WQ0043393_Application (FTSE)_20220406

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: WO b1{ 9 (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Chatham Park Investors LLC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: Tim Smith per 15A NCAC 92T .0106(b)
Title: Owner/Manager
VeCc1}CG
4. Applicant's mailing address: 105 Weston Estates Way
City: Cary State: NC Zip: 27513- LA \ \ 1'
5. Applicant's contact information:
Phone number: [phone] Email Address: tim{7a,prestondev.com
11. PROJECT INFORMATION:
I. Project name: Section 5.3 Outfall Phase 1
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Chatham
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.719709 Longitude: -79.139035
5. Parcel ID (if applicable): 9751-87-9020; 9751-87-8477(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Wesley Hutchins License Number: 049224
Firm: McKim & Creed
Mailing address: 1730 Varsity Drive, Venture IV Building, Suite 500
City: Raleigh State: NC Zip: 27607-2689
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Chatham Park WRC Permit Number: W00039375; NC0020354
Owner Name: Chatham Park Investors LLC
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
I. Permit Number(s): WQ0040741
2. Downstream (Receiving) Sewer Information: 24 inch ® Gravity 7 Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS_ _.
Owner Name(s): Town of Pittsboro
FORM: FTA 06-21
Page 1 of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No ® NIA
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement tFORM: DEV) been attached?
❑ Yes ❑ No ® NIA
3. If the Applicant is a Home: Property Owners' Association, has an HOAIPOA Operational Aereement (FORM: HOA) and
supplementary documentation as required by 15A NCAC 02T.01 15(c) been attached?
❑ Yes ❑ No ® NIA
4. Origin of wastewater: (check all that apply):
❑ Residential (Individually Owned) ❑ Retail (stores, centers, malls)
❑ Residential (Leased) ❑ Retail with food preparation/service
❑ School ? preschool ;' day care ❑ Medical dental ! veterinary facilities
❑ Food and drink facilities ❑ Church
❑ Businesses ;' offices ;' factories ❑ Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool/Clubhouse
❑ Swimming Pool,'Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : __ _0 Domestic % Commercial % Industrial (ee I5A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .01 14(I)? ❑ Yes ® No
➢ If yes, provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow''b
No. of Units
Flow
gall
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gall
GPD
gal/
GPD
Total
GPD
a See I5A NCAC 02T _0114(bk (d). (e)f 11 and (02) 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 {i 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01 14] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per 15A NCAC 02T .0114)
Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/'Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
® Other (Explain): Project does not generate wastewater. Future prokas will provide permits for new flow.
FORM: FTA 06-21
Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
I . Summarize gravity sewer to be permitted:
Size (inches)
T
Length (feet) Material
8
928
PVC
➢ 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 requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
I . Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: .___ ° Longitude: -
3. Total number of pumps at the pump station:
3. Design flow of the pump station: _ millions gallons per day (firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): gallons per minute (GPM) at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.0I C.l .b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T _0305h)(1):
❑ Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - 1 5A 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 and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
➢ include documentation that the portable source is owned or contracted by the applicant 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
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 06-21 Page 3 of 5

