WQ0043865_Application (FTSE)_20221027

'1C DAMS COVER LETTER > NCDEQ
October 13, 2022
NCDEQ Mooresville Regional Office
Water Quality Section
610 E. Center Avenue, Suite 301
Mooresville, North Carolina 28115
Re: Fast -Track Application (FTA 06-21) For Sewer
Prose Rhyne Road
Charlotte, North Carolina
ALL-21003
Please find enclosed with this letter the following attachments:
1. Application Form (FTA 06-21) — one original (hand delivered)
2. Application Fee (hand delivered)
3. Flow Tracking/Acceptance for Sewer Extension Permit Form (FTSE 04-16)
4. USGS Topographic Map
5. Aerial Location Map
6. Capacity Assurance Review Letter
RECEIVED/NCDEQ/DWR
OCT 2 4 2022
WQROS
MOORESVILLE REGIONAL OFFICE
The proposed project is a 330-unit apartment community in Charlotte, NC. Charlotte will be accepting the sewer
flows from this project. The proposed private sewer collection system will have an 8" gravity main with 6" or 4"
service lines extending to each building respectively. The proposed private sewer collection system will be built in
one phase.
Sincerely,
MCADAMS
Jonathan Woodard, PE
Project Manager
JBW/ks
creating experiences through experience 3430 Toringdon Way, Suite 110, Charlotte, NC 28277 / 704. 527. 0800

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: L& 6 (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
E ECEIVED/NCDEQ/DWR
OCT 2 4 2022
WQROS
1. Applicant's name: US Alliance Rhvne Venture, LLC (company, municipality, I-IOA, utility, etc.) tYlOORESVILLE REGIONAL OFFICE
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: Donald Santos per 15A NCAC 02T .0106(b)
Title:
4. Applicant's mailing address: 200 Providence Road. Suite 250
City: Charlotte State: North Carolina Zip: 28207-
5. Applicant's contact information:
Phone number: [phone] Email Address: dsantos u,allresco.cotn
II. PROJECT INFORMATION:
1. Project name: Prose Rhyne Road
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: Mecklenburg
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.289047° Longitude: -80.968763°
5. Parcel ID (if applicable): 055481 10 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Jonathan Woodard. PE
Firm: McAdams
Mailing address: 3430 Toringdon Way. Suite 110
City: Charlotte State: North Carolina
Zip: 28277-
License Number: 049168
Phone number: [phone] Email Address: jwoodard a mcadamsco.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: McAlpine Creek, Irwin Creek, Sugar Creek Permit Number: NC0024970, NC0024945, NC0024937
Owner Name: Charlotte Water
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ UNKNOWN
2. Downstream (Receiving) Sewer Information: inch ❑ Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS___
Owner Name(s):
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?
El Yes No ®N/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 HOA/POA Operational Agreement (FORM: HOA) and
supplementary documentation as required by I5A NCAC 02T.0115(c) been attached?
❑ Yes ❑ No ® N/A
4. Origin of wastewater: (check all that apply):
❑ Residential (Individually Owned)
® Residential (Leased)
❑ School / 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 % Industrial (See 15A 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 .0114(f)? ® Yes E 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(0)
Daily Design Flow a,b
No. of Units
Flow
Apartments
135 gal/unit
330
44,550 GPD
Amenity
10 gal/person
170
1,700 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
46,250 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: 46,250 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 pei,iiitting 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):
FORM: FTA 06-21
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
8"
1347
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
1. 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
5. Summarize the force main to be permitted (for this Pump Station):
feet total dynamic head (TDH)
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 2.01C.1.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or ❑ Standby pump
➢ Must have 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 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 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(t) & (g)?
15A NCAC 02T.0305(f) contains minimum senarations that shall be provided for sewer systems•
Yes ❑ No
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 II 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 02T.0305(fl or (g), see Section X.1 of this application
*15A NCAC 02T.0305(g) 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 webpage
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: ® 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 15A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑ Yes ® No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0105(c)(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 15A 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 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
Yes El 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, 3010 A 14,-/DD141z1D , attest that this application for
PRoSE ROYADE RD
(Professional Engineer's name from Application Item 111.1.) (Project Name from Application Item 1I.1)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications, engineering calculations, and all other supporting documentation to the best of my knowledge. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
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 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 NC` c Af tQ7gili)// ,,
bf s
•S/0��y, ;:
+%.
SEAL r
►916 =
ti '' NGINee••'0/41-
i� B- .\�
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, 0n ald 5 r.rr—FoS , attest that this application for Pr -) e
(Signature Authority Name from Application Item 1.3.) (Project Name from Application Item II.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. 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, and/or criminal prosecution. I will make no claim against the Division
of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application
package are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature:
Date: 0 QS / 7�2
FORM: FTA 06-21
Page 5 of 5

