WQ0044927_Application (FTSE)_20240325

i �1L Der, t 0 r
MAR I y
TO: NCDEQ — DWQ
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
ATTENTION: Permitting — Fast Track Sewer
CE GROUP
301 GLENWOOD AVENUE, SUITE 220
RALEIGH, NC 27603
Phone: [phone]
E-Mail. 1effCa-Canc.COm
Transmittal
DATE: March 18, 2024
PROJECT NO: 010-315
154 Mt Carmel FM — AKPAR 85101, 19379,
96369, 20028
Private Force Main — Updated doc submittal
Quantity
Drawing No.
Description
1
1 original/1 copy
Fast Track Sewer System Extension Application
1
Project Narrative/Cover Letter — Already submitted
1
FTSE 10-23 — Sent via email
1
Check
$480 Application Fee — Fee already paid prior to rule change
1
Copy
USGS Overall Area Map — Already submitted
1
Copy
Vicinity Location Map — Already submitted
REMARKS Please let us know if you require any additional information.
CC: , CE Group. Inc.
Signed
oster, PE

State of North Carolina
Department of Environmental Quality
DW R Division of Water Resources
MAR 19 20�4
AST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources INSTRUCTIONS FOR FORM: FTA 10-23 & SUPPORTING DOCUMENTATION
I Y $11�3 (3'1 .�y'P(Y+/f:lal ^!===Yvno
This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been
certified by a professional engineer and the applicant that the project meets the requirements of I SA NCAC 02T and the Division's
Minimum Design Criteria (Gravity Sewer & PiLmp Stations:fForce Mains) and that plans, specifications and supporting documents
have been prepared in accordance with 15A NCAC 02T 15A NCAC 02T .0300 Division policies, and good engineering practices.
While no upfront engineering design documents are required for submittal, in accordance with 15A NCAC 02T .0305(b), design
documents must be prepared prior to submittal of a fast track permit application to the Division. This would include plans, design
calculations, and project specifications referenced in 15A NCAQ 02T .0305 and the applicable minimum design criteria. These
documents shall be immediately available upon request by the Division.
Projects that are deemed permitted (do not require a permit from the Division) are explained in 15A NCAC 02T,0303.
Projects not eligible for review via the fast track process (must be submitted for full technical review):
Y Projects that do not meet any part of the minimum design criteria (MDC) documents;
Y Projects that involve more than one variance from the requirements of 15A NCAC 02T;
D Pressure sewer systems utilizing simplex septic tank -effluent pumps (STEPS) or simplex grinder pumps;
y Simplex STEP or simplex grinder pumps connecting to pressurized systems (e.g. force mains);
Y Vacuum sewer systems.
General When submitting an application, please use the following instructions as a checklist in order to ensure all required items are
submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the
amount of requested additional information. Failure to submit all required items will necessitate additional processing and review
time, and may result in return of the application. Unless otherwise noted, the Applicant shall submit one original and one copy of
the application and supporting documentation.
A. One Original and One Copy (second copy may be digital) of Application and Supporting Documents
® Required unless otherwise noted. Signatures on original must be "wet ink" or secure digital signatures.
Please do not submit engineering design plans with the application unless specifically requested.
B. Cover Letter/Narrative Description (Required for All Application Packages):
® List all items included in the application package, as well as a brief description of the requested permitting action.
➢ Be specific as to the system type, number of homes served, flow allocation required, etc.
➢ Include the permit numbertstatus of any other required sewer permits (down stream,upstream)
y If necessary for clarity, include attachments to the application form
y If the project is funded by American Rescue Plan Act (ARPA) fiends, please include the ARPA project number in the cover
letter and in parentheses under Project Name (Section II, 1. of the application).
C. Application Fee (All New and Modification Application Packages):
❑ Submit a check or money order in the amount of $600.00, dated no more than 90 days prior to application submittal.
Y Payable to North Carolina Department of Environmental Quality (NCDEQ)
D. Fast Track Application (Required for All Application Packages, Form FTA 10-23):
® Submit the completed and appropriately executed application.
Y If necessary for clarity or due to space restrictions, attachments to the application may be made.
❑ If the Applicant Type in Item 1.2 is a corporation or company, provide documentation it is registered for business with the
North Carolina S"Tetar}• of State.
❑ If the Applicant Type in Item 1.2 is a partnership or dlb;;a, enclose a copy of the certificate filed with the Register of Deeds in
the county of business.
® The Project Name in item 11.1 shall be consistent with the project name on the flow acceptance letters, agreements, etc.
® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North Carolina
licensed Professional Engineer.
INSTRUCTIONS FOR FORM: FTA 10-23 & SUPPORTING DOCUMENTATION Page I of 3

