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HomeMy WebLinkAboutWQ0043773_Application_20221103DWR 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: W6)&645773 (to be completed by DWR) RECEIVED/NCDEQ/DWR All items must be completed or the application will be returned I. APPLICANT INFORMATION: 1. Applicant's name: WCO Kingspark, LP (company, municipality, HOA, utility, etc.) 2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Federal ❑ State/County ❑ Municipal 3. Signature authority's name: Hunter Nelson per 15A NCAC 02T .0106(b) Title: 4. Applicant's mailing address: 118 16th Ave. South City: Nashville State: TN Zip: 37203- 5. Applicant's contact information: Phone number: (615) 490-6700 Email Address: hunter@elmingtoncapital.com II. PROJECT INFORMATION: 1. Project name: Kingspark-Elmington 2. Application/Project status: ® Proposed (New Permit) SEP 1 9 2022 WQROS MOORESVILLE REGIONAL OFFICE ❑ Privately -Owned Public Utility ❑ Other ❑ 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: 35.21640° Longitude: -80.89018° 5. Parcel ID (if applicable): 11703119 (or Parcel ID to closest downstream sewer) III. CONSULTANT INFORMATION: 1. Professional Engineer: Lindsey Hearon License Number: Firm: Kimley-Horn & Associates, Inc. Mailing address: 6750 Poplar Avenue City: Memphis State: TN Zip: 38138- Phone number: (901) 334-5323 Email Address: Lindsey.hearonna,kimley-horn.com IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: 1. Facility Name: McAlpine Creek Permit Number: NC0024970 Owner Name: Charlotte Water V. RECEIVING DOWNSTREAM SEWER INFORMATION: 1. Permit Number(s): WQ 2. Downstream (Receiving) Sewer Information: inch 3. System Wide Collection System Permit Number(s) (if applicable): WQCS Owner Name(s): FORM: FTA 06-21 E Gravity ❑ Force Main Page I of 5 VI. GENERAL REQUIREMENTS RECEIVEDINCDEQ/DWR 1. If the Applicant is a Privately -Owned Public Utility, has a Certificat f,Pibli,c Convenience and Necessity been attached? ❑ Yes ❑ No IZ N/A 2. If the Applicant is a Developer of lots to be sold, has a Developer's Opet tiSi Agreement (FORM: DEV) been attached? �QORESVI ❑ Yes LB 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 15A NCAC 02T.0115(c) been attached? RECENED/NCDEQ/DWR ❑ Yes ❑ No ® N/A 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 5. Nature of wastewater : 100 % Domestic % Commercial me • SEP 2 0 2022 Wash WQROS ilw/6gifiggpNAL OFFICE ® Swimming Pool/Clubhouse ❑ Swimming Pool/Filter Backwash ❑ Other (Explain in Attachment) % 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 ❑ 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 Residential unit; Apartment 135 gal/unit 176 23,760 GPD Swimming Pool 10 gal/unit 84 840 GPD gal/ GPD gal/ GPD gal/ GPD gal/ GPD Total 24,600 GPD a See 15A NCAC 02T .01 14(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: 24,600 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): 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 6 78 PVC 8 660 PVC ( LCEIVED/NCDEQ/DWR SEP 2 0 2022 WQROS MOORESVILLE REGIONAL OFFICE ➢ 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: N/A 2. Approximate Coordinates (Decimal Degrees): Latitude: . Longitude: - . ° 3. Total number of pumps at the pump station: 3. Design flow of the pump station: N/A 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): N/A gallons per minute (GPM) at N/A 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 2.01C.1.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify) 6. Power reliability in accordance with 15A NCAC 02T .0305(h)( I): ❑ 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 DocuSign Envelope ID: FA8CF62C-4457-4B12-9ABO-D92E7843B40B IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(1)): 1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(f) & (g)? 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems: ® Yes ❑ No Setback Parameter* Separation Required Storm sewers and other utilities not listed below (vertical) 18 inches 2Water mains (vertical - water over sewer preferred, including in benched trenches) 18 inches 2Water 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(f) 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 Kimley>»Horn August 17, 2022 NCDEQ: Mooresville Regional Office Sanitary Sewer Permitting 610 E. Center Ave. Mooresville, North Carolina 28115 IlECEIVED/NCDEQ/DWR EIVED/NCD O/DWR SEP 1 9 2022 8 WQROS MOORESVILLE REGIONAL OFFICE WOS MOOR SVILI.E PE • :AL OFFICE REC. ED/NCDEADWR 2022 RE: Kingspark Elmington — Fast Track Sewer System Extension Application To whom it may concern, The referenced project, "Kingspark Elmington" is a multifamily development located at 2658 & 2662 Dr. Carver Road, Charlotte, NC 28208. The development consists of 176 units within two proposed buildings. 