IX. SETBACKS & SEPARATIONS — (02B .0200 & I5A NCAC 02T .0305(0):
1. Does the project comply with all separations/alternatives found in I5A NCAC 02T_r 305(]j & (a}? ® Yes ❑ No
15A NCAC 02T.0305(f1 contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
'Water mains (vertical - water over sewer preferred, including in benched trenches)
18 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 11 impounded reservoirs used as a source of drinking water, and associated wetlands.
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 associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
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
➢ If noncompliance with Q2T.0305f f l or (g), see Section X. I of this application
*,15A NCAC 02T.0305 contains alternatives where separations in 02T.0305(f) cannot be achieved. Please check "yes"
above if these alternatives are used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webiage
2. Does this project comply with the minimum separation requirements for water mains? ❑ Yes ❑ No ® N A
➢ If no, please refer to 15A NCAC 18C.0906(f) for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ❑ Yes ❑ No ® N A
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ See the Division's draft separation requirements for situations where separation cannot be met.
➢ No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? ® Yes Basin name: Cape Fear ❑ No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B _0200? ® Yes ❑ No
➢ This includes Trout Buffered Streams per I5A NCAC 2B.0202
5. Does the project require coverage.'authorization under a 404 Nationwideindividual permits ❑ Yes ® No
or 401 Water Quality Certifications?
➢ Please provide the permit number.'permitting status in the cover letter ifcoverage•authorization is required.
6. Does project comply with I5A NCAC 02T.0IOStcl(6) (additional permits•certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0I05c)(6), directly related environmental permits or certification applications must be 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.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes ® No
Per I5A NCAC 02T.0402, "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ 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 15A NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with I5A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains ( latest version), and the ravity Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the permit, and projects requiring a variance approval may be subject to longer
review times. For projects requiring two or more variances or where the variance is determined by the Division to be a
significant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:
1, Wesley Hutchins attest that this application for Section 5.3 Outfall Phase 1
(Professional Engineer's name from Application Item III 1 ) (Project Name from Application Item II I)
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. 1 further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria for Gravity Sewers (latest. version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force, Mainsplatest 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 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. Misrepresentation of the application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board. (21 NCAC 56.0701)
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification
I, 'Tinto
(Signature A11hon y
per I5A NCAC 02T .0106(b):
es
Q Name
k ��
•
,�N CAR°, ,
0 ... ess1o;»'L
• 049224
•FYO N\SC %'s.
O. H
, attest that this application for Section 5.3 Outfall Phase 1
from App ication Item 1,3.) (Project Name from Application Item 11.1)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
I 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. 1 understand that any
discharge of wastewater from this non -discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division
of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application
package are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
NOTE In accordance with General Statutes 143-215.6A and I43-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature:
FORM: FTA 06-21
Date: _. - }
Page 5 of 5

DESIGN NARRATIVE
FOR
FAST TRACK SANITARY SEWER PERMIT
11'111 CHATHAM PARK
Many Chokes. One Place.
CHATHAM PARK INVESTORS LLC
Section 5.3 Outfall Phase 1
105 Weston Estates Way
Cary, North Carolina 27513
M&C Project # 01561-0027
April 2022
Prepared by:
4,0.# MCKIM&CREED
ENGINEERS SURVEYORS PLANNERS
Wesley Hutchins, PE
McKim & Creed, Inc.
1730 Varsity Drive, Suite 500
Raleigh, NC 27606
P:919-233-8091

DESIGN NARRATIVE
1.0 PROJECT DESCRIPTION
The WO 13-Section 5.3 Outfall Phase 1 project installs approximately 930 LF of 8-inch PVC
gravity sanitary sewer. The proposed gravity sanitary sewer outfall is a new gravity outfall
installed for future development. The site is located north of US-64 Business East and the
existing Chatham Park Water Recovery Center. The total project has approximately 1.02 acres
of disturbed area.
2.0 EXISTING SYSTEM
The proposed gravity sanitary sewer will tie-in to an existing sanitary sewer gravity manhole.
This downstream receiving sewer is permitted under WQ0040741 and is owned by the Town of
Pittsboro.
3.0 PROPOSED ADDITIONS
The proposed construction will add approximately 930 linear feet of 8-inch PVC gravity sanitary
sewer and four (4) sanitary sewer manholes. The proposed sanitary sewer is a new gravity
outfall installed for future development and extends to an existing sanitary sewer gravity
manhole. The project does not include the permitting of new sanitary sewer flows. Other
consultants will provide permits for the new flows in future projects for the development.

16L0P00OM ON Iliwed
3Ad 4oui VZ .41-110d
uoIPauuo3 wealiSUM0a
asegd IIeMO E'9 uotoaS - £I. OM
dew ieu ev

el Lie
1.1
lq
1.
Jib
r
•
4.
4.
In.
Fullers or, CTVAIT.4trar OF Ted utiTERKA
da C11:10LOOKAL SURVEY
colsol r sals•••••1
71•Inal • [..44.1 Lim 4.••••• tan,
node.. ons• b1.•
....... .......I. Pl.
,in......, ....... ............ ,.... ....
mown .....•.• Down. WY
...... A... 1.1.•M1.. ••• ..,.... .. No., z41-..
1......• .M11. ....... ono.. ma.m... ....m
b I
•
.r.; US Topo
SCALE I:Zl Doo
INF
• r
MMHG 41174$1.104(AE
/KRIM GAOL. 040.11.1. COMM
7 .14.41.71, 51116
- la...11••••••
••• •••• •
•••••
FirISIORO. rEC
• •
1.•
41
id
•
•

