HomeMy WebLinkAboutWQ0044066_Application (FTSE)_20230118NC Dept of F nvironmental Quaily
State of North Carolina
BAN 1 $ 2023 Department of Environmental Quality
DWR Division of Water Resources
10i1MACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources Raleigh Reg FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: Wq 00 i t d &4% completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Scannell Properties #539, 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: Marc D. Pfleging per 15A NCAC 02T .0106i b1
Title: Mana zer
4. Applicant's mailing address: 225 Reinekers Lane. Suite 510
City: Alexandria State: VA Zip: 22314-2840
5. Applicant's contact information:
Phone number: (317) 218-1653 Email Address: marcp@scannellproMrties.com
IL PROJECT INFORMATION:
1. Project name: NC 55 and Hopson
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
1f 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: Durham
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.873422,: Longitude:-78.892084--
5. Parcel ID (if applicable): 151275 (or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
1. Professional Engineer: Kelsey Westwood Hall, P.E. License Number: 047013
Firm: 151275
Mailing address: 300 Morris Street Suite 200
City: Durham State: NC Zip: 27701-2127
Phone number: (919) 237-9483 Email Address: kelsey.westwood@kimley-horn.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Triangle Wastewater Treatment_ Plant Permit Number: NCO026051
Owner Name: Durham County
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ Jnknown
2. Downstream (Receiving) Sewer Information: Minch ® Gravity 0 Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00038
Owner Name(s): Durham County
FORM: FTA 06-21 Page i of 5
V1. GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No ®N. A
2. If the Applicant is a Developer of lots to be sold, has a Developer's erational Agreement IFOkM. DEV) been attached?
® Yes ❑ No ❑ NIA
3. If the Applicant is a Home., Property Owners' Association, has an HOA,TQA Operational Agreement IFORM- HO_4 i and
supplementary documentation as required by 15A NCAC 02T.0I 15(c) been attached?
❑ Yes [—]No ®NSA
4. Origin of wastewater: (check all that apply):
❑ Residential (Individually Owned) ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential (Leased) ❑ Retail with food preparationiservice ❑ Hotel and/or Motels
❑ School.' preschool I day care ❑ Medical I dental veterinary facilities ❑ Swimming Pool. -'Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool;Filter Backwash
® Businesses..' offices 1 factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: % Domestic _% Commercial 100 °ro Industrial (See I5A NCAC 02T .010J(2Qj)
If Industrial, is there a Pretreatment Program in effect? ❑ Yes® No
6. Has a flow reduction been approved under 15A NCAC 0'T..a 114f t R ❑ 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)) I Daily Design Flow',b
gall
gall
gall
gall
gall
gall
No. of Units
Flow
GPD
GPD
GPD
GPD
GPD
GPD
Tora!
0 GPD
a See 15A NCAC 027 .0114(b), ;dl_ ;eg 11 and 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 ofthe 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 fin table 15A NCAC 02T. 1 141 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):
FORM: FTA 06-21 Page 2 of 5
VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC(Gravity Sewers
. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8
951
DI
16
52
DI
➢ Section II & ITI of the MDC for Permitting of Gravity Sewers contains infonmation 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 & N IDC (Puma Stations, Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: NC55 and Hopson
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.8684' Longitude:-78.9000'
3. Total number of pumps at the pump station: 2
3. Design flow of the pump station: 0.571 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): 396.8 gallons per minute (GPM) at 116 feet total dynamic head (TDH)
S. Summarize the force main to be permitted (for this Pump Station):
Size (inches) I Length (feet) I Material
1 6 1 2558 1 PVC I
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01 C. Lb. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify) _
6. Power reliability in accordance with 15A NCAC 0?T .0 GUh)(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
IX. SETBACKS & SEPARATIONS — (02B .0200 & I SA NCAC 02T .0305(0):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(t) & te)? ® Yes ❑ No
r se MrAr mr 1)'101;M rr%ntninc 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-1 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-1 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 g2T.0305M or (C}, see Section X.1 of this application
* 15A NCAC 02T QS,.W contains alternatives where separations in 02T.0305tf} 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 Syrface Water Classifications weber
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 15 A NCAC 02B _0200? ® Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC' 213-0202
5. Does the project require coverage. authorization under a 404 Nationwide.: individual permits ® Yes ❑ No
or 401 Water Quality Certifications?
➢ Please provide the pen -nit number?permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAU 02T-0105(cli 6) (additional permitsicertifications)? ® Yes ❑ No
Per 15A NCAC 02T.01051c6 , 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.042, "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 115A NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5
X. CERTIFICATIONS:
Does the submitted system comply with 15A NCAC 02T, the Mioiaum N§igllCriteria f r th •rmill'n., of Pum Stttuuus
aird i nice Marrs (latest vcrsiLit and the Gravity Scivcr vli+ 'mum can rrteri test v on 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. Auproval of the request will be issued
concurrently with the a roial of the permit, and projects requiring a variance approval may be sub ect to lon er
review times. For projects reguiring two or more variances or where the variance is determined by the Division to be a
significant portion of the nrolect. the full technical review is required.
2. Professional Engineer's Certification:
I, Kelsey Westwood Hall, P.E. , attest that this application for NC 55 and Hopson
(Professional Engineer's name from Application Item Ill.1.) (Project Name from Application Item I1.t)
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,
inimuut Desi �tt.t riteria for Gravity 5c+vas I latch version), and the �tinirm ec gn Criteria for tllc Fast Jrack Pemiilth
of Pum ,SlIrtiuns WWF&112�c lains � -sl v •rsion . 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 143 215.613, 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. 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. (2 VNC,\C/V701) , I"A
North Carolina Professional Engineer's seal, signature, and date:
SEAL
047013
WESAIk,,,�``'
�trruill!�i� 08/11/2022
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I Marc D. Pfleging , attest that this application for NC 55 and Hopson
(Signature Authority Name from Application Item I.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 1_43 - 1 5.6.:1 and L,4
_ 113, 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:
Marc D. Pfleging, Manager, Scannell Properties #534, LLC
Date: 4, (S
FORM: FTA 06-21 Page 5 of 5
NC Dept of Environmental Quality
State of North Carolina
�/�� 8 ?023 Department of Environmental Quality
Division of Water Resources
Raleigh Regional oft Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Scannell Properties #539, LLC _
Project Name for which flow is being requested: NC55 and Hopson
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 wastewaterflow.
Tow
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Triangle Wastewater Treatment Plant
b. WWTP Facility Permit #: NCO026051
All flows are in MGD
c. WWTP facility's permitted flow 12
d. Estimated obligated flow not yet tributary to the WWTP 1.8675
e. WWTP facility's actual avg. flow 4.028
£ Total flow for this specific request 0.000
g. Total actual and obligated flows to the facility 5.896
h. Percent of permitted flow used 49.1
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**'
NIA -
* 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): Durham County Sewer
Downstream Permit Number: W CS00038
Page I of 6
1 "I's E 10- 18
NC55&Hopson
III. Certification Statement:
1 _ 5' _n AM --bC 1 `[ I A I certify to the best of my knowledge that the addition of
the volume bf wastewater to ble 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.
Signing
Title JrSignAtg Official
Page 2 of 6
1aTSE 10-18
NC Dept of Environmental Quality
JAN 18 rf
SCANNELL
Raleigb Regional Otf'sce PROPERTIES
1800 Diagonal Road, Suite 600
April 19, 2022
NCDEQ — Division of Water Resources
Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699-1628
RE: NC 55 and Hopson Infrastructure, Durham, NC- Permitting of Additional Flow
The Fast -Track Sewer System Extension Application for the NC 55 and Hopson Project, form
FTA 06-21, indicates that the application is for infrastructure only and that the permitted flow is
zero. Section VI. 8 of the application requests that supplementary information be provided
indicating the approximate timeline for permitting upstream sewer flow to the infrastructure
proposed with NC 55 and Hopson.
The first request for permitting of additional upstream flow is likely to take place within the next
year. However, full build out of the project and permitting of flow will potentially extend over the
next 10 years. In that time, it is likely that a request to permit upstream flow will take place
sporadically every 1-3 years until full build out is reached.
Please contact me at (908) 655-5632 or Andys;a scannell properties.corn should you have any
questions.
Sincerely,
di
Andy Smith, P.E.
Development Manager
NC Dept of Environmental Quality
Raleigh.. Regional Office
NC55 AND HOPSON
6000 NC HIGHWAY 55
DURHAM, NORTH CAROLINA 27713
PIN NUMBER: 0727-81-24-9166, 0727-04-72-8558,
0727-04-82-9266, 0737-03-12-0698,
0737-01-43-4364, 0737-03-11-3560,
0737-03-11-6682, 0737-11-60-1224.DW,
0737-20-29-3776, 0737-03-21-4913
CASE NUMBER: #XXXXXXXX
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STATE OF NORTH CAROLINA
COUNTY OF DURHAM Permit No.
DEVELOPER'S OPERATIONAL AGREEMENT
This AGREEMENT made pursuant to G.S. 143-215.1 and entered into this day of
April, 2022, by and between the North Carolina Environmental Management Commission, an agency of the
State of North Carolina, hereinafter known as the COMMISSION; and
SCANNELL PROPERTIES #539 LLC a Delaware limited liability company, registered/licensed to do
business in the State of North Carolina, hereinafter known as the DEVELOPER.
WITNESSETH:
1. The DEVELOPER is the owner of the certain lands lying in Durham County, upon which it is erecting and
will erect industrial buildings and other improvements, said development to be known
As TRIANGLE 55 (hereinafter the Development).
2. The DEVELOPER desires, to construct a wastewater collection system with pumps, wastewater treatment
works, and/or disposal facilities (hereinafter Disposal System) to provide sanitary sewage disposal to serve
the Development on said lands.
3. The DEVELOPER has applied to the COMMISSION for the issuance of a permit pursuant to G.S. 143-
215.1 to construct, maintain, and operate the Disposal System.
4. The DEVELOPER has created or shall create a Declaration of Easements, Covenants and Restrictions
(hereinafter Declaration), and record the same against the lands comprising the Development, for the
purpose, among others, of operating, maintaining, re -constructing and repairing the common elements of
the lands and improvements in the Development, including the Disposal System; and of collecting dues and
assessments to provide funds for such operation, maintenance, re -construction and repair.
5. The COMMISSION desires to assure that the Disposal System of the Development is properly constructed,
maintained and operated in accordance with law and permit provisions in order to protect the quality of the
waters of the State and the public interest therein.
NOW, THEREFORE, in consideration of the promises and the benefits to be derived by each of the parties
hereto, the COMMISSION and DEVELOPER do hereby mutually agree as follows:
1. The DEVELOPER shall construct the Disposal System in accordance with the permit and plans and
specifications hereafter issued and approved by the COMMISSION, and shall thereafter properly operate
and maintain such systems and facilities in accordance with applicable permit provisions and law.
2. The DEVELOPER shall not transfer ownership and/or control of the Disposal System until construction has
been completed in accordance with the permit and approved plans, and the staff of the Division of Water
Resources has inspected and approved of the facilities. In order to change the name of the permit holder,
the DEVELOPER must request that the permit be reissued to the new permit holder. The request must
include a copy of the Declaration and any such assignment of ownership and.'or control.
3. The DEVELOPER shall not transfer, convey, assign or otherwise relinquish or release its responsibility for
the operation and maintenance of its Disposal System until a permit has been reissued to the DEVELOPER's
successor.
FORM: DEV 03-19 Page 1 of 2
4. The DEVELOPER shall provide in the Declaration that the Disposal System and appurtenances thereto are
part of the common elements and shall thereafter be properly maintained and operated in conformity with
law and the provisions of the permit for construction, operation, repair, and maintenance of the system and
facilities. The Declaration shall identify the entire wastewater treatment, collection and disposal system as
a common element which will receive the highest priority for maintenance, repair and replacement
expenditures by the DEVELOPER except for Federal, State, and local taxes and insurance.
5. The DEVELOPER shall provide in the Declaration that the Disposal System will be maintained out of the
common expenses. In order to assure that there shall be funds readily available to repair, maintain or
construct the Disposal System, beyond the routine operation and maintenance expenses, the Declaration shall
provide that a fiord be created out of the common expenses. Such fund shall be separate from the routine
maintenance funds allocated for the common elements of the Development and shall be part of the yearly
budget.
6. In the event the common expense allocation and separate fund are not adequate for the construction, repair,
and maintenance of the Disposal System, the Declaration shall provide for special assessments to cover such
necessary costs. There shall be no limit on the amount of such assessments, and the Declaration shall provide
that such special assessments can be made as necessary at any time.
