WQ0039619_Owner (Name Change)_20240619

I� chambers
_ engineering, pa
129 North First Street I 704.984.6427 ph
Albemarle, NC 28001 www.ce-pa.com
RECEIVED
JUN 19 M4
NCDEQ—DWR
Water Quality Permitting Section
PERCS NCDEQ/DWR/NPDES
512 N. Salisbury Street, Suite 925
Raleigh, NC 27604
Re: WQ0039619 — Sewer System Permit Ownership/Name Change
To Whom it May Concern:
On behalf of the City of Locust, please find attached the executed form PNOCF 01-16 and associated
documentation. I am available at your convenience should you have immediate questions or need further
information. Thank you for your time and efforts on this project.
Sincerely,
Rachel C Carter, PE
Project Manager
Attach: PNOCF 01-16 (1 original, 1 copy)
Existing Permit WQ0039619 (2 copies)
Legal Documentation, Deed (2 copies)
pe��,ttiQ�

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
SEWER SYSTEM PERMIT OWNERSHIP/NAME CHANGE
Division of Water Resources INSTRUCTIONS FOR FORM: PNOCF 01-16
This form is for ownership changes or name changes of a sewer system permit. Please note that "Permtttee" references the
existing permit holder, and that "Applicant" references the entity applying for the ownership/name change.
Sewer permits start with a WQ or WQCS and contain the terms sewer extension or collection system in the subject field. This
form should not be used for permits with NC, NCG, SW or other types of non -sewer permits beginning with WQ.
For more information, visit the Division's Water Quality Permining's n q_t:
A. Sewer System Permit Ownership/Name Change (FORM: PNOCF 01-16) Application (All Applications):
® Submit an original completed and appropriately executed application (PNOCF 01-16).
® The Existing Permittee's Certification shall be signed in accordance with 1..5A NC'-\C 02T _O1(161(b . Per 15A NCAC 02T
t i if rrj, �_ �, 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(bl.
® The Applicant's Certification shall be signed in accordance with I _�A N( :\(' 021 .0106(h). Per 1 SA tit AC 0_2_T.010�W, an
alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria
in '5\ _tt-T_ olm,Lhl.
B. Existing Permit (All Applications):
® Submit a copy of the most recently issued permit and certification.
C. Property Ownership Documentation (All Applications):
The Applicant shall demonstrate they are the owner of all property containing the sewer system facilities:
® Legal documentation of ownership (i.e., (ilJ, deed, article of incorporation, or contract), or
❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or
❑ Approved board minutes
D. Certificate of Public Convenience and Necessity (All Applications where the Applicant is a Privately -Owned Public Utility):
❑ Per I �,\_V ,V n'T .0115(a)( I ), provide one copy of the Certificate of Public Convenience and Necessity from the -,_mh
c..ttuIIn t i 111uJes t_ ummi;,t4m demonstrating the Applicant is authorized to hold the utility franchise for the area to be served
by the non -discharge system.
E. Operational Agreements (Applications where the Applicant is a Home/Property Owners' Association or Developer of lots to be
sold):
r Home/ProMrty Owners' Associations
❑ Per 15A NCAC 02T .O1 15(c), submit an original properly executed (Jeration-al.Agreement (FORM; HOA).
❑ Per 15A NCAC 02T .01 15-LCI, submit an original proposed or approved Articles of Incorporation, Declarations and By-
laws that contain the language required by the Operational Agreement.
Develoyers of lots to be sold
❑ Per 15A NrC A('_O=T Q 115shj, submit an original of the properly executed Operational Agreement (FORM: DEV).
F. Package Submitted in Duplicate
® Submit a copy of all required documents in Instructions A-E as required
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED IN DUPLICATE
TO:
NCDEQ - DWR
Water Quality Permitting Section
PERCS Unit
By U.S. Postal Service: By Courier/Special Delivery:
1617 MAIL SERVICE CENTER 512 N. SALISBURY ST.
RALEIGH, NORTH CAROLINA 27699-1636 SUITE 925
RALEIGH NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone]
INSTRUCTIONS FOR APPLICATION PNOCF 01-16 Page I of I

DWR
Division of Water Resources
1. EXISTING PERMITTEE INFORMATION:
State of North Carolina
Department of Environmental Quality
Division of Water Resources
SEWER SYSTEM PERMIT OWNERSHIPINAME CHANGE
INSTRUCTIONS FOR FORM: PNOCF 01-16
1. Permittee's name: Locust Grove Apartments. LLC
2. Signature authority's name: Bradley E. Parker per 15A NC'AC 02T .0106(b)
3. Signature authority's title: Manager
4. Permittee's mailing address: 14120 Ballantyne Corporate. Suite 575
City: Cbarlotte State: NC Zip: 28227-
5. Permittee's contact information: Phone number: (9801318-5000 Fax Number (� _-
Email Address: dwsindell(a wxzdevelopment.com
H. APPLICANT INFORMATION:
l . Applicant's name: City of Locust
2. Signature authority's name: Cesar Correa per 15A NCAC02T .0106(b)
3. Signature authority's title: City Manager
4. Applicant's mailing address: 186 Ray Kennedy Drive
City: Locust State:N-C Zip:28097-
5. Applicant's contact information: Phone number: (� 888-5260 Fax Number (� _-
Email Address: citymanager(a)locustnc.com
6. Representative's name: N/A
7. Representative's title: N/A
8. Representative's contact information
III. PERMIT INFORMATION:
Phone number: (__
Email Address:
Fax Number (_ _-
1. Existing permit number: W00039619 and most recent issuance date: January 25. 2018
2. Reason for the permit application: Select If other, attach detailed explanation
3. Has the facility been constructed? ❑ Yes or ® No
4. Has the facility been certified per 1 >A NCAC 02T .01 16? ❑ Yes or ® No
FORM: PNOCF 01-16 Page 1 of 2

IV, CERTIFICATIONS:
Existing Permittee's Certification per 15.A N('a(` 021 .0106(h):
I, Bradley E Parker, Manager attest that this application
(Signature Authority's name & title from Application Item 1.2 & 3)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that prior to reissuance of the permit
into the Applicant's name, 1 will continue to be responsible for compliance with the current permit and any discharge of wastewater
from this system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief,
and/or criminal prosecution. I will also make no claim against the Division of Water Resources should a condition of the existing permit
be violated. I also understand that if all required pans of this application are note completed and that if all required supporting
information and attachments are not included, this application will be returned to me as incomplete.
NOTE - In accordance with General Statutes 1-43-i � r„1 and {_ __ .i nfi, 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 petWties up to S25,000 per violation.
Signature:
Applicant's Certification per 15A NC:1C 02T .0106(b):
Date: 06.10.24
I, Cesar Correa City Manager attest that this application
(Signature Authority's name & title from Application Item I1.2&3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that after issuance of the permit into
the Applicant's name, I will be responsible for compliance with the issued permit and any discharge of wastewater from this non -
discharge system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief,
and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition of this permit be violated.
I also understand that if all required parts of this application package are not completed and that if all required supporting information
and attachments are not included, this application package will be returned to me as incomplete.
NOTE - In ac2asell
h Gener tutes 1-) -2 1 5_r,A and i 4 __' 1 � 6B, any person who knowingly makes any false statement,
representation,ati n in y ap ication package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed S10,00r p to S25,000 per violation.
Signature: Date:
RECEIVED
JUN 19 2024
NCDEQ/DWR/NPDES
FORM: PNOCF 01-16 Page 2 of 2

Water Resources
ENVIRONMENTAL QUALITY
LROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
January 25, 2018
Mr. Bradley E. Parker
Locust Grove Apartments, LLC
14120 Ballentyne Corporate, Suite 575
Charlotte, NC 28227
Subject: Permit No. WQ0039619
Locust Grave Apartments, LLC
Locust Grove Apartments
Wastewater Collection System Extension Permit
Stanly County
Dear Mr. Parker:
In accordance with your application received November 15, 2017, with additional information received
January 11, 2018, we are forwarding herewith Permit No. WQ0039619 dated January 25, 2018 to Locust
Grove Apartments, LLC (Permittee) for the construction and operation upon certification of the subject
wastewater collection system extension. This permit shall be effective from the date of issuance until
rescinded and shall be subject to the conditions and limitations as specified therein. This cover Ietter shall
be considered a part of this permit and is therefore incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition III : This permit shall not be automatically transferable; a request must be made and approved.
Condition HA: Requires that the wastewater collection facilities be properly operated and maintained in
accordance witl 15A NCAC 2T .0403 or any individual system -wide collection system
permit issued to the Permittee.
It shall be the responsibility of the Permittee to ensure that the as -constructed project meets the appropriate
design criteria and rules. Failure to comply may result in penalties in accordance with North Carolina
General Statute §143-215.6A through §143-215.6C, construction of additional or replacement wastewater
collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing
board.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150B of North Carolina General
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are made, this permit shall be final and binding.
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional operations
Mooresville Regional Office 1 610 East Center Avenue, Suite 3011 Mooresville, North Carolina 28115
704 6631699

If you need additional information concerning this matter, please contact Lon Snider at [phone] or
via e-mail at lon.snider(i4ncdenr.gov.
Sincerely,
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
cc: Samuel Smith (P.E.) (E-copy)
Mooresville Regional Office Files
Water Resources Central Files
PERCS (E-copy)
Page 2 of 8

F�
Environmental
Quality
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
Locust Grove Apartments, LLC
Stanly County
for the construction and operation of approximately 1,353 linear feet of 6 inch gravity sewer to serve
the Locust Grove Apartments, and the discharge of 19,770 gallons per day of collected wastewater into
the West Stanly WWTP existing sewerage system, pursuant to the application received November 15,
2017 and additional information received January 11, 2018, and in conformity. with 15A NCAC 2T; the
Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the
Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
adopted June 1, 2000, as applicable; and other supporting data subsequently filed and approved by the
Department of Environment and Natural Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the specified
conditions and limitations contained therein.
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
By authority of the Environmental Management Commission
Permit Number: WQ0039619
Permit Issued: January 25, 2018
Page 3 of 8

SUPPLEMENT TO PERMIT COVER SHEET
Locust Grove Apartments, LLC is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension. The
sewage and wastewater collected by this system shall be treated in the West Stanly WWTP Regional
Wastewater Treatment Facility in accordance with Permit Number NC0043532.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as
applicable; and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000, as applicable, unless specifically mentioned herein. Division
approval is based on acceptance of the certification provided by a North Carolina -licensed professional
Engineer in the application. It shall be the Permittee's responsibility to ensure that the as -constructed
project meets the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
I. SPECIAL CONDITIONS
1) No flow in excess of the quantity permitted herein, 19,770 additional GPD, shall be made
tributary to the subject sewer system until an application for permit modification for an increase in
flow has been submitted to and approved by the Division. [15A NCAC 02T.0304 (b)]
II. STANDARD CONDITIONS
1. This permit is not transferable. In the event there is a desire for the wastewater collection facilities
to change ownership, or there is a name change of the Permittee, a formal permit request shall be
submitted to the Division accompanied by documentation from the parties involved, and other
supporting materials as may be appropriate. The approval of this request shall be considered on its
merits and may or may not be approved. [I5A NCAC 02T.0104; G.S 143-215.1(0)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer
Minimum Design Criteria adopted February 12, 1996, as applicable; the Division's Minimum Design
Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as
applicable; and other supporting materials unless specifically mentioned herein. [15A NCAC
02T.0I 10]
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T .0110]
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required, the following performance criteria shall be met: [ I SA NCAC 02T .0108(b)]:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or surface
water standards.
Page 4 of 8

I
b. 'A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected everyday (i.e. 365
days per year). Pump stations that are connected to a telemetry system shall be inspected at least
once per week.
e. High -priority sewer Iines shall be inspected at least once per every six months and inspections
documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a),* and public notice shall be provided as required by
North Carolina General Statute § 143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
i. - Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the map, which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Mooresville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours
following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility
incapable of adequate wastewater transport, such as mechanical or electrical failures of
pumps, line blockage or breakage, etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Page 5 of 8

Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part I of Form CS-SSO (or the most current Division approved form) within five days following first
knowledge of the occurrence. This report must outline the actions taken or proposed to be taken to
ensure that the problem does not recur. Part 11 of Form CS-SSO (or the most current Division
approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-
215.1C(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. (15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification form attached to this permit shall be submitted with the required supporting
documents to the address provided on the form. A complete certification is one where the form is
fully executed and the supporting documents are provided as applicable. Any wastewater flow made
tributary to the wastewater collection system extension prior , to completion of this Engineer's
Certification shall be considered a violation of the permit and shall subject the "Permittee to
appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, Declarations/CovenantslRestrictious, and Bylaws , that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted
with the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
number/type of connections), regulations, or the Minimum Design Criteria. Requested modifications
or variances to the Minimum Design Criteria will be reviewed on a case -by -case basis and each on
its own merit. Please note that variances to the Minimum Design Criteria should be requested and
approved during the permitting process prior to construction. After -construction requests are
Page 6 of 8

I
discouraged by the Division and may not be approved, thus requiring replacement or repair prior to
certification & activation. [15A NCAC 02T .0116]
Gravity sewers installed greater than ten percent below the minimum required slope per the Division's
Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified until
corrected. if there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case -by -case basis. Resolution of such request . shall be evident prior to completing and
submitting the construction certification. [ 15A NCAC 02T.0I05(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities. [15A NCAC 02T .0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996, as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted
June 1, 2000, as applicable; and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes § 143-215.6A
through §143-215.6C, construction of additional or replacement wastewater collection facilities,
and/or referral of the North Carolina -licensed Professional Engineer to the licensing board. [15A
NCAC 02T .0104; 15A NCAC 02T .0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including those
as may be required by this Division, such as the construction of additional or replacement facilities.
[ 15A NCAC 02T .0110; 15A NCAC 02T .0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 8

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERhaTTEE: LOCUST GROVE APARTMENTS, LLC
PERMIT #: WQ0039619
PROJECT: LOCUST GROVE APARTMENTS
ISSUE DATE: JANUARY 25, 2018
This project shall not be considered complete nor allowed to operate in accordance with standard
Condition 7 of this permit until the Division has received this Certification and all required supporting
documentation. It should be submitted in a manner that documents the Division's receipt. Send the
required documentation to the Regional Supervisor, Water Quality Regional Operations Section at the
address noted in the page footer.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shalt subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking allpartial certifications up
until a final certification is received by the Division. A Final Certification shall be a complete set of
record drawings and design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
1, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant to
the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain the
wastewater collection system permitted herein or portions thereof.
Printed Name, Title Signature
ENGINEER'S CERTIFICATION
Date
as a duly registered Professional Engineer' in the State of North Carolina,
having been authorized to observe (❑ periodically, n weekly, Cfull time) the construction of the
project name and location as referenced above for the above Permittee hereby state that, to the best of my
abilities, due care and diligence was used in the observation of the construction such that the construction
was observed to be built within substantial compliance of this permit; 15A NCAC 02T; the Division of
Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as
applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000, as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
❑ Final ❑ Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
NC DWR - Water Quality Regional Operations Section 610 East Center Avenue, Suite 301, Mooresville, NC 28115

State of North Carolina
FEW— ..... Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number:'Oqt;,l (to be contpteled by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: Locust Grove Apartments, 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: Bradley E.Parker per 15A NCAC 02T .0106(b) �:tlrttsf
Title: Manager NOV
4. Applicant's mailing address: 14120 Ballentyne Corporate, Suite 575
City: Charlotte State: NC Zip: 28227-
5, Applicant's contact information:
Phone number: (2UO 318-5000 Email Address: dwsindell(a-),wxzdevelopment.com
It, PROJECT INFORMATION:
1. Project name: Locust Grove Apartments
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Stanly
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.261806" Longitude:-80.424028"
5. Parcel ID (if applicable): 5575-04-53-1228
(or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
I. Professional Engineer: Samuel J. Smith, PE License Number: 40366
Firm: Chambers Engineering, PA
Mailing address: 129 North First Street
City: Albemarle State: NC Zip: 28128-
Phone number: [phone] Email Address: ssmithAce-pa.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: West Stanly Wastewater Treatment Plant Permit Number: NCO043532
Owner Name: Stanly County Utilities
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
FORM: FTA 04-16 Paget of 5

GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
[:]Yes [:]No MN/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DM been attached?
❑ Yes ❑No ®NIA
3. If the Applicant is a Honie/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes [—]No ®N/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
® Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ SchooI / preschool / day care ❑ Medical / dentaI / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
® Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
% Industrial (See 15A NCAC 02T .0I03(20))
'j,Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T.01 14(fl? ❑ Yes ❑ No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 921.0114ffl)
Daily Design Flow a,b
No. of Units
Flow
Bedroom
120 gal/day
156
18,720 GPD
Comm. Bldg- Self Service Laundry Facility
500 gal/machine
2
I,000 GPD
Comm. Bldg- General Business / Office
25 gal/employee / shift
2
50 GPD
gal/
GPD
gall
GPD
gau
GPD
Total
19,770 GPD
a See 15A NCAC 02T .0114(b), (d), (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use
areas; and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals
as defined in G.S. 42A-4),
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 19,770 GPD (per 15A NCAC 02T .0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

VVIL.
GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be pennitted:
Size (inches)
Length (feet)
Material
6
1353
PVC/ DI
➢ Section II & II1 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 requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable)— 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: - °
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(l ):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(13):
➢ 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
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
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 in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(t)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (g) ® 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
24 inches
Water mains vertical -water over sewer including in benched trenches
18 inches
Water mains(horizontal)
10 feet
Reclaimed water lines vertical - reclaimed over sewer
18 inches
Reclaimed water lines(horizontal - reclaimed over sewer
2 feet
"Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water
100 feet
"Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal
hi h water or tide elevation and wetlands see item IX.2
50 feet
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
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
➢ 15A NCAC 02T.0305(a) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC Surface Water Classifications webpattie
➢ If noncompliance with 02T.0305(_D or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with all setbacks found in the river basin toles per 15A NCAC 023.0200? ® Yes ❑ No
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ No
➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)?
® Yes [:]No
Per 15A NCAC 02T,0105(c)(6). directly related environmental permits or certification applications are 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.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned paralIeI to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ® No
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

VXCERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest versiogl and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents
for review. Aporoval of the request is required prior to submittal of the Fast Track Application and suaoortin
documents..
2. Professional Engineers Certification_
1. $•A/U U EL J. s M r7'N attest that this application for
(Professional Engineer's name from Application Item 111.1.)
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. 1 further attest that to the best
of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers ('latest version), and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain
portions of this submittal package, inclusion of these materials under my signature and seat 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.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certificatiory l-y1 NCAC 02T .09M(b):
name & title from Application Item 1.3.)
............
`�v�tttitrrrrr�
is
40nIN
that this application for
has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application areVntmpleted 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. 1 will make no claim against the Division of Water Resources should a
condition of this permit be violated. 1 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 $10,00 as civil penalties up to $25,000 per violation.
Signature: Date:
FORM: FTA 04-16 Page 5 of

4d i,, .
n�
State of North Carolina
Department of Environmental Quality
Division of Water Resources
.AVk$oli of %Vm t ;:,,, r „,t Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE W16)
Entity Requesting Allocation: Locust Grove Apartments, LLC
Project Name for which flow is being requested: Locust Grove Apartments
More than one F7NE may be required for a single project if 1he owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow_
I. Complete this section only if you are the owner of the wastewater treatment plant.
a.
WWTP Facility Name: West Stanly WWTP
b.
WWTP Facility Permit #: NC0043532
All flows are in MGD
c.
WWTP facility's permitted flow
0.9
d.
Estimated obligated flow not yet tributary to the WWTP
0.545
e.
WWTP facility's actual avg. flow
0.377
f.
Total flow for this specific request
0.0197
g.
Total actual and obligated flows to the facility
.922
h.
Percent of permitted flow used
102.0%
lI. 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)
(DHB+C)
(EH- A-D)
Design
Obligated,
Pump
Average Daily
Approx.
Not Yet
Total Current
Station
Firm
Flow**
Current Avg.
Tributary
Flow Plus
(Name or
Capacity, •
(Firm t po,
Daily Flow,
Daily Flow,
Obligated
Available
Number)
MGD
MGD
MGD
MGD
Flow
Capacity***
McCoy's
_CXXL .DC
1.500
0.600
---.
0.377
-._�
0.545
0.922
0.578
* The Firm Capacity 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.
*** 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):
Downstream Permit Number:
Page 1 of 6
I"I'SF 04-10

III. Certification Statement:
I Donna Davis 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 indicates acceptance of this wastewater flow.
Signing; Official Signature
Bate
Page 2 of 6
FTSE d4-16

V.
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Divislon of Water Resou€ces Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Locust Grove Apartments, LLC
Project Name for which flow is being requested: Locust Grove Apartments
Afore than one FTSE may be required for a single project if the owner of the IVi+TP is not responsible for all pump
stations along the route of the proposed wastewaterflow,
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name:
b. WWTP Facility Permit #:
A11 flows are in MGD
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
11. 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
Average Daily
Approx.
Not Yet
Total Current
Station
Firm
Flow"
Current Avg.
Tributary
Flow Plus
(Name or
Capacity, "
(Firm / pf),
Daily Flow,
Daily Flow,
Obligated
Available
Number)
MGD
MGD
MGD
MGD
Flow
Capacity'
ESPS#6
1.224
.4896
.0496
.077
.1266
.363
* The Firm Capacity 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.
*** 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): WSW WTP/Stanly County Utilities
Downstream Permit Number: NCO043532
Page I of 6
FTSE 04-16

Ill. Certification Statement:
I Timothy C Flieger 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
availabledata. This certification applies to those items listed above in Sections I and 11 plus all
attached planning assessment addendums for which I am the responsible party. Signature of this
form indicates acceptance of this wastewater flow.
Signing
RECE�vE�
JUN 19 2024
NGpEaI�`NR�NP�ES
Page 2 of 6
FTSE 04- l 6

A
�k M
h�
0
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+
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q
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113
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DRAWN BY. HJT
IDATE 11117
DWG NO: USGS-CUT
SCALE: NOT TO SCALE
r
iw
C--harnbars Engineering, R^
129 North F!rst St Aloemarle NC 28001 704- 984-642.7
NCEIELS F,rM LtCerlse No C-16M
Locust Grove Apartments I USGS Cut Shoot
I of I

Lchambers
engineering, pa
129 North First Street ( 704.984.6427 ph
Albemarle, NC 28t)01 www.ce-pa.com
11/9/2017
Mr. Lon Snider
Environmental Senior Specialist
NCDEQ — Mooresville Regional Office
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Re: City of Locust / Stanly County
Locust Grove Apartments Sewer
Dear Mr. Snider,
RECOVSD
NOV 1 3 2017
Div Ion of Water mfrastruGUO
On behalf of the Locust Grove Apartments, LLC, please find attached a Fast Track Sewer System Extension
application and supporting documents for the above referenced project. This project will serve a new facility. This
sewer extension is part of a project that will include an apartment complex and community building. Additional
flow is calculated to be approximately 19,770 gallons per day. The items included with this submittal package are:
Cover Letter FTA 04-16
Y Check Payable to NCDEQ ($480) USGS Topographic Map
Y FTSE 04-16 (McCoy's Creek Pump Station) Street Level Map
r FTSE 04-16(City of Locust: E. Pump Station)
If any additional information is needed, please direct these requests to our office to ensure a timely response.
Thank you for your time and efforts on this project.
Sincerely,
Samuel I Smith, PE
Attach: Shown above (Original and Duplicate)
Cc: Brad McLean, Greenway Residential Development, LLC

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Miston of Water Resources Flow Trucking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Locust Grove Apartments, LLC
Project Name for which flow is being requested: Locust Grove Apartments
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: West Stanly WWTP
b. WWTP Facility Permit #: NC0043532
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 io the facility
h. Percent of permitted flow used
A11 flows are in MGD
0.9
0.314
0.377
0.0197
.7107
7$.97%
U. 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 Average Daily
Approx.
Not Yet
Total Current
Station Firm Flow"
Current Avg.
Tributary
Flow Plus
(Name or Capacity, • (Firm / pf),
Daily Flow,
Daily Flow,
Obligated
Available
Number) MGD MGD
MGD
MGD
Flow
Capacity***
McCoy'sno
1.500 0.600
0.377
0.314
0.691
0.809
* The Firm Capacity 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.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the W M where the Available Capacity is < 0.
Downstream Facility Name (Sewer);
Downstream Permit Number:
Page 1 of 6
FTSE 04-16

III. Certification Statement:
I Donna Davis certify to the best of try 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 indicates acceptance of this wastewater flow.
Signing Official Signature
9'/&
Date
Page 2 of 6
FTSE 44-16

Business Registration Division
Page 1 of 1
North Carolina
Elaine F. Marshall DEPARTMENT OFTHE
Secretary SECRETARY o1= STATE
PO Box 29M Ralelgh,NC 27826-0622 (919)814_r400
Click Here To:
View Document Filings File an Annual Report Amend a Previous Annual Report
Print a Pre -Populated Annual Report form
Corporate Names
Legal: Locust Grove Apartments, LLC
Limited Liability Company Information
Sosid:
1541563
Status:
Current -Active
Annual Report Status:
Current
Citizenship:
Domestic
Date Formed:
9R12016
Fiscal Month:
December
Registered Agent:
Parker, Bradley E
Corporate Addresses
Account,
Login
Create ,
,Site
Account
Mailing:
14120 Ballantyne Corporate PI Ste 575
Charlotte, NC 28277
Principal Office:
14120 Ballantyne Corporate PI Ste 575
Charlotte, NC 28277
Reg Office:
14120 Ballantyne Corporate Pi Ste 575
Charlotte, NC 28277
Reg Mailing:
14120 Ballantyne Corporate PI Ste 575
Charlotte, NC 28277
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 570-3-20,
Manager: Bradley E Parker
14120 Ballantyne Corporate PI Ste 575
Charlotte NC 28277
https://www.sosnc.gov/Search/profcorp/12376445 11/15/2017

Central Files: APS _ SWP
1/25/2018
Permit Number WQ0039619
Permit Tracking Slip
Program Category
Status Project Type
Non -discharge
Active New Project
i
Permit Type
Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
1.00 Individual
li
Primary Reviewer
Permit Contact Affiliation
lon.snider
Coastal SWRule
Permitted Flow
19,770
Facility
Facility Name MajoriMinor Region
Locust Grove Apartments Minor Mooresville
Location Address County
Stanly
Facility Contact Affiliation
Owner
Owner Name Owner Type
Locust Grove Apartments LLC Non -Government
Owner Affiliation
Bradley Parker .
14120 Ballantyne Corporate PI
Dates/Events Charlotte NC 28277
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice issue Effective Expiration
112512018 11 /15/2017 1 /26/2018 1 /25/2018
Regulated Activities
Requested /Received Events
Apartment complex
Additional information received 1/11/18
Condominium
Additional information requested 11/16/17
Office
Additional information requested
Wastewater collection
Additional information received
Outfall
Waterbody Name Streamindex Number Current Class Subbasin
1

BK 1855 PG 526 (5)
This Document eRecorded:
Fee: $26.00
Stanly County, North Carolina
Jennifer Helms, Register of Deeds
Received By: KAYLAN ROLAND
DOC# 468819
06/12/2024 02:42:09 PM
NORTH CAROLINA SPECIAL WARRANTY DEED
Excise Tax: S2,400.00
Parcel Identifier No. 5 575 045 31228 Verified by Stanly County on the day of , 2024
By:
Mail/Box to: Grantee
This instrument was prepared by: Paige H. Pease, a licensed attorney, 16151 Lancaster Highway, Suite B,
Charlotte, NC 28277 Delinquent taxes, if any, to be paid to the Stanly County Tax collector by the closing
attorney (Connie Mosher) upon disbursement of closing proceeds.
Brief description for the Index: +/- 10.27 acres located on East Main Street, Locust NC, 28097
THIS DEED made this
GRANTOR
day of June, 2024, by and between
Locust Grove Apartments, LLC,
a North Carolina limited liability company
14120 Ballantyne Corporate Place, Ste 575
Charlotte, NC 28277
GRANTEE
City of Locust,
a North Carolina municipal corporation
186 Ray Kennedy Drive
Locust, NC 28097
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and
assigns, and shall include singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of
which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the
Grantee in fee simple, all that certain lot or parcel of land situated in the City of Locust, Stanly County,
North Carolina and more particularly described as follows (the "Property"):
SEE EXHIBIT A ATTACHED HERETO AND INCORPORATED HEREIN BY
REFERENCE.
submitted electronically by "First street Legal"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the stanly County Register of Deeds.

BK 1855 PG 527 DOC# 468819
The Property was acquired by Grantor by instrument recorded in Book 1643, Page 1427.
All or a portion of the Property does not include the primary residence of Grantor. This Deed is
executed and delivered in the ordinary course of business of Grantor.
TO HAVE AND TO HOLD the Property and all privileges and appurtenances thereto belonging
to Grantee, its successors and assigns forever, in fee simple. Title to the Property hereinabove described is
hereby conveyed subject to (1) all valid and subsisting restrictions, reservations, covenants, conditions,
rights of ways and easements properly of record, including without limitation, that certain Declaration of
Easements and Restrictions recorded in Book 887, Page 365 of the Stanly County, North Carolina Registry,
as amended by Amendment to Declaration of Easements and Restrictions recorded in Book 1044, Page
220 of the Stanly County, North Carolina Registry; (2) matters revealed by a correct and accurate survey
of the Property; (3) applicable zoning and land use regulations, and (4) current year ad valorem taxes.
AND the Gr-antor covenants with the Grantee, that Grantor has done nothing to impair such title as
Grantor received, and Grantor will wan -ant and defend the title against the lawful claims of all persons
claiming by, under or through Grantor, except for the exceptions referenced above.
[SIGNATURE AND ACKNOWLEDGEMENT TO APPEAR ON FOLLOWING PAGE]

BK 1855 PG 528 DOC# 468819
[Signature Page to Special Warranty Deed]
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first
above written.
LOCUST GROVE APARTMENTS, LLC
a North Carolina limited liability company
By: Locust Grove Associa , -L; )ts Manager
By: Greenway Residential Deydlopment, LLC, its Manager
Parker, Manager
STATE OF NORTH CAROLINA
COUNTY OF MECKLENBURG
ACKNOWLEDGMENT
1, Heather M. Smith, allotary Public for said County and State, do hereby certify that Bradley E.
Parker, is the Manager of Greenway Residential Development, LLC, the Manager of Locust Grove
Associates, LLC, the Manager of Locust Grove Apartments, LLC, and that he, being authorized to do so,
executed the foregoing on behalf of the limited liability company.
Witness my hand and official stamp or seal this I lth day of June, 2024.
No ary Public
My commission expires: March 11, 2025

BK 1855 PG 529 DOC# 468819
EXHIBIT A
to Special Warranty Deed
Legal Description of the Property
BEGINNING at a nail on the northwesterly morgin of the right-of-way of East Main Street (oka
N.C. Hwy. 24-27), sold nap also being the southeast corner of lot 3 as shown on plat book 18,
page 203; thence leaving said right-af-way and following the eastern line of lot 3 with a
bearing of N 13'01:38" W and a distance of 255,77' to an existing rebar, also being the
northeasterly corner of lot 3; thence following the northwest lines of lot 3 & lot 2 the following
three (3) calls: (1) with a bearing of S 7246:39" W and a distance of 271.61' (passing an
existing nor? at 186.94) to on existing nail, (2) with an Arc to the Right having a Radius of
225.00' and a Length of 28,97' and being Charded by a bearing of S 762755' W and a
distance of 28.95' to an existing nail, • (3) with a bearing of S 60719'12' W and a distance of
69.50' to on existing nap, being that northwest comer of lot 2 as shown on plat book 1A page
203; thence following the western line of lot 2 with a bearing of S 135226" E and a distance
of 244,93' to an existing nail on the northwesterly margin of the right-of-woy of East Moin
Street ; thence fallowing said right-of-way with a bearing of S 76 07'34" W and a distance of
36.51' to o point, sold point being the southeasterly corner of lot 1 as shown on plot book 18
page 203,E thenra leaving sold right-of-way and following the eastorn lino at lot 1 with a
beoring of N 13:52'26" W and a distance of 282,61' to an existing rebar on the southern line
of the property of Home Savings Bank, SSB (now or ADrmerly) recorded in deed book 931, page
169; thence with the common line of Nome Savings flank, SS8 the following six (6) calls: (1)
with a bearing of N 80tV58' E and a distance of 123.06' to an existing pipe; (2) with a
bearing of N 11:30'50" W and a distance of 68,89' to an existing pipe; (3) with a bearing of S
7432'3$" W and a distance of 127-95' to on existing rebar; (4) with a bearing of N 95128" W
and a distance of 55.70' to an existing Pipe; (5) with o bearing of N 9'29'07" W and a
distance of 54.41' to an existing rebar; (6) with a bearing of S 79 4457" Wand a distance of
19Q00' to a point on the easterly morgin of the right--of--way of Central Avenue (aka N.C.
Hwy POO); thence following said right-of-woy with a bearing of N 9JJ'35" W and a distance of
53.62' to a point on the line of Ronald L do Jo Ann Sneed (new or formerly); thence leaving
said right-of-way and following the southern line of Sneed with a bearing of N 797839" E and
a distance of 789 48' to an existing pipe,- thence following the eastern line of Sneed with a
bearing of N 7VO'41' W and a distance of 50,00' to a pipe on the southerly margin of Dixon
Road (shown as a 30' right--of-way on plot book 3, page 195): thence following sold
right--of-woy three (3) calls. (1) with a bearing of N 77'20'S9" E and a distance of 64.05' to
on existing pipe, (2) with a bearing of N 74145775" £ and a distance of 67.55' to an existing
bent rebar, (3) with a bearing of N 67J7'15" E and a distance of 183.61' to an existing rebar,
thence with a bearing of N 3739'00" W and a distance of 32.30' to an existing rebar, also
being the southeasterly corner of the property of Liazie Clark Tucker (now or formerly) recorded
In deed book 327, page 775; thence following the common line of Tucker with a bearing of N
37'3900" W and a distance of 183.74' to an existing pipo, also being the common corner of
the property of Llzzle Clark Tucker (now or formerly) recorded in deed book 302. page 885;
thence following the common line of Tucker with a bearing of N 7193'19" E and a distance of
76.63' to an existing rebar, also being the common corner of the property of the Auonlmo i_
McIntyre Revocable Living Trust (now or formerly) recorded in deed book 547, page 786; thence
following the common lint of the duanimo L Uclntyre Revocable Living trust with a bearing of N
7d'2f22" E and a distance of 517f0' to on existing rebar, also being the common corner of
the property of Leon Huneycutt, of of (now or formerly) recorded In deed book 608, page 571,
thence following the common line of Huneycutt with a bearing of S 20'314J" E and o distance
of 24A.2.5' to on existing rebar, also being the common comer of the property of locust
Lumber Company, Inc. (now or formerly) recorded In deed book 372, page 465; thence following
the common line of Locust Lumber Company, Inc. two (2) tolls• (1) with a bearing of S
20;31'43' E and a distance of 330.03' to a point; (2) with a bearing of S 55%4628" W and a
distance of 127.31' to an existing pipe, also bebrg the common corner of the property of
Locust Car Care dr ?are, Inc. (now or fomierly) recorded in deed book 1503. pope 918, thence
following the common line of Locust Car Core & Tire, inc. three (3) colts: (1) with a bearing of
S 572534" W and a distance of 94.20' to an existing rebor; (2) with a bearing of S 68'17'21'
W and a distance of 200.01' to an existing rebar; (3) with a bearing of S 13171 :38" E and a
distance of 190.37' to an existing bent rebar on the northwesterly margin of the right -oh -way
of East Main Street; thence following said right--of-way with a bearing of 5 76*07'34' W and a
distance of 41.00' to a point; being the point of BEGINNING and containing 10.265 Acres, more
or les,, as shown on a survey by Carolina Surveyors, Inc.

BK 1855 PG 530 DOC# 468819
TOGETHER WITH the non-exclusive right to use the Private Access/Ingress Easement as
shown on the plat recorded in Map Book 18 at Page 203, and all easements, rights, benefits and
privileges set forth in the Declaration of Easements and Restrictions recorded in Book 887 at
Page 365, Stanly County Public Registry, as the same may be amended from time to time.

State of North Carolina
RECEIVED Department of Environmental Quality
DWRDivision of Water Resources
SEWER SYSTEM PERMIT OWNERSHIP/NAME CHANGE
Division of Water Resources JUN 19 2024 INSTRUCTIONS FOR FORM: PNOCF 01-16
This form is for ownership changes or�tFPt9' Please note that "Permittee" references the
l
existing permit holder, and that "App the ownership/name change.
Sewer permits start with a WQ or WQCS and contain the terms sewer extension or collection system in the subject field. This
form should not be used for permits with NC, NCG, SW or other types of non -sewer permits beginning with WQ.
For more information, visit the Division's Water Quality Permitting's
A. Sewer System Permit Ownership/Name Change (FORM: PNOCF 01-16) Application (All Applications):
® Submit an original completed and appropriately executed application (PNOCF 01-16).
® The Existing Permittee's Certification shall be signed in accordance with 15 NCAC 02T .0106(b). Per 15A NCAC 02T
0106(c), an alternate person may be designated as the signing official if a delegation letter is provided from a person who
meets the criteria in 15A NCAC02T .0106(b).
® The Applicant's Certification shall be signed in accordance with a l_ i, ` ). Per I �A tiC:,\CY02T .01 wi_Lcj, 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( t.
B. Existing Permit (All Applications):
® Submit a copy of the most recently issued permit and certification.
C. Property Ownership Documentation (All Applications):
i The Applicant shall demonstrate they are the owner of all property containing the sewer system facilities:
® Legal documentation of ownership (i.e.,( v15, deed, article of incorporation, or contract), or
❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or
❑ Approved board minutes
D. Certificate of Public Convenience and Necessity (All Applications where the Applicant is a Privately -Owned Public Utility):
❑ Per 15A NCAC 02T .0115(a)t 1), provide one copy of the Certificate of Public Convenience and Necessity from the Ngh
Carolina Utilities Coinmission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served
by the non -discharge system.
E. Operational Agreements (Applications where the Applicant is a Home/Property Owners' Association or Developer of lots to be
sold):
Home/Property Owners' Associations
❑ Per 15A NCAC 02T 01 15ij, submit an original properly executed Operational Agreement (FORM: HOA).
❑ Per 15A NCAC 02T__01.1_ c), submit an original proposed or approved Articles of Incorporation, Declarations and By-
laws that contain the language required by the Operational Agreement.
Developers of lots to be sold
❑ Per 1.5.\ N( ;\C 02T ti 1 I �Lhj, submit an original of the properly executed Operational Agreement (FORM: DEV).
F. Package Submitted in Duplicate
® Submit a copy of all required documents in Instructions A-E as required
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED IN DUPLICATE
TO:
NCDEQ - DWR
Water Quality Permitting Section
PERCS Unit
By U.S. Postal Service: By Courier/Special Delivery:
1617 MAiL SERVICE CENTER 512 N. SALISBURY ST.
RALEIGH, NORTH CAROLiNA 27699-1636 SUITE 925
R %LEIGH, NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone]
INSTRUCTIONS FOR APPLICATION PNOCF 01-16 Page I of I

State of North Carolina
Department of Environmental Quality
DW RDivision of Water Resources
SEWER SYSTEM PERMIT OWNERSHIP/NAME CHANGE
Division of Water Resources INSTRUCTIONS FOR FORM: PNOCF 01-16
I. EXISTING PERMITTEE INFORMATION:
1. Permittee's name: Locust Grove Apartments. LLC
2. Signature authority's name: Bradley E. Parker per 1.5A NCAC 02T .0106(b)
3. Signature authority's title: Manager
4. Permittee's mailing address: 14120 Ballantyne Corporate. Suite 575
City: Charlotte State: NC Zip: 28227-
5. Permittee's contact information: Phone number: (2�Oj 318-5000 Fax Number (� _-
Email Address: dwsindellna wxzdevelopment.com
II. APPLICANT INFORMATION:
1. Applicant's name: Cijy of Locust
2. Signature authority's name: Cesar Correa per 15A NCAC 02T .0I06(b)
3. Signature authority's title: City Manager
4. Applicant's mailing address: 186 Ray Kennedy Drive
City: Locust State: NC Zip: 28097-
5. Applicant's contact information: Phone number: [phone] Fax Number_ -
Email Address: citvmanaper(a,locustnc.com
6. Representative's name: N/A
7. Representative's title: N/A
8. Representative's contact information
III. PERMIT INFORMATION:
Phone number: (�
Email Address:
Fax Number (_)
1. Existing permit number: W00039619 and most recent issuance date: January 25, 2018
2. Reason for the permit application: Select If other, attach detailed explanation
3. Has the facility been constructed? ❑ Yes or ® No
4. Has the facility been certified per 15A NCAC02T .0116? ❑ Yes or ® No
FORM: PNOCF 01-16 Page 1 of 2

w
IV. CERTIFICATIONS:
Existing Permittee's Certification per 15A NC'AC 02T .0106tb1:
1, Bradley E Parker. Manager attest that this application
(Signature Authority's name & title from Application Item 1.2 & 3)
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 understand that prior to reissuance of the permit
into the Applicant's name, 1 will continue to be responsible for compliance with the current permit and any discharge of wastewater
from this system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief,
and/or criminal prosecution. I will also make no claim against the Division of Water Resources should a condition of the existing permit
be violated. I also understand that if all required parts of this application are note completed and that if all required supporting
information and attachments are not included, this application will be returned to me as incomplete.
NOTE - In accordance with General Statutes I i r and i 4' oB, any person who knowingly makes any false statement,
representation, or certification in an 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:
Applicant's Certification per 15:k M %C 02T .0106ib1:
Date: 06.10.24
I, Cesar Correa, City Manager attest that this application
(Signature Authority's name & title from Application Item II.2&3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that after issuance of the permit into
the Applicant's name, I will be responsible for compliance with the issued permit and any discharge of wastewater from this non -
discharge system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief,
and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition of this permit be violated.
I also understand that if all required parts of this application package are not completed and that if all required supporting information
and attachments are not included, this application package will be returned to me as incomplete.
NOTE - In accordant h F
es 1-t_I4-t,:\ and _i _ -' I i_f,(3, any person who knowingly makes any false statement,
representation, or ce ficati ntion package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as ell vIo $25,000 per violation.
signature: Date: 6-
FORM: PNOCF 01-16 Page 2 of 2

Water Resources
ENVIRONMENTAL QUALITY
�t rmo
Y COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
January 25, 2018
Mr. Bradley E. Parker
Locust Grove Apartments, LLC
14120 Ballentyne Corporate, Suite 575
Charlotte, NC 28227
Subject: Permit No. WQ0039619
Locust Grave Apartments, LLC
Locust Grove Apartments
Wastewater Collection System Extension Permit
Stanly County
Dear Mr. Parker:
In accordance with your application received November 15, 2017, with additional information received
January 11, 2018, we are forwarding herewith Permit No. WQ0039619. dated January 25, 2018 to Locust
Grove Apartments, LLC (Permittee) for the construction and operation upon certification of the subject
wastewater collection system extension. This permit shall be effective from the date of issuance until
rescinded and shall be subject to the conditions and limitations as specified therein. This cover letter shall
be considered a part of this permit and is therefore incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition II.1: This'permit shall not be automatically transferable; a request must be made and approved.
Condition IIA: Requires that the wastewater collection facilities be properly operated and maintained in
accordance with 15A NCAC 2T .0403 or any individual system -wide collection system
permit issued to the Permittee.
It shall be the responsibility of the Permittee to ensure that the as -constructed project meets the appropriate
design criteria and rules. Failure to comply may result in penalties in accordance with North Carolina
General Statute §143-215.6A through §143-215.6C, construction of additional or replacement wastewater
collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing
board.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit This
request must be in the form of a written petition, conforming to Chapter 150B of North Carolina General
Statutes, and filed with the Office bf Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are made, this permit shall be final and binding.
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Office 1 610 East Center Avenue, Suite 30l j Mooresville, North Carolina 28115
704 663 1699

If you need additional information concerning this matter, please contact Lon Snider at [phone] or
via e-mail at lon.snider@ cdenr.gov.
Sincerely,
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
cc: Samuel Smith (P.E.) (E-copy)
Mooresville Regional Office Files
Water Resources Central Files
PERCS (E-copy)
Page 2 of 8

Environmental
Quality
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
Locust Grove Apartments, LLC
Stanly County
for the construction and operation of approximately 1,353 linear feet of 6 inch gravity sewer to serve
the Locust Grove Apartments, and the discharge of 19,770 gallons per day of collected wastewater into
the West Stanly WWTP existing sewerage system, pursuant to the application received November 15,
2017 and additional information received January 11, 2018, and in conformity. with 15A NCAC 2T; the
Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the
Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains
adopted June 1, 2000, as applicable; and other supporting data subsequently filed and approved by the
Department of Environment and Natural Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the specified
conditions and limitations contained therein.
by W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
By authority of the Environmental Management Commission
Permit Number: WQ0039619
Permit Issued: January 25, 2018
Page 3 of 8

t;.
SUPPLEMENT TO PERMIT COVER SHEET
Locust Grove Apartments, LLC is hereby authorized to:
Construct, and then operate goon certification the aforementioned wastewater collection extension. The
sewage and wastewater collected by this system shall be treated in the West Starkly WWTP Regional
Wastewater Treatment Facility in accordance with Permit Number NCO043532.
Permitting of this project does not constitute an acceptance of any part of the project that does not meet
15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria<adopted February 12, 1996, as
applicable; and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000, as applicable, unless specifically mentioned herein. Division
approval is based on acceptance of the certification provided by a North Carolina -licensed Professional
Engineer in the application. It shall be the Permittee's responsibility to ensure that the as -constructed
project meets the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
I. SPECUL CONDITIONS
1) No flow in excess of the quantity permitted herein, 19,770 additional GPD, shall be made
tributary to the subject sewer system until an application for permit modification for an increase in
flow has been submitted to and approved by the Division. [15A NCAC 02T.0304 (b)]
II. STANDARD CONDITIONS
I. This permit is not transferable. In the event there is a desire for the wastewater collection facilities
to change ownership, or there is a name change of the Permtttee, a formal permit request shall be
submitted to the Division accompanied by documentation from the parties involved, and other
supporting materials as may be appropriate. The approval of this request shall be considered on its
merits and may or may not be approved. [15A NCAC 02T.0104; G.S I43-215.1(0)]
2. This permit shall become voidable unless the wastewater collectiori facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer
Minimum Design Criteria adopted February 12, 1996, as applicable; the Division's Minimum Design
Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as
applicable; and other supporting materials unless specifically mentioned herein. [15A. NCAC
02T.0I 10]
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and othersupporting data. [15A NCAC 02T .0110]
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required, the following performance criteria shall be met: [ISA NCAC'02T .0108(b)]:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or surface
water standards.
Page 4 of 8

b. ,A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected everyday (i.e.365
days per year). Pump stations that are connected to a telemetry system shall be inspected at least
once per week.
c. High -priority sewer lines shall be inspected at least once per every six months and inspections
documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a)," and public notice shall be provided as required by
North Carolina General Statute § 143-215.IC.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
i. - Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the map, which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Mooresville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours
following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility
incapable of adequate wastewater transport, such as mechanical or electrical failures of
pumps, line blockage or breakage, etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Page 5 of 8

Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part I of Form CS-SSO (or the most current Division approved form) within five days following first
knowledge of the occurrence. This report must outline the actions taken or proposed to be taken to
ensure that the problem does not recur. Part 11 of Form CS-SSO (or the most current Division
approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-
215.IC(al)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0I08(b)]
7. Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification form attached to this permit shall be submitted with the required supporting
documents to the address provided on the form. A complete certification is one where the form is
fully executed and the supporting documents are provided as applicable. Any wastewater flow made
tributary to the wastewater collection system extension prior to completion of this Engineer's
Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted
with the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
number/type of connections), regulations, or the Minimum Design Criteria. Requested modifications
or variances to the Minimum Design Criteria will be reviewed on a case -by -case basis and each on
its own merit. Please note that variances to the Minimum Design Criteria should be requested and
approved during the permitting process prior to construction. After -construction requests are
Page 6 of 8

discouraged by the Division and may not be approved, thus requiring replacement or repair prior to
certification & activation. [15A NCAC 02T .0116]
Gravity sewers installed greater than ten percent below the minimum required slope per the Division's
Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified until
corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case -by -case basis. Resolution of such request . shall be evident prior to completing and
submitting the construction certification. [ 15A NCAC 02T.0I05(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities. [15A NCAC 02T .0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996, as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted
June 1, 2000, as applicable; and other supporting materials may subject the Pennittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes § 143-215.6A
through §143-215.6C, construction of additional or replacement wastewater collection facilities,
and/or referral of the North Carolina -licensed Professional Engineer to the licensing board. [15A
NCAC 02T .0104; 15A NCAC 02T .0108(b-c)]
11. In 'the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including those
as may be required by this Division, such as the construction of additional or replacement facilities.
[ 15A NCAC 02T .0110; 15A NCAC 02T .0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 8

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: LOCUST GROVE APARTMENTS, LLC
PERMIT #: WQ0039619
PROJECT: LOCUST GROVE APARTMENTS
ISSUE DATE: JANUARY 25, 2018
This project shall not be considered complete nor allowed to operate in accordance with standard
Condition 7 of this permit until the Division has received this Certification and all required supporting
documentation. It should be submitted in a manner that documents the Division's receipt. Send the
required documentation to the Regional Supervisor, Water Quality Regional Operations Section at the
address noted in the page footer.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions, The Permittee is responsible for tracking all. partial certifications up
until a final certification is received by the Division. A Final Certification hall, be a complete set of
record drawings and design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
1, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant to
the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain the
wastewater collection system permitted herein or portions thereof.
Printed Name, Title Signature Date
ENGINEER'S CERTIFICATION
h , as a duly registered Professional En ' eer in the State of North Carolina,
having been authorized to observe (❑ periodically, ❑ weekly, {full time) the construction of the
project name and location as referenced above for the above Permittee hereby state that, to the best of my
abilities, due care and diligence was used in the observation of the construction, such that the construction
was observed to be built within substantial compliance of this permit; 15A NCAC 02T; the Division of
Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as
applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000, as applicable; and other supporting materials,
North Carolina Professional Engineer's Seal w/signature & date:
❑ Final ❑ Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
NC DWR — Water quality Regional Operations Section 610 East Center Avenue, Suite 301, Mooresville, NC 28115
111A1 CCI 'Cno cAv. /7nA%-i!%a-rdlAn

State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number:"'— (to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Locust Grove Apartments, 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: Bradley E.Parker per 15A NCAC 02T .0106(b)
Title: Manager
4. Applicant's mailing address: 14120 Ballenyne Corporate, Suite 575
City: Charlotte State: NC Zip: 28227-
5. Applicant's contact information:
Phone number: t980) 318-5000 Email Address: dwsindellgn wxzdevelopment.com
II. PROJECT INFORMATION:
1. Project name: Locust Grove Apartments
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Stanly
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.261806" Longitude:-80.424028`'
5. Parcel ID (if applicable): 5575-04-53-1228
(or Parcel ID to closest downstream sewer)
111. CONSULTANT INFORMATION:
1. Professional Engineer: Samuel J. Smith, PE License Number: 40366
Firm: Chambers Engineering, PA
Mailing address: 129 North First Street
City: Albemarle State: NC Zip: 28128-
Phone number: (7/4) 984-6427 Email Address: ssmith(Rce-pa.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: West Stanly Wastewater Treatment Plant Permit Number: NCO043532
Owner Name: Stanly County Utilities
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ Downstream (Receiving) Sewer Size: inch
System Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s):
FORM: FTA 04-16 Pagel of 5

V' I. I-f
ENERAL REQUIREMENTS
1. 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 Operational Agreement (FORM:_DEV) been attached?
❑ Yes []No ®N/A
3. If the Applicant is a Hottie/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
® Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ SehooI / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
® Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
% Industrial (See I SA NCAC 02T .0103(20))
�bIs there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 02T .0 l 14(f)? ❑ Yes ❑ No
If yes, vrovide a coov of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 021.0114(f1)
Daily Design F[ow a.b
No. of Units
Flow
Bedroom
120 gal/day
156
18,720 GPD
Comm. Bldg- Self Service Laundry Facility
500 gal/machine
2
1,000 GPD
Comm. Bldg- General Business / Office
25 gal/employee / shift
2
50 GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
19,770 GPD
a See 15A NCAC 02T .0114(b), (d). (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use
areas; and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals
as defined in G_.S._42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table I SA NCAC 02T.01141 shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 19.770 GPD (per 15A NCAC 02T .01141
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

rIGRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
6
1353
PVC/ DI
➢ 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 requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(13).
➢ 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
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - ISA NCAC 02T .0305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
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 in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(t)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (a)
➢ 15A NCAC 02T.0305 contains minimum separations that shall be Rrovided for sewer stems.
® Yes [-]No
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below vertical
24 inches
Water mains vertical -water over sewer 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 II impounded reservoirs used as a source of drinking water
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 see item IX.2
50 feet
*'"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
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
➢ 15A NCAC 02T.03.05(g) contains alternatives where separations in 02T.0305(f) cannot be achieved.
➢ "Stream classifications can be identified using the Division's NC Surface Water Classifications webnagg
➢ If noncompliance with 02T.0305(I) or 0, see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No
➢ Seethe Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with all setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No
➢ This would include Trout Buffered Streams per 15A NCAC 2B.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes [:]No
➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0 I 05(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0I05(c)(6). directly related environmental permits or certification applications are 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.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per I SA NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned paralIeI to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ® No
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

CERTIFICATIONS:
1. Does the submitted system comply with I SA NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains (latest version), and the Gravitv Sewer Minimum Design Criteria (latest version) as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents
for review. Approval of the request is required prior to submittal of the Fast Track Application and supportins:
documents.
2. Professional Engineer's Certification:
i, 5 AAA U EL J. TM 11W attest that this application for
(Professional Engineer's name from Application Item lit.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, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain
portions of this submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this
material and have judged it to be consistent with the proposed design.
NOTE -- In accordance with General Statutes 143-215.6A and 143-215.613, 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.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's
NCAC 02T .O1i06(b):
Au s name & title from. Application item 1.3.)
`w�tttttrrtttf
40301 i
••..,. _,,fit► .�
j���rtt►rt�•tt�swx
that this application for
has been reviewed and is accurate and complete to the best of my knowledge. 1 understand that if all required parts of
this application are n`&t completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a
condition of this permit be violated. I also understand that if all required parts of this application package are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to
me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, 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 S 10,00 aswell as civil penalties up to $25,000 per violation.
Signature: Date:,(
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality .
Division of Water Resources
DWR
0lvi0r,n of t+4.tter ttesourcr.s
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Locust Grove Apartments, LLC
Project Name for which flow is being requested: Locust Grove Apartments
More than one FTSE may be requiredfor a single project if the owner of the WW77' is not resporrsiblefor all pu"p
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: West Stanly WWTP
b. WWTP Facility Permit #: NCO043532
Aft JTows are in MGD
c. WWTP facility's permitted flow 0.9
d. Estimated obligated flow not yet tributary to the WWTP 0.545
e. WWTP facility's actual avg. flow 0.377
f. Total flow for this specific request 0.0197
g.- Total actual and obligated flows to the facility .922
h. Percent of permitted flow used 102.0%
11, 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)
Design
Pump
Average Daily
Station
Firm
Flow'"
(Naive or
Capacity, •
(Firm / pf),
Number)
MOD
MOD
McCoy'sCo
-nc
1.500
0.600
(B) (C) (D)={B+C)
Obligated,
Approx. Not Yet Total Current
Current Avg Tributary Flaw Plus
(L)=(A-D)
Daily Flow, Daily Flow, Obligated Available
MOD MOD Flow Ca*ily**•
0.377 0.545 0.922 0;578
* The Firm Capacity of any pump station is defined as the maximum pumped ftw 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.
** 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):
Downstream Permit Number:
Page I of 6
FTSE 04-16

I11. Certification Statement:
I Donna Davis 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 lI
plus all attached planning assessment addendums for which I am the responsible party.
Signature of this form indicates acceptance of this wastewater flow.
Signature
Date
RECEIVED
JUN 19 2024
NCDEQ/DWR/NPDES
Page 2 of 6
FTSE 04-16

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resources Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE :04136)
Entity Requesting Allocation: - Locust Grove Apartments, LLC
Project Name for which flow is being requested: Locust Grove Apartments
More than one ME mcry be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name:
b. WWTP Facility Permit #:
All flaws are in MGD
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
1I: 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) (Ey-(A-D)
Design Obligated,
Pump Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity. * (Firm ! pi), Daily Flow, Daily Flow, Obligated Available* ;
Number) MGD MOD MOD MOD Flow C aci
ESPS#6 1.224 .4896 .0496 .077 3266 .363
* The Firm Capacity of any pump station is defened 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.
*** 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): WSWWTP/Stanly County Utilities
Downstream Permit Number: NCO043532
Page 1 of 6
F'TSE 04-16

V.
III. Certification Statement:
I Timothy C Flieger 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 tile
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 11 plus all
attached planning assessment addendums for which 1 am the responsible party. Signature of this
form indicates acceptance of this wastewater flow.
_ "~
Signing ff cial
11 /3/2017
Date
Page 2 of 6
FTSE 04- Il 6

4m,
Pek
qh
. A
7
'oe
V
Tw'a 646�
Ile
:r
7
IJD
h
DRAWN BY: HJT
IDATE: 11/17
DWG NO - USGS-CUT
SCALE: NOT TO SCALE
Chambers Engineering, R^
120 Nodh FsM St, AIDwand N(; 29WI 704 984-15427
NCBELS —e-'se No C, IWO
Locust Grove Apartment: U303 Cut Shoot

chambers
engineering, pa
129 North First Street I 704.964.6427 ph
Albemarle. NC 28001 www.ce-Pe.com
11/9/2017
Mr. Lon Snider
Environmental Senior Specialist
NCDEQ —Mooresville Regional Office
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Re: City of Locust / Stanly County
Locust Grove Apartments Sewer
Dear Mr. Snider,
RECEIVED
NOV 1 3 2017
UNWon of Water 'h1rastructute
On behalf of the Locust Grove Apartments, LLC, please find attached a Fast Track Sewer System Extension
application and supporting documents for the above referenced project. This project will serve a new facility. This
sewer extension is part of a project that will include an apartment complex and community building. Additional
flow is calculated to be approximately 19,770 gallons per day. The items included with this submittal package are:
Cover Letter FTA 04-16
Y Check Payable to NCDEQ ($480) ;e USGS Topographic Map
it USE 04-16 (McCoy's Creek Pump Station) i+ Street Level Map
r FTSE 04-16(City of Locust: E. Pump Station)
If any additional information is needed, please direct these requests to our office to ensure a timely response.
Thank you for your time and efforts on this project.
Sincerely,
Samuel 1, Smith, PE
Attach: Shown above (Original and Duplicate)
Cc: Brad Mclean, Greenway Residential Development, LLC

State of North Carolina
19 Department of Environmental Quality
Division of Water Resources
bivision of Water itcsource9 Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Locust Grove Apartments, LLC
Project Name for which flow is being requested: Locust Grove Apartments
More than one FTSE may be required for a single project if (he owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: West Stanly WWTP
b. WWTP Facility Pertrvt #: NC0O43532
All flows are in MGD
c. WWTP facility's permitted flow
0.9
d. Estimated obligated flow not yet tributary to the WWTP 0,314
e. WW IP facility's actual avg. flow
0.377
f. Total flow for this specific request
0.0197
g. Total actual and obligated flows to the facility
.7107
h. Percent of permitted flow used
78.97%
U. 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)
A (D)=(B+C) (F)=(A-D)
Design
Obligated,
Pump Average Daily Approx.
Not Yet Total Current
Station Firm Flow" Current Avg.
Tributary Flow Plus
(Name or Capacity, • (Firm / pi), Daily Flow,
Daily Flow, Obligated Available
Number) MGD MGD MGD
MGD Flow Capacity —
McCoy's 1.500 0.600 0.377
0.314 0.691 0.809
* The Firm Capacity 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.
*** 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.
Downstreamn Facility Name (Sewer):
Downstream Permit Number:
Page 1 of 6
FTSE 04-16

JUL Certification Statement:
I Donna Davis certify to the best of my knowledge that the addition of
water to be permitted
the volume of wastein 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 idenUed 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 IT
plus all attached planning assessment addendums for which I am the responsible party,
Signature of this form indicates acceptance of this wastewater flow,
Signing Official Signature
�a-io
Date
Page 2 of 6
FTSE 0M16

Business Registration Division Page 1 of 1
North Carolina
Elaine F. Marshall DEPART1V ENT OF THE
Secretary SECRETARY of STATE
4 aun,ic
y PO Box 2%= Raleigh,NC 2762"622 (919)81 G-1400 Account
Login
Click Here To: Create ,
Site
View Document Filings File an Annual Report Amend a Previous Annual Report Account
Print a Pre -Populated Annual Report form
Corporate Names
Legal: Locust Grove Apartments, LLC
LImited Liability Company Information
Sosld:
1541563
Status:
Current -Active
Annual Report Status:
Current
Citizenship:
Domestic
Date Formed:
9R12016
Fiscal Month:
December
Registered Agent:
Parker, Bradley E
Corporate Addresses
Mailing:
14120 Ballantyne Corporate PI Ste 575
Charlotte, NC 28277
Principal Office:
14120 Ballantyne Corporate PI Ste 575
Charlotte, NC 28277
Reg Office:
14120 Ballantyne Corporate PI Ste 575
Charlotte, NC 28277
Reg Mailing:
14120 Ballantyne Corporate PI Ste 575
Charlotte, NC 28277
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 570-3-20.
Manager. Bradley E Parker
14120 Ballantyne Corporate PI Ste 575
Charlotte NC 28277
https://www.sosnc.gov/Search/profcorp/12376445 11/15/2017

I
Central Files: APS SWP I _
1/25/2018
Permit Number WQ0039619
Permit Tracking Slip
Program Category
status Project Type
Non -discharge
Active New Project
I
Permit Type
Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
1.00 Individual
i
Primary Reviewer
Permit Contact Affiliation i
lon.snider
Coastal SWRute
Permitted Flow
19,770
Facility
Facility Name
Locust Grove Apartments
Location Address
Owner
Owner Name
Locust Grove Apartments LLC
Major/Minor Region
Minor Mooresville
County
Stanly
Facility Contact Affiliation
Owner Type
Non -Government
Owner Affiliation
Bradley Parker .
14120 Ballantyne Corporate PI
Dates/Events
Charlotte NC 28277
Scheduled
Orig Issue App Received Draft Initiated Issuance
Public Notice Issue Effective Expiration
1/25/2018 11/15/2017
1/25/2018 1/25/2018
Regulated Activities
Requested /Received Events
Apartment complex
Additional information received 1/11118
Condominium
Additional information requested 11/16/17
Ofilce
Additional information requested
Wastewater collection
Additional information received
Outfall
Waterbody Name
Streamindex Number Current Class
Subbasin
1

BK 1855 PG 526 (5)
This Document eRecorded:
Fee: $26.00
Stanly County, North Carolina
Jennifer Helms, Register of Deeds
Received By: KAYLAN ROLAND
DOC# 468819
06/12/2024 02:42:09 PM
NORTH CAROLINA SPECIAL WARRANTY DEED
Excise Tax: $2,400.00
Parcel Identifier No. 5 575045 31228 Verified by Stanly County on the day of , 2024
By:
Mail/Box to: Grantee
This instrument was prepared by: Paige H. Pease, a licensed attorney, 16151 Lancaster Highway, Suite B,
Charlotte, NC 28277 Delinquent taxes, if any, to be paid to the Stanly County Tax collector by the closing
attorney (Connie Mosher) upon disbursement of closing proceeds.
Brief description for the Index: +/- 10.27 acres located on East Main Street, Locust NC, 28097
THIS DEED made this day of June, 2024, by and between
GRANTOR
Locust Grove Apartments, LLC,
a North Carolina limited liability company
14120 Ballantyne Corporate Place, Ste 575
Charlotte, NC 28277
GRANTEE
City of Locust,
a North Carolina municipal corporation
186 Ray Kennedy Drive
Locust, NC 28097
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and
assigns, and shall include singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of
which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the
Grantee in fee simple, all that certain lot or parcel of land situated in the City of Locust, Stanly County,
North Carolina and more particularly described as follows (the "Property"):
SEE EXHIBIT A ATTACHED HERETO AND INCORPORATED HEREIN BY
REFERENCE.
submitted electronically by "First street Legal"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the stanly county Register of Deeds.