Venture IV Building
1730 Vursily Drive
Raleigh, NC 27506
919.233.8091
Fax [phone]
www.mckirncreed.com
MCKMI&CREED
NC Dept of Environmental Quality
APR 061022
ENGINEERS
SURVEYORS
PLANNERS
April 6, 2022 Regional M&C 01561-0027
Raleigh
NCDEQ Water Quality Section
3800 Barrett Drive
Raleigh, NC 27609
RE: Chatham Park Investors LLC
Section 5.3 Outfall Phase 1
Fast Track Sewer System Extension Application
To Whom It May Concern:
We respectfully submit this application for a Fast Track Sewer System Extension
Application on behalf of the Chatham Park Investors LLC for the subject project. The
Section 5.3 Outfall Phase 1 project installs approximately 930 linear feet of 8-inch
PVC gravity sanitary sewer.
Included in this submittal are two copies (one original, one copy) of the following
documentation:
• Fast Track Application (Form: FTA 04-16), with attached documentation of business
registry
• USGS Quad Map and Aerial Map (showing project area and approximate locations of
proposed gravity sewer)
• Project Narrative
• Check No. 13989 in the amount of $480.00
Please do not hesitate to contact me should you have any questions or concerns. We
appreciate your time and consideration regarding this matter.
Sincerely,
McKIM & CREED, INC.
1/
Wesley Hutchins, P.E.
Project Manager
cc: Robin Rose, Chatham Park Investors (electronic)
15.01%1500275 ENG's40-Permi1145• DF,NI. UEFI, DOT. etc • WW Permits5, Fast Track Sewer5.Cover Leiter for Submrtlal.doc

LIMITED LIABILITY COMPANY ANNUAL REPORT •
ion0t7
NAME OF LIMITED LIABILITY COMPANY: Chatham Park Investors LLC
SECRETARY OF STATE ID NUMBER: 0754605 STATE OF FORMATION: NC
REPORT FOR THE CALENDAR YEAR: 2021
SECTION A: REGISTERED AGENTS INFORMATION
1. NAME OF REGISTERED AGENT: Corporation Service Company
2. SIGNATURE OF THE NEW REGISTERED AGENT:
Fling Office Use Only
E - Filed Annual
Report
0754605
Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
2626 Glenwood Ave Ste 550 2626 Glenwood Ave Ste 550
Raleigh, NC 27608 Wake County
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Real Estate
Raleigh, NC 27608
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS
100 Matrix Drive 8000 100 Matrix Drive 8000
Cary, NC 27513 Cary, NC 27513
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
❑ The company is a service-disab ed veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME: Donald R Parker
NAME: Timothy R. Smith NAME: Julian W. Rawl
TITLE: President TITLE: Vice President TITLE: Vice President
ADDRESS:
100 Matrix Drive 8000
Cary, NC 27513
ADDRESS: ADDRESS:
100 Matrix Drive 8000
Cary, NC 27513
100 Matrix Drive 8000
Cary, NC 27513
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
David B. Keim 4/10/2021
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form
David B. Keim Secretary
Print or Type Name of Company Official Print or Type Title of Company Official
SUBMIT THIS ANNUAL REPORT WITH THE REQUIRED FILING FEE OF $200.00
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525

SECTION E: ADDITIONAL COMPANY OFFICIALS
NAME: Donald R Parker
TITLE: Treasurer
ADDRESS:
100 Matrix Drive 8000
NAME: David B. Keim
TITLE: Secretary
ADDRESS:
100 Matrix Drive 8000
Cary, NC 27513 Cary, NC 27513
NAME:
TITLE:
NAME:
TITLE:
ADDRESS:
NAME: NAME:
TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME:
TITLE:
NAME: NAME:
TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE.
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
Name:
TITLE.
ADDRESS:
NAME:
TITLE:
ADDRESS: