley Road PS 1.895 0.758
(C) (D)=(B+C) (E)=(A-D)
Obligated,
Not Yet Total Current
Tributary Flow Plus
Daily Flow, Obligated Available
MGD Flow Capacity*
0.080 0.332 -0.012
0.472 0.135 0.607 0.151
Page 5 of 6
FTSE 04-16

IPPlirr-
Planning Assessment Addendum Instructions
Submit a planning assessment addendum for each pump station listed in Section II where available capacity
is < O.
A planning assessment for Kaw Creek PS (see example data above) may be performed to evaluate whether
there is significant Iikelihood that needed improvements or reductions in obligated flows will be in place
prior to activating the flows from the proposed sewer extension project.
If the system decides to accept the flow based on a planning assessment addendum, it is responsible to
manage the flow without capacity related sanitary overflows and must take all steps necessary to complete
the project or control the rate of flow to prevent sanitary sewer overflows.
The planning assessment may identify a funded project currently in design or construction, or a planned
project in the future not yet funded but in a formal plan adopted by the system. The system should carefully
weigh the certainty of successful timely project completion for any expansion, flow management diversion
or infiltration and inflow elimination projects that are the foundation of a planned solution to capacity
tracking and acceptance compliance.
For example:
Given that:
a. The proportion and amount of obligated, not yet tributary flow accounts for 24 % and 0.080
MGD of the committed flow in Pump Station Kaw Creek; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately 0.01
MGD per year; and that
c. A funded capital project that will provide the required planned capacity, namely
is in design or under construction with
planned completion in ; and/or
d. The following applies:
The master plan and ten year capital plan contain recommended scope and funding for a capital project
entitled Kaw Creek Pump Station upgrade with funding planned in July 2014. This project is planned to
add 0.100 MGD to the firm capacity of the pump station by October 2015. Inclusion of this proposed
capital project as a condition of this Flow Tracking/Acceptance for Sewer Extension Permit Application
elevates this project's priority for funding and construction to be implemented ahead of the activation of
obligated, not yet tributary flows in amounts that exceed the firm pump station capacities identified in
Section II above.
Therefore:
Given reasonably expected conditions and planning information, there is sufficient justification to allow
this flow to be permitted, without a significant Iikelihood of over -allocating capacity in the system
infrastructure.
Page 6 of 6
FTSE 04-16

November
State of North Carolina
Department of Environment.
Division of Water Quality
Mooresville Regional Office
61.11 F. Center Avenue
Mooresville, North Caro t
tsca,Fpe arctute h R
planning
a ivil errgineering
DPR Associates,
Re: Arbor Glen SSW Extension _ Union County, NC
Fast Track Application C'oser otter
'DPR Project No: 1.7034
ion ofWater t�;,yuality;.
DPR Ass
(DPI) is submitting„ tltac•ugh Union. County Public Works, the follitvvirtg
items as required for the F4 mA 14-16 Form & Supporting Documentation Application. Our project
is located in Union C'cttrnty°, NC along Scott Long Road ( S.R. # 1517 ), Parcel ID 4 07-045-354.
The \V' W TF is Twelve Mile Creek, Permit 4 NU0085 359, Union County. The downstream sewer
Permit # WQ0020603. existing 8°" sever main.
Water : this project consists of one 3,/4" domestic: water meter ( 400 (iPD) and cane 3='4" irrigation
meter ( 780 GPD ) for a total of anticipated flow request of 1,1.80 GPD to serve l.ctt # I.
Sewer : tins proj
and one 4" PVC sanita
Lot # I
•,. Iatera
APPLICATION PACKAGE
A, One Original and
L3. Cover Letter
C°. Application Fee
.Form 1 "TA 04-16
manhole, i- 54 LF — 8" PVC grayity° sevv°er.
paced retain°st of 285 GPD to serve
application Package
E. Flow Tracking/ Acceptance. Form, 1 l ` 1: O l -16
F, Street Level Site heap and Color L ISGS Map
G. Design Criteria
H. Certification Sigr attire Page
Sincerel.
Dean Cockinos
DPR Associates, Inc.
420 Hawthorne Lane
Charlotte, NC 28204
704-332-1204

....Union County
orvotowmpv„,:„:,,,,,,Ambookroom
go,,,00skiK
Transmiftal
Union County Public Works
500 North Main Street
Suite 400
Monroe, NC 28112
T. 704-296-4210
www.unioncountync.gov
To: NC Department of Environmental 'Quality
Division of VVater Resources Moore•sviHe Regional Office
610 East Center :Avenue
Mooresville, N.G. 28115
Attention: Date: November 20, 2017
Regarding: Sanitary Sewer to serve Arbor CAerl Sewer Extension
We are sending you: Copy of letter Prints lig Other
Plans lL1 Shop Drawings
Cop es I Date i No, Description
i 1
: •—i•--- 1 -f
1 11 /20/17 I Cover Letter
1 1 11/20/17 I l Fast Track Application
1 11/20/17 I I Copy of Fast Track Application
i 1 I 3/1/1/ i I Business Corporation Annual Report :
1 I I USGS Topo Map
'..
1 ' Z f
1 Street Level Map
I l :
, , • i
1 I l. 11/20/17 i 1 How Tracking Form
i I 11/14/17 I 2454 I $480.00 Check (Application Fee)
These are transmitted and checked below:
For approval F or your Il„.1 As requested ieview any comment
use
Remarks:
Signed:
Received by:
Peter W. Brown
Date.

Central Files: APS _ SWP
2/2/2018
Permit Number W00039647 Permit Tracking Slip
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
ori.tuvia
Coastal SWRule
Permitted Flow
285
Facility
Status Project Type
In review New Project
Version
A
Permit Classification
Individual
Permit Contact Affiliation
Facility Name
Arbor Glen Sewer Extension
Location Address
Owner
Major/Minor Region
Minor Mooresville
County
Union
Facility Contact Affiliation
Owner Name
Union County
Dates/Events
Owner Type
Govemment - County
Owner Affiliation
Cindy Coto
500 N Main St
Monroe
NC 28112
Orlg Issue App Received
2/5/2018 11/27/2017
Draft Initiated
Scheduled
Issuance Public Notice Issue Effective
2/5/2018 2/5/2018
Regulated Activities Requested /Received Events
Expiration
Subdivision Additional information requested 11/27/17
Wastewater collection Additional information received 2/1/18
Outfall
Waterbody Name Streamindex Number Current Class Subbasin