BK 1855 PG 527 DOC# 468819
The Property was acquired by Grantor by instrument recorded in Book 1643, Page 1427.
All or a portion of the Property does not include the primary residence of Grantor. This Deed is
executed and delivered in the ordinary course of business of Grantor.
TO HAVE AND TO HOLD the Property and all privileges and appurtenances thereto belonging
to Grantee, its successors and assigns forever, in fee simple. Title to the Property hereinabove described is
hereby conveyed subject to (1) all valid and subsisting restrictions, reservations, covenants, conditions,
rights of ways and easements properly of record, including without limitation, that certain Declaration of
Easements and Restrictions recorded in Book 887, Page 365 of the Stanly County, North Carolina Registry,
as amended by Amendment to Declaration of Easements and Restrictions recorded in Book 1044, Page
220 of the Stanly County, North Carolina Registry; (2) matters revealed by a correct and accurate survey
of the Property; (3) applicable zoning and land use regulations, and (4) current year ad valorem taxes.
AND the Grantor covenants with the Grantee, that Grantor has done nothing to impair such title as
Grantor received, and Grantor will warrant and defend the title against the lawful claims of all persons
claiming by, under or through Grantor, except for the exceptions referenced above.
[SIGNATURE AND ACKNOWL.EDGEMEWT TO APPEAR ON FOLLOWING PAGE]

BK 1855 PG 528 DOC# 468819
(Signature Page to Special Warranty Deed]
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first
above written.
LOCUST GROVE APARTMENTS, LLC
a North Carolina limited liability company
By: Locust Grove Associ�es-, L-Lt,)ts Manager
By: Greenway !;e'sidential Deydfopment, LLC, its Manager
A
Parker, Manager
S'fATE OF NORTH CAROLINA
COUNTY OF MECKLENBURG
ACKNOWLEDGMENT
1, Heather M. Smith, a Notary Public for said County and State, do hereby certify that Bradley E.
Parker, is the Manager of Greenway Residential Development, LLC, the Manager of Locust Grove
Associates, LLC, the Manager of Locust Grove Apartments, LLC, and that he, being authorized to do so,
executed the foregoing on behalf of the limited liability company.
Witness my hand and official stamp or seal this 1 Ith day of June, 2024.
r'7�F�
No ary Public
My commission expires: March 11, 2025

BK 1855 PG 529 DOC# 468819
EXHIBIT A
to Special Wan•anty Deed
Legal Description of the Property
13EGINNING at a nail on the northwesterly margin of the right —of way of East Main Street (oka
N.C. Hwy. 24-27), sold no# also being the southeast corner of lot 3 as shown on plat book 18,
page 203; thence leaving said right—of—way and following the eastern line of lot 3 with a
booting of N 13Qi'36' W and a distance of 255.77' to an existing rebar, also being the
northeasterly comer of lot 3,• thence following the northwest lines of tot 3 do lot 2 the following
three (3) calls: (1) with a bearing of S 7,74639' W and a distance of 271.61' (passing on
existing nor? at 186.94) to on existing nall; (2) with an Arc to the Right having a Radius of
225.00' and a Length of 28.97' and being Chorded by a bearing of S 76 27,55' W and a
distance of 26.95' to an existing noil; (3) with a bearing of S 60V9'12" W and a distance of
69.50' to an oxbsNng no#, being the northwest comer of lot 2 as shown on plat book 18, page
203; thence foftiving the western lino of lot 2 wlth a bearing of S 135226" E and a distance
of 244,93' to on existing norl on the northwesterly margin of the right—ot`woy of East Main
Street ; thence fallowing said right —of --way with a bearing of S 7607'34" W and a distance of
56.51' to a point, uald point being the southeasterly corner of lot 1 as shown on plat book 18,
page 203; thence leaving said right—of—way and falowing the eastern faro at lot 1 with a
bearing of N 13'5226" W and a distance of 282.61' to an existing robot on the southern line
of the property of Home Savings Bonk, SS8 (now or formerly) recorded in dead book 931, page
169,thence with the common tine of Home Savings Bank, 558 the following six (6) calls; (1)
with a bearing of N 80'09'58' E and a distance of 123.06' to an existing pipe; (2) with a
bearing of N 1 t 3D'S0" W and a distance of 68.89' to an existing pipe; (3) with a bearing of S
7432'38" W and a distance of 127.95' to an existing rebar; (4) with a bearing of N 9 a129" W
and a distance of $5.70' to an existing pipe; (5) with a bearing of N 929'07' W and a
distance of 54.41' to on existing rebar; (6) with a bearing of S 794457' W and a distance of
190.00' to a point on the easterly morn of the right—of—way of Central Avenue (afro N.C.
14wy 200), thence following said right--of—woy with a bearing of N 933'35' W and a distance of
53.62' fo a point on the line of Ronald L dr Jo ,Inn Sneed (now or formerly); thence leaving
said right—of—way and following the southern line of Sneed with a bearing of N 7978'39" E and
a dlstance of 789 48' to an existing pipe thence following the eastern line of Sneed with a
bearing of N 7Y1041' W and a distance of 50.00' to a pipe on the southerly margin of 01xon
Road (shown as a 30' right--of—way on plot book 3, page 195).' thence following sold
right—of—way three (3) calls. (1) with a bearing of N 772059" E and o distance of 64.05' to
on oxistbhg pipe. (2) with a booting of N 74'45'79" E and a distance of 67.55' to an existing
bent rebar, (3) with a bearing of N 6737'15" E and a dlstance of 183.61' to an existing rebar,
thence with a bearing of N 3739'00' W and a distance of 32.30' to an existing rebar, also
being the southeasterly corner of the property of Lizzle Clark sucker (now or formerly) recorded
in deed book J27, page 775; thence following the common line of Tucker with a bearing of N
373900" W and a distance of 183.74' to an existing pipa, also being the common corner of
the property of Llzrle Clark rocker (now or formerly) recorded in deed bank 302. page 885;
thence following the common line of Tucker with a booting of N 7103'19" E and a dlstance of
76.63' to an exis(arg rebar, also being the commorr corner of the property of the Juanano L
bteMt)re Revocable Living Trust (now or formerly) recorded in deed book 547, page 7843; thence
fW/owing the common line of the Juanimo L Mclntyte Revocable living Trust with a bearing of N
742122" E and a distance of 51710' to on existing rebar, also being the common corner of
the property of Leon Nuneycutt, of of (now or formerly) recorded In deed book 608, page 571;
thence following the common line of Huneycutt with a bearing of S 20'31'43" E and a dislonce
of 248.?.5' to on existing rebor, also being the common corner of the property of Locust
Lumber Company, Inc. (now or formerly) recorded In deed book 372, page 465. thence following
the common line of Locust Lumber Company, Inc, two (2) calls.- (1) with a bearing of S
2031'43' t: and a distance of 330.03' to a point; (2) with a bearing of S 55'4628" W and a
distance of 127.31' to an existing pipe, also being the common corner of the property of
Locust Car Care & Tire, Inc. (crow or formerly) recorded In deed book 1503, poge 918, thence
following the common line of Locust Car Care & Tire, Inc. three (3) coils: (1) with o bearing of
S 5725'34" W and a distance of 94.20' to an existing robot; (2) with a bearing of S 68'17'7.1'
W and a distance of 200.01' to an existing rebar; (3) with a boating of S 13Y1138" E and a
distance of 190.37' to an existing bent rebar on the northwesterly margni of the right—of-woy
of Last Alain Street; thence following said right—of—way with a bearing of 5 76*07*34" W and a
distance of 41,00' to a point; being the point of BEGINNING and containing 10.265 Acres, more
or Jess, as shown on a survey by Carolina Surveyors, Inc.

BK 1855 PG 530 DOC# 468819
TOGETHER WITH the non-exclusive right to use the Private Access/Ingress Easement as
shown on the plat recorded in Map Book 18 at Page 203, and all easements, rights, benefits and
privileges set forth in the Declaration of Easements and Restrictions recorded in Book 887 at
Page 365, Stanly County Public Registry, as the same may be amended from time to time.