2022 WQ••S MOORESVILLE RE ONAL OFFICE The new development will be served by a private sewer that will tie into a proposed Charlotte Water 8" sewer manhole running through the proposed project site running parallel to Dr. Carver Road. The following documents are enclosed: • Application • $480 check • Willingness to Serve Letter (Charlotte Water) • Site Maps (Aerial and Topographic) • Elmington Capital Group, LLC NC Business License Should you have any questions or concerns regarding the enclosed submittal package, please feel free to contact me directly at (901) 334-5323, or via email at Lindsey.hearon@kimley-horn.com. Sincerely, KIMLEY-HORN AND ASSOCIATES, INC. Lindsey Hearon, P.E. Kimley-Horn and Associates, Inc. 6750 Poplar Avenue, Suite 600 Memphis, TN 38138 Direct: (901) 334-5323 Main: (918) 698-3538 Lindsey.hearon@kimley-horn.com kimley horncom 6750 Poplar Avenue, Suite 600, Memphis, TN 38138 901 334 5323 RECEIVED/NCDEQ/DWR NOV - 3 2p22 Division of Water Resources WQROS State of North Carolina MOORESVIL.LE REGIONAL OFFICE Department of Environmental Quality Division of Water Resources Flow Tracking for Sewer Extension Applications (FTSE 10-18) Entity Requesting Allocation: Kimley Horn Project Name for which flow is being requested: Kingspark-Elmington (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 13.873 e. WWTP facility's actual avg. flow f. Total flow for this specific request g. Total actual and obligated flows to the facility h. Percent of permitted flow used 65.2 0.0246 79.073 79.9% II. Complete this section for each pump station you are responsible for along the route of this proposed wastewater flow. List pump stations located between the project connection point and the WWTP: (A) (B) (C) (D)=(B+C) (E)=(A-D) Design Obligated, Pump Pump Average Approx. Not Yet Total Current Station Station Firm Daily Flow** Current Tributary Flow Plus (Name or Permit Capacity, * (Firm / pf), Avg. Daily Daily Flow, Obligated Available Number) No. MGD MGD Flow, MGD MGD Flow Capacity*** * 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 < O. Downstream Facility Name (Sewer): Dr Carver Road 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. Digitally signed by Keri B Cantrell Date: 2022.10.26 13:09:10-04'00' 10/26/2022 Adobe Acrobat version: 2022.003.20258 Signing Official Signature Date Chief Engineer Title of Signing Official Page 2 of 6 FTSE 10-18 CHARLOTTE WTER September 9, 2022 Miss. Lindsey Hearon Kimley-Horn 6750 Poplar Avenue Suite 600 Memphis, TN. 38138 SUBJECT: WATER AND SEWER FLOW ACCEPTANCE KINGSPARK-ELMINGTON 2658 & 2662 DR. CARVER ROAD, CHARLOTTE, NC. 28208 CLTWATER TRACKING# 20226338 After analysis of the sanitary sewer associated with the proposed design of project, 20226338, KINGSPARK-ELMINGTON, it was determined that there is sufficient capacity to accommodate the proposed sewer flow of 24,600 gallons per day (176 units x 135-gpd/units, 84-people 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 CLTWaterand 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 (704) 432-5801. Sincerely, Pedro- Ga-La--red#0a Pedro Galarreta, BSCE, BBA / Engineering Assistant CHARLOTTE WATER / charlottewater.org Charlotte Water 5100 Brookshire Blvd, Charlotte, NC 28216 charlottewater.org Operated by the City of Charlotte CHARLOTTE WLTER January 24, 2022 Mr. Henry Minor Kimley-Horn 200 South Tryon Street Suite 200 Charlotte, NC 28202 SUBJECT: WILLINGNESS TO SERVE KINGSPARK - ELMINGTON 2658 DR CARVER ROAD, CHARLOTTE, NC 28208 After an analysis by Charlotte Water's Capacity Assurance Program (CAP) of the sanitary sewer system associated with the proposed KINGSPARK — ELMINGTON development, it was determined that there is currently sufficient capacity within the existing public gravity sewer to accommodate the proposed sewer flow (34,860 gallons per day), at the connection point(s) indicated for transmission to the McAlpine Creek Wastewater Treatment Plant (NPDES Permit # NC0024970). Please note that availability of flow is subject to change, and this Willingness to Serve (WTS) review does not guarantee future capacity or reserve capacity in the public sewer system. A full CAP application with fully engineered site utility plan must be submitted and approved to reserve sewer capacity for this project. Please contact New Services at 704-432-2854 for official submittal guidelines to the Capacity Assurance Program. 