7. If a wastewater collection system and wastewater treatment and/or disposal facility provided by any city,
town, village, county, water and sewer authorities, or other unit of government shall hereinafter become
available to serve the Development, the DEVELOPER shall take such action as is necessary to cause the
existing and future wastewater of the Development to be accepted and discharged into said governmental
system, and shall convey or transfer as much of the Disposal System and such necessary easements as the
governmental unit may require as condition of accepting the Development's wastewater.
8. Recognizing that it would be contrary to the public interest and to the public health, safety and welfare for
the DEVELOPER to enter into voluntary dissolution without having made adequate provision for the
continued proper maintenance, repair and operation of its Disposal System, the DEVELOPER shall provide
in the Declaration that the DEVELOPER shall not enter into voluntary dissolution without first having
transferred its said system and facilities to some person, corporation or other entity acceptable to and
approved by the COMMISSION by the issuance of a permit.
9. The agreements set forth in numbered paragraphs 1, 2, 3, 4, 5, 6, 7, and 8 above shall be conditions of any
permit issued by the COMMISSION to the DEVELOPER for the construction, maintenance, repair and
operation of the Disposal System.
10. A copy of this agreement shall be filed at the Register of Deeds in the County(ies) where the Declaration is
filed.
IN WITNESS WHEREOF, this agreement was executed in duplicate originals by the duly authorized
representative of the parties hereto on the day and year written as indicated by each of the parties named below:
FOR THE ENVIRONMENTAL
MANAGEMENT COMMISSION
S. Daniel Smith
Director, Division of Water
Resources
(Date)
Scannell Properties #539, LLC
Name of DEVELOPER
al_l
(Signature)
Marc D. Pfleging, Manager
Print Name and Title
(Date)
FORM: DEV 03-19 Page 2 of 2
NC Dept of Environmental Quality
Kimley»>Horn JAN 182023
January 13, 2023 Raleigh Regional Office
NCDEQ - Division of Water Resources
Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699-1628
RE: NC 55 and Hopson, Durham, NC - Fast Track Sewer System Extension Application
Kimley-Horn is pleased to submit, on behalf of Scannell Properties #539, LLC, the items listed in the
table below as a part of their application for the Fast Track Sewer Extension permit for NC 55 and
Hopson. The project is located at 6000 NC Highway 55 Durham, NC 27713. The project consists of
mass grading of the site, the construction of a public road (Hopson Road Extension), and installation
of major utilities including water, storm drainage, and a private pump station.
This application is for infrastructure only. Additional flow will be added as the site is developed. The
permit is requested for 1,003 linear feet of gravity sanitary sewer and 2,558 LF of sewer force main.
This project requires coverage under a 404 Nationwide 1401 Water Quality Certification. This
coverage has been applied for and is currently under review.
This submittal is transmitted to you with the following supporting documentation:
Date Item
Fast Track Sewer System Extension Application (FTA 06-21)
Flow Tracking/Acceptance for Sewer Extension Applications (FTSE 10-18)
Site Map- 8.5"xl1" USGS Topographic Map
Site Map -- 8.5"xl 1" Aerial Vicinity Map
Documentation of NC Registered Business
Application Fee - Included in Separate Envelope
Developer's Operational Agreement
Permitting Timeline Memo
Should your office have any questions or concerns with this suomittai, please ao not nesnaie io
contact me at (919) 237-9483 or K1$Isey.Westwood a kimley-horn.c m.
Sincerely,
Kelsey Westwood Hall, P.E.
Kimley Horn & Associates
NC Dept of Environmental Quality SOSID: 2205572
Date Filed: 6/3/2021 8:05:00 AM
State of North Carolina Elaine F. Marshall
Department of the Secretary of State North Carolina Secretary of State
JA�i I $ `' 3 C2021 153 02085
Raleigh RegionalffW'ATION FOR CERTIFICATE OF AUTHORITY
FOR LIMITED LIABILITY COMPANY
Pursuant to §57D-7-03 of the General Statutes of North Carolina, the undersigned limited liability company hereby applies for a
Certificate of Authority to transact business in the State of North Carolina, and for that purpose submits the following:
1. The name of the limited liability company is Scannell Properties #539, LLC
and if the limited liability company name is unavailable for use in the State of North Carolina, the name the limited
liability company wishes to use is
2. The state or country under whose laws the limited liability company was formed is DE, United States
3. Principal office information: (Select either a or b.)
a. Q The limited liability company has a principal office.