® The Applicant's Certification on Page 5 of the application shall be signed in accordance with I5-A NCAC 02T ,010..6Lb i. 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).
E. Flow Tracking/Acceptance Form (Form: FTSE 10-23) (If Applicable):
® Submit the completed and executed FTSE form from the owners of the downstream sewers and treatment facility.
Y Multiple forms maybe required where the downstream sewer owner and wastewater treatment facility are different.
Y The flow acceptance indicated in form FTSE must not expire prior to permit issuance and must be dated less than one year
prior to the application date.
Y Submittal of this application and form FTSE indicates that owner has adequate capacity and will not violate G. S. 143-215.6 a
Y Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific FTSE.
F. Site Maps (All Application Packages):
® Submit an 8.5-inch x 1 1-inch color copy of a USGS Topographic Map of sufficient scale to identify the entire project area,
including the closest surface waters.
➢ General location of the project components (gravity sewer, pump stations, & force main)
Y Downstream connection points and permit number (if known) for the receiving sewer
® Include an aerial location map showing general project area (such as street names or latitude/longitude) so that Division staff
can easily locate it in the field.
G. Existing Permit (Application Packages for Modifications to an Existing Permit):
❑ Submit a copy of the most recently issued existing permit.
❑ Include a descriptive and clear narrative identifying the previously permitted items to remain in the permit, items to be
added, and/or items to be modified (the application form itself should include only include items to be added/modified). The
narrative should also include whether any previously permitted items have been certified.
❑ The narrative should clearly identify the requested permitting action and accurately describe the sewers to be listed in
the final permit.
H. Power Reliability Plan (Required if portable reliability option utilized for Pump Station):
❑ Per ] 5A NCAC 42T .0305(h)(l ), submit documentation of power reliability for pumping stations.
Y This alternative is only available for average daily flows less than 15,000 gallons per day
Y It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant and is compatible with
the station. The Division will accept a letter signed by the applicant (see 15A NCAC 02T .0106(b)) or proposed contractor,
stating that "the portable power generation unit or portable, independently -powered pumping units, associated appurtenances
and personnel are available for distribution and operation of this pump station."
Y 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 in the case of a multiple station power outage. (Required at time of certification)
1. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .Ol 15j a)(1_t provide the Certificate of Public Convenience and Necessity from the North Carolina l: tilitics
CCummission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the sewer
extension, or
❑ Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Pullin Staff stating an application
for a franchise has been received and that the service area is contiguous to an existing franchised area or that franchise approval
is expected.
J. Operational Agreements (Applications from HOA/POA and Developers for lots to be sold):
❑ Home.'Pro ert Owners' Associations
❑ Per 15A NCAC. 02T Ol 15 c), submit the properly executed Operational Agreement (FORM: HOA).
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
❑ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115ib1, submit the properly executed Operational &recment 1FORM: DEV).
For more inlbrnuttion, Wsh the Diwl on',vcoiler•tion s7-.steni.s weh.site
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IBC ire tof Er State of North Carolina
Qzig1. Department of Environmental Quality
DWR Division of Water Resources
MAR fASSIOT)<tACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 10-23 & SUPPORTING DOCUMENTATION
Application Number: r (to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: Brian.Sawyer (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: Brian Sawyer per I SA_NCAC 02T .0106(b}
Title: Owner
4. Applicant's mailing address: 30024 Villagg Park Drive
City: Chapel Hill State: NC Zip: 27517-
5. Applicant's contact information:
Phone number: (8l9) 422-5656 Email Address: briansa er4L—icloud.com
II. PROJECT INFORMATION:
I. Project name: 154 Mt. Carmel FM
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit.' Project ❑ ARPA funded
If a modification, provide the existing permit number: WQ00 and issued date: . ,
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Chatham
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.8493 Longitude:-79.0248'
5. Parcel ID (if applicable): 85101 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
. Professional Engineer: Jeff Foster License Number: 028291
Firm: CE Group, Inc.
Mailing address: 301 Glenwood Ave, Suite 220
City: Raleigh State: NC Zip: 27603-
Phone number: [phone] Email Address: ieffa,ceRroupinc.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I . Facility Name: Chatham Water Reclamation Facility Permit Number: NC00056413
Owner Name: Aqua North Carolina
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
2 ,+cD $i uk �Ss; P� enti�s I �- f� . t�oow 3 f ?� �?� 5. W►J'°�7��fL
I. Permit Number(s): WQ0000866 7 oW
2. Downstream (Receiving) Sewer Information: 8 inch N Gravity Ll Force Main
3. System Wide Collection System Pen -nit Number(s) (if applicable): WQCSD0181

Vl. GENERAL REQUIREMENTS
1. 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 Develo er's Operational Agreement ( FORM: DEV ) been attached?
❑ Yes ❑ No ® NIA
3. If the Applicant is a Home.'Property Owners' Association, has an H AIPOA Operational Atrccmcnl (FORM: HOA) and
supplementary documentation as required by 15A NCAC 02T.01 I5(c) been attached?
[--]Yes (—]No ® NIA
4. Origin of wastewater: (check all that apply):
® Residential (Individually Owned) ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential (Leased) ❑ Retail with food preparation`service ❑ Hotel and/or Motels
❑ School I preschool ! day care ❑ Medical f dental J veterinary facilities ❑ Swimming PooUClubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming PooIJFilter Backwash
❑ Businesses / offices/ factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic °ru Commercial % Industrial (See 15A NCAC 02T .0103(201)
If Industrial, is there a Pretreatment Program in effect? ❑ Yes[] No
6. Hasa flow reduction been approved under 15A NCAC 02TJj 14 ? ❑Yes ®No
y If yes, provide a cony of flow reduction approval letter with this application
7. Summarize wastewater generated by project
Establishment Type (see 02T.0114(f))
Daily Design Flow ° 6
No. of Units
Flow
Single Family - 5 bedroom
75 gal/bedroom
5
375 GPD
gall
GPD
gall
GPD
gaF
GPD
gall
GPD
gal!
GPD
Total
375 GPD
a See ISA MCA.0 02T .01 14(b), (d). (c)( 1) and �c7t21 for caveats to wastewater design flow rates (i.e. 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 C.S. 42A-4).
b Per ISA NCAC 02T .0114(c), design flow rates for establishments not identified (in table 15A NCAC 02T.01 14I shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 375 GPD (per 15A NCAC 02T .01 14 and C.S. 143-215. l)
Y 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 Numbcr::.. Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
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
Vill. 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 Single Family Residence
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -_
3. Total number of pumps at the pump station:
3. Design flow of the pomp station: trillions gallons per day (firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): gallons per minute (GPM) at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
2
525
HDPE
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.1.b. ® Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with l5A 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 pomp, including travel timeframes, shall be provided

IX. SETBACKS & SEPARATIONS — (02B .0200 & I5A NCAC 02T .0305(f)):
. Does the project comply with all separations,+alternatives found in I SA NCAC 02T .0305(o & ( ? ®Yes ❑ No
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
'Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
'Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-1 waters of Class 1 or
Class II 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) j
36 inches
➢ If noncompliance with 0270305(P orb,), see Section X.1 of this application
* 15A NCAC 02T.0305(e1 contains alternatives where separations in 02T.0305(fl 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 WaterClassifcations webpage
2. Does this project comply with the minimum separation requirements for water mains? ❑ Yes ❑ No [E MA
➢ 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 I SA 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 Nationwideiindividual pen -nits ❑ Yes ® No
or 401 Water Quality Certifications?
➢ Please provide the permit number/pennitting status in the cover letter if coveragelauthorization is required.
6. Does project comply with 15A NCAC 02T.0I05(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T_0I05(ck6 , directly related environmental pennits 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 I SA 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.
Y If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
Nioh nrinritv IinPC thatl hp i"rnpetPft by the nPrnlittPP nr ifC rp"rPCPntativP !%t lewd nnep PVPry QiY-manthC and

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Desistn Criteria for_the Permitting of Pump Stations
and Force MainsLlatest versi2aL and the Gravity Sewer Minimum DesignCriteria {latest version) as applicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request„ will be issued
concurrently with the approval of the permit, and latojects-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, , attest that this application for ? S;q #)r 64a M 64, tr 1h
(Professional Engineer's name from Application Item III.1.) (Project Name from Application Item I1.1)
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
Permittingnal
of Pump Stations and Force Mains {latest version). Although other professios 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. (21 NCAC 56.0701)
•```
North Carolina Professional Engineer's seal, signature, and date: ` ¢1�1 CAR O(r'�.,�
028291
Vle��s�
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, $&� �1 �� attest that this application for TIT- �F{j+►(E j_ FM
(Signature Authority Name from Application Item U.) (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. 1 understand that any
discharge of wastewater from this non -discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the
Division of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this
application package are not completed and that if all required supporting information and attachments are not included, this
application package will be returned to me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 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:
FORM: FTA 10-23 Page 6 of 5

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Druwn by end HOLD POK Jonathan M B'ogues, Jordan Price Wall Cmly 3om & Carltesre, pLLC. P.O_
Boat 10669, italeagh, NC 27605
SrA,TE OF NORTH CAROLfEriA
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COUNTY Off' C>:L4THAA4
I1rB BASF' AGRETMENT (herainaft aAommeae) is made this the �. � `` day of
2024 by and betw+ Governors VR18ge Prosy Owners Amocis#on, Inc, a
North Carolina wn-profs# caarporAfim ("aereiDa&r, "G0v moors Village") and Brian Satwy�—,.(hegn mafm,
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WMtEAS, the Goverm a Vflbp Dackmdon was recorded on Scptember 7, 1996 at Book
702, Page 287 of time Chatham COtmry Rtgixtry, and as subsequently mcaded from time to lame
("Dectarataam'); and
VV HER BAS, Saw}er obtadmad title to Lots 3 & 4 Ilya Cook Property in tbat catin North
Camlina C'ft=ui Wm apty Deed recant in BOOk 2034. Page 193 of the Chath*m County Ragicic�r ofT]aods which Let are more co=wnly refemd to 136 ML Camel Chtrxch Road, Chapel M NC 27517
and 1$4 Mt, Carmel Church Road, Cimpcl Hill, NC 27517 ("Sawyer Property-); and
WHEREAS, Governom Village obtained title to (Ut 6359 me tract of land de:Signated as
"Commou Amu" era shown an tha maps recorded m Plat Slide: 206, Pam 536 of Chwj= C:cumty
ReGi Y an April 6,20I7 by N*A Carolina Spacial W n wty Deed reccardod in Book 1915, pap 1008
of dw Chatham Caanty Rogntry Mvemors Village Property-� and
WHEREAS, Article 5 Section 5.14 of the Dwlaz-4ou states "The Deelmmnt removes for itself
amd t1m to UW AS-q0txdm the Pmer and audKn*, without tho cprmo or 2PVraw:rl of say A cia on
or the Ownewrs being required, to cr da, ter= ate, locate, relocate wo control the tL of any eaSemcuts
or r'#& of way of wh&mvcT Ddmc, which ore not included in the Develepment Flan or 64cate d as
Stets on the- racOrded its of dtc MW"ty. 3Le DecL&mant fo ther rcmmes for itself and the Mwtw
Associa600 thv power and a ty, without the oonnd or approval of any Amci&don or the tw=.
being requu%4 to. levy amd n Lhxt from any mwowarr the costs of oatYstracticm or main%=Ctr OT

both. of xny =wmernt Or right of nrey of whaurm mftw� that the non-Ovu'aer uses or chinas a right to
use; and
WHERI-M, C.GS_ §47F 3-lIu (9) al Govecwrs Village to gmt 0mcmarEs, lcbscc�'
lice sad MKM'Ons thmugb or over GOvorzlors Village Property and, subject to the camMow
lr=W, finv== Village has dwklcad to allow an cwffimt onto Gavern m Village Propa%y for the
p'urposas of allowing Sawyer t000muxt to an exis* sewer line 00 GOvamors Village property for tho
beDO& of Sawyer Property; and
WBFREAS, the proposed sewer easement frame Sawyer Pr+perty to Gervemon RvPOM, shown
On UbMA which is anachcd bmto mW iR wrpoaated herein by reffiMX, is to erect, oa..111�
install, certain pipes sod conduit and associated WF4Mcazt necessaay to owrunect to an existing sewer
system on Goveors Village Fropeaty c1he Improuemefite }-
NOW TRMMRF, iu cartslde den Of the mutual covenants set forth herein, give; for
valjablc consideraoorl, the sufl'ic�ncy of which is herby ac>icnawlcd9C1d4 GOvexrnurs Vfflage and
Sawyer, on behalf of dwmselvex and their respective SUCOe smOrs rued assign% do hereby court and
agrcnc Bs follows:
1- (kmernors Village will dlaw, but not frgWr% Sawyer, Sawyer';; meets and assigns, an
*&meat in4 oa and over Govanors Village property, for the sole purpcm. of erecting, cOttMcting,
impravean mu ueCemmy to connect to an existing sewer systm on Govemam Vtila$e
Pr*P"ty subject tathe camdffi=s set forth herein. 7U scope offt easemnent will ba only to the extent
e Utmary to 4ftct, construct.install improv'emftts nomsary to o mnect to im existing wvver System on
G0veru*rv'i?i1hF Pruperty, ft wded, how , no wa%Wons n- dmp s to the InapmvemYen% shall
be made by Sawyer which would agmd the initial stops ofthe ease DCM as €K forth herein shall W
made WAhoW the exgrr~9s wit ft comet of the Baffid far Governors Village. Sawyer snail be
rmpc�nnsihle for obtaining any curer neomary eascment% including without limi:ation any ease rants
over property Ph3s'mfly sepauMting the SmwyeT Property from the Gov=or3 Village Property.
2- Sawyer "' perform regular mairetenanm Ca the Improvenw is and kccp the same in good
working order. Sawyer v,-W Comply with all ernviroamental regWalions and obtain and ensure that all
1Mpr6v=cnU are ProPerly tt5d as wired by annY a'od all local, Stagy or federal wdhnwes, laws
and stat#rtas. Sawyer will comply with all auvataeme0W r+8gula6mvi. if the Improve rents am damaging,
impacting or adversely aff Ring Gove:rwrs Vdk& Prop * (as determined in the Gover non ViliaSt
Board of Diravtor's sole di8crerila ), then Sawyex vn11 make the necas=y mpair for tine upk=p and
ProPcr rnah"naeacc of CTONMDwr Village Property and associated sower syoem.
3. Sawyer shalt uadcmftify, defend end hold hsrmt"s Govcruars village, its officers and
Di =Uns f ern any claims of thud partim arising = of or related to IN; use of Governor vakee
Prcpert+i for the pterPOM set fordo In thin A,gt,esment, iuclud ft widXMA lim b at:ions, any obi ns, l&wsuit,
losses, fmcs our darmagm seising cut of or retated to environmental or other maintcnan= issr,e:s or
Concerns related to the Iangroveman and sewer system CM Governor Village Property.
4- This A,greenumt shall be bindir5g on Sawyer, Sawyers suu=scrs, Mips, rep ives,
-wwX*9= in in t, bmofWiar4 ca-tenants, leases: and any other gWXn or miry having an iotefest
in the Sawyer Pmpwty, now or in the future Except as expressly provided for herein, an other tum,
coodttions, restrictions and covcren= in the Deaclarawn shall remain bitkdhig on the Ball and nothing
he in "I be dcemd or comstraW to bey a waiver Or relcasc of any and all such U=U, conditions,
restriction and covens is in the Declaratia n-
[SCGNATURE PAGES TO FOLLOW)

IN WnW$S WMROF, e8a party tray dosed this Agm=ant to be cx Ut d the day aM year
first writton hmvimdwe.
GOVERNORS VILLAGX PROPERTY OWNERS ASSOCLAMON, ]BYO.
Ely.
ATI BSTEA.
f M
n� s=rotarytu
STATE: OF �'�r OOP+:
COUNTY OF
�� ilYlY K' a Natsay Public of The Coruriy :ad State afaaesaK certify
Ply rune before nw this day and acknowledged that
hdsk is Spry/AssisEamt Ser to of Gw mm Village Prapetr Dwnm Aswoistio Iar, a
North Cwhan non-profit coition and thd by au&,Otity duly giy= and as the act of the
c0qxra600, tho foregming msumumt was signed in its name by its Presideut and aft by
as its Sec ctwy/A^g,,.t Seca .
MY C ninissica Expfirw

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APEX, N.0 - 919) 367-78M

`�lS �C7t.lG�Tico/V `� tSG���
AS. W1-!;*^' PWa_
TO: NCDEQ -- DWQ
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
ATTENTION: Permitting — Fast Track Sewer
CE GROUP
301 GLENWOOD AVENUE, SUITE 220
RALEIGH, NC 27603
Phone: [phone]
E-Mall: ieffftearouAinc.com
Transmittal
DATE November 13, 2023
PROJECT NO: 010-315
154 Mt Carmel FM—IAKPAR 85101, 19379,
96369, 20028"-r" of
Private Force Main NOV 16
Quantity
Drawing No.
Description
1
1 original/1 copy
Fast Track Sewer System Extension Application
1
Project Narrative/Cover Letter
FTSE 10-18
1
1
Check
$AWApplication Fee
1
Copy
USGS Overall Area Map o-r A kAF cl
1
Copy
Vicinity Location Map
1
Copy
Will Serve Letter from Aqua
REMARKS Please let us know if you require any additional information.
CC: (:F ('�rni in Inr-

N , Vept of EnVII-01inje'.ta', Qu;:Jity
State of North Carolina
NOV 16 2023 Department of Environmental Quality
DWR 100� Division of Water Resources
tl ejgg Regional ()FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number: L,00C0q4q 27 N, be cvinpleted by DWR)
All items must be completed or the anplication will be returned
1. APPL\NC
INFORMATION:
. A's name: Brian Saw(company, municipality, HOA, utility, etc.)
2. Atype: ® Individual ❑ Corporation ❑ General Partnership
❑ Federal ❑ State/County ❑ Municipal
3. Siau ority's name: Brian Sawyer per 15A N AC 02T .0106(h)
Tiner
4. A's mailin address. �0024 Village Park Drivc
Cipel Hill Sta : NC Zip: 27517-5. A's contact info ation:
Phber: (819) 422-= 6 Email Address: riansawyer4 icloud.com
11. PROJECT INFORMATION:
dn-t�t�t—
h��l.tc�ito�
12-q)
c �u g m ti^'rA'1- `�
5 W t ` _ ' 31t,gZ4
❑ Privately -Owned Public Utility
❑ Other
1. Project name: 154 Mt.Carm�l FM
2. Application/Project status: Propose New Permit) ❑ Existing Permit/Project
If a modification, provide the existing pe ' number: WQ00 and issued date: ,
For modifications, also attach a d A d narrative description as described in Item G of the checklist.
If new construction, but part of a ma er plan, p vide the existing permit number: WQ00
3. County where project is located: Tatham
4. Approximate Coordinates (D • imal Degrees): Latitu : 35.8493 Longitude:-79.0248
5. Parcel ID (if applicablc): 101 (or Parcel ID to closest wnstream sewer)
111. CONSULTANT INFOR ATION:
1. Professional Engin r: Jeff Foster License Number: 028291
Firth: CE Grou Inc
Mailing addr , s: 301 Glenwood Ave. Suite 220
City: Rai e' ,h State: NC Zip: 27603-
Phone umber: [phone] x-105 Email A ress: Jeff ccl*roupinc.com
IV. WAST WATER TREATMENT FACILITY (WWTF) INFORMATION:
I. F cility Name: Chatham Water Reclamation Facility Permit Num er: NC 00056413
Owner Name: Aqua North Carolina, Inc.
V. RECEIVING DOWNSTREAM SEWER INFORMATION: %
1. Permit Numbcr(s): WQ0000866
2. Downstream (Receiving) Sewer Information: 8 inch X Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCSDO181

DocuSign Envelope ID: BD716FEF-22B5-47FF-AFCD-2F299167A62B
DIvIlsion of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-23)
Entity Requesting Allocation: Brian Sawyer
Project Name for which flow is being requested: 154 Mt Carmel FM
More than one FTSE may be required for a singleproject if the owner of the WWTP is not responsible for allpump
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: Chatham Water Reclamation Facility
b. WWTP Facility Permit #: NCO056413
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
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
All flows are in MGD
0.350
0.0181
0.100046
0.000300
0.118446
33.8%
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:
(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***
LS-1 Pre1990 uk 0.288 0.1152 0.0312 0.0184 0.0496 0.0656
* 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): Carolina Meadows
Downstream Permit Number: WQ0000866
Page 1 of 8
FTSE 10-23

DocuSign Envelope ID: BD716FEF-22B5-47FF-AFCD-2F299167A62B
III. Certification Statement:
I Lauren Raup-Plummer 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.
—DocuSigned by:
(, -��
3/18/2024
Signature Date
Engineering Manager Aqua North Carolina, Inc.
Title of Signing Official
Page 2 of 8
FTSE 10-23

DocuSign Envelope ID: BD716FEF-22B5-47FF-AFCD-2F299167A62B
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
% and MGD of the Available Capacity (E) in Pump Station
; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately
MGD per year; and that
c. A funded Capital Project that will provide the required planned capacity, namely
is in design or under construction with
planned completion in ; and/or
d. The following applies:
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.
Signing Official Signature
Date
Page 3 of 8
FTSE 10-23

DocuSign Envelope ID: BD716FEF-22B5-47FF-AFCD-2F299167A62B
WASTEWATER TREATMENT SYSTEM EXPANSIONS BEYOND EXISTING ALLOCATION
Complete this form and submit applicable supporting documentation if the proposed project is subject to
overallocation allowances outlined per G.S. 143-215.1(6).
Receiving WWTP Name:
Receiving WWTP Permit Number:
Provide a copy of the active NPDES permit for the receiving WWTP.
Overallocation Criteria
1. Does the receiving WWTP's existing NPDES permit have an expansion flow tier? ❑ Yes or ❑ No.
a. If yes, provide the expansion flow tier: MGD; proceed to item 2.
b. If no, overallocation is not allowable for this construction until such a time that the receiving
WWTP's NPDES permit is modified for inclusion of an expansion flow tier capable of receiving
and sufficiently treating the wastewater generated by the proposed construction.
2. Is the receiving WWTP and collection system located within either (1) a county with a projected population
growth rate above two percent annually based on a 20-year residential growth projection conducted using data
provided by the Office of State Budget and Management (OSBM) State Demographer or (2) one of the top
20% of the fastest growing counties in the State by population based on a 10-year residential growth
projection conducted using data provided by the OSBM State Demographer? ❑ Yes or ❑ No.
a. If yes, submit a residential population projection to support your claim; proceed to item 3.
b. If no, overallocation is not allowable for this construction.
3. Has the receiving WWTP received a violation for being non -compliant with any non -flow limitations
identified in the active NPDES permit in the past 5 years? ❑ Yes or ❑ No.
a. If yes, overallocation is not allowable for this construction.
b. If no, submit a limit violation report to support your claim; proceed to item 4.
4. Has the receiving WWTP exceeded its monthly average flow limitation identified in the active NPDES permit
more than once in any 12-month period in the past 10 years? ❑ Yes or ❑ No.
a. If yes, overallocation is not allowable for this construction. The receiving WWTP may not
allocate more than one hundred percent (100%) of the existing system's hydraulic capacity until
the permittee complies with the permitted monthly flow for at least 12 consecutive months.
b. If no, submit a WWTP flow report to support your claim; proceed to item 5.
5. Is completion of construction for work identified in an Authorization to Construct (ATC) permit that results in
expansion of facility to the next flow tier anticipated to occur within 24 months of the submittal date? ❑ Yes
or ❑ No.
a. If yes, allocation of one hundred ten percent (115%) of the receiving WWTP's existing hydraulic
capacity is allowable.
i. Provide the ATC Permit Number: ;
ii. Submit a construction timeline signed by the contactor's Project Manager;
iii. Submit a letter of agreement of timeline feasibility signed by the NC -licensed
Professional Engineer responsible for the certification of work covered under the
applicable ATC permit;
iv. Proceed to item 6.
b. If no, allocation of one hundred ten percent (110%) of the receiving WWTP's existing hydraulic
capacity is allowable. Proceed to item 6.
Page 4 of 8
FTSE 10-23

DocuSign Envelope ID: BD716FEF-22B5-47FF-AFCD-2F299167A62B
6. Does the overallocation identified as allowable under item 5 result in a WWTP flow rate greater than the
permitted projected capacity after expansion? ❑ Yes or ❑ No.
a. If yes, overallocation is not allowable for this construction.
b. If no, proceed to item 7.
7. Does the overallocation identified as allowable under item 5 result in a WWTP flow rate greater than 80% of
the permitted projected capacity after expansion? ❑ Yes or ❑ No.
a. If yes, overallocation is allowable. Submit an engineering evaluation of the receiving WWTP's
future wastewater treatment, utilization, and disposal needs. This evaluation shall outline plans
for meeting future wastewater treatment, utilization, or disposal needs by either expansion of the
existing system, elimination or reduction of extraneous flows, or water conservation and shall
include the source of funding for the improvements. If expansion is not proposed or is proposed
for a later date, a justification shall be made that wastewater treatment needs will be met based on
past growth records and future growth projections and, as appropriate, shall include conservation
plans or other measures to achieve waste flow reductions. This shall be provided to the Division
prior to the proposed activity. Proceed to item 8.
b. If no, overallocation is allowable.
8. Does the overallocation identified as allowable under item 5 result in a WWTP flow rate greater than 90% of
the permitted projected capacity after expansion? ❑ Yes or ❑ No.
a. If yes, overallocation is allowable. However, the permittee for the receiving WWTP shall obtain
all permits needed for the expansion of the wastewater treatment, utilization, or disposal system
and, if construction is needed, submit final plans and specifications for expansion, including a
construction schedule. If expansion is not proposed or is proposed for a later date, a justification
shall be made that wastewater treatment needs will be met based on past growth records and
future growth projections and, as appropriate, shall include conservation plans or other specific
measures to achieve waste flow reductions. This shall be provided to the Division prior to the
proposed activity.
b. If no, overallocation is allowable.
Signing Official Signature
Date
Page 5 of 8
FTSE 10-23

DocuSign Envelope ID: BD716FEF-22B5-47FF-AFCD-2F299167A62B
Instructions for Flow Tracking form (FTSE) and Planning Assessment Addendum (PAA)
Section I
a. WWTP Facility Name: Enter the name of the WWTP that will receive the wastewater flow.
b. WWTP Facility Permit #: Enter the NPDES or Non -Discharge number for the WWTP receiving the
wastewater flow.
c. WWTP facility's permitted flow, MGD: From WWTP owner's NPDES or Non -Discharge permit.
d. Estimated obligated flow not yet tributary to the WWTP, MGD: This includes flows allocated to other
construction projects not yet contributingflow to the collection system. Flows allocated through interlocal
agreements or other contracts not yet contributing flow to the collection system are also included. For POTWs
that implement a pretreatment program, include flows allocated to industrial users who may not be using all of
their flow allocation. Please contact your Pretreatment Coordinator for information on industrial flow tributary
to your WWTP.
As of January 15, 2008 the POTW should have reviewed flow allocations made over the last two years and
reconciled their flow records, to the best of their ability, so it is known how much flow has been obligated and
is not yet been made tributary to the WWTP, in accordance with local policies and procedures employed by the
reporting entity.
e. WWTP facility's actual avg. flow, MGD: Previous 12 month average.
f. Total flow for this specific request, MGD: Enter the requested flow volume.
g. Total actual and obligated flows to the facility, MGD Equals [d + e + fJ
h. Percent of permitted flow used: Equals [(g / c)* 100]
For example:
On January 15 a POTW with a permitted flow of 6.0 MGD, reported to the Regional Office that there is 0.5
MGD of flow that is obligated but not yet tributary. The annual average flow for 2007 is 2.7 MGD. There is a
proposed flow expansion of 0.015 MGD.
The first Form FTSE submitted after January 15, 2008 may have numbers like this:
c. = 6.0 MGD
d. = 0.5 MGD
e. = 2.7 MGD
f. = 0.015 MGD
g. = 3.215 MGD
h. = 53.6 %
The next Form FTSE may be updated like this with a proposed flow expansion of 0.102 MGD:
c. = 6.0 MGD
d. = 0.515 MGD
e. = 2.73 MGD
£ = 0.102 MGD
g. = 3.349 MGD
h. = 55.8 %
Each subsequent FTSE form will be updated in the same manner.
Page 6of8
FTSE 10-23

DocuSign Envelope ID: BD716FEF-22B5-47FF-AFCD-2F299167A62B
Section II
List the pump station name or number and approximate pump station firm capacity, approximate design average
daily flow (A) approximate current average daily flow (B), and the obligated, not yet tributary flow through the
pump station (C) for each pump station that will be impacted by the proposed sewer extension project. Calculate
the total current flow plus obligated flow (D=B+C) and the available capacity (E=A-D). Include the proposed flow
for this project with other obligated flows that have been approved for the pump station but are not yet tributary
(C).
Firm capacity is the maximum pumped flow that can be achieved with the largest pump out of service as per the
Minimum Design Criteria.
Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor (pf) of not less than
2.5.
If the available capacity (E) for any pump station is < 0, then prepare a planning assessment for that pump station
if the system has future specific plans related to capacity that should be considered in the permitting process.
(A)
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Obligated,
Design
Approx.
Not Yet
Total Current
Firm
Average
Current Avg.
Tributary
Flow Plus
Pump Station
Capacity
Daily Flow
Daily Flow,
Daily Flow,
Obligated
Available
(Name or Number)
MGD
(Firm / pf)
MGD
MGD
Flow
Capacity*
Kaw Creek PS
0.800
0.320
0.252
0.080
0.332
-0.012
Valley Road PS
1.895
0.758
0.472
0.135
0.607
0.151
Page 7 of 8
FTSE 10-23

DocuSign Envelope ID: BD716FEF-22B5-47FF-AFCD-2F299167A62B
Planning Assessment Addendum Instructions
Submit a planning assessment addendum for each pump station listed in Section II where available capacity is < 0.
A planning assessment for Kaw Creek PS (see example data above) may be performed to evaluate whether there is
significant likelihood that needed improvements or reductions in obligated flows will be in place prior to activating
the flows from the proposed sewer extension project.
If the system decides to accept the flow based on a planning assessment addendum, it is responsible to manage the
flow without capacity related sanitary overflows and must take all steps necessary to complete the project or control
the rate of flow to prevent sanitary sewer overflows.
The planning assessment may identify a funded project currently in design or construction, or a planned project in
the future not yet funded but in a formal plan adopted by the system. The system should carefully weigh the
certainty of successful timely project completion for any expansion, flow management diversion or infiltration and
inflow elimination projects that are the foundation of a planned solution to capacity tracking and acceptance
compliance.
For example:
Given that:
a. The proportion and amount of obligated, not yet tributary flow accounts for 24 % and 0.080 MGD of the
committed flow in Pump Station Kaw Creek; and that
b. The rate of activation of this obligated, not yet tributary capacity is currently approximately 0.01 MGD
per year; and that
c. A funded capital project that will provide the required planned capacity, namely
is in design or under construction with planned
completion in ; and/or
d. The following applies:
The master plan and ten ,year capital plan contain recommended scope and funding for a capital project entitled
Kaw Creek Pump Station upgrade with funding planned in July 2014. This project is planned to add 0.100 MGD
to the firm capacity of the pump station by October 2015. Inclusion of this proposed capital project as a condition
of this Flow Tracking/Acceptance for Sewer Extension Permit Application elevates this project's priori , for
funding and construction to be implemented ahead of the activation of obligated, not yet tributary flows in amounts
that exceed the firm Dumb station capacities identified in Section 11 above.
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.
Page 8 of 8
FTSE 10-23

DocuSign
Certificate Of Completion
Envelope Id: BD716FEF22B547FFAFCD2F299167A62B
Subject: Complete with DocuSign: 010-315 154 Mt Carmel FM-FTSE 10-23
Source Envelope:
Document Pages: 8 Signatures: 1
Certificate Pages: 2 Initials: 0
AutoNav: Enabled
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Time Zone: (UTC-05:00) Eastern Time (US & Canada)
Record Tracking
Status: Original
3/15/2024 4:02:37 PM
Signer Events
Lauren Raup-Plummer
[e-mail]
Engineering Manager
Aqua North Carolina, Inc.
Security Level: Email, Account Authentication
(None)
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Not Offered via DocuSign
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Holder: Andrew Norris
[e-mail]
Signature
EDII"Sil"Id by: "—fp
"tMW
9UBE09eaAM49a...
Signature Adoption: Pre -selected Style
Using IP Address: 144.202.188.252
Signature
Status
Status
Status
Status
Status
Jeff Foster PI E D
[e-mail]
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(None)
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Not Offered via DocuSign
Mark Ashness
[e-mail]
President
CE Group, Inc
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(None)
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COPIED
Ruffin Poole COPIED
[e-mail]
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Status: Completed
Envelope Originator:
Andrew Norris
[e-mail]
IP Address: 144.202.188.252
Location: DocuSign
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Sent: 3/15/2024 4:05:16 PM
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Signed: 3/18/2024 11:09:24 AM
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STATE OF NORTH CAROLINA
UTILITIES COMMISSION
RALEIGH
APPENDIX A-14
DOCKET NO. W-218, SUB 341
BEFORE THE NORTH CAROLINA UTILITIES COMMISSION
AQUA NORTH CAROLINA INC.
is granted this
CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY
to provide water utility service in
BEECHWOOD COVE CEDAR TERRACE CHATHAM HIDDEN VALLEY POLK'S
LANDING POLK'S TRAIL AND WOODBRIDGE SUBDIVISIONS
TA
to provide sewer utility service in
CAROLINA MEADOWS COUNTY LINE PLAZA GOVERNORS CLUB GOVERNORS
FOREST GOVERNORS VILLAGE THE LEGACY AT JORDAN LAKE THE
PRESERVE AT JORDAN LAKE AND WESTFALL SUBDIVISIONS
Chatham County, North Carolina
subject to any orders, rules, regulations,
and conditions now or hereafter lawfully made
by the North Carolina Utilities Commission.
ISSUED BY ORDER OF THE COMMISSION.
This the 29t" day of January, 2013.
NORTH CAROLINA UTILITIES COMMISSION
A6L I.CYloum*
Gail L. Mount, Chief Clerk

STATE OF NORTH CAROLINA
UTILITIES COMMISSION
RALEIGH
APPENDIX A-15
DOCKET NO. W-218, SUB 341
BEFORE THE NORTH CAROLINA UTILITIES COMMISSION
AQUA NORTH CAROLINA, INC.
is granted this
CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY
to provide water and sewer utility service
Ila
CHAPEL RIDGE INCLUDING PHASES 2A AND 213, COLE PARK PLAZA, COLVARD
FARMS (Durham and Chatham Counties), CREEKSIDE, LAUREL RIDGE, MCBANE
PROJECT THE BLUFFS PHASE 1 THE PARKS AT MEADOWVIEW AND
WOODLANDS SUBDIVISIONS
Chatham County, North Carolina
subject to any orders, rules, regulations,
and conditions now or hereafter lawfully made
by the North Carolina Utilities Commission.
ISSUED BY ORDER OF THE COMMISSION.
This the 29t" day of January, 2013.
NORTH CAROLINA UTILITIES COMMISSION
eAcui, l•'C(loumjr
Gail L. Mount, Chief Clerk