CHARLOTTE
January 10, 2022
Mr. Jonathan Woodard
McAdams
3460 Toringdon Way
Suite 110
Charlotte, NC 28277
SUBJECT: WATER AND SEWER FLOW ACCEPTANCE
PROSE RHYNE ROAD
9741 MT. HOLLY ROAD, CHARLOTTE, NC 28214
CLTWATER TRACKING# 20218719
After analysis of the sanitary sewer associated with the proposed design of project, 20218719,
PROSE RHYNE ROAD, it was determined that there is sufficient capacity to accommodate the
proposed sewer flow of 47,060 gallons per day (336 units x 135 gpd/unit; 170 persons x 10
gpd/person) at the connection point(s) indicated on the submitted utility plan for transmission to the
McAlpine Creek Wastewater Treatment Plant; NPDES permit number NC0024970, for treatment.
This acceptance of flow is based upon the existing capacity of the designated publicly owned
treatments works.
Please see attached NCDEQ-FTSE form.
Charlotte Water (CLTWater) agrees to furnish water to the subject project. The water quality to the
subject project is regulated by the State Drinking Water Act Amendments of 1986 and The Water
Supply Management Plan, PWS ID # 0160010 on file with the Public Water Supply Section of
NCDEQ. However, CLTWater cannot guarantee a constant pressure or quality of flow.
The applicant should understand that due to the involvement of other agencies and continuing
growth of the water and sewer system, the ability to provide service for future projects cannot be
guaranteed nor reserved. Connection to the CLTWater and sewer system is accepted on a first
come, first served basis.
The applicant should understand that this letter is not authorization to construct or extend private
water or sewer systems, as the appropriate local or State permits are required prior to construction.
If the appropriate authorization to construct permits are not obtained and construction has not
started within two (2) years of issuance of this flow acceptance, and payment for any service
connections have not been received within two (2) years of issuance of this flow acceptance letter,
this flow acceptance approval shall be rescinded and a new flow acceptance request must be made.
If you have any questions, please do not hesitate to contact me at [phone].
Sincerely,
Gwi,Ll e-r-wto- AKaate'
Guillermo Anzola / Engineering Assistant
CHARLOTTE WATER / charlottewater.org
Charlotte Water 5100 Brookshire Blvd, Charlotte, NC 28216 charlottewater.org
P! Operated by the City of Charlotte

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: McAdams
Project Name for which flow is being requested: Prose Rhyne Road (Residential)
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: McAlpine Creek, Irwin Creek, Sugar Creek
b. WWTP Facility Permit #: NC0024970, NC0024945, NC0024937
All flows are in MGD
c. WWTP facility's permitted flow 99.00
d. Estimated obligated flow not yet tributary to the WWTP 12.403
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 peilriitted flow used
71.5
0.04706
83.95
84.8%
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:
Pump
Station
(Name or
Number)
Long Creek
Pump
Station
Permit
No.
Firm
Capacity, *
MGD
(A)
Design
Average
Daily Flow**
(Firm / pfl,
MGD
8.5 3.4
Paw Creek 10.7 4.28
(B) (C)
Obligated,
Approx. Not Yet
Current Tributary
Avg. Daily Daily Flow,
Flow, MGD MGD
4.784 0.578
6.403 0.76
(D)=(B+C) (E)=(A-D)
Total Current
Flow Plus
Obligated
Flow
5.362
7.163
Available
Capacity***
-1.962
-2.883
* The Firm Capacity (design flow) 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, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Unknown
Downstream Permit Number: Unknown
Page 1 of 6
FTSE 10-18

III. Certification Statement:
Keri Cantrell certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the
receiving wastewater treatment facility and that the flow from this project is not anticipated to cause any
capacity related sanitary sewer overflows or overburden any downstream pump station en route to the
receiving treatment plant under normal circumstances, given the implementation of the planned
improvements identified in the planning assessment where applicable. This analysis has been performed
in accordance with local established policies and procedures using the best available data. This
certification applies to those items listed above in Sections I and II plus all attached planning assessment
addendums for which I am the responsible party. Signature of this form certifies that the receiving
collection system or treatment works has adequate capacity to transport and treat the proposed new
wastewater.
1/10/2022
Signing Official Signature Date
Chief Engineer
Title of Signing Official
Page 2 of 6
FTSE 10-18

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
10.6 % and 0.76 MGD of the Available Capacity (E) in Pump Station
Long Creek and Paw Creek ; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
0.76 MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
Stowe Regional Water Resource Recovery Facility is in design or under construction with
planned completion in 2025 ; and/or Paw Creek FM Replacement - 2022
d. The following applies: Paw Creek Pump Station Improvements - 2022
Charlotte Waters Capital Improvement Plan has allocated funds for improvements to the Paw Creek Pump Station Improvements and a new Stowe
Regional Water Resource Recovery Facility ("Stowe Regional"). The design plan is for Stowe Regional to use the Long Creek Pump Station (LCPS)
to house the second stage pumps of its influent pump station. In the short term, LCPS wit also continue to house pumps which export flow to Paw Creek PS
("Paw Creek export pumps'). Currently LCPS has 8 MGD of export capacity, which will be increased to 12 MGD (firm) by the end of 2023.
Stowe Regional is under design and expected to come online in 2025. Before Stowe Regional is brought online, a new headworks and Influent Pumping Station
building will be constructed adjacent to the LCPS, which will house the first stage influent pumps for Stowe and be the Paw Creek export pumps.
Currently, Long Creek and Paw Creek operate as a combined system with the Long Creek pump station able to transfer flows to flow equalization
tanks during peak flow events and then meter out flow to Paw Creek as conditions allow.
Paw Creek Pump Station was awarded a permit on 8/27/2020 to increase firm pumping capacity to 20 MGD. Construction on this project has begun,
and this project is anticipated to be substantially complete mid -April 2022.
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.
I 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.
1/10/2022
Signing Official Signature Date
Page 3 of 6
FTSE 10-18

A
500 1,000
1 inch= 1,000 feet
2,000
Feet
PROSE RHYNE ROAD
USGS TOPO MAP
PROJECT #: ALL-21003
CHARLOTTE, NORTH CAROLINA
gij
%ARAM j

i N
A
0 125 250 500
Feet
l inch = 250 feet
PROSE RHYNE ROAD
SITE AERIAL MAP
PROJECT #: ALL-21003
CHARLOTTE, NORTH CAROLINA
im '
DA MS

CERTIFICATE OF
US ALLIANCE RHYNE VENTURE, LLC
The undersigned hereby certifies on behalf of US Alliance Rhyne Venture, LLC (the
"Company") as follows:
The Limited Liability Company Agreement of the Company provides that the Company is
managed by US Alliance Rhyne MM, LLC ("Managing Member"), which is the managing
member of the Company.
The Limited Liability Company Agreement of Managing Member provides that Managing
Member is managed by Prose Rhyne Alliance, LLC, which is its managing member ("Alliance"),
and which is authorized to execute documents on behalf of Managing Member, as the managing
member of the Company.
The Limited Liability Company Agreement of Alliance provides that Alliance is managed
by its members, each of whom is authorized to execute documents on behalf of Alliance.
Donald Santos is a member of Alliance as of the date hereof and is duly authorized to
execute documents on behalf of Alliance, as the managing member of Managing Member, as the
managing member of the Company.
IN WITNESS WHEREOF, I have hereunto set my hand as of the 17th day of October, 2022.
US ALLIANCE RHYNE VENTURE LLC, a
Delaware limited liability company
By: US Alliance Rhyne MM, LLC, a Delaware
limited liability company, its managing
member
By: Prose Rhyne Alliance, LLC, a
Delaware limited liability company,
its managing member
By:
Patrick W. Dukes
Member

North Carolina Secretary of State Search Results Page 1 of 1
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online •
Add Entity to My Email Notification List • View Filings • Print a Pre -Populated Annual Report form • Print
an Amended a Annual Report form
Limited Liability Company
Legal Name
US Alliance Rhyne Venture, LLC
Information
Sosld: 2252010
Status: Current -Active
Date Formed: 8/17/2021
Citizenship: Foreign
State of Incorporation: DE
Annual Report Due Date: April 15th
CurrentAnnual Report Status:
Registered Agent: CT Corporation System
Addresses
Reg Office Reg Mailing Mailing
160 Mine Lake Ct Ste 200 160 Mine Lake Ct Ste 200 7135 E Camelback Rd Ste 300
Raleigh, NC 27615 Raleigh, NC 27615 Scottsdale, AZ 85251
Principal Office
7135 E Camelback Rd Ste 300
Scottsdale, AZ 85251
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager
Bob Weston
7135 E. Camelback Rd., Ste. 300
Scottsdale AZ 85251
https://www.sosnc.gov/online_services/search/Business_Registration_Results 10/25/2022