The principal office telephone number: (317) 843-5959
The street address and county of the principal office of the limited liability company is:
Number and Street:8801 River Crossing Blvd
City: Indianapolis Stater Zip Code: 46240-23 94 County: Marion
The mailing address, if different from the street address, of the principal office of the corporation is:
Number and Street: _
City:
_ State: Zip Code: County:
b. ❑ The limited liability company does not have a principal office.
4. The name of the registered agent in the State of North Carolina is: COGENCY GLOBAL INC.
5. The street address and county of the registered agent's office in the State of North Carolina is:
Number and Street:212 South
City:Charlotte
on Street Suite 1000
State: NC Zip Code:28281 County: Mecklenburg
6. The North Carolina mailing address, if different from the street address, of the registered agent's office in the State of North
Carolina is:
Number and Street? 12 South Tryon Street Suite 1000
City:Charlotte _ State: NC Zip Code:28281 County: Mecklenburg
BUSINESS REGISTRATION DIVISION P.O. BOX 29622 RALEIGH, NC 27626-0622
(Revised July 2017) (Form L-.09)
APPLICATION FOR CERTIFICATE OF AUT14ORITY
Page 2
7. The names, titles, and usual business addresses of the current company officials of the limited liability company are:
(use attachment if necessary) (This document must be signed by a person listed in dram 7.)
Name Title Business Address
Robert J. Scannell Manager 8801 RIver Crossing Blvd, Ste 300 Indianapolis IN,
46240-2394 United States
Douglas L. Snyder Manager
James C. Carlino Manager
8810 River Crossing Blvd Ste 300 Indianapolis IN,
46240 United States
8801 River Crossing Blvd Ste 300 Indianapolis IN,
46240-2394 United States
8. Attached is a certificate of existence (or document of similar import), duly authenticated by the secretary of state or other official
having custody of limited liability company records in the state or country of formation. The Certificate of Existence must be
less than six months old. A photocopy of the certification cannot be accepted.
9. if the limited liability company is required to use a fictitious name in order to transact business in this State, a copy of the
resolution of its managers adopting the fictitious name is attached.
10. (Optional): Please provide a business a -mail address. Privacy Redaction
The Secretary of State's Office will e-mail the business automatically at the address provided above at no cost when a document
is filed. The e-mail provided will not be viewable on the website. For more information on why this service is offered, please see
the instructions for this document.
11. This application will be effective upon filing, unless a delayed date and/or time is specified:
This the2nd day of June 2021
Scannell Properties ##539, LLC
Name of Limited Liability Company
Marc D. Pfleging Manager
Signature of Company Official
Marc D. Pfleging Manager
Type or Print Name and Title
Notes:
1, Filing fee is $250. This document must be filed with the Secretary of State.
BUSINESS REGISTRATION DIVISION P.O. BOX 29622 RALEIGH, NC 27626-0622
(Revised July 2017) (Form L-.09)
2. (Continued) Persons executing these articles - Scannell Properties #539, LLC
James C. Carlino - 8801 River Croging Blvd Ste 300 Indianapolis IN, 46240-2394 United States
Ralph I. Shilgy - 8801 River Crossing Blvd Ste 300 Indianapolis IN, 46240-2394 United States
Marc D. Pfle in - 8801 River Crossing Blvd Ste 300 Indiana olis IN 46240-2394 United States
Delaware Page;
The First State
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY "SCANNELL PROPERTIES 31539, LLC" IS DULY
FORMED UNDER THE LAWS OF THE STATE OF DELAWARE AND IS IN GOOD
STANDING AND HAS A LEGAL EXISTENCE SO FAR AS THE RECORDS OF THIS
OFFICE SHOW, AS OF THE SECOND DAY OF JUNE, A.D. 2021.
AND I DO HEREBY FURTHER CERTIFY THAT THE SAID "SCANNELL
PROPERTIES #539, LLC" WAS FORMED ON THE TWENTY—FIRST DAY OF MAY,
A.D. 2021.
AND I DO HEREBY FURTHER CERTIFY THAT THE ANNUAL TAXES HAVE BEEN
ASSESSED TO DATE,
5936338 8300
5R# 20212325549
You may verify this certificate online at corp.delaware.gov/authver.shtmi
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Authentication: 203343553
Date: 06-02-21