WQ0044375_Application (FTSE)_20230508

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 06-21 &SUPPORTING DOCUMENTATION
Application Number: 11 `� � )" r / o be completed by DWR) RECEIVED/NCDEO/DW 3
11
All items must be completed or the application will be returned MA�j e`1
I. APPLICANT INFORMATION: I '':'VOROS
1. Applicant's name: CRP/CHI Oaks Commerce Center Owner, LLC(company,municipality,H ®®ilittyVetcl REGIONAL OFFICE
2. Applicant type: ❑Individual ® Corporation ❑ General Partnership ❑Privately-Owned Public Utility
❑ Federal ❑ State/County ❑Municipal ❑ Other
3. Signature authority's name: Chris Urquhart per 15A NCAC 02T.0106(b)
Title:Vice President
4. Applicant's mailing address:4525 Sharon Road,Suite 250
City:Charlotte State:NC Zip: 28211-
5. Applicant's contact information:
Phone number:(704)236- 2440 Email Address:curquhartp_crowholdings.com
II. PROJECT INFORMATION:
1. Project name: The Oaks Commerce
2. Application/Project status: ®Proposed(New Permit) ❑Existing Permit/Project
If a modification,provide the existing permit number:WQ00 and issued date: ,
For modifications,also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of a master plan,provide the existing permit number: WQ00
3. County where project is located: Gaston
4. Approximate Coordinates(Decimal Degrees): Latitude: 35.2691' Longitude:- 81.0626 °
5. Parcel ID(if applicable): 306476(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer:David Starkel License Number: 046230
Firm: Orsborn Engineering Group
Mailing address: 605 Lexington Ave, Suite 301
City: Charlotte State:NC Zip:28203-
Phone number:[phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY(WWTF)INFORMATION:
1. Facility Name:City of Belmont WWTP Permit Number:NCO021181
Owner Name:City of Belmont
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s):WQ
2. Downstream(Receiving) Sewer Information: 8 inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s)(if applicable): WQCS
Owner Narne(s): City of Belmont
FORM: FTA 06-21 Pagel of 5

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 06-21 &SUPPORTING DOCUMENTATION
RECEI D/N /DWI
Application Number: (to be completed by DwR)
MA` 0 2023
All items must be completed or the application will be returned
I. APPLICANT INFORMATION: niQ OS
MOORES LE R GIONAL OFFIOI
1. Applicant's name: CRP/CHI Oaks Commerce Center Owner, LLC(company,municipality, HOA, utility,etc.)
2. Applicant type: ❑ Individual ®Corporation ❑ General Partnershi p ❑ Privately-Owned Public Uti ity
❑ Federal ❑ State/County ❑ Municipal ❑Other
3. Signature authority's name: Matt Cochrane per 15A NCAC 02T.0106(b)
Title: ManaaRina Director
4. Applicant's mailing address:4525 Sharon Road Suite 250
City:Charlotte State:NC Zip:2821 1-
5. Applicant's contact information:
Phone number:(704)236- 2440 Email Address:curauhartgcrowholdings com
If. PROJECT INFORMATION:
1. Project name:The Oaks Commerce
2. Application/Project status: ® Proposed(New Permit) ❑ Existing Permit/Project
If a modification,provide the existing permit number: WQ00 and issued date:
For modifications,also attach a detailed narrative description as described in Item G of the checklist.
If new construction,but part of a master plan,provide the existing permit number: WQ00
3. County where project is located: Gaston
4. Approximate Coordinates(Decimal Degrees): Latitude: 35.269 V Longitude:- 81.0626
5. Parcel ID(if applicable): 306476(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: David Starkel License Number:046230
Firm:Orsbom Engineering Group
Mailing address:605 Lexincton Ave, Suite 301
City:Charlotte State:NC Zip:28203- _
Phone number: 980)227-2349 Email Address:[e-mail]
IV. WASTEWATER TREATMENT FACILITY(WWTF)INFORMATION:
1. Facility Name:City of Belmont WWTP Permit Number:NCO021181
Owner Name: City of Belmont
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ
2. Downstream(Receiving)Sewer Information: 8 inch Z Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s)(if applicable): WQCS
Owner Name(s):City of Belmont
FORM: FTA 06-21 Page I of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately-Owned Public Utility,has a Certificate of Public Convenience and Necessity been attached?
[—] Yes [:] No ®N/A
2. If the Applicant is a Developer of lots to be sold,has a Developer's Operational Agreement(FORM: DEV)been attached?
❑ Yes []No ® N/A
3. If the Applicant is a Home/Property Owners'Association,has an HOA/POA Operational Agreement(FORM: HOA)and
supplementary documentation as required by 15A NCAC 02T.0115(c)been attached?
❑ Yes ❑No ® N/A
4. Origin of wastewater:(check all that apply):
❑Residential(Individually Owned) ❑ Retail(stores,centers,malls) ❑ Car Wash
❑ Residential(Leased) ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School/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 %Industrial(See 15A NCAC 02T.0103(20))
If Industrial,is there a Pretreatment Program in effect?❑Yes❑No
6. Hasa flow reduction been approved under 15A NCAC 02T.0114(f)? ❑ Yes ®No
➢ If yes provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type(see 02T.0114(f)) Daily Design FloN� No.of Units Flow
Warehouse 100 gal/Loading Bay 131 13,100 GPI)
gal/ G P D
gal/ GPD
gal/ GPD
gal/ GPD
gal/ GPD
Total 13,100 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: 13.100 GPD(per 15A NCAC 02T.0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero,please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑Other(Explain):
FORM: FTA 06-21 Page 2 of 5

