WQ0042584_Owner (Affiliation Change)_20221215

DocuSign Envelope ID: 3EC47A7B-13BA-4E54-AACE-8F3931F33127 NC Dept of Environmental ti.;Rlltj+
FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: Chatham Park Investors, LLC DEC 15 2C
PERMIT #: WQ0042584 Modification
PROJECT: Chatham Park Section 5.1 Subdivision North Phases 5 & 6A Raleigh Regional Of
ISSUE DATE: November 23, 2022
This project shall not be considered complete nor allowed to operate in accordance with 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 Division's receipt. Send the required documentation
the Regional Supervisor, Water Quality Regional Operations Section at the address at the bottom,
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. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted,
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Chatham Park Investors LLC, by:
Robin R._Rose. Registered Agent
Printed Name, Title Signature Date
ENGINEER'S CERTIFICATION
I, Nicholas J. Antrilli, PE as a dui registered Professional En ineer in the State of North Carolina,
having been authorized to observe (periodically, ❑weekly, L] full time) the construction of the
project name and location as referenced above for the above Permittee hereby state that, to the best of
my abilities, due care and diligence was used in the observation of the following construction;
approximately 3,857 linear feet of 8-inch gravity sewer, such that the construction was observed to be
built within substantial compliance of this permit; 1SA NCAC 02T; the Division of Water Resources'
(Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1,
2000 as applicable; and other supporting materials.
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Certification Comments/Qualifiers (attach if necessary
North Carolina Department of Environmental Quality Division of Water Resources
Raleigh Regional Office 11628 Mail Service Center. Raleigh, NC 27699 1628
Physical Address: 3800 Barrett Drive. Raleigh, NC 27609 919-791-4200

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CERTIFICATION CHECKLIST
To be completed by the certifying engineer prior to operation of the permitted sewers, per 15A NCAC 02T.0116.
Certifying Engineer: Nicholas J. Antrilli, PE
Certification Review Date: 12/14/2022
Project Name: Chatham Park Section 5.1 Subdivision North Phase 5/6A
WQ0042584 Project County: Chatham County
1) Has permittee information changed since the permit was issued (or last modified): change of mailing address,
change of ownership, transfer from developer to HOA/POA, etc. ❑ Yes X❑ No
If yes, please provide either a change of ownership form or new contact information. Note that transfer of
permits from the developer to the HOA/POA must occur with the first certification.
2) Have the as -built drawings have been signed, sealed, and dated by an N.C. PE? X❑ Yes ❑ No
3) Final Engineering certification? Q Yes ❑ No
If Partial Engineering certification, provide detailed narrative including what is being certified in the current
phase, what was previously certified (if applicable), and what is left to be certified.
4) Adequate information related to sewer lines: IK Yes ❑ No ❑ N/A
Three feet minimum cover has been provided for all sewers unless ferrous pipe was installed.
Minimum diameters for gravity sewers are 8-inches for public lines and 6-inches for private lines.
Manholes have been installed: At the end of each line, at all changes in grade, size, or alignment, at all
intersections, and at distances not greater than 425 feet; minimum diameter shall be 4 feet (48-inches).
5) Adequate information related to pump stations: ❑ Yes ❑ No Q N/A
• Ensure power reliability option was selected per 15A NCAC 02T.0305(h).
6) Was project construction completed in accordance with all of the following: Q Yes ❑ No U N/A
• 15A NCAC 02T, Minimum Design Criteria (MDC) for the permitting of Gravity Sewers (latest version), and MDC
for the Permittinjg of Pump Stations and Force Mains (latest version)?
If not, a variance approval is required in accordance with 15A NCAC 02T.0105(b) prior to certification and operation.
• Contact the Central Office to discuss the variance to determine a course of action.
• Applicant must submit two copies of the variance request form, plans, specifications, calculations, and any other
pertinent information to the Central Office (one hard copy, one digital copy).
• The central office will review the variance request, and if approvable, specific language regarding the variance
will be incorporated into the permit, either via a special condition or a supplementary letter. A copy of the
reissued permit with variance language or the variance letter must be maintained with the original documents.
7) Does the project contains high priority lines (15A NCAC 02T .0402(2))? ❑ Yes X❑ No
• If yes, ensure that the permit already contains the necessary condition related to high priority lines 15A NCAC
02T.0403 (a)(5). If the permit does not include this language, the Fast Track reviewer will reissue the permit with
the appropriate language.
8) Are Permit modifications are required for any changes resulting in non-compliance with this permit (including but not
limited to pipe length changes of 10% or greater, change in flow, pump station design capacity design change of 5% or
greater, and/or change in the number/type of connections)? ❑ Yes X❑ No
• If yes, a permit modification request must be submitted to the appropriate Regional Office, and a modified
permit with revised certification must be issued prior to certification and operation.
North Carolina Department of Environmental Quality! Division of Water Resources
Raleigh Regional Office 1 1628 Mail Service Center, Raleigh, NC 27699-1628
Physical Address: 3800 Barrett Drive, Raleigh, NC 27609 919 7914200

NC Dept of Environmental Quality State of North Carolina
Department of Environmental Quality
WRDivision of Water Resources
iWER SYSTEM PERMIT OWNERSHIP/NAME CHANCE
Dlvislon of Water Resources INSTRUCTIONS FOR FORM: PNOCF 01-16
This form is for ownership changes or name changes of a sewer system permit. Please note that "Permittee" references the
existing permit holder, and that "Applicant" references the entity applying for the ownershiptname change.
Sewer permits start with a WQ or WQCS and contain the terms sewer extension or collection system in the subject field. This
form should not be used for permits with NC, NCG, SW or other types of non -sewer permits beginning with WQ.
For more information, visit the Division's Water Quality Pernduing's wehsite:
A. Sewer System Permit Ownership/Name Change (FORM: PNOCF 01-16) Application (All Applications):
® Submit an original completed and appropriately executed application (PNOCF 01-16).
® The Existing Permittee's Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T
.0106(c), an alternate person may be designated as the signing official if a delegation letter is provided from a person who
meets the criteria in 15A NCAC 02T .0106{b,�,
® The Applicant's Certification shall be signed in accordance with 1 SA NCAC 02T .0106(b). Per 15A NCAC 02T .0 i 06LcJ, an
alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria
in I,SA N�►CO2T .0 106(b).
B. Fxisting.Permit (All Applications):
® Submit a copy of the most recently issued permit and certification.
C. Property Ownership Documentation (All Applications):
➢ The Applicant shall demonstrate they are the owner of all property containing the sewer system facilities:
® Legal documentation of ownership (i.e., GIS, deed, article of incorporation, or contract), or
[] Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or
❑ Approved board minutes
D. Certificate of Public Convenience and Necessity (All Applications where the Applicant is a Privately -Owned Public Utility):
❑ Per 15A NCAC 021' .01 15(a)(I ), provide one copy of the Certificate of Public Convenience and Necessity from the North
Carolina Utilities (Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served
by the non -discharge system.
E. Operational Agreements (Applications where the Applicant is a Home/Property Owners' Association or Developer of lots to be
sold):
D Home/Pr w r ' Associations,
❑ Per 15A NCAC 02T .0115(c). submit an original properly executed Qperational Agreement (FORM: HOA).
❑ Per 15A NCAC 02T .01 15(c , submit an original proposed or approved Articles of Incorporation, Declarations and By-
laws that contain the language required by the Operational Agreement.
D DevrJopers 9f Igtj t2 hesld
❑ Per I5A_NCA(,_02T .01 15{bI, submit an original of the properly executed Qpeotional Agreement fFORM• DEV).
F. Package Submitted in Duplicate
® Submit a copy of all required documents to instructions A-E as required
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTA11ON SHALL BE SUBMITTED IN DUPLICATE
TO:
NCDEQ - DWR
Water Quality Permitting Section
PERCS Unit
By U.S. Postal Service: By CourierlSnecial Delivery:
1617 MAIL SERVICE CENTER 512 N. SA1,15HLiRY ST.
RALEIGH, NORTH CAROLINA 27699-1636 .SMITE 925
RALEIGH, NCIRTH C'ARC IANA 27604
TELEPHONE NUMBER: [phone]
INSTRUCTIONS FOR APPLICATION PNOCF 01-16 Page 1 of 1

9
DWR
Olvislon of Water Resources
1. EXISTING PERMITTEE INFORMATION-
State of North Carolina
Department of Environmental Quality
Division of Water Resources
SEWER SYSTEM PERMIT OWNERSHIP/NAME CHANGE
INSTRUCTIONS FOR FORM: PNOCF 01-16
1. Permittee's name: Chatham Park Investors LLC
2. Signature authority's name: Timothy R. Smith per 15A NCAC 02T .0I Mb1
3. Signature authority's title: Vice President
4. Permittee's mailing address: 105 Weston Estates Wax
City: cau. State: NC Lip: 27513
5- Permittee's contact information: Phone number: (219) 481-300 Fax Number_ -
Email Address: Iobin@r)restondev.com
IL APPLICANT INFORMATION:
1. Applicant's name: Town of PiMboro
2. Signature authority's name: Kent Jackson per 15A NCAC 02T A1061b1
3. Signature authority's title: Town -Engine
4. Applicant's mailing address: P.O. Box 759
City: Pittsboro State: NC Zip: 27312-
5. Applicant's contact information: Phone number: (919 5M3-5,�$4 Q Fax Number
Email Address: kiackson nittgbqronc.eov
6. Representative's name: Nicholas J. Antrilli. Plc
7. Representative's title: Director of Project DevclgpMent
8. Representative's contact information Phone number. [phone] Fax Number (_)
Email Address: nantrilliAwithersravcneL.com
III. PERMIT INFORMATION:
1. Existing permit number: W00042584 and most recent issuance date: Junc 16. 2021
2. Reason for the permit application: Select If other, attach detailed explanation
3. Has the facility been constructed? ® Yes or ❑ No
4. Has the facility been certified per I SA NCAC 02TE Q- I6 ❑ Yes or ® No
FORM: PNOCF 01-16 Page 1 of 2