Wilson, Susan A
From: Poole, Charles Ruffin <[e-mail]>
Sent: Wednesday, March 20, 2024 1:41 PM
To: Mark Ashness; Wilson, Susan A; Jeff Foster
Subject: RE: [External] 010-315 154 Mt Carmel FM: Original App deliver to Barrett Drive
Attachments: CHATHAM.pdf
Follow Up Flag: Follow up
Flag Status: Flagged
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button located on your Outlook menu bar on the Home tab.
Mark and Susan:
This information is accurate.
Aqua has been granted and retains a CPCN to provide sewer service in Carolina Meadows, Governors Village, and
Governors Forest among other systems in the County.
The service area (Mr. Sawyer's property) is contiguous to an existing franchise (Governors Village)
Therefore, under 15A NCAC 02T.0115 Operational Agreements, subsection (a) pertaining to a sewer extension under
N.C. Gen. Stat. § 143-215.1(d1), (1), Aqua is a public utility by the North Carolina Utilities Commission and is authorized
to provide service to the specific project by an extension of the wastewater collection system.
AOU)
C. "Ruffin" Poole
Director of Development & Regulatory Affairs
Aqua North Carolina, Inc.
202 MacKenan Court, Cary, NC 27511
0:919.653.6967 M:919.625.2526
0 D
From: Mark Ashness <[e-mail]>
Sent: Wednesday, March 20, 2024 11:25 AM
To: Wilson, Susan A <[e-mail]>; Jeff Foster <[e-mail]>
Cc: Poole, Charles Ruffin <[e-mail]>
Subject: RE: [External] 010-315 154 Mt Carmel FM: Original App deliver to Barrett Drive
CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the
sender and know the content is safe.

Also sending on some forms from an earlier phase that connected to the same system along with the Utilities
Commission confirmation of transfer of ownership.
Hopefully this does it....
thx
Mark Ashness
P.E, LEED AP
.25.
RYEARS
sa@
GROUP
301 Glenwood Avenue, Suite 220
Raleigh, NC 27603
Phone: [phone]
Cell: [phone]
From: Mark Ashness
Sent: Wednesday, March 20, 2024 11:02 AM
To: 'Wilson, Susan A' <[e-mail]>; Jeff Foster <[e-mail]>
Cc:'Poole, Charles Ruffin' <[e-mail]>
Subject: RE: [External] 010-315 154 Mt Carmel FM: Original App deliver to Barrett Drive
Susan: Aqua owns the downstream sewer which is part of Gov Village. There have been a multitude of phases with
100's of lots permitted on this system (thru Aqua).
The downstream permit # is listed on the Fast Track application WQ 0000866 (with Aqua as the permittee)
That downstream system includes a lift station (Gov Village LS 1) which pumps directly to their WWTP.
am attaching the FTSE (previously forwarded) which Aqua has signed demonstrating their control and ownership.
Ruffin can you provide an email to affirm what I have noted above. Also attaching prior email showing the deed and
ownership info as Aqua NC.
We really need to get this permit released (375 Gal). The initial submission which we feel was complete was made
Last November. We have presented the required applications and documentation (including a revision to the flow
rate based upon the legislature's action).
again respectfully request you process this permit and if some other documents (cleanup of files) associated
with the WWTP needs to be updated; that can be handled separately (no time constraint) given that we have
clearly demonstrated Aqua owns this system we are connecting to and the WWTP.
am including a map showing the continuous route of the existing collection system controlled by Aqua NC to their
WWTP.

Chatham County Land Records Viewer
Name, Address. or Parcel
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thx
Mark Ashness
P.E, LEED AP
.25.
YEARS
�'r�YEBsa@
CE
GROUP
301 Glenwood Avenue, Suite 220
Raleigh, NC 27603
Phone: [phone]
Cell: [phone]
From: Wilson, Susan A <[e-mail]>
Sent: Wednesday, March 20, 2024 10:24 AM
To: Jeff Foster <[e-mail]>
Cc: Mark Ashness <[e-mail]>
Subject: RE: [External] 010-315 154 Mt Carmel FM: Original App deliver to Barrett Drive
haven't had a chance to look it over yet. I hope you guys included something from Aqua assuring that they
own/operate the downstream gravity sewer (that's the one that was in a different entities name).
From: Jeff Foster <][e-mail]>
Sent: Wednesday, March 20, 2024 10:21 AM
To: Wilson, Susan A <[e-mail]>
Cc: Williams, Theresa K <[e-mail]>; Mark Ashness <[e-mail]>
Subject: RE: [External] 010-315 154 Mt Carmel FM: Original App deliver to Barrett Drive
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Hello again,
So do you have everything you need from us at this point, understanding there were some items that would be
dealt with that don't involve the permittee?
Sincerely,
Jeff Foster, PE
c,``E8�\ya+
. 25
9 YEARS
y'Y�YER a�
CE GROUP
367 Freedom Parkway, Suite 220

Pittsboro, INC 27312
Phone: [phone] x-1 05
Cell: [phone]
US Green Building Council Member
y an authorized state official.
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized
state official.

154 Mt Carmel Notes to File
S Wilson (3/24/24) U a.0 i��0l
Must conform with 15A NCAC 02T .0303 PERMITTING BY REGULATION:
15 .« �4.....ar.� ,�.u. ,La— — 1-- Y.-- Jlir, —u , r..a
{C) no other connections are made to the sewer without prior approval from the Division;
(3) a pump station and force main serving a single building with less than 600 gallons per day of flow
as calculated using the wastewater design flow rates in Rule .0114 of this Subchapter provided
that:
(A) an casement for crossing another property is obtained, a map is created, and both are
recorded at the Register of Deeds office in the county of residence for both property
owners and runs with the land or, in the case of a force main traveling along a right-of-
way, documented permission form the dedicated right-of-way owner to use such right-of-
way,
(13) if a force main is used, it ties into a non -pressurized pipe, manhole or wetwelI;
(C) the system is approved by the local building inspector as being in complete compliance
with the North Carolina Plumbing Code to the point of connection to the existing sewer;
and
(D) no other connections are made to the sewer without prior approval from the Division;
fA) than F.,11—i.. nrn ,;A.A Okah A. —A,—fnr+no to �11 —6. —tk—l— and A—i—
Per Jeff Foster, PE they will add a grinder pump for the residence. One 5 bedroom residence is
proposed at this time.
CE Group submitted a revised application and FTSE on March 19, 2024 (revised to 75 gpd/BR), more
information from Aqua NC, Inc. that they own downstream infrastructure.