V11. GRAVITY SEWER DESIGN CRITERIA(If Applicable)-02T.0305& NIDC (Gravity Servers):
l. Summarize gravity sewer to be permitted:
Size(inches) Length(feet) Material
8 1,317 PVC
8 885 DIP
➢ Section II&III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
V1I1. PUMP STATION DESIGN CRITERIA(If Applicable)—02T.0305&MDC(Puma Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates(Decimal Degrees): Latitude: 0Longitude:- °
3. Total number of pumps at the pump station:
3. Design flow of the pump station: millions gallons per day(firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s)per pump(s): gallons per minute(GPM)at feet total dynamic head(TDH)
5. Summarize the force main to be permitted(for this Pump Station):
Size(inches) Length(feet) Material
If any portion of the force main is less than 4-inches in diameter,please identify the method of solids reduction per
MDCPSFM Section 2.01C.1.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑Other(please specify)
6. Power reliability in accordance with 15A NCAC 02T.0305(h)(1):
❑ Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry- 15A NCAC 02T.0305(h)(1)(B).*
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
❑ Portable power source with manual activation,quick-connection receptacle and telemetry-
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations,an evaluation of all the pump stations'storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 06-21 Page 3 of 5

IX. SETBACKS&SEPARATIONS—(02B.0200 & 15A NCAC 02T.0305(f)):
1. Does the project comply with all separations/alternatives found in 15A NCAC 02T.0305(f)&(g)? ® Yes ❑No
15A NCAC 02T.0305 contains minimum se Hations that shall be provided for sewers stems:
Setback Parameter* Separation Required
Storm sewers and other utilities not listed below(vertical) 18 inches
ZWater mains(vertical-water over sewer preferred,including in benched trenches) 18 inches
ZWater mains(horizontal) 10 feet
Reclaimed water lines(vertical-reclaimed over sewer) 18 inches
Reclaimed water lines(horizontal-reclaimed over sewer) 2 feet
**Any private or public water supply source,including any wells,WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water,and associated wetlands. 100 feet
**Waters classified WS(except WS-I or WS-V),B,SA,ORW,HQW,or SB from normal
high water(or tide elevation)and wetlands associated with these waters(see item IX.2) 50 feet
**Any other stream,lake,impoundment,or ground water lowering and surface drainage
ditches,as well as wetlands associated with these waters or classified as WL. 10 feet
Any building foundation(horizontal) 5 feet
Any basement(horizontal) 10 feet
Top slope of embankment or cuts of 2 feet or more vertical height 10 feet
Drainage systems and interceptor drains 5 feet
Any swimming pools 10 feet
Final earth grade(vertical) 36 inches
➢ If noncompliance with 02T.0305(fl or(g_).see Section X.1 of this application
*I 5A NCAC 02T.0305(g)contains alternatives where separations in 02T.0305(f)cannot be achieved.Please check"yes"
above if these alternatives are used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webnage
2. Does this project comply with the minimum separation requirements for water mains? ®Yes [—]No ❑N/A
➢ If no,please refer to 15A NCAC 18C.0906(f)for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE,verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ® Yes ❑No ❑N/A
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ See the Division's draft separation requirements for situations where separation cannot be met.
➢ No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? ❑ Yes Basin name: ® No
If yes,does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ❑ Yes ❑ No
➢ This includes Trout Buffered Streams per 15A NCAC 2B.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ® Yes ❑No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.0105(c)(6)(additional permits/certifications)? ®Yes ❑No
Per 15A NCAC 02T.0105(c)(6),directly related environmental permits or certification applications must be being prepared,
have been applied for,or have been obtained. Issuance of this permit is contingent on issuance of dependent permits(erosion
and sedimentation control plans,stormwater management plans,etc.).
7. Does this project include any sewer collection lines that are deemed"high-priority?" ❑ Yes ®No
Per 15A NCAC 02T.0402,"high-priority sewer"means any aerial sewer,sewer contacting surface waters,
siphon,or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ If yes, include an attachment with details for each line,including type(aerial line,size,material,and location).
High priority lines shall be inspected by the permittee or its representative at least once every six-months and
inspections documented per 15A NCAC 02T.0403(a)(5)or the permittee's individual System-Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains(latest version),and the Gravity Sewer Minimum Design Criteria(latest version)as applicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the permit and projects requiring a variance approval may be subject to loneer
review times For projects requiring two or more variances or where the variance is determined by the Division to be a
sienificant portion of the project the full technical review is required.
2. Professional Engineer's Certification:
I,_David Starkel ,attest that this application for The Oaks Commerce
(Professional Engineer's name from Application Item I11.1.) (Project Name from Application Item 11.1)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications,engineering calculations,and all other supporting documentation to the best of my knowledge. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria for Gravity Sewers(latest version),and the Minimum Design Criteria for the Fast-Track 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.Misrepresentation of the application
information,including failure to disclose any design non-compliance with the applicable Rules and design criteria,may subject
the North Carolina-licensed Professional Engineer to referral to the licensing board.(21 NCAC 56.0701)
................... tit.t 1 i I.t r.ri.��................%
CARP /'.P
North Carolina Professional Engineer's seal,signature,and date: ��`U�• Es Io �/ '�
046230 =
FNGINEOL 46�
70 ,h 1
n►�``..51
..............................................317.3
3. Applicant's Certification per 1 5A NCAC 02T.0106(b):
I Chris Urquhart ,attest that this application for The Oaks Commerce
(Signature Authority Name from Application Item 1.3.) (Project Name from Application Item II.I)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
I understand that if all required parts of this application are not completed and that if all required supporting documentation
and attachments are not included, this application package is subject to being returned as incomplete. I understand that any
discharge of wastewater from this non-discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties,injunctive relief,and/or criminal prosecution. I will make no claim against the Division
of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application
package are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed$10,000 as well as civil penalties up to$25,000 per violation.
11/21/2022
Signature: 11�17 -111'
Date:
FORM: FTA 06-21 Page 5 of 5

State of North Carolina
[ 4 ` Department of Environmental Quality
Division of Water Resources
Division of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: CRP/CHI Oaks Commerce Center Owner, LLC
Project Name for which flow is being requested: The Oaks Commerce
More than one FTSE may be requiredfor a singleproject if the owner of the WWTP is not responsible for all punip
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: City of Belmont WWTP
b. WWTP Facility Permit#: NCO021181
All flows are in MGD
c. WWTP facility's permitted flow 5.0000
d. Estimated obligated flow not yet tributary to the WWTP 1.2353
e. WWTP facility's actual avg. flow 1.2910 (2021 Average)
f. Total flow for this specific request 0.0150
g. Total actual and obligated flows to the facility 2.5413
h. Percent of permitted flow used 51%
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Pump Average Approx. Not Yet Total Current
Station Station Firm Daily Flow`* Current Tributary Flow Plus
(Name or Permit Capacity, (Firm/pf), Avg. Daily Daily Flow, Obligated Available
Number) No. MGD MGD Flow, MGD MGD Flow Capacity***
Stowe 0.2376 0.0950 0.0299 0.0017 0.0316 0.0634
Duncan 0.5040 0.2016 0.0337 0.0017 0.0354 0.1662
Y The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
xx Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is<0.
Downstream Facility Name (Sewer):
Downstream Permit Number:
Page I of 6
TT[lT ! 1 A