IV. CERTIFICATIONS:
Existing Permittee's Certification per 15A NCAC 02T .0106(b):
1, Timothy R. Smitb.-Vice_Presidcnt attest that this application
(Signature Authority's name & title from Application Item 1.2 & 3)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that prior to reissuance of the permit
into the Applicant's name, I will continue to be responsible for compliance with the current permit and any discharge of wastewater
from this system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief,
and/or criminal prosecution, I will also make no claim against the Division of Water Resources should a condition of the existing permit
be violated. I also understand that if all required parts of this application arc note completed and that if all required supporting
information and attachments are not included, this application will be returned to me as incomplete.
NOTE — In accordance with General Statutes 143-:?:-V-A and 143-215.613, 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: _ AAUA-I. A 1 Zt� Z2
Applicant's Certification per ISA NCAC 02T .0106(b):
I, Ken Jackson, 7'tiw_n t ncyjr - - attest that this application
(Signature Authority's name & title from Application Item 11.2&3.)
has been reviewed by me and is accuratc and complete to the best of my knowledge. I understand that after issuance of the permit into
the Applicant's name, I will be responsible for compliance with the issued permit and any discharge of wastewater from this non -
discharge system to surface waters or the land may result in an 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 143-21�-6A and -21 , 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 $JDA00-w.,4ell as civil penalties up to $25,000 per violation.
Date: 42lo • 6-�2 'r - ;�:R
FORM: PNOCF 0 1- 16 Page 2 of 2

TOWN
OF
PITTSBORO
ENGINEERING
-PLANNING- PUBLIC WORKS
September 27, 2022 NC Dept of Environmental Qualm,
NC DENR - DWR
Mr. Jason Robinson EEC 15 n22
3800 Barrett Drive
Raleigh, NC 27609 Raleigh Regional Office
Re: Intent to Provide Sewer Service - Chatham Park Sec. 5.1 Subdivision North Ph. 5/6A
Mr. Robinson,
The proposed development will consist of 121 residential units and will generate an anticipated
sewer flow of 21,780 gpd. Section 5.1 Subdivision North Phase 5/6A will be served by the
Chatham Park Water Recovery Center (CPWRC). The CPWRC has adequate capacity to accept
wastewater flow from this development. It is the intent of the Town of Pittsboro to operate and
maintain lines, manholes and appurtenances for the proposed Section 5.1 Subdivision North
Phase 5/6A in Pittsboro, NC.
If you have any questions concerning this matter, please feel free to call me at [phone].
Sincerely,
4j��
Kent Jackson, PE
Town Engineering Director

;:WithersRavenel
Our People
115 Macl(enan Drive
Cary, North Carolina 27511
t: 919.469.3340 1 f: 919.467.6008
TO: NCDEQ- Division of Water Resources
ATTN: Jason Robinson
3800 Barrett Drive
Raleigh, NC 27609
Letter of Transmittal
412/16/2022 • :• 02150098.29
Mr. Jason Robinson
Chatham Park Sec. 5.1-Subdivision North Ph. 5/6A
Change of Ownership Application
'For processing AFTER the Sewer Certification of #WQ0042584,
submitted concurrently, under separate cover.
WE ARE SENDING YOU N Attached ❑ Under Separate Cover via
THE FOLLOWING ITEMS ❑ Shop Draw'ngs ❑ Prints N Plans ❑ Samples ❑ Specifications
❑ Copy of Letter ❑ Change Order ❑ Diskette ❑ Other
COPIESf
Sewer System Permit Ownership/Name Change PNOCF 01-16 NC Dept of Environmental
2
2
Record Drawings
2
1 Fast Track Sewer Permittee and Engineer Certification - #WQ0042584 DEC 15 2022
2
Certification Checklist
2
Partial Certification (6A) Descri tion
2
Permit # WQ0042584
2
Property Ownership Documentation - Final Plot
2
CD of all submittal documents
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted
❑ For your use ❑ Approved as noted
❑ As requested ❑ Returned for corrections
N For review and comment ❑ Other
❑ Resubmit
❑ Submit
❑ Return
❑ FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US
copies for approval
copies for distribution
corrected prints
REMARKS: Please contact Nick Antrilli via email at [e-mail] or via phone at 919-238-0362
with questions and/or comments. Please copy Sue Morris at smorriswithersravenel.com on all correspondence.
Thank you!
COPY TO: SIGNED: Nicholas J. Antrilli, PE
If enclosures are not as noted, kindly notify us at once.
ty