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 NC DEQ. 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 an authorization to construct or extend private water or sewer systems, as the appropriate local or State permits are required prior to construction. The analysis performed determines available capacity within the existing public gravity sewer system. The development is responsible for any additional private or public sewer infrastructure required to convey flow from the proposed development to the existing public sewer. If you have any questions, please do not hesitate to contact me at (704) 432-5801. Sincerely, G1,(4:11,e rw o- Awzo-La, Guillermo Anzola / Engineering Assistant CHARLOTTE WATER / charlottewater.orq Charlotte Water 5100 Brookshire Blvd, Charlotte, NC 28216 charlottewater.org R» Operated by the City of Charlotte Kimley>>>Horn Kingspark - Elmington 2658 & 2662 Dr. Carver Road Charlotte, Montgomery County, NC A NORTH VICINITY MAP 94 93 90 9J 099 7 8 11.1150.01 USGSU.S. DEPARTMENT OF THE INTERIOR U.S. GEOLOGICAL SURVEY 8.888/48.0.8.18 33'E mg., Limed Statts Wo,88.8. surm 101 .4.01 .04 .014154.../ 101410.0. M 9.991044 OrlS To;o SCALE 1:24 000 0 943.19 VrE01 1.0 Am 4,92 00004 .9 VW 0404 WO 9)90 0440 = 000 NED WIC Nam ADM 100m0000.41Ma CHARLOTTE WEST QUADRANGLE NORTH CAROLINA - MECKLENBURG COUNTY 7.5-MINUTE SE/UES 00.41.1531FICATION /80•8888r vw, *or secw.80 8.8 MER8 ma. 1/1116 n 0 ..° IOW 40000.90.44.10 0904.41. 000090. 1000. .0044049 CHARLOTTE WEST, NC 2019 LIMITED LIABILITY COMPANY ANNUAL REPORT 1/6/2022 NAME OF LIMITED LIABILITY COMPANY: Elmington Construction, LLC SECRETARY OF STATE ID NUMBER: 2047667 REPORT FOR THE CALENDAR YEAR: 2022 SECTION A: REGISTERED AGENT'S INFORMATION STATE OF FORMATION: TN AMENDING DOC ID 1. NAME OF REGISTERED AGENT: Incorp Services, Inc. 2. SIGNATURE OF THE NEW REGISTERED AGENT: • Filing Office Use Only E - Filed Annual Report 2047667 CA202204603366 2/15/2022 04:00 Changes SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT 3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS 176 Mine Lake Court, Suite 100 176 Mine Lake Court, Suite 100 Raleigh, NC 27615 Wake County Raleigh, NC 27615 SECTION B: PRINCIPAL OFFICE INFORMATION 1. DESCRIPTION OF NATURE OF BUSINESS: General Contractor 2. PRINCIPAL OFFICE PHONE NUMBER: (615) 490-6700 4. PRINCIPAL OFFICE STREET ADDRESS 118 16th Avenue S Ste 200 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction 5. PRINCIPAL OFFICE MAILING ADDRESS 11816th Avenue S Ste 200 Nashville, TN 37203 Nashville, TN 37203 6. Select one of the following if applicable. (Optional see instructions) The company is a veteran -owned small business ❑ The company is a service -disabled veteran -owned small business SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.) NAME: Cary Rosenblum NAME: Ben Brewer TITLE: Member TITLE: Member ADDRESS: 11816th Avenue 5., Suite 200 Nashville, TN 37023-3135 NAME: William Cochrane Jamison TITLE: Member ADDRESS: ADDRESS: 118 16th Avenue S, Suite 200 118 16th Avenue S. Suite 200 Nashville, TN 37203-3135 Nashville, TN 37203-3135 SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity. William Cochrane Jamison 2/15/2022 SIGNATURE Fomi must be signed by a Company Official listed under Section C of This form. William Cochrane Jamison Member DATE Print or Type Name 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 Print or Type Title of Company Official SECTION E: ADDITIONAL COMPANY OFFICIALS NAME: Ryan Seibels TITLE: Member ADDRESS: 118 16th Avenue S. Suite 200 Nashville, TN 37203-3135 NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: C. Hunter Nelson TITLE: Member ADDRESS: NAME: Scott T. Sohr TITLE: Member ADDRESS: 118 16th Avenue S. Suite 200 118 16th Avenue S. Suite 200 Nashville, TN 37203 Nashville, TN 37203-3135 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: NAME: TITLE: ADDRESS: North Carolina Secretary of State Search Results Page 1 of 1 • Upload a PDF Filing • Order a Document Online • Add Entity to My Email Notification List • View Filings Limited Partnerships Legal Name WCO Kingspark, LP Information Sosld: 2319954 Status: Current -Active Date Formed: 12/13/2021 Citizenship: Domestic Annual Report Due Date: Registered Agent: Pease Law PLLC Addresses Reg Office Reg Mailing 16151 Lancaster Highway, Suite B 16151 Lancaster Highway, Suite B Charlotte, NC 28277 Charlotte, NC 28277 https://www.sosnc.gov/online_services/search/Business_Registration_Results 9/19/2022