III. Certification Statement:
I Barry L. Webb, City Manager certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and II plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Signing Oci Signature Date
Title of Signing Offccia4�
Page 2 of 6
TTCT 1 n 1 n

RECEI"ED/NCD
/D
CD
�•C wR
MAYVV
ORSBORN ENGINEERING GROUP MOOFIESVIL 0'
REGro oFFicE
The Oaks Commerce RECEIVED/NCDEQIDWR
Belmont, North Carolina MAY - 8 2023
Project Narrative WOROS
�AOORESVILLE REGIONAL OFFICE
May 3, 2023
This project includes the construction of a warehouse/distribution industrial building
totaling approximately 4712,189 sq. ft. on a 44.23-acre lot.
The building will be served by a proposed 8" sewer main that will flow to a public gravity
sewer manhole located near The Oaks Parkway.
The proposed private sewer system will include 1,317 LF of 8" PVC gravity sewer and
885 LF of 8" DIP gravity sewer.
Supporting Documents Included:
1.) Site Maps
2.) USGS Quad Map
3.) Application Fee ($480)
4.) Fast Track Application
5.) FTSE Form
6.) Copies of 401/404 permits
Page 1
605 LEXINGTON AVENUE, SUITE 301 CHARLOTTE, NC 28203 P) 704.749.1432

STATE o°
ROY COOPER
Governor s A`
ELIZABETH S.BISER �rrt*
Secretary +""'
RICHARD E. ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
March 15, 2023
DWR#2023-0216
Gaston County
Crow Holdings
Attn: Chris Urquhart
4064 Colony Road,Suite 405
Charlotte,NC 28211
Delivered via email to: curauhart(@crowholdings.com
Subject: Approval of Individual 401 Water Quality Certification
Oaks Commerce Utility Line, USACE Action ID. No.SAW-2023-00086
Mr.Urquhart:
Attached hereto is a copy of Certification No.WQC005762 issued to Mr. Chris Urquhart and Crow
Holdings,dated March 15, 2023. This approval is for the purpose and design described in your
application.The plans and specifications for this project are incorporated by reference as part of this
Water Quality Certification. If you change your project,you must notify the Division and you may be
required to submit a new application package with the appropriate fee. If the property is sold,the
new owner must be given a copy of this Certification and is responsible for complying with all
conditions. [15A NCAC 02H.0507(d)(2)].
This General Certification does not relieve the permittee of the responsibility to obtain all other
required Federal,State,or Local approvals before proceeding with the project,including those
required by,but not limited to,Sediment and Erosion Control,Non-Discharge,Water Supply
Watershed,and Trout Buffer regulations.
This Water Quality Certification neither grants nor affirms any property right,license,or privilege
in any lands or waters,or any right of use in any waters. This Water Quality Certification does not
authorize any person to interfere with the riparian rights,littoral rights,or water use rights of any
other person and does not create any prescriptive right or any right of priority regarding any usage
of water. This Water Quality Certification shall not be interposed as a defense in any action
respecting the determination of riparian or littoral rights or other rights to water use. No
consumptive user is deemed by virtue of this Water Quality Certification to possess any
prescriptive or other right of priority with respect to any other consumptive user regardless of the
quantity of the withdrawal or the date on which the withdrawal was initiated or expanded.
Upon the presentation of proper credentials,the Division may inspect the property.
This Water Quality Certification shall expire on the same day as the expiration date of the
corresponding Individual Section 404 Permit. The conditions shall remain in effect for the life of
the project,regardless of the expiration date of this Water Quality Certification.
Non-compliance with or violation of the conditions herein set forth may result in revocation of this
Water Quality Certification for the project and may also result in criminal and/or civil penalties.

Site Map - Property line
Location of site - Map
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id.SAW-2023-00086 County:Gaston U.S.G.S.Quad:NC-Mount Holly
GENERAL PERMIT (REGIONAL AND NATIONWIDE)VERIFICATION
Pennittee: Crow Holdings
Chris Urquhart
Address: 4064 Colony Road Suite 405
Charlotte,NC 28211
Telephone Number: 704-236-2440
E-rn a il: curuhartLcrowholdings.com
Size (acres) 2.894 Nearest Town Belmont
Nearest Waterway South Fork Catawba River River Basin Santee
USGS HUC 03050102 Coordinates Latitude:3 5.267353
Longitude:-81.056749
Location description:Projectis located at 2021 The Oaks Parkway,near Belmont,Gaston County North Carolina.PIN:
306476.
Description of projects area and activity:This verification authorizes:
l) Temporary impacts of 53 LinearFeet to CH 100 for trenching for sewer.
2) Temp orary impacts of 5 3 Lin ear Feet to CH 100 fo r excavation.
Applicable Law(s): ©Section 404(Clean Wa ter Act,33 USC 1344)
❑Section 10(Rivers a nd Harbors Act,33 USC 403)
Authorization: NWP 58:Utility Line Activities for Water and other Substances
SEE ATTACHED NWP GENERAL,REGIONAL,AND/OR SPECIAL CONDITIONS
Your workis authorized by the above referenced permitprovided itis accomplished in strict accordancewith the attached
Conditions,your application signed and dated 2/7/2023,and the enclosed plans The Oaks OffsiteEasement Man .Any violation
of the attached conditions or deviation from your submitted plans may subject the permittee to a stop work order,a restoration
order,a Class I administrative penalty,and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide and/or regional general permit
authorization ism odified,suspended or revoked. If,prior to the expiration date identified below,the nationwide and/or regional general
permit authorization is reissued and/or modified,this verification will remain valid until the expiration date identified below,provided
it complies with all requirements of the modified nationwide permit. If the nationwide and/or regional general permit authorization
expires or is suspended,revoked,or is modified,such that the activity would no longer comply with the terms and conditions of the
nationwide permit,activities which have commenced(i.e.,are under construction)orare undercontract to commence in reliance upon
the nationwide and/or regional general permit,will remain authorized provided the activity is completed within twelve months of the
date of the nationwide and/orregional general permit's expiration,modification orrevocation,unless discretionary authority has been
exercised on a case-by-case basis to modify,suspendorrevoke the authorization.
Activities subject to Section 404 (as indicated above)may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Resources(telephone [phone])todetermine Section 401 requirements.
For activities o ccuning within the twenty coastal counties subject to regulation under the Coastal Area Management Act(CAMA),prior
to beginningwork you must contact the N.C.Division of Coastal Management Morehead City,NC,at(252)808-2808.
This Departmentof the Armyverification does not relieve the permittee of the responsibility to obtain any other required Federal,State
or loca 1 approvals/permits. If there are any questions regarding this verification,any of the conditions of the Permit,or the Corps of
Engineers regulatory program,please contact Krystynka B S ar at 252-545-0507or krystymka.b.s!ygarCausace.army.mil.
Corps Regulatory Official:_ _Date:3/21/2023
Expiration Date of Verification: 3/14/2026

• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online -
Add Entity to My Email Notification List • View Filings • Print a Pre-Populated Annual Report form • Print
an Amended a Annual Report form
Limited Liability Company
Legal Name
CRP/CHI OAKS COMMERCE CENTER OWNER, L.L.C.
Information
Sosld: 2422088
Status: Current-Active O
Date Formed: 5/25/2022
Citizenship: Foreign
State of Incorporation: DE
Annual Report Due Date: April 15th
Currentgnnual Report Status:
Registered Agent: CT Corporation System
Addresses
Mailing Principal Office
1001 Pennsylvania Ave., NW Ste 220s 1001 Pennsylvania Ave., NW Ste 220s
Washington, DC 20004 Washington, DC 20004
Reg Office Reg Mailing
160 Mine Lake Ct Ste 200 160 Mine Lake Ct Ste 200
Raleigh, NC 27615 Raleigh, NC 27615
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Member
CRP/CHI Oaks Commerce Center Venture, L.L.0
1001 Pennsylvania Ave NW, Suite 220 South
